COLUMBIA HCA HEALTHCARE CORP/
S-4 POS, 1995-06-14
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
 
     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JUNE 14, 1995
 
                                                       REGISTRATION NO. 33-58919
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
 
                               ----------------
                        POST-EFFECTIVE AMENDMENT NO. 1
                                      TO
                                   FORM S-4
                            REGISTRATION STATEMENT
                                     UNDER
                          THE SECURITIES ACT OF 1933
                               ----------------
                      COLUMBIA/HCA HEALTHCARE CORPORATION
            (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
        DELAWARE                      8062                   75-2497104
                          (PRIMARY STANDARD INDUSTRIAL    (I.R.S. EMPLOYER
     (STATE OR OTHER      CLASSIFICATION CODE NUMBER)    IDENTIFICATION NO.)
     JURISDICTION OF
    INCORPORATION OR
      ORGANIZATION)
 
                                 ONE PARK PLAZA
                           NASHVILLE, TENNESSEE 37203
                                 (615) 327-9551
  (ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE NUMBER, INCLUDING AREA CODE, OF
                   REGISTRANT'S PRINCIPAL EXECUTIVE OFFICES)
 
                             STEPHEN T. BRAUN, ESQ.
                   SENIOR VICE PRESIDENT AND GENERAL COUNSEL
                      COLUMBIA/HCA HEALTHCARE CORPORATION
                              201 WEST MAIN STREET
                           LOUISVILLE, KENTUCKY 40202
                                 (502) 572-2000
  (NAME AND ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE NUMBER, INCLUDING AREA
                          CODE, OF AGENT FOR SERVICE)
                               ----------------
                                   Copies to:
        Allan G. Sperling, Esq.                 Ronald J. Frappier, Esq.
        Cleary, Gottlieb, Steen                   Jenkens & Gilchrist
               & Hamilton                      A Professional Corporation
           One Liberty Plaza                        1445 Ross Avenue
        New York, New York 10006                       Suite 3200
             (212) 225-2000                       Dallas, Texas 75202
                                                     (214) 855-4500
                               ----------------
        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
AS SOON AS PRACTICABLE AFTER THE EFFECTIVE DATE OF THIS REGISTRATION STATEMENT.
 
  If the securities being registered on this Form are being offered in
connection with the formation of a holding company and there is compliance with
General Instruction G, check the following box. [_]
                               ----------------
                        CALCULATION OF REGISTRATION FEE
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
                                               PROPOSED        PROPOSED
                                               MAXIMUM          MAXIMUM        AMOUNT OF
  TITLE OF EACH CLASS OF      AMOUNT TO BE  OFFERING PRICE     AGGREGATE      REGISTRATION
SECURITIES TO BE REGISTERED    REGISTERED      PER UNIT    OFFERING PRICE(1)     FEE(2)
- ------------------------------------------------------------------------------------------
<S>                          <C>            <C>            <C>               <C>
Notes due June 15,
 2005..................       $500,000,000       100%        $500,000,000       $172,414
- ------------------------------------------------------------------------------------------
Notes due June 15,
 2000..................       $200,000,000       100%        $200,000,000       $ 68,966
- ------------------------------------------------------------------------------------------
Notes due June 15,
 2025..................       $300,000,000       100%        $300,000,000       $103,448
- ------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------
</TABLE>
(1) Pursuant to Rule 457(f)(1) and (3) under the Securities Act of 1933, as
    amended, each amount in this column is the market value of the maximum
    amount of notes or debentures to be received by the Registrant from
    tendering holders in exchange for the specified issue of Notes, less the
    estimated amount of cash to be paid by the Registrant to tendering holders,
    pursuant to the exchange offers described herein.
(2) The registration fee has been computed pursuant to Rule 457(f) under the
    Securities Act of 1933, as amended.
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
 
PROSPECTUS AND CONSENT SOLICITATION SUPPLEMENT DATED JUNE 15, 1995
(To Prospectus and Consent Solicitation Dated May 25, 1995)
 
                                $1,000,000,000
 
                      COLUMBIA/HCA HEALTHCARE CORPORATION
 
                               OFFER TO EXCHANGE
  $500,000,000 NOTES OF COLUMBIA/HCA HEALTHCARE CORPORATION DUE JUNE 15, 2005
                                FOR ANY AND ALL
10 3/4% SUBORDINATED NOTES OF HEALTHTRUST, INC.--THE HOSPITAL COMPANY DUE 2002
                                      AND
  $200,000,000 NOTES OF COLUMBIA/HCA HEALTHCARE CORPORATION DUE JUNE 15, 2000
                                FOR ANY AND ALL
10 1/4% SUBORDINATED NOTES OF HEALTHTRUST, INC.--THE HOSPITAL COMPANY DUE 2004
                                      AND
  $300,000,000 NOTES OF COLUMBIA/HCA HEALTHCARE CORPORATION DUE JUNE 15, 2025
                                FOR ANY AND ALL
 8 3/4% SUBORDINATED DEBENTURES OF HEALTHTRUST, INC.--THE HOSPITAL COMPANY DUE
                                     2005
                                      AND
                             CONSENT SOLICITATION
 
Reference is made to the Prospectus and Consent Solicitation dated May 25,
1995 (together, the "Prospectus") of Columbia/HCA Healthcare Corporation (the
"Company"). Capitalized terms used but not defined herein have the meanings
assigned to such terms in the Prospectus.
 
The Company has amended the terms of its Exchange Offer for any and all 10
3/4% Subordinated Notes of Healthtrust, Inc.--The Hospital Company
("Healthtrust") due 2002 (the "Old 10 3/4% Notes") by increasing the Fixed
Spread (as such term is defined on page 26 of the Prospectus) that will be
used to determine the per annum interest rate on the $500,000,000 of the
Company's Notes due June 15, 2005 (the "New 2005 Notes") that are being
offered in exchange for the Old 10 3/4% Notes. Such Fixed Spread has been
increased from 0.75% to 0.80%. As a result of this increase, the per annum
interest rate on the New 2005 Notes will equal the sum of (i) the yield on the
6 1/2% U.S. Treasury Note due May 15, 2005, as of the Pricing Time, and (ii)
0.80%, and will be 0.05% higher than such rate would have been if the Exchange
Offer for the Old 10 3/4% Notes were not so amended.
 
In connection with this amendment of its Exchange Offer for the Old 10 3/4%
Notes, the Company also has (i) extended the term of such offer so that it
will expire on Wednesday, June 28, 1995, at 11:59 p.m., New York City time
(unless extended) and (ii) shortened the settlement period with respect to
such offer so that New 2005 Notes will be delivered and cash payments will be
made, in exchange for any Old 10 3/4% Notes accepted by the Company, two
business days following the expiration of such offer. The Company is
shortening the settlement period for its Exchange Offer for the Old 10 3/4%
Notes so that the scheduled Exchange Date will remain June 30, 1995.
 
The Company's Exchange Offers for any and all 10 1/4% Subordinated Notes of
Healthtrust due 2004 and for any and all 8 3/4% Subordinated Debentures of
Healthtrust due 2005 remain unchanged. As set forth in the Prospectus, such
offers will expire on Friday, June 23, 1995, at 11:59 p.m., New York City time
(unless extended) and the scheduled Exchange Date for such offers is June 30,
1995.
<PAGE>
 
  What follows are a series of tables that illustrate application of the
formulas to be used to determine Reference Total Prices for the Old Securities
and interest rates on the New Securities. The following tables are similar to
the tables on pages 26 and 27 of the Prospectus; however, the tables below (i)
reflect the change made to the Fixed Spread to be used to determine the per
annum interest rate on the New 2005 Notes and (ii) where applicable reflect
Benchmark Treasury Yields as of 4:00 p.m., New York City time, on June 13,
1995. Set forth in Schedule A to the Prospectus is the methodology used to
determine the Reference Total Prices in the following tables. A revised
Schedule B to the Prospectus is included herewith demonstrating application of
the methodology set forth in Schedule A of the Prospectus assuming that
Benchmark Treasury Yields as of the Pricing Time are the same as they were as
of 4:00 p.m., New York City time, on June 13, 1995. The tables set forth below
and the revised Schedule B included herewith supersede the examples provided
on the front cover, pages 26 and 27 and Schedule B of the Prospectus.
 
  THE INFORMATION SET FORTH IN THE FOLLOWING TABLES IS FOR ILLUSTRATIVE
PURPOSES ONLY AND NO REPRESENTATION IS INTENDED WITH RESPECT TO THE ACTUAL
CONSIDERATION THAT MAY BE PAID PURSUANT TO THE EXCHANGE OFFERS. THE AMOUNT OF
CASH PAID AND THE INTEREST RATES ON THE NEW SECURITIES DELIVERED PURSUANT TO
THE EXCHANGE OFFERS MAY BE GREATER OR LESS THAN THAT APPEARING IN THE
FOLLOWING TABLES DEPENDING ON THE ACTUAL BENCHMARK TREASURY YIELDS AS OF THE
PRICING TIME.
 
  For each issue of Old Securities, the following table sets forth the
Benchmark Treasury Yield as of 4:00 p.m., New York City time, on June 13, 1995
and the applicable fixed spread. The table also sets forth for each issue of
Old Securities the Reference Yield, the Reference Total Price and the amount
of cash consideration (in addition to the $1,000 principal amount of the
corresponding issue of New Securities) that would be received in exchange for
each $1,000 principal amount of such Old Securities accepted by the Company,
assuming (i) that the Benchmark Treasury Yields as of the Pricing Time are the
same as they were as of 4:00 p.m., New York City time, on June 13, 1995 and
(ii) an Exchange Date of June 30, 1995.
 
                        FOR ILLUSTRATIVE PURPOSES ONLY
 
<TABLE>
<CAPTION>
                         BENCHMARK TREASURY
                               YIELD        FIXED                   REFERENCE      CASH
         ISSUE             AS OF 6/13/95    SPREAD REFERENCE YIELD TOTAL PRICE CONSIDERATION
         -----           ------------------ ------ --------------- ----------- -------------
<S>                      <C>                <C>    <C>             <C>         <C>
Old 10 3/4% Notes.......        5.63%        0.15%      5.78%       $1,138.89     $138.89
Old 10 1/4% Notes.......        5.80%        0.25%      6.05%       $1,192.25     $192.25
Old 8 3/4% Debentures...        5.90%        0.30%      6.20%       $1,146.39     $146.39
</TABLE>
 
  For each issue of Old Securities, the following table sets forth the
Reference Yield, the Reference Total Price and the amount of cash
consideration (in addition to $1,000 principal amount of the corresponding
issue of New Securities) that would be received in exchange for each $1,000
principal amount of such Old Securities accepted by the Company, assuming (i)
that the Benchmark Treasury Yields as of the Pricing Time are equal to certain
hypothetical Benchmark Treasury Yields and (ii) an Exchange Date of June 30,
1995.
 
 
                                       2
<PAGE>
 
                        FOR ILLUSTRATIVE PURPOSES ONLY
 
<TABLE>
<CAPTION>
                         HYPOTHETICAL BENCHMARK FIXED                   REFERENCE      CASH
         ISSUE               TREASURY YIELD     SPREAD REFERENCE YIELD TOTAL PRICE CONSIDERATION
         -----           ---------------------- ------ --------------- ----------- -------------
<S>                      <C>                    <C>    <C>             <C>         <C>
Old 10 3/4% Notes.......          5.13%          0.15%      5.28%       $1,148.35     $148.35
                                  5.38           0.15       5.53         1,143.61      143.61
                                  5.63           0.15       5.78         1,138.89      138.89
                                  5.88           0.15       6.03         1,134.20      134.20
                                  6.13           0.15       6.28         1,129.54      129.54
Old 10 1/4% Notes.......          5.30%          0.25%      5.55%       $1,211.15     $211.15
                                  5.55           0.25       5.80         1,201.66      201.66
                                  5.80           0.25       6.05         1,192.25      192.25
                                  6.05           0.25       6.30         1,182.94      182.94
                                  6.30           0.25       6.55         1,173.73      173.73
Old 8 3/4% Debentures...          5.40%          0.30%      5.70%       $1,172.23     $172.23
                                  5.65           0.30       5.95         1,159.22      159.22
                                  5.90           0.30       6.20         1,146.39      146.39
                                  6.15           0.30       6.45         1,133.75      133.75
                                  6.40           0.30       6.70         1,121.28      121.28
</TABLE>
 
  For each issue of New Securities, the following table sets forth the
Benchmark Treasury Yield as of 4:00 p.m., New York City time, on June 13, 1995
and the applicable fixed spread. The table also sets forth what the per annum
interest rate on each issue of New Securities would be, assuming that the
Benchmark Treasury Yields as of the Pricing Time are the same as they were as
of 4:00 p.m., New York City time, on June 13, 1995.
 
                        FOR ILLUSTRATIVE PURPOSES ONLY
 
<TABLE>
<CAPTION>
                            BENCHMARK TREASURY YIELD
    ISSUE                        AS OF 6/13/95       FIXED SPREAD INTEREST RATE
    -----                   ------------------------ ------------ -------------
<S>                         <C>                      <C>          <C>
New 2005 Notes.............           6.12%              0.80%        6.92%
New 2000 Notes.............           5.86%              0.52%        6.38%
New 2025 Notes.............           6.60%              1.10%        7.70%
</TABLE>
 
  For each issue of New Securities, the following table sets forth what the
per annum interest rate on such issue of New Securities would be, assuming
that the Benchmark Treasury Yields as of the Pricing Time are equal to certain
hypothetical Benchmark Treasury Yields.
 
                        FOR ILLUSTRATIVE PURPOSES ONLY
 
<TABLE>
<CAPTION>
                              HYPOTHETICAL BENCHMARK
    ISSUE                         TREASURY YIELD     FIXED SPREAD INTEREST RATE
    -----                     ---------------------- ------------ -------------
<S>                           <C>                    <C>          <C>
New 2005 Notes...............          5.62%             0.80%        6.42%
                                       5.87              0.80         6.67
                                       6.12              0.80         6.92
                                       6.37              0.80         7.17
                                       6.62              0.80         7.42
New 2000 Notes...............          5.36%             0.52%        5.88%
                                       5.61              0.52         6.13
                                       5.86              0.52         6.38
                                       6.11              0.52         6.63
                                       6.36              0.52         6.88
New 2025 Notes...............          6.10%             1.10%        7.20%
                                       6.35              1.10         7.45
                                       6.60              1.10         7.70
                                       6.85              1.10         7.95
                                       7.10              1.10         8.20
</TABLE>
 
 
                                       3
<PAGE>
 
                                                             REVISED SCHEDULE B
 
               Example Determinations of Reference Total Prices
                         Demonstrating Application of
                    The Methodology Specified in Schedule A
 
  THE REFERENCE TOTAL PRICES SET FORTH ON THIS SCHEDULE B ARE FOR ILLUSTRATIVE
PURPOSES ONLY AND NO REPRESENTATION IS INTENDED WITH RESPECT TO THE ACTUAL
CONSIDERATION THAT MAY BE PAID PURSUANT TO THE EXCHANGE OFFERS. THE ACTUAL
REFERENCE TOTAL PRICES MAY BE GREATER OR LESS THAN THOSE DEPICTED BELOW
DEPENDING ON THE ACTUAL BENCHMARK TREASURY YIELDS AS OF THE PRICING TIME.
 
<TABLE>
<CAPTION>
                                          OLD 10    OLD 10
                                           3/4%      1/4%    OLD 8 3/4%
                                           NOTES     NOTES   DEBENTURES
                                         --------- --------- ----------
   <S>                                   <C>       <C>       <C>
   Terms of Old Securities:
     Interest Rate                        10.75%    10.25%     8.75%
     Maturity Date                        5/1/02    4/15/04   3/15/05
     Redemption Price(/1/)               $1,040.00 $1,038.44 $1,000.00
     Redemption Date(/1/)                 5/1/97    4/15/99   3/15/01
   Benchmark Treasury Security:
     Interest Rate                        6 1/2%      7%       7 3/4%
     Maturity Date                        4/30/97   4/15/99   2/15/01
     Assumed Benchmark
      Treasury Yield(/2/)                  5.63%     5.80%     5.90%
   Fixed Spread                            0.15%     0.25%     0.30%
   Assumed Reference Yield(/3/)            5.78%     6.05%     6.20%
   Assumed Exchange Date(/4/)             6/30/95   6/30/95   6/30/95
   Computation of Reference Total Price
    for these Examples:
     YLD                                  0.0578    0.0605     0.0620
     CPN                                  0.1075    0.1025     0.0875
     N                                       4         8         12
     S                                      59        75        105
     RED                                 1,040.00  1,038.44   1,000.00
     Reference Total Price
      for this Example(/5/)              1,138.89  1,192.25   1,146.39
</TABLE>
- --------
(1) As defined in Schedule A. These are used only for the purpose of computing
    the Reference Total Price.
(2) The assumed Benchmark Treasury Yields for these examples are the yields on
    the Benchmark Treasury Securities as of 4:00 p.m., New York City time, on
    June 13, 1995.
(3) The assumed Reference Yields for these examples are the Reference Yields
    (which shall equal the applicable Benchmark Treasury Yield plus the
    applicable fixed spread) based on the assumed Benchmark Treasury Yields
    for these examples.
(4) The assumed Exchange Date for these examples is the scheduled Exchange
    Date for each Exchange Offer and will be the Exchange Date unless such
    Exchange Offer is extended.
(5) These are the Reference Total Prices for these examples only and assume
    Benchmark Treasury Yields and an Exchange Date as indicated.
<PAGE>
 
                                    PART II
 
                    INFORMATION NOT REQUIRED IN PROSPECTUS
 
                                  SIGNATURES
 
  Pursuant to the requirements of the Securities Act of 1933, as amended, the
Registrant has duly caused this Registration Statement or amendment thereto to
be signed on its behalf by the undersigned, thereunto duly authorized, in the
City of Nashville, State of Tennessee, on the 14th day of June, 1995.
 
                                          Columbia/HCA Healthcare Corporation
 
                                                   /s/ Stephen T. Braun
                                          By: _________________________________
                                                     Stephen T. Braun
                                                 Senior Vice President and
                                                      General Counsel
 
 
  Pursuant to the requirements of the Securities Act of 1933, this Post-
Effective Amendment Number 1 to the Registration Statement has been signed
below by the following persons in the capacities and on the dates indicated.
 
              SIGNATURE                        TITLE                 DATE
 
                  *                    Chairman of the          June 14, 1995
_____________________________________   Board
     THOMAS F. FRIST, JR., M.D.
 
                  *                    President, Chief         June 14, 1995
_____________________________________   Executive Officer
          RICHARD L. SCOTT              (Principal
                                        Executive Officer)
                                        and Director
 
                  *                    Senior Vice              June 14, 1995
_____________________________________   President, Chief
           DAVID C. COLBY               Financial Officer
                                        and Treasurer
                                        (Principal
                                        Financial Officer)
 
                  *                    Vice President and       June 14, 1995
_____________________________________   Controller
        RICHARD A. LECHLEITER           (Principal
                                        Accounting Officer)
 
                  *                    Director                 June 14, 1995
_____________________________________
      MAGDALENA AVERHOFF, M.D.
 
                                     II-1
<PAGE>
 
             SIGNATURE                       TITLE                  DATE
 
 
                 *                    Director                 June 14, 1995
____________________________________
          J. DAVID GRISSOM
 
                 *                    Director                 June 14, 1995
____________________________________
          CHARLES J. KANE
 
                 *                    Director                 June 14, 1995
____________________________________
          JOHN W. LANDRUM
 
                 *                    Director                 June 14, 1995
____________________________________
          T. MICHAEL LONG
 
                 *                    Director                 June 14, 1995
____________________________________
           DARLA D. MOORE
 
                 *                    Director                 June 14, 1995
____________________________________
       RODMAN W. MOORHEAD III
 
                 *                    Director                 June 14, 1995
____________________________________
          CARL F. POLLARD
 
                 *                    Director                 June 14, 1995
____________________________________
         CARL E. REICHARDT
 
                 *                    Director                 June 14, 1995
____________________________________
        FRANK S. ROYAL, M.D.
 
                                      II-2
<PAGE>
 
             SIGNATURE                       TITLE                  DATE
 
 
                 *                    Director                 June 14, 1995
____________________________________
          ROBERT D. WALTER
 
                 *                    Director                 June 14, 1995
____________________________________
          WILLIAM T. YOUNG
 
        /s/ Stephen T. Braun
*By: _______________________________
          STEPHEN T. BRAUN
          ATTORNEY-IN-FACT
 
                                      II-3


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