0001209191-16-112226.txt : 20160404 0001209191-16-112226.hdr.sgml : 20160404 20160404161817 ACCESSION NUMBER: 0001209191-16-112226 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160404 FILED AS OF DATE: 20160404 DATE AS OF CHANGE: 20160404 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Quorum Health Corp CENTRAL INDEX KEY: 0001650445 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 474725208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 MERDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 6154657358 MAIL ADDRESS: STREET 1: 4000 MERDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0001108109 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37550 FILM NUMBER: 161550911 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 NAME: FORMER CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC/ DATE OF NAME CHANGE: 20000229 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-04-04 0 0001650445 Quorum Health Corp QHC 0001108109 COMMUNITY HEALTH SYSTEMS INC 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 0 0 1 0 Common stock, par value $0.0001 per share 1000 I Held through CHS-QHC Bridge Company, LLC This Form 3 is being filed in connection with the SEC's declaration of effectiveness of the Registration Statement on Form 10 of Quorum Health Corporation ("QHC"), which describes the planned separation of QHC from Community Health Systems, Inc. ("CHS"). These shares are owned indirectly through CHS-QHC Bridge Company, LLC, a Delaware limited liability company, which is a wholly-owned subsidiary of CHS/Community Health Systems, Inc., a Delaware corporation, which is a wholly-owned subsidiary of CHS. Exhibit 24: Power of Attorney /s/ Jay H. Knight, Attorney in Fact for Rachel A. Seifert, EVP and Corporate Secretary 2016-04-04 EX-24 2 attachment1.htm EX-24 DOCUMENT
POWER OF ATTORNEY

Know all by these presents, that the undersigned officer and/or director
(herein, the "Filer") of QUORUM HEALTH CORPORATION, (the "Company") hereby
constitutes and appoints each of R. HAROLD McCARD, JR., BENJAMIN C. HUDDLESTON,
CHRISTINE J. SHECKLER, JAY H. KNIGHT, CARIN M. MACALLISTER and ALISON H. SHORES,
signing singly, the Filer's true and lawful attorney-in-fact to:

(1)  execute for and on behalf of the Filer, a FORM ID (or any such form as may
be adopted) for the purpose of obtaining on behalf of Filer, a CIK, CCC and
other filing codes and related items from the Securities and Exchange Commission
(the "SEC") as necessary to permit each such Filer to make filings on the SEC's
Electronic Data Gathering, Analysis and Retrieval system, and to perform all
acts necessary in order to obtain such codes and related items as he or she
shall deem appropriate;

(1)  execute for and on behalf of the Filer, in the Filer's capacity as an
officer and/or director of the Company, Forms 3, 4, and 5 in accordance with
Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(2)  do and perform any and all acts for and on behalf of the Filer which may be
necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority; and

(3)  take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by the Filer in his or her capacity
as an officer and/or director of the Company, it being understood that the
documents executed by such attorney-in-fact on behalf of the Filer pursuant to
this Power of Attorney shall be in such form and shall contain such terms and
conditions as such attorney-in-fact may approve in such attorney-in-fact's
discretion.

The Filer hereby grants to each such attorney-in-fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary,
or proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or could
do if personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted.  The Filer acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the Filer, are not assuming, nor is
the Company assuming, any of the Filer's responsibilities to comply with Section
16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the Filer is
no longer required to file Forms 3, 4, and 5 with respect to the Filer's
holdings of and transactions in securities issued by the Company, unless earlier
revoked by the Filer in a signed writing delivered to the foregoing
attorneys-in-fact.

IN WITNESS WHEREOF, the Filer has caused this Power of Attorney to be executed
as of this 18th day of December, 2015.



					Printed Name: Community Health Systems, Inc., by Rachel A. Seifert,
							Executive Vice President and Corporate Secretary



					Signature: /s/ Community Health Systems, Inc., by Rachel A. Seifert,
							Executive Vice President and Corporate Secretary