0001181431-14-026983.txt : 20140717 0001181431-14-026983.hdr.sgml : 20140717 20140717182618 ACCESSION NUMBER: 0001181431-14-026983 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: Ratton Steve W JR CENTRAL INDEX KEY: 0001346906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 14981320 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 rrd413252.xml FORM 4 X0306 4 2014-07-16 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001346906 Ratton Steve W JR 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 0 1 0 0 EVP, CSO & Treasurer Common Stock 2014-07-16 4 M 0 27750 0.72 A 27750 D Common Stock 2014-07-16 4 M 0 15198 3.19 A 42948 D Common Stock 2014-07-16 4 S 0 42948 32.895 D 0 D Options (Rights to Buy) 0.72 2014-07-16 4 M 0 27750 0 D 2015-05-01 Common Stock 27750 0 D Options (Rights to Buy) 3.19 2014-07-16 4 M 0 15198 0 D 2019-03-12 Common Stock 15198 28977 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 1, 2005 as options to purchase common stock of Envision Healthcare Corporation ("EVHC"), formerly known as Emergency Medical Services Corporation, and vested 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 "Merger"), 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 (the "Rollover Agreement"). These options were originally granted on March 12, 2009 as options to purchase common stock of EVHC, which were scheduled to vest on the first four anniversaries of the grant date, subject to continued employment. In connection with the Merger, the options converted to fully vested options to purchase common stock of the Issuer pursuant to the Rollover Agreement. /s/ Craig A. Wilson, Attorney-in-Fact for Steve W. Ratton, Jr. 2014-07-17