0001209191-18-010020.txt : 20180214 0001209191-18-010020.hdr.sgml : 20180214 20180214173818 ACCESSION NUMBER: 0001209191-18-010020 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180214 DATE AS OF CHANGE: 20180214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elcan Patricia F CENTRAL INDEX KEY: 0001433376 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 18614198 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 Healthcare, 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 Holdings, Inc. DATE OF NAME CHANGE: 20101126 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2017-12-31 0 0 0 0000860730 HCA Healthcare, Inc. HCA 0001433376 Elcan Patricia F 3100 WEST END AVENUE NASHVILLE TN 37203 0 0 1 0 Common Stock, par value $0.01 per share 2017-02-22 5 G 0 2348330.3574 0.00 A 3410250.975 I Held indirectly by GRATs Common Stock, par value $0.01 per share 2017-05-22 5 G 0 9366.67 0.00 A 778055.67 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2017 Annuity Trust IV Common Stock, par value $0.01 per share 2017-05-22 5 G 0 38979.5002 0.00 D 15941 I Held indirectly by Patricia Frist Elcan 2015 Annuity Trust I Common Stock, par value $0.01 per share 2017-05-22 5 G 0 38979.5002 0.00 A 3449230.4752 I Held indirectly by GRATs Common Stock, par value $0.01 per share 2017-08-24 5 G 0 39303 0.00 D 0 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2014 Annuity Trust V Common Stock, par value $0.01 per share 2017-08-24 5 G 0 39303 0.00 A 3488533.4752 I Held indirectly by GRATs Common Stock, par value $0.01 per share 2017-11-20 5 G 0 13073 0.00 D 0 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2015 Annuity Trust III Common Stock, par value $0.01 per share 2017-11-20 5 G 0 13073 0.00 A 3501606.4752 I Held indirectly by GRATs Common Stock, par value $0.01 per share 41052 D Common Stock, par value $0.01 per share 776573.9641 I Held indirectly through Hercules Holding II Common Stock, par value $0.01 per share 996767.289 I Held indirectly by spouse and children Common Stock, par value $0.01 per share 461046.2045 I Held indirectly by Patricia F. Elcan Grat III Trust II Common Stock, par value $0.01 per share 237863.9997 I Held indirectly by Patricia F. Elcan Grat II Trust I Common Stock, par value $0.01 per share 439142.8945 I Held indirectly by Elcan Investment Partnership Common Stock, par value $0.01 per share 169207.7998 I Held indirectly by Elcan Children's Trust Common Stock, par value $0.01 per share 29575 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2016 Annuity Trust I Common Stock, par value $0.01 per share 772888.9574 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2014 Annuity Trust II Common Stock, par value $0.01 per share 236976 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2016 Annuity Trust III Common Stock, par value $0.01 per share 105982.0893 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2014 Annuity Trust IV Common Stock, par value $0.01 per share 128340 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2016 Annuity Trust IV Common Stock, par value $0.01 per share 309570.571 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2015 Annuity Trust II Common Stock, par value $0.01 per share 984443 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2017 Annuity Trust V Common Stock, par value $0.01 per share 229641 I Held indirectly through Hercules Holding II by Patrica Frist Elcan 2016 Annuity Trust VI Common Stock, par value $0.01 per share 199574 I Held indirectly through Hercules Holding II by Patricia Frist Elcan 2017 Annuity Trust VI 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 Healthcare, 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 Healthcare, 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. The Reporting Person is trustee of three grantor retained annuity trusts for the benefit of her children, and the Reporting Person's spouse is the trustee of nine grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person may, accordingly, be deemed to be the beneficial owner of the aggregate of 35,190 shares of common stock of HCA Healthcare, Inc. held by such trusts. In addition, the Reporting Person may be deemed to be the beneficial owner of the 3,466,416.4752 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 Healthcare, Inc. The Reporting Person received a gift of 9,366.67 units of Hercules on May 22, 2017, which were subsequently transferred to The Patricia Frist Elcan 2017 Annuity Trust IV, of which she serves as trustee. Following receipt of this gift, the Reporting Person may be deemed the beneficial owner of the units of Hercules held by this trust and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person is trustee of the Patricia Frist Elcan 2015 Annuity Trust I and may be deemed to be the beneficial owner of the 15,941 shares of common stock of HCA Healthcare, Inc. held by such trust. On May 22, 2017, The Patricia Frist Elcan 2015 Annuity Trust I transferred an aggregate of 38,979.5002 units of Hercules to three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person is trustee of The Patricia Frist Elcan 2015 Annuity Trust I and the Reporting Person's spouse is trustee of the three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person may therefore be deemed the beneficial owner of the units of Hercules held by these grantor retained annuity trusts and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. On August 24, 2017, The Patricia Frist Elcan 2014 Annuity Trust V transferred an aggregate of 39,303 units of Hercules to three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person is trustee of The Patricia Frist Elcan 2014 Annuity Trust V and the Reporting Person's spouse is trustee of the three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person may therefore be deemed the beneficial owner of the units of Hercules held by these grantor retained annuity trusts and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. On November 20, 2017, The Patricia Frist Elcan 2015 Annuity Trust III transferred an aggregate of 13,073 units of Hercules to three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person is trustee of The Patricia Frist Elcan 2015 Annuity Trust III and the Reporting Person's spouse is trustee of the three grantor retained annuity trusts for the benefit of the Reporting Person's children. The Reporting Person may therefore be deemed the beneficial owner of the units of Hercules held by these grantor retained annuity trusts and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person jointly owns with her spouse 41,052 shares of common stock of HCA Healthcare, Inc. and 776,573.9641 units of Hercules and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. by virtue of her ownership in Hercules. The Reporting Person may be deemed to have indirect beneficial ownership in respect of 34,951 shares of common stock of HCA Healthcare, Inc. through an indirect pecuniary interest in such shares held by her spouse and children. In addition, the Reporting Person may be deemed to have indirect beneficial ownership in respect of 961,816.289 units of Hercules, through an indirect pecuniary interest in such units held by her spouse and children, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person's spouse is the trustee of the Patricia F. Elcan Grat III Trust II, and the Reporting Person may therefore be deemed to be the beneficial owner of the 23,148 shares of common stock of HCA Healthcare, Inc. held by such trust. The Reporting Person may also be deemed to be the beneficial owner of the 437,898.2045 units of Hercules held by such trust and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person's spouse is the trustee of the Patricia F. Elcan Grat II Trust I, and the Reporting Person may therefore be deemed to be the beneficial owner of the 11,943 shares of common stock of HCA Healthcare, Inc. held by such trust. The Reporting Person may also be deemed to be the beneficial owner of the 225,920.9997 units of Hercules held by such trust and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person may be deemed to be the beneficial owner of the 22,049 shares of common stock of HCA Healthcare, Inc. held by Elcan Investment Partnership, of which Mrs. Elcan, her spouse and a trust of which Mrs. Elcan and her spouse serve as co-trustees are the general partners. The Reporting Person may also be deemed to be the beneficial owner of the 417,093.8945 units of Hercules held by Elcan Investment Partnership and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person's spouse is the trustee of the Elcan Children's Trust, and the Reporting Person may therefore be deemed to be the beneficial owner of the 8,495 shares of common stock of HCA Healthcare, Inc. held by such trust. The Reporting Person may also be deemed to be the beneficial owner of the 160,712.7998 units of Hercules held by such trust and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Healthcare, Inc. The Reporting Person is trustee of (i) The Patricia Frist Elcan 2016 Annuity Trust I, (ii) The Patricia Frist Elcan 2014 Annuity Trust II, (iii) The Patricia Frist Elcan 2016 Annuity Trust III, (iv) The Patricia Frist Elcan 2014 Annuity Trust IV, (v) The Patricia Frist Elcan 2016 Annuity Trust IV, (vi) The Patricia Frist Elcan 2015 Annuity Trust II, (vii) The Patricia Frist Elcan 2017 Annuity Trust V, (viii) The Patricia Frist Elcan 2016 Annuity Trust VI and (ix) The Patricia Frist Elcan 2017 Annuity Trust VI 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 Healthcare, Inc. The Reporting Person may be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of HCA Healthcare, 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 Healthcare, Inc. /s/ Natalie Harrison Cline, Attorney-in-Fact 2018-02-14