0001062993-21-003399.txt : 20210402 0001062993-21-003399.hdr.sgml : 20210402 20210402170757 ACCESSION NUMBER: 0001062993-21-003399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210402 DATE AS OF CHANGE: 20210402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Laur Thomas CENTRAL INDEX KEY: 0001778387 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38961 FILM NUMBER: 21802794 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: 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 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-04-01 0001756497 Change Healthcare Inc. CHNG 0001778387 Laur Thomas C/O CHANGE HEALTHCARE INC. 424 CHURCH STREET, SUITE 1400 NASHVILLE TN 37219 0 1 0 0 See Remarks Common Stock 2021-04-01 4 A 0 60307 0.00 A 150634 D Represents a grant of restricted stock units that vest as follows: 25% will vest on each of April 1, 2022, 2023, 2024, and 2025. The number of securities reported reflects the acquisition on March 31, 2021 of 829 shares of Change Healthcare Inc.'s common stock pursuant to the Change Healthcare Inc. Employee Stock Purchase Plan ("ESPP") for the ESPP purchase period of October 1, 2020 through March 31, 2021. Title: EVP, and President, Technology Enabled Services /s/ Carrie Ratliff, as Attorney-in-Fact 2021-04-02