0001209191-14-010994.txt : 20140214
0001209191-14-010994.hdr.sgml : 20140214
20140214190403
ACCESSION NUMBER: 0001209191-14-010994
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131231
FILED AS OF DATE: 20140214
DATE AS OF CHANGE: 20140214
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: FRIST THOMAS F JR
CENTRAL INDEX KEY: 0000900596
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 14619746
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2013-12-31
0
0
0
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
2013-02-25
5
G
0
485292
0.00
D
0
I
Held indirectly through Hercules Holding II, LLC by Patricia C. Frist 2010 GRAT No. 2
Common Stock, par value $0.01 per share
2013-02-25
5
G
0
485295
0.00
D
0
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2010 GRAT No. 4
Common Stock, par value $0.01 per share
2013-11-25
5
G
0
517674
0.00
D
0
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2011 GRAT No. 1
Common Stock, par value $0.01 per share
2013-11-25
5
G
0
232836
0.00
D
0
I
Held indirectly through Hercules Holding II, LLC by Patricia Champion Frist 2011 GRAT No. 1
Common Stock, par value $0.01 per share
60934.6299
I
Held indirectly through Hercules Holding II, LLC
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
72589.0649
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist GST Tax Exempt Trust
Common Stock, par value $0.01 per share
6465982
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2009 GRAT
Common Stock, par value $0.01 per share
382700.8834
I
Held indirectly through Hercules Holding II, LLC by Patricia Champion Frist 2013 GRAT
Common Stock, par value $0.01 per share
340217
I
Held indirectly through Hercules Holding II, LLC by Patricia Champion Frist 2013 GRAT No. 3
Common Stock, par value $0.01 per share
2902355.8722
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2012 GRAT No. 1
Common Stock, par value $0.01 per share
835726.7964
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2012 GRAT No. 2
Common Stock, par value $0.01 per share
630884.3884
I
Held indirectly through Hercules Holding II, LLC by Thomas F. Frist Jr. 2013 GRAT
Common Stock, par value $0.01 per share
387659.7546
I
Held indirectly through Hercules Holding II, LLC by Frist Children's Trust
Common Stock, par value $0.01 per share
6657331.3176
I
Held indirectly through Hercules Holding II, LLC by Frist Children's Trust II
Common Stock, par value $0.01 per share
36629163.8593
I
Held indirectly through Hercules Holding II, LLC by Frisco, Inc.
Hercules Holding II, LLC ("Hercules") holds 128,918,383 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 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.
The Reporting Person is the trustee of (i) Thomas F. Frist GST Tax Exempt Trust, (ii) Thomas F. Frist, Jr. 2009 Grantor Retained Annuity Trust, (iii) Patricia Champion Frist 2013 Grantor Retained Annuity Trust, (iv) Patricia Champion Frist 2013 Grantor Retained Annuity Trust No. 3, (v) Patricia Champion Frist 2010 Grantor Retained Annuity Trust No. 2 and (vi) Patricia Champion Frist 2011 Grantor Retained Annuity Trust No. 1 and may be deemed to be the beneficial owner of the units of Hercules held by these trusts, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person may be deemed to be the beneficial owner of the units of Hercules held by (i) Thomas F. Frist, Jr. 2012 Grantor Retained Annuity Trust No. 1, (ii) Thomas F. Frist, Jr. 2012 Grantor Retained Annuity Trust No. 2, (iii) Thomas F. Frist, Jr. 2013 Grantor Retained Annuity Trust, (iv) Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust No. 4, (v) Thomas F. Frist, Jr. 2011 Grantor Retained Annuity Trust No. 1, (vi) Frist Children's Trust and (vii) Frist Children's Trust II, 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.
The Reporting Person 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. The Reporting Person may also be deemed to have an 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.
The Reporting Person may be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of HCA Holdings, Inc. beneficially owned by Frisco, Inc., by virtue of his position as a director of Frisco, Inc. Frisco, Inc. has beneficial ownership of 36,629,163.8593 units of Hercules, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
/s/ Natalie Harrison Cline, Attorney-in-Fact
2014-02-14