0001181431-14-026981.txt : 20140717 0001181431-14-026981.hdr.sgml : 20140717 20140717182552 ACCESSION NUMBER: 0001181431-14-026981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140716 FILED AS OF DATE: 20140717 DATE AS OF CHANGE: 20140717 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Envision Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001578318 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 450832318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6200 S. SYRACUSE WAY, SUITE 200 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: (303) 495-1200 MAIL ADDRESS: STREET 1: 6200 S. SYRACUSE WAY, SUITE 200 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Owen Randel G CENTRAL INDEX KEY: 0001346846 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 14981315 MAIL ADDRESS: STREET 1: C/O EMERGENCY MEDICAL SERVICES CORP STREET 2: 6200 SOUTH SYRACUSE WAY CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 4 1 rrd413249.xml FORM 4 X0306 4 2014-07-16 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001346846 Owen Randel G 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 1 1 0 0 EVP, COO and CFO Common Stock 2014-05-28 5 G 0 30000 0 D 577683 D Common Stock 2014-07-16 4 M 0 174375 6.06 A 752058 D Common Stock 2014-07-16 4 M 0 75000 3.69 A 827058 D Common Stock 2014-07-16 4 S 0 249375 32.895 D 577683 D Options (Rights to Buy) 6.06 2014-07-16 4 M 0 174375 0 D 2020-05-18 Common Stock 174375 0 D Options (Rights to Buy) 3.69 2014-07-16 4 M 0 75000 0 D 2021-05-22 Common Stock 75000 1603352 D This amount represents the public offering price per share of the Issuer's common stock of $34.00, less the underwriting discount of $1.105. These options were originally granted on May 18, 2010 as options to purchase common stock of Envision Healthcare Corporation ("EVHC"), formerly known as Emergency Medical Services Corporation, and were scheduled to vest ratably on the first four anniversaries of the grant date. In connection with the merger of an indirect subsidiary of the Issuer with and into EVHC, with EVHC as the surviving corporation and an indirect wholly owned subsidiary of the Issuer, the options converted to fully vested options to purchase common stock of the Issuer pursuant to a rollover agreement between the reporting person and the Issuer. These options were granted on May 25, 2011 and vest in five equal annual installments, with the first three installments having vested and the remaining installments scheduled to vest on each of December 31, 2014 and 2015, subject to continued employment. /s/ Craig A. Wilson, Attorney-in-Fact for Randel G. Owen 2014-07-17