-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NC3dc9Zdz10M6mcymQ/EoIf/WeHjj8mtsfcEzTmHoAMSXzEtTfP5aV4LwMoxc610 SVwa69r/c7g6S+k0Mk8WRA== 0000860730-04-000010.txt : 20040105 0000860730-04-000010.hdr.sgml : 20040105 20040105202422 ACCESSION NUMBER: 0000860730-04-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAMPBELL VICTOR L CENTRAL INDEX KEY: 0001216831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 04507560 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HCA INC/TN CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752497104 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE PARK PLZ CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 6153449551 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 FORMER COMPANY: FORMER CONFORMED NAME: HCA THE HEALTHCARE CO DATE OF NAME CHANGE: 20010419 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP DATE OF NAME CHANGE: 20000502 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP/ DATE OF NAME CHANGE: 19940314 4 1 cam564.xml X0201 4 2003-12-31 0 0000860730 HCA INC/TN (HCA) 0001216831 CAMPBELL VICTOR L ONE PARK PLAZA NASHVILLE TN 37203 0 1 0 0 SVP Common Stock 2003-12-31 5 J 0 865 0 A 200576 D Common Stock 2004-01-01 4 A 0 320 0 A 200896 D Common Stock 2003-12-31 5 J 0 20 0 A 9492 I By 401(k) Common Stock 150 I By Daughter Common Stock 45492 I By Spouse Common Stock 3780 I By Trust Ongoing acquisition of common stock from 1/1/2003 to 12/31/2003 under the HCA Employee Stock Purchase Plan and including dividend reinvestment of shares. Pursuant to the HCA 1995 Management Stock Purchase Plan, which includes tax withholding rights, shares acquired at a 25% discount ($28.20) and subject to the terms and conditions of the Plan. Pursuant to the HCA 401(k) Plan, plan share amounts reflected are an estimate based on unit accounting and a 12/31/2003 value of $42.96 per share. By: /s/ Dora A. Blackwood, Attorney-in-Fact 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----