0000899243-22-023859.txt : 20220623 0000899243-22-023859.hdr.sgml : 20220623 20220623214528 ACCESSION NUMBER: 0000899243-22-023859 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220621 FILED AS OF DATE: 20220623 DATE AS OF CHANGE: 20220623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Richard B. Jr. CENTRAL INDEX KEY: 0001632641 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 221036840 MAIL ADDRESS: STREET 1: C/O ACCRETIVE HEALTH, INC. STREET 2: 401 N. MICHIGAN AVENUE, SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: R1 RCM Holdco Inc. CENTRAL INDEX KEY: 0001472595 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 020698101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 434 W. ASCENSION WAY, STREET 2: 6TH FLOOR CITY: MURRAY STATE: UT ZIP: 84123 BUSINESS PHONE: 312-324-7820 MAIL ADDRESS: STREET 1: 434 W. ASCENSION WAY, STREET 2: 6TH FLOOR CITY: MURRAY STATE: UT ZIP: 84123 FORMER COMPANY: FORMER CONFORMED NAME: R1 RCM INC. DATE OF NAME CHANGE: 20170105 FORMER COMPANY: FORMER CONFORMED NAME: Accretive Health, Inc. DATE OF NAME CHANGE: 20090918 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-06-21 0 0001472595 R1 RCM Holdco Inc. NONE 0001632641 Evans Richard B. Jr. C/O R1 RCM INC. 434 W. ASCENSION WAY, 6TH FLOOR MURRAY UT 84123 0 1 0 0 Principal Accounting Officer Common Stock 2022-06-21 4 D 0 175876 D 0 D Stock Option (right to buy) 2.42 2022-06-21 4 D 0 206065 D 2026-10-03 Common Stock 206065 0 D Stock Option (right to buy) 3.85 2022-06-21 4 D 0 41020 D 2027-06-12 Common Stock 41020 0 D On June 21, 2022, pursuant to the Transaction Agreement and Plan of Merger, dated as of January 9, 2022, by and among R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Company"), R1 RCM Inc. (f/k/a Project Roadrunner Parent Inc.) ("New R1"), Project Roadrunner Merger Sub Inc. ("R1 Merger Sub"), CoyCo 1, L.P., CoyCo 2, L.P. and certain other parties, R1 Merger Sub was merged with and into the Company, with the Company surviving as a direct, wholly owned subsidiary of New R1 (the "Reorganization"). Upon consummation of the Reorganization, each share of the Company's common stock issued and outstanding immediately prior to the Reorganization was automatically exchanged into an equivalent corresponding share of common stock of New R1 and the Company's stockholders became stockholders of New R1. In addition, each restricted stock unit ("RSU") and option to purchase shares of common stock of the Company issued and outstanding immediately prior to the Reorganization was automatically exchanged into an equivalent corresponding RSU or option to purchase shares of common stock of New R1, subject to the same terms and conditions (including applicable vesting terms) as were applicable to RSUs or options to purchase shares immediately prior to the consummation of the Reorganization. Option was granted under a stock incentive plan, in a transaction exempt under Rule 16(b)-3. The option is fully vested. /s/ E. Terry Platis, Attorney-in-Fact 2022-06-23