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HCA Healthcare COO Jon Foster sells 31,713 shares

The trust-to-direct transfer involved assets of equal value and was described as leaving Foster's total beneficial ownership unchanged.

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Form Type
4

Rhea-AI Filing Summary

HCA Healthcare, Inc. EVP and COO Jon M. Foster exercised 35,880 stock appreciation rights on November 4, 2026, at an exercise price of $145.24 per share, and acquired 35,880 common shares. That day, 20,309 shares were delivered or withheld for payment of exercise price or tax liability, and Foster sold 10,000 shares at a weighted-average $514.0698 per share. Reported sales totaled 31,713 shares across November 4 and 6. No Rule 10b5-1 plan is reported. Foster also transferred 16,142 shares from a trust to direct ownership for assets of equal value; the transfer did not change the total number of shares he may be deemed to beneficially own.

Insider Foster Jon M
Role EVP and COO
Sold 31,713 shs ($15.89M)
Approx. gross sale proceeds $15.89M
Approx. exercise cost $5.21M
Type Security Shares Price Value
Sale Common Stock F3, F2 890 $498.971 $444K
Sale Common Stock F4 1,684 $497.9984 $839K
Sale Common Stock F5 1,066 $496.9199 $530K
Sale Common Stock F6 2,692 $495.8541 $1.33M
Sale Common Stock F7 7,595 $494.9145 $3.76M
Sale Common Stock F8 6,302 $493.5795 $3.11M
Sale Common Stock F9 1,484 $491.9817 $730K
Exercise Stock Appreciation Right F10 35,880 $0.00 $0.00
Sale Common Stock F1 10,000 $514.0698 $5.14M
Exercise Common Stock 35,880 $145.24 $5.21M
Exercise Price or Tax Liability Common Stock 20,309 $510.70 $10.37M
Other Common Stock F2 16,142 $503.525 $8.13M
Holding Common Stock -- -- --
Holding Common Stock -- -- --
Holding Common Stock -- -- --
Holding Common Stock -- -- --
Holdings After Transaction: Stock Appreciation Right — 0 contracts (Direct); Common Stock — 51,453 shares (Indirect, By JMF Trust (Spouse and Robert Nagel, Co-Trustees)); Common Stock — 10,000 shares (Direct); Common Stock — 72,308 shares (Indirect, By LCF Trust (Reporting Person, Trustee)); Common Stock — 19,985 shares (Indirect, By JMF Family Trust (Spouse, Trustee)); Common Stock — 11,566 shares (Indirect, By 2025 GRAT); Common Stock — 13,062 shares (Indirect, By 2026 GRAT)
Holdings Before and After: Stock Appreciation Right, 35,880 to 0 contracts (Direct); Common Stock, 67,595 to 51,453 shares (Indirect, By JMF Trust (Spouse and Robert Nagel, Co-Trustees))
Footnotes (10)
  1. F1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $513.87 to $514.24, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  2. F2. Pursuant to a power of substitution, on November 4, 2026, the reporting person transferred 16,142 shares of common stock of the Issuer from a trust to direct ownership in exchange for assets of equal value. The transfer was made at a price per share equal to $503.525 (the average of the high and low prices of shares of common stock of the Issuer on November 4, 2026). The transfer did not change the total number of shares of common stock of the Issuer of which the reporting person may be deemed to have beneficial ownership; however, the shares of common stock previously have been reported by the reporting person as indirectly owned. The reporting person believes that the transfer of shares from the trust constitutes a change in form of beneficial ownership of such shares, exempted by Rule 16a-13 under the Securities Exchange Act of 1934.
  3. F3. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $498.54 to $499.53, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  4. F4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $497.55 to $498.51, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  5. F5. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $496.55 to $497.51, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  6. F6. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $495.49 to $496.47, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  7. F7. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $494.43 to $495.42, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  8. F8. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $492.50 to $494.42, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  9. F9. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $491.46 to $492.36, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  10. F10. The stock appreciation rights vested in four equal annual installments beginning on January 29, 2021.
Reported shares sold 31,713 shares Across November 4 and November 6, 2026
Shares sold 10,000 shares November 4, 2026
Weighted-average sale price $514.0698 per share 10,000-share sale on November 4, 2026
Stock appreciation rights exercised 35,880 rights November 4, 2026
Exercise price $145.24 per share Stock appreciation rights exercised November 4, 2026
Shares delivered or withheld 20,309 shares For payment of exercise price or tax liability on November 4, 2026
Trust-to-direct transfer 16,142 shares November 4, 2026
JMF Trust common stock position 51,453 shares Reported following the November 4, 2026 transaction
stock appreciation rights financial
"The stock appreciation rights vested in four equal annual installments"
Stock appreciation rights (SARs) are a form of employee compensation that give the holder the right to receive the increase in a company's stock price over a set baseline, paid in cash or shares, without having to buy the stock. For investors, SARs matter because they can create future cash outflows or share dilution and signal how a company rewards and motivates executives — similar to giving a bonus tied directly to how well the company’s stock performs.
weighted average price financial
"The price reported in Column 4 is a weighted average price"
Weighted average price is the average price of a security where each trade or component is counted according to its size, so bigger trades pull the average more than smaller ones. Think of it like calculating the average cost of a grocery haul where items you bought more of have greater influence on the final per-item cost. Investors use it to understand the true average price paid or received, judge execution quality, and compare trading performance against market movement.
Rule 16a-13 regulatory
"exempted by Rule 16a-13 under the Securities Exchange Act of 1934"
beneficial ownership regulatory
"did not change the total number of shares ... beneficial ownership"
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.

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

How many HCA shares did Jon M. Foster sell?

Jon M. Foster reported sales totaling 31,713 shares on November 4 and November 6, 2026. The 10,000-share sale on November 4 had a weighted-average price of $514.0698 per share. No Rule 10b5-1 plan is reported.

What happened when HCA COO Jon M. Foster exercised stock appreciation rights?

On November 4, 2026, Foster exercised 35,880 stock appreciation rights at $145.24 per share and acquired 35,880 common shares. On that date, 20,309 shares were delivered or withheld for payment of exercise price or tax liability.

Did Jon M. Foster's trust transfer change his HCA beneficial ownership?

The transfer did not change the total number of shares Foster may be deemed to beneficially own. On November 4, 2026, he transferred 16,142 shares from a trust to direct ownership in exchange for assets of equal value.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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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*
Foster Jon M

(Last)(First)(Middle)
ONE PARK PLAZA

(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)
Director10% Owner
XOfficer (give title below)Other (specify below)
EVP and COO
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
11/04/2026
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 Stock11/04/2026S10,000D$514.0698(1)0D
Common Stock11/04/2026M35,880A$145.2435,880D
Common Stock11/04/2026F20,309D$510.715,571D
Common Stock11/04/2026J(2)16,142D$503.52551,453IBy JMF Trust (Spouse and Robert Nagel, Co-Trustees)
Common Stock11/06/2026S890D$498.971(3)30,823(2)D
Common Stock11/06/2026S1,684D$497.9984(4)29,139D
Common Stock11/06/2026S1,066D$496.9199(5)28,073D
Common Stock11/06/2026S2,692D$495.8541(6)25,381D
Common Stock11/06/2026S7,595D$494.9145(7)17,786D
Common Stock11/06/2026S6,302D$493.5795(8)11,484D
Common Stock11/06/2026S1,484D$491.9817(9)10,000D
Common Stock72,308IBy LCF Trust (Reporting Person, Trustee)
Common Stock19,985IBy JMF Family Trust (Spouse, Trustee)
Common Stock11,566IBy 2025 GRAT
Common Stock13,062IBy 2026 GRAT
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
Stock Appreciation Right$145.2411/04/2026M35,880 (10)01/29/2030Common Stock35,880$0.000D
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $513.87 to $514.24, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
2. Pursuant to a power of substitution, on November 4, 2026, the reporting person transferred 16,142 shares of common stock of the Issuer from a trust to direct ownership in exchange for assets of equal value. The transfer was made at a price per share equal to $503.525 (the average of the high and low prices of shares of common stock of the Issuer on November 4, 2026). The transfer did not change the total number of shares of common stock of the Issuer of which the reporting person may be deemed to have beneficial ownership; however, the shares of common stock previously have been reported by the reporting person as indirectly owned. The reporting person believes that the transfer of shares from the trust constitutes a change in form of beneficial ownership of such shares, exempted by Rule 16a-13 under the Securities Exchange Act of 1934.
3. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $498.54 to $499.53, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $497.55 to $498.51, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
5. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $496.55 to $497.51, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
6. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $495.49 to $496.47, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
7. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $494.43 to $495.42, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
8. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $492.50 to $494.42, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
9. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $491.46 to $492.36, inclusive. The reporting person undertakes to provide to HCA Healthcare, Inc., any security holder of HCA Healthcare, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
10. The stock appreciation rights vested in four equal annual installments beginning on January 29, 2021.
/s/ Kevin A. Ball, Attorney-in-Fact11/06/2026
** 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)

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