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TI IV ACHI Holdings GP, LLC

Disclosed activity across 2 companies

Tapewire entity
85933
SEC CIK
0001663106

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Reported relationships

Latest disclosed role at each company.

No relationships currently tracked through insider filings.

Disclosed balances

About these balances

Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

No balances currently tracked through insider filings.

Past disclosures · reporting ended (2)

No longer tracked through insider filings. These historical balances do not imply present ownership or a zero position.

Section 16 reporting ended · disclosed 2022-06-21. Current position is not established by this disclosure.

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeDirect0 Reported balance After 2022-06-21 transaction · row 1 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 1 · 2022-06-21 · Disposition to issuer · Disposed 139,289,200 · Balance 0

F1: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Issuer") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed of pursuant to the Transaction Agreement (defined below).

F2: Reflects Common Stock disposed of upon the effectiveness of the merger of Project Roadrunner Merger Sub Inc. ("R1 Merger Sub") with and into the Issuer on June 21, 2022 (the "Merger"), pursuant to the Transaction Agreement and Plan of Merger, dated January 9, 2022 (as may be amended, supplemented or otherwise modified from time to time, the "Transaction Agreement"), by and among the Issuer, R1 RCM Inc. (f/k/a Project Roadrunner Parent Inc.) ("New R1"), R1 Merger Sub, Revint Holdings, LLC, CoyCo 1, L.P., CoyCo 2, L.P., and, solely for certain purposes set forth therein, NMC Ranger Holdings, LLC. At the effective time of the Merger, each outstanding share of Common Stock was converted into one share of common stock, par value $0.01 per share, of New R1 ("New R1 Common Stock").

F3: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

Warrant (right to buy)SEC Table II · derivative / convertible security · Conversion / exercise price $3.50 · Expires 2026-02-16Direct0 Reported balance After 2022-06-21 transaction · row 2 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 2 · 2022-06-21 · Disposition to issuer · Disposed 40,464,855 · Balance 0

F1: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Issuer") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed of pursuant to the Transaction Agreement (defined below).

F7: Reflects a warrant disposed of upon the effectiveness of the Merger, pursuant to the Transaction Agreement. At the effective time of the Merger, that certain Warrant No. 1 dated February 16, 2016 (the "R1 Warrant") to purchase shares of Common Stock was assigned to and assumed by New R1 and following such assignment represented the right to purchase shares of New R1 Common Stock with substantially the same terms and conditions as the R1 Warrant.

F3: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

Filing footnotes · ownership attribution and instrument terms

F1: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Issuer") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed of pursuant to the Transaction Agreement (defined below).

F2: Reflects Common Stock disposed of upon the effectiveness of the merger of Project Roadrunner Merger Sub Inc. ("R1 Merger Sub") with and into the Issuer on June 21, 2022 (the "Merger"), pursuant to the Transaction Agreement and Plan of Merger, dated January 9, 2022 (as may be amended, supplemented or otherwise modified from time to time, the "Transaction Agreement"), by and among the Issuer, R1 RCM Inc. (f/k/a Project Roadrunner Parent Inc.) ("New R1"), R1 Merger Sub, Revint Holdings, LLC, CoyCo 1, L.P., CoyCo 2, L.P., and, solely for certain purposes set forth therein, NMC Ranger Holdings, LLC. At the effective time of the Merger, each outstanding share of Common Stock was converted into one share of common stock, par value $0.01 per share, of New R1 ("New R1 Common Stock").

F3: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

F7: Reflects a warrant disposed of upon the effectiveness of the Merger, pursuant to the Transaction Agreement. At the effective time of the Merger, that certain Warrant No. 1 dated February 16, 2016 (the "R1 Warrant") to purchase shares of Common Stock was assigned to and assumed by New R1 and following such assignment represented the right to purchase shares of New R1 Common Stock with substantially the same terms and conditions as the R1 Warrant.

Section 16 reporting ended · disclosed 2024-11-19. Current position is not established by this disclosure.

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeDirect164,754,055 Reported balance After 2024-11-19 transaction · row 1 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 1 · 2024-11-19 · Other · Acquired 40,464,855 · Balance 164,754,055

F1: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Common StockSEC Table I · non-derivativeDirect154,837,588 Reported balance After 2024-11-19 transaction · row 2 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 2 · 2024-11-19 · Sale · Disposed 30,548,388 · Balance 154,837,588

F1: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Common StockSEC Table I · non-derivativeDirect0 Reported balance After 2024-11-19 transaction · row 3 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 3 · 2024-11-19 · Other · Disposed 154,837,588 · Balance 0

F2: On November 19, 2024, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of July 31, 2024, by and among the Issuer, Raven Acquisition Holdings, LLC ("Parent") and Project Raven Merger Sub, Inc. (the "Merger Agreement"), the merger contemplated thereby (the "Merger") was consummated. Immediately prior to the consummation of the Merger, the Partnership contributed all shares of Common Stock held by the Partnership to Raven Parent Holdings, Inc. in exchange for equity interests therein. Raven Parent Holdings, Inc. contributed all such shares to Raven Intermediate Holdings, LLC, which in turn transferred all such shares to Parent. All such shares were cancelled upon consummation of the Merger for no consideration, pursuant to the terms of the Merger Agreement.

F1: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Warrant (right to buy)SEC Table II · derivative / convertible security · Conversion / exercise price $3.50 · Expires 2026-02-16Direct0 Reported balance After 2024-11-19 transaction · row 4 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 4 · 2024-11-19 · Other · Disposed 40,464,855 · Balance 0

F3: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Filing footnotes · ownership attribution and instrument terms

F1: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F2: On November 19, 2024, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of July 31, 2024, by and among the Issuer, Raven Acquisition Holdings, LLC ("Parent") and Project Raven Merger Sub, Inc. (the "Merger Agreement"), the merger contemplated thereby (the "Merger") was consummated. Immediately prior to the consummation of the Merger, the Partnership contributed all shares of Common Stock held by the Partnership to Raven Parent Holdings, Inc. in exchange for equity interests therein. Raven Parent Holdings, Inc. contributed all such shares to Raven Intermediate Holdings, LLC, which in turn transferred all such shares to Parent. All such shares were cancelled upon consummation of the Merger for no consideration, pursuant to the terms of the Merger Agreement.

F3: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Transaction history

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Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
November 19, 2024 Filed Nov 19, 2024 16:50 UTC R1 RCM Inc. /DE RCM · Entity 85753 OtherWarrant (right to buy) · Derivative 40,464,855 $0.00 Strike: $3.50 $0.00
Disclosure

SEC source: 0001104659-24-120604 · tm2428675-2_4seq1.xml · derivative · entry 4

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

Saddi Karim · CIK 0002015512 · Director · 10% owner

Bilzin Jonathan · CIK 0001473246 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 40,464,855 shares

Expires 2026-02-16

F3 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7 · ownership.direct: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Read SEC document
November 19, 2024 Filed Nov 19, 2024 16:50 UTC R1 RCM Inc. /DE RCM · Entity 85753 OtherCommon Stock 154,837,588 Not disclosed Not disclosed
Disclosure

SEC source: 0001104659-24-120604 · tm2428675-2_4seq1.xml · nonDerivative · entry 3

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

Saddi Karim · CIK 0002015512 · Director · 10% owner

Bilzin Jonathan · CIK 0001473246 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

F2 · kind: On November 19, 2024, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of July 31, 2024, by and among the Issuer, Raven Acquisition Holdings, LLC ("Parent") and Project Raven Merger Sub, Inc. (the "Merger Agreement"), the merger contemplated thereby (the "Merger") was consummated. Immediately prior to the consummation of the Merger, the Partnership contributed all shares of Common Stock held by the Partnership to Raven Parent Holdings, Inc. in exchange for equity interests therein. Raven Parent Holdings, Inc. contributed all such shares to Raven Intermediate Holdings, LLC, which in turn transferred all such shares to Parent. All such shares were cancelled upon consummation of the Merger for no consideration, pursuant to the terms of the Merger Agreement.

F1 · price: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7 · ownership.direct: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Read SEC document
November 19, 2024 Filed Nov 19, 2024 16:50 UTC R1 RCM Inc. /DE RCM · Entity 85753 SaleCommon Stock 30,548,388 $14.28 $436,292,077.42
Disclosure

SEC source: 0001104659-24-120604 · tm2428675-2_4seq1.xml · nonDerivative · entry 2

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

Saddi Karim · CIK 0002015512 · Director · 10% owner

Bilzin Jonathan · CIK 0001473246 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 154,837,588

F1 · kind: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7 · ownership.direct: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Read SEC document
November 19, 2024 Filed Nov 19, 2024 16:50 UTC R1 RCM Inc. /DE RCM · Entity 85753 OtherCommon Stock 40,464,855 $3.50 $141,626,992.50
Disclosure

SEC source: 0001104659-24-120604 · tm2428675-2_4seq1.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

Saddi Karim · CIK 0002015512 · Director · 10% owner

Bilzin Jonathan · CIK 0001473246 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 164,754,055

F1 · kind: On November 19, 2024, prior to the consummation of the Merger (as defined below), TCP-ASC ACHI Series LLLP (the "Partnership") exercised in full a warrant to purchase 40,464,855 shares of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Inc. (the "Issuer") for $3.50 a share. The Partnership paid the exercise price on a cashless basis, resulting in the Issuer withholding 9,916,467 of the shares of Common Stock to pay the exercise price and issuing to the reporting person the remaining 30,548,388 shares of Common Stock.

F3 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock that the Reporting Persons (as defined below) may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Merger Agreement and the transactions in connection therewith.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook" and together with the Aggregator GP and the Aggregator, the "TowerBrook Entities"), Neal Moszkowski, Jonathan Bilzin, Karim Saddi and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons").

F5 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F6 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P.

F7 · ownership.direct: As a result of certain investment-related approval rights, Neal Moszkowski, a U.S. citizen, Jonathan Bilzin, a U.S. citizen, and Karim Saddi, a French citizen, may each be deemed to have investment control over the securities beneficially owned by TowerBrook Entities. Ascension is a Missouri not-for-profit corporation. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

Read SEC document
September 13, 2022 Filed Sep 13, 2022 09:19 UTC R1 RCM Inc. /DE RCM · Entity 85753 SaleCommon Stock 15,000,000 $20.43 $306,375,000.00
Disclosure

SEC source: 0001104659-22-099502 · tm2225680-1_4seq1.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 164,754,055

F1 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock, par value $0.01 per share (the "Common Stock") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed as a result of the Offering (as defined below).

F2 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed for the purpose of purchasing, holding, converting, exercising the rights attached to, and disposing of, securities of the Issuer (the "Investment"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Investment. The members of the Partnership GP are the Aggregator and Ascension.

F3 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Investment. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Investment. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling stockholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F5 · ownership.direct: Pursuant to that certain Amended and Restated Limited Liability Limited Partnership Agreement of the Partnership, dated as of June 21, 2022, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

F6 · ownership.direct: On September 13, 2022, the Partnership consummated the sale of an aggregate of 15,000,000 shares of the Common Stock at $20.425 per share pursuant to an underwriting agreement dated September 8, 2022 in connection with a registered public offering (the "Offering"). The Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 75,889,325 shares of Common Stock held directly by Series AS following the Offering, whereas Ascension disclaims beneficial ownership of 88,864,730 shares of Common Stock held directly by Series TB following the Offering.

Read SEC document
June 21, 2022 Filed Jun 21, 2022 17:03 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Disposition to issuerWarrant (right to buy) · Derivative 40,464,855 Not disclosed Strike: $3.50 Not disclosed
Disclosure

SEC source: 0001104659-22-073035 · tm2218946d1_4.xml · derivative · entry 2

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock, par value $0.01 per share · 40,464,855 shares

Expires 2026-02-16

F1 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Issuer") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed of pursuant to the Transaction Agreement (defined below).

F7 · price: Reflects a warrant disposed of upon the effectiveness of the Merger, pursuant to the Transaction Agreement. At the effective time of the Merger, that certain Warrant No. 1 dated February 16, 2016 (the "R1 Warrant") to purchase shares of Common Stock was assigned to and assumed by New R1 and following such assignment represented the right to purchase shares of New R1 Common Stock with substantially the same terms and conditions as the R1 Warrant.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

Read SEC document
June 21, 2022 Filed Jun 21, 2022 17:03 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Disposition to issuerCommon Stock 139,289,200 Not disclosed Not disclosed
Disclosure

SEC source: 0001104659-22-073035 · tm2218946d1_4.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

F1 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of common stock, par value $0.01 per share ("Common Stock"), of R1 RCM Holdco Inc. (f/k/a R1 RCM Inc.) (the "Issuer") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have disposed of pursuant to the Transaction Agreement (defined below).

F2 · price: Reflects Common Stock disposed of upon the effectiveness of the merger of Project Roadrunner Merger Sub Inc. ("R1 Merger Sub") with and into the Issuer on June 21, 2022 (the "Merger"), pursuant to the Transaction Agreement and Plan of Merger, dated January 9, 2022 (as may be amended, supplemented or otherwise modified from time to time, the "Transaction Agreement"), by and among the Issuer, R1 RCM Inc. (f/k/a Project Roadrunner Parent Inc.) ("New R1"), R1 Merger Sub, Revint Holdings, LLC, CoyCo 1, L.P., CoyCo 2, L.P., and, solely for certain purposes set forth therein, NMC Ranger Holdings, LLC. At the effective time of the Merger, each outstanding share of Common Stock was converted into one share of common stock, par value $0.01 per share, of New R1 ("New R1 Common Stock").

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (as may be amended, supplemented or otherwise modified from time to time, the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

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June 02, 2021 Filed Jun 2, 2021 16:39 UTC R1 RCM Holdco Inc. RCM · Entity 125898 SaleCommon Stock 2,250,000 $21.83 $49,106,250.00
Disclosure

SEC source: 0001104659-21-075788 · tm2118229d1_4.xml · nonDerivative · entry 3

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 139,289,200

F6 · kind: On May 28, 2021, the Partnership exercised a warrant to purchase 2,622,499 shares of the Common Stock for $3.50 per share, pursuant to that certain Warrant No. 1 dated February 16, 2016 (the "Warrant"). The reporting person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 372,499 shares of Common Stock underlying the Warrant to satisfy the exercise price and issuing to the reporting person the remaining 2,250,000 shares of Common Stock. The Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 18,209,185 shares of Common Stock issuable upon exercise of the Warrant held by Series AS, whereas Ascension disclaims beneficial ownership of 22,255,670 shares of Common Stock issuable upon exercise of the Warrant held by Series TB.

F7 · kind: Pursuant to an underwriting agreement dated May 26, 2021, and in connection with the registered public offering of 14,500,000 shares of Common Stock, which offering was consummated on June 1, 2021 (the "Offering"), on May 28, 2021 the underwriters of the Offering exercised in full their option to purchase additional shares of Common Stock from the Partnership (the "Overallotment Option"). On June 2, 2021, the Partnership consummated the sale of an aggregate of 2,250,000 shares of the Common Stock at $21.825 per share in connection with the exercise of the Overallotment Option.

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June 01, 2021 Filed Jun 1, 2021 16:29 UTC R1 RCM Holdco Inc. RCM · Entity 125898 SaleCommon Stock 14,500,000 $21.83 $316,462,500.00
Disclosure

SEC source: 0001104659-21-075053 · tm2118065-1_4seq1.xml · nonDerivative · entry 3

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 139,289,200

F6 · kind: On May 27, 2021, the Partnership exercised a warrant to purchase 16,912,646 shares of the Common Stock for $3.50 per share, pursuant to that certain Warrant No. 1 dated February 16, 2016 (the "Warrant"). The reporting person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 2,412,646 shares of Common Stock underlying the Warrant to satisfy the exercise price and issuing to the reporting person the remaining 14,500,000 shares of Common Stock. The Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 19,389,309 shares of Common Stock issuable upon exercise of the Warrant held by Series AS, whereas Ascension disclaims beneficial ownership of 23,698,045 shares of Common Stock issuable upon exercise of the Warrant held by Series TB.

F7 · kind: On June 1, 2021, the Partnership consummated the sale of an aggregate of 14,500,000 shares of the Common Stock at $21.825 per share pursuant to an underwriting agreement dated May 26, 2021 in connection with a registered public offering (the "Offering").

Read SEC document
May 28, 2021 Filed Jun 2, 2021 16:39 UTC R1 RCM Holdco Inc. RCM · Entity 125898 OtherWarrant (right to buy) · Derivative 2,622,499 $0.00 Strike: $3.50 $0.00
Disclosure

SEC source: 0001104659-21-075788 · tm2118229d1_4.xml · derivative · entry 4

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 40,464,855

Underlying: Common Stock, par value $0.01 per share · 2,622,499 shares

Expires 2026-02-16

F6 · kind: On May 28, 2021, the Partnership exercised a warrant to purchase 2,622,499 shares of the Common Stock for $3.50 per share, pursuant to that certain Warrant No. 1 dated February 16, 2016 (the "Warrant"). The reporting person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 372,499 shares of Common Stock underlying the Warrant to satisfy the exercise price and issuing to the reporting person the remaining 2,250,000 shares of Common Stock. The Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 18,209,185 shares of Common Stock issuable upon exercise of the Warrant held by Series AS, whereas Ascension disclaims beneficial ownership of 22,255,670 shares of Common Stock issuable upon exercise of the Warrant held by Series TB.

Read SEC document
May 28, 2021 Filed Jun 2, 2021 16:39 UTC R1 RCM Holdco Inc. RCM · Entity 125898 SaleCommon Stock 372,499 $24.64 $9,178,375.36
Disclosure

SEC source: 0001104659-21-075788 · tm2118229d1_4.xml · nonDerivative · entry 2

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 141,539,200

Read SEC document
May 28, 2021 Filed Jun 2, 2021 16:39 UTC R1 RCM Holdco Inc. RCM · Entity 125898 OtherCommon Stock 2,622,499 $3.50 $9,178,746.50
Disclosure

SEC source: 0001104659-21-075788 · tm2118229d1_4.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 141,911,699

F1 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock, par value $0.01 per share (the "Common Stock") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired and disposed as a result of exercising the Warrant (as defined below) and the exercise of the Overallotment Option (as defined below).

F2 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock"), in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F3 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F5 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

Read SEC document
May 27, 2021 Filed Jun 1, 2021 16:29 UTC R1 RCM Holdco Inc. RCM · Entity 125898 OtherWarrant (right to buy) · Derivative 16,912,646 $0.00 Strike: $3.50 $0.00
Disclosure

SEC source: 0001104659-21-075053 · tm2118065-1_4seq1.xml · derivative · entry 4

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 43,087,354

Underlying: Common Stock, par value $0.01 per share · 16,912,646 shares

Expires 2026-02-16

F6 · kind: On May 27, 2021, the Partnership exercised a warrant to purchase 16,912,646 shares of the Common Stock for $3.50 per share, pursuant to that certain Warrant No. 1 dated February 16, 2016 (the "Warrant"). The reporting person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 2,412,646 shares of Common Stock underlying the Warrant to satisfy the exercise price and issuing to the reporting person the remaining 14,500,000 shares of Common Stock. The Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 19,389,309 shares of Common Stock issuable upon exercise of the Warrant held by Series AS, whereas Ascension disclaims beneficial ownership of 23,698,045 shares of Common Stock issuable upon exercise of the Warrant held by Series TB.

Read SEC document
May 27, 2021 Filed Jun 1, 2021 16:29 UTC R1 RCM Holdco Inc. RCM · Entity 125898 SaleCommon Stock 2,412,646 $24.54 $59,206,332.84
Disclosure

SEC source: 0001104659-21-075053 · tm2118065-1_4seq1.xml · nonDerivative · entry 2

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 153,789,200

Read SEC document
May 27, 2021 Filed Jun 1, 2021 16:29 UTC R1 RCM Holdco Inc. RCM · Entity 125898 OtherCommon Stock 16,912,646 $3.50 $59,194,261.00
Disclosure

SEC source: 0001104659-21-075053 · tm2118065-1_4seq1.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 156,201,846

F1 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Common Stock, par value $0.01 per share (the "Common Stock") that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired and disposed as a result of exercising the Warrant (as defined below) and the Offering (as defined below).

F2 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock"), in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F3 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F4 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F5 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS").

Read SEC document
January 15, 2021 Filed Jan 15, 2021 16:43 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Conversion8.00% Series A Convertible Preferred Stock · Derivative 294,266 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-21-004763 · tm213002-2_4seq1.xml · derivative · entry 3

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock, par value $0.01 per share · 117,706,400 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · price: 294,266 shares of 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer"), held by the Reporting Persons (defined below) were converted pursuant to a Preferred Stock Agreement, dated January 5, 2021 (the "Transaction Agreement"), among the Partnership (defined below) and the Issuer, pursuant which, among other things, the Partnership agreed to convert 294,266 shares of Series A Preferred Stock in exchange for (i) 117,706,400 shares of common stock, par value $0.01 per share, of the Issuer ("Common Stock"), plus (ii) a cash payment of $105 million, plus (iii) the issuance of 21,582,800 additional shares of Common Stock (the "Transaction").

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F7 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock the Issuer is convertible at any time, at the holder's election, and has no expiration date.

F7 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock the Issuer is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 62,680,140 shares of Common Stock issued pursuant to the Transaction held directly by Series AS, whereas Ascension disclaims beneficial ownership of 76,609,060 shares of Common Stock issued pursuant to the Transaction held directly by Series TB.

Read SEC document
January 15, 2021 Filed Jan 15, 2021 16:43 UTC R1 RCM Holdco Inc. RCM · Entity 125898 GrantCommon Stock 21,582,800 Not disclosed Not disclosed
Disclosure

SEC source: 0001104659-21-004763 · tm213002-2_4seq1.xml · nonDerivative · entry 2

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 139,289,200

F1 · price: 294,266 shares of 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer"), held by the Reporting Persons (defined below) were converted pursuant to a Preferred Stock Agreement, dated January 5, 2021 (the "Transaction Agreement"), among the Partnership (defined below) and the Issuer, pursuant which, among other things, the Partnership agreed to convert 294,266 shares of Series A Preferred Stock in exchange for (i) 117,706,400 shares of common stock, par value $0.01 per share, of the Issuer ("Common Stock"), plus (ii) a cash payment of $105 million, plus (iii) the issuance of 21,582,800 additional shares of Common Stock (the "Transaction").

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 62,680,140 shares of Common Stock issued pursuant to the Transaction held directly by Series AS, whereas Ascension disclaims beneficial ownership of 76,609,060 shares of Common Stock issued pursuant to the Transaction held directly by Series TB.

Read SEC document
January 15, 2021 Filed Jan 15, 2021 16:43 UTC R1 RCM Holdco Inc. RCM · Entity 125898 ConversionCommon Stock 117,706,400 Not disclosed Not disclosed
Disclosure

SEC source: 0001104659-21-004763 · tm213002-2_4seq1.xml · nonDerivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 117,706,400

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · price: 294,266 shares of 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer"), held by the Reporting Persons (defined below) were converted pursuant to a Preferred Stock Agreement, dated January 5, 2021 (the "Transaction Agreement"), among the Partnership (defined below) and the Issuer, pursuant which, among other things, the Partnership agreed to convert 294,266 shares of Series A Preferred Stock in exchange for (i) 117,706,400 shares of common stock, par value $0.01 per share, of the Issuer ("Common Stock"), plus (ii) a cash payment of $105 million, plus (iii) the issuance of 21,582,800 additional shares of Common Stock (the "Transaction").

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the transaction in respect of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have beneficially owned and to report beneficial ownership of shares of Common Stock that the Reporting Persons may be deemed to have acquired pursuant to the Transaction Agreement.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension.

F4 · ownership.direct: The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of 62,680,140 shares of Common Stock issued pursuant to the Transaction held directly by Series AS, whereas Ascension disclaims beneficial ownership of 76,609,060 shares of Common Stock issued pursuant to the Transaction held directly by Series TB.

Read SEC document
January 04, 2021 Filed Jan 6, 2021 08:16 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,769 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-21-001273 · tm211473d1_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 294,266

Underlying: Common Stock, par value $0.01 per share · 2,307,600 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 4, 2021 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 4, 2021 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on January 4, 2021, the Partnership received 5,769 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on October 1, 2020 and ending on December 31, 2020 on the 288,497 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,596 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on January 4, 2021 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 3,173 shares of Series A Preferred Stock distributed as payment-in-kind dividend on January 4, 2021 and held directly by Series TB.

Read SEC document
October 01, 2020 Filed Oct 2, 2020 16:33 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,656 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-20-111726 · tm2031917d1_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 288,497

Underlying: Common Stock, par value $0.01 per share · 2,262,400 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on October 1, 2020, the Partnership received 5,656 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on July 1, 2020 and ending on September 30, 2020 on the 282,841 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,545 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on October 1, 2020 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 3,111 shares of Series A Preferred Stock distributed as payment-in-kind dividend on October 1, 2020 and held directly by Series TB.

Read SEC document
July 01, 2020 Filed Jul 2, 2020 17:01 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,545 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-20-080654 · tm2023997-1_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 282,841

Underlying: Common Stock, par value $0.01 per share · 2,218,000 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on July 1, 2020, the Partnership received 5,545 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on April 1, 2020 and ending on June 30, 2020 on the 277,296 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,495 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on July 1, 2020 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 3,050 shares of Series A Preferred Stock distributed as payment-in-kind dividend on July 1, 2020 and held directly by Series TB.

Read SEC document
April 01, 2020 Filed Apr 2, 2020 16:32 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,437 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-20-042505 · tm2014270-1_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 277,296

Underlying: Common Stock, par value $0.01 per share · 2,174,800 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 1, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on April 1, 2020, the Partnership received 5,437 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on January 1, 2020 and ending on March 31, 2020 on the 271,859 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,447 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on April 1, 2020 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,990 shares of Series A Preferred Stock distributed as payment-in-kind dividend on April 1, 2020 and held directly by Series TB.

Read SEC document
January 02, 2020 Filed Jan 6, 2020 17:03 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,330 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001104659-20-001601 · tv535447_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 271,859

Underlying: Common Stock, par value $0.01 per share · 2,132,000 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2020 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on January 2, 2020, the Partnership received 5,330 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on October 1, 2019 and ending on December 31, 2019 on the 266,529 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,399 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on January 2, 2020 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,932 shares of Series A Preferred Stock distributed as payment-in-kind dividend on January 2, 2020 and held directly by Series TB.

Read SEC document
October 01, 2019 Filed Oct 3, 2019 16:01 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,226 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-19-047152 · tv530264_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 266,529

Underlying: Common Stock, par value $0.01 per share · 2,090,400 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on October 1, 2019, the Partnership received 5,226 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on July 1, 2019 and ending on September 30, 2019 on the 261,303 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,352 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on October 1, 2019 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,874 shares of Series A Preferred Stock distributed as payment-in-kind dividend on October 1, 2019 and held directly by Series TB.

Read SEC document
July 01, 2019 Filed Jul 2, 2019 17:01 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,123 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-19-033630 · tv524586_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 261,303

Underlying: Common Stock, par value $0.01 per share · 2,049,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on July 1, 2019, the Partnership received 5,123 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on April 1, 2019 and ending on June 30, 2019 on the 256,180 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,305 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on July 1, 2019 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,818 shares of Series A Preferred Stock distributed as payment-in-kind dividend on July 1, 2019 and held directly by Series TB.

Read SEC document
April 01, 2019 Filed Apr 3, 2019 17:00 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 5,023 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-19-018033 · tv517439_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 256,180

Underlying: Common Stock, par value $0.01 per share · 2,009,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 1, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on April 1, 2019, the Partnership received 5,023 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on January 1, 2019 and ending on March 31, 2019 on the 251,157 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,260 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on April 1, 2019 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,763 shares of Series A Preferred Stock distributed as payment-in-kind dividend on April 1, 2019 and held directly by Series TB.

Read SEC document
January 02, 2019 Filed Jan 3, 2019 17:01 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,924 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-19-000430 · tv510096_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 251,157

Underlying: Common Stock, par value $0.01 per share · 1,969,600 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2019 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on January 2, 2019, the Partnership received 4,924 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on October 1, 2018 and ending on December 31, 2018 on the 246,233 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,216 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on January 2, 2019 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,708 shares of Series A Preferred Stock distributed as payment-in-kind dividend on January 2, 2019 and held directly by Series TB.

Read SEC document
October 01, 2018 Filed Oct 2, 2018 16:46 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,828 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-18-052076 · tv503892_form4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 246,233

Underlying: Common Stock, par value $0.01 per share · 1,931,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 1, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on October 1, 2018, the Partnership received 4,828 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on July 1, 2018 and ending on September 30, 2018 on the 241,405 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,173 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on October 1, 2018 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,655 shares of Series A Preferred Stock distributed as payment-in-kind dividend on October 1, 2018 and held directly by Series TB.

Read SEC document
July 02, 2018 Filed Jul 3, 2018 17:01 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,733 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-18-037260 · tv497746_form4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 241,405

Underlying: Common Stock, par value $0.01 per share · 1,893,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on July 2, 2018, the Partnership received 4,733 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on April 1, 2018 and ending on June 30, 2018 on the 236,672 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,130 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on July 2, 2018 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,603 shares of Series A Preferred Stock distributed as payment-in-kind dividend on July 2, 2018 and held directly by Series TB.

Read SEC document
April 02, 2018 Filed Apr 2, 2018 16:58 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,640 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-18-018681 · tv490004_form4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 236,672

Underlying: Common Stock, par value $0.01 per share · 1,856,000 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on April 2, 2018, the Partnership received 4,640 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on January 1, 2018 and ending on March 31, 2018 on the 232,032 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,088 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on April 2, 2018 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,552 shares of Series A Preferred Stock distributed as payment-in-kind dividend on April 2, 2018 and held directly by Series TB.

Read SEC document
January 02, 2018 Filed Jan 3, 2018 18:58 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,549 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-18-000609 · tv482457_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 232,032

Underlying: Common Stock, par value $0.01 per share · 1,819,600 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 2, 2018 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on January 2, 2018, the Partnership received 4,549 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on October 1, 2017 and ending on December 31, 2017 on the 227,483 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,047 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on January 2, 2018 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,502 shares of Series A Preferred Stock distributed as payment-in-kind dividend on January 2, 2018 and held directly by Series TB.

Read SEC document
October 02, 2017 Filed Oct 3, 2017 16:39 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,460 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001144204-17-051184 · v476360_4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 227,483

Underlying: Common Stock, par value $0.01 per share · 1,784,000 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 2, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on October 2, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on October 2, 2017, the Partnership received 4,460 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on July 1, 2017 and ending on September 30, 2017 on the 223,023 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,007 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on October 2, 2017 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,453 shares of Series A Preferred Stock distributed as payment-in-kind dividend on October 2, 2017 and held directly by Series TB.

Read SEC document
July 03, 2017 Filed Jul 5, 2017 16:19 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,373 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001571049-17-006495 · t1702055.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 223,023

Underlying: Common Stock, par value $0.01 per share · 1,749,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on July 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on July 3, 2017, the Partnership received 4,373 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on April 1, 2017 and ending on June 30, 2017 on the 218,650 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 1,968 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on July 3, 2017 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,405 shares of Series A Preferred Stock distributed as payment-in-kind dividend on July 3, 2017 and held directly by Series TB.

Read SEC document
April 03, 2017 Filed Apr 6, 2017 10:51 UTC R1 RCM Holdco Inc. RCM · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,287 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001571049-17-003232 · t1701018.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 218,650

Underlying: Common Stock, par value $0.01 per share · 1,714,800 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on April 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on April 3, 2017, the Partnership received 4,287 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on January 1, 2017 and ending on March 31, 2017 on the 214,363 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 1,929 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on April 3, 2017 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,358 shares of Series A Preferred Stock distributed as payment-in-kind dividend on April 3, 2017 and held directly by Series TB.

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January 03, 2017 Filed Jan 5, 2017 17:10 UTC R1 RCM Holdco Inc. ACHI · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 4,203 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001571049-17-000202 · t1700022-f4.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 214,363

Underlying: Common Stock, par value $0.01 per share · 1,681,200 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of R1 RCM Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as a payment-in-kind dividend on January 3, 2017 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on January 3, 2017, the Partnership received 4,203 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on October 1, 2016 and ending on December 31, 2016 on the 210,160 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F6 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 1,891 shares of Series A Preferred Stock distributed as a payment-in-kind dividend on January 3, 2017 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 2,312 shares of Series A Preferred Stock distributed as payment-in-kind dividend on January 3, 2017 and held directly by Series TB.

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October 01, 2016 Filed Oct 4, 2016 17:24 UTC R1 RCM Holdco Inc. ACHI · Entity 125898 Grant8.00% Series A Convertible Preferred Stock · Derivative 6,120 Not disclosed Strike: $2.50 Not disclosed
Disclosure

SEC source: 0001571049-16-018625 · t1602353.xml · derivative · entry 1

TCP-ASC ACHI Series LLLP · CIK 0001663108 · Director · 10% owner

TCP-ASC GP, LLC · CIK 0001663107 · Director · 10% owner

TI IV ACHI Holdings GP, LLC · CIK 0001663106 · Director · 10% owner

TI IV ACHI Holdings, LP · CIK 0001662925 · Director · 10% owner

TowerBrook Investors, Ltd. · CIK 0001599448 · Director · 10% owner

MOSZKOWSKI NEAL · CIK 0001041197 · Director · 10% owner

SOUSOU RAMEZ · CIK 0001270155 · Director · 10% owner

Ascension Health Alliance · CIK 0001663043 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 210,160

Underlying: Common Stock, par value $0.01 per share · 2,448,000 shares

Expires not disclosed

F2 · price: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as payment-in-kind dividends on October 1, 2016 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F1 · derivative.exercise_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F1 · derivative.expiration_date: The 8.00% Series A Convertible Preferred Stock, par value $0.01 per share (the "Series A Preferred Stock") of Accretive Health, Inc. (the "Issuer") is convertible at any time, at the holder's election, and has no expiration date.

F2 · ownership.direct: This Form 4 is being filed jointly pursuant to Rule 16a-1(a)(3) and Rule 16a-3(j) under the Securities Act of 1934, as amended (the "Exchange Act") to report the beneficial ownership of shares of Series A Preferred Stock that TCP-ASC ACHI Series LLLP (the "Partnership"), TCP-ASC GP, LLC (the "Partnership GP"), TI IV ACHI Holdings GP, LLC (the "Aggregator GP"), TI IV ACHI Holdings, LP (the "Aggregator"), TowerBrook Investors Ltd. ("TowerBrook"), Neal Moszkowski, Ramez Sousou, and Ascension Health Alliance d/b/a Ascension ("Ascension") (together, the "Reporting Persons") may be deemed to have acquired as payment-in-kind dividends on October 1, 2016 under the Certificate of Designations of 8.00% Series A Convertible Preferred Stock (the "Certificate of Designations"), dated as of February 16, 2016.

F3 · ownership.direct: The Partnership is a Delaware series limited liability limited partnership that was formed to effect the purchase (the "Purchase") of the Issuer's securities, including 200,000 shares of Series A Preferred Stock, in connection with that certain Securities Purchase Agreement, dated as of December 7, 2015, by and among the Issuer, the Partnership and Ascension (the "Purchase Agreement"). The sole general partner of the Partnership is the Partnership GP, and the limited partners of the Partnership are the Aggregator and Ascension. The Partnership GP is a Delaware limited liability company that was formed to effect the Purchase. The members of the Partnership GP are the Aggregator and Ascension. (cont'd)

F4 · ownership.direct: (cont'd) The Aggregator is a Delaware limited partnership that was formed to effect the Purchase. The sole general partner of the Aggregator is the Aggregator GP, and the limited partners of the Aggregator are TowerBrook Investors IV (Onshore), L.P., TowerBrook Investors IV (OS), L.P., TowerBrook Investors IV Executive Fund, L.P., TowerBrook Investors IV (892), L.P. and TowerBrook Investors Team Daybreak, L.P. The Aggregator GP is a Delaware limited liability company that was formed to effect the Purchase. The sole member of the Aggregator GP is TowerBrook. TowerBrook is a Cayman Islands corporation and its principal business is to serve as the general partner or member of various affiliates of investment funds managed or advised by TowerBrook Capital Partners L.P. The directors and joint controlling shareholders of TowerBrook are Neal Moszkowski, a U.S. citizen, and Ramez Sousou, a U.K. citizen. Ascension is a Missouri not-for-profit corporation.

F5 · ownership.direct: Pursuant to the Certificate of Designations, on October 1, 2016, the Partnership received 4,120 shares of Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on July 1, 2016 and ending on September 30, 2016 on the 204,040 shares of Series A Preferred Stock acquired by the Partnership since the Purchase closed on February 16, 2016. Additionally, on October 1, 2016, the Partnership received 2,000 shares of the Series A Preferred Stock from the Issuer as a payment-in-kind dividend for the period beginning on February 16, 2016 and ending on March 31, 2016, that was previously accrued and unpaid. (cont'd)

F6 · ownership.direct: (cont'd) The reported securities may be deemed to be owned directly by the Partnership, and indirectly by the Partnership GP, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski, Ramez Sousou and Ascension. As permitted by Rule 16a-1(a)(4), the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons are beneficial owners of any of the securities covered by this statement.

F7 · ownership.direct: Pursuant to that certain Limited Liability Limited Partnership Agreement of the Partnership, dated as of December 7, 2015, by and between the Partnership GP, the Aggregator and Ascension (the "Partnership Agreement"), the board of directors of the Partnership established a series of partnership interests to hold the securities allocable to the Aggregator under the Partnership Agreement ("Series TB") and a series of partnership interests to hold the securities allocable to Ascension under the Partnership Agreement ("Series AS"). Accordingly, the Aggregator GP, the Aggregator, TowerBrook, Neal Moszkowski and Ramez Sousou disclaim beneficial ownership of the 2,754 shares of Series A Preferred Stock distributed as payment-in-kind dividends on October 1, 2016 held directly by Series AS, whereas Ascension disclaims beneficial ownership of the 3,366 shares of Series A Preferred Stock distributed as payment-in-kind dividends on October 1, 2016 and held directly by Series TB.

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Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.