0000899243-22-033003.txt : 20221005
0000899243-22-033003.hdr.sgml : 20221005
20221005163110
ACCESSION NUMBER: 0000899243-22-033003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221003
FILED AS OF DATE: 20221005
DATE AS OF CHANGE: 20221005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Byers Tracy
CENTRAL INDEX KEY: 0001924136
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38961
FILM NUMBER: 221296028
MAIL ADDRESS:
STREET 1: C/O CHANGE HEALTHCARE INC.
STREET 2: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
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: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
BUSINESS PHONE: 615-932-3000
MAIL ADDRESS:
STREET 1: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
FORMER COMPANY:
FORMER CONFORMED NAME: HCIT Holdings, Inc.
DATE OF NAME CHANGE: 20181019
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-10-03
1
0001756497
Change Healthcare Inc.
CHNG
0001924136
Byers Tracy
C/O CHANGE HEALTHCARE INC.
424 CHURCH STREET, SUITE 1400
NASHVILLE
TN
37219
0
1
0
0
SVP and GM, Enterprise Imaging
Common Stock
2022-10-03
4
D
0
21981
25.75
D
67899
D
Common Stock
2022-10-03
4
D
0
67899
D
0
D
Common Stock
2022-10-03
4
A
0
12114
A
12114
D
Common Stock
2022-10-03
4
D
0
12114
D
0
D
On October 3, 2022, UnitedHealth Group Incorporated ("UnitedHealth Group") acquired Change Healthcare Inc. (the "Issuer") pursuant to that certain Agreement and Plan of Merger dated as of January 5, 2021 (the "Merger Agreement") by and among the Issuer, UnitedHealth Group and Cambridge Merger Sub Inc., a wholly owned subsidiary of UnitedHealth Group ("Merger Sub"). In accordance with the Merger Agreement, Merger Sub merged with and into the Issuer (the "Merger"), with the Issuer surviving the Merger as a wholly owned subsidiary of UnitedHealth Group. At the effective time of the Merger (the "Effective Time"), each issued and outstanding share of common stock, par value $0.001 per share, of the Issuer (the "Common Stock") (other than certain excluded shares) automatically converted into the right to receive $25.75 per share in cash (the "Merger Consideration"), without interest and less any applicable holding tax.
Pursuant to the Merger Agreement, outstanding restricted stock units ("RSUs") of the Issuer were automatically converted into UnitedHealth Group RSUs calculated by taking the Merger Consideration and dividing it by the volume weighted average of the closing sale price per share of UnitedHealth Group common stock on each of the five full consecutive trading days ending on and including the third business day prior to the Merger closing date (the "Equity Award Exchange Ratio") and continue to be subject to the same terms and conditions (including vesting and settlement terms) as were applicable to the Issuer RSUs.
Reflects performance based restricted stock units ("PSUs") granted on October 29, 2020 which were originally scheduled to vest based on the achievement of certain performance criteria. Pursuant to the Merger Agreement, PSUs of the Issuer were automatically converted into time-vesting UnitedHealth Group RSUs, with the number of shares of UnitedHealth Group common stock subject to the UnitedHealth Group RSUs equal to (i) the number of shares of Common Stock underlying the Issuer PSUs based on target performance multiplied by (ii) the Equity Award Exchange Ratio. Except as described herein, the UnitedHealth Group RSUs will continue to be subject to the same terms and conditions as were applicable to the Issuer PSUs, and will vest on June 17, 2023.
Reflects a correction to the amount of securities beneficially owned following the reported transaction reported in the Reporting Person's previously filed Form 4.
/s/ Robert Zachary Beasley, as Attorney-in-Fact
2022-10-05