0001181431-14-020656.txt : 20140521 0001181431-14-020656.hdr.sgml : 20140521 20140521180500 ACCESSION NUMBER: 0001181431-14-020656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140519 FILED AS OF DATE: 20140521 DATE AS OF CHANGE: 20140521 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: PAGLIUCA STEPHEN G CENTRAL INDEX KEY: 0001240386 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 14861795 MAIL ADDRESS: STREET 1: BAIN CAPITAL PARTNERS LLC STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON STREET CITY: BOSTON STATE: MA ZIP: 02116 4 1 rrd409999.xml FORM 4 X0306 4 2014-05-19 0 0000860730 HCA Holdings, Inc. HCA 0001240386 PAGLIUCA STEPHEN G C/O BAIN CAPITAL PARTNERS, LLC JOHN HANCOCK TOWER, 200 CLARENDON ST BOSTON MA 02116 1 0 0 0 Common Stock, Par Value $0.01 2014-05-19 4 J 0 1050438 0 D 28952718 I See Footnotes The shares of HCA Holdings, Inc. ("HCA") reported on this Form 4 are held of record by Hercules Holding II, LLC ("Hercules II"). Hercules II is held by a private investor group, including affiliates of Bain Capital Investors, LLC ("BCI"), Kohlberg Kravis & Roberts & Co. LLC and affiliates of HCA founder Dr. Thomas F. Frist, Jr. Affiliates of BCI indirectly own 28,952,718 shares of Common Stock of HCA. BCI is the administrative member of Bain Capital Integral Investors 2006, LLC ("Integral 2006"). Integral 2006 indirectly owns 26,831,584 shares of Common Stock of HCA by virtue of its membership in Hercules II. BCI is also the administrative member of BCIP TCV, LLC ("BCIP TCV"). BCIP TCV indirectly owns 201,109 shares of Common Stock of HCA by virtue of its membership in Hercules II. BCI is also the administrative member Bain Capital Hercules Investors, LLC ("Hercules Investors" together with BCI, Integral 2006 and BCIP TCV, the "Bain Entities"). Hercules Investors indirectly owns 1,920,024 shares of Common Stock of HCA by virtue of its membership in Hercules II. The governance, investment strategy and decision making process with respect to investments held by the Bain Entities is directed by BCI's Global Private Equity Board ("GPEB"). Mr. Stephen Pagliuca is a Managing Director of BCI and a member of GPEB. By virtue of the relationships described in these footnotes, Mr. Pagliuca may be deemed to share voting and dispositive power with respect to the 127,867,945 shares of Common Stock of HCA held by Hercules II. On May 19, 2014, Hercules Investors II distributed 1,050,438 shares of HCA Common Stock to Integral 2006, which made a further distribution of shares to certain partners and other employees of the Bain Entities in connection with certain charitable gifts made by such partners and other employees on May 19, 2014. /s/ Stephen Pagliuca 2014-05-21