Amended Statement of Ownership (sc 13g/a)
February 13 2017 - 4:39PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 5)*
R1 RCM Inc.
(Name of Issuer)
Common Stock, $0.01 par value
(Title of Class of Securities)
00438V103
(CUSIP Number)
December 31, 2016
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to
designate the rule pursuant to which this Schedule is filed.
☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☒
Rule 13d-1(d)
*
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The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page.
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The information required in the remainder of this cover
page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other
provisions of the Act (however,
see
the
Notes
).
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 2 of 9 Pages
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1
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NAME OF
REPORTING PERSONS
J. Michael Cline
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (see instructions)
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United States of
America
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NUMBER OF SHARES
BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH
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5
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SOLE VOTING POWER
60,078
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6
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SHARED VOTING POWER
5,996,239 (1)
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7
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SOLE DISPOSITIVE POWER
60,078
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8
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SHARED DISPOSITIVE POWER
5,996,239 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
6,056,317
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (9)
5.67% (2)
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12
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
IN
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(1)
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Includes (i) 5,987,516 shares of Common Stock held directly by JMC (as defined below); Mr. Cline is the trustee of the Trust (as defined below), which is the general partner of JMC, and may be deemed to share voting and
investment power with respect to the Common Stock held by JMC, and (ii) 8,723 shares of Common Stock held directly by the Cline Foundation, a charitable trust, as to which Mr. Cline has no pecuniary interest; Mr. Cline is the trustee of the Cline
Foundation and may be deemed to share voting and investment power with respect to the Common Stock held by the Cline Foundation.
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(2)
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The calculation of the percentage is based on 106,775,458 shares of Common Stock outstanding as of October 31, 2016 based on the Issuers Form 10-Q filed with the Securities and Exchange Commission
(
SEC
) on November 2, 2016.
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 3 of 9 Pages
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1
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NAME OF
REPORTING PERSONS
JMC Holdings, L.P.
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (see instructions)
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH
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5
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SOLE VOTING POWER
- 0 -
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6
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SHARED VOTING POWER
5,987,516 (1)
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7
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SOLE DISPOSITIVE POWER
- 0 -
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8
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SHARED DISPOSITIVE POWER
5,987,516 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,987,516
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (9)
5.61% (2)
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12
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
PN
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(1)
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These shares of Common Stock are held directly by JMC. Mr. Cline is the trustee of the Trust, which is the general partner of JMC, and each of Mr. Cline and the Trust may be deemed to share voting and investment power
with respect to the Common Stock held by JMC.
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(2)
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The calculation of the percentage is based on 106,775,458 shares of Common Stock outstanding as of October 31, 2016 based on the Issuers Form 10-Q filed with the SEC on November 2, 2016.
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 4 of 9 Pages
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1
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NAME OF
REPORTING PERSONS
J. Michael Cline Revocable Trust dated December 30,
2005
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (see instructions)
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Connecticut
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH
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5
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SOLE VOTING POWER
- 0 -
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6
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SHARED VOTING POWER
5,987,516 (1)
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7
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SOLE DISPOSITIVE POWER
- 0 -
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8
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SHARED DISPOSITIVE POWER
5,987,516 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,987,516
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (9)
5.61% (2)
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12
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
OO
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(1)
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These shares of Common Stock are held directly by JMC. The Trust is the general partner of JMC and may be deemed to share voting and investment power with respect to the Common Stock held by JMC.
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(2)
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The calculation of the percentage is based on 106,775,458 shares of Common Stock outstanding as of October 31, 2016 based on the Issuers Form 10-Q filed with the SEC on November 2, 2016.
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 5 of 9 Pages
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Preliminary Note
:
This Amendment No. 5 to Schedule 13G amends and supplements the Schedule 13G initially filed by Mr. Cline and JMC on
February 8, 2011, as amended by Amendment No. 1 thereto filed on February 14, 2012, Amendment No. 2 thereto filed on February 13, 2013, Amendment No. 3 thereto filed on February 11, 2014 and Amendment No. 4
thereto filed on February 10, 2016 (the
Schedule 13G
), with respect to the Common Stock, par value $0.01 per share, of R1 RCM Inc. (formerly known as Accretive Health, Inc.). Except to the extent amended or supplemented by
the information contained in this Amendment No. 5, the Schedule 13G, as amended as provided herein, remains in effect.
Item 1(a).
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Name of Issuer.
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R1 RCM Inc., formerly known as Accretive Health, Inc. (the
Issuer
)
Item 1(b).
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Address of Issuers Principal Executive Offices.
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401 North Michigan Avenue, Suite
2700
Chicago, Illinois 60611
Item 2(a).
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Name of Person Filing.
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This statement is being filed by J. Michael Cline (
Mr.
Cline
), JMC Holdings, L.P., a Delaware limited partnership (
JMC
), and the J. Michael Cline Revocable Trust dated December 30, 2005, a trust organized under the laws of the state of Connecticut (the
Trust
and together with Mr. Cline and JMC, each a
Reporting Person
and, collectively, the
Reporting Persons
). See Exhibit A for the Reporting Persons agreement for a joint
filing of a single statement on their behalf.
Due to their relationships with one another, the Reporting Persons may be deemed to
constitute a group under Section 13(d) of the Act with respect to their beneficial ownership of the shares of Common Stock reported herein. The Reporting Persons, however, expressly disclaim such status and declare that the filing
of this Schedule 13G is not and should not be deemed an admission that any Reporting Person, for purposes of Section 13(d) of the Act or otherwise, is the beneficial owner of the shares of Common Stock held by any other Reporting Person. Each
Reporting Person disclaims beneficial ownership of any securities beneficially owned by any other Reporting Person.
Item 2(b).
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Address of Principal Business Office.
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The principal business address of the Reporting
Persons is c/o Accretive, LLC, 51 Madison Avenue, 31st Floor, New York, New York 10010.
Mr. Cline is a citizen of the United States of America.
JMC is organized under the laws of the State of Delaware.
The Trust is organized under the laws of the State of Connecticut.
Item 2(d).
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Title of Class of Securities.
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Common Stock, par value $0.01 per share (
Common
Stock
).
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 6 of 9 Pages
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00438V103
Item 3.
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If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
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Not applicable.
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Reporting Person
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Amount
Beneficially
Owned
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Percent of
Class
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Power to Vote
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Power to Dispose
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Sole
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Shared
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Sole
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Shared
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Mr. Cline
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6,056,317
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(1)
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5.67
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%(2)
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60,078
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5,996,239
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(1)
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60,078
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5,996,239
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(1)
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JMC
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5,987,516
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5.61
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%(2)
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- 0 -
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5,987,516
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(3)
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- 0 -
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5,987,516
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(3)
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Trust
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5,987,516
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5.61
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%(2)
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- 0 -
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5,987,516
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(3)
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- 0 -
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5,987,516
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(3)
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(1)
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Includes (i) 5,987,516 shares of Common Stock held directly by JMC, and (ii) 8,723 shares of Common Stock held directly by the Cline Foundation, a charitable trust of which Mr. Cline is the trustee, and
as to which Mr. Cline has no pecuniary interest.
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(2)
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The calculation of the percentage is based on 106,775,458 shares of Common Stock outstanding as of October 31, 2016 based on the Issuers Form 10-Q filed with the SEC on November 2, 2016.
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(3)
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Includes 5,987,516 shares of Common Stock held directly by JMC.
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Item 5.
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Ownership of Five Percent or Less of a Class.
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If this Statement is being filed to
report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. ☐
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
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Not applicable.
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 7 of 9 Pages
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Item 8.
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Identification and Classification of Members of the Group.
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Not applicable.
Item 9.
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Notice of Dissolution of Group.
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Not applicable.
Not applicable.
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 8 of 9 Pages
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SIGNATURES
After
reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
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February 13, 2017
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/s/ J. Michael Cline
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J. Michael Cline
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JMC Holdings, L.P.
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By:
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J. Michael Cline Revocable Trust dated December 30, 2005, its General Partner
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By:
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/s/ J. Michael Cline
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Name:
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J. Michael Cline
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Title:
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Trustee
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J. Michael Cline Revocable Trust dated December 30, 2005
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By:
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/s/ J. Michael Cline
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Name:
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J. Michael Cline
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Title:
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Trustee
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CUSIP No. 00438V103
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SCHEDULE 13G/A
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Page 9 of 9 Pages
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EXHIBIT A
JOINT FILING
AGREEMENT
The undersigned hereby agree that the statement on Schedule 13G with respect to the shares of the common stock of R1 RCM
Inc., formerly known as Accretive Health Inc., is, and any amendment thereto signed by each of the undersigned shall be, filed on behalf of each of the undersigned pursuant to and in accordance with the provisions of Rule 13d-1(k) promulgated under
the Securities Exchange Act of 1934, as amended. The undersigned hereby further agree that this Joint Filing Agreement be included as an exhibit to such statement and any such amendment. The undersigned acknowledge that each shall be responsible for
the timely filing of such amendments, and for the completeness and accuracy of the information concerning him or it contained herein and therein, but shall not be responsible for the completeness and accuracy of the information concerning the
others. This Joint Filing Agreement may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument.
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February 13, 2017
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/s/ J. Michael Cline
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J. Michael Cline
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JMC Holdings, L.P.
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By:
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J. Michael Cline Revocable Trust dated December 30, 2005, its General Partner
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By:
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/s/ J. Michael Cline
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Name:
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J. Michael Cline
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Title:
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Trustee
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J. Michael Cline Revocable Trust dated December 30, 2005
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By:
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/s/ J. Michael Cline
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Name:
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J. Michael Cline
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Title:
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Trustee
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