0001209191-15-076897.txt : 20151027 0001209191-15-076897.hdr.sgml : 20151027 20151027161629 ACCESSION NUMBER: 0001209191-15-076897 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151027 FILED AS OF DATE: 20151027 DATE AS OF CHANGE: 20151027 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: MILLER DAVID LEWIS CENTRAL INDEX KEY: 0001217526 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 151178006 MAIL ADDRESS: STREET 1: 525 E 68TH STREET STARR 1 CITY: NEW YORK STATE: NY ZIP: 10021 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-10-27 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001217526 MILLER DAVID LEWIS 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 0 1 0 0 President and COO Common Stock 2015-10-27 4 M 0 8000 21.07 A 355638 D Stock Options (Right to Buy) 21.07 2015-10-27 4 M 0 8000 0.00 D 2013-02-16 2022-02-15 Common Stock 8000 0 D Stock Options (Right to Buy) 37.96 2012-02-23 2021-02-22 Common Stock 10000 10000 D Performance Based Restricted 0.00 Common Stock 66667 66667 D Performance Based Restricted 0.00 2016-03-01 2025-02-28 Common Stock 50000 50000 D Each performance based restricted share represents a contingent right to receive one share of CYH common stock. The lapsing of the restrictions is dependent on the Company meeting certain cost savings ("synergies") from the Health Management Associates, Inc. merger transaction. The performance target on the remaining portion of the award 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 David L. Miller 2015-10-27