0001209191-13-000212.txt : 20130102 0001209191-13-000212.hdr.sgml : 20130101 20130102162700 ACCESSION NUMBER: 0001209191-13-000212 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20130102 DATE AS OF CHANGE: 20130102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SEIFERT RACHEL A CENTRAL INDEX KEY: 0001217261 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 13502305 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 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 X0306 4 2012-12-28 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001217261 SEIFERT RACHEL A 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 0 1 0 0 Executive VP and Secretary Common Stock 2012-12-28 4 A 0 459 A 149031 D Stock Options (Right to Buy) 32.37 2006-02-28 2013-02-28 Common Stock 20000 20000 D Stock Options (Right to Buy) 38.30 2007-03-01 2014-03-01 Common Stock 15000 15000 D Stock Options (Right to Buy) 37.21 2008-02-28 2015-02-28 Common Stock 7500 7500 D Stock Options (Right to Buy) 40.41 2008-07-25 2017-07-24 Common Stock 20000 20000 D Stock Options (Right to Buy) 32.28 2009-02-27 2018-02-26 Common Stock 10000 10000 D Stock Options (Right to Buy) 18.18 2010-02-25 2019-02-24 Common Stock 7500 7500 D Stock Options (Right to Buy) 33.90 2011-02-24 2020-02-23 Common Stock 7500 7500 D Stock Options (Right to Buy) 37.96 2012-02-23 2021-02-22 Common Stock 7500 7500 D Stock Options (Right to Buy) 21.07 2013-02-16 2022-02-15 Common Stock 7500 7500 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. Christopher G. Cobb, Attorney in Fact for Rachel A. Seifert 2013-01-02