0001209191-17-010702.txt : 20170214
0001209191-17-010702.hdr.sgml : 20170214
20170214175443
ACCESSION NUMBER: 0001209191-17-010702
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170214
DATE AS OF CHANGE: 20170214
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 PATRICIA C
CENTRAL INDEX KEY: 0001181963
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 17611536
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
0
0
0
0000860730
HCA Holdings, Inc.
HCA
0001181963
FRIST PATRICIA C
3100 WEST END AVENUE
NASHVILLE
TN
37203
0
0
1
0
Common Stock, par value $0.01 per share
2016-02-17
5
G
0
74193
0.00
D
0
I
Held indirectly through Hercules Holding II by Patricia Champion Frist 2013 GRAT No. 3
Common Stock, par value $0.01 per share
204968.4898
I
Held indirectly through Hercules Holding II
Common Stock, par value $0.01 per share
72561.6299
I
Held indirectly through Hercules Holding II by Thomas F. Frist, Jr.
Common Stock, par value $0.01 per share
72589.0649
I
Held indirectly through Hercules Holding II by Thomas F. Frist GST Tax Exempt Trust
Common Stock, par value $0.01 per share
168876
I
Held indirectly through Hercules Holding II by Patricia Champion Frist 2015 GRAT
Common Stock, par value $0.01 per share
387659.7546
I
Held indirectly through Hercules Holding II by Frist Children's Trust
Common Stock, par value $0.01 per share
6657331.3176
I
Held indirectly through Hercules Holding II by Frist Children's Trust II
Common Stock, par value $0.01 per share
266024
I
Held indirectly through Hercules Holding II by Patricia Champion Frist 2016 GRAT
Common Stock, par value $0.01 per share
36629163.8593
I
Held indirectly through Hercules Holding II by Frisco, Inc.
Hercules Holding II ("Hercules") holds 68,912,077 shares of the common stock of HCA Holdings, Inc. Hercules is held by a private investor group, including 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 her pecuniary interest therein. On September 23, 2016, Hercules Holding II, LLC, a Delaware limited liability company, was converted into Hercules Holding II, a Delaware general partnership.
The Reporting Person's husband is the trustee of (i) Thomas F. Frist GST Tax Exempt Trust, (ii) Patricia Champion Frist 2013 Grantor Retained Annuity Trust No. 3 and (iii) Patricia Champion Frist 2015 Grantor Retained Annuity Trust, and the Reporting Person may therefore 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 directly owns 204,968.4898 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 her ownership in Hercules. The Reporting Person may also be deemed to have indirect beneficial ownership in respect of 72,561.6299 units of Hercules, through an indirect pecuniary interest in such units held by her husband, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person is the trustee of (i) Frist Children's Trust, (ii) Frist Children's Trust II and (iii) Patricia Champion Frist 2016 Grantor Retained Annuity Trust and may therefore 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 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 her 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
2017-02-14