COLUMBIA HCA HEALTHCARE CORP/
8-K, 1994-03-14
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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                       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

<TABLE>
   <S>                                         <C>
            DATE OF REPORT                              MARCH 11, 1994
   (Date of Earliest Event Reported)
</TABLE>

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

                      COLUMBIA/HCA HEALTHCARE CORPORATION

             (Exact name of Registrant as specified in its charter)

                                    DELAWARE
                             State of Incorporation

<TABLE>
   <S>                                         <C>
               001-11239                                  75-2497104
              (Commission                              (I.R.S. Employer
             File Number)                             Identification No.)
</TABLE>

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<PAGE>
ITEM 5.  OTHER EVENTS

    The Registrant files herewith those exhibits listed in Item 7(c) below.

ITEM 7(C).  EXHIBITS

    The  following  exhibits  are  furnished  in  accordance  with  Item  601 of
Regulation S-K.

        1.  Shelf  Underwriting Agreement,  dated March  9, 1994,  by and  among
    Columbia/HCA  Healthcare  Corporation and  Lehman Brothers  Inc., Donaldson,
    Lufkin & Jenrette  Securities Corporation, Merrill  Lynch, Pierce, Fenner  &
    Smith  Incorporated  and Salomon  Brothers  Inc, as  representatives  of the
    Underwriters.

        4.1 Form of 6 1/2% Note Due March 15, 1999.
<PAGE>
                                   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 thereunto duly authorized.

                                          COLUMBIA/HCA HEALTHCARE CORPORATION
                                          (Registrant)

                                          By:        /s/ STEPHEN T. BRAUN
                                             -----------------------------------
                                              Stephen T. Braun,
                                              Senior Vice President and
                                              General Counsel

Date: March 11, 1994
<PAGE>
                               INDEX TO EXHIBITS

<TABLE>
<CAPTION>
 EXHIBIT                                                                                              SEQUENTIALLY
   NO.                                             EXHIBIT                                           NUMBERED PAGES
- ---------  ----------------------------------------------------------------------------------------  ---------------
<C>        <S>                                                                                       <C>
   1.      Shelf Underwriting Agreement, dated March 9, 1994, by and among Columbia/ HCA Healthcare
           Corporation   and  Lehman  Brothers  Inc.,   Donaldson,  Lufkin  &  Jenrette  Securities
           Corporation, Merrill Lynch,  Pierce, Fenner  & Smith Incorporated  and Salomon  Brothers
           Inc, as representatives of the Underwriters.
   4.1     Form of 6 1/2% Note Due March 15, 1999.
</TABLE>

<PAGE>
                                     SHELF
                             UNDERWRITING AGREEMENT

                                 March 9, 1994

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

Dear Sirs:

    We  (the "Managers") are acting on behalf of the underwriter or underwriters
(including ourselves) named below (such underwriter or underwriters being herein
called the  "Underwriters"),  and  we understand  that  Columbia/HCA  Healthcare
Corporation,  a Delaware corporation (the "Company"), proposes to issue and sell
$175,000,000 aggregate principal amount of its  6 1/2% Notes due March 15,  1999
(the  "Notes").  The Notes  are  sometimes referred  to  herein as  the "Offered
Securities." The Offered Securities will be issued pursuant to the provisions of
an Indenture dated as of December 15, 1993 (the "Indenture") between the Company
and The First National Bank of Chicago, as Trustee (the "Trustee").

    Subject to the terms and conditions  set forth or incorporated by  reference
herein,  the  Company  hereby  agrees  to sell  and  the  Underwriters  agree to
purchase, severally and  not jointly,  the respective principal  amounts of  the
Notes set forth below opposite their names at a purchase price of 99.303% of the
principal amount of the Notes.

<TABLE>
<CAPTION>
                                                                              PRINCIPAL AMOUNT
                                                                                  OF NOTES
                                                                              ----------------
<S>                                                                           <C>
Lehman Brothers, Inc........................................................  $     43,750,000
Donaldson, Lufkin & Jenrette Securities Corporation.........................        43,750,000
Merrill Lynch, Pierce, Fenner & Smith
           Incorporated.....................................................        43,750,000
Salomon Brothers Inc........................................................        43,750,000
                                                                              ----------------
  Total.....................................................................  $    175,000,000
                                                                              ----------------
                                                                              ----------------
</TABLE>

    The  Underwriters will pay for the  Offered Securities upon delivery thereof
at the offices of Lehman Brothers Inc. at 9:00 a.m. (New York time) on March 16,
1994. The time and date of such payment and delivery are hereinafter referred to
as the Closing Date.

    The Offered Securities  shall have  the terms  set forth  in the  Prospectus
dated  November 22,  1993, and  the Prospectus  Supplement dated  March 9, 1994,
including the following:

Terms of Notes:

<TABLE>
<S>                      <C>
Public Offering Price:   99.928% of principal amount
Purchase Price:          99.303% of principal amount
Maturity Date:           March 15, 1999
Interest Rate:           6 1/2%
Redemption Provisions:   Not redeemable prior to maturity
Interest Payment Dates:  March 15 and September  15, commencing September 15,  1994.
                         Interest accrues from March 16, 1994
Current Ratings:         Standard & Poor's Corporation -- BBB+
                         Moody's Investor Service -- A3
</TABLE>

    All  provisions contained  in the  document entitled  Underwriting Agreement
Standard Provisions (Debt Securities), a copy  of which is attached hereto,  are
herein  incorporated by reference in their entirety  and shall be deemed to be a
part  of   this  Agreement   to  the   same  extent   as  if   such   provisions
<PAGE>
had  been set forth in full herein, except  that (i) if any term defined in such
document is  otherwise defined  herein, the  definition set  forth herein  shall
control,  (ii) all references in such document to a type of security that is not
an Offered Security  shall not be  deemed to be  a part of  this Agreement,  and
(iii)  all references in such document to a  type of agreement that has not been
entered into in connection with  the transactions contemplated hereby shall  not
be deemed to be a part of this Agreement.

    Please confirm your agreement by having an authorized officer sign a copy of
this Agreement in the space set forth below.

                                      Very truly yours,

                                      LEHMAN BROTHERS INC.

                                      DONALDSON, LUFKIN & JENRETTE SECURITIES
                                       CORPORATION

                                      MERRILL LYNCH, PIERCE, FENNER & SMITH
                                       INCORPORATED

                                      SALOMON BROTHERS INC

                                      By: LEHMAN BROTHERS INC.

                                      Acting severally on behalf of itself
                                      and the several Underwriters named herein
                                      By: ______________________________________
                                      Name: ____________________________________
                                      Title: ___________________________________

Accepted:
COLUMBIA/HCA HEALTHCARE
 CORPORATION
By: _____________________________
Name: ___________________________
Title: __________________________

                                       2

<PAGE>
<TABLE>
<S>                        <C>                                    <C>
                           COLUMBIA/HCA HEALTHCARE CORPORATION     $ ___________
No._____________               6 1/2% NOTE DUE MARCH 15, 1999      Cusip No.
Registered Owner:

</TABLE>

COLUMBIA/HCA  HEALTHCARE CORPORATION, a Delaware corporation (hereinafter called
the "Company", which  term includes  any successor thereto  under the  Indenture
hereinafter  referred  to) for  value received,  hereby promises  to pay  to the
registered owner  identified  above or  registered  assigns, the  principal  sum
specified  above, on March 15, 1999, and  to pay interest on said principal sum,
semi-annually on March 15  and September 15 of  each year, commencing  September
15,  1994, at the rate of 6 1/2% per annum from the March 15 or September 15, as
the case may be, next preceding the date of this Note to which interest has been
paid or duly provided for,  unless the date hereof is  a date to which  interest
has been paid or duly provided for, in which case from the date of this Note, or
unless  no interest has  been paid or duly  provided for on  the Notes, in which
case from March 16, 1994, until  the principal thereof becomes due and  payable,
and at such rate on any overdue principal and (to the extent that the payment of
such  interest  shall  be legally  enforceable)  on any  overdue  installment of
interest. Notwithstanding the foregoing,  when there is  no existing default  in
the  payment of  interest on the  Notes, if the  date hereof is  after a Regular
Record Date (which shall be the close of business on March 1 or September 1,  as
the  case may be, next  preceding an Interest Payment  Date) and before the next
succeeding Interest  Payment  Date, this  Note  shall bear  interest  from  such
Interest  Payment Date; PROVIDED, HOWEVER, that  if the Company shall default in
the payment of interest due on such Interest Payment Date, then this Note  shall
bear  interest from the  next preceding Interest Payment  Date to which interest
has been paid or  duly provided for, or,  if no interest has  been paid or  duly
provided  for on the  Notes, from March  16, 1994. The  interest so payable, and
punctually paid or  duly provided  for, on any  Interest Payment  Date will,  as
provided  in said Indenture, be  paid to the Person in  whose name this Note (or
one or more Predecessor Notes) is registered at the Regular Record Date for such
Interest Payment Date. The principal of and interest on this Note are payable in
such coin or currency of the United States of America as at the time of  payment
is legal tender for payment of public and private debts, at the office or agency
of  the Company  in the Borough  of Manhattan, the  City and State  of New York;
PROVIDED, HOWEVER, that payment  of interest may  be made at  the option of  the
Company  by check mailed to  the address of the  Person entitled thereto as such
address shall appear in the Security Register. Any interest not punctually  paid
or duly provided for shall be payable as provided in the Indenture.

    Reference  is made to the  further provisions of this  Note set forth on the
reverse hereof, which shall have  the same effect as  though fully set forth  at
this place.

    Unless  the certificate  of authentication hereon  has been  executed by the
Trustee by manual  signature, this  Note shall not  be entitled  to any  benefit
under the Indenture, or be valid or obligatory for any purpose.

    IN WITNESS WHEREOF, COLUMBIA/HCA HEALTHCARE CORPORATION has caused this Note
to  be  signed, manually  or by  facsimile, by  its Chairman  of the  Board, its
President or one of its Vice Presidents  and to be attested to by its  Secretary
or  one of  its Assistant  Secretaries, and  its corporate  seal to  be printed,
engraved or otherwise reproduced hereon, by facsimile or otherwise.

<TABLE>
<S>                                                             <C>
Dated:
                                                                COLUMBIA/HCA HEALTHCARE CORPORATION
                                                                By:
                                                                Title: PRESIDENT
     TRUSTEE'S CERTIFICATE OF AUTHENTICATION
This is  one  of  the  Securities  issued  under  the  within-
mentioned Indenture.
THE FIRST NATIONAL BANK OF CHICAGO,
Trustee,                                                        Attest
By:                                                             By:
   Authorized Officer                                           Title: SECRETARY
</TABLE>

<PAGE>
                      COLUMBIA/HCA HEALTHCARE CORPORATION
                         6 1/2% NOTE DUE MARCH 15, 1999

    This  Note is one of a duly  authorized issue of debentures, notes, bonds or
other evidences of indebtedness of the Company (herein called the  "Securities")
of  a series herein  specified, all issued  and to be  issued under an Indenture
dated as  of December  15, 1993  (herein called  the "Indenture"),  between  the
Company,  and The First National Bank of  Chicago, as Trustee (herein called the
"Trustee", which term includes  any successor Trustee  under the Indenture),  to
which Indenture and all indentures supplemental thereto reference is hereby made
for  a statement of the respective rights thereunder of the Company, the Trustee
and the Holders of the Securities, and the terms upon which the Securities  are,
and  are to be, authenticated and delivered. The Securities may be issued in one
or more  series, which  different  series may  be  issued in  various  aggregate
principal  amounts, may mature at different times, may bear interest (if any) at
different rates, may be subject to different redemption provisions (if any), may
be subject to different  sinking, purchase or analogous  funds (if any), may  be
subject  to different covenants and Events of  Default and may otherwise vary as
in the Indenture provided. This Note is one of a series of Notes of the  Company
designated  as its 6 1/2% Notes due  March 15, 1999 (herein called the "Notes"),
limited in aggregate principal amount to $175,000,000.

    The Notes may not be redeemed by the Company prior to March 15, 1999.

    As provided in the Indenture and subject to certain limitations therein  set
forth,  the transfer of this Note may  be registered in the Security Register of
the Company, upon  surrender of this  Note for registration  of transfer at  the
office  or agency of the Trustee in the Borough of Manhattan, the City and State
of New  York, duly  endorsed by,  or  accompanied by,  a written  instrument  of
transfer  in form satisfactory to  the Company and the  Trustee duly executed by
the Registered Holder  hereof or his  attorney duly authorized  in writing,  and
thereupon  one or more new Notes of the same series, of authorized denominations
and for the same  aggregate principal amount, will  be issued to the  designated
transferee or transferees.

    The  Notes  are issuable  only as  registered Notes  without coupons  in the
denominations of $1,000 and  any integral multiple thereof.  As provided in  the
Indenture,  and subject to  certain limitations therein set  forth, this Note is
exchangeable for  a  like  aggregate  principal amount  of  Notes  of  different
authorized denominations as requested by the Holder surrendering the same.

    No  service charge  will be  made for any  such registration  of transfer or
exchange, but the Company may require payment  of a sum sufficient to cover  any
tax or other governmental charge payable in connection therewith.

    Prior  to due  presentment for  registration of  transfer of  this Note, the
Company, the Trustee and any agent of  the Company or the Trustee may treat  the
Person in whose name this Note is registered as the owner hereof for the purpose
of  receiving payment as herein provided and  for all other purposes, whether or
not this Note  be overdue, and  neither the  Company, the Trustee  nor any  such
agent shall be affected by notice to the contrary.

    If  an  Event  of Default  with  respect to  the  Notes shall  occur  and be
continuing, the principal hereof may be  declared due and payable in the  manner
and with the effect provided in the Indenture.

    The  Indenture  permits, with  certain exceptions  as therein  provided, the
amendment thereof and  the modification  of the  rights and  obligations of  the
Company  and the rights of the Holders of the Securities of any series under the
Indenture at  any time  by the  Company with  the consent  of the  Holders of  a
majority  in aggregate  principal amount of  the Outstanding  Securities of each
series affected  by  any such  amendment  or modification.  The  Indenture  also
contains  provisions permitting the Holders of a majority in aggregate principal
amount of the Outstanding Securities of any series, on behalf of the Holders  of
all  Securities of such series, to waive  compliance by the Company with certain
provisions of the Indenture  and certain past defaults  under the Indenture  and
their  consequences. Any such consent or waiver by the Holder of this Note shall
be conclusive and binding upon such Holder  and upon all future Holders of  this
Note  and of any  Note upon the  registration of transfer  hereof or in exchange
herefor or in lieu hereof whether or  not notation of such consent or waiver  is
made upon this Note.

    The  Indenture contains provisions  setting forth certain  conditions to the
institution of  proceedings  by  Holders  of  Securities  with  respect  to  the
Indenture or for any remedy under the Indenture.

    No recourse under or upon any obligation, covenant or agreement contained in
the Indenture or in this Note, or because of any indebtedness evidenced thereby,
shall  be had against any  incorporator, or against any  past, present or future
stockholder, officer or director,  as such of the  Company, or of any  successor
corporation,   either  directly  or  through   the  Company  or  such  successor
corporation, whether by virtue of any constitution or statute or rule of law, or
by the enforcement of  any assessment or penalty  or otherwise. It is  expressly
understood  and agreed  that the  Indenture and  this Note  are solely corporate
obligations; that no personal liability whatever shall attach to, or is or shall
be incurred by, the  incorporators, stockholders, officers  or directors of  the
Company,  or  of any  successor  corporation, or  any  of them,  because  of the
creation of  indebtedness  hereby authorized,  or  under  or by  reason  of  the
obligations, covenants or agreements contained in the Indenture or in this Note,
or implied therefrom; and that any and all such personal liability of every such
incorporator,  stockholder, officer or director is  hereby expressly waived as a
condition of, and as a consideration for, the execution of the Indenture and the
issue of this Note.

    The Indenture  and  the  Notes  shall be  governed  by  and  constituted  in
accordance with the laws of the State of New York.

    All  terms used in this  Note which are defined  in the Indenture shall have
the meanings assigned to them in the Indenture.

    The following abbreviations,  when used in  the inscription on  the face  of
this  certificate, shall be  construed as though  they were written  out in full
according to applicable laws or regulations:

<TABLE>
<S>         <C>                                          <C>
TEN COM     -- as tenants in common                      UNIF GIFT MIN ACT --  Custodian
                                                                                     (Cust)                 (Minor)
TEN ENT     -- as tenants by the entireties              under Uniform Gifts to Minors Act
                                                                                           (State)
JT TEN      -- as joint tenants with right of            IRA -- Individual Retirement Account
              survivorship and not as tenants in common
</TABLE>

Additional abbreviations may also be used though not in the above list.

                                   ASSIGNMENT

                                       Please insert social security or other
                         identifying number of assignee
FOR VALUE RECEIVED, ___________________ hereby sells, assigns and transfers unto
________________________________________________________________________________
    (Please print or typewrite name and address including postal zip code of
                                   assignee)
________________________________________________________________________________
________________________________________________________________________________
____________________________________ DOLLARS ($__________________) in  principal
amount  of the  Note(s) represented by  the within certificate,  and does hereby
irrevocably constitute and appoint ____________________________________ Attorney
to transfer the said Note(s) on the books of the within named Company with  full
power of substitution in the premises.

<TABLE>
<S>                                                           <C>
- ------------------------------------------------------------
Dated                                                         Notice:  The  signature to  this assignment  must correspond
                                                              with the name as written upon the face of the certificate in
                                                              every particular, without alteration  or enlargement or  any
                                                              change whatever.
                                                              Signature witnessed by:
</TABLE>


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