DEPARTMENT OF LABOR
Employment and Training Administration

TA-W-94,513

R1 RCM INC.
PREVIOUSLY KNOWN AS ACCRETIVE HEALTH, INC.
AUSTIN, TEXAS

Amended Certification Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended (“Act”), 19 U.S.C. § 2273, the Department of Labor
issued a Certification of Eligibility to Apply for Worker
Adjustment Assistance on March 8, 2019, applicable to workers of
R1 RCM, Austin, Texas engaged in activities related to the
supply of revenue cycle services and physician advisory
services. The notice was published in the Federal Register on
May 15, 2019 (84 F.R. 21820).
At the request of the state workforce office, the
Department reviewed the certification. The state workforce
office reports that workers’ wages were also reported under
Accretive Health, Inc.
The investigation revealed that the workers’ firm,
corrected to read as R1 RCM, Inc., in Austin, Texas was
previously known as Accretive Health, Inc.
The intent of the Department’s certification is to include
all workers of the workers’ firm who were adversely affected by
the shift in revenue cycle services and physician advisory
services to a foreign country.
Based on these findings, the Department is amending this
certification to include workers whose wages were reported under
Accretive Health, Inc.
The amended notice applicable to TA-W-94,513 is hereby
issued as follows:
"All workers of R1 RCM Inc., previously known as
Accretive Health, Inc., Austin, Texas who became
totally or partially separated from employment on or
after February 5, 2018 to March 8, 2021, and all
workers in the group threatened with total or partial
separation from employment on date of certification
through two years from the date of certification, are
eligible to apply for adjustment assistance under
Chapter 2 of Title II of the Trade Act of 1974, as
amended.”

Signed in Washington, D.C. this 9th day of September, 2019

/s/Hope D. Kinglock
_________________________________
HOPE D. KINGLOCK
Certifying Officer, Office of
Trade Adjustment Assistance


DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-94,513

R1 RCM
AUSTIN, TEXAS

Certification Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended ("Act"), 19 U.S.C. § 2273, the Department of Labor
herein presents the results of an investigation regarding
certification of eligibility to apply for worker adjustment
assistance.
The group eligibility requirements for workers of a firm
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), are
satisfied if the following criteria are met:
(1) a significant number or proportion of the
workers in such workers' firm have become totally or
partially separated, or are threatened to become
totally or partially separated;
(2)(B)(i)(I) there has been a shift by the workers'
firm to a foreign country in the production of
articles or supply of services like or directly
competitive with those produced/supplied by the
workers' firm; OR
(II) there has been an acquisition from a
foreign country by the workers' firm of
articles/services that are like or directly
competitive with those produced/supplied by
the workers' firm; AND
(ii) the shift/acquisition must have contributed
importantly to the workers' separation or
threat of separation.

The investigation was initiated in response to a petition
filed on February 6, 2019 by three workers on behalf of workers
of R1 RCM, Austin, Texas, (herein referred to as "R1 RCM"). The
workers' firm is engaged in activities related to the supply of
revenue cycle services and physician advisory services.
During the course of the investigation, information was
collected from the workers' firm and the petitioners.
Section 222(a)(1) has been met because a significant
number or proportion of the workers in such workers' firm have
become totally or partially separated, or are threatened to
become totally or partially separated.
Section 222(a)(2)(B) has been met because the workers'
firm has shifted to a foreign country service like or directly
competitive with services supplied by the workers which
contributed importantly to worker group separations at R1 RCM.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of R1 RCM, Austin,
Texas, who are engaged in activities related to the supply of
revenue cycle services and physician advisory services meet the
worker group certification criteria under Section 222(a) of the
Act, 19 U.S.C. § 2272(a). In accordance with Section 223 of the
Act, 19 U.S.C. § 2273, I make the following certification:
"All workers of R1 RCM, Austin, Texas, who became totally
or partially separated from employment on or after February
5, 2018 through two years from the date of certification,
and all workers in the group threatened with total or
partial separation from employment on the date of
certification through two years from the date of
certification, are eligible to apply for adjustment
assistance under Chapter 2 of Title II of the Trade Act of
1974, as amended."
Signed in Washington, D.C. this 8th day of March 2019.

/s/Jacquelyn R. Mendelsohn
______________________________
JACQUELYN R. MENDELSOHN
Certifying Officer, Office of
Trade Adjustment Assistance