SEC Form 4 · accession 0001209191-15-045738
HCA Healthcare, Inc. · HCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jana Joustra Davis
Officer — SVP - Corporate Affairs
Period of report
May 19, 2015
Accepted (ET)
May 21, 2015 · 8:49 pm EDT
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 | May 19, 2015 | M | 1,701 | $2.8302 | A | 92,643 | D | |
| Common Stock | May 19, 2015 | S | 1,701 | $82.51 | D | 90,942 | D | |
| Common Stock | May 20, 2015 | M | 5,000 | $5.3074 | A | 95,942 | D | |
| Common Stock | May 20, 2015 | S | 1,601 | $82.99 | D | 94,341 | D | |
| Common Stock | holding | — | — | — | 7,000 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F1,F2,F3 | $2.8302 | May 19, 2015 | M | 121 | D | — | Jan 26, 2016 | Common Stock | 121 | 0 | D |
| Non-Qualified Stock Option (right to buy)F1,F2,F3 | $2.8302 | May 19, 2015 | M | 207 | D | — | Jan 26, 2016 | Common Stock | 207 | 0 | D |
| Non-Qualified Stock Option (right to buy)F1,F2,F3 | $2.8302 | May 19, 2015 | M | 1,112 | D | — | Jan 26, 2016 | Common Stock | 1,112 | 0 | D |
| Non-Qualified Stock Option (right to buy)F1,F2,F3 | $2.8302 | May 19, 2015 | M | 261 | D | — | Jan 26, 2016 | Common Stock | 261 | 0 | D |
| Non-Qualified Stock Option (right to buy)F1,F4,F3 | $5.3074 | May 20, 2015 | M | 5,000 | D | — | Jan 30, 2017 | Common Stock | 5,000 | 11,501 | D |
Explanation of responses
- F1Exercise Price was adjusted to reflect a 4.505 to 1 stock split that occurred with respect to the Issuer's common stock effective March 9, 2011.
- F2Immediately before the effective time of the merger of Hercules Acquisition Corporation with and into HCA Inc. on November 17, 2006, pursuant to the Merger Agreement dated July 24, 2006 among Hercules Holding II, LLC, Hercules Acquisition Corporation and HCA Inc., all unvested options became fully vested and immediately exercisable.
- F3Shares have been adjusted to reflect a 4.505 to 1 stock split that occurred with respect to the Issuer's common stock effective March 9, 2011.
- F4On January 30, 2007, the reporting person was granted an option to purchase 16,501 shares of common stock, which vest upon achievement of certain predetermined investment return targets. 1/3 of the option vested as a result of the achievement of certain specified investment return targets as of the closing of the initial public offering of the Issuer's securities on March 15, 2011, 1/3 of the option vested as a result of the achievement of certain specified investment return targets as of December 31, 2011 and 1/3 of the option vested as a result of the achievement of certain specified investment return targets as of December 31, 2012.