0001209191-17-016563.txt : 20170302 0001209191-17-016563.hdr.sgml : 20170302 20170302162029 ACCESSION NUMBER: 0001209191-17-016563 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: SEIFERT RACHEL A CENTRAL INDEX KEY: 0001217261 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 17659068 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-01 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 2017-03-01 4 F 0 14132 9.19 D 243065 D Stock Options (Right to Buy) 28.70 2009-02-27 2018-02-26 Common Stock 10000 10000 D Stock Options (Right to Buy) 15.01 2010-02-25 2019-02-24 Common Stock 2500 2500 D Stock Options (Right to Buy) 30.32 2011-02-24 2020-02-23 Common Stock 7500 7500 D Stock Options (Right to Buy) 34.38 2012-02-23 2021-02-22 Common Stock 7500 7500 D Stock Options (Right to Buy) 17.49 2013-02-16 2022-02-15 Common Stock 7500 7500 D 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 Rachel A. Seifert 2017-03-02