COLUMBIA HCA HEALTHCARE CORP/
S-3, 1994-04-29
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 29, 1994

                                                       REGISTRATION NO. 33-
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------

                                    FORM S-3
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                             ---------------------

                      COLUMBIA/HCA HEALTHCARE CORPORATION
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)

<TABLE>
<S>                               <C>                               <C>
            DELAWARE                            8062                           75-2497104
(State or other jurisdiction of     (Primary Standard Industrial            (I.R.S. Employer
 incorporation or organization)     Classification Code Number)           Identification No.)
</TABLE>

                              201 WEST MAIN STREET
                           LOUISVILLE, KENTUCKY 40202
                                 (502) 572-2000
    (Address, including zip code, and telephone number, including area code,
                  of registrant's principal executive offices)

          STEPHEN T. BRAUN, SENIOR VICE PRESIDENT AND GENERAL COUNSEL
                      COLUMBIA/HCA HEALTHCARE CORPORATION
                              201 WEST MAIN STREET
                           LOUISVILLE, KENTUCKY 40202
                                 (502) 572-2000
           (Name, address, including zip code, and telephone number,
                   including area code, of agent for service)

                                    COPY TO:
                              Christie S. Flanagan
                               Ronald J. Frappier
                              Jenkens & Gilchrist
                           A Professional Corporation
                          1445 Ross Avenue, Suite 3200
                              Dallas, Texas 75202
                                 (214) 855-4500

        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
     FROM TIME TO TIME AFTER THIS REGISTRATION STATEMENT BECOMES EFFECTIVE.

    If  the  only securities  being registered  on this  Form are  being offered
pursuant to dividend or interest reinvestment plans, please check the  following
box.  / /

    If  any of the securities being registered on this Form are to be offered on
a delayed or continuous basis pursuant to  Rule 415 under the Securities Act  of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, please check the following box.  /X/

                        CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
     TITLE OF EACH                                 PROPOSED MAXIMUM     PROPOSED MAXIMUM       AMOUNT OF
  CLASS OF SECURITIES          AMOUNT TO BE         OFFERING PRICE     AGGREGATE OFFERING     REGISTRATION
    TO BE REGISTERED            REGISTERED             PER UNIT             PRICE (1)             FEE
<S>                       <C>                     <C>                  <C>                  <C>
Debt Securities.........      $1,500,000,000             100%            $1,500,000,000         $517,242
</TABLE>

(1)Estimated solely for purposes of calculating the registration fee.

    THE  REGISTRANT HEREBY  AMENDS THIS REGISTRATION  STATEMENT ON  SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A  FURTHER  AMENDMENT  WHICH SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT  SHALL THEREAFTER BECOME EFFECTIVE IN  ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT  OF 1933  OR UNTIL  THE REGISTRATION  STATEMENT SHALL  BECOME
EFFECTIVE  ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A),
MAY DETERMINE.

    PURSUANT TO RULE 429, THE PROSPECTUS INCLUDED AS A PART OF THIS REGISTRATION
STATEMENT RELATES TO THE SECURITIES  REGISTERED HEREBY AND THE REMAINING  UNSOLD
DEBT  SECURITIES HAVING A PROPOSED MAXIMUM  OFFERING PRICE OF $25,000,000, WHICH
WERE PREVIOUSLY REGISTERED  UNDER REGISTRATION  STATEMENT NO.  33-50985 ON  FORM
S-3.

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
PROSPECTUS

                      COLUMBIA/HCA HEALTHCARE CORPORATION

                                DEBT SECURITIES

                               ------------------

    Columbia/HCA  Healthcare Corporation (the "Company")  may offer at any time,
or from time to time, its debt securities consisting of debentures, notes and/or
other unsecured  evidences  of  indebtedness (the  "Debt  Securities")  with  an
aggregate  initial offering price not to exceed $1,525,000,000. The Company will
offer  the  Debt  Securities  to  the  public  on  terms  determined  by  market
conditions.  The  Debt  Securities may  be  offered separately  or  together, in
separate series, in amounts, at prices and on terms to be determined at the time
of sale  and  to be  set  forth in  supplements  to this  Prospectus.  The  Debt
Securities  may be  sold for U.S.  dollars or  one or more  foreign or composite
currencies and the principal of, premium, if  any, and interest, if any, on  the
Debt  Securities may likewise be payable in  U.S. dollars or one or more foreign
or composite currencies.

    The Debt Securities will be senior obligations of the Company, unsecured and
unsubordinated to any other existing indebtedness of the Company.

    The terms of the  Debt Securities, including  where applicable the  specific
designation,  aggregate principal  amount, denominations,  maturity, rate (which
may be fixed  or variable) and  time of  payment of interest,  if any,  purchase
price,  any terms for  mandatory redemption or  redemption at the  option of the
Company or  the holder  and any  terms for  sinking fund  payments, the  initial
public  offering  price,  and  the  names of  any  underwriters  or  agents, the
principal amounts, if any, to be purchased by underwriters, the compensation, if
any, of such underwriters or agents and  any other terms in connection with  the
offering  and sale of the Debt Securities in respect of which this Prospectus is
being delivered, will  be set  forth in the  accompanying Prospectus  Supplement
(the "Prospectus Supplement").

    The   Debt  Securities  may  be   issuable  in  registered  definitive  form
("Certificated Notes") or  may be represented  by one or  more permanent  global
securities   ("Global  Notes"),  as  specified   in  the  applicable  Prospectus
Supplement. Except in limited circumstances, owners of beneficial interests in a
Global Note will not  be entitled to receive  physical delivery of  Certificated
Notes  and will not be  considered the holders thereof.  See "Description of the
Debt Securities -- Book-Entry System."

    The Debt Securities  may be  sold to  underwriters, to  or through  dealers,
acting  as principals for their own account  or acting as agents, or directly to
other purchasers.  The  Company may  indemnify  such underwriters,  dealers  and
agents  against certain liabilities, including  liabilities under the Securities
Act of 1933. See "Plan of Distribution."

                            ------------------------

  THESE SECURITIES HAVE  NOT BEEN  APPROVED OR DISAPPROVED  BY THE  SECURITIES
    AND  EXCHANGE  COMMISSION OR  ANY  STATE SECURITIES  COMMISSION  NOR HAS
     THE  SECURITIES  AND  EXCHANGE  COMMISSION  OR  ANY  STATE  SECURITIES
      COMMISSION  PASSED  UPON  THE  ACCURACY  OR  ADEQUACY  OF  THIS PRO-
       SPECTUS.  ANY  REPRESENTATION  TO  THE  CONTRARY  IS  A   CRIMINAL
                                    OFFENSE.

                            ------------------------

    This  Prospectus may not be used to  consummate sales of the Debt Securities
unless accompanied by a Prospectus Supplement.

May   , 1994
<PAGE>
                             AVAILABLE INFORMATION

    The  Company is subject to the  informational requirements of the Securities
Exchange Act of  1934, as amended  (the "Exchange Act"),  and, therefore,  files
reports, proxy statements and other information with the Securities and Exchange
Commission   (the  "Commission").  Such  reports,  proxy  statements  and  other
information can  be inspected  and  copied at  the public  reference  facilities
maintained  by the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549;
at its New York Regional  Office, Seven World Trade  Center, New York, New  York
10048;  and at its Chicago Regional Office, Northwestern Atrium Center, 500 West
Madison Street, Suite 1400, Chicago, Illinois 60661. Copies of such material can
be obtained at prescribed rates, by  writing to the Public Reference Section  of
the  Commission, 450 Fifth  Street, N.W., Washington,  D.C. 20549. Such material
can also be inspected at the New York Stock Exchange, 20 Broad Street, New York,
New York 10005, on which the Company's Common Stock is listed.

    This Prospectus constitutes a part of  a Registration Statement on Form  S-3
(together   with  all   amendments,  supplements   and  exhibits   thereto,  the
"Registration Statement") filed  by the  Company with the  Commission under  the
Securities Act of 1933, as amended (the "Securities Act"). This Prospectus omits
certain  of  the  information  set  forth  in  the  Registration  Statement  (in
accordance with the rules and regulations  of the Commission), and reference  is
hereby  made  to the  Registration Statement  and  related exhibits  for further
information with respect to the Company and the Debt Securities.

               INCORPORATION OF CERTAIN INFORMATION BY REFERENCE

    The following  documents  filed  by  the Company  with  the  Commission  are
incorporated herein by reference:

         1. Annual Report on Form 10-K for the year ended December 31, 1993 (the
    "Form 10-K").

         2.  The  portions of  the  Proxy Statement  for  the Annual  Meeting of
    Stockholders to  be  held  May  12, 1994  that  have  been  incorporated  by
    reference in the Form 10-K.

         3. Current Report on Form 8-K dated April 25, 1994.

         4. Registration Statement on Form 8-A dated August 31, 1993.

    All  reports and other documents subsequently  filed by the Company pursuant
to Section 13(a), 13(c), 14 or 15(d) of the Exchange Act after the date of  this
Prospectus  and prior to the termination of  this offering shall be deemed to be
incorporated by reference herein and to be a part hereof from the date of filing
of such reports and documents. Any statement set forth herein or in a  document,
all  or  a portion  of which  is incorporated  or deemed  to be  incorporated by
reference herein, will be  deemed to be modified  or superseded for purposes  of
this  Prospectus  to  the extent  that  a statement  set  forth herein  or  in a
subsequently filed  document  deemed  to be  incorporated  by  reference  herein
modifies  or supersedes such statement. Any  statement so modified or superseded
shall not be deemed, except as so  modified or superseded, to constitute a  part
of this Prospectus.

    THE  COMPANY  WILL  FURNISH,  WITHOUT  CHARGE,  TO  EACH  PERSON  TO  WHOM A
PROSPECTUS AND  PROSPECTUS  SUPPLEMENT  ARE  DELIVERED,  UPON  WRITTEN  OR  ORAL
REQUEST,  A COPY OF ANY OR ALL OF THE FOREGOING DOCUMENTS INCORPORATED HEREIN BY
REFERENCE OTHER  THAN  EXHIBITS TO  SUCH  DOCUMENTS (UNLESS  SUCH  EXHIBITS  ARE
SPECIFICALLY  INCORPORATED BY  REFERENCE THEREIN).  REQUESTS FOR  SUCH DOCUMENTS
SHOULD BE  SUBMITTED  IN WRITING  TO  JOAN O.  KROGER,  SECRETARY,  COLUMBIA/HCA
HEALTHCARE  CORPORATION, 201 WEST MAIN STREET,  LOUISVILLE, KENTUCKY 40202 OR BY
TELEPHONE AT (502) 572-2259.

                                       2
<PAGE>
                                  THE COMPANY

    The  Company is a  healthcare services company that  is primarily engaged in
buying,  selling,  owning  and  operating  general,  acute  care  and  specialty
hospitals  and related healthcare facilities. As  of March 31, 1994, the Company
operated 196 hospitals located in 26 states and two foreign countries.

    On February  10,  1994, the  Company  acquired HCA-Hospital  Corporation  of
America  ("HCA") pursuant to a merger transaction  accounted for as a pooling of
interests (the "HCA  Merger"). HCA was  one of the  leading hospital  management
companies  in  the  United  States. Effective  September  1,  1993,  the Company
acquired Galen  Health Care,  Inc. ("Galen")  pursuant to  a merger  transaction
accounted for as a pooling of interests (the "Galen Merger"). Galen was a health
care  services company that  primarily owned and  operated acute care hospitals.
Galen began  operations as  an independent  publicly held  corporation upon  the
distribution  of all of its common stock (the "Spinoff") by its then 100% owner,
Humana Inc. ("Humana"), on March 1, 1993.

    The Company  was  formed  in  January  1990  as  a  Nevada  corporation  and
reincorporated  in Delaware in September 1993. The Company's principal executive
offices are located at 201 West Main Street, Louisville, Kentucky 40202, and its
telephone number at such address is (502) 572-2000.

                                 RECENT EVENTS

    In connection with  the HCA  Merger, the Company  established new  revolving
credit  facilities (the  "Credit Facilities")  with Chemical  Bank as  Agent and
numerous other  banks  and  financial  institutions as  parties  thereto  in  an
aggregate  amount of $3.0 billion. The Credit Facilities consist of a $1 billion
four-year revolving credit facility  and a $2  billion 364-day revolving  credit
facility.  The Credit Facilities  provide credit support  for the Company's $600
million Section 3(a)3 and $1.9  billion Section 4(2) commercial paper  programs.
The  Credit Facilities contain customary covenants, including (a) limitations on
additional debt  and liens,  (b) limitations  on sales  of assets,  mergers  and
changes of ownership and (c) maintenance of interest coverage.

    Upon  consummation of the HCA Merger,  the Company repaid approximately $1.2
billion outstanding under the HCA  bank credit agreements from cash,  commercial
paper  and  bank borrowings.  HCA's bank  facilities were  then cancelled.  As a
result of this and certain  other refinancing transactions, the Company  expects
to  incur an  extraordinary loss  of approximately  $90 million  on an after-tax
basis  in  the  first  quarter  of  1994.  The  purpose  of  these   refinancing
transactions is to reduce future interest expense.

                       RATIO OF EARNINGS TO FIXED CHARGES

    The  following  table sets  forth the  ratio  of the  Company's consolidated
earnings to fixed  charges and  gives effect to  the HCA  Merger consummated  on
February 10, 1994 for all periods presented.

<TABLE>
<CAPTION>
          FOR THE YEARS ENDED DECEMBER 31,
- -----------------------------------------------------
  1993       1992       1991       1990       1989
- ---------  ---------  ---------  ---------  ---------
<S>        <C>        <C>        <C>        <C>
    3.42x      2.11x      1.82x      1.85x      1.83x
</TABLE>

    For  the  purpose  of computing  the  ratio  of earnings  to  fixed charges,
"earnings" consists of  income from continuing  operations before income  taxes,
minority  interest  and  fixed  charges. "Fixed  charges"  consists  of interest
expense,  debt  amortization  costs  and   one-third  of  rent  expense,   which
approximates the interest portion of rent expense.

    A  statement setting forth the computation of the ratio of earnings to fixed
charges for each of the five years ended  December 31 is filed as an exhibit  to
the Registration Statement of which this Prospectus is a part.

                                       3
<PAGE>
                                USE OF PROCEEDS

    The net proceeds from the sale of the Debt Securities offered hereby will be
used  for  general corporate  purposes, which  may include,  without limitation,
repayment of commercial paper and other indebtedness, additional  capitalization
of  the Company's subsidiaries and affiliates, capital expenditures and possible
acquisitions, unless a specific determination as  to the use of the proceeds  is
otherwise described in the accompanying Prospectus Supplement.

                       DESCRIPTION OF THE DEBT SECURITIES

    The following description summarizes certain general terms and provisions of
the  Debt Securities. The particular terms of the Debt Securities, including the
nature of  any  variations  from  the  following  general  provisions,  will  be
described in the Prospectus Supplement relating to such Debt Securities.

    The  Debt  Securities,  which  will  represent  senior  indebtedness  of the
Company, may be  issued in one  or more  series under an  Indenture between  the
Company  and The  First National  Bank of  Chicago, as  Trustee (the "Trustee"),
dated as of December  15, 1993 (the "Indenture").  The Indenture has been  filed
with  the  Commission  as  an  exhibit  to  the  Registration  Statement  and is
incorporated by reference herein.

    The following  summary  of certain  provisions  of the  Indenture  does  not
purport  to be complete and  is subject to, and is  qualified in its entirety by
reference to, all provisions of the Indenture, including the definition  therein
of  certain terms.  All article and  section references appearing  herein are to
articles and sections  of the  Indenture. Unless otherwise  defined herein,  all
capitalized terms shall have the definitions set forth in the Indenture.

GENERAL

    Since  the  Company is  a  holding company,  the  rights of  the  Company to
participate in any distribution of assets of any subsidiary upon its liquidation
or reorganization or  otherwise (and  thus the ability  of holders  of the  Debt
Securities to benefit from such distribution) are subject to the prior claims of
creditors  of that subsidiary, except to the  extent that the Company may itself
be a creditor  with recognized  claims against  that subsidiary.  Claims on  the
Company's   subsidiaries  by  creditors   may  include  claims   of  holders  of
indebtedness and claims of  creditors in the ordinary  course of business.  Such
claims  may increase or decrease,  and additional claims may  be incurred in the
future.

    The Indenture  does  not  limit  the  aggregate  principal  amount  of  Debt
Securities  that may be issued thereunder  and provides that Debt Securities may
be issued from time  to time in  series. The Debt  Securities will be  unsecured
obligations  of the Company and  will rank on a  parity with all other unsecured
and unsubordinated indebtedness of the Company. The Indenture limits the ability
of the Company and its Subsidiaries  under certain circumstances to secure  Debt
(as   hereinafter  defined)  by  mortgages   on  its  Principal  Properties  (as
hereinafter defined), entering into Sale and Lease-Back Transactions or  issuing
Subsidiary Debt or Preferred Stock as more fully described below.

    The  Prospectus Supplement  will describe  the following  terms of  the Debt
Securities being offered: (1) the title of the Debt Securities; (2) any limit on
the aggregate principal amount of the Debt Securities; (3) the date or dates  on
which the Debt Securities may be issued and are or will be payable; (4) the rate
or rates per annum (which may be fixed or variable) at which the Debt Securities
will  bear interest, if any, or the method  by which such rate or rates shall be
determined, and the date or dates from which such interest, if any, will accrue;
(5) the date or  dates on which  such interest, if any,  on the Debt  Securities
will  be payable  and the  Regular Record  Dates for  any such  Interest Payment
Dates; and the extent to which, or the manner in which, any interest payable  on
a global Debt Security ("Global Notes") on an Interest Payment Date will be paid
if  other than in the manner described under "Book-Entry System" below; (6) each
office or agency where, subject to the terms of the Indenture as described below
under "Payment and Paying  Agents," the principal of,  and premium, if any,  and
any  interest on the Debt  Securities will be payable  and each office or agency
where, subject to

                                       4
<PAGE>
the terms of the Indenture as described below under "Denominations, Registration
and Transfer," the Debt Securities may be presented for registration of transfer
or exchange; (7)  the period or  periods within  which, the price  or prices  at
which,  and  the terms  and conditions  upon  which the  Debt Securities  may be
redeemed at  the option  of the  Company; (8)  the obligation,  if any,  of  the
Company  to redeem,  to repay  or purchase the  Debt Securities  pursuant to any
sinking fund or analogous provisions  or at the option  of a Holder thereof  and
the  period or periods within which, the price  or prices at which and the terms
and conditions  upon which  the  Debt Securities  will  be redeemed,  repaid  or
purchased  pursuant to any such obligation;  (9) whether the Debt Securities are
to be issued with original issue discount within the meaning of Section  1273(a)
of  the  Internal  Revenue  Code  of 1986,  as  amended  (the  "Code"),  and the
regulations thereunder; (10)  whether the Debt  Securities are to  be issued  in
whole  or in  part in  the form  of one  or more  Global Notes  and, if  so, the
identity of the depositary, if any, for such Global Note or Notes; (11) if other
than Dollars, the Foreign  Currency or Currencies or  Foreign Currency Units  in
which  the  principal of,  and premium,  if any,  and any  interest on  the Debt
Securities shall or may be paid and,  if applicable, whether at the election  of
the  Company and/or the Holder, and the conditions and manner of determining the
exchange rate or rates; (12) any index  used to determine the amount of  payment
of  principal of and premium,  if any, and any  interest on the Debt Securities;
(13) any addition to, or modification or  deletion of, any Events of Default  or
covenants  provided  for with  respect to  the Debt  Securities; (14)  any other
detailed terms and provisions of the Debt Securities which are not  inconsistent
with  the  Indenture (Section  301). Any  such  Prospectus Supplement  will also
describe any  special provisions  for  the payment  of additional  amounts  with
respect to the Debt Securities.

    The  Debt Securities may  be issued as  Discount Securities to  be sold at a
substantial discount below their  principal amount. "Discount Securities"  means
any  Debt Securities  issued with  original issue  discount for  purposes of the
Code. Special United States  income tax and  other considerations applicable  to
Discount  Securities  will be  described in  the Prospectus  Supplement relating
thereto. Discount Securities may provide for the declaration or acceleration  of
the  Maturity  of an  amount less  than  the principal  amount thereof  upon the
occurrence of an Event  of Default and the  continuation thereof (Sections  101,
502).

DENOMINATIONS, REGISTRATION AND TRANSFER

    The  Debt Securities of a series may be  issuable in whole or in part in the
form of one or more Global Notes, as described below under "Book-Entry  System."
Unless otherwise provided in an applicable Prospectus Supplement with respect to
a  series of  Debt Securities,  the Debt  Securities will  be issuable  in fully
registered form and in denominations of  $1,000 or any multiple thereof. One  or
more  Global Notes will  be issued in a  denomination or aggregate denominations
equal to the aggregate  principal amount of Outstanding  Debt Securities of  the
series  to be represented by such Global Note or Notes. (Sections 201, 301, 302,
304).

    The Debt  Securities  of any  series  (other than  a  Global Note)  will  be
exchangeable  for  other  Debt Securities  of  the  same series  and  of  a like
aggregate principal amount and tenor of different authorized denominations.  The
Debt  Securities  may be  presented  for exchange  as  provided above,  and Debt
Securities (other  than a  Global Note)  may be  presented for  registration  of
transfer  (with the  form of  transfer endorsed  thereon duly  executed), at the
office of  the Security  Registrar or  co-Security Registrar  designated by  the
Company  for such  purpose with  respect to  any series  of Debt  Securities and
referred to in an applicable  Prospectus Supplement, without service charge  and
upon  payment of any  taxes and other  governmental charges as  described in the
Indenture. Such  transfer  or  exchange  will  be  effected  upon  the  Security
Registrar  or co-Security Registrar being satisfied  with the documents of title
and identity of  the person making  the request. The  Company has appointed  the
Trustee as Security Registrar (Section 305).

PAYMENT AND PAYING AGENTS

    Unless  otherwise indicated in an  applicable Prospectus Supplement, payment
of principal of, and premium,  if any, and any  interest on the Debt  Securities
will be made at the office of such Paying

                                       5
<PAGE>
Agent  or Paying Agents as  the Company may designate  from time to time, except
that at the option  of the Company payment  of any interest may  be made (i)  by
check mailed to the address of the Person entitled thereto as such address shall
appear  in  the  Security  Register  or (ii)  by  wire  transfer  to  an account
maintained by  the  Person  entitled thereto  (Section  307).  Unless  otherwise
indicated  in an applicable Prospectus Supplement, payment of any installment of
interest on the Debt Securities  will be made to the  Person in whose name  such
Debt  Security is registered at the close of business on the Regular Record Date
for such interest (Section 307).

    Unless otherwise  indicated  in  an applicable  Prospectus  Supplement,  the
Trustee will act as the Company's sole Paying Agent through its principal office
in  the Borough  of Manhattan, The  City of New  York, with respect  to the Debt
Securities. Any Paying Agents outside the United States and other Paying  Agents
in the United States initially designated by the Company for the Debt Securities
being  offered will be named in an applicable Prospectus Supplement. The Company
may at any time designate additional Paying Agents or rescind the designation of
any Paying Agent  or approve a  change in  the office through  which any  Paying
Agent acts; provided, however, the Company will be required to maintain a Paying
Agent in each Place of Payment for such series.

    All  moneys paid  by the Company  to the Trustee  or a Paying  Agent for the
payment of principal  of, and  premium, if  any, and  any interest  on any  Debt
Security  which remain unclaimed at  the end of two  years after such principal,
premium or interest  shall have become  due and  payable will be  repaid to  the
Company,  and the Holder of  such Debt Security may  thereafter look only to the
Company for payment thereof (Section 1103).

BOOK-ENTRY SYSTEM

    The Debt Securities of  a series may be  issued in whole or  in part in  the
form  of one or more Global Notes that will  be deposited with or on behalf of a
depositary located  in the  United  States (a  "Depositary") identified  in  the
Prospectus Supplement relating to such series.

    The  specific terms of  the depositary arrangement with  respect to any Debt
Securities of a series will be  described in the Prospectus Supplement  relating
to such series. The Company anticipates that the following provisions will apply
to all depositary arrangements.

    Unless  otherwise  specified in  an  applicable Prospectus  Supplement, Debt
Securities that are to be represented by  a Global Note to be deposited with  or
on behalf of a Depositary will be represented by a Global Note registered in the
name  of such Depositary or  its nominee. Upon the issuance  of a Global Note in
registered form,  the  Depositary for  such  Global  Note will  credit,  on  its
book-entry registration and transfer system, the respective principal amounts of
the  Debt  Securities  represented  by  such  Global  Note  to  the  accounts of
institutions  that  have   accounts  with   such  Depositary   or  its   nominee
("participants").  The  accounts  to  be credited  shall  be  designated  by the
underwriters or agents of such Debt Securities  or by the Company, if such  Debt
Securities are offered and sold directly by the Company. Ownership of beneficial
interests  in such Global Notes will be  limited to participants or persons that
may hold interests  through participants. Ownership  of beneficial interests  by
participants  in such Global  Notes will be  shown on, and  the transfer of that
ownership interest  will be  effected only  through, records  maintained by  the
Depositary  or  its  nominee  for  such  Global  Note.  Ownership  of beneficial
interests in Global  Notes by  persons that  hold through  participants will  be
shown  on, and the  transfer of that ownership  interest within such participant
will be effected only through, records maintained by such participant. The  laws
of  some  jurisdictions  require  that  certain  purchasers  of  securities take
physical delivery of such  securities in definitive form.  Such limits and  such
laws may impair the ability to transfer beneficial interests in a Global Note.

    So  long  as  the Depositary  for  a Global  Note,  or its  nominee,  is the
registered owner of such  Global Note, such Depositary  or such nominee, as  the
case  may be, will be considered the sole owner or holder of the Debt Securities
represented by such Global Note for  all purposes under the Indenture  governing
such  Debt Securities. Except as set forth below, owners of beneficial interests
in such Global Notes will

                                       6
<PAGE>
not be entitled to have Debt Securities of the series represented by such Global
Note registered  in their  names, will  not receive  or be  entitled to  receive
physical  delivery of Debt Securities of such series in definitive form and will
not be considered the owners or holders thereof under the Indenture.

    Payment of  principal  of,  premium,  if  any,  and  any  interest  on  Debt
Securities registered in the name of or held by a Depositary or its nominee will
be  made to the Depositary or its nominee, as the case may be, as the registered
owner or the holder of the  Global Note representing such Debt Securities.  None
of the Company, the Trustee, any Paying Agent or the Security Registrar for such
Debt  Securities will have any responsibility or liability for any aspect of the
records relating  to  or  payments  made  on  account  of  beneficial  ownership
interests  in  a  Global  Note  for such  Debt  Securities  or  for maintaining,
supervising or  reviewing  any records  relating  to such  beneficial  ownership
interests.

    The  Company expects  that the Depositary  for Debt Securities  of a series,
upon receipt of any payment  of principal, premium or  interest in respect of  a
permanent  Global  Note,  will credit  immediately  participants'  accounts with
payments in amounts  proportionate to their  respective beneficial interests  in
the  principal  amount of  such  Global Note  as shown  on  the records  of such
Depositary. The Company also expects that payments by participants to owners  of
beneficial  interests in such Global Note held through such participants will be
governed by standing instructions  and customary practices, as  is now the  case
with  securities held for the accounts of customers registered in "street name,"
and will be the responsibility of such participants.

    A Global Note may not be transferred except as a whole by the Depositary for
such Global  Note to  a nominee  of  such Depositary  or by  a nominee  of  such
Depositary  to such Depositary or another nominee  of such Depositary or by such
Depositary or any such nominee to a successor of such Depositary or a nominee of
such successor (Section 304). If a Depositary for Debt Securities of a series is
at any  time unwilling  or unable  to  continue as  Depositary and  a  successor
Depositary  is not  appointed by  the Company within  90 days,  the Company will
issue Debt Securities in definitive registered  form in exchange for the  Global
Note or Notes representing such Debt Securities. In addition, the Company may at
any  time and in its  sole discretion determine not  to have any Debt Securities
represented by one  or more Global  Notes and,  in such event,  will issue  Debt
Securities  in definitive registered  form in exchange for  all the Global Notes
representing such  Debt  Securities.  In  any  such  instance,  an  owner  of  a
beneficial  interest in a Global  Note will be entitled  to physical delivery in
definitive form of Debt Securities of the series represented by such Global Note
equal in principal  amount to  such beneficial interest  and to  have such  Debt
Securities registered in its name.

LIMITATIONS ON THE COMPANY AND CERTAIN SUBSIDIARIES

    LIMITATIONS ON MORTGAGES

    The  Indenture provides that  neither the Company nor  any Subsidiary of the
Company will issue, assume  or guarantee any notes,  bonds, debentures or  other
similar  evidences of  indebtedness for money  borrowed ("Debt")  secured by any
mortgages, liens, pledges or other encumbrances ("Mortgages") upon any Principal
Property (as hereinafter  defined) without effectively  providing that the  Debt
Securities  (together with, if the Company so determines, any other indebtedness
or obligation then existing or thereafter created ranking equally with the  Debt
Securities) shall be secured equally and ratably with (or prior to) such Debt so
long  as such Debt  shall be so  secured, except that  this restriction will not
apply to: (1) Mortgages securing the  purchase price or cost of construction  of
property   (or  additions,  substantial   repairs,  alterations  or  substantial
improvements thereto  if  the amount  of  such Debt  does  not exceed  the  cost
thereof),  provided such Debt and the Mortgages are incurred within 18 months of
the acquisition or completion of construction  and full operation (or within  18
months  of the  completion of  such repairs,  alterations or  improvements); (2)
Mortgages existing on property at the time of its acquisition by the Company  or
a  Subsidiary or on the property of a corporation at the time of the acquisition
of such  corporation by  the  Company or  a Subsidiary  (including  acquisitions
through  merger or  consolidation); (3)  Mortgages to  secure Debt  on which the
interest payments are exempt  from federal income tax  under Section 103 of  the
Code; (4) Mortgages in

                                       7
<PAGE>
favor of the Company or a Consolidated Subsidiary; (5) Mortgages existing on the
date  of  the Indenture;  (6) certain  Mortgages  to governmental  entities; (7)
Mortgages incurred in connection with the borrowing of funds if within 120  days
such  funds are used to repay Debt in the same principal amount secured by other
Mortgages on  Principal Property  with an  independently appraised  fair  market
value  at  least equal  to  the appraised  fair  market value  of  the Principal
Property which secures the new Mortgage;  (8) Mortgages incurred within 90  days
(or  any longer period,  not in excess of  one year, as  permitted by law) after
acquisition of the related Principal Property arising solely in connection  with
the  transfer of tax benefits  in accordance with Section  168(f)(8) of the Code
(or any similar provision adopted hereafter); and (9) any extension, renewal  or
replacement of any Mortgage referred to in the foregoing clauses (1) through (8)
provided the amount secured is not increased (Section 1105).

    LIMITATIONS ON SALE AND LEASE-BACK

    The  Indenture provides  that neither  the Company  nor any  Subsidiary will
enter into any  Sale and Lease-Back  Transaction with respect  to any  Principal
Property  with any person (other than the Company or a Subsidiary) unless either
(i) the Company or such Subsidiary would be entitled, pursuant to the provisions
described in clauses (1) through (9) under "Limitations on Mortgages" above,  to
incur  Debt secured by a Mortgage on the Principal Property to be leased without
equally and ratably securing the Debt Securities, or (ii) the Company during  or
immediately  after the expiration of  120 days after the  effective date of such
transaction applies to the  voluntary retirement of its  Funded Debt and/or  the
acquisition or construction of Principal Property an amount equal to the greater
of  the net proceeds of  the sale of the property  leased in such transaction or
the fair value in the opinion of  the chief financial officer of the Company  of
the  leased property at the time such transaction was entered into, in each case
net of  the  principal  amount  of  all  debt  securities  delivered  under  the
Indenture, including the Debt Securities (Section 1106).

    LIMITATIONS ON SUBSIDIARY DEBT AND PREFERRED STOCK

    The  Indenture  provides  that the  Company  may not  permit  any Restricted
Subsidiary (which term includes most of the Company's existing Subsidiaries) to,
directly or indirectly, create, incur, issue, assume or otherwise become  liable
with  respect to, extend the  maturity of or become  responsible for the payment
of, as applicable, any Debt or  Preferred Stock other than (1) Debt  outstanding
on  the  date  of the  Indenture;  (2)  Debt of  a  Restricted  Subsidiary which
represents the  assumption by  such  Restricted Subsidiary  of Debt  of  another
Restricted  Subsidiary;  (3)  Debt  or Preferred  Stock  of  any  corporation or
partnership existing  at the  time  such corporation  or partnership  becomes  a
Subsidiary;  (4)  Debt  of  a  Restricted  Subsidiary  arising  from  agreements
providing  for  indemnification,  adjustment   of  purchase  price  or   similar
obligations  or from guarantees, letters of  credit, surety bonds or performance
bonds securing  any  obligations of  the  Company  or any  of  its  Subsidiaries
incurred or assumed in connection with the disposition of any business, property
or Subsidiary, other than guarantees or similar credit support by any Restricted
Subsidiary  of indebtedness incurred by any  Person acquiring all or any portion
of such  business, property  or Subsidiary  for the  purpose of  financing  such
acquisition;  (5) Debt  of a  Restricted Subsidiary  in respect  of performance,
surety and  other  similar bonds,  bankers  acceptances and  letters  of  credit
provided  by such Restricted Subsidiary in  the ordinary course of business; (6)
Debt secured by a  Mortgage incurred to  finance the purchase  price or cost  of
construction  of  property (or  additions,  substantial repairs,  alterations or
substantial improvements thereto), provided that (A) such Mortgage and the  Debt
secured  thereby are incurred within 18 months  of the later of such acquisition
or  completion  of  construction  (or  such  addition,  repair,  alteration   or
improvement) and full operation thereof and (B) such Mortgage does not relate to
any  property other  than the  property so  purchased or  constructed (or added,
repaired, altered or  improved); (7) Permitted  Subsidiary Refinancing Debt  (as
defined  in the Indenture); (8) Debt (including without limitation, Debt arising
from a  guarantee)  of  a  Restricted  Subsidiary  to  the  Company  or  another
Subsidiary,  but only  for so long  as held or  owned by the  Company or another
Subsidiary; or (9) any obligation pursuant to a Sale and Lease-Back  Transaction
permitted  pursuant to the  provisions described under  "Limitations on Sale and
Lease-Back" above (Section 1107).

                                       8
<PAGE>
    Notwithstanding the foregoing, the Company and any one or more Subsidiaries,
including Restricted Subsidiaries,  may, without securing  the Debt  Securities,
issue,  assume or guarantee Debt  or Preferred Stock or  enter into any Sale and
Lease-Back  Transaction  that  would  otherwise  be  subject  to  the  foregoing
restrictions  in an  aggregate principal amount  which, together  with all other
such Debt or Preferred Stock of the Company and its Subsidiaries (not  including
Debt  or Preferred Stock permitted pursuant to the foregoing paragraphs) and the
aggregate Attributable Debt (as defined below) in respect of Sale and Lease-Back
Transactions does  not  exceed  15%  of Consolidated  Net  Tangible  Assets  (as
hereinafter  defined) of the Company  and its Consolidated Subsidiaries (Section
1108).

    The term  Principal Property  is defined  to mean  each acute-care  hospital
providing  general medical and surgical  services (excluding equipment, personal
property and hospitals that primarily  provide specialty medical services,  such
as  psychiatric and obstetrical and gynecological  services) owned solely by the
Company and/or one or more of its Subsidiaries and located in the United States.
The term Consolidated Net Tangible Assets is defined to mean the total amount of
assets (less  applicable reserves  and other  properly deductible  items)  after
deducting therefrom (i) all current liabilities as disclosed on the consolidated
balance  sheet of  the Company  (excluding any thereof  that are  by their terms
extendible or renewable at the option of the obligor thereon to a time more than
12 months after the time  as of which the amount  thereof is being computed  and
excluding  any deferred income taxes that  are included in current liabilities),
and (ii)  all  goodwill,  trade names,  trademarks,  patents,  unamortized  debt
discount  and expense and other like intangible  assets, all as set forth on the
most recent consolidated balance sheet of the Company and computed in accordance
with generally accepted  accounting principles.  The term  Attributable Debt  is
defined to mean (i) as to any capitalized lease obligations, the Debt carried on
the  balance sheet in accordance  with generally accepted accounting principles,
and (ii) as to any operating leases,  the total net minimum rent required to  be
paid  under such leases during the remaining term thereof discounted at the rate
of 1%  per  annum over  the  weighted average  yield  to maturity  of  all  debt
securities issued and outstanding under the Indenture, including any outstanding
Debt Securities, compounded semi-annually (Section 101).

EVENTS OF DEFAULT

    The  following are Events of Default under the Indenture with respect to the
Debt Securities of any series: (a) failure to pay principal of or any premium on
any Debt Security of that  series when due; (b) failure  to pay any interest  on
any Debt Security of that series when due, continued for 30 days; (c) failure to
deposit  any sinking fund payment in respect of any Debt Security of that series
when due;  (d) failure  to perform  any other  covenant of  the Company  in  the
Indenture  (other  than a  covenant  included in  the  Indenture solely  for the
benefit of a series of Debt Securities other than the series), continued for  60
days  after written notice as  provided in the Indenture;  (e) certain events in
bankruptcy, insolvency or  reorganization; and  (f) any other  Event of  Default
provided  with respect to Debt  Securities of that series  (Section 501). If any
Event of Default  with respect  to Debt  Securities of  any series  at any  time
Outstanding  occurs and is continuing,  either the Trustee or  the Holders of at
least 25% in aggregate  principal amount of the  Outstanding Debt Securities  of
that series may declare the principal amount (or, if the Debt Securities of that
series  are Discount Securities, such portion of  the principal amount as may be
specified in the terms of that series) of all the Debt Securities of that series
to be  due  and  payable  immediately.  At  any  time  after  a  declaration  of
acceleration  with respect to Debt  Securities of any series  has been made, but
before a judgment or decree based on acceleration has been obtained, the Holders
of a majority in  aggregate principal amount of  Outstanding Debt Securities  of
that   series  may,  under   certain  circumstances,  rescind   and  annul  such
acceleration (Section 502).

    The Indenture  provides that,  subject to  the duty  of the  Trustee  during
default  to act with the required standard of care, the Trustee will be under no
obligation to exercise any of  its rights or powers  under the Indenture at  the
request  or direction  of any  of the  Holders, unless  such Holders  shall have
offered to  the Trustee  reasonable  indemnity (Section  603). Subject  to  such
provisions  for the indemnification of the Trustee, the Holders of a majority in
aggregate principal amount of the

                                       9
<PAGE>
Outstanding Debt Securities  of any  series will have  the right  to direct  the
time,  method and place of conducting any proceeding for any remedy available to
the Trustee, or  exercising any trust  or power conferred  on the Trustee,  with
respect to the Debt Securities of that series (Section 512).

    The  Company is required to furnish the Trustee annually with a statement as
to the  performance by  the Company  of  certain of  its obligations  under  the
Indenture and as to any default in such performance (Section 1109).

MODIFICATION AND WAIVER

    Modifications  of and amendments to the Indenture may be made by the Company
and the Trustee with the consent of the  Holders of not less than a majority  in
aggregate  principal amount  of the Outstanding  Debt Securities  of each series
affected by  such modification  or amendment;  provided, however,  that no  such
modification  or  amendment  may  without  the consent  of  the  Holder  of each
Outstanding Debt Security affected  thereby, (a) change  the Stated Maturity  of
the principal of, or any installment of interest, if any, on, any Debt Security,
(b)  reduce the  principal amount of,  or any  premium or interest  on, any Debt
Security, (c) reduce the amount of principal of Discount Securities payable upon
acceleration of the  maturity thereof,  (d) change  the currency  of payment  of
principal  of, or any premium or interest  on, any Debt Security, (e) impair the
right to institute suit for the enforcement of any payment on or with respect to
any Debt  Security,  or  (f)  reduce  the  percentage  in  principal  amount  of
Outstanding  Debt  Securities of  any series,  the consent  of whose  Holders is
required for  modification  or amendment  of  the  Indenture or  for  waiver  of
compliance  with certain  provisions of the  Indenture or for  waiver of certain
defaults (Section 1002).

    The Holders of a majority in  aggregate principal amount of the  Outstanding
Debt  Securities of each series may, on behalf of all Holders of Debt Securities
of that series, waive any past default under the Indenture with respect to  Debt
Securities  of that series, except a default  in the payment of principal or any
premium or  interest or  a covenant  or  provision that  cannot be  modified  or
amended  without the  consent of the  Holders of each  Outstanding Debt Security
affected thereby (Section 513).

CONSOLIDATION, MERGER, SALE OR LEASE OF ASSETS

    The Company, without the  consent of the Holders  of any of the  Outstanding
Debt  Securities under  the Indenture,  may consolidate  with or  merge into, or
transfer or lease  its assets substantially  as an entirety  to any  corporation
organized  under  the  laws  of any  domestic  jurisdiction,  provided  that the
successor corporation assumes the Company's  obligations on the Debt  Securities
and   under  the  Indenture,  that  immediately   after  giving  effect  to  the
transactions no Event of Default, and no  event which, after notice or lapse  of
time,  or both,  would become an  Event of  Default, shall have  occurred and be
continuing, and that certain other conditions are met (Section 901).

DEFEASANCE

    If so  specified in  the  Prospectus Supplement  with  respect to  the  Debt
Securities  of any series,  the Company, at  its option, (i)  will be discharged
from any and all obligations  in respect of the  Debt Securities of such  series
(except  for certain  obligations to register  the transfer or  exchange of Debt
Securities of such series, replace stolen, lost or mutilated Debt Securities  of
such  series, maintain paying agencies and hold  moneys for payment in trust) or
(ii) will not be subject to  provisions of the Indenture concerning  limitations
upon  Mortgages,  Subsidiary  Debt  and  Preferred  Stock,  Sale  and  Leaseback
Transactions, and consolidations, mergers and sales  of assets, in each case  if
the  Company  deposits with  the  Trustee, in  trust,  money or  U.S. Government
Obligations (as  defined) which  through  the payment  of interest  thereon  and
principal thereof in accordance with their terms will provide money in an amount
sufficient  to pay all the principal, premium,  if any, and interest on the Debt
Securities of such series on the dates such payments are due in accordance  with
the  terms of such Debt Securities. To  exercise any such option, the Company is
required, among other things, to deliver to the Trustee an opinion of counsel to
the effect  that (1)  the deposit  and related  defeasance would  not cause  the
Holders  of the Debt Securities of such series to recognize income, gain or loss
for United States

                                       10
<PAGE>
income tax purposes  and (2)  if the  Debt Securities  of such  series are  then
listed  on any national  securities exchange, such Debt  Securities would not be
delisted from such exchange as a result of the exercise of such option  (Article
Fourteen).

NOTICES

    Notices to Holders will be given by mail to the addresses of such Holders as
they appear in the Security Register (Sections 101, 105).

GOVERNING LAW

    The  Indenture and the Debt Securities will be governed by, and construed in
accordance with, the laws of the State of New York (Section 111).

CONCERNING THE TRUSTEE

    The Trustee has normal banking relationships with the Company.

                              PLAN OF DISTRIBUTION

GENERAL

    The Company may sell Debt Securities  to or through underwriters or a  group
of underwriters, directly to other purchasers, or through dealers or agents. The
distribution  of the Debt Securities may be effected from time to time in one or
more transactions at a fixed  price or prices, which  may be changed, at  market
prices  prevailing at  the time  of sale, at  prices related  to such prevailing
market prices or at negotiated prices. Each Prospectus Supplement will  describe
the  method of distribution, and time and place of delivery, of the offered Debt
Securities. The Company also may, from  time to time, authorize dealers,  acting
as  the  Company's  agents,  to  solicit offers  to  purchase  the  offered Debt
Securities upon the terms and conditions set forth in any Prospectus Supplement.

    In connection with  the sale  of Debt Securities,  underwriters, dealers  or
agents  may receive  compensation from  the Company  or from  purchasers of Debt
Securities for  whom  they  may  act  as  agents,  in  the  form  of  discounts,
concessions or commissions. Underwriters, dealers and agents that participate in
the  distribution of Debt Securities may be deemed to be "underwriters," and any
discounts or commissions received by them and  any profit on the resale of  Debt
Securities  by them may be deemed  to be underwriting discounts and commissions,
under the  Securities  Act.  Any  such underwriter,  dealer  or  agent  will  be
identified,  and  any such  compensation will  be  described, in  the Prospectus
Supplement relating to the offered Debt Securities.

    Under agreements  that may  be entered  into by  the Company,  underwriters,
dealers  and agents that participate in  the distribution of Debt Securities may
be entitled  to  indemnification by  the  Company against  certain  liabilities,
including liabilities under the Securities Act.

    Each  issuance of a series of Debt Securities will constitute a new issue of
securities with no established trading market. In the event that Debt Securities
of a series offered hereunder are not listed on a national securities  exchange,
certain broker-dealers may make a market in the Debt Securities, but will not be
obligated  to do so  and may discontinue  any market making  at any time without
notice. No assurance can be given that  any broker-dealer will make a market  in
the  Debt Securities of any series or as  to the liquidity of the trading market
for such Debt Securities.

DELAYED DELIVERY ARRANGEMENT

    If so  indicated  in the  Prospectus  Supplement relating  to  offered  Debt
Securities,  the Company will  authorize dealers or other  persons acting as the
Company's agents  to solicit  offers by  certain institutions  to purchase  Debt
Securities  from the  Company pursuant  to contracts  providing for  payment and
delivery on a future  date. Institutions with which  such contracts may be  made
include  commercial  and  savings  banks,  insurance  companies,  pension funds,
investment companies, educational and charitable institutions and others, but in
all cases such institutions must be approved by the Company. The obligations  of
any   purchaser   under   any   such   contract   will   be   subject   to   the

                                       11
<PAGE>
condition that the purchase of Debt Securities shall not at the time of delivery
be prohibited under  the laws  of the jurisdiction  to which  such purchaser  is
subject.  The dealers and such other agents  will not have any responsibility in
respect of the validity or performance of such contracts.

                                 LEGAL OPINIONS

    Certain matters with respect to the validity of the Debt Securities  offered
hereby  will be  passed upon for  the Company  by Stephen T.  Braun, Senior Vice
President and General Counsel of the Company, and for any underwriters,  dealers
or  agents,  as  the  case  may  be,  by  Jenkens  &  Gilchrist,  a Professional
Corporation, Dallas, Texas. Jenkens & Gilchrist, a Professional Corporation, has
rendered, and continues to render, certain legal services to the Company. As  of
January  31, 1994, Mr. Braun owned approximately 1,072 shares and had options to
purchase 44,500 shares of the Company's Common Stock.

                                    EXPERTS

    The consolidated financial statements  and financial statement schedules  of
Columbia   Healthcare  Corporation   (predecessor  to   the  Company)   and  the
supplemental  consolidated  financial  statements  and  supplemental   financial
statement  schedules of  the Company, incorporated  herein by  reference in this
Prospectus, have been audited by Coopers & Lybrand, independent accountants,  to
the  extent and for the periods  indicated in their reports thereon incorporated
by reference herein, which include  explanatory paragraphs regarding (as to  the
Company)  the merger of Columbia  Healthcare Corporation and HCA  and (as to the
Company and  Columbia Healthcare  Corporation)  on a  change in  accounting  for
income  taxes.  Such  financial  statements  and  financial  statement schedules
audited by  Coopers &  Lybrand have  been incorporated  herein by  reference  in
reliance  upon such reports given upon the  authority of said firm as experts in
accounting and auditing.

                                       12
<PAGE>
                                    PART II
                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

<TABLE>
<S>                                                               <C>
SEC filing fee..................................................  $ 517,242
Accounting fees and expenses....................................     25,000*
Printing and engraving..........................................     25,000*
Blue Sky fees and expenses (including legal fees)...............     10,000*
Trustee's fees and expenses.....................................     15,000*
Rating Agency fees..............................................    135,000*
Miscellaneous...................................................     22,758*
                                                                  ----------
  Total.........................................................  $ 750,000*
                                                                  ----------
                                                                  ----------
<FN>
- ------------------------
* Estimated
</TABLE>

ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.

    The  Registrant's Restated  Certificate of Incorporation  provides that each
person who was or  is made a party  to, or is involved  in, any action, suit  or
proceeding by reason of the fact that he or she was a director or officer of the
Registrant  (or was  serving at  the request  of the  Registrant as  a director,
officer, employee or  agent for  another entity)  will be  indemnified and  held
harmless  by  the Registrant,  to  the full  extent  authorized by  the Delaware
General Corporation Law.

    Under Section 145 of the Delaware General Corporation Law, a corporation may
indemnify a  director, officer,  employee or  agent of  the corporation  against
expenses  (including  attorneys' fees),  judgments,  fines and  amounts  paid in
settlement actually and reasonably incurred by him or her if he or she acted  in
good faith and in a manner he or she reasonably believed to be in or not opposed
to  the best  interests of  the corporation  and, with  respect to  any criminal
action or proceeding, had no reasonable cause to believe his or her conduct  was
unlawful.  In the case of an action brought by or in the right of a corporation,
the corporation may  indemnify a  director, officer,  employee or  agent of  the
corporation against expenses (including attorneys' fees) actually and reasonably
incurred  by him or her if he  or she acted in good faith  and in a manner he or
she reasonably believed to  be in or  not opposed to the  best interests of  the
corporation,  except that  no indemnification  shall be  made in  respect of any
claim, issue or matter as  to which such person shall  have been adjudged to  be
liable  to  the  corporation unless  a  court finds  that,  in view  of  all the
circumstances of the  case, such  person is  fairly and  reasonably entitled  to
indemnity for such expenses as the court shall deem proper.

    The  Registrant's Restated Certificate of Incorporation provides that to the
fullest extent permitted  by the Delaware  General Corporation Law  as the  same
exists  or may hereafter be  amended, a director of  the Registrant shall not be
liable to the Registrant or its stockholders for monetary damages for breach  of
fiduciary  duty  as a  director. The  Delaware  General Corporation  Law permits
Delaware corporations  to  include  in their  certificates  of  incorporation  a
provision  eliminating  or  limiting  director  liability  for  monetary damages
arising from  breaches of  their fiduciary  duty. The  only limitations  imposed
under the statute are that the provision may not eliminate or limit a director's
liability  (i) for breaches of the director's duty of loyalty to the corporation
or its stockholders, (ii) for acts or  omissions not in good faith or  involving
intentional  misconduct or  known violations  of law,  (iii) for  the payment of
unlawful dividends  or unlawful  stock  purchases or  redemptions, or  (iv)  for
transactions in which the director received an improper personal benefit.

    The  Registrant is insured against liabilities  which it may incur by reason
of its indemnification of officers and directors in accordance with its Restated
Certificate of Incorporation. In addition,  directors and officers are  insured,
at the Registrant's expense, against certain liabilities that might arise out of
their  employment  and are  not subject  to  indemnification under  the Restated
Certificate of Incorporation.

                                      II-1
<PAGE>
    The foregoing summaries are necessarily subject to the complete text of  the
statutes, Restated Certificate of Incorporation and agreements referred to above
and are qualified in their entirety by reference thereto.

ITEM 16.  EXHIBITS.

<TABLE>
<C>          <C>        <S>
        1       --      Form  of Underwriting Agreement (filed as  Exhibit 1 to the Registrant's
                         Registration  Statement   on  Form   S-3  (File   No.  33-50985),   and
                         incorporated herein by reference).
        4       --      Indenture  dated as  of December  15, 1993  between the  Company and The
                         First National Bank of  Chicago, as Trustee (filed  as Exhibit 4.11  to
                         the  Registrant's Annual Report on Form  10-K for the fiscal year ended
                         December 31, 1993, and incorporated herein by reference).
        5       --      Opinion of Stephen T. Braun, Esq.
       12       --      Statement regarding computation  of ratio of  earnings to fixed  charges
                         (filed  as Exhibit 12.2 to the  Registrant's Annual Report on Form 10-K
                         for the fiscal year ended December 31, 1993, and incorporated herein by
                         reference).
       23(a)    --      Consent of Coopers & Lybrand.
       23(b)    --      Consent of  Stephen T.  Braun,  Esq. appears  in  his opinion  filed  as
                         Exhibit 5.
       25       --      Power of Attorney of certain signatories appears on page II-4.
       26       --      Statement  of Eligibility of Trustee on Form T-1 (filed as Exhibit 26 to
                         the Registrant's Registration Statement on Form S-3 (File No. 33-50985)
                         and incorporated herein by reference).
</TABLE>

ITEM 17.  UNDERTAKINGS.

    The undersigned Registrant hereby undertakes:

    (1) To file, during any  period in which offers or  sales are being made,  a
post-effective amendment to this Registration Statement:

        (i)  To  include  any prospectus  required  by section  10(a)(3)  of the
    Securities Act of 1933;

        (ii) To reflect in the prospectus any facts or events arising after  the
    effective   date  of  the   Registration  Statement  (or   the  most  recent
    post-effective amendment thereof) which,  individually or in the  aggregate,
    represent  a  fundamental  change  in  the  information  set  forth  in  the
    Registration Statement; and

       (iii) To include  any material information  with respect to  the plan  of
    distribution  not previously disclosed in  the Registration Statement or any
    material change to such information in the Registration Statement; provided,
    however, that  paragraphs (i)  and  (ii) do  not  apply if  the  information
    required to be included in a post-effective amendment by those paragraphs is
    contained in periodic reports filed by the Registrant pursuant to section 13
    or   section  15(d)  of  the  Securities  Exchange  Act  of  1934  that  are
    incorporated by reference in the Registration Statement.

    (2) That, for the purpose of determining any liability under the  Securities
Act  of 1933,  each such post-effective  amendment shall  be deemed to  be a new
registration statement  relating  to the  securities  offered therein,  and  the
offering  of such securities at that time shall be deemed to be the initial bona
fide offering thereof.

    (3) To remove from registration by  means of a post-effective amendment  any
of the securities being registered which remain unsold at the termination of the
offering.

                                      II-2
<PAGE>
    (4) That, for purposes of determining any liability under the Securities Act
of 1933, each filing of the Registrant's annual report pursuant to section 13(a)
or  section 15(d) of the Securities Exchange Act of 1934 (and, where applicable,
each filing of  an employee  benefit plan's  annual report  pursuant to  section
15(d)  of the Securities Exchange Act of 1934) that is incorporated by reference
in the Registration Statement shall be deemed to be a new registration statement
relating to the securities offered therein, and the offering of such  securities
at that time shall be deemed to be the initial bona fide offering thereof.

    (5)  Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted  to directors, officers and controlling persons  of
the   Registrant  pursuant  to  the  foregoing  provisions,  or  otherwise,  the
Registrant has been advised that in  the opinion of the Securities and  Exchange
Commission such indemnification is against public policy as expressed in the Act
and  is, therefore, unenforceable. In the event that a claim for indemnification
against such liabilities (other than the  payment by the Registrant of  expenses
incurred  or paid by a director, officer or controlling person of the Registrant
in the successful defense of any action, suit or proceeding) is asserted by such
director, officer or controlling person in connection with the securities  being
registered, the Registrant will, unless in the opinion of its counsel the matter
has  been settled  by controlling  precedent, submit  to a  court of appropriate
jurisdiction the question whether such  indemnification by it is against  public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

                                      II-3
<PAGE>
                                   SIGNATURES

    Pursuant  to the requirements of the Securities Act of 1933, as amended, the
Registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-3 and has duly caused this Registration
Statement to  be  signed  on  its behalf  by  the  undersigned,  thereunto  duly
authorized, in the City of Louisville, Commonwealth of Kentucky, on the 29th day
of April, 1994.

                                          COLUMBIA/HCA HEALTHCARE CORPORATION
                                       By:          /s/ STEPHEN T. BRAUN

                                          --------------------------------------
                                                     Stephen T. Braun
                                                  SENIOR VICE PRESIDENT
                                                   AND GENERAL COUNSEL

    Pursuant to the requirements of the Securities Act of 1933, as amended, this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities and  on the  dates  indicated. Each  person  whose signature  to  the
Registration  Statement appears below hereby appoints Stephen T. Braun, David C.
Colby and Richard  A. Lechleiter,  and each  of them, any  one of  whom may  act
without  the joinder of the others, as his or her attorney-in-fact to execute in
the name and  on behalf of  any such  person, individually and  in the  capacity
stated  below, and to file all  amendments and post-effective amendments to this
Registration Statement, which amendment or amendments may make such changes  and
additions  in  this Registration  Statement  as such  attorney-in-fact  may deem
necessary or appropriate.

<TABLE>
<CAPTION>
                      SIGNATURE                                      TITLE                         DATE
- ------------------------------------------------------  --------------------------------  -----------------------
<S>                                                     <C>                               <C>
            /s/ THOMAS F. FRIST, JR., M.D.                   Chairman of the Board                 April 29, 1994
       ----------------------------------------
              Thomas F. Frist, Jr., M.D.
                 /s/ RICHARD L. SCOTT                      President, Chief Executive              April 29, 1994
       ----------------------------------------           Officer (Principal Executive
                   Richard L. Scott                          Officer) and Director
                  /s/ DAVID C. COLBY                      Senior Vice President, Chief             April 29, 1994
       ----------------------------------------         Financial Officer and Treasurer
                    David C. Colby                       (Principal Financial Officer)
              /s/ RICHARD A. LECHLEITER                  Vice President and Controller             April 29, 1994
       ----------------------------------------          (Principal Accounting Officer)
                Richard A. Lechleiter
             /s/ MAGDALENA AVERHOFF, M.D.                           Director                       April 29, 1994
       ----------------------------------------
               Magdalena Averhoff, M.D.
</TABLE>

                                      II-4
<PAGE>

<TABLE>
<CAPTION>
                      SIGNATURE                                      TITLE                         DATE
- ------------------------------------------------------  --------------------------------  -----------------------
<S>                                                     <C>                               <C>
                 /s/ J. DAVID GRISSOM                               Director                       April 29, 1994
       ----------------------------------------
                   J. David Grissom
                  /s/ ETHAN JACKSON                                 Director                       April 29, 1994
       ----------------------------------------
                    Ethan Jackson
                 /s/ CHARLES J. KANE                                Director                       April 29, 1994
       ----------------------------------------
                   Charles J. Kane
                 /s/ JOHN W. LANDRUM                                Director                       April 29, 1994
       ----------------------------------------
                   John W. Landrum
                 /s/ T. MICHAEL LONG                                Director                       April 29, 1994
       ----------------------------------------
                   T. Michael Long
                  /s/ DARLA D. MOORE                                Director                       April 29, 1994
       ----------------------------------------
                    Darla D. Moore
              /s/ RODMAN W. MOORHEAD III                            Director                       April 29, 1994
       ----------------------------------------
                Rodman W. Moorhead III
                 /s/ CARL F. POLLARD                                Director                       April 29, 1994
       ----------------------------------------
                   Carl F. Pollard
                /s/ CARL E. REICHARDT                               Director                       April 29, 1994
       ----------------------------------------
                  Carl E. Reichardt
               /s/ FRANK S. ROYAL, M.D.                             Director                       April 29, 1994
       ----------------------------------------
                 Frank S. Royal, M.D.
                 /s/ ROBERT D. WALTER                               Director                       April 29, 1994
       ----------------------------------------
                   Robert D. Walter
                 /s/ WILLIAM T. YOUNG                               Director                       April 29, 1994
       ----------------------------------------
                   William T. Young
</TABLE>

                                      II-5
<PAGE>
                               INDEX TO EXHIBITS

<TABLE>
<C>          <C>        <S>                                                                      <C>
        1       --      Form  of Underwriting Agreement (filed as Exhibit 1 to the Registrant's
                         Registration  Statement  on   Form  S-3  (File   No.  33-50985),   and
                         incorporated herein by reference).
        4       --      Indenture  dated as  of December 15,  1993 between the  Company and The
                         First National Bank of Chicago, as  Trustee (filed as Exhibit 4.11  to
                         the  Registrant's Annual Report on Form 10-K for the fiscal year ended
                         December 31, 1993, and incorporated herein by reference).
        5       --      Opinion of Stephen T. Braun, Esq.
       12       --      Statement regarding computation of ratio  of earnings to fixed  charges
                         (filed  as Exhibit 12.2 to the Registrant's Annual Report on Form 10-K
                         for the fiscal year ended  December 31, 1993, and incorporated  herein
                         by reference).
       23(a)    --      Consent of Coopers & Lybrand.
       23(b)    --      Consent  of  Stephen T.  Braun, Esq.  appears in  his opinion  filed as
                         Exhibit 5.
       25       --      Power of Attorney of certain signatories appears on page II-4.
       26       --      Statement of Eligibility of Trustee on Form T-1 (filed as Exhibit 26 to
                         the  Registrant's  Registration  Statement  on  Form  S-3  (File   No.
                         33-50985) and incorporated herein by reference).
</TABLE>

<PAGE>


                         [Columbia letterhead]


April 29, 1994


Columbia/HCA Healthcare Corporation
201 West Main Street
Louisville, KY 40202

RE: Registration Statement Covering Up To $1.5 Billion
    Columbia/HCA Healthcare Corporation

Ladies and Gentlemen:

I am Senior Vice President and General Counsel of Columbia/HCA Healthcare
Corporation, a Delaware corporation (the "Company"), and have acted as such
with respect to the proposed issuance from time to time of up to an aggregate
of $1.5 billion principal amount of Debt Securities (the "Debt Securities"). On
April 29, 1994, the Company filed with the Securities and Exchange Commission
a Registration Statement on Form S-3 (the "Registration Statement") under the
Securities Act of 1933, as amended (the "Act") and Rule 415 thereunder. Such
Registration Statement relates to the Debt Securities to be issued from time
to time pursuant to an Indenture (the "Indenture") dated December 15, 1993,
between the Company and The First National Bank of Chicago, as Trustee (the
"Trustee"), in the form contained as an exhibit to the Registration Statement,
such Debt Securities to bear interest at such rates and to be payable at such
times, to have such redemption provisions, to mature at such times and
otherwise to have such terms as may be determined from time to time as
contemplated by the Prospectus, as it may be supplemented, included in such
Registration Statement.

I have examined and relied upon the original or copies, certified to my
satisfaction, of (i) the Restated Certificate of Incorporation and Bylaws of
the Company, as amended, (ii) copies of resolutions of the Board of Directors
of the Company authorizing the offering and the issuance of the Debt
Securities to be sold by the Company and related matters, (iii) the
Registration Statement, and all exhibits thereto, (iv) the Indenture and
(v) such other documents and instruments as I have deemed necessary for the
expression of the opinions contained herein. In making the foregoing
examinations, I have assumed the genuineness of all signatures and the
authenticity of all documents submitted to me as certified or photostatic
copies.

Based on such examination and review, I hereby advise you that, in my opinion,
when the Registration Statement has become effective under the Act, and all
necessary proceedings have been taken by the Board of Directors, the Executive
Committee of such Board of Directors or the appropriate Authorized Officers
of the Company in connection with the authorization, issuance and sale of the
Debt Securities of a particular series and related matters, the Debt
Securities of such series, when duly executed on behalf of the Company

<PAGE>

April 28, 1994
Page -2-


and authenticated by the Trustee and issued and delivered pursuant to the
Indenture against payment to the Company of the authorized consideration
therefor, will be duly authorized and validly issued and will be binding
obligations of the Company in accordance with their terms subject to
(i) applicable liquidation, conservatorship, bankruptcy, insolvency,
reorganization, fraudulent conveyance, moratorium or other laws affecting
creditors' rights or the collection of debtor's obligations generally from
time to time in effect; or (ii) general principles of equity (whether
enforceability is considered in a proceeding in equity or at law), including
the qualification that the availability of the remedies of specific
performance or injunctive relief or other equitable remedies is subject to the
discretion of the court before which any such proceeding therefor may be
brought and including standards of good faith, fair dealing and reasonableness
that may be applied by a court to the exercise of certain rights and remedies.

I hereby consent to the filing of this opinion as an exhibit to the
Registration Statement and to the use of my name under the caption "Legal
Opinions" in the Prospectus forming part of the Registration Statement. In
giving such consent, I do not admit that I come within the category of persons
whose consent is required by Section 7 of the Act or the rules and regulations
of the Commission thereunder.

Very truly yours,


Stephen T. Braun
Senior Vice President
 and General Counsel

STB/jgw



<PAGE>

                   CONSENT OF INDEPENDENT ACCOUNTANTS

We consent to the incorporation by reference in this registration statement
on Form S-3 of our report dated February 28, 1994 except for Note 15, as to
which the date is March 24, 1994, (which report includes explanatory paragraphs
regarding the merger of Columbia Healthcare Corporation and HCA - Hospital
Corporation of America and a change in accounting for income taxes) on our
audits of the supplemental consolidated financial statements and supplemental
financial statement schedules of Columbia/HCA Healthcare Corporation as of
December 31, 1993 and 1992 and for each of the three years in the period ended
December 31, 1993, which report is included in Columbia/HCA Healthcare
Corporation's Annual Report on Form 10-K. Additionally, we consent to the
incorporation by reference of our report dated February 28, 1994, (which
includes an explanatory paragraph regarding a change in accounting for income
taxes) on our audits of the consolidated financial statements of Columbia
Healthcare Corporation as of December 31, 1993 and 1992 and for each of the
three years in the period ended December 31, 1993, which report is included in
Columbia/HCA Healthcare Corporation's Annual Report on Form 10-K. We also
consent to the reference to our Firm under the caption "Experts."



COOPERS & LYBRAND


Louisville, Kentucky
April 29, 1994




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