0001628280-21-022655.txt : 20211109
0001628280-21-022655.hdr.sgml : 20211109
20211109200537
ACCESSION NUMBER: 0001628280-21-022655
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211105
FILED AS OF DATE: 20211109
DATE AS OF CHANGE: 20211109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SPARBY JOHN M.
CENTRAL INDEX KEY: 0001840665
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34746
FILM NUMBER: 211393889
MAIL ADDRESS:
STREET 1: C/O R1 RCM INC.
STREET 2: 401 N. MICHIGAN AVENUE, SUITE 2700
CITY: CHICAGO
STATE: IL
ZIP: 60611
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_163650632011166.xml
FORM 4
X0306
4
2021-11-05
0
0001472595
R1 RCM INC.
RCM
0001840665
SPARBY JOHN M.
C/O R1 RCM INC.
434 W. ASCENSION WAY, 6TH FLOOR
MURRAY
UT
84123
0
1
0
0
Chief Operating Officer
Common Stock
2021-11-05
4
J
0
3950
0
D
156477
D
Common Stock
10000
I
By childrens' grantor retained annuity trust
Common Stock
30046
I
By family grantor retained annuity trust
Transfer of 3,950 shares to former spouse pursuant to an agreement between the reporting person and his former spouse.
These shares of common stock are held in a grantor retained annuity trust for the benefit of the reporting person and his two children. The reporting person's former spouse is the trustee of the trust.
These shares of common stock are held in a grantor retained annuity trust for the benefit of the reporting person and his nieces and nephews. The reporting person shares investment control over issuer securities held by the trust with his former spouse, who is the trustee of the trust.
/s/ E. Terry Platis, Attorney-in-Fact
2021-11-09