SEC Form 4 · accession 0001472595-17-000075
R1 RCM INC. · RCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher Simon Ricaurte
Officer — Chief Financial Officer
Period of report
Jun 12, 2017
Accepted (ET)
Jun 13, 2017 · 5:11 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001472595
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2,F1 | $9.30 | Jun 12, 2017 | D | 200,000 | D | — | Sep 4, 2023 | Common Stock | 200,000 | 0 | D |
| Stock Option (right to buy)F2,F3 | $6.15 | Jun 12, 2017 | D | 31,875 | D | — | Jan 5, 2025 | Common Stock | 31,875 | 0 | D |
| Stock Option (right to buy)F4,F5,F6 | $3.85 | Jun 12, 2017 | A | 117,671 | A | — | Jun 12, 2027 | Common Stock | 117,671 | 117,671 | D |
Explanation of responses
- F175% of the cancelled options were vested and immediately exercisable. The unvested portion of the cancelled options would have vested on August 12, 2017.
- F2Represents 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").
- F350% of the cancelled options were vested and immediately exercisable. The unvested portion of the cancelled options would have vested in 25% increments on January 5, 2018 and 2019.
- 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).