0001181431-13-027607.txt : 20130514 0001181431-13-027607.hdr.sgml : 20130514 20130514162114 ACCESSION NUMBER: 0001181431-13-027607 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130510 FILED AS OF DATE: 20130514 DATE AS OF CHANGE: 20130514 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: 13841860 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 rrd379683.xml FORM 4 X0306 4 2013-05-10 0 0000860730 HCA Holdings, Inc. HCA 0001392780 HERCULES HOLDING II, LLC C/O HCA HOLDINGS, INC. ONE PARK PLAZA NASHVILLE TN 37203 0 0 1 0 Common Stock, par value $0.01 per share 2013-05-10 4 J 0 4700233 0 D 169574819 D This transaction represents a distribution for no consideration by Hercules Holding II, LLC of 4,700,233 shares of HCA Holdings, Inc.'s common stock, par value $.01 per share ("Common Stock"), to certain members of Hercules Holding II, LLC, which shares had previously been indirectly beneficially owned by such members through their direct ownership in Hercules Holding II, LLC. Following the distribution of shares of Common Stock reported herein, Hercules directly holds 169,574,819 shares of Common Stock. The membership interests of Hercules Holding II, LLC are held by a private investor group, including affiliates of Bain Capital Partners, LLC, Kohlberg Kravis Roberts & Co. L.P. and Company founder Dr. Thomas F. Frist, Jr. Each of such persons disclaims membership in any such group and each of such persons other than Hercules Holding II, LLC disclaims beneficial ownership of these securities, except to the extent of its pecuniary interest therein. /s/ John M. Franck II, by power of attorney for Hercules Holding II, LLC 2013-05-14