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