SEC Form 4 · accession 0001209191-16-117925
Quorum Health Corp · QHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Martin Dewayne Smith
Officer — EVP - Operations
Period of report
May 3, 2016
Accepted (ET)
May 5, 2016 · 6:26 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 shareF1,F2 | May 3, 2016 | A | 73,333 | $0.00 | A | 108,035 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On May 3, 2016, the reporting person received a grant of 73,333 shares of performance-based restricted common stock pursuant to the Quorum Health Corporation 2016 Stock Award Plan.
- F2Includes 23,037 shares of common stock and 11,665 shares of restricted common stock that were issued to the reporting person in connection with the spin-off of the Issuer from Community Health Systems, Inc. ("CHS") on April 29, 2016 in respect of outstanding shares of CHS held by the reporting person.