0001209191-23-014645.txt : 20230302 0001209191-23-014645.hdr.sgml : 20230302 20230302161850 ACCESSION NUMBER: 0001209191-23-014645 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230302 DATE AS OF CHANGE: 20230302 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: 23699206 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 2023-03-01 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001463791 Ely James S. III 4000 MERIDIAN BLVD FRANKLIN TN 37067 1 0 0 0 Common Stock 2023-03-01 4 M 0 5894 0.00 A 307193 D Common Stock 4990 I By E5 Investors LLC Restricted Stock Units 0.00 2023-03-01 4 M 0 5894 0.00 D Common Stock 5894 11788 D Restricted Stock Units 0.00 2023-03-01 4 A 0 29268 6.15 A Common Stock 29268 29268 D Restricted Stock Units 0.00 Common Stock 34483 34483 D Restricted Stock Units 0.00 Common Stock 19296 19296 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 the grant. Upon vesting, the Reporting Person will be issued that number of shares of 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 Person's prior deferral election pursuant to the terms of the award agreement, the Reporting Person will be issued that number of shares of 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 III 2023-03-02