SEC Form 4 · accession 0001472595-17-000066
R1 RCM INC. · RCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven J Shulman
Director
Period of report
Apr 2, 2017
Accepted (ET)
Jun 13, 2017 · 4:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001472595
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Apr 2, 2017 | D | 500,000 | $0.00 | D | 1,950,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Option (right to buy)F3,F2 | $10.38 | Jun 12, 2017 | D | 103,174 | D | — | May 7, 2023 | Common Stock | 103,174 | 0 | D |
| Director Stock Option (right to buy)F4,F5,F6 | $3.85 | Jun 12, 2017 | A | 40,305 | A | — | Jun 12, 2027 | Common Stock | 40,305 | 40,305 | D |
Explanation of responses
- F1Represents restricted stock that was automatically forfeited upon failure to meet the applicable performance vesting criteria.
- F2The cancelled options were fully vested and immediately exercisable.
- F3Represents stock options cancelled pursuant to R1 RCM's stock option exchange program as more fully described in the Schedule TO-I, filed with the Securities and Exchange Commission on May 12, 2017 (the "Stock Option Exchange Program").
- F4Represents stock options granted pursuant to the Stock Option Exchange Program.
- F5The exercise price per share equals the closing price per share of R1 RCM's common stock on June 12, 2017.
- F6The options granted in the Stock Option Exchange Program are subject to a two-year vesting period (50% increments on each anniversary of the grant date for two years).
Remarks
Exhibit 24 - Power of Attorney attached hereto.