0001209191-21-015989.txt : 20210302
0001209191-21-015989.hdr.sgml : 20210302
20210302163106
ACCESSION NUMBER: 0001209191-21-015989
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210301
FILED AS OF DATE: 20210302
DATE AS OF CHANGE: 20210302
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ely James S. III
CENTRAL INDEX KEY: 0001463791
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15925
FILM NUMBER: 21704155
MAIL ADDRESS:
STREET 1: 4000 MERIDIAN BLVD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-03-01
0
0001108109
COMMUNITY HEALTH SYSTEMS INC
CYH
0001463791
Ely James S. III
4000 MERIDIAN BLVD
FRANKLIN
TN
37067
1
0
0
0
Common Stock
2021-03-01
4
M
0
12372
0.00
A
228587
D
Common Stock
2021-03-01
4
M
0
11356
0.00
A
239943
D
Common Stock
4990
I
By E5 Investors LLC
Restricted Stock Units
0.00
2021-03-01
4
M
0
12372
0.00
D
Common Stock
12372
0
D
Restricted Stock Units
0.00
2021-03-01
4
M
0
11356
0.00
D
Common Stock
11356
11356
D
Restricted Stock Units
0.00
2021-03-01
4
A
0
19296
8.81
A
Common Stock
19296
19296
D
Restricted Stock Units
0.00
Common Stock
34483
34483
D
Stock Units (SU)
0.00
Common Stock
15967.943
15967.943
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 Restricted Stock Units vest in 1/3 increments on the first, second and third anniversary of the date of grant. Based on the Reporting Peron's prior deferral election pursuant to the terms of the award agreement, the Reporting Person will be issued that number of shares of the Common Stock of the Company upon the Reporting Person's cessation as a director or upon a date specified by the Reporting Person.
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 on the last business day of the calendar quarter following cessation as a director or upon a date specified by the Reporting Person.
Christopher G. Cobb, Attorney in Fact for James S. Ely
2021-03-01