0001209191-17-000190.txt : 20170103 0001209191-17-000190.hdr.sgml : 20170103 20170103161351 ACCESSION NUMBER: 0001209191-17-000190 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161230 FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20170103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0001108109 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 133893191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-465-7000 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC/ DATE OF NAME CHANGE: 20000229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ely James S. III CENTRAL INDEX KEY: 0001463791 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 17501957 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BLVD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-30 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001463791 Ely James S. III 4000 MERIDIAN BLVD FRANKLIN TN 37067 1 0 0 0 Common Stock 43798 D Common Stock 4990 I By E5 Investors LLC Stock Units (SU) 0.00 2016-12-30 4 A 0 5366.726 5.59 A Common Stock 5366.726 15967.943 D Restricted Stock Units 0.00 2015-03-01 2024-02-29 Common Stock 1474 1474 D Restricted Stock Units 0.00 2016-03-01 2025-02-28 Common Stock 2859 2859 D Restricted Stock Units 0.00 2017-03-01 2026-02-28 Common Stock 13484 13484 D The Stock Units were accrued under the Company's Directors' Fees Deferral Plan in lieu of a portion of the Reporting Person's Director Fees and are settled 100% in the Company's common stock upon cessation as a director or upon a date specified by the director. Christopher G. Cobb, Attorney in Fact for James S. Ely 2017-01-03