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