0000899243-19-022321.txt : 20190822 0000899243-19-022321.hdr.sgml : 20190822 20190822172712 ACCESSION NUMBER: 0000899243-19-022321 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190820 FILED AS OF DATE: 20190822 DATE AS OF CHANGE: 20190822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: De Crescenzo Neil E. CENTRAL INDEX KEY: 0001778464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38961 FILM NUMBER: 191046718 MAIL ADDRESS: STREET 1: C/O CHANGE HEALTHCARE INC. STREET 2: 3055 LEBANON PIKE, SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Change Healthcare Inc. CENTRAL INDEX KEY: 0001756497 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 822152098 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 3055 LEBANON PIKE, SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37214 BUSINESS PHONE: 615-932-3000 MAIL ADDRESS: STREET 1: 3055 LEBANON PIKE, SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37214 FORMER COMPANY: FORMER CONFORMED NAME: HCIT Holdings, Inc. DATE OF NAME CHANGE: 20181019 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-08-20 0 0001756497 Change Healthcare Inc. CHNG 0001778464 De Crescenzo Neil E. C/O CHANGE HEALTHCARE INC., 3055 LEBANON PIKE, SUITE 1000 NASHVILLE TN 37214 1 1 0 0 President & CEO Common Stock 2019-08-20 4 A 0 49774 0.00 A 248646 D Cash-Settled Restricted Stock Units 2019-08-20 4 A 0 149324 0.00 A Common Stock 149324 149324 D Represents a grant of restricted stock units, which will vest in full on August 1, 2023. Each cash-settled restricted stock unit represents the contingent right to receive the cash value of one share of the Company's Common Stock upon vesting. These cash-settled restricted stock units vest as follows: (a) one-third will vest on each of August 1, 2021 and 2022; and (b) one-third will vest on August 1, 2021, unless a Qualified MCK Exit (as defined in the LLC Agreement of Change Healthcare LLC) has occurred prior to the second anniversary of the Company's initial public offering, in which case such one-third of the cash-settled restricted stock units will instead vest on the later of (x) August 20, 2020 and (y) the date that is 30 days after a Qualified MCK Exit. /s/ Loretta Cecil, as Attorney-in-Fact 2019-08-22