Item 1.01 Entry into a Material Definitive Agreement. Incremental Amendment to Credit Agreement On June 26, 2019, R1 RCM Inc. (the "Company") entered into a senior credit agreement (the "Credit Agreement") with Bank of America, N.A., as administrative agent and the lenders named therein for senior secured credit facilities consisting of a $325.0 million senior secured term loan facility (the "Senior Term Loan") and a $100.0 million senior secured revolving credit facility. On March 20, 2020, the Company entered into Amendment No. 1 to the Credit Agreement (the "Amendment"), pursuant to which the lenders named in the Amendment agreed to provide an additional $191.1 million incremental delayed-draw term loan facility (the "Incremental Term Loan") on the same terms as its existing Senior Term Loan provided under the Credit Agreement.

The Incremental Term Loan will be drawn substantially concurrently with the acquisition of scheduling.com d/b/a SCI Solutions, Inc. ("SCI"). The proceeds of the Incremental Term Loan will be used to fund the purchase price for SCI and related expenses. The Company is increasing the size of the Incremental Term Loan to $191.1 million from $150.0 million contemplated when the acquisition of SCI was announced in order to preserve cash on the balance sheet in the event of any potential disruptions to the Company's operations resulting from the ongoing COVID-19 pandemic. To date, the Company has not experienced any material disruption to its operations.

The Incremental Term Loan will have terms consistent with those of the Senior Term Loan, including with respect to interest, maturity, amortization and prepayments and will have the same affirmative and negative covenants and events of default as those applicable to the Senior Term Loan under the Credit Agreement.

The foregoing summary of the Amendment is qualified in its entirety by reference to the Amendment, which is filed herewith as Exhibit 10.1 to this Current Report on Form 8-K and is incorporated herein by reference.




Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an
Off-Balance Sheet Arrangement of a Registrant.
The disclosure set forth in "Item 1.01 Entry into a Material Definitive
Agreement" is incorporated into this Item 2.03 by reference.
Forward-Looking Statements
This report includes information that may constitute "forward-looking
statements," made pursuant to the safe harbor provisions of the Private
Securities Litigation Reform Act of 1995. Forward-looking statements relate to
future, not past, events and often address our expected future growth, plans and
performance or forecasts, and include statements about the expected terms of the
proposed acquisition of SCI and the related financing. These forward-looking
statements are often identified by the use of words such as "anticipate,"
"believe," "designed," "estimate," "expect," "forecast," "intend," "may,"
"plan," "predict," "project," "target," "will," or "would," and similar
expressions or variations, although not all forward-looking statements contain
these identifying words. Such forward-looking statements are based on
management's current expectations about future events as of the date hereof and
involve many risks and uncertainties that could cause our actual results to
differ materially from those expressed or implied in our forward-looking
statements. Subsequent events and developments, including actual results or
changes in our assumptions, may cause our views to change. We do not undertake
to update our forward-looking statements except to the extent required by
applicable law. Readers are cautioned not to place undue reliance on such
forward-looking statements. All forward-looking statements included herein are
expressly qualified in their entirety by these cautionary statements. Our actual
results and outcomes could differ materially from those included in these
forward-looking statements as a result of various factors, including, but not
limited to risks related to the satisfaction of the conditions to closing the
Acquisition and the related financing in the anticipated timeframe or at all,
risks that the expected benefits from the proposed Acquisition will not be
realized or will not be realized within the expected time period, the risk that
the businesses will not be integrated successfully, significant transaction
costs, unknown or understated liabilities, as well as the factors discussed
under the heading "Risk Factors" in our annual report on Form 10-K for the year
ended December 31, 2019, our quarterly reports on Form 10-Q and any other

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periodic reports we file with the Securities and Exchange Commission.
Item 9.01  Financial Statements and Exhibits.
(d) Exhibits.
Exhibit No.    Description of Exhibit
   10.1*         Amendment No. 1 to Credit Agreement, dated as of March 20, 2020,
               by and among R1 RCM Inc., the other parties party thereto as Credit
               Parties (as defined therein), Bank of America, N.A., as
               administrative agent and the financial institutions party thereto
               as lenders.
    104        Cover Page Interactive Data File - the cover page iXBRL tags are
               embedded within the Inline XBRL document.



*   Exhibits and schedules were omitted pursuant to Item 601(b)(10) of Regulation
    S-K and will be furnished to the Securities and Exchange Commission upon
    request.




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