0001493152-19-008669.txt : 20190604 0001493152-19-008669.hdr.sgml : 20190604 20190604170247 ACCESSION NUMBER: 0001493152-19-008669 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180222 FILED AS OF DATE: 20190604 DATE AS OF CHANGE: 20190604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Thomas Daniel CENTRAL INDEX KEY: 0001407312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37550 FILM NUMBER: 19877449 MAIL ADDRESS: STREET 1: 1573 MALLORY LANE CITY: BRENTWOOD STATE: TN ZIP: 37027 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 ownership.xml X0306 4 2018-02-22 1 0001650445 Quorum Health Corp QHC 0001407312 Miller Thomas Daniel 1573 MALLORY LANE SUITE 100 BRENTWOOD TN 37027 1 1 0 0 Former Director & Officer Common stock, par value $0.0001 per share 2018-02-22 4 F 0 10164 6.16 D 1053975 D Common stock, par value $0.0001 per share 2018-03-01 4 F 0 685 5.68 D 1053290 D Common stock, par value $0.0001 per share 2018-05-03 4 F 0 23861 7.41 D 1029429 D Common stock, par value $0.0001 per share 2018-05-20 4 F 0 127251 5.11 D 902178 D The reporting person resigned from his position as a director and officer of the issuer effective May 20, 2018. This Form 4 is being filed to report shares that were withheld to satisfy the reporting person's tax withholding obligation for restricted stock that vested while the reporting person was an officer of the issuer or in connection with his resignation. /s/ Ray Harold McCard, Jr., Attorney in Fact for Thomas D. Miller 2019-06-04