SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Bohnert Denise M.

(Last) (First) (Middle)
3854 AMERICAN WAY, SUITE A

(Street)
BATON ROUGE LA 70816

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/01/2019
3. Issuer Name and Ticker or Trading Symbol
AMEDISYS INC [ AMED ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Compliance Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 6,273(1)(2)(3) D
Common Stock 206(4) I By 401(k) Plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (5) 01/20/2027 Common Stock 1,052 $46.35 D
Stock Option (Right to Buy) (6) 07/25/2028 Common Stock 818 $95.76 D
Stock Option (Right to Buy) (7) 06/10/2029 Common Stock 1,907 $117.41 D
Restricted Stock Units (8) (8) Common Stock 1,704 (8) D
Explanation of Responses:
1. Includes (i) 748 shares held directly by the Reporting Person; (ii) 539 time-based Restricted Stock Units ("RSUs"), each of which represents a contingent right to receive one share of the Issuer's common stock, which will vest in installments of 270 RSUs on January 20, 2020 and 269 RSUs on January 20, 2021, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs; (iii) 392 time-based RSUs, which will vest in installments of 131 RSUs on each of July 25, 2020 and July 25, 2021 and 130 RSUs on July 25, 2022, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs; (iv) 1,880 time-based RSUs, which will vest in installments of 418 RSUs on July 25, 2020,
2. (Continued from Footnote 1) 627 RSUs on July 25, 2021 and 835 RSUs on July 25, 2022, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs; (v) 852 time-based RSUs, which will vest in installments of 213 RSUs on each of June 10, 2020, June 10, 2021, June 10, 2022 and June 10, 2023, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs; (vi) 1,078 RSUs that were subject to performance-based vesting conditions, which were met upon the certification by the Compensation Committee of the Issuer's Board of Directors of the achievement of identified performance goals for fiscal year 2017,
3. (Continued from Footnote 2) which will vest subject to additional time-based vesting conditions (539 each on January 20, 2020 and January 20, 2021), assuming the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs; and (vii) 784 RSUs that were subject to performance-based vesting conditions, which were met upon the certification by the Compensation Committee of the Issuer's Board of Directors of the achievement of identified performance goals for fiscal year 2018, which will vest subject to additional time-based vesting conditions (261 each on July 25, 2020 and July 25, 2021 and 262 on July 25, 2022), assuming the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs.
4. The information in this report is based on a plan statement dated as of June 30, 2019.
5. The Stock Options are subject to time-based vesting conditions. 526 Stock Options will vest on each of January 20, 2020 and January 20, 2021, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to pro-rated vesting provisions as provided in the award agreement for the Stock Options.
6. The Stock Options are subject to time-based vesting conditions. 273 Stock Options will vest on each of July 25, 2020 and July 25, 2021, and 272 Stock Options will vest on July 25, 2022, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to pro-rated vesting provisions as provided in the award agreement for the Stock Options.
7. The Stock Options are subject to time-based vesting conditions. 477 Stock Options will vest on each of June 10, 2020, June 10, 2021 and June 10, 2022 and 476 Stock Options will vest on June 10, 2023, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to pro-rated vesting provisions as provided in the award agreement for the Stock Options.
8. The RSUs awarded are subject to performance-based vesting and will vest (i) on the certification by the Compensation Committee of the Issuer's Board of Directors of the achievement of identified performance goals for fiscal year 2019, and (ii) additional time-based vesting conditions (one-fourth on each of June 10, 2020, June 10, 2021, June 10, 2022 and June 10, 2023), assuming the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs.
Remarks:
Exhibit 24.1-Power of Attorney
/s/ Jennifer R. Guckert, pursuant to a power of attorney 09/11/2019
** 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 5 (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 Number.