{"transactions":[{"id":1359902,"issuer":{"id":85753,"kind":"organization","name":"R1 RCM Inc. /DE","symbol":"RCM"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85937,"kind":"person","name":"Saddi Karim","position":7,"cik":"0002015512","reported_name":"Saddi Karim","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85938,"kind":"person","name":"Bilzin Jonathan","position":8,"cik":"0001473246","reported_name":"Bilzin Jonathan","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":9,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Warrant (right to buy)","published_at":"2024-11-19T16:50:16.000Z","date":"2024-11-19","kind":"other","planned":false,"acquired":false,"shares":40464855,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F7","text":"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."}],"balance_after":0,"derivative":{"exercise_price":3.5,"exercise_date":"2016-02-16","expiration_date":"2026-02-16","underlying":"Common Stock","underlying_shares":40464855},"source":{"system":"sec-edgar","filing":"0001104659-24-120604","document":"tm2428675-2_4seq1.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465924120604/tm2428675-2_4seq1.xml","form_type":"4"}},{"id":1359901,"issuer":{"id":85753,"kind":"organization","name":"R1 RCM Inc. /DE","symbol":"RCM"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85937,"kind":"person","name":"Saddi Karim","position":7,"cik":"0002015512","reported_name":"Saddi Karim","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85938,"kind":"person","name":"Bilzin Jonathan","position":8,"cik":"0001473246","reported_name":"Bilzin Jonathan","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":9,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2024-11-19T16:50:16.000Z","date":"2024-11-19","kind":"other","planned":false,"acquired":false,"shares":154837588,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F2","text":"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."},{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F7","text":"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."}],"balance_after":0,"source":{"system":"sec-edgar","filing":"0001104659-24-120604","document":"tm2428675-2_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465924120604/tm2428675-2_4seq1.xml","form_type":"4"}},{"id":1359900,"issuer":{"id":85753,"kind":"organization","name":"R1 RCM Inc. /DE","symbol":"RCM"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85937,"kind":"person","name":"Saddi Karim","position":7,"cik":"0002015512","reported_name":"Saddi Karim","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85938,"kind":"person","name":"Bilzin Jonathan","position":8,"cik":"0001473246","reported_name":"Bilzin Jonathan","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":9,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2024-11-19T16:50:16.000Z","date":"2024-11-19","kind":"sale","planned":false,"acquired":false,"shares":30548388,"price":14.282,"value":436292077.416,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F7","text":"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."}],"balance_after":154837588,"source":{"system":"sec-edgar","filing":"0001104659-24-120604","document":"tm2428675-2_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465924120604/tm2428675-2_4seq1.xml","form_type":"4"}},{"id":1359899,"issuer":{"id":85753,"kind":"organization","name":"R1 RCM Inc. /DE","symbol":"RCM"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85937,"kind":"person","name":"Saddi Karim","position":7,"cik":"0002015512","reported_name":"Saddi Karim","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85938,"kind":"person","name":"Bilzin Jonathan","position":8,"cik":"0001473246","reported_name":"Bilzin Jonathan","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":9,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2024-11-19T16:50:16.000Z","date":"2024-11-19","kind":"other","planned":false,"acquired":true,"shares":40464855,"price":3.5,"value":141626992.5,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F7","text":"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."}],"balance_after":164754055,"source":{"system":"sec-edgar","filing":"0001104659-24-120604","document":"tm2428675-2_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465924120604/tm2428675-2_4seq1.xml","form_type":"4"}},{"id":2160467,"issuer":{"id":85753,"kind":"organization","name":"R1 RCM Inc. /DE","symbol":"RCM"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2022-09-13T09:19:50.000Z","date":"2022-09-13","kind":"sale","acquired":false,"shares":15000000,"price":20.425,"value":306375000.0,"ownership":{"direct":true},"footnotes":[{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F1","text":"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)."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":164754055,"source":{"system":"sec-edgar","filing":"0001104659-22-099502","document":"tm2225680-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465922099502/tm2225680-1_4seq1.xml","form_type":"4"}},{"id":2225939,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Warrant (right to buy)","published_at":"2022-06-21T17:03:27.000Z","date":"2022-06-21","kind":"disposition_to_issuer","acquired":false,"shares":40464855,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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)."},{"field":"price","element":"transactionPricePerShare","label":"F7","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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\")."}],"balance_after":0,"derivative":{"exercise_price":3.5,"exercise_date":"2016-02-16","expiration_date":"2026-02-16","underlying":"Common Stock, par value $0.01 per share","underlying_shares":40464855},"source":{"system":"sec-edgar","filing":"0001104659-22-073035","document":"tm2218946d1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465922073035/tm2218946d1_4.xml","form_type":"4"}},{"id":2225938,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2022-06-21T17:03:27.000Z","date":"2022-06-21","kind":"disposition_to_issuer","acquired":false,"shares":139289200,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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)."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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\")."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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\")."}],"balance_after":0,"source":{"system":"sec-edgar","filing":"0001104659-22-073035","document":"tm2218946d1_4.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465922073035/tm2218946d1_4.xml","form_type":"4"}},{"id":2687262,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Warrant (right to buy)","published_at":"2021-06-02T16:39:38.000Z","date":"2021-05-28","kind":"other","acquired":false,"shares":2622499,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F6","text":"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."}],"balance_after":40464855,"derivative":{"exercise_price":3.5,"exercise_date":"2016-02-16","expiration_date":"2026-02-16","underlying":"Common Stock, par value $0.01 per share","underlying_shares":2622499},"source":{"system":"sec-edgar","filing":"0001104659-21-075788","document":"tm2118229d1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075788/tm2118229d1_4.xml","form_type":"4"}},{"id":2687261,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-02T16:39:38.000Z","date":"2021-06-02","kind":"sale","acquired":false,"shares":2250000,"price":21.825,"value":49106250.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F6","text":"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."},{"field":"kind","element":"transactionCoding","label":"F7","text":"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."}],"balance_after":139289200,"source":{"system":"sec-edgar","filing":"0001104659-21-075788","document":"tm2118229d1_4.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075788/tm2118229d1_4.xml","form_type":"4"}},{"id":2687260,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-02T16:39:38.000Z","date":"2021-05-28","kind":"sale","acquired":false,"shares":372499,"price":24.64,"value":9178375.36,"ownership":{"direct":true},"balance_after":141539200,"source":{"system":"sec-edgar","filing":"0001104659-21-075788","document":"tm2118229d1_4.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075788/tm2118229d1_4.xml","form_type":"4"}},{"id":2687259,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, 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NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-02T16:39:38.000Z","date":"2021-05-28","kind":"other","acquired":true,"shares":2622499,"price":3.5,"value":9178746.5,"ownership":{"direct":true},"footnotes":[{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F1","text":"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)."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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\")."}],"balance_after":141911699,"source":{"system":"sec-edgar","filing":"0001104659-21-075788","document":"tm2118229d1_4.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075788/tm2118229d1_4.xml","form_type":"4"}},{"id":2689488,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Warrant (right to buy)","published_at":"2021-06-01T16:29:54.000Z","date":"2021-05-27","kind":"other","acquired":false,"shares":16912646,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F6","text":"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."}],"balance_after":43087354,"derivative":{"exercise_price":3.5,"exercise_date":"2016-02-16","expiration_date":"2026-02-16","underlying":"Common Stock, par value $0.01 per share","underlying_shares":16912646},"source":{"system":"sec-edgar","filing":"0001104659-21-075053","document":"tm2118065-1_4seq1.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075053/tm2118065-1_4seq1.xml","form_type":"4"}},{"id":2689487,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-01T16:29:54.000Z","date":"2021-06-01","kind":"sale","acquired":false,"shares":14500000,"price":21.825,"value":316462500.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F6","text":"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."},{"field":"kind","element":"transactionCoding","label":"F7","text":"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\")."}],"balance_after":139289200,"source":{"system":"sec-edgar","filing":"0001104659-21-075053","document":"tm2118065-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075053/tm2118065-1_4seq1.xml","form_type":"4"}},{"id":2689486,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, 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RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-01T16:29:54.000Z","date":"2021-05-27","kind":"sale","acquired":false,"shares":2412646,"price":24.54,"value":59206332.84,"ownership":{"direct":true},"balance_after":153789200,"source":{"system":"sec-edgar","filing":"0001104659-21-075053","document":"tm2118065-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075053/tm2118065-1_4seq1.xml","form_type":"4"}},{"id":2689485,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco 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Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-06-01T16:29:54.000Z","date":"2021-05-27","kind":"other","acquired":true,"shares":16912646,"price":3.5,"value":59194261.0,"ownership":{"direct":true},"footnotes":[{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F1","text":"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)."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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\")."}],"balance_after":156201846,"source":{"system":"sec-edgar","filing":"0001104659-21-075053","document":"tm2118065-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921075053/tm2118065-1_4seq1.xml","form_type":"4"}},{"id":2906301,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2021-01-15T16:43:30.000Z","date":"2021-01-15","kind":"exercise","acquired":false,"shares":294266,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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\")."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F7","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F7","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":0,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":117706400},"source":{"system":"sec-edgar","filing":"0001104659-21-004763","document":"tm213002-2_4seq1.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921004763/tm213002-2_4seq1.xml","form_type":"4"}},{"id":2906300,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-01-15T16:43:30.000Z","date":"2021-01-15","kind":"grant","acquired":true,"shares":21582800,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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\")."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":139289200,"source":{"system":"sec-edgar","filing":"0001104659-21-004763","document":"tm213002-2_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921004763/tm213002-2_4seq1.xml","form_type":"4"}},{"id":2906299,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2021-01-15T16:43:30.000Z","date":"2021-01-15","kind":"exercise","acquired":true,"shares":117706400,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"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\")."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":117706400,"source":{"system":"sec-edgar","filing":"0001104659-21-004763","document":"tm213002-2_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921004763/tm213002-2_4seq1.xml","form_type":"4"}},{"id":2916471,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2021-01-06T08:16:03.000Z","date":"2021-01-04","kind":"grant","acquired":true,"shares":5769,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":294266,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2307600},"source":{"system":"sec-edgar","filing":"0001104659-21-001273","document":"tm211473d1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465921001273/tm211473d1_4.xml","form_type":"4"}},{"id":3016824,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2020-10-02T16:33:31.000Z","date":"2020-10-01","kind":"grant","acquired":true,"shares":5656,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":288497,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2262400},"source":{"system":"sec-edgar","filing":"0001104659-20-111726","document":"tm2031917d1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465920111726/tm2031917d1_4.xml","form_type":"4"}},{"id":3092748,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2020-07-02T17:01:24.000Z","date":"2020-07-01","kind":"grant","acquired":true,"shares":5545,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":282841,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2218000},"source":{"system":"sec-edgar","filing":"0001104659-20-080654","document":"tm2023997-1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465920080654/tm2023997-1_4.xml","form_type":"4"}},{"id":3187097,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2020-04-02T16:32:57.000Z","date":"2020-04-01","kind":"grant","acquired":true,"shares":5437,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":277296,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2174800},"source":{"system":"sec-edgar","filing":"0001104659-20-042505","document":"tm2014270-1_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465920042505/tm2014270-1_4.xml","form_type":"4"}},{"id":3319162,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2020-01-06T17:03:36.000Z","date":"2020-01-02","kind":"grant","acquired":true,"shares":5330,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":271859,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2132000},"source":{"system":"sec-edgar","filing":"0001104659-20-001601","document":"tv535447_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000110465920001601/tv535447_4.xml","form_type":"4"}},{"id":3398973,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2019-10-03T16:01:28.000Z","date":"2019-10-01","kind":"grant","acquired":true,"shares":5226,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":266529,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2090400},"source":{"system":"sec-edgar","filing":"0001144204-19-047152","document":"tv530264_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420419047152/tv530264_4.xml","form_type":"4"}},{"id":3471953,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2019-07-02T17:01:43.000Z","date":"2019-07-01","kind":"grant","acquired":true,"shares":5123,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":261303,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2049200},"source":{"system":"sec-edgar","filing":"0001144204-19-033630","document":"tv524586_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420419033630/tv524586_4.xml","form_type":"4"}},{"id":3565897,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2019-04-03T17:00:43.000Z","date":"2019-04-01","kind":"grant","acquired":true,"shares":5023,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":256180,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2009200},"source":{"system":"sec-edgar","filing":"0001144204-19-018033","document":"tv517439_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420419018033/tv517439_4.xml","form_type":"4"}},{"id":3709814,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2019-01-03T17:01:09.000Z","date":"2019-01-02","kind":"grant","acquired":true,"shares":4924,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":251157,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1969600},"source":{"system":"sec-edgar","filing":"0001144204-19-000430","document":"tv510096_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420419000430/tv510096_4.xml","form_type":"4"}},{"id":3802384,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2018-10-02T16:46:31.000Z","date":"2018-10-01","kind":"grant","acquired":true,"shares":4828,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":246233,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1931200},"source":{"system":"sec-edgar","filing":"0001144204-18-052076","document":"tv503892_form4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420418052076/tv503892_form4.xml","form_type":"4"}},{"id":3876092,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2018-07-03T17:01:12.000Z","date":"2018-07-02","kind":"grant","acquired":true,"shares":4733,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":241405,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1893200},"source":{"system":"sec-edgar","filing":"0001144204-18-037260","document":"tv497746_form4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420418037260/tv497746_form4.xml","form_type":"4"}},{"id":3977213,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2018-04-02T16:58:52.000Z","date":"2018-04-02","kind":"grant","acquired":true,"shares":4640,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":236672,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1856000},"source":{"system":"sec-edgar","filing":"0001144204-18-018681","document":"tv490004_form4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420418018681/tv490004_form4.xml","form_type":"4"}},{"id":4113309,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2018-01-03T18:58:12.000Z","date":"2018-01-02","kind":"grant","acquired":true,"shares":4549,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":232032,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1819600},"source":{"system":"sec-edgar","filing":"0001144204-18-000609","document":"tv482457_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420418000609/tv482457_4.xml","form_type":"4"}},{"id":4195415,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2017-10-03T16:39:05.000Z","date":"2017-10-02","kind":"grant","acquired":true,"shares":4460,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":227483,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1784000},"source":{"system":"sec-edgar","filing":"0001144204-17-051184","document":"v476360_4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000114420417051184/v476360_4.xml","form_type":"4"}},{"id":4265206,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2017-07-05T16:19:35.000Z","date":"2017-07-03","kind":"grant","acquired":true,"shares":4373,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":223023,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1749200},"source":{"system":"sec-edgar","filing":"0001571049-17-006495","document":"t1702055.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000157104917006495/t1702055.xml","form_type":"4"}},{"id":4356972,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2017-04-06T10:51:12.000Z","date":"2017-04-03","kind":"grant","acquired":true,"shares":4287,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":218650,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1714800},"source":{"system":"sec-edgar","filing":"0001571049-17-003232","document":"t1701018.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000157104917003232/t1701018.xml","form_type":"4"}},{"id":4499222,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2017-01-05T17:10:38.000Z","date":"2017-01-03","kind":"grant","acquired":true,"shares":4203,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"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."}],"balance_after":214363,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":1681200},"source":{"system":"sec-edgar","filing":"0001571049-17-000202","document":"t1700022-f4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000157104917000202/t1700022-f4.xml","form_type":"4"}},{"id":4587697,"issuer":{"id":125898,"kind":"organization","name":"R1 RCM Holdco Inc.","symbol":"NONE"},"owners":[{"id":85931,"kind":"person","name":"TCP-ASC ACHI Series LLLP","position":1,"cik":"0001663108","reported_name":"TCP-ASC ACHI Series LLLP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85932,"kind":"person","name":"TCP-ASC GP, LLC","position":2,"cik":"0001663107","reported_name":"TCP-ASC GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85933,"kind":"person","name":"TI IV ACHI Holdings GP, LLC","position":3,"cik":"0001663106","reported_name":"TI IV ACHI Holdings GP, LLC","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85934,"kind":"person","name":"TI IV ACHI Holdings, LP","position":4,"cik":"0001662925","reported_name":"TI IV ACHI Holdings, LP","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85935,"kind":"person","name":"TowerBrook Investors, Ltd.","position":5,"cik":"0001599448","reported_name":"TowerBrook Investors, Ltd.","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85936,"kind":"person","name":"MOSZKOWSKI NEAL","position":6,"cik":"0001041197","reported_name":"MOSZKOWSKI NEAL","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":123863,"kind":"person","name":"SOUSOU RAMEZ","position":7,"cik":"0001270155","reported_name":"SOUSOU RAMEZ","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}},{"id":85939,"kind":"person","name":"Ascension Health Alliance","position":8,"cik":"0001663043","reported_name":"Ascension Health Alliance","relationship":{"director":true,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"8.00% Series A Convertible Preferred Stock","published_at":"2016-10-04T17:24:41.000Z","date":"2016-10-01","kind":"grant","acquired":true,"shares":6120,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"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."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F1","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F2","text":"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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F3","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F4","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F5","text":"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)"},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F6","text":"(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."},{"field":"ownership.direct","element":"directOrIndirectOwnership","label":"F7","text":"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."}],"balance_after":210160,"derivative":{"exercise_price":2.5,"underlying":"Common Stock, par value $0.01 per share","underlying_shares":2448000},"source":{"system":"sec-edgar","filing":"0001571049-16-018625","document":"t1602353.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1041197/000157104916018625/t1602353.xml","form_type":"4"}}]}