SEC Form 4 · accession 0001209191-16-116468
Quorum Health Corp · QHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
COMMUNITY HEALTH SYSTEMS INC
10% Owner
Period of report
Apr 29, 2016
Accepted (ET)
Apr 29, 2016 · 4:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001650445
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock, par value $0.0001 per shareF2,F3 | Apr 29, 2016 | J | 28,438,547 | $0.00 | D | 0 | I | Held through CHS-QHC Bridge Company, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1In connection with the spin-off of Quorum Health Corporation ("QHC") by Community Health Systems, Inc. ("CHS"), on April 29, 2016, CHS distributed 100% of the outstanding shares of common stock, $0.0001 par value, of QHC owned by CHS to the holders of CHS common stock as of the close of business on April 22, 2016, the record date for the distribution.
- F2In connection with the spin-off of QHC by CHS, on April 29, 2016, QHC effected a forward stock split, which resulted in the reporting person's ownership of 1,000 shares being converted into 28,438,547 shares.
- F3These shares were owned indirectly through CHS-QHC Bridge Company, LLC, a Delaware limited liability company, which is a wholly-owned subsidiary of CHS/Community Health Systems, Inc., a Delaware corporation, which is a wholly-owned subsidiary of CHS.