Filing Details

Accession Number:
0001343238-10-000016
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-05-26 13:00:00
Reporting Period:
2010-05-25
Filing Date:
2010-05-26
Accepted Time:
2010-05-26 18:10:30
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1472595 Accretive Health Inc. AH Services-Management Services (8741) 020698101
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
911380 Taylor J Crandall 2775 Sand Hill Road
Suite 220
Menlo Park CA 94025
No No Yes No
1247520 Group Vi 31 Llc 201 Main Street
Suite 3100
Fort Worth TX 76102
No No Yes No
1492076 Fw Oak Hill Accretive Healthcare Investors, L.p. 201 Main Street
Suite 3100
Fort Worth TX 76102
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-05-25 15,947,601 $0.00 15,947,601 No 4 C Direct
Common Stock Acquisiton 2010-05-25 1,477,161 $0.00 17,424,762 No 4 C Direct
Common Stock Disposition 2010-05-25 829,486 $11.28 16,595,276 No 4 S Direct
Common Stock Acquisiton 2010-05-25 502,696 $0.00 17,097,972 No 4 J Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 C Direct
No 4 S Direct
No 4 J Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2010-05-25 13,273 $0.00 15,947,601 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2010-05-25 376,827 $0.00 1,477,161 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
Footnotes
  1. The Series A Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1,201.5069 for one basis and had no expiration date.
  2. The Series D Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 3.92 for one basis and had no expiration date.
  3. FW Oak Hill Accretive Healthcare Investors, L.P. (the "Oak Hill Partnership") elected to receive shares of common stock, based on the initial public offering price of $12.00 per share, in satisfaction of the liquidation preference payment payable to the holders of the Issuer's preferred stock upon the closing of its initial public offering.
  4. Group VI 31, LLC ("Group VI 31") is the sole general partner of the Oak Hill Partnership, which is the direct holder of the shares reported herein. J. Taylor Crandall ("Crandall") is the sole member and President of Group VI 31 and a limited parter of the Oak Hill Partnership. Crandall and Group VI 31 disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.