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