0001493152-19-013624.txt : 20190903
0001493152-19-013624.hdr.sgml : 20190903
20190903163640
ACCESSION NUMBER: 0001493152-19-013624
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190829
FILED AS OF DATE: 20190903
DATE AS OF CHANGE: 20190903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KAPLAN JON H.
CENTRAL INDEX KEY: 0001751699
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37550
FILM NUMBER: 191072463
MAIL ADDRESS:
STREET 1: 1573 MALLORY LANE
STREET 2: SUITE 100
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
2019-08-29
0
0001650445
Quorum Health Corp
QHC
0001751699
KAPLAN JON H.
1573 MALLORY LANE
SUITE 100
BRENTWOOD
TN
37027
1
0
0
0
Stock Units
2019-08-29
4
A
0
23684.211
0.00
A
Common Stock
23684.211
43653.489
D
Stock units are convertible into common stock on a 1-for-1 basis.
Represents 23,684.211 units accrued under the Quorum Health Corporation Amended and Restated Director's Fees Deferral Plan (the "Plan") in lieu of director cash compensation for the quarter ending September 30, 2019.
Payment of amounts credited to the reporting person's stock unit account will be made upon a payment commencement event, as defined in the Plan, in accordance with the payment method elected by the reporting person, either in lump sum or in a number of annual installments, not to exceed 15 installments.
/s/ R. Harold McCard, Jr., Attorney in Fact for Jon H. Kaplan
2019-09-03