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