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Filing Details

Accession Number:: 0001209191-11-029856
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2011-05-19 19:11:06
Reporting Period:: 2011-05-17

Filing Date:: 2011-05-19
Accepted Time:: 2011-05-19 19:11:06
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
860730	Hca Holdings Inc.	HCA	Services-General Medical & Surgical Hospitals, Nec (8062)	273865930

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
900596	Jr F Thomas Frist	3100 West End Avenue Nashville TN 37203		No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock, Par Value $0.01 Per Share	Acquisiton	2011-05-17	34,755	$34.48	60,935	No	4	P	Indirect	Held indirectly through Hercules Holding II, LLC

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	Held indirectly through Hercules Holding II, LLC

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock, Par Value $0.01 Per Share	5,020,755	Indirect	Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist, Jr. 2009 GRAT
Common Stock, Par Value $0.01 Per Share	1,441,050	Indirect	Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist 2010 GRAT NO. 4
Common Stock, Par Value $0.01 Per Share	1,241,491	Indirect	Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist, Jr. 2010 GRAT
Common Stock, Par Value $0.01 Per Share	72,589	Indirect	Held indirectly through Hercules Holding II, LLC by the Thomas F. Frist GST Tax Exempt Trust
Common Stock, Par Value $0.01 Per Share	1,441,046	Indirect	Held indirectly through Hercules Holding II, LLC by the Patricia Frist 2010 GRAT No. 2
Common Stock, Par Value $0.01 Per Share	3,386,679	Indirect	Held indirectly through Hercules Holding II, LLC by Trusts for benefit of grandchildren
Common Stock, Par Value $0.01 Per Share	204,968	Indirect	Held indirectly through Hercules Holding II, LLC by Patricia C. Frist
Common Stock, Par Value $0.01 Per Share	713,270	Indirect	Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2010 GRAT II
Common Stock, Par Value $0.01 Per Share	34,673	Indirect	Held indirectly through Hercules Holding II, LLC by Thomas F. Frist, Jr. 2010 GRAT III
Common Stock, Par Value $0.01 Per Share	36,629,164	Indirect	Held indirectly through Hercules Holding II, LLC by Frisco, Inc.

Footnotes

Reflects a 4.505 to 1 forward stock split that occurred on March 9, 2011.
Hercules Holding II, LLC ("Hercules") holds 357,440,258 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 Merrill Lynch Global Private Equity, 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.
On May 17, 2011, Dr. Thomas F. Frist, Jr. ("Dr. Frist") acquired 34,755 units of Hercules, which he subsequently transferred to the Thomas F. Frist, Jr. 2009 Grantor Retained Annuity Trust.
Dr. Frist directly 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. Dr. Frist may also be deemed to have 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.
Dr. Frist is the trustee of (i) the Thomas F. Frist, Jr. 2009 Grantor Retained Annuity Trust, (ii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust, (iii) the Patricia Champion Frist 2010 Grantor Retained Annuity Trust No. 2 and (iv) the Thomas F. Frist GST Tax Exempt Trust and may be deemed to be the beneficial owner of the units of Hercules held by these trusts. Dr. Frist may also be deemed to be the beneficial owner of the units of Hercules held by (i) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust No. 4, (ii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust II, (iii) the Thomas F. Frist, Jr. 2010 Grantor Retained Annuity Trust III and (iv) certain trusts for the benefit of his grandchildren, 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.
Dr. Frist may also be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of HCA Holdings, Inc. that may be deemed to be beneficially owned by Frisco, Inc., by virtue of his position as a director of Frisco, Inc.