Filing Details

Accession Number:
0001209191-10-030793
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 15:25:18
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
1414249 Iii H. Arthur Spiegel C/O Accretive Health, Inc.
401 North Michigan Avenue, Suite 2700
Chicago IL 60611
Yes No No 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 1,131,803 $0.00 4,071,803 No 4 C Indirect By Spiegel Family LLC
Common Stock Disposition 2010-05-25 196,320 $11.28 3,875,483 No 4 S Indirect By Spiegel Family LLC
Common Stock Acquisiton 2010-05-25 42,226 $12.00 3,917,709 No 4 J Indirect By Spiegel Family LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Spiegel Family LLC
No 4 S Indirect By Spiegel Family LLC
No 4 J Indirect By Spiegel Family LLC
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2010-05-25 730 $0.00 876,619 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2010-05-25 65,098 $0.00 255,184 $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 shares are held by a limited liability company, the members of which are members of Mr. Spiegel's immediate family and the managing members of which are Mr. Spiegel and his wife.
  2. Reflects shares of Common Stock received in satisfaction of a liquidation preference payment required to be paid to the Spiegel Family LLC 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.