STOCK TITAN

Director Frist (NYSE: HCA) gets 809 RSUs, retains large indirect stake

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

Frist William R reported acquisition or exercise transactions in this Form 4 filing.

HCA Healthcare, Inc. director and ten percent owner William R. Frist reported an equity award tied to his board service. He received 809 restricted share units at no cost, comprising 509 units from an annual director equity award and 300 units elected in lieu of a cash retainer.

The restricted share units vest on the earlier of the 2027 annual shareholders’ meeting or the first anniversary of the grant, with shares delivered when he leaves the board. After this award, he directly holds 13,740 shares and has significant indirect interests through entities including Frisco Holding II, which holds 36,557,141 shares, and Hercules Holding II, which holds 32,282,889 shares, where he may be deemed to share voting and investment control but disclaims beneficial ownership beyond his pecuniary interests.

Positive

  • None.

Negative

  • None.
Insider Frist William R
Role null
Type Security Shares Price Value
Grant/Award Common Stock, par value $0.01 per share 809 $0.00 --
holding Common Stock, par value $0.01 per share -- -- --
holding Common Stock, par value $0.01 per share -- -- --
holding Common Stock, par value $0.01 per share -- -- --
holding Common Stock, par value $0.01 per share -- -- --
holding Common Stock, par value $0.01 per share -- -- --
Holdings After Transaction: Common Stock, par value $0.01 per share — 13,740 shares (Direct, null); Common Stock, par value $0.01 per share — 36,557,141 shares (Indirect, By Frisco Holding II)
Footnotes (1)
  1. Represents shares of Common Stock, par value $0.01 per share ("Shares"), of HCA Healthcare, Inc. (the "Issuer") underlying 509 restricted share units attributable to an annual director equity award and 300 restricted share units received in lieu of an annual cash retainer for service as a director. The restricted share units shall vest on the sooner of the date of the 2027 annual shareholders' meeting of HCA Healthcare, Inc. or the first anniversary of the grant date. Vested Shares will be delivered to the Reporting Person on the date the Reporting Person ceases to be a member of the Board of Directors of the Issuer. Frisco Holding II ("Frisco") holds 36,557,141 Shares. Frisco is held by a private investor group, including affiliates of HCA Inc. founder Dr. Thomas F. Frist Jr. The Reporting Person may be deemed to exercise voting and investment control over the Shares held by Frisco, but disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest therein, which may be deemed to include indirect interests in Shares through ownership of Frisco partnership units to the extent of: 3,156,495 Shares by the Reporting Person; and 8,713,110 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee. Hercules Holding II ("Hercules") holds 32,282,889 Shares. Hercules is held by a private investor group, including affiliates of HCA Inc. founder Dr. Thomas F. Frist Jr. The Reporting Person may be deemed to exercise voting and investment control over the Shares held by Hercules, but disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest therein, which may be deemed to include indirect interests in Shares through ownership of Hercules partnership units to the extent of: 941,766 Shares by the Reporting Person; 9,021 Shares by the Reporting Person's spouse and children; 12,287,166 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee; and 1,147,830 Shares by family partnerships or vehicles of which the Reporting Person is an officer or managing member. These Shares are held by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee. These Shares are held by family partnerships or vehicles of which the Reporting Person is an officer or managing member.
Restricted share units granted 809 units Annual director equity award and cash retainer in stock
Direct HCA shares after award 13,740 shares Total direct holdings following the 809-unit grant
Frisco Holding II stake 36,557,141 shares Shares held by Frisco Holding II
Hercules Holding II stake 32,282,889 shares Shares held by Hercules Holding II
Frist’s pecuniary interest via Frisco 3,156,495 shares Indirect interests through Frisco partnership units
Frist’s pecuniary interest via Hercules 941,766 shares Indirect interests through Hercules partnership units
Children’s trusts via Hercules 12,287,166 shares Trusts for Frist’s children where he or spouse is trustee
Family partnerships via Hercules 1,147,830 shares Family partnerships or vehicles where Frist is officer or managing member
restricted share units financial
"Represents shares of Common Stock ... underlying 509 restricted share units attributable to an annual director equity award"
Restricted share units (RSUs) are a promise from a company to give an employee or service provider actual shares or cash equal to the shares after certain conditions are met, typically staying with the company for a set time or hitting performance targets. Think of them like a time-locked gift card that becomes usable only after you’ve earned it. For investors, RSUs matter because they align employee incentives with company performance and can increase the number of shares outstanding over time, diluting existing ownership and affecting earnings per share.
annual director equity award financial
"underlying 509 restricted share units attributable to an annual director equity award"
pecuniary interest financial
"disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest therein"
beneficial ownership financial
"but disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest"
Beneficial ownership means the person or entity that actually enjoys the benefits of owning shares or other assets — such as receiving dividends, voting rights, or price gains — even if the legal title is held in another name. For investors it matters because knowing who truly controls and profits from a company reveals who can influence decisions, exposes potential conflicts of interest or hidden concentration of power, and affects transparency and risk in the stock.
family partnerships financial
"family partnerships or vehicles of which the Reporting Person is an officer or managing member"
annual cash retainer financial
"300 restricted share units received in lieu of an annual cash retainer for service as a director"
SEC Form 4
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Frist William R

(Last)(First)(Middle)
3100 WEST END AVENUE

(Street)
NASHVILLE TENNESSEE 37203

(City)(State)(Zip)

UNITED STATES

(Country)
2. Issuer Name and Ticker or Trading Symbol
HCA Healthcare, Inc. [ HCA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirectorX10% Owner
Officer (give title below)Other (specify below)
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
04/28/2026
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock, par value $0.01 per share04/28/2026A(1)809A$013,740D
Common Stock, par value $0.01 per share36,557,141IBy Frisco Holding II(2)
Common Stock, par value $0.01 per share32,282,889IBy Hercules Holding II(3)
Common Stock, par value $0.01 per share1,416IBy spouse and children
Common Stock, par value $0.01 per share340,852IBy trusts(4)
Common Stock, par value $0.01 per share60,678IBy family partnerships(5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Explanation of Responses:
1. Represents shares of Common Stock, par value $0.01 per share ("Shares"), of HCA Healthcare, Inc. (the "Issuer") underlying 509 restricted share units attributable to an annual director equity award and 300 restricted share units received in lieu of an annual cash retainer for service as a director. The restricted share units shall vest on the sooner of the date of the 2027 annual shareholders' meeting of HCA Healthcare, Inc. or the first anniversary of the grant date. Vested Shares will be delivered to the Reporting Person on the date the Reporting Person ceases to be a member of the Board of Directors of the Issuer.
2. Frisco Holding II ("Frisco") holds 36,557,141 Shares. Frisco is held by a private investor group, including affiliates of HCA Inc. founder Dr. Thomas F. Frist Jr. The Reporting Person may be deemed to exercise voting and investment control over the Shares held by Frisco, but disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest therein, which may be deemed to include indirect interests in Shares through ownership of Frisco partnership units to the extent of: 3,156,495 Shares by the Reporting Person; and 8,713,110 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee.
3. Hercules Holding II ("Hercules") holds 32,282,889 Shares. Hercules is held by a private investor group, including affiliates of HCA Inc. founder Dr. Thomas F. Frist Jr. The Reporting Person may be deemed to exercise voting and investment control over the Shares held by Hercules, but disclaims beneficial ownership of such Shares except to the extent of his pecuniary interest therein, which may be deemed to include indirect interests in Shares through ownership of Hercules partnership units to the extent of: 941,766 Shares by the Reporting Person; 9,021 Shares by the Reporting Person's spouse and children; 12,287,166 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee; and 1,147,830 Shares by family partnerships or vehicles of which the Reporting Person is an officer or managing member.
4. These Shares are held by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee.
5. These Shares are held by family partnerships or vehicles of which the Reporting Person is an officer or managing member.
/s/ Rawls Butler, Attorney-in-Fact04/30/2026
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What did William R. Frist report in this HCA (HCA) Form 4 filing?

William R. Frist reported an equity-based compensation award. He received 809 restricted share units of HCA common stock tied to his board service, and the filing also updates his direct and indirect share holdings through various entities and family-related vehicles.

How many HCA restricted share units did William R. Frist receive?

He received 809 restricted share units of HCA common stock. These consist of 509 units from an annual director equity award and 300 units received in lieu of an annual cash retainer, providing stock-based compensation for his ongoing service on HCA’s board of directors.

When do William R. Frist’s new HCA restricted share units vest?

The 809 restricted share units vest on the earlier of the 2027 annual shareholders’ meeting or the first anniversary of the grant date. Once vested, shares will be delivered when he ceases to be a member of HCA Healthcare’s board of directors, according to the filing’s terms.

How many HCA shares does Frisco Holding II hold in this Form 4?

Frisco Holding II holds 36,557,141 HCA shares. The filing notes William R. Frist may be deemed to exercise voting and investment control over these shares but disclaims beneficial ownership except for his pecuniary interests, including specified indirect stakes via partnership units and children’s trusts.

What indirect HCA stake is reported through Hercules Holding II?

Hercules Holding II holds 32,282,889 HCA shares. The filing states Frist may be deemed to control voting and investment power but disclaims beneficial ownership beyond pecuniary interests, which include indirect interests through Hercules partnership units, his spouse and children, trusts, and family partnerships or vehicles.

How many HCA shares does William R. Frist own directly after this award?

After the 809 restricted share unit award, William R. Frist directly holds 13,740 HCA shares. In addition, the Form 4 details substantial indirect interests held through trusts, family partnerships, and investment entities such as Frisco Holding II and Hercules Holding II associated with his family.