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Ownership Document |
Schema Version: X0202 |
Document Type: 4 |
Period of Report: 7/25/07 |
Not Subject to Section 16: 1 |
Issuer: |
| Issuer CIK: 1074771 |
| Issuer Name: TRIAD HOSPITALS INC |
| Issuer Trading Symbol: TRI |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1144511 |
| | Owner Name: DEPARLE NANCY ANN |
| Reporting Owner Address: |
| | Owner Street 1: 5800 TENNYSON PARKWAY |
| | Owner Street 2: |
| | Owner City: PLANO |
| | Owner State: TX |
| | Owner ZIP Code: 75024 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 7/25/07 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: D |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 6,466 |
| | | Transaction Price Per Share: |
| Value: 54.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 24.98 |
| | Transaction Date: |
| | | Value: 7/25/07 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: D |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 20,000 |
| | | Transaction Price Per Share: |
| Value: 29.02 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 5/29/11 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 20,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 40.84 |
| | Transaction Date: |
| | | Value: 7/25/07 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: D |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 7,500 |
| | | Transaction Price Per Share: |
| Value: 13.16 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 5/21/12 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 24.45 |
| | Transaction Date: |
| | | Value: 7/25/07 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: D |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 7,500 |
| | | Transaction Price Per Share: |
| Value: 29.55 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F3 |
| | Expiration Date: |
| | | Value: 5/20/13 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 34.19 |
| | Transaction Date: |
| | | Value: 7/25/07 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: D |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 8,000 |
| | | Transaction Price Per Share: |
| Value: 19.81 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F4 |
| | Expiration Date: |
| | | Value: 5/25/14 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 8,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
Footnotes: |
| Footnote - F1: 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). |
| Footnote - F2: 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). |
| Footnote - F3: 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). |
| Footnote - F4: 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: |
Owner Signature: |
| Signature Name: Rebecca Hurley, as attorney-in-fact for Nancy-Ann DeParle |
| Signature Date: 7/25/07 |