9999999995-17-000852.txt : 20170418 9999999995-17-000852.hdr.sgml : 20170418 20170418001513 ACCESSION NUMBER: 9999999995-17-000852 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170417 DATE AS OF CHANGE: 20170418 EFFECTIVENESS DATE: 20170417 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Granite City Hospital CORP CENTRAL INDEX KEY: 0001412767 IRS NUMBER: 364460625 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-11 FILM NUMBER: 17765895 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Deming Hospital CORP CENTRAL INDEX KEY: 0001412789 IRS NUMBER: 850438008 STATE OF INCORPORATION: NM FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-13 FILM NUMBER: 17765897 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Ridge Georgia Holdings, LLC CENTRAL INDEX KEY: 0001660419 IRS NUMBER: 475191757 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-18 FILM NUMBER: 17765902 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Monroe HMA, LLC CENTRAL INDEX KEY: 0001554323 IRS NUMBER: 200141568 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-27 FILM NUMBER: 17765911 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MWMC HOLDINGS, LLC CENTRAL INDEX KEY: 0001451344 IRS NUMBER: 208007512 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-29 FILM NUMBER: 17765913 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Waukegan Hospital CORP CENTRAL INDEX KEY: 0001412759 IRS NUMBER: 203978400 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-39 FILM NUMBER: 17765923 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tooele Hospital CORP CENTRAL INDEX KEY: 0001412863 IRS NUMBER: 870619248 STATE OF INCORPORATION: UT FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-41 FILM NUMBER: 17765925 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Quorum Health Corp CENTRAL INDEX KEY: 0001650445 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 474725208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277 FILM NUMBER: 17765883 BUSINESS ADDRESS: STREET 1: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lexington Hospital CORP CENTRAL INDEX KEY: 0001412828 IRS NUMBER: 421557533 STATE OF INCORPORATION: TN FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-02 FILM NUMBER: 17765886 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Galesburg Hospital CORP CENTRAL INDEX KEY: 0001412770 IRS NUMBER: 371485782 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-10 FILM NUMBER: 17765894 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSRA Holdings, LLC CENTRAL INDEX KEY: 0001412943 IRS NUMBER: 205111915 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-12 FILM NUMBER: 17765896 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DHSC, LLC CENTRAL INDEX KEY: 0001526848 IRS NUMBER: 202871473 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-23 FILM NUMBER: 17765907 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MASSILLON HOLDINGS, LLC CENTRAL INDEX KEY: 0001526842 IRS NUMBER: 270201156 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-25 FILM NUMBER: 17765909 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QHCCS, LLC CENTRAL INDEX KEY: 0001696996 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-32 FILM NUMBER: 17765916 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: San Miguel Hospital CORP CENTRAL INDEX KEY: 0001412792 IRS NUMBER: 742930034 STATE OF INCORPORATION: NM FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-37 FILM NUMBER: 17765921 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MASSILLON COMMUNITY HEALTH SYSTEM, LLC CENTRAL INDEX KEY: 0001526844 IRS NUMBER: 550799029 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-04 FILM NUMBER: 17765888 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jackson Hospital CORP CENTRAL INDEX KEY: 0001413094 IRS NUMBER: 611285331 STATE OF INCORPORATION: KY FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-20 FILM NUMBER: 17765904 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Massillon Health System, LLC CENTRAL INDEX KEY: 0001412932 IRS NUMBER: 341840860 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-24 FILM NUMBER: 17765908 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Phillips Hospital CORP CENTRAL INDEX KEY: 0001412808 IRS NUMBER: 752976342 STATE OF INCORPORATION: AR FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-31 FILM NUMBER: 17765915 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Red Bud Hospital CORP CENTRAL INDEX KEY: 0001412763 IRS NUMBER: 364444121 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-38 FILM NUMBER: 17765922 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Waukegan Illinois Hospital Company, LLC CENTRAL INDEX KEY: 0001412906 IRS NUMBER: 203978521 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-43 FILM NUMBER: 17765927 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Marion Hospital CORP CENTRAL INDEX KEY: 0001412764 IRS NUMBER: 371359605 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-03 FILM NUMBER: 17765887 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fort Payne Hospital CORP CENTRAL INDEX KEY: 0001412768 IRS NUMBER: 204370870 STATE OF INCORPORATION: AL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-09 FILM NUMBER: 17765893 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hospital of Louisa, Inc. CENTRAL INDEX KEY: 0001412904 IRS NUMBER: 611238190 STATE OF INCORPORATION: KY FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-21 FILM NUMBER: 17765905 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MCKENZIE TENNESSEE HOSPITAL COMPANY, LLC CENTRAL INDEX KEY: 0001437739 IRS NUMBER: 421557531 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-26 FILM NUMBER: 17765910 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Quorum Health Investment Company, LLC CENTRAL INDEX KEY: 0001660422 IRS NUMBER: 475191841 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-35 FILM NUMBER: 17765919 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MMC OF NEVADA LLC CENTRAL INDEX KEY: 0001196190 IRS NUMBER: 421543617 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-28 FILM NUMBER: 17765912 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evanston Hospital CORP CENTRAL INDEX KEY: 0001412856 IRS NUMBER: 830327475 STATE OF INCORPORATION: WY FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-06 FILM NUMBER: 17765890 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hospital of Barstow, Inc. CENTRAL INDEX KEY: 0001412834 IRS NUMBER: 760385534 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-22 FILM NUMBER: 17765906 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WILLIAMSTON HOSPITAL CORP CENTRAL INDEX KEY: 0001437729 IRS NUMBER: 621749107 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-42 FILM NUMBER: 17765926 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Island Hospital Company, LLC CENTRAL INDEX KEY: 0001546275 IRS NUMBER: 454082512 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-16 FILM NUMBER: 17765900 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QHG OF MASSILLON INC CENTRAL INDEX KEY: 0001144739 IRS NUMBER: 311472380 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-34 FILM NUMBER: 17765918 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forrest City Hospital CORP CENTRAL INDEX KEY: 0001412803 IRS NUMBER: 204216978 STATE OF INCORPORATION: AR FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-08 FILM NUMBER: 17765892 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QUORUM HEALTH RESOURCES LLC CENTRAL INDEX KEY: 0001144759 IRS NUMBER: 621742954 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-36 FILM NUMBER: 17765920 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Triad of Oregon, LLC CENTRAL INDEX KEY: 0001412923 IRS NUMBER: 621761990 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-45 FILM NUMBER: 17765929 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Granite City Illinois Hospital Company, LLC CENTRAL INDEX KEY: 0001412766 IRS NUMBER: 364460628 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-01 FILM NUMBER: 17765885 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QHC CALIFORNIA HOLDINGS, LLC CENTRAL INDEX KEY: 0001696234 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-33 FILM NUMBER: 17765917 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Big Spring Hospital CORP CENTRAL INDEX KEY: 0001412869 IRS NUMBER: 752574581 STATE OF INCORPORATION: TX FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-46 FILM NUMBER: 17765930 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clinton Hospital CORP CENTRAL INDEX KEY: 0001412801 IRS NUMBER: 900003715 STATE OF INCORPORATION: PA FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-19 FILM NUMBER: 17765903 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Big Bend Hospital CORP CENTRAL INDEX KEY: 0001412870 IRS NUMBER: 752717545 STATE OF INCORPORATION: TX FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-15 FILM NUMBER: 17765899 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUNBURY HOSPITAL COMPANY, LLC CENTRAL INDEX KEY: 0001412812 IRS NUMBER: 203346421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-40 FILM NUMBER: 17765924 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: Sunbury Hospital CORP DATE OF NAME CHANGE: 20070919 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Red Bud Illinois Hospital Company, LLC CENTRAL INDEX KEY: 0001412762 IRS NUMBER: 364443919 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-47 FILM NUMBER: 17765931 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: National Healthcare of Mt. Vernon, Inc. CENTRAL INDEX KEY: 0001412878 IRS NUMBER: 581622971 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-30 FILM NUMBER: 17765914 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Watsonville Hospital CORP CENTRAL INDEX KEY: 0001412782 IRS NUMBER: 911894113 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-44 FILM NUMBER: 17765928 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forrest City Arkansas Hospital Company, LLC CENTRAL INDEX KEY: 0001412806 IRS NUMBER: 204217095 STATE OF INCORPORATION: AR FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-07 FILM NUMBER: 17765891 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Island Illinois Holdings, LLC CENTRAL INDEX KEY: 0001546276 IRS NUMBER: 611667279 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-17 FILM NUMBER: 17765901 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greenville Hospital CORP CENTRAL INDEX KEY: 0001412776 IRS NUMBER: 631134649 STATE OF INCORPORATION: AL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-05 FILM NUMBER: 17765889 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Anna Hospital CORP CENTRAL INDEX KEY: 0001412773 IRS NUMBER: 364431843 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217277-14 FILM NUMBER: 17765898 BUSINESS ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-221-1400 MAIL ADDRESS: STREET 1: C/O QUORUM HEALTH CORPORATION STREET 2: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 EFFECT 1 primary_doc.xml X0101 EFFECT 33 LIVE 2017-04-17 16:00:00

S-4

0001650445 Quorum Health Corp 333-217277 0001412762 Red Bud Illinois Hospital Company, LLC 333-217277-47 0001412869 Big Spring Hospital CORP 333-217277-46 0001412923 Triad of Oregon, LLC 333-217277-45 0001412782 Watsonville Hospital CORP 333-217277-44 0001412906 Waukegan Illinois Hospital Company, LLC 333-217277-43 0001437729 WILLIAMSTON HOSPITAL CORP 333-217277-42 0001412863 Tooele Hospital CORP 333-217277-41 0001412812 SUNBURY HOSPITAL COMPANY, LLC 333-217277-40 0001412759 Waukegan Hospital CORP 333-217277-39 0001412763 Red Bud Hospital CORP 333-217277-38 0001412792 San Miguel Hospital CORP 333-217277-37 0001144759 QUORUM HEALTH RESOURCES LLC 333-217277-36 0001660422 Quorum Health Investment Company, LLC 333-217277-35 0001144739 QHG OF MASSILLON INC 333-217277-34 0001696234 QHC CALIFORNIA HOLDINGS, LLC 333-217277-33 0001696996 QHCCS, LLC 333-217277-32 0001412808 Phillips Hospital CORP 333-217277-31 0001412878 National Healthcare of Mt. Vernon, Inc. 333-217277-30 0001451344 MWMC HOLDINGS, LLC 333-217277-29 0001196190 MMC OF NEVADA LLC 333-217277-28 0001554323 Monroe HMA, LLC 333-217277-27 0001437739 MCKENZIE TENNESSEE HOSPITAL COMPANY, LLC 333-217277-26 0001526842 MASSILLON HOLDINGS, LLC 333-217277-25 0001412932 Massillon Health System, LLC 333-217277-24 0001526848 DHSC, LLC 333-217277-23 0001412834 Hospital of Barstow, Inc. 333-217277-22 0001412904 Hospital of Louisa, Inc. 333-217277-21 0001413094 Jackson Hospital CORP 333-217277-20 0001412801 Clinton Hospital CORP 333-217277-19 0001660419 Blue Ridge Georgia Holdings, LLC 333-217277-18 0001546276 Blue Island Illinois Holdings, LLC 333-217277-17 0001546275 Blue Island Hospital Company, LLC 333-217277-16 0001412870 Big Bend Hospital CORP 333-217277-15 0001412773 Anna Hospital CORP 333-217277-14 0001412789 Deming Hospital CORP 333-217277-13 0001412943 CSRA Holdings, LLC 333-217277-12 0001412767 Granite City Hospital CORP 333-217277-11 0001412770 Galesburg Hospital CORP 333-217277-10 0001412768 Fort Payne Hospital CORP 333-217277-09 0001412803 Forrest City Hospital CORP 333-217277-08 0001412806 Forrest City Arkansas Hospital Company, LLC 333-217277-07 0001412856 Evanston Hospital CORP 333-217277-06 0001412776 Greenville Hospital CORP 333-217277-05 0001526844 MASSILLON COMMUNITY HEALTH SYSTEM, LLC 333-217277-04 0001412764 Marion Hospital CORP 333-217277-03 0001412828 Lexington Hospital CORP 333-217277-02 0001412766 Granite City Illinois Hospital Company, LLC 333-217277-01