SEC Form 4 · accession 0001472595-17-000123

R1 RCM INC. · RCM

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).

Reporting owner

Officer — Chief Financial Officer

Period of report

Dec 20, 2017

Accepted (ET)

Dec 21, 2017 · 6:41 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001472595

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Performance-Based Restricted Stock Units^F1,F2,F3,F4	—	Dec 20, 2017	A	553,206	A	—	—	Common Stock	553,206	553,206	D

F1Represents a contingent right to receive the Issuer's common stock.
F2Pursuant to the award agreement, the performance-based restricted stock units will be subject to both a time-based vesting condition and a performance-based vesting condition. The time-based vesting condition may be satisfied on the earlier of December 31, 2020 and a qualifying change of control (the "Performance Period"), subject to the Reporting Person not having ceased to perform services with the Issuer. The performance-based vesting condition may be satisfied based upon an average per share price of the Issuer's common stock as defined in the award agreement, measured at the end of the Performance Period.
F3Vested shares will be delivered within two and one-half months following the end of the calendar year in which or with respect to which both the time-based and performance-based vesting conditions were satisfied.
F4Amount represents 100% of the target award. The number of shares earned will be based upon the achievement of a performance-based vesting condition and will range from 0% to 200% of the target award.

Exhibit 24 - Power of Attorney attached hereto.