0001209191-18-018924.txt : 20180312
0001209191-18-018924.hdr.sgml : 20180312
20180312175122
ACCESSION NUMBER: 0001209191-18-018924
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180309
FILED AS OF DATE: 20180312
DATE AS OF CHANGE: 20180312
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: 18684631
MAIL ADDRESS:
STREET 1: 4000 MERIDIAN BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-03-09
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
2018-03-09
4
A
0
50000
0.00
A
201716
D
On March 9, 2018, the reporting person received a grant of 50,000 shares of restricted common stock pursuant to the Quorum Health Corporation 2016 Stock Award Plan. 50% of the award is time-vested restricted stock and vests in three equal installments beginning on the first anniversary of the date of the grant, and 50% of the award is performance-based restricted common stock and vests, if at all, over a two-year performance period based on the achievement of target cumulative same store net revenue and target cumulative adjusted EBITDA, each weighted 50%.
/s/ R. Harold McCard, Jr., Attorney in Fact for Martin Dewayne Smith
2018-03-12