-----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, IsvZ1nNd+HHlmPFamFqbG6SlidGm7JEMSK6D7RROEY56RTbcsouSZlZZsT6r/gCj w1bPiYq5A8mTCnwkgvIEBw== 0000860730-05-000112.txt : 20050428 0000860730-05-000112.hdr.sgml : 20050428 20050428150233 ACCESSION NUMBER: 0000860730-05-000112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050427 FILED AS OF DATE: 20050428 DATE AS OF CHANGE: 20050428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAZEN SAMUEL N CENTRAL INDEX KEY: 0001216838 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 05780178 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: 0324 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 haz918.xml X0202 4 2005-04-27 0 0000860730 HCA INC/TN (HCA) 0001216838 HAZEN SAMUEL N ONE PARK PLAZA NASHVILLE TN 37203 0 1 0 0 President-Western Group Common Stock 2005-04-27 4 M 0 37500 35.8168 A 113097 D Common Stock 2005-04-27 4 M 0 30000 37.9166 A 143097 D Common Stock 2005-04-27 4 S 0 10000 54.6200 D 133097 D Common Stock 2005-04-27 4 S 0 1200 54.6300 D 131897 D Common Stock 2005-04-27 4 S 0 7700 54.6400 D 124197 D Common Stock 2005-04-27 4 S 0 3300 54.6500 D 120897 D Common Stock 2005-04-27 4 S 0 7800 54.6600 D 113097 D Common Stock 2005-04-27 4 S 0 1200 54.6700 D 111897 D Common Stock 2005-04-27 4 S 0 8600 54.6800 D 103297 D Common Stock 2005-04-27 4 S 0 900 54.6900 D 102397 D Common Stock 2005-04-27 4 S 0 26300 54.7000 D 76097 D Common Stock 2005-04-27 4 S 0 500 54.7400 D 75597 D Common Stock 1906 I By 401(k) Non-Qualified Stock Option (right to buy) 35.8168 2005-04-27 4 M 0 37500 0 D 2001-02-08 2006-02-08 Common Stock 37500 0 D Non-Qualified Stock Option (right to buy) 37.9166 2005-04-27 4 M 0 30000 0 D 2002-02-03 2007-02-03 Common Stock 30000 0 D Non-Qualified Stock Option (right to buy) 54.7300 2005-04-27 4 A 0 21025 0 A 2015-01-27 Common Stock 21025 21025 D 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 2005-04-28 -----END PRIVACY-ENHANCED MESSAGE-----