-----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, MYkSbsuQXT3UAcTpgsMDLz8ELyKAoZMe4xuiumARNT+qwP0hVDCEmsnKOQYjXzoy zMGvbMaEu1NBPADPFS1KTg== 0001181431-08-027338.txt : 20080429 0001181431-08-027338.hdr.sgml : 20080429 20080429183111 ACCESSION NUMBER: 0001181431-08-027338 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080429 FILED AS OF DATE: 20080429 DATE AS OF CHANGE: 20080429 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONNAUGHTON JOHN CENTRAL INDEX KEY: 0001213395 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 08787345 MAIL ADDRESS: STREET 1: BAIN CAPITAL PARTNERS LLC STREET 2: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 3 1 rrd203548.xml FORM 3 X0202 3 2008-04-29 0 0000860730 HCA INC/TN HCA 0001213395 CONNAUGHTON JOHN C/O BAIN CAPITAL INVESTORS, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 1 0 1 0 Common stock, par value $0.01 per share 23373333 I See Footnotes The shares of common stock of HCA Inc. reported on this Form 3 are held of record by Hercules Holding II, LLC. Hercules Holding II, LLC is held by a private investor group, including affiliates of Bain Capital Investors, LLC, Kohlberg Kravis Roberts & Co. LLC and Merrill Lynch Global Private Equity, and affiliates of HCA, Inc. founder Dr. Thomas F. Frist, Jr. Affiliates of Bain Capital Investors, LLC indirectly own 23,373,332 shares of common stock of HCA Inc. Please see Footnotes (2), (3) and (4). Mr. Connaughton is Managing Director of Bain Capital Investors, LLC ("BCI"). Because BCI is the administrative member of Bain Capital Integral Investors 2006, LLC ("Integral 2006"), Mr. Connaughton may be deemed to share voting and dispositive power with respect to the 21,720,908 shares of Common Stock of HCA Inc. indirectly owned by Integral 2006 by virtue of its membership in Hercules Holding II, LLC ("Holdings"). Mr. Connaughton disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. Because BCI is the administrative member of BCIP TCV, LLC ("BCIP TCV"), Mr. Connaughton may be deemed to share voting and dispositive power with respect to the 156,670 shares of Common Stock of HCA Inc. indirectly owned by BCIP TCV by virtue of its membership in Holdings. Mr. Connaughton disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. Because BCI is the administrative member of Bain Capital Hercules Investors, LLC ("Hercules Investors"), Mr. Connaughton may be deemed to share voting and dispositive power with respect to the 1,495,755 shares of Common Stock of HCA Inc. indirectly owned by Hercules Investors by virtue of its membership in Holdings. Mr. Connaughton disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ John P. Connaughton 2008-04-29 -----END PRIVACY-ENHANCED MESSAGE-----