0001209191-12-011226.txt : 20120217
0001209191-12-011226.hdr.sgml : 20120217
20120217161340
ACCESSION NUMBER: 0001209191-12-011226
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120217
FILED AS OF DATE: 20120217
DATE AS OF CHANGE: 20120217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CLERICO JOHN A
CENTRAL INDEX KEY: 0001219951
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15925
FILM NUMBER: 12622826
MAIL ADDRESS:
STREET 1: 3132 S COLUMBIA CIRCLE
CITY: TULSA
STATE: OK
ZIP: 74105
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
2012-02-17
0
0001108109
COMMUNITY HEALTH SYSTEMS INC
CYH
0001219951
CLERICO JOHN A
4000 MERIDIAN BOULEVARD
FRANKLIN
TN
37067
1
0
0
0
Common Stock
46143
D
Restricted Stock Units
0.00
2012-02-16
4
A
0
6645
0.00
A
2013-02-16
2022-02-15
Common Stock
6645
6645
D
Stock Options (Right to Buy)
18.03
2004-02-25
2013-02-25
Common Stock
10000
10000
D
Stock Options (Right to Buy)
26.95
2005-01-02
2014-01-02
Common Stock
5000
5000
D
Stock Options (Right to Buy)
27.71
2006-01-03
2015-01-03
Common Stock
5000
5000
D
Phantom Stock
0.00
2010-02-25
2020-02-24
Common Stock
2384
2384
D
Restricted Stock Units
0.00
2011-02-24
2020-02-23
Common Stock
2754
2754
D
Restricted Stock Units
0.00
2012-02-23
2021-02-22
Common Stock
3688
3688
D
The Restricted Stock Units vest in 1/3 increments on the first, second and third anniversary date of the date of grant. Upon vesting, the Reporting Person will be issued that number of shares of the Common Stock of the Company.
The security converts to common stock on a one-to-one basis.
Christopher G. Cobb, Attorney in Fact for John Clerico
2012-02-17