SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Mathern Gary F.

(Last) (First) (Middle)
C/O VIASYS HEALTHCARE INC.
227 WASHINGTON STREET, SUITE 200

(Street)
CONSHOHOCKEN PA 19428

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/10/2007
3. Issuer Name and Ticker or Trading Symbol
VIASYS HEALTHCARE INC [ VAS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Corporate VP, Human Resources
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 2,374(1) D
Common Stock 2,136(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (3) 06/03/2011 Common Stock 30,500 $14.23 D
Stock Option (Right to Buy) (4) 11/21/2012 Common Stock 5,000 $16.37 D
Stock Option (Right to Buy) (5) 02/12/2013 Common Stock 22,000 $13.99 D
Stock Option (Right to Buy) (6) 11/09/2014 Common Stock 10,000 $17.52 D
Stock Option (Right to Buy) (7) 01/24/2016 Common Stock 4,500 $27.65 D
Stock Option (Right to Buy) (8) 02/12/2017 Common Stock 4,690 $28.77 D
Explanation of Responses:
1. Represents shares purchased under the VIASYS Healthcare Inc. Employee Stock Purchase Plan.
2. Amount represents restricted stock units acquired under the VIASYS Healthcare Inc. Equity Incentive Plan.
3. The option vest in three equal installments annually, beginning on June 4, 2002.
4. The option vest in three equal installments annually, beginning on November 22, 2003.
5. The option vest in three equal installments annually, beginning on February 13, 2004.
6. The option vest in three equal installments annually, beginning on November 10, 2005.
7. The option vest in three equal installments annually, beginning on January 25, 2009.
8. The option vest in three equal installments annually, beginning on February 13, 2010.
Remarks:
By: Catherine A. Petko Limited Power of Attorney For: Gary F. Mathern 05/17/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.