0001209191-12-010210.txt : 20120214
0001209191-12-010210.hdr.sgml : 20120214
20120214213032
ACCESSION NUMBER: 0001209191-12-010210
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120214
DATE AS OF CHANGE: 20120214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Frist William R
CENTRAL INDEX KEY: 0001433377
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 12614066
MAIL ADDRESS:
STREET 1: 3100 WEST END AVENUE
STREET 2: SUITE 500
CITY: NASHVILLE
STATE: TN
ZIP: 37203
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
5
1
c27236_5x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
5
2011-12-31
1
0
0000860730
HCA Holdings, Inc.
HCA
0001433377
Frist William R
3100 WEST END AVENUE
NASHVILLE
TN
37203
0
0
1
0
Common Stock, par value $0.01 per share
2011-01-31
5
G
0
1121.745
0.00
A
1065.74
I
Held indirectly through Hercules Holding II, LLC
Common Stock, par value $0.01 per share
2011-01-31
5
G
0
4486.98
0.00
A
82283.825
I
Held indirectly by spouse and children
Common Stock, par value $0.01 per share
3
56
D
Common Stock, par value $0.01 per share
3
1208506.7937
I
Held indirectly through Hercules Holding II, LLC by the William R. Frist Family Partnership
Common Stock, par value $0.01 per share
3
6537191.9777
I
Held indirectly by The William R. Frist 2010 Family GRAT Trust
Common Stock, par value $0.01 per share
3
251424.0497
I
Held indirectly by The William Frist 2010 GRAT Trust
Common Stock, par value $0.01 per share
3
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") held 271,348,910 shares of the common stock of HCA Holdings, Inc. (the "Issuer") as of December 31, 2011. Hercules has issued one unit per share of the Issuer that it owns directly. Hercules is held by a private investor group, including affiliates of Bain Capital Investors, LLC and Kohlberg Kravis Roberts & Co. L.P., and affiliates of HCA Inc. founder Dr. Thomas F. Frist, Jr. Mr. Frist may be deemed to be a member of a group exercising voting and investment control over the shares of common stock of the Issuer held by Hercules. However, Mr. Frist disclaims membership in any such group and disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
On January 31, 2011, Mr. Frist recevied a gift of 1,121.745 units of Hercules and Mr. Frist's wife and children recevied a gift of an aggregate of 4,486.98 units of Hercules.
On November 3, 2011, 56 units of Hercules that Mr. Frist owned were distributed to Mr. Frist as shares of common stock of the Issuer. As a result, Mr. Frist directly owns 56 shares of the Issuer and 1,065.745 units of Hercules.
Mr. William R. Frist may also be deemed to have indirect beneficial ownership in respect of 4,128 shares of the Issuer and 78,155.825 units of Hercules, through an indirect pecuniary interest in such shares and units held by his children and his wife.
Mr. William R. Frist may be deemed the beneficial owner of the 60,678 shares of the Issuer and the 1,147,828.7937 units of Hercules held by the William R. Frist Family Partnership, of which his wife serves as trustee, the 12,623 shares of the Issuer and the 238,801.0497 units of Hercules held by The William Frist 2010 GRAT Trust, of which he serves as trustee, and the 328,229 shares of the Issuer and the 6,208,962.9777 units of Hercules held by The William R. Frist 2010 Family GRAT Trust, of which he serves as trustee.
Mr. Frist may be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of the Issuer 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
2012-02-14