0001209191-13-000186.txt : 20130102 0001209191-13-000186.hdr.sgml : 20130101 20130102161756 ACCESSION NUMBER: 0001209191-13-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20130102 DATE AS OF CHANGE: 20130102 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CASH W LARRY CENTRAL INDEX KEY: 0001018653 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 13502168 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-28 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001018653 CASH W LARRY 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 1 1 0 0 Executive VP and CFO Common Stock 2012-12-28 4 A 0 668 A 347658 D Performance Based Restricted 0.00 2012-12-28 4 A 0 334 A 2013-02-16 2022-02-15 Common Stock 334 40334 D Stock Options (Right to Buy) 32.37 2006-02-28 2013-02-28 Common Stock 65000 65000 D Stock Options (Right to Buy) 38.30 2007-03-01 2014-03-01 Common Stock 50000 50000 D Stock Options (Right to Buy) 37.21 2008-02-28 2015-02-28 Common Stock 60000 60000 D Stock Options (Right to Buy) 40.41 2008-07-25 2015-07-24 Common Stock 200000 200000 D Stock Options (Right to Buy) 32.28 2009-02-27 2018-02-26 Common Stock 60000 60000 D Stock Options (Right to Buy) 18.18 2010-02-25 2019-02-24 Common Stock 20000 20000 D Stock Options (Right to Buy) 33.90 2011-02-24 2020-02-23 Common Stock 25000 25000 D Stock Options (Right to Buy) 37.96 2012-02-23 2021-02-22 Common Stock 25000 25000 D Stock Options (Right to Buy) 21.07 2013-02-16 2022-02-15 Common Stock 20000 20000 D The reporting person received these shares of additional Restricted Stock as a payment-in-kind dividend on shares of Restricted Stock owned on the dividend record date in accordance with the terms of the Restricted Stock Award Agreement (the "Agreement") resulting from the payment on December 28, 2012 of a cash dividend of $0.25 per share of common stock based on the closing price of the issuer's common stock on such dividend payment date, which was $29.94. Such additional Restricted Stock issued on account of the dividend will vest in installments identical to the vesting of the underlying Restricted Stock owned by the reporting person to which the dividend was paid subject to the Agreement. The reporting person received these shares of additional Performance Based Restricted Stock as a payment-in-kind dividend on shares of Performance Based Restricted Stock owned on the dividend record date in accordance with the terms of the Performance Based Restricted Stock Award Agreement (the "PB Agreement") resulting from the payment on December 28, 2012 of a cash dividend of $0.25 per share of common stock based on the closing price of the issuer's common stock on such dividend payment date, which was $29.94. Such additional Performance Based Restricted Stock issued on account of the dividend will vest, if at all, in installments identical to the vesting of the underlying Performance Based Restricted Stock owned by the reporting person to which the dividend was paid subject to the PB Agreement, as further described in Footnote 3. 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 William Larry Cash 2013-01-02