SEC Form 4 · accession 0001209191-15-020034

HCA Healthcare, Inc. · HCA

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Victor L Campbell

Officer — SVP

Period of report

Feb 25, 2015

Accepted (ET)

Feb 27, 2015 · 9:34 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000860730

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Feb 19, 2015	G	42,478	$0.00	D	42,478	I	By GRAT (Reporting Person, Trustee)
Common Stock	Feb 19, 2015	G	42,478	$0.00	A	42,478	I	By AWC 2012 Trust (Spouse, Trustee)
Common Stock	Feb 19, 2015	G	42,478	$0.00	D	0	I	By GRAT (Reporting Person, Trustee)
Common Stock	Feb 19, 2015	G	42,478	$0.00	A	42,478	I	By MNC 2012 Trust (Spouse, Trustee)
Common Stock	Feb 25, 2015	F	234	$70.98	D	128,220	D
Common Stock	holding	—	—		—	33,196	I	By Trust f/b/o AWC (Spouse, Trustee)
Common Stock	holding	—	—		—	33,196	I	By Trust f/b/o MNC (Spouse, Trustee)
Common Stock	holding	—	—		—	65,629	I	By Trust (Daughter, Trustee)

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Appreciation Right^F1	$22.95	Feb 25, 2015	A	9,375	A	Feb 25, 2015	Feb 8, 2022	Common Stock	9,375	9,375	D
Stock Appreciation Right^F2	$37.18	Feb 25, 2015	A	6,875	A	Feb 25, 2015	Feb 6, 2023	Common Stock	6,875	6,875	D
Stock Appreciation Right^F3	$47.97	Feb 25, 2015	A	5,625	A	Feb 25, 2015	Feb 5, 2024	Common Stock	5,625	5,625	D
Restricted Stock Units^F4,F5	—	Feb 25, 2015	A	1,492	A	—	—	Common Stock	1,492	1,492	D

Explanation of responses

F1On February 8, 2012, the reporting person was granted 37,500 stock appreciation rights. The stock appreciation rights are eligible to vest in equal increments of up to 25% at the end of fiscal years 2012, 2013, 2014 and 2015 based upon the extent to which certain EBITDA performance targets have been met for the applicable fiscal year. Based upon the Company's achievement with respect to the EBITDA performance criteria for 2014, 100% of the stock appreciation rights subject to such criteria vested, resulting in the vesting of 9,375 stock appreciation rights.
F2On February 6, 2013, the reporting person was granted 27,500 stock appreciation rights. The stock appreciation rights are eligible to vest in equal increments of up to 25% at the end of fiscal years 2013, 2014, 2015 and 2016 based upon the extent to which certain EBITDA performance targets have been met for the applicable fiscal year. Based upon the Company's achievement with respect to the EBITDA performance criteria for 2014, 100% of the stock appreciation rights subject to such criteria vested, resulting in the vesting of 6,875 stock appreciation rights.
F3On February 5, 2014, the reporting person was granted 22,500 stock appreciation rights. The stock appreciation rights are eligible to vest in equal increments of up to 25% at the end of fiscal years 2014, 2015, 2016 and 2017 based upon the extent to which certain EBITDA performance targets have been met for the applicable fiscal year. Based upon the Company's achievement with respect to the EBITDA performance criteria for 2014, 100% of the stock appreciation rights subject to such criteria vested, resulting in the vesting of 5,625 stock appreciation rights.
F4Each restricted stock unit represents a contingent right to receive one share of HCA Holdings, Inc. common stock.
F5The restricted stock units vest in two equal installments on the second and third anniversaries of the grant date.