0001209191-15-014560.txt : 20150218
0001209191-15-014560.hdr.sgml : 20150216
20150217164944
ACCESSION NUMBER: 0001209191-15-014560
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141231
FILED AS OF DATE: 20150217
DATE AS OF CHANGE: 20150217
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 William R
CENTRAL INDEX KEY: 0001433377
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 15623751
MAIL ADDRESS:
STREET 1: 3100 WEST END AVENUE
STREET 2: SUITE 500
CITY: NASHVILLE
STATE: TN
ZIP: 37203
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2014-12-31
0
0
0
0000860730
HCA Holdings, Inc.
HCA
0001433377
Frist William R
3100 WEST END AVENUE
NASHVILLE
TN
37203
1
0
1
0
Common Stock, par value $0.01 per share
2014-02-25
5
G
0
965312.9574
0.00
A
2016255.9574
I
Held indirectly through Hercules Holding II, LLC by The William Frist February 2014 GRAT
Common Stock, par value $0.01 per share
2014-05-19
5
G
0
831308.3333
0.00
A
831308.3333
I
Held indirectly through Hercules Holding II, LLC by The William R. Frist 2010 Family GRAT Trust
Common Stock, par value $0.01 per share
2014-05-19
5
G
0
1348059
0.00
A
0
I
Held indirectly through Hercules Holding II, LLC by William R. Frist 2009 GRAT
Common Stock, par value $0.01 per share
2014-11-17
5
G
0
1348059
0.00
D
0
I
Held indirectly through Hercules Holding II, LLC by William R. Frist 2009 GRAT
Common Stock, par value $0.01 per share
2014-11-17
5
G
0
1348059
0.00
A
1348059
I
Held indirectly through Hercules Holding II, LLC by Trusts
Common Stock, par value $0.01 per share
2014-11-17
5
G
0
172883.5988
0.00
A
172883.5988
I
Held indirectly through Hercules Holding II, LLC by The William R. Frist November 2014 GRAT
Common Stock, par value $0.01 per share
56
D
Common Stock, par value $0.01 per share
1065.745
I
Held indirectly through Hercules Holding II, LLC
Common Stock, par value $0.01 per share
82283.825
I
Held indirectly by spouse and children
Common Stock, par value $0.01 per share
1208506.7937
I
Held indirectly by the William R. Frist Family Partnership
Common Stock, par value $0.01 per share
227384.0497
I
Held indirectly by The William Frist 2010 GRAT Trust
Common Stock, par value $0.01 per share
5339771.9777
I
Held indirectly by The William R. Frist February 2012 GRAT
Common Stock, par value $0.01 per share
470006
I
Held indirectly through Hercules Holding II, LLC by The William Frist February 2013 GRAT
Common Stock, par value $0.01 per share
250170
I
Held indirectly through Hercules Holding II, LLC by The William Frist November 2013 2-Year GRAT
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 91,750,834 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 received gifts of (i) 965,312.9574, (ii) 2,155,327.3333 and (iii) 172,883.5988 units of Hercules on (i) February 25, 2014, (ii) May 19, 2014 and (iii) November 17, 2014, respectively, which were subsequently transferred to (i) The William Frist February 2014 GRAT, (ii) The William R. Frist 2010 Family GRAT Trust and the William R. Frist 2009 Grantor Retained Annuity Trust (which subsequently transferred the units it received to three trusts for the benefit of his children) and (iii) The William R. Frist November 2014 GRAT, respectively.
The Reporting Person is trustee of (i) The William Frist February 2013 GRAT, (ii) The William Frist November 2013 2-Year GRAT, (iii) The William Frist February 2014 GRAT, (iv) The William R. Frist 2010 Family GRAT Trust, (v) The William R. Frist November 2014 GRAT and (vi) William R. Frist 2009 Grantor Retained Annuity Trust 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 HCA Holdings, Inc.
The Reporting Person's wife is the trustee of three trusts for the benefit of his children and the Reporting Person may, accordingly, be deemed to be the beneficial owner of the 1,348,059 units of Hercules held by such trusts, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person directly owns 56 shares of HCA Holdings, Inc. The Reporting Person directly owns 1,065.745 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 indirect beneficial ownership in respect of 4,128 shares of HCA Holdings, Inc. and 78,155.825 units of Hercules, through an indirect pecuniary interest in such shares and units held by his children and his wife 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 the beneficial owner of the 60,678 shares of HCA Holdings, Inc. 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 HCA Holdings, Inc. and the 214,761.0497 units of Hercules held by The William Frist 2010 GRAT Trust, of which he serves as trustee, and the 328,229 shares of HCA Holdings, Inc. and the 5,011,542.9777 units of Hercules held by The William R. Frist February 2012 GRAT, of which he serves as trustee.
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
2015-02-17