0001209191-17-016554.txt : 20170302
0001209191-17-016554.hdr.sgml : 20170302
20170302161837
ACCESSION NUMBER: 0001209191-17-016554
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170301
FILED AS OF DATE: 20170302
DATE AS OF CHANGE: 20170302
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: NORTH JULIA B
CENTRAL INDEX KEY: 0001183380
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15925
FILM NUMBER: 17659036
MAIL ADDRESS:
STREET 1: 1170 PEACHTREE STREET NE
STREET 2: SUITE 2400
CITY: ATLANTA
STATE: 2Q
ZIP: 30309
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-03-01
0
0001108109
COMMUNITY HEALTH SYSTEMS INC
CYH
0001183380
NORTH JULIA B
4000 MERIDIAN BOULEVARD
FRANKLIN
TN
37067
1
0
0
0
Common Stock
2017-03-01
4
M
0
1474
0.00
A
55891
D
Common Stock
2017-03-01
4
M
0
1430
0.00
A
57321
D
Common Stock
2017-03-01
4
M
0
4495
0.00
A
61816
D
Restricted Stock Units
0.00
2017-03-01
4
M
0
1474
0.00
D
2015-03-01
2024-02-29
Common Stock
1474
0
D
Restricted Stock Units
0.00
2017-03-01
4
M
0
1430
0.00
D
2016-03-01
2025-02-28
Common Stock
1430
1429
D
Restricted Stock Units
0.00
2017-03-01
4
M
0
4495
0.00
D
2017-03-01
2026-02-28
Common Stock
4495
8989
D
Restricted Stock Units
0.00
2017-03-01
4
A
0
18498
9.19
A
2018-03-01
2027-02-28
Common Stock
18498
18498
D
Stock Units (SU)
0.00
Common Stock
33546.635
33546.635
D
The security converts to common stock on a one-to-one basis.
The Restricted Stock Units vest in 1/3 increments on the first, second and third anniversary date of the date of grant. Upon vesting, the Reporting Person will be issued that number of shares of the Common Stock of the Company.
The Stock Units were accrued under the Company's Directors' Fees Deferral Plan in lieu of a portion of the Reporting Person's Director Fees and are settled 100% in the Company's common stock upon cessation as a director or upon a date specified by the director.
NOTE: The number of restricted stock units and stock units accrued under the Company's Directors' Fees Deferral Plan for each award 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 Julia B. North
2017-03-02