Thomas F. Frist III - 06 Feb 2026 Form 4 Insider Report for HCA Healthcare, Inc. (HCA)

Role: Director, 10%+ Owner
Signature: /s/ J. William B. Morrow, Attorney-in-Fact
Issuer symbol: HCA
Transactions as of: 06 Feb 2026
Net transactions value: $0
Form type: 4
Filing time: 10 Feb 2026, 20:05:29 UTC
Previous filing: 01 May 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
FRIST THOMAS F III	Director, 10%+ Owner	3100 WEST END AVENUE, NASHVILLE	/s/ J. William B. Morrow, Attorney-in-Fact	10 Feb 2026	0001223892

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	HCA	Common Stock, par value $0.01 per share	Other		-36,629,188	-100%		0	06 Feb 2026	By Frisco Holding II	F1
transaction	HCA	Common Stock, par value $0.01 per share	Other		+36,557,141			36,557,141	06 Feb 2026	By Frisco Holding II	F1, F2
holding	HCA	Common Stock, par value $0.01 per share						14,817	06 Feb 2026	Direct	F3
holding	HCA	Common Stock, par value $0.01 per share						32,282,889	06 Feb 2026	By Hercules Holding II	F4

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	On February 6, 2026, Frisco Holding II ("Frisco") disposed of 36,629,188 shares of Common Stock, par value $0.01 per share ("Shares"), of HCA Healthcare, Inc. (the "Issuer"), in exchange for 36,557,141 Shares newly issued by the Issuer to Frisco, in each case, in a transaction exempt from the registration requirements of the Securities Act of 1933 and from Section 16(b) of the Securities Exchange Act of 1934 pursuant to Rule 16b-3 thereunder. These transactions, together with the conversion of Frisco to an entity taxable as a partnership for U.S. federal income tax purposes, constituted a reorganization for purposes of Section 368(a) of the Internal Revenue Code of 1986, as amended.
F2	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: 1,172 Shares by the Reporting Person; and 11,868,140 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee.
F3	This number represents restricted share units payable in Shares, which will be delivered to the Reporting Person on the date he ceases to be a director of the Issuer.
F4	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: 3,590,022 Shares by the Reporting Person; 9,497 Shares by the Reporting Person's spouse; and 3,410,351 Shares by trusts for the benefit of the Reporting Person's children of which the Reporting Person or his spouse is trustee.