Jill D. Smith - 21 Jun 2022 Form 4 Insider Report for R1 RCM Holdco Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
23 Jun 2022, 21:47:58 UTC
Prior SEC filing
31 May 2022
Next SEC filing
17 Aug 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ E. Terry Platis, Attorney-in-Fact

Key filing fact

Jill D. Smith filed Form 4 for R1 RCM Holdco Inc. on 23 Jun 2022.

Key facts

  • This page summarizes Jill D. Smith's Form 4 filing for R1 RCM Holdco Inc..
  • 3 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 23 Jun 2022, 21:47.

Change

  • Previous filing in this sequence was filed on 31 May 2022.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

No ticker transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-26,505
Change %
-100%
Price
Shares after
0
Date
21 Jun 2022
Ownership
Direct
Footnotes
F1, F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

No ticker transaction Derivative

Director Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares
-15,407
Change %
-100%
Price
Shares after
0
Date
21 Jun 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
15,407
Exercise price
$10.75
Footnotes
F2, F3
No ticker transaction Derivative

Restricted Stock Unit

Disposed to Issuer

Transaction value
Shares
-6,039
Change %
-100%
Price
Shares after
0
Date
21 Jun 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
6,039
Exercise price
Footnotes
F2, F4, F5
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 5 footnotes

Footnote F1

On June 21, 2022, pursuant to the Transaction Agreement and Plan of Merger, dated as of January 9, 2022, by and among R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Company"), R1 RCM Inc. (f/k/a Project Roadrunner Parent Inc.) ("New R1"), Project Roadrunner Merger Sub Inc. ("R1 Merger Sub"), CoyCo 1, L.P., CoyCo 2, L.P. and certain other parties, R1 Merger Sub was merged with and into the Company, with the Company surviving as a direct, wholly owned subsidiary of New R1 (the "Reorganization").

Footnote F2

Upon consummation of the Reorganization, each share of the Company's common stock issued and outstanding immediately prior to the Reorganization was automatically exchanged into an equivalent corresponding share of common stock of New R1 and the Company's stockholders became stockholders of New R1. In addition, each restricted stock unit ("RSU") and option to purchase shares of common stock of the Company issued and outstanding immediately prior to the Reorganization was automatically exchanged into an equivalent corresponding RSU or option to purchase shares of common stock of New R1, subject to the same terms and conditions (including applicable vesting terms) as were applicable to RSUs or options to purchase shares immediately prior to the consummation of the Reorganization.

Footnote F3

Option was granted under a stock incentive plan, in a transaction exempt under Rule 16(b)-3. The option is fully vested.

Footnote F4

Each RSU represents a contingent right to receive one share of the Company's common stock.

Footnote F5

The RSUs will vest in one annual installment on May 27, 2023.

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