0001410471-15-000111.txt : 20151125 0001410471-15-000111.hdr.sgml : 20151125 20151125214808 ACCESSION NUMBER: 0001410471-15-000111 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151123 FILED AS OF DATE: 20151125 DATE AS OF CHANGE: 20151125 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IPC Healthcare, Inc. CENTRAL INDEX KEY: 0001410471 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 954562058 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4605 LANKERSHIM BLVD., SUITE 617 CITY: NORTH HOLLYWOOD STATE: CA ZIP: 91602 BUSINESS PHONE: 818-766-3502 MAIL ADDRESS: STREET 1: 4605 LANKERSHIM BLVD., SUITE 617 CITY: NORTH HOLLYWOOD STATE: CA ZIP: 91602 FORMER COMPANY: FORMER CONFORMED NAME: IPC The Hospitalist Company, Inc. DATE OF NAME CHANGE: 20070822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarria Fernando CENTRAL INDEX KEY: 0001424033 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33930 FILM NUMBER: 151257119 MAIL ADDRESS: STREET 1: C/O IPC THE HOSPITALIST COMPANY, INC. STREET 2: 4605 LANKERSHIM BLVD SUITE 617 CITY: NORTH HOLLYWOOD STATE: CA ZIP: 91602 4 1 wf-form4_144850607779994.xml FORM 4 X0306 4 2015-11-23 1 0001410471 IPC Healthcare, Inc. IPCM 0001424033 Sarria Fernando C/O IPC HEALTHCARE, INC. 4605 LANKERSHIM BLVD., STE 617 NORTH HOLLYWOOD CA 91602 0 1 0 0 SVP and Prin. Acct. Officer Common Stock 2015-11-23 4 U 0 878 80.25 D 0 D Common Stock 2015-11-23 4 A 0 375 A 375 D Common Stock 2015-11-23 4 D 0 375 D 0 D Common Stock 2015-11-23 4 A 0 699 A 699 D Common Stock 2015-11-23 4 D 0 699 D 0 D Performance Stock Units 2015-11-23 4 D 0 975 D Common Stock 975.0 0 D Restricted Stock Units 2015-11-23 4 D 0 1000 D Common Stock 1000.0 0 D Restricted Stock Units 2015-11-23 4 D 0 1395 D Common Stock 1395.0 0 D Restricted Stock Units 2015-11-23 4 D 0 2300 D Common Stock 2300.0 0 D Stock Option (Right to Buy) 5.25 2015-11-23 4 D 0 5488 D 2017-07-19 Common Stock 5488.0 0 D Stock Option (Right to Buy) 17.54 2015-11-23 4 D 0 4000 D 2018-03-09 Common Stock 4000.0 0 D Stock Option (Right to Buy) 15.9 2015-11-23 4 D 0 4000 D 2019-03-04 Common Stock 4000.0 0 D Stock Option (Right to Buy) 33.0 2015-11-23 4 D 0 4000 D 2020-03-03 Common Stock 4000.0 0 D Stock Option (Right to Buy) 45.97 2015-11-23 4 D 0 4000 D 2021-03-09 Common Stock 4000.0 0 D Stock Option (Right to Buy) 36.06 2015-11-23 4 D 0 4000 D 2022-03-01 Common Stock 4000.0 0 D Each performance-based restricted stock unit award and time-based restricted stock unit award was converted into awards with respect to shares of Team Health based on the exchange ratio set forth in the Agreement and Plan of Merger, dated as of August 4, 2015, among the issuer Team Health Holdings, Inc ("TMH") and IPC Healthcare, Inc. (the "Merger Agreement" ) and, for awards with performance periods that ended on or prior to the effective time, based on actual achievement of the underlying performance goals through such time. These options were converted into options to purchase shares of TMH pursuant to the Merger Agreement on the same terms and conditions as applicable to these options, based on the exchange ratio set forth in the Merger Agreement. /s/ Fernando Sarria 2015-11-25