COLUMBIA HCA HEALTHCARE CORP/
8-K, 1995-11-24
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                    FORM 8-K

                                 CURRENT REPORT

                       Pursuant to Section 13 or 15(d) of
                      The Securities Exchange Act of 1934

      Date of Report (Date of earliest event reported):  November 20, 1995
                                                        ------------------


                      COLUMBIA/HCA HEALTHCARE CORPORATION
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)

          Delaware                      1-11239                 75-2497104
- -------------------------------     ----------------     -----------------------
(State or other jurisdiction of     (Commission File           (IRS Employer
       incorporation)                    Number)            Identification No.)
                                            
 
One Park Plaza, Nashville, Tennessee                                   37203
- --------------------------------------------------------------------------------
(Address of principal executive offices)                             (Zip Code)


Registrant's telephone number, including area code:    (615) 327-9551
                                                       --------------

                                (Not Applicable)
- --------------------------------------------------------------------------------
(Former name or former address, if changed since last report)


- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<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.

          1.1  Shelf Underwriting Agreement, dated November 20, 1995, by and
     among Columbia/HCA Healthcare Corporation and Morgan Stanley & Co.
     Incorporated, Furman Selz Incorporated, Goldman, Sachs & Co., Lehman
     Brothers Inc., Merrill Lynch, Pierce, Fenner & Smith Incorporated and
     Salomon Brothers Inc, as Managers.

          1.2  Shelf Underwriting Agreement, dated November 20, 1995, by and
     among Columbia/HCA Healthcare Corporation and Morgan Stanley & Co.
     Incorporated, as Manager.

          4.1  Form of 7.19% Debenture due 2015.

          4.2  Form of 7.50% Debenture due 2095.

                                       2
<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 hereunto duly authorized.


                                 COLUMBIA/HCA HEALTHCARE CORPORATION
                                 (Registrant)


Date:  November 22, 1995            By:     /s/ STEPHEN T. BRAUN
                                         -----------------------------
                                         Stephen T. Braun
                                         Senior Vice President and General
                                         Counsel

                                       3
<PAGE>
 
                               INDEX TO EXHIBITS

<TABLE>
<CAPTION>
Exhibit                                                            Sequentially
   No.                              Exhibit                        Numbered Page
- -------  --------------------------------------------------------  -------------
<S>      <C>                                                       <C>
  1.1    Shelf Underwriting Agreement, dated November 20, 1995, 
         by and among Columbia/HCA Healthcare Corporation and 
         Morgan Stanley & Co. Incorporated, Furman Selz
         Incorporated, Goldman, Sachs & Co., Lehman Brothers 
         Inc., Merrill Lynch, Pierce, Fenner & Smith Incorporated 
         and Salomon Brothers Inc, as Managers.

  1.2    Shelf Underwriting Agreement, dated November 20, 1995, 
         by and among Columbia/HCA Healthcare Corporation and 
         Morgan Stanley & Co. Incorporated, as Manager.

  4.1    Form of 7.19% Debenture due 2015.

  4.2    Form of 7.50% Debenture due 2095.
</TABLE>

                                       4

<PAGE>

                                                                     EXHIBIT 1.1
                                     SHELF
                             UNDERWRITING AGREEMENT

                                  ___________

                           7.19% Debentures due 2015
                                  ___________


                               November 20, 1995



Columbia/HCA Healthcare Corporation
One Park Plaza
Nashville, Tennessee 37203

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
$150,000,000 aggregate principal amount of its 7.19% Debentures due November 15,
2015 (the "Debentures"). The Debentures 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
Debentures set forth below opposite their names at a purchase price of 99.125%
of the principal amount of the Debentures.

<TABLE>
<CAPTION>
                                                             PRINCIPAL
                                                             AMOUNT OF
                                                            DEBENTURES
                                                           -------------
     <S>                                                   <C>
     Morgan Stanley & Co. Incorporated...................   $ 25,000,000
     Furman Selz Incorporated............................     25,000,000
     Goldman, Sachs & Co.................................     25,000,000
     Lehman Brothers Inc.................................     25,000,000
     Merrill Lynch, Pierce, Fenner & Smith Incorporated..     25,000,000
     Salomon Brothers Inc................................     25,000,000
                                                            ------------
          Total..........................................   $150,000,000
                                                            ============
</TABLE>
<PAGE>
 
     The Underwriters will pay for the Offered Securities upon delivery thereof
at the offices of Morgan Stanley & Co. Incorporated or through the facilities of
The Depository Trust Company at 9:00 a.m. (New York time) on November 27, 1995.
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 17, 1995, and the Prospectus Supplement dated November 20, 1995,
including the following:

     Public Offering Price:     100% of principal amount                       
                                                                               
     Purchase Price:            99.125% of principal amount                    
                                                                               
     Maturity Date:             November 15, 2015                              
                                                                               
     Interest Rate:             7.19%                                          
                                                                               
     Redemption Provisions:     Redeemable in whole or in part, at the option of
                                the Company, at any time                       
                                                                               
     Interest Payment Dates:    May 15 and November 15, commencing May 15, 1996.
                                Interest accrues from November 15, 1995        
                                                                               
     Current Ratings:           Standard & Poor's Corporation -- BBB+          
                                Moody's Investor Service -- A3                  


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

                         Very truly yours,

                         MORGAN STANLEY & CO.
                           INCORPORATED
                         FURMAN SELZ INCORPORATED
                         GOLDMAN, SACHS & CO.
                         LEHMAN BROTHERS
                         MERRILL LYNCH, PIERCE, FENNER & SMITH
                                     INCORPORATED
                         SALOMON BROTHERS INC

                         By:  MORGAN STANLEY & CO.
                               INCORPORATED
  
                         Acting severally on behalf of itself
                         and the several Underwriters named herein



                         By:_________________________________
                         Name:_______________________________
                         Title:______________________________

Accepted:

COLUMBIA/HCA HEALTHCARE CORPORATION


By:_______________________________
Name:_____________________________
Title:____________________________

<PAGE>

                                                                     EXHIBIT 1.2

                                     SHELF
                            UNDERWRITING AGREEMENT

                                  ___________

                           7.50% Debentures due 2095
                                  ___________


                               November 20, 1995



Columbia/HCA Healthcare Corporation
One Park Plaza
Nashville, Tennessee 37203

Dear Sirs:

     We (the "Manager") 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
$200,000,000 aggregate principal amount of its 7.50% Debentures due November 15,
2095 (the "Debentures"). The Debentures 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
Debentures set forth below opposite their names at a purchase price of 98.875%
of the principal amount of the Debentures.

<TABLE>
<CAPTION>
                                                             PRINCIPAL
                                                             AMOUNT OF
                                                            DEBENTURES
                                                           -------------
     <S>                                                   <C>
     Morgan Stanley & Co. Incorporated...................   $172,000,000
     Goldman, Sachs & Co.................................      7,000,000
     Lehman Brothers Inc.................................      7,000,000
     Merrill Lynch, Pierce, Fenner & Smith Incorporated..      7,000,000
     Salomon Brothers Inc................................      7,000,000
                                                            ------------
          Total..........................................   $200,000,000
                                                            ============
</TABLE>
<PAGE>
 
     The Underwriters will pay for the Offered Securities upon delivery thereof
at the offices of Morgan Stanley & Co. Incorporated or through the facilities of
The Depository Trust Company at 9:00 a.m. (New York time) on November 27, 1995.
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 17, 1995, and the Prospectus Supplement dated November 20, 1995,
including the following:

     Public Offering Price:     100% of principal amount                       
                                                                               
     Purchase Price:            98.875% of principal amount                    
                                                                               
     Maturity Date:             November 15, 2095                              
                                                                               
     Interest Rate:             7.50%                                          
                                                                               
     Redemption Provisions:     Not redeemable by the Company prior to maturity
                                                                               
     Interest Payment Dates:    May 15 and November 15, commencing May 15, 1996.
                                Interest accrues from November 15, 1995        
                                                                               
     Current Ratings:           Standard & Poor's Corporation -- BBB+          
                                Moody's Investor Service -- A3                  


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

                         Very truly yours,

                         MORGAN STANLEY & CO.
                           INCORPORATED

                         Acting on behalf of itself and the several Underwriters
                         named herein



                         By:_________________________________
                         Name:_______________________________
                         Title:______________________________

Accepted:

COLUMBIA/HCA HEALTHCARE CORPORATION


By:______________________________
Name:____________________________
Title:___________________________

<PAGE>

                                                                     EXHIBIT 4.1

THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE
HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITARY OR A
NOMINEE OF A DEPOSITARY.  THIS SECURITY IS EXCHANGEABLE FOR SECURITIES
REGISTERED IN THE NAME OF A PERSON OTHER THAN THE DEPOSITARY OR ITS NOMINEE ONLY
IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE AND MAY NOT BE
TRANSFERRED EXCEPT AS A WHOLE BY THE DEPOSITARY 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 OR SUCH SUCCESSOR.

Unless this certificate is presented by an authorized representative of The
Depository Trust Company, a New York corporation ("DTC"), to the Company or its
agent for registration of transfer, exchange or payment, and any certificate
issued is registered in the name of Cede & Co. or in such other name as is
requested by an authorized representative of DTC (and any payment is made to
Cede & Co. or to such other entity as is requested by an authorized
representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR
OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the registered owner
hereof, Cede & Co., has an interest herein.



                                                                Principal Amount

                      COLUMBIA/HCA HEALTHCARE CORPORATION           $150,000,000

                     7.19% DEBENTURE DUE NOVEMBER 15, 2015

                               GLOBAL DEBENTURE

                                                                 Cusip 197677AD9


     COLUMBIA/HCA HEALTHCARE CORPORATION, a corporation duly organized and
existing under the laws of the State of Delaware (herein called the "Company",
which term includes any successor corporation under the Indenture hereinafter
referred to), for value received, hereby promises to pay to Cede & Co., as the
nominee of The Depository Trust Company, or registered assigns, the principal
amount of One Hundred Fifty Million Dollars ($150,000,000), on November 15, 2015
(the "Maturity Date") and to pay interest (computed on the basis of a 360-day
year of twelve 30-day months) on May 15 and November 15 ("Interest Payment
Date") in each year, beginning on May 15, 1996, and at the Maturity Date
specified above on said principal amount, at the rate of 7.19% per annum, from
November 15, 1995 until payment of said principal amount has been made or duly
provided for.  The interest so payable on any Interest Payment Date (other than
at maturity) will be paid to the Person in whose name
<PAGE>
 
this Global Debenture is registered at the close of business on the last day of
the month immediately preceding the month in which such interest payment is due
(a "Regular Record Date"), next preceding such Interest Payment Date, unless the
Company shall default in the payment of interest due on any such Interest
Payment Date, in which case such defaulted interest shall be paid to the Person
in whose name this Global Debenture is registered at the close of business on a
Special Record Date for the payment of such defaulted interet established by
notice to the registered holders of Debentures not less than ten days preceding
such Special Record Date.  In any case where the date for any payment on the
Debentures is not a Business Day, such payment shall be made on the next
succeeding Business Day.  A Business Day is any day that is not a Saturday or
Sunday and that, in Chicago, Illinois, is not a day on which banking
institutions are generally authorized or required by law or executive order to
close.

     Both principal of and interest on this Global Debenture are payable in
immediately available funds in any coin or currency of the United States of
America, which at the time of payment is legal tender for the payment of public
and private debts.  Payments of principal and interest will be made in Chicago,
Illinois, at the Corporate Trust Office of The First National Bank of Chicago,
or at such other office or agency of the Company as the Company shall designate
pursuant to the Indenture referred to elsewhere herein.

     This Global Debenture is one of a duly authorized issue of debentures,
notes, bonds or other evidences of indebtedness of the Company (hereinafter
called the "Securities"), of the series hereinafter specified, issued or to be
issued under an Indenture dated as of December 15, 1993, as may be amended by
indentures supplemental thereto (hereinafter called the "Indenture"), duly
executed and delivered by the Company to The First National Bank of Chicago, as
trustee (hereinafter called the "Trustee"), to which Indenture reference is
hereby made for a description of the respective rights and duties thereunder of
the Trustee, the Company and the Holders of the Securities.  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 at
different rates, may have different conversion prices (if any), may be subject
to different redemption provisions, may be subject to different sinking,
purchase or analogous funds, may be subject to different covenants and Events of
Default and may otherwise vary as in the Indenture provided.  This Global
Debenture is a Global Security representing the entire principal amount of a
series of Securities designated "7.19% Debentures due November 15, 2015"
(hereincalled the "Debentures") issued under the Indenture.  Unless otherwise
provided herein, all terms used in this Global Debenture, which are defined in
the Indenture shall have the meanings assigned to them in the Indenture.

     The Debentures do not have a sinking fund.

     The Debentures will be redeemable as a whole or in part, at the option of
the Company at any time, at a Redemption Price equal to the greater of (i) 100%
of their principal amount and (ii) the sum of the present values of the
remaining scheduled payments of principal and interest thereon discounted to
the date of redemption (the "Redemption Date") on a semi-annual basis (assuming
a 360-day year consisting of twelve 30-day months) at the Treasury Yield plus 20
basis points, plus in each case accrued interest to the Redemption Date.

                                       2
<PAGE>
 
     "Treasury Yield" means, with respect to any Redemption Date, the rate per
annum equal to the semiannual equivalent yield to maturity of the Comparable
Treasury Issue, assuming a price for the Comparable Treasury Issue (expressed as
a percentage of its principal amount) equal to the Comparable Treasury Price for
such Redemption Date.

     "Comparable Treasury Issue" means the United States Treasury security
selected by an Independent Investment Banker as having a maturity comparable to
the remaining term of the Debentures that would be utilized, at the time of
selection and in accordance with customary financial practice, in pricing new
issues of corporate debt securities of comparable maturity to the remaining term
of the Debentures.  "Independent Investment Banker" means Morgan Stanley & Co.
Incorporated or, if such firm is unwilling or unable to select the Comparable
Treasury Issue, an independent investment banking institution of national
standing appointed by the Trustee.

     "Comparable Treasury Price" means, with respect to any Redemption Date, (i)
the average of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) on the third
business day preceding such Redemption Date, as set forth in the daily
statistical release (or any successor release) published by the Federal Reserve
Bank of New York and designated "Composite 3:30 p.m. Quotations for U.S.
Government Securities" or (ii) if such release (or any successor release) is not
published or does not contain such prices on such business day, (A) the average
of the Reference Treasury Dealer Quotations for such Redemption Date, after
excluding the highest and lowest such Reference Treasury Dealer Quotations, or
(B) if the Trustee obtains fewer than four such Reference Treasury Dealer
Quotations, the average of all such Quotations.  "Reference Treasury Dealer
Quotations" means, with respect to each Reference Treasury Dealer and any
Redemption Date, the average, as determined by the Trustee, of the bid and asked
prices for the Comparable Treasury Issue (expressed in each case as a percentage
of its principal amount) quoted in writing to the Trustee by such Reference
Dealer at 5:00 p.m. on the third business day preceding such Redemption Date.

     "Reference Treasury Dealer" means each of Morgan Stanley & Co.
Incorporated, Furman Selz Incorporated, Goldman, Sachs & Co., Merrill Lynch,
Pierce, Fenner & Smith Incorporated, Lehman Brothers Inc., and Salomon Brothers
Inc and their respective successors; provided, however, that if any of the
foregoing shall cease to be a primary U.S. Government securities dealer in New
York City (a "Primary Treasury Dealer"), the Company shall substitute therefor
another Primary Treasury Dealer.

     Holders of Debentures to be redeemed will receive notice thereof by first-
class mail at least 30 and not more than 60 days prior to the date fixed for
redemption.

     In case an Event of Default with respect to the Debentures shall have
occurred and be continuing, the principal hereof may be declared, and upon such
declaration shall become, immediately due and payable, in the manner, with the
effect and subject to the conditions provided in the Indenture.  The Indenture
provides that such declaration may in certain events be waived by the Holders of
a majority in principal amount of the Debentures then Outstanding.

                                       3
<PAGE>
 
     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 each series to be
affected under the Indenture at any time by the Company and the Trustee with the
consent of the Holders of not less than a majority in principal amount of the
outstanding Securities of each series to be affected.  It is also provided in
the Indenture that prior to any declaration accelerating the maturity of the
Debentures as a series, the Holders of a majority in aggregate principal amount
of the Securities of such series at the time Outstanding may on behalf of the
Holders of all of the Securities of such series waive any past default with
respect to the Securities of such series under the Indenture and its
consequences, except a default in the payment of the principal of, or interest
on, any of the Securities of such series.

     No reference herein to the Indenture and no provision of this Global
Debenture or of the Indenture (including the Company's right to defease and
discharge the Debentures pursuant to Article Four and Article Fourteen of the
Indenture) shall alter or impair the obligation of the Company, which is
absolute and unconditional, to pay the principal of, and interest on, this
Global Debenture at the place, at the respective times, at the rate and in the
coin or currency herein prescribed.

     This Global Debenture shall be exchangeable for Securities registered in
the names of Persons other than the Depositary or its nominee only if (i) the
Depositary notifies the Company that it is unwilling or unable to continue as
the Depositary or if at any time the Depositary ceases to be registered or in
good standing under the United States Securities Exchange Act of 1934, as
amended, and the Company fails to appoint a successor Depositary within 90 days
after the Company receives such notice or becomes aware of such event, (ii) the
Company executes and delivers to the Trustee a Company Order that this Global
Debenture shall be so exchangeable or (iii) there shall have occurred and be
continuing an Event of Default, or an event which, with the giving of notice or
the lapse of time, or both, would constitute an Event of Default, with respect
to the Debentures.  To the extent that this Global Debenture is exchangeable
pursuant to the preceding sentence, it shall be exchangeable for Debentures
registered in such names as the Depositary shall direct.

     Except as provided in the immediately preceding paragraph, this Global
Debenture may not be transferred except as a whole by the Depositary 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.

     Prior to due presentment for registration of transfer of this Global
Debenture, the Company, the Trustee and any agent of the Company or the Trustee
may deem and treat the Holder hereof as the absolute owner of this Global
Debenture (whether or not this Global Debenture shall be overdue and
notwithstanding any notation of ownership or other writing hereon), for the
purpose of receiving payment hereof or on account hereof (except as otherwise
provided in the Indenture), as herein provided, and for all other purposes, and
neither the Company nor the Trustee nor any Paying Agent nor any Security
Registrar shall be affected by any notice to the contrary.  All payments made to
or upon the order of such Holder shall, to the

                                       4
<PAGE>
 
extent of the sum or sums paid, effectually satisfy and discharge liability for
moneys payable on this Global Debenture.

     None of the Company, the Trustee, any Paying Agent or the Security
Registrar will have any responsibility or liability for any aspect of the
records relating to or payments made on account of beneficial ownership
interests of this Global Debenture or for maintaining, supervising or reviewing
any records relating to such beneficial ownership interests.

     No recourse for the payment of the principal of, or interest on, this
Global Debenture, or for any claims based hereon or otherwise in respect hereof,
and no recourse under or upon any obligation, covenant or agreement of the
Company in the Indenture or any indenture supplemental thereto or in any
Debenture or because of the creation of any indebtedness represented thereby,
shall be had against any incorporator, stockholder, officer or director, as
such, past, present or future, of the  Company, whether by virtue of any
assessment or penalty or otherwise, all such liability being, by the acceptance
hereof and as part of the consideration for the issue hereof, expressly waived
and released.

     Except as otherwise expressly provided in this Global Debenture, this
Global Debenture shall in all respects be entitled to all benefits, and subject
to the same terms and conditions, as definitive registered securities
authenticated and delivered under the Indenture.

     The Indenture and this Global Debenture shall be governed by and construed
in accordance with the laws of the State of New York.

     This Global Debenture shall not be valid or become obligatory for any
purpose until the certificate of authentication hereon shall have been signed by
the Trustee under the Indenture referred to on the reverse hereof.

                                       5
<PAGE>
 
     IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed under its corporate seal.


Dated as of November 27, 1995          COLUMBIA/HCA HEALTHCARE
                                        CORPORATION


TRUSTEE'S CERTIFICATE                  By:_______________________________
OF AUTHENTICATION                      Title:____________________________

This is one of the Securities          Attest:___________________________
of the series designated herein        Title:____________________________
referred to in the within-
mentioned Indenture.

THE FIRST NATIONAL BANK OF CHICAGO,
as Trustee


By:____________________________

                                       6

<PAGE>

                                                                     EXHIBIT 4.2
 
THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE
HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITARY OR A
NOMINEE OF A DEPOSITARY.  THIS SECURITY IS EXCHANGEABLE FOR SECURITIES
REGISTERED IN THE NAME OF A PERSON OTHER THAN THE DEPOSITARY OR ITS NOMINEE ONLY
IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE AND MAY NOT BE
TRANSFERRED EXCEPT AS A WHOLE BY THE DEPOSITARY 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 OR SUCH SUCCESSOR.

Unless this certificate is presented by an authorized representative of The
Depository Trust Company, a New York corporation ("DTC"), to the Company or its
agent for registration of transfer, exchange or payment, and any certificate
issued is registered in the name of Cede & Co. or in such other name as is
requested by an authorized representative of DTC (and any payment is made to
Cede & Co. or to such other entity as is requested by an authorized
representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR
OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the registered owner
hereof, Cede & Co., has an interest herein.



                                                                Principal Amount

                      COLUMBIA/HCA HEALTHCARE CORPORATION           $200,000,000

                     7.50% DEBENTURE DUE NOVEMBER 15, 2095

                               GLOBAL DEBENTURE

                                                                 Cusip 197677AHO


     COLUMBIA/HCA HEALTHCARE CORPORATION, a corporation duly organized and
existing under the laws of the State of Delaware (herein called the "Company",
which term includes any successor corporation under the Indenture hereinafter
referred to), for value received, hereby promises to pay to Cede & Co., as the
nominee of The Depository Trust Company, or registered assigns, the principal
amount of Two Hundred Million Dollars ($200,000,000), on November 15, 2095 (the
"Maturity Date") and to pay interest (computed on the basis of a 360-day year of
twelve 30-day months) on May 15 and November 15 ("Interest Payment Date") in
each year, beginning on May 15, 1996, and at the Maturity Date specified above
on said principal amount, at the rate of 7.50% per annum, from November 15, 1995
until payment of said principal amount has been made or duly provided for.  The
interest so payable on any Interest Payment Date (other than at maturity) will
be paid to the Person in whose name
<PAGE>
 
this Global Debenture is registered at the close of business on the last day of
the month immediately preceding the month in which such interest payment is due
(a "Regular Record Date"), next preceding such Interest Payment Date, unless the
Company shall default in the payment of interest due on any such Interest
Payment Date, in which case such defaulted interest shall be paid to the Person
in whose name this Global Debenture is registered at the close of business on a
Special Record Date for the payment of such defaulted interet established by
notice to the registered holders of Debentures not less than ten days preceding
such Special Record Date.  In any case where the date for any payment on the
Debentures is not a Business Day, such payment shall be made on the next
succeeding Business Day.  A Business Day is any day that is not a Saturday or
Sunday and that, in Chicago, Illinois, is not a day on which banking
institutions are generally authorized or required by law or executive order to
close.

     Both principal of and interest on this Global Debenture are payable in
immediately available funds in any coin or currency of the United States of
America, which at the time of payment is legal tender for the payment of public
and private debts.  Payments of principal and interest will be made in Chicago,
Illinois, at the Corporate Trust Office of The First National Bank of Chicago,
or at such other office or agency of the Company as the Company shall designate
pursuant to the Indenture referred to elsewhere herein.

     This Global Debenture is one of a duly authorized issue of debentures,
notes, bonds or other evidences of indebtedness of the Company (hereinafter
called the "Securities"), of the series hereinafter specified, issued or to be
issued under an Indenture dated as of December 15, 1993, as may be amended by
indentures supplemental thereto (hereinafter called the "Indenture"), duly
executed and delivered by the Company to The First National Bank of Chicago, as
trustee (hereinafter called the "Trustee"), to which Indenture reference is
hereby made for a description of the respective rights and duties thereunder of
the Trustee, the Company and the Holders of the Securities.  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 at
different rates, may have different conversion prices (if any), may be subject
to different redemption provisions, may be subject to different sinking,
purchase or analogous funds, may be subject to different covenants and Events of
Default and may otherwise vary as in the Indenture provided.  This Global
Debenture is a Global Security representing the entire principal amount of a
series of Securities designated "7.50% Debentures due November 15, 2095"
(hereincalled the "Debentures") issued under the Indenture.  Unless otherwise
provided herein, all terms used in this Global Debenture, which are defined in
the Indenture shall have the meanings assigned to them in the Indenture.

     The Debentures do not have a sinking fund.

     The Debentures may not be redeemed by the Company prior to maturity.

     In case an Event of Default with respect to the Debentures shall have
occurred and be continuing, the principal hereof may be declared, and upon such
declaration shall become, immediately due and payable, in the manner, with the
effect and subject to the conditions

                                       2
<PAGE>
 
provided in the Indenture.  The Indenture provides that such declaration may in
certain events be waived by the Holders of a majority in principal amount of the
Debentures then Outstanding.

     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 each series to be
affected under the Indenture at any time by the Company and the Trustee with the
consent of the Holders of not less than a majority in principal amount of the
outstanding Securities of each series to be affected.  It is also provided in
the Indenture that prior to any declaration accelerating the maturity of the
Debentures as a series, the Holders of a majority in aggregate principal amount
of the Securities of such series at the time Outstanding may on behalf of the
Holders of all of the Securities of such series waive any past default with
respect to the Securities of such series under the Indenture and its
consequences, except a default in the payment of the principal of, or interest
on, any of the Securities of such series.

     No reference herein to the Indenture and no provision of this Global
Debenture or of the Indenture (including the Company's right to defease and
discharge the Debentures pursuant to Article Four and Article Fourteen of the
Indenture) shall alter or impair the obligation of the Company, which is
absolute and unconditional, to pay the principal of, and interest on, this
Global Debenture at the place, at the respective times, at the rate and in the
coin or currency herein prescribed.

     This Global Debenture shall be exchangeable for Securities registered in
the names of Persons other than the Depositary or its nominee only if (i) the
Depositary notifies the Company that it is unwilling or unable to continue as
the Depositary or if at any time the Depositary ceases to be registered or in
good standing under the United States Securities Exchange Act of 1934, as
amended, and the Company fails to appoint a successor Depositary within 90 days
after the Company receives such notice or becomes aware of such event, (ii) the
Company executes and delivers to the Trustee a Company Order that this Global
Debenture shall be so exchangeable or (iii) there shall have occurred and be
continuing an Event of Default, or an event which, with the giving of notice or
the lapse of time, or both, would constitute an Event of Default, with respect
to the Debentures.  To the extent that this Global Debenture is exchangeable
pursuant to the preceding sentence, it shall be exchangeable for Debentures
registered in such names as the Depositary shall direct.

     Except as provided in the immediately preceding paragraph, this Global
Debenture may not be transferred except as a whole by the Depositary 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.

     Prior to due presentment for registration of transfer of this Global
Debenture, the Company, the Trustee and any agent of the Company or the Trustee
may deem and treat the Holder hereof as the absolute owner of this Global
Debenture (whether or not this Global Debenture shall be overdue and
notwithstanding any notation of ownership or other writing hereon), for the
purpose of receiving payment hereof or on account hereof (except as otherwise

                                       3
<PAGE>
 
provided in the Indenture), as herein provided, and for all other purposes, and
neither the Company nor the Trustee nor any Paying Agent nor any Security
Registrar shall be affected by any notice to the contrary.  All payments made to
or upon the order of such Holder shall, to the extent of the sum or sums paid,
effectually satisfy and discharge liability for moneys payable on this Global
Debenture.

     None of the Company, the Trustee, any Paying Agent or the Security
Registrar will have any responsibility or liability for any aspect of the
records relating to or payments made on account of beneficial ownership
interests of this Global Debenture or for maintaining, supervising or reviewing
any records relating to such beneficial ownership interests.

     No recourse for the payment of the principal of, or interest on, this
Global Debenture, or for any claims based hereon or otherwise in respect hereof,
and no recourse under or upon any obligation, covenant or agreement of the
Company in the Indenture or any indenture supplemental thereto or in any
Debenture or because of the creation of any indebtedness represented thereby,
shall be had against any incorporator, stockholder, officer or director, as
such, past, present or future, of the  Company, whether by virtue of any
assessment or penalty or otherwise, all such liability being, by the acceptance
hereof and as part of the consideration for the issue hereof, expressly waived
and released.

     Except as otherwise expressly provided in this Global Debenture, this
Global Debenture shall in all respects be entitled to all benefits, and subject
to the same terms and conditions, as definitive registered securities
authenticated and delivered under the Indenture.

     The Indenture and this Global Debenture shall be governed by and construed
in accordance with the laws of the State of New York.

     This Global Debenture shall not be valid or become obligatory for any
purpose until the certificate of authentication hereon shall have been signed by
the Trustee under the Indenture referred to on the reverse hereof.

                                       4
<PAGE>
 
     IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed under its corporate seal.


Dated as of November 27, 1995               COLUMBIA/HCA HEALTHCARE           
                                             CORPORATION                      
                                                                              
                                                                              
TRUSTEE'S CERTIFICATE                       By:_______________________________
OF AUTHENTICATION                           Title:____________________________
                                                                              
This is one of the Securities               Attest:___________________________
of the series designated herein             Title:____________________________
referred to in the within-
mentioned Indenture.

THE FIRST NATIONAL BANK OF CHICAGO,
as Trustee


By:______________________________

                                       5


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