0001209191-15-020498.txt : 20150302 0001209191-15-020498.hdr.sgml : 20150302 20150302192130 ACCESSION NUMBER: 0001209191-15-020498 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150227 FILED AS OF DATE: 20150302 DATE AS OF CHANGE: 20150302 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: SEIFERT RACHEL A CENTRAL INDEX KEY: 0001217261 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 15666651 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-02-27 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 2015-02-27 4 F 0 3496 48.52 D 157333 D Common Stock 2015-03-01 4 M 0 16666 0.00 A 173999 D Common Stock 2015-03-01 4 F 0 11886 48.52 D 162113 D Performance Based Restricted 0.00 2015-03-01 4 M 0 16666 0.00 D Common Stock 16666 33334 D Performance Based Restricted 0.00 2015-03-01 4 A 0 35000 0.00 A 2016-03-01 2025-02-28 Common Stock 35000 35000 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 Each performance based restricted share represents a contingent right to receive one share of CYH common stock. The Company has achieved the cost savings ("synergies") from the Health Management Associates, Inc. ("HMA") merger transaction that were required to be achieved during the first year following the merger transaction, and, accordingly, 1/3 of the performance based restricted shares awarded in conjunction with the completion of the HMA merger transaction will now be reported on Table 1 as directly owned shares. The restrictions on such shares have lapsed. The remaining 2/3 of the performance based restricted shares awarded in conjunction with the completion of the HMA merger transaction will remain subject to the two-year performance target, which may be met in whole or in part in the second year following the grant. There is also a time vesting element to the maximum targets of the award. If the objectives are not met, the shares will be forfeited. 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 Rachel A. Seifert 2015-03-02