0001209191-17-029159.txt : 20170502 0001209191-17-029159.hdr.sgml : 20170502 20170502154219 ACCESSION NUMBER: 0001209191-17-029159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170428 FILED AS OF DATE: 20170502 DATE AS OF CHANGE: 20170502 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: 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 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: 17804773 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 2017-04-28 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 2017-04-28 4 A 0 28103 0.00 A 38103 D On April 28, 2017, the reporting person received a grant of 28,103 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 February 22, 2018. /s/ R. Harold McCard, Jr., Attorney in Fact for R. Lawrence Van Horn 2017-05-02