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