Sec Form 4/A Filing - MCENERY THOMAS @ Change Healthcare Inc. - 2020-08-20

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
MCENERY THOMAS
2. Issuer Name and Ticker or Trading Symbol
Change Healthcare Inc. [ CHNG]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & Chief Marketing Officer
(Last) (First) (Middle)
C/O CHANGE HEALTHCARE INC., 424 CHURCH STREET, SUITE 1400
3. Date of Earliest Transaction (MM/DD/YY)
08/20/2020
(Street)
NASHVILLE, TN37219
4. If Amendment, Date Original Filed (MM/DD/YY)
12/30/2021
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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
Common Stock 08/20/2020 M 7,704 A 115,022 D
Common Stock 08/20/2020 D 7,704 D $ 12.93 107,318 D
Common Stock 06/17/2021 M 10,974 A 118,292 D
Common Stock 06/17/2021 D 10,974 D $ 23.07 107,318 D
Common Stock 08/01/2021 M 7,704 A 115,865 D
Common Stock 08/01/2021 D 7,704 D $ 21.71 107,318 D
Common Stock 12/28/2021 M( 2 ) 7,704( 1 ) A 115,022( 1 ) D
Common Stock 12/28/2021 D( 2 ) 7,704( 1 ) D $ 21.44 107,318( 1 ) D
Common Stock 12/28/2021 F 11,301( 2 ) D $ 21.44 96,017( 2 ) D
Common Stock 12/29/2021 M 57,657 A $ 11.6 153,674( 3 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Cash-Settled Restricted Stock Units ( 4 ) 08/20/2020 M 7,704 ( 5 ) ( 5 ) Common Stock 7,704 $ 0 15,408 D
Cash-Settled Restricted Stock Units ( 4 ) 06/17/2021 M 10,974 ( 6 ) ( 6 ) Common Stock 10,974 $ 0 0 D
Cash-Settled Restricted Stock Units ( 4 ) 08/01/2021 M 7,704 ( 5 ) ( 5 ) Common Stock 7,704 $ 0 7,704 D
Cash-Settled Restricted Stock Units ( 4 ) 12/28/2021 M 7,704 ( 5 ) ( 5 ) Common Stock 7,704 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
MCENERY THOMAS
C/O CHANGE HEALTHCARE INC.
424 CHURCH STREET, SUITE 1400
NASHVILLE, TN37219
EVP & Chief Marketing Officer
Signatures
/s/ Robert Zachary Beasley, as Attorney-in-Fact 02/25/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The original Form 4, filed on December 30, 2021 (the "December Form 4") is being amended to report the acquisition and disposition of shares in connection with the cash settlement of certain previously awarded RSUs.
( 2 )The December Form 4, is being amended to remove the transaction reporting the acquisition of underlying certain RSUs, as such shares had already previously been reported at the time of grant of the RSUs, and to correct the number of shares withheld from the shares deliverable upon vesting of the RSUs to satisfy tax withholding requirements, as well as the amount of securities beneficially owned following the reported transaction.
( 3 )The December Form 4 is being amended to correct the amount of securities beneficially owned following the reported transaction, as a result of the corrections noted above.
( 4 )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.
( 5 )Pursuant to a grant on August 20, 2019, whereby (a) one-third to vests on each of August 1, 2021 and 2022 and (b) one-third vests on August 1, 2021, subject to accelerated vesting based on certain events. In connection with the anticipated transactions contemplated by the Agreement and Plan of Merger whereby the Issuer will be acquired by UnitedHealth Group Incorporated, the Compensation Committee of the Board of Directors of the Issuer accelerated the August 1, 2022 vest ing date.
( 6 )Pursuant to a grant on June 17, 2020, these cash-settled restricted stock units vested in full on June 17, 2021.

Remarks:
Exhibit List: Exhibit 24 - Power of Attorney

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