0001062993-21-005920.txt : 20210624
0001062993-21-005920.hdr.sgml : 20210624
20210624142742
ACCESSION NUMBER: 0001062993-21-005920
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210622
FILED AS OF DATE: 20210624
DATE AS OF CHANGE: 20210624
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Joshi Kriten
CENTRAL INDEX KEY: 0001778263
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38961
FILM NUMBER: 211042111
MAIL ADDRESS:
STREET 1: C/O CHANGE HEALTHCARE INC.
STREET 2: 3055 LEBANON PIKE, SUITE 1000
CITY: NASHVILLE
STATE: TN
ZIP: 37214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Change Healthcare Inc.
CENTRAL INDEX KEY: 0001756497
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 822152098
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
BUSINESS PHONE: 615-932-3000
MAIL ADDRESS:
STREET 1: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
FORMER COMPANY:
FORMER CONFORMED NAME: HCIT Holdings, Inc.
DATE OF NAME CHANGE: 20181019
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2021-06-22
0001756497
Change Healthcare Inc.
CHNG
0001778263
Joshi Kriten
C/O CHANGE HEALTHCARE INC.
424 CHURCH STREET, SUITE 1400
NASHVILLE
TN
37219
0
1
0
0
See Remarks
Common Stock
2021-06-22
4
A
0
76314
0.00
A
310303
D
Common Stock
2021-06-22
4
F
0
33518
23.15
D
276785
D
Reflects the vesting of shares of 2.5x exit-vesting restricted stock that were granted in connection with the Company's JV with McKesson as replacement awards for unvested exit-vesting Legacy CHC stock options. The shares of exit-vesting restricted stock vested upon achievement of certain performance criteria on June 22, 2021.
Represents shares withheld to satisfy tax withholding obligations in connection with the vesting of shares of exit-vesting restricted stock described in footnote 1.
Title: EVP, and President, Network Solutions
/s/ Carrie Ratliff, as Attorney-in-Fact
2021-06-24