0001209191-11-029856.txt : 20110519 0001209191-11-029856.hdr.sgml : 20110519 20110519191106 ACCESSION NUMBER: 0001209191-11-029856 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110517 FILED AS OF DATE: 20110519 DATE AS OF CHANGE: 20110519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRIST THOMAS F JR CENTRAL INDEX KEY: 0000900596 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 11859363 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 4 1 c17603_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2011-05-17 0000860730 HCA Holdings, Inc. HCA 0000900596 FRIST THOMAS F JR 3100 WEST END AVENUE NASHVILLE TN 37203 0 0 1 0 Common Stock, par value $0.01 per share 2011-05-17 4 P 0 34755 34.475 A 60934.6299 I Held indirectly through Hercules Holding II, LLC Common Stock, par value $0.01 per share 5020754.8737 I Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist, Jr. 2009 GRAT Common Stock, par value $0.01 per share 1441050.3884 I Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist 2010 GRAT NO. 4 Common Stock, par value $0.01 per share 1241490.9985 I Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist, Jr. 2010 GRAT Common Stock, par value $0.01 per share 72589.0649 I Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist GST Tax Exempt Trust Common Stock, par value $0.01 per share 1441045.8834 I Held indirectly through Hercules Holding II, LLC by the Patricia Frist 2010 GRAT No. 2 Common Stock, par value $0.01 per share 3386678.7964 I Held indirectly through Hercules Holding II, LLC by Trusts for benefit of grandchildren Common Stock, par value $0.01 per share 204968.4898 I Held indirectly through Hercules Holding II, LLC by Patricia C. Frist Common Stock, par value $0.01 per share 713270 I Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2010 GRAT II Common Stock, par value $0.01 per share 34673 I Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2010 GRAT III Common Stock, par value $0.01 per share 36629163.8593 I Held indirectly through Hercules Holding II, LLC by Frisco, Inc. Reflects a 4.505 to 1 forward stock split that occurred on March 9, 2011. Hercules Holding II, LLC ("Hercules") holds 357,440,258 shares of the common stock of HCA Holdings, Inc. Hercules has issued one unit per share of HCA Holdings, Inc. that it owns directly. Hercules is held by a private investor group, including affiliates of Bain Capital Investors, LLC, Kohlberg Kravis Roberts & Co. L.P. and Merrill Lynch Global Private Equity, and affiliates of HCA Inc. founder Dr. Thomas F. Frist, Jr. The Reporting Person may be deemed to be a member of a group exercising voting and investment control over the shares of common stock of HCA Holdings, Inc. held by Hercules. However, the Reporting Person disclaims membership in any such group and disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein. On May 17, 2011, Dr. Thomas F. Frist, Jr. ("Dr. Frist") acquired 34,755 units of Hercules, which he subsequently transferred to the Thomas F. Frist, Jr. 2009 Grantor Retained Annuity Trust. Dr. Frist directly owns 60,934.6299 units of Hercules and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc. by virtue of his membership in Hercules. Dr. Frist may also be deemed to have indirect beneficial ownership in respect of 204,968.4898 units of Hercules, through an indirect pecuniary interest in such units held by his wife, Patricia C. Frist, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc. Dr. Frist is the trustee of (i) the Thomas F. Frist, Jr. 2009 Grantor Retained Annuity Trust, (ii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust, (iii) the Patricia Champion Frist 2010 Grantor Retained Annuity Trust No. 2 and (iv) the Thomas F. Frist GST Tax Exempt Trust and may be deemed to be the beneficial owner of the units of Hercules held by these trusts. Dr. Frist may also be deemed to be the beneficial owner of the units of Hercules held by (i) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust No. 4, (ii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust II, (iii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust III and (iv) certain trusts for the benefit of his grandchildren, each of which his wife serves as trustee, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc. Dr. Frist may also be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of HCA Holdings, Inc. that may be deemed to be beneficially owned by Frisco, Inc., by virtue of his position as a director of Frisco, Inc. /s/ Natalie H. Cline, Attorney-in-Fact for Reporting Person 2011-05-19