Statement of Changes in Beneficial Ownership (4)

Date : 09/03/2019 @ 9:37PM
Source : Edgar (US Regulatory)
Stock : Quorum Health Corporation (QHC)
Quote : 1.25  0.0613 (5.16%) @ 1:00AM
Quorum Health share price Chart

Statement of Changes in Beneficial Ownership (4)

FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

KAPLAN JON H.
2. Issuer Name and Ticker or Trading Symbol

Quorum Health Corp [ QHC ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    _____ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

1573 MALLORY LANE, SUITE 100
3. Date of Earliest Transaction (MM/DD/YYYY)

8/29/2019
(Street)

BRENTWOOD, TN 37027
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Units   (1) 8/29/2019    A     23684.211 (2)      (3)  (3) Common Stock  23684.211  $0.00  43653.489  D   

Explanation of Responses:
(1)  Stock units are convertible into common stock on a 1-for-1 basis.
(2)  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.
(3)  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.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
KAPLAN JON H.
1573 MALLORY LANE
SUITE 100
BRENTWOOD, TN 37027
X



Signatures
/s/ R. Harold McCard, Jr., Attorney in Fact for Jon H. Kaplan 9/3/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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