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Deparle Nancy Ann · 4 · Triad Hospitals Inc · For 7/25/07

Filed On 7/25/07, 12:34pm ET   ·   Accession Number 1229802-7-25   ·   SEC File 1-14695

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  As Of                Filer                Filing    For/On/As Docs:Size              Issuer               Agent

 7/25/07  Deparle Nancy Ann                 4          Director    1:11K  Triad Hospitals Inc               Dombroski Kimberly J/FA

Statement of Change in Beneficial Ownership of Securities   —   Form 4
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Change in Beneficial Ownership of      HTML     11K 
                          Securities -- edgar.xml/2.2                            


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FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DEPARLE NANCY ANN

(Last) (First) (Middle)
5800 TENNYSON PARKWAY


(Street)
PLANO TX 75024

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TRIAD HOSPITALS INC [ TRI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director  10% Owner
 Officer (give title below)  Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
7/25/07
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 7/25/07  D  6,466 D $54 0 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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 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: 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 Option (right to buy) $24.98 7/25/07  D   20,000 (1) 5/29/11 Common Stock 20,000 $29.02 0 D 
Stock Option (right to buy) $40.84 7/25/07  D   7,500 (2) 5/21/12 Common Stock 7,500 $13.16 0 D 
Stock Option (right to buy) $24.45 7/25/07  D   7,500 (3) 5/20/13 Common Stock 7,500 $29.55 0 D 
Stock Option (right to buy) $34.19 7/25/07  D   8,000 (4) 5/25/14 Common Stock 8,000 $19.81 0 D 
Explanation of Responses:
(1)  This option, which provided for vesting in four equal annual installments beginning May 29, 2002, was canceled pursuant to the merger agreement between the Issuer, Community Health Systems, Inc. and FWCT-1 Corporation in exchange for a cash payment of $580,400, representing the difference between the exercise price of the option and the cash merger consideration ($54 per share).
(2)  This option, which provided for vesting in four equal annual installments beginning May 21, 2003, was canceled in the merger in exchange for a cash payment of $98,700, representing the difference between the exercise price of the option and the cash merger consideration ($54 per share).
(3)  This option, which provided for vesting in four equal annual installments beginning May 20, 2004, was canceled in the merger in exchange for a cash payment of $221,625, representing the difference between the exercise price of the option and the cash merger consideration ($54 per share).
(4)  This option, which provided for vesting in four equal annual installments beginning May 25, 2005, was canceled in the merger in exchange for a cash payment of $158,480, representing the difference between the exercise price of the option and the cash merger consideration ($54 per share).
Remarks:

 Rebecca Hurley, as attorney-in-fact for Nancy-Ann DeParle 7/25/07
 ** 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.
________
Transaction Code:
    D:    Disposition to the issuer of issuer equity securities pursuant to Rule 16b-3(e).
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