0001209191-17-030186.txt : 20170505 0001209191-17-030186.hdr.sgml : 20170505 20170505100800 ACCESSION NUMBER: 0001209191-17-030186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170503 FILED AS OF DATE: 20170505 DATE AS OF CHANGE: 20170505 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Martin Dewayne CENTRAL INDEX KEY: 0001451345 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37550 FILM NUMBER: 17816491 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-03 0 0001650445 Quorum Health Corp QHC 0001451345 Smith Martin Dewayne 1573 MALLORY LANE SUITE 100 BRENTWOOD TN 37027 0 1 0 0 EVP - Operations Common stock, par value $0.0001 per share 2017-05-03 4 F 0 4559 4.18 D 151716 D /s/ R. Harold McCard, Jr., Attorney in Fact for Martin D. Smith 2017-05-05