0001062993-22-017197.txt : 20220803
0001062993-22-017197.hdr.sgml : 20220803
20220803170444
ACCESSION NUMBER: 0001062993-22-017197
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220801
FILED AS OF DATE: 20220803
DATE AS OF CHANGE: 20220803
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: 221133530
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
2022-08-01
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
2022-08-01
4
M
0
8656
A
531768
D
Common Stock
2022-08-01
4
D
0
8656
23.93
D
523112
D
Cash-Settled Restricted Stock Units
2022-08-01
4
M
0
8656
0.00
D
Common Stock
8656
0
D
Each cash-settled restricted stock unit represents the contingent right to receive the cash value of one share of the Company's Common Stock upon vesting.
Pursuant to a grant on August 20, 2019, whereby (a) one-third will vest on each of August 1, 2021 and 2022; and (b) one-third will vest on August 1, 2021, unless a Qualified MCK Exit (as defined in the LLC Agreement of Change Healthcare LLC) has occurred prior to the second anniversary of the Company's initial public offering, in which case such one-third of the cash-settled restricted stock units will instead vest on the later of (x) August 20, 2020 and (y) the date that is 30 days after a Qualified MCK Exit.
Title: EVP and President, Network Solutions and President, Software and Analytics
/s/ Robert Zachary Beasley, as Attorney-in-Fact
2022-08-03