SEC Form 4 · accession 0001209191-15-066140
HCA Healthcare, Inc. · HCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Juan Vallarino
Officer — SVP- Employer&Payer Engagement
Period of report
Aug 13, 2015
Accepted (ET)
Aug 14, 2015 · 5:47 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 StockF1 | Aug 13, 2015 | M | 5,518 | $10.9168 | A | 66,879 | D | |
| Common StockF1 | Aug 13, 2015 | M | 5,518 | $15.9112 | A | 72,397 | D | |
| Common StockF2,F1 | Aug 13, 2015 | S | 11,036 | $90.8893 | D | 61,361 | D |
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)F3,F4 | $10.9168 | Aug 13, 2015 | M | 5,518 | D | Aug 27, 2010 | Aug 27, 2019 | Common Stock | 5,518 | 0 | D |
| Non-Qualified Stock Option (right to buy)F3,F5,F4 | $15.9112 | Aug 13, 2015 | M | 5,518 | D | — | Aug 27, 2019 | Common Stock | 5,518 | 0 | D |
Explanation of responses
- F1Includes 718.4556 shares acquired under the HCA Holdings, Inc. Employee Stock Purchase Plan.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $90.77 to $91.00, inclusive. The reporting person undertakes to provide to HCA Holdings, Inc., any security holder of HCA Holdings, 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.
- F3Exercise 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.
- F4Shares 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.
- F5The option vested at the end of fiscal year 2009 based upon the achievement of certain annual EBITDA performance targets.