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