-----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, TUgTvs+QSftcioy8nfCw0xq62nf8JI3T6G7KHQzXJv3eNZokGW4aqgjLH5oWh52P RURF3KzjNkS2a2u51K8Sag== 0000860730-05-000043.txt : 20050131 0000860730-05-000043.hdr.sgml : 20050131 20050131181757 ACCESSION NUMBER: 0000860730-05-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050127 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLACE BEVERLY B CENTRAL INDEX KEY: 0001216854 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 05563291 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 wal825.xml X0202 4 2005-01-27 0 0000860730 HCA INC/TN (HCA) 0001216854 WALLACE BEVERLY B ONE PARK PLAZA NASHVILLE TN 37203 0 1 0 0 President-Financial Svcs Group Common Stock 2005-01-27 4 A 0 15000 0 A 35143 D Common Stock 2005-01-29 4 F 0 700 44.6200 D 34443 D Common Stock 2870 I By 401(k) Non-Qualified Stock Option (right to buy) 44.7400 2005-01-27 4 A 0 15025 0 A 2015-01-27 Common Stock 15025 15025 D Restricted shares granted pursuant to the HCA 2000 Equity Incentive Plan which includes tax withholding rights. One-third of the restricted shares vest on each of January 27, 2008, January 27, 2009 and January 27, 2010. Between October 1 and December 31, 2004, the reporting person acquired 7 shares of HCA common stock under the HCA 401(k) Plan. Plan share amounts reflected are an estimate based on unit accounting and a December 31, 2004 value of $39.96 per share. Right to buy pursuant to the HCA 2000 Equity Incentive Plan which includes tax withholding rights. The options vest in four equal annual installments beginning on January 27, 2006. By: /s/ John M. Franck II, Attorney-in-Fact 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----