SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bumpus John P

(Last) (First) (Middle)
330 SEVEN SPRINGS WAY

(Street)
BRENTWOOD TN 37027

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LIFEPOINT HEALTH, INC. [ LPNT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief Admin. Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/28/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common 02/28/2017 M 10,080 A $0.0000 114,724 D
Common 03/01/2017 F 4,228(1) D $64.3 110,496 D
Common 851 I By Retirement Plan
Common 1,455 I By Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Options (Right to buy) $64.5 02/28/2017 A 31,918 02/28/2018(2) 02/28/2027 Common 31,918 $0.0000 31,918 D
Restricted Stock Units $0.0000 02/28/2017 M 10,080 (3) (3) Common 10,080 $0.0000 22,448 D
Restricted Stock Units $0.0000 02/28/2017 A 8,618 12/31/2019(4) 12/31/2019(4) Common 8,618 $0.0000 8,618 D
Explanation of Responses:
1. Pursuant to the terms of the Company's 2013 Long-Term Incentive Plan, these shares were automatically withheld for payment of the tax liability incident to the vesting of a restricted stock award.
2. The options vest in four equal annual installments beginning on the first anniversary of the date of grant.
3. Vesting of these Restricted Stock Units was conditioned upon the Issuer's three-year annualized total shareholder return as of December 31, 2016 relative to the S&P GICS Sub-industry: Health Care Facilities with over $500 million in revenues.
4. The Performance Period with respect to these restricted stock units (RSUs) is January 1, 2017 through December 31, 2019. Each RSU represents the right to receive, upon vesting, up to two shares of the Issuer's common stock. Vesting of these performance-based RSUs is contingent on criteria such as (i) the Issuer's cumulative EBITDA during the Performance Period; (ii) the Issuer's diluted earnings per share during the Performance Period; and (iii) the Issuer's three-year annualized total shareholder return as of December 31, 2019 relative to the S&P GICS Sub-Industry: Health Care Facilities with over $500 million in revenues, or its equivalent.
/s/ Christy S. Green, Attorney-in-Fact 03/02/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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