0001209191-16-117919.txt : 20160505
0001209191-16-117919.hdr.sgml : 20160505
20160505181434
ACCESSION NUMBER: 0001209191-16-117919
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160503
FILED AS OF DATE: 20160505
DATE AS OF CHANGE: 20160505
ISSUER:
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
BUSINESS ADDRESS:
STREET 1: 4000 MERDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 6154657358
MAIL ADDRESS:
STREET 1: 4000 MERDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Van Horn R. Lawrence
CENTRAL INDEX KEY: 0001641475
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37550
FILM NUMBER: 161625368
MAIL ADDRESS:
STREET 1: 354 COOL SPRINGS BLVD.
STREET 2: SUITE 106
CITY: FRANKLIN
STATE: TN
ZIP: 37067
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-05-03
0
0001650445
Quorum Health Corp
QHC
0001641475
Van Horn R. Lawrence
1573 MALLORY LANE
SUITE 100
BRENTWOOD
TN
37027
1
0
0
0
Common stock, par value $0.0001 per share
2016-05-03
4
A
0
10000
0.00
A
10000
D
On May 3, 2016, the reporting person received a grant of 10,000 shares of restricted common stock pursuant to the Quorum Health Corporation 2016 Stock Award Plan. 100% of the number of shares of restricted stock issued shall vest, and the restrictions with respect to such restricted stock shall lapse, on the first (1st) anniversary of the date of the grant.
/s/ Jay H. Knight, Attorney in Fact for Lawrence R. Van Horn
2016-05-05