0001209191-16-137171.txt : 20160816
0001209191-16-137171.hdr.sgml : 20160816
20160816142540
ACCESSION NUMBER: 0001209191-16-137171
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160815
FILED AS OF DATE: 20160816
DATE AS OF CHANGE: 20160816
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Quorum Health Corp
CENTRAL INDEX KEY: 0001650445
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 474725208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4000 MERDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 6154657358
MAIL ADDRESS:
STREET 1: 4000 MERDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CULOTTA MICHAEL J
CENTRAL INDEX KEY: 0001189138
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37550
FILM NUMBER: 161835684
MAIL ADDRESS:
STREET 1: 103 POWELL COURT SUITE 200
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-08-15
0
0001650445
Quorum Health Corp
QHC
0001189138
CULOTTA MICHAEL J
1573 MALLORY LANE
SUITE 100
BRENTWOOD
TN
37027
0
1
0
0
EVP and CFO
Common stock, par value $0.0001 per share
2016-08-15
4
P
0
80000
5.98
A
164747
D
/s/ R. Harold McCard, Jr., Attorney in Fact for Michael J. Culotta
2016-08-16