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