0001628280-21-011371.txt : 20210528 0001628280-21-011371.hdr.sgml : 20210528 20210528165609 ACCESSION NUMBER: 0001628280-21-011371 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210528 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Jill D. CENTRAL INDEX KEY: 0001463490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 21981292 MAIL ADDRESS: STREET 1: 1601 DRY CREEK DRIVE, SUITE 260 CITY: LONGMONT STATE: CO ZIP: 80503 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 4 1 wf-form4_162223535040598.xml FORM 4 X0306 4 2021-05-28 0 0001472595 R1 RCM INC. RCM 0001463490 Smith Jill D. C/O R1 RCM INC. 401 N MICHIGAN AVE CHICAGO IL 60611 1 0 0 0 Common Stock 2021-05-28 4 M 0 6047 0 A 17254 D Restricted Stock Units 2021-05-28 4 M 0 6047 0 D Common Stock 6047.0 5151 D Represents the conversion upon vesting of restricted stock units ("RSUs") into common stock. On May 28, 2020, the reporting person was granted 6,047 RSUs that were previously reported on Table II of Form 4. Each RSU represents a contingent right to receive one share of the Issuer's common stock. The RSUs vested in one annual installment on May 28, 2021. /s/ E. Terry Platis, Attorney-in-Fact 2021-05-28