Michael R. McAlevey - 10 Feb 2026 Form 4 Insider Report for HCA Healthcare, Inc. (HCA)

Role: EVP & Chief Legal & Admin Off.
Signature: /s/ Kevin A. Ball, Attorney-in-Fact
Issuer symbol: HCA
Transactions as of: 10 Feb 2026
Net transactions value: -$1,509,162
Form type: 4
Filing time: 12 Feb 2026, 18:51:40 UTC
Previous filing: 02 Feb 2026
Next filing: 18 Feb 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
McAlevey Michael R	EVP & Chief Legal & Admin Off.	ONE PARK PLAZA, NASHVILLE	/s/ Kevin A. Ball, Attorney-in-Fact	12 Feb 2026	0001907875

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	HCA	Common Stock	Award	$0	+8,372	+240%	$0.000000	11,859	10 Feb 2026	Direct	F1
transaction	HCA	Common Stock	Tax liability	$1,509,162	-3,006	-25%	$502.05	8,853	10 Feb 2026	Direct
holding	HCA	Common Stock						2,111	10 Feb 2026	By 2024 GRAT
holding	HCA	Common Stock						26	10 Feb 2026	By managed account	F2

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

Explanation of Responses:

Id	Content
F1	On January 30, 2023, the reporting person was granted 4,186 performance share units. The performance share units were eligible to vest based on achievement of a cumulative earnings per share goal for fiscal years 2023-2025. The number of performance share units that were eligible to vest varied from zero (for actual performance less than 90% of target) to two times the units granted (for actual performance of 110% or more of target). Based upon the Company's achievement with respect to cumulative 2023-2025 earnings per share, the number of performance share units that vested equaled 200% of the units granted.
F2	The shares reported herein are held in a fully managed account over which the reporting person does not have any investment authority. The reporting person disclaims beneficial ownership of the shares reported herein except to the extent of his pecuniary interest therein.

Content

On January 30, 2023, the reporting person was granted 4,186 performance share units. The performance share units were eligible to vest based on achievement of a cumulative earnings per share goal for fiscal years 2023-2025. The number of performance share units that were eligible to vest varied from zero (for actual performance less than 90% of target) to two times the units granted (for actual performance of 110% or more of target). Based upon the Company's achievement with respect to cumulative 2023-2025 earnings per share, the number of performance share units that vested equaled 200% of the units granted.

The shares reported herein are held in a fully managed account over which the reporting person does not have any investment authority. The reporting person disclaims beneficial ownership of the shares reported herein except to the extent of his pecuniary interest therein.