Table of Contents

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): September 21, 2011 (September 15, 2011)
HCA HOLDINGS, INC.
(Exact name of registrant as specified in its charter)
         
Delaware
(State or other jurisdiction
of incorporation)
  001-11239
(Commission File Number)
  27-3865930
(I.R.S. Employer
Identification No.)
         
One Park Plaza
Nashville, Tennessee

(Address of principal executive
offices)
      37203
(Zip Code)
(615) 344-9551
Registrant’s telephone number, including area code
Not Applicable
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o   Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o   Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o   Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o   Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
 

 


 

TABLE OF CONTENTS
 
 
 
  EX-10.1
  EX-10.2

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Item 1.01 Entry into a Material Definitive Agreement
     As previously announced, on September 15, 2011, HCA Holdings, Inc. (the “ Company ”) entered into an agreement (the “ Share Repurchase Agreement ”) to repurchase 80,771,143 shares of its common stock beneficially owned by affiliates of Bank of America Corporation (the “ Shares ”) at a purchase price of $18.61 per share, the closing price of the Company’s common stock on the New York Stock Exchange on September 14, 2011 (the “ Share Repurchase ”). The Share Repurchase was completed on September 21, 2011 and was financed using a combination of cash on hand and borrowings under available credit facilities. The Shares represent approximately 15.6% of the Company’s total shares outstanding.
     In connection with the Share Repurchase, on September 21, 2011, the Company and certain of its investors entered into an amendment (the “ Amendment ”) to the Stockholders’ Agreement, dated as of March 9, 2011 (the “ Stockholders’ Agreement ”). The Stockholders’ Agreement generally provides for certain rights, obligations and agreements of affiliates of, or funds sponsored by, Bain Capital Partners, LLC (“ Bain ”), Kohlberg Kravis Roberts & Co. L.P. (“ KKR ”), BAML Capital Partners, formerly Merrill Lynch Global Private Equity, and an affiliate of Bank of America Corporation (“ BAML ”), and Company founder Dr. Thomas F. Frist, Jr. (the “ Frist Entities ” and, together with Bain, KKR and BAML, the “ Investors ”), as holders of the Company’s common stock through their investment in Hercules Holding II, LLC. Pursuant to the Amendment, all of the BAML Investors were released and removed as parties to the Stockholders’ Agreement and ceased to be entitled to any rights, or be subject to any obligations, thereunder.
     The foregoing description of the Share Repurchase Agreement and the Amendment do not purport to be complete and are qualified in their entirety by reference to the Share Repurchase Agreement and the Amendment, copies of which are filed, respectively, as Exhibits 10.1 and 10.2 hereto and are incorporated herein by reference.
Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers
     On September 21, 2011, effective with the consummation of the Share Repurchase, Messrs. Birosak, Forbes and Thorne, each of whom served on the Company’s board of directors as designees of BAML pursuant to the Stockholders’ Agreement, stepped down from the board and from all committees of which they were members. In connection with these resignations, the Company’s board of directors reduced the number of directors comprising its board from fifteen to twelve.
Item 9.01. Financial Statements and Exhibits
(d) Exhibits
     
Exhibit No.   Description
10.1
  Share Repurchase Agreement, dated September 15, 2011, between HCA Holdings, Inc. and ML Global Private Equity Fund, L.P. and ML HCA Co-Invest, L.P.
 
   
10.2
  Amendment, dated as of September 21, 2011, to the Stockholders’ Agreement, dated as of March 9, 2011

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SIGNATURES
     Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
         
  HCA HOLDINGS, INC.
(Registrant)
 
 
  By:   /s/ John M. Franck II    
    John M. Franck II   
    Vice President-Legal & Corporate Secretary   
 
Date: September 21, 2011

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INDEX TO EXHIBITS
     
Exhibit No.   Description
10.1
  Share Repurchase Agreement, dated September 15, 2011, between HCA Holdings, Inc. and ML Global Private Equity Fund, L.P. and ML HCA Co-Invest, L.P.
 
   
10.2
  Amendment, dated as of September 21, 2011, to the Stockholders’ Agreement, dated as of March 9, 2011

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EXHIBIT 10.1
SHARE REPURCHASE AGREEMENT
     THIS SHARE REPURCHASE AGREEMENT (this “ Agreement ”) is made and entered into as of this 15th day of September, 2011, by and between ML Global Private Equity Fund, L.P. and ML HCA Co-Invest, L.P. (collectively, the “ Sellers ”) and HCA Holdings, Inc., a Delaware corporation (the “ Purchaser ”).
RECITALS
     WHEREAS, after due consideration the board of directors of the Purchaser has approved the Repurchase Transaction (as defined below) and related transactions that may be required in connection with the Repurchase Transaction.
     WHEREAS, the Sellers desire to sell shares beneficially owned by them of common stock, par value $0.01 per share, of the Purchaser (“ Common Shares ”) to the Purchaser and the Purchaser desires to purchase Common Shares from the Sellers, on the terms and conditions set forth in this Agreement (the “ Repurchase Transaction ”).
     WHEREAS, at or prior to the Closing Date (as defined below), the Sellers will receive a distribution of the Common Shares to be sold in the Repurchase Transaction from Hercules Holding II, LLC, a Delaware limited liability company (“ Hercules ”), resulting from the Sellers’ interests in Hercules (the “ Distribution ”).
     WHEREAS, the Coordination Committee of Hercules has approved the Distribution as required in accordance with the Amended and Restated Limited Liability Company Agreement of Hercules, dated as of November 17, 2006, as amended (the “ Approval ”).
     NOW, THEREFORE, in consideration of the premises and the agreements set forth below, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:
ARTICLE I
SALE AND PURCHASE OF COMMON SHARES
     Section 1.1 Purchase . Subject to the terms and conditions of this Agreement, on September 21, 2011 or such date as prescribed in Section 1.2 hereof (in each case, the “ Closing Date ”), the Sellers shall sell, assign, transfer, convey and deliver to the Purchaser, and the Purchaser shall purchase, acquire and accept from the Sellers, 80,771,143 Common Shares (the “ Shares ”), as shown in further detail in Schedule A hereto. The purchase price for the shares shall be $18.61 per share, resulting in a total purchase price of $1,503,150,971.23 (the “ Purchase Price ”).
     Section 1.2 Closing . On the Closing Date, the Sellers shall deliver or cause to be delivered to the Purchaser all of the Sellers’ right, title and interest in and to the Shares by an appropriate method reasonably agreed to by the Purchaser and the Sellers, together, in each case, with all documentation reasonably necessary to transfer to Purchaser right, title and interest in and to the Shares. On the Closing Date, the Purchaser shall pay to the Sellers the Purchase Price in cash by wire transfer of immediately available funds in accordance with the wire transfer instructions provided by the Sellers to the Purchaser. In no case shall the Closing Date occur prior to the first business day after which the Sellers have received the Shares pursuant to the Distribution.

 


 

ARTICLE II
REPRESENTATIONS AND WARRANTIES OF THE SELLERS
     Each Seller hereby makes the following representations and warranties to the Purchaser as to itself, each of which is true and correct on the date hereof and the Closing Date and shall survive the Closing Date.
     Section 2.1 Existence and Power .
          (a) Seller has the power, authority and capacity to execute and deliver this Agreement, to perform its obligations hereunder, and to consummate the transactions contemplated hereby.
          (b) Subject to receipt of the Approval, the execution and delivery of this Agreement by Seller and the consummation by the Seller of the transactions contemplated hereby (i) do not require the consent, approval, authorization, order, registration or qualification of, or (except for filings pursuant to Section 16 or Regulation 13D under the Securities Exchange Act of 1934) filing with, any governmental authority or court, or body or arbitrator having jurisdiction over the Sellers; and (ii) except as would not have an adverse effect on the ability of Seller to consummate the transactions contemplated by this Agreement, do not and will not constitute or result in a breach, violation or default under any note, bond, mortgage, deed, indenture, lien, instrument, contract, agreement, lease or license, whether written or oral, express or implied, to which such Seller is a party or with the Seller’s organizational documents, or any statute, law, ordinance, decree, order, injunction, rule, directive, judgment or regulation of any court, administrative or regulatory body, governmental authority, arbitrator, mediator or similar body on the part of Seller or cause the acceleration or termination of any obligation or right of the Seller or any other party thereto.
     Section 2.2 Valid and Enforceable Agreement; Authorization . This Agreement has been duly executed and delivered by Seller and, subject to receipt of the Approval, constitutes a legal, valid and binding obligation of Seller, enforceable against the Sellers in accordance with its terms, except as limited by applicable bankruptcy, insolvency, reorganization, moratorium, fraudulent conveyance and other similar laws of general application affecting enforcement of creditors’ rights generally and general principles of equity.
     Section 2.3 Title to Shares . After giving effect to the Distribution, Seller will have good and valid title to the Shares beneficially owned by it (as reflected on Schedule A hereto) free and clear of any lien, encumbrance, pledge, charge, security interest, mortgage, title retention agreement, option, equity or other adverse claim, and has not, in whole or in part, (a) assigned, transferred, hypothecated, pledged or otherwise disposed of the Shares or its ownership rights in such Shares, or (b) given any person or entity any transfer order, power of attorney or other authority of any nature whatsoever with respect to such Shares.
     Section 2.4 Sophistication of Seller . Seller acknowledges and agrees that, except as set forth in this Agreement, the Purchaser is not making any express or implied warranties in connection with the Repurchase Transaction. Seller has such knowledge and experience in financial and business matters and in making investment decisions of this type that it is capable of evaluating the merits and risks of making their investment decision regarding the Repurchase Transaction and of making an informed investment decision. Seller and/or Seller’s advisor(s) have had a reasonable opportunity to ask questions of and receive answers from a person or persons acting on behalf of the Purchaser concerning the Shares and the Purchaser and all such questions have been answered to the Seller’s full satisfaction. Seller is not relying

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on the Purchaser with respect to the tax and other economic considerations of the Repurchase Transaction, and Seller has relied on the advice of, or have consulted with, Seller’s own advisors.
ARTICLE III
REPRESENTATIONS AND WARRANTIES OF THE PURCHASER
     The Purchaser hereby makes the following representations and warranties to the Sellers, each of which is true and correct on the date hereof and the Closing Date and shall survive the Closing Date.
     Section 3.1 Existence and Power .
          (a) The Purchaser is a corporation duly organized, validly existing and in good standing under the laws of the State of Delaware and has the power, authority and capacity to execute and deliver this Agreement, to perform the Purchaser’s obligations hereunder, and to consummate the transactions contemplated hereby.
          (b) The execution and delivery of this Agreement by the Purchaser and the consummation by the Purchaser of the transactions contemplated hereby (i) does not require the consent, approval, authorization, order, registration or qualification of, or filing with, any governmental authority or court, or body or arbitrator having jurisdiction over the Purchaser; and (ii) except as would not have an adverse effect on the ability of Purchaser to consummate the transactions contemplated by this Agreement, does not and will not constitute or result in a breach, violation or default under, any note, bond, mortgage, deed, indenture, lien, instrument, contract, agreement, lease or license, whether written or oral, express or implied, to which Purchaser is a party, with the Purchaser’s articles of incorporation or code of regulations, or any statute, law, ordinance, decree, order, injunction, rule, directive, judgment or regulation of any court, administrative or regulatory body, governmental authority, arbitrator, mediator or similar body on the part of the Purchaser or cause the acceleration or termination of any obligation or right of the Purchaser or any other party thereto.
     Section 3.2 Valid and Enforceable Agreement; Authorization . This Agreement has been duly executed and delivered by the Purchaser and constitutes a legal, valid and binding obligation of the Purchaser, enforceable against the Purchaser in accordance with its terms, except as limited by applicable bankruptcy, insolvency, reorganization, moratorium, fraudulent conveyance and other similar laws of general application affecting enforcement of creditors’ rights generally and general principles of equity.
     Section 3.3 Sufficient Funds . Purchaser has as of the date hereof and will have as of the Closing Date access to fully committed funds sufficient to consummate the transactions contemplated by this Agreement.
ARTICLE IV
MISCELLANEOUS PROVISIONS
     Section 4.1 Notice . Any notice provided for in this Agreement shall be in writing and shall be either personally delivered, or mailed first class mail (postage prepaid) with return receipt requested or sent by reputable overnight courier service (charges prepaid) to the address and to the attention of the person set forth in this Agreement. Notices will be deemed to have been given hereunder when delivered personally, three business days after deposit in the U.S. mail postage prepaid with return receipt requested and two business days after deposit postage prepaid with a reputable overnight courier service for delivery on the next business day.

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If delivered to the Purchaser, to:
HCA Holdings, Inc.
One Park Plaza
Nashville, TN 37203
Attention: General Counsel
with a copy to:
Simpson Thacher & Bartlett LLP
425 Lexington Avenue
New York, NY 10017
Attention: Joseph Kaufman
                 Sean Rodgers
if to the Sellers, to:
Merrill Lynch Global Private Equity
767 Fifth Avenue, 7th Floor
New York, NY 10153
Attention: General Counsel
with a copy to:
Wachtell, Lipton, Rosen & Katz
51 West 52nd Street
New York, NY 10019
Attention: Nicholas G. Demmo
     Section 4.2 Entire Agreement . This Agreement and the other documents and agreements executed in connection with the Repurchase Transaction embody the entire agreement and understanding of the parties hereto with respect to the subject matter hereof and supersede all prior and contemporaneous oral or written agreements, representations, warranties, contracts, correspondence, conversations, memoranda and understandings between or among the parties or any of their agents, representatives or affiliates relative to such subject matter, including, without limitation, any term sheets, emails or draft documents.
     Section 4.3 Assignment; Binding Agreement . This Agreement and the various rights and obligations arising hereunder shall inure to the benefit of and be binding upon the parties hereto and their successors and assigns.
     Section 4.4 Counterparts . This Agreement may be executed in multiple counterparts, and on separate counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and the same instrument. Any counterpart or other signature hereupon delivered by facsimile shall be deemed for all purposes as constituting good and valid execution and delivery of this Agreement by such party.
     Section 4.5 Governing Law . This Agreement shall in all respects be construed in accordance with and governed by the substantive laws of the State of Delaware, without giving effect to principles of conflicts of laws. Each party hereto waives, to the fullest extent permitted by applicable law, any right it

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may have to a trial by jury in respect of any action, suit or proceeding arising out of or relating to this Agreement or any transaction contemplated hereby.
     Section 4.6 No Third Party Beneficiaries or Other Rights . Nothing herein shall grant to or create in any person not a party hereto, or any such person’s dependents or heirs, any right to any benefits hereunder, and no such party shall be entitled to sue any party to this Agreement with respect thereto.
     Section 4.7 Release . Except in respect of any claim of a breach of this Agreement, (i) the Sellers do hereby release the Purchaser, its shareholders, its affiliates and successors, and all of the Purchaser’s directors, officers, employees and agents (collectively, the “ Company Parties ”), and agree to hold them, and each of them, harmless from any and all claims or causes of action that the Sellers may now have or know about, or hereafter may learn about, arising out of or in any way connected with the Repurchase Transaction and the Sellers agree that the Sellers will not file any claim, charge, or lawsuit for the purpose of obtaining any monetary awards in connection with the Repurchase Transaction, and (ii) Purchaser does hereby release Sellers, their respective general and limited partners, affiliates and successors, and all of the Sellers’ directors, officers, managers, members, employees and agents (collectively, the “ Seller Parties ”), and agree to hold them, and each of them, harmless from any and all claims or causes of action that Purchaser may now have or know about, or hereafter may learn about, arising out of or in any way connected with the Repurchase Transaction and Purchaser agrees that Purchaser will not file any claim, charge, or lawsuit for the purpose of obtaining any monetary awards in connection with the Repurchase Transaction. The parties acknowledge that the foregoing release includes, but is not limited to, any claim arising under any federal, state, or local law, whether statutory or judicial, or ordinance, or any administrative regulation.
     Section 4.8 Waiver; Consent . This Agreement and its terms may not be changed, amended, waived, terminated, augmented, rescinded or discharged (other than in accordance with its terms), in whole or in part, except by a writing executed by the parties hereto.
     Section 4.9 No Broker . Except as previously disclosed to each other party, no party has engaged any third party as broker or finder or incurred or become obligated to pay any broker’s commission or finder’s fee in connection with the transactions contemplated by this Agreement.
     Section 4.10 Further Assurances . Each party hereto hereby agrees to execute and deliver, or cause to be executed and delivered, such other documents, instruments and agreements, and take such other actions consistent with the terms of this Agreement as may be reasonably necessary in order to accomplish the transactions contemplated by this Agreement.
     Section 4.11 Costs and Expenses . Each party hereto shall each pay their own respective costs and expenses, including, without limitation, any commission or finder’s fee to any broker or finder, incurred in connection with the negotiation, preparation, execution and performance of this Agreement.
     Section 4.12 Severability . If any one or more of the provisions contained herein, or the application thereof in any circumstance, is held invalid, illegal or unenforceable, the validity, legality and enforceability of any such provision in every other respect and of the remaining provisions contained herein shall not be affected or impaired thereby.
(Signatures appear on the next page.)

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     IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed as of the date first above written.
         
  THE PURCHASER:

HCA HOLDINGS, INC.
 
 
  By:   /s/ John M. Franck II    
    Name:   John M. Franck   
    Title:   Vice President and Corporate Secretary   
 
[Signature Page to Share Repurchase Agreement]

 


 

         
  AS A SELLER:

ML GLOBAL PRIVATE EQUITY FUND, L.P.
 
 
  By:   MLGPE LTD, its general partner    
       
  By:   /s/ James D. Forbes    
    Name:   James D. Forbes   
    Title:   President   
 
[Signature Page to Share Repurchase Agreement]

 


 

         
  AS A SELLER:

ML HCA CO-INVEST, L.P.
 
 
  By:   ML HCA Co-Invest LTD, its general partner
 
 
  By:   /s/ James D. Forbes    
    Name:   James D. Forbes   
    Title:   Authorized Signatory   
 
[Signature Page to Share Repurchase Agreement]

 


 

Schedule A
         
Seller   Common Shares  
ML Global Private Equity Fund, L.P.
    76,272,414  
ML HCA Co-Invest, L.P.
    4,498,729  
TOTAL
    80,771,143  

 

EXHIBIT 10.2
AMENDMENT TO THE
STOCKHOLDERS’ AGREEMENT
OF
HCA HOLDINGS, INC.
          This Amendment, dated as of September 21, 2011 (the “ Amendment ”), to the Stockholders’ Agreement of HCA Holdings, Inc., a Delaware corporation (the “ Company ”), dated as of March 9, 2011 (as has been and as may be amended, supplemented or modified from time to time, the “ Stockholders Agreement ”), by and among the Company, Hercules Holding II, LLC, a Delaware limited liability company (“ Parent ”) and the other signatories thereto, is made by the Company, Parent and the other signatories hereto. Capitalized terms used herein but not defined herein shall have the meanings set forth in the Stockholders Agreement.
RECITALS :
     WHEREAS, the Company, Parent and undersigned Investors representing the Requisite Consent desire to amend the Stockholders Agreement in the manner and as more fully set forth herein pursuant to Section 3.2 of the Stockholders Agreement.
     NOW, THEREFORE, in consideration of the terms and conditions contained in this Amendment and other good and valuable consideration, the mutual receipt and legal sufficiency of which are hereby acknowledged, the parties hereto hereby agree the Stockholders Agreement shall be amended as follows:
     1.  Removal of Certain Investors . Each of ML Global Private Equity Fund, L.P., Merrill Lynch Ventures L.P. 2001 and ML HCA Co-Invest, L.P. is hereby released and removed as a party to the Stockholders Agreement and shall cease to be entitled to any rights, or be subject to any obligations, thereunder.
     2.  Amendments to Section 1.1 . Section 1.1 of the Stockholders Agreement is hereby amended by:
     (a) deleting the definition of “ BAML Group ” in its entirety;
     (b) deleting the definition of “ Requisite Consent ” and replacing it in its entirety with the following:
     “ Requisite Consent ” shall mean the consent of the Investor Groups having a pecuniary interest over a majority of the shares of Common Stock over which the Investor Groups then have a pecuniary interest, including at all times for so long as each Sponsor Group has a pecuniary interest in at least 20% of the shares of Common Stock over which such Sponsor Group has a pecuniary interest as of the date of this Agreement, the consent of each such Sponsor Group and at any time as there is only one Sponsor Group that has a pecuniary interest in at least 20% of the shares of Common Stock over which such Sponsor Group has a pecuniary interest as of the date of this Agreement, the consent of such Sponsor Group.”; and

 


 

     (c) deleting the definition of “ Sponsor Group ” and replacing it in its entirety with the following:
     “ Sponsor Group ” shall mean, as applicable, (i) the Bain Group and (ii) the KKR Group.”
     3.  Amendment to Section 2.1 . Section 2.1(a) of the Stockholders Agreement is hereby amended by deleting such section and replacing it in its entirety with the following:
     “(a) Effective as of the September 21, 2011, the Board shall be comprised of twelve members (each, a “ Director ”), of whom (i) three (3) shall be designees of the Bain Group, (ii) three (3) shall be designees of the KKR Group, (iii) two (2) shall be designees of the Frist Group, (iv) one (1) shall be the Chief Executive Officer of the Company, (v) one (1) shall be the Chief Financial Officer of the Company and (vi) two (2) shall be Independent Directors; provided that within one year of the Closing Date, the Board shall be expanded to add an additional Independent Director and each Investor Group shall take all action reasonably necessary to increase the size of board to add such additional Independent Director.”
     4.  Amendment to Section 3.1 . Section 3.1 of the Stockholders Agreement is hereby amended by:
     (a) deleting the following from clause (ii) thereof:
“c/o:
ML Global Private Equity Fund, L.P.
c/o BAML Capital Partners
Four World Financial Center, Floor 23
New York, NY 10080
Attention: Christopher Birosak
Fax: (212) 449-1119”
(b) deleting the following from clause (iii) thereof:
“(iv) if to the BAML Group:
ML Global Private Equity Fund, L.P.
c/o BAML Capital Partners
Four World Financial Center, Floor 23
New York, NY 10080
Attention: Christopher Birosak
Fax: (212) 449-1119”
     5.  No Other Amendments . Except as expressly amended hereby, the provisions of the Stockholders Agreement are and shall continue to be in full force and effect and are hereby in all respects ratified and confirmed. This Amendment shall be effective as of the date hereof.

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     6.  References . Whenever the Agreement (or similar term) is referred to in the Stockholders Agreement or in any other agreements, documents or instruments, any such reference shall be deemed to be the Stockholders Agreement as amended by this Amendment.
     7.  Governing Law . This Amendment shall be governed by and construed in accordance with the laws of the State of Delaware.
     8.  Counterparts . This Amendment may be signed in any number of counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one agreement.
[ Remainder of Page Intentionally Left Blank ]

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          IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed as of the date first above written.
         
  HCA HOLDINGS, INC.
 
 
  By:   /s/ John M. Franck II    
    Name:   John M. Franck II   
    Title:   Vice President and Corporate Secretary   
 
  HERCULES HOLDING II, LLC
 
 
  By:   /s/ Chris Gordon    
    Name:   Chris Gordon   
    Title:   President   
 
[ Amendment to Stockholders Agreement ]

 


 

         
  KKR 2006 FUND L.P.
 
 
  By:   KKR Associates 2006 L.P.,    
    its general partner   
       
     
  By:   KKR 2006 GP LLC, its general partner    
       
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
  KKR MILLENNIUM FUND L.P.
 
 
  By:   KKR Associates Millennium L.P.,    
    its general partner   
       
     
  By:   KKR Millennium GP LLC, its general partner    
 
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
  KKR PEI INVESTMENTS, L.P.
 
 
  By:   KKR PEI Associates, L.P.,    
    its general partner   
 
     
  By:   KKR PEI GP Limited, its general partner    
       
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
[ Amendment to Stockholders Agreement ]

 


 

         
  KKR PARTNERS III, L.P.
 
 
  By:   KKR III GP LLC,    
    its general partner   
       
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
  OPERF CO-INVESTMENT LLC
 
 
  By:   KKR Associates 2006 L.P.,    
    its manager   
       
     
  By:   KKR 2006 GP LLC, its general partner    
       
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
  8 NORTH AMERICA INVESTOR L.P.
 
 
  By:   KKR Associates 8 NA L.P.,    
    its general partner   
       
     
  By:   KKR 8 NA Limited, its general partner    
     
  By:   /s/ William J. Janetschek    
    Name:   William J. Janetschek   
    Title:   Director   
 
[ Amendment to Stockholders Agreement ]

 


 

         
  BAIN CAPITAL INTEGRAL INVESTORS
2006, LLC

 
 
  By:   Bain Capital Investors, LLC,    
    its administrative member   
     
  By:   /s/ Chris Gordon    
    Name:   Chris Gordon   
    Title:   Managing Director   
 
  BCIP TCV, LLC
 
 
  By:   Bain Capital Investors, LLC,    
    its administrative member   
     
  By:   /s/ Chris Gordon    
    Name:   Chris Gordon   
    Title:   Managing Director   
 
  BAIN CAPITAL HERCULES INVESTORS, LLC
 
 
  By:   Bain Capital Investors, LLC,    
    its administrative member   
     
  By:   /s/ Chris Gordon    
    Name:   Chris Gordon   
    Title:   Managing Director   
 
[ Amendment to Stockholders Agreement ]

 


 

         
  FRISCO INC.
 
 
  By:   /s/ Dr. Thomas F. Frist    
    Name:   Dr. Thomas F. Frist   
    Title:   Director   
 
[ Amendment to Stockholders Agreement ]