0001472595-17-000066.txt : 20170613 0001472595-17-000066.hdr.sgml : 20170613 20170613165556 ACCESSION NUMBER: 0001472595-17-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170402 FILED AS OF DATE: 20170613 DATE AS OF CHANGE: 20170613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: R1 RCM 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: 401 NORTH MICHIGAN AVENUE STREET 2: SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-324-7820 MAIL ADDRESS: STREET 1: 401 NORTH MICHIGAN AVENUE STREET 2: SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 FORMER COMPANY: FORMER CONFORMED NAME: Accretive Health, Inc. DATE OF NAME CHANGE: 20090918 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHULMAN STEVEN J CENTRAL INDEX KEY: 0001245353 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 17909417 MAIL ADDRESS: STREET 1: 1564 NE EXPRESSWAY STREET 2: ATTN: BJ PURCELL CITY: ATLANTA STATE: GA ZIP: 30329 4 1 wf-form4_149738734166997.xml FORM 4 X0306 4 2017-04-02 0 0001472595 R1 RCM INC. RCM 0001245353 SHULMAN STEVEN J C/O R1 RCM INC. 401 N MICHIGAN AVENUE, SUITE 2700 CHICAGO IL 60611 1 0 0 0 Common Stock 2017-04-02 4 D 0 500000 0 D 1950000 D Director Stock Option (right to buy) 10.38 2017-06-12 4 D 0 103174 D 2023-05-07 Common Stock 103174.0 0 D Director Stock Option (right to buy) 3.85 2017-06-12 4 A 0 40305 0 A 2027-06-12 Common Stock 40305.0 40305 D Represents restricted stock that was automatically forfeited upon failure to meet the applicable performance vesting criteria. The cancelled options were fully vested and immediately exercisable. Represents 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"). Represents stock options granted pursuant to the Stock Option Exchange Program. The exercise price per share equals the closing price per share of R1 RCM's common stock on June 12, 2017. The 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). Exhibit 24 - Power of Attorney attached hereto. /s/ Howard Norber, Attorney-in-Fact 2017-06-13 EX-24 2 ex-24.htm SHULMAN POA

LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS

     Know all by these presents that the undersigned hereby makes, constitutes and appoints each of Christopher Ricaurte, Richard Evans, M. Sean Radcliffe, Howard Norber and E. Terry Platis, signing singly and each acting individually, as the undersigned's true and lawful attorney in fact with full power and authority as hereinafter described to:

(1)    execute for and on behalf of the undersigned, in the undersigned's capacity as a director of R1 RCM Inc. (the "Company"), Forms 3, 4, and 5 (including any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder (the "Exchange Act");

(2)    do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to prepare, complete and execute any such Form 3, 4, or 5, prepare, complete and execute any amendment or amendments thereto, and timely deliver and file such form with the United States Securities and Exchange Commission (the "SEC") and any stock exchange or similar authority, including without limitation the filing of a Form ID or any other application materials to enable the undersigned to gain or maintain access to the Electronic Data Gathering, Analysis and Retrieval system of the SEC;

(3)    seek or obtain, as the undersigned's representative and on the undersigned's behalf, information regarding transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to such attorney in fact and approves and ratifies any such release of information; and

(4)    take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney in fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney in fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney in fact may approve in such attorney in fact's discretion.

     The undersigned hereby grants to each such attorney in fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney in fact, or such attorney in fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys in fact, in serving in such capacity at the request of the undersigned, are not assuming nor relieving, nor is the Company assuming nor relieving, any of the undersigned's responsibilities to comply with Section 16 of the Exchange Act.  The undersigned acknowledges that neither the Company nor the foregoing attorneys in fact assume (i) any liability for the undersigned's responsibility to comply with the requirement of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such requirements, or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys in fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 13th day of June, 2017.

/s/ Steven J. Shulman
Steven J. Shulman