0000899243-16-029915.txt : 20160923 0000899243-16-029915.hdr.sgml : 20160923 20160923180455 ACCESSION NUMBER: 0000899243-16-029915 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160923 FILED AS OF DATE: 20160923 DATE AS OF CHANGE: 20160923 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HCA Holdings, Inc. CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 273865930 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 INC/TN DATE OF NAME CHANGE: 20010627 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERCULES HOLDING II, LLC CENTRAL INDEX KEY: 0001392780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 161900680 BUSINESS ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 6153449551 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-23 0 0000860730 HCA Holdings, Inc. HCA 0001392780 HERCULES HOLDING II, LLC C/O KOHLBERG KRAVIS ROBERTS & CO. L.P., 9 WEST 57TH STREET, SUITE 4200 NEW YORK NY 10019 0 0 1 0 Common Stock, par value $.01 per share 2016-09-23 4 J 0 5864878 0.00 D 68912077 D This transaction represents a distribution for no consideration and on a pro rata basis by Hercules Holding II, LLC of 5,864,878 shares of HCA Holdings, Inc.'s common stock, par value $.01 per share ("Common Stock"), to certain entities affiliated with Kohlberg Kravis Roberts & Co. L.P. ("KKR"), which shares had previously been indirectly beneficially owned by such entities through their direct ownership in Hercules Holding II, LLC. Following the distribution of the shares of Common Stock reported herein, Hercules Holding II, LLC will be converted into a Delaware general partnership and will directly hold 68,912,077 shares of Common Stock. Prior to the distribution, the membership interests of Hercules Holding II, LLC were held by a private investor group, including certain entities affiliated with KKR and HCA Holdings, Inc. founder Dr. Thomas F. Frist, Jr. Following the distribution, affiliates of KKR will no longer hold any membership interests in Hercules Holding II, LLC or any successor entity but will directly hold 5,864,878 shares of Common Stock, or approximately 1.5% of the outstanding shares, and will no longer be filing reports under Section 16(a) of the Securities Exchange Act of 1934, as amended. (Continued from Footnote 2) Each of such persons, other than Hercules Holding II, LLC, disclaims membership in any such group and disclaims beneficial ownership of these securities, except to the extent of its pecuniary interest therein. By: /s/ John M. Franck II, by power of attorney for Hercules Holding II, LLC 2016-09-23