0001209191-11-053367.txt : 20111031 0001209191-11-053367.hdr.sgml : 20111031 20111031164036 ACCESSION NUMBER: 0001209191-11-053367 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111031 FILED AS OF DATE: 20111031 DATE AS OF CHANGE: 20111031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH WAYNE T CENTRAL INDEX KEY: 0001018660 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 111168648 MAIL ADDRESS: STREET 1: 500 WEST MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0001108109 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 133893191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-465-7000 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC/ DATE OF NAME CHANGE: 20000229 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-10-31 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001018660 SMITH WAYNE T 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 1 1 0 0 Chairman, President & CEO Common Stock 2011-10-31 4 A 0 100000 17.692 A 102000 I Spouse Common Stock 879677 D Common Stock 107383 I by 2010 GRAT Common Stock 200000 I by 2011 GRAT Common Stock 51059 I by 2009 WTS Irrevocable Trust Dated 2/27/09 Performance Based Restricted 0.00 Common Stock 200000 200000 D Stock Options (Right to Buy) 20.30 2004-05-22 2013-05-22 Common Stock 500000 500000 D Stock Options (Right to Buy) 32.37 2006-02-28 2013-02-28 Common Stock 100000 100000 D Stock Options (Right to Buy) 38.30 2007-03-01 2014-03-01 Common Stock 100000 100000 D Stock Options (Right to Buy) 37.21 2008-02-28 2015-02-28 Common Stock 100000 100000 D Stock Options (Right to Buy) 32.28 2009-02-27 2018-02-26 Common Stock 200000 200000 D Stock Options (Right to Buy) 40.41 2008-07-25 2017-07-24 Common Stock 500000 500000 D Stock Options (Right to Buy) 18.18 2010-02-25 2019-02-24 Common Stock 50000 50000 D Stock Options (Right to Buy) 33.90 2011-02-24 2020-02-23 Common Stock 50000 50000 D Stock Options (Right to Buy) 37.96 2012-02-23 2021-02-22 Common Stock 50000 50000 D The shares were acquired in a series of transactions at an average price per share of $17.692. Each performance based restricted share represents a contingent right to receive one share of CYH common stock. There are two elements to the lapsing of the restriction; first, the Company must achieve specified targeted amount of earnings per share from continuing operations, or net revenue from continuing operations, and if the performance objective is met, the vesting restrictions will lapse in 1/3 increments on the first, second and third anniversary of the date of grant. If the objectives are not met, the shares will be forfeited. Christopher G. Cobb, Attorney in Fact for Wayne T. Smith 2011-10-31