0001209191-16-143597.txt : 20161003
0001209191-16-143597.hdr.sgml : 20161003
20161003161814
ACCESSION NUMBER: 0001209191-16-143597
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161001
FILED AS OF DATE: 20161003
DATE AS OF CHANGE: 20161003
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: Hingtgen Tim
CENTRAL INDEX KEY: 0001598637
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15925
FILM NUMBER: 161915927
MAIL ADDRESS:
STREET 1: 4000 MERIDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-10-01
0
0001108109
COMMUNITY HEALTH SYSTEMS INC
CYH
0001598637
Hingtgen Tim
4000 MERIDIAN BOULEVARD
FRANKLIN
TN
37067
0
1
0
0
President and COO
Common Stock
2016-10-01
4
A
0
50000
0.00
A
126074
D
Stock Options (Right to Buy)
33.18
2009-05-20
2018-05-19
Common Stock
1500
1500
D
Stock Options (Right to Buy)
30.32
2011-02-24
2020-02-23
Common Stock
1000
1000
D
Stock Options (Right to Buy)
34.38
2012-02-23
2021-02-22
Common Stock
1000
1000
D
Stock Options (Right to Buy)
17.49
2013-02-16
2022-02-15
Common Stock
334
334
D
Performance Based Restricted
0.00
2017-03-01
2026-02-28
Common Stock
40000
40000
D
These restricted shares were granted to the Reporting Person in conjunction with his promotion to President and Chief Operating Officer of the Issuer. The restrictions will lapse in 1/3 increments on the first, second and third anniversary of the date of grant.
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 performance-based restriction; first, Issuer must achieve specified targeted amount of adjusted EBITDA or net revenue from continuing operations, and if the performance objective is met, the time-vesting restrictions will lapse in 1/3 increments on the first, second and third anniversary of the date of grant. If the performance objectives are not met, the shares will be forfeited.
NOTE: The per share exercise price of each option listed on Table II granted prior to April 29, 2016, was adjusted pursuant to the Employee Matters Agreement between the Issuer and Quorum Health Corporation ("QHC"), dated as of April 29, 2016, to preserve the aggregate intrinsic value of the original award as a result of the spin-off from the Issuer of QHC, effective April 29, 2016.
Christopher G. Cobb, Attorney in Fact for Tim Hingtgen
2016-10-03