0001209191-18-052614.txt : 20180928
0001209191-18-052614.hdr.sgml : 20180928
20180928174246
ACCESSION NUMBER: 0001209191-18-052614
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180927
FILED AS OF DATE: 20180928
DATE AS OF CHANGE: 20180928
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FISH ROBERT H
CENTRAL INDEX KEY: 0001220405
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37550
FILM NUMBER: 181095162
MAIL ADDRESS:
STREET 1: C/O SKILLED HEALTHCARE
STREET 2: 27442 PORTOLA PARKWAY, SUITE 200
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
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: 1573 MALLORY LANE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-221-1400
MAIL ADDRESS:
STREET 1: 1573 MALLORY LANE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-09-27
0
0001650445
Quorum Health Corp
QHC
0001220405
FISH ROBERT H
1573 MALLORY LANE
SUITE 100
BRENTWOOD
TN
37027
1
1
0
0
President and CEO
Common stock, par value $0.0001 per share
2018-09-27
4
J
0
500000
0.00
D
0
D
Common stock, par value $0.0001 per share
2018-09-27
4
A
0
500000
0.00
A
500000
D
On September 27, 2018, Quorum Health Corporation (the "Issuer") and the reporting person entered into an Acknowledgement of Award Cancellation cancelling the August 24, 2018 award of 500,000 shares of the Issuer's restricted common stock because it was issued in excess of the limitations under the Issuer's 2016 Stock Award Plan. Thereafter, the Issuer re-granted to the reporting person 500,000 shares of restricted common stock as an inducement award outside the Issuer's 2016 Stock Award Plan in reliance on the employment inducement exemption to shareholder approval provided under the New York Stock Exchange's Listed Company Manual Rule 303A.08.
50% of the award is time-based restricted stock and vests in one-third increments on each of the first three anniversaries of May 21, 2018. 50% of the award is performance-based restricted stock with both performance and time vesting components.
/s/ R. Harold McCard, Jr., Attorney in Fact for Robert H. Fish
2018-09-28