Ian Stewart, Sr. VP, Revenue Cycle Operations, Presence Health/R1

Ian Stewart is a Healthcare Executive with experience in turnaround and operations for Acute, Provider, LTAC, Nursing Home and Home Health Revenue Cycle with a specific focus on yield and cost.

Ian recently joined R1RCM in March 2018 to manage the Illinois market which includes AMITA Adventist, AMITA Ascension and Presence Ascension as they are completing the merger. He currently manages 1700 FTE’s and $4.6 billion in Net Revenue.  Prior to joining R1RCM, Ian led the Presence Health Revenue Cycle department starting in May 2016 as the System Vice President, Revenue Cycle. Presence Health was the largest Catholic health system based in Illinois. With more than 150 sites of care, including 12 hospitals, 27 long-term care and senior living facilities, Presence Health has more than 20,000 employees, 4,000 medical professionals and a revenue base of $2.6 billion.  

To date, Ian has been successful in turning around the Revenue Cycle Systems performance for Presence Health. In 2015, Presence Health had a loss of $186 million dollars and in 2017 was profitable through the merger with Ascension.  Areas of responsibility for all services, include revenue cycle, pre-access, patient access, billing, coding, HIM, charge capture, hospital, medical group, long term care, scheduling, revenue integrity, self-pay, clinical and technical denials, collection, and posting. Specific focus on daily work and future strategy.  He has a special passion for the faith based systems and enjoys the opportunities to serve the patients of Chicagoland.

Prior to his role at Presence Health, Ian has served as Vice President of Business Systems, Finance and Operations with Advocate Medical Group the largest physician group in Illinois from January 2002 to May 2016, where he lead a staff of 800, and was responsible for $1.3B in gross billing and $1.2B in total net revenue, including capitation. The patient accounts team totaled $180M in active Accounts Receivable. He was also responsible for all revenue cycle activities.

He’s been instrumental in several key business finance initiatives while at Advocate, including consolidation of all individual medical group business offices into a single medical group business systems and revenue cycle business office. Led the acquisitions of more than 800 providers into the medical group on multiple practice management systems, and electronic medical records in 2010 to 2015. He also played a pivotal role in reducing the number of days in Accounts Receivable while maximizing collections, and increased total collections per invoice.

In addition to his revenue cycle activities, Ian designed, built and managed a new contact center with over 400 FTE’s and 6 million annual phone calls. The phone center included, nursing triage, patient outreach and patient messaging, appointments, registration, provider messaging, patient reminders and pfs customer service. Ian is also a Family Health Network Board Member.  

Ian is married with 3 children. He is an ex professional basketball player, private pilot and merchant marine captain.    

Ian holds a Master of Business Administration – Finance and Marketing, and a Bachelor of Arts in Accounting, both from Southern Illinois University in Carbondale.

Technical Experience includes:


GE Centricity


Cerner / CPA


Multiple small practice mgmt. systems


SQL Server/Multiple Analytics Platforms

Call Center Systems and Operations


Huron Trac / Ontrac