Filing Details

Accession Number:
0001209191-10-030788
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-05-27 13:00:00
Reporting Period:
2010-05-25
Filing Date:
2010-05-27
Accepted Time:
2010-05-27 15:23:28
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
1201677 Michael J Cline C/O Accretive Health, Inc.
401 North Michigan Avenue, Suite 2700
Chicago IL 60611
Yes 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 20,908,996 $0.00 20,908,996 No 4 C Indirect See Footnote
Common Stock Disposition 2010-05-25 995,348 $11.28 19,913,648 No 4 S Indirect See Footnote
Common Stock Acquisiton 2010-05-25 603,218 $12.00 20,516,866 No 4 J Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 S Indirect See Footnote
No 4 J Indirect See Footnote
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 15,927 $0.00 19,136,400 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2010-05-25 452,193 $0.00 1,772,596 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The Reporting Person is the managing member of Accretive Associates SBIC, LLC, which is the general partner of Accretive Investors SBIC, L.P. ("Accretive Investors"). Accretive Investors is the beneficial owner of the shares of common stock. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the Accretive Investors shares in which the Reporting Person has no actual pecuniary interest.
  2. Reflects shares of Common Stock received in satisfaction of a liquidation preference payment required to be paid to Accretive Investors upon the closing of the Issuer's initial public offering.
  3. 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.
  4. 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.