SEC Form 4 · accession 0001209191-17-007874
HCA Healthcare, Inc. · HCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samuel N Hazen
Officer — President & COO
Period of report
Feb 1, 2017
Accepted (ET)
Feb 3, 2017 · 7:14 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 | Nov 10, 2016 | G | 75,000 | $0.00 | D | 44,862 | D | |
| Common Stock | Nov 10, 2016 | G | 75,000 | $0.00 | A | 75,000 | I | By LLC 92 |
| Common Stock | holding | — | — | — | 180,000 | I | By LLC | |
| Common Stock | holding | — | — | — | 150,000 | I | By 2015 GRAT (Reporting Person, Trustee) | |
| Common Stock | holding | — | — | — | 170,752 | I | By Trust (Spouse, 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 RightF2 | $81.96 | Feb 1, 2017 | A | 84,360 | A | Feb 1, 2018 | Feb 1, 2027 | Common Stock | 84,360 | 84,360 | D |
Explanation of responses
- F1On August 17, 2016, the reporting person transferred 75,000 shares to a limited liability company wholly-owned by the reporting person. On November 10, 2016, the reporting person transferred 99% of the membership interests in the limited liability company to a trust, of which reporting person's spouse is trustee.
- F2The stock appreciation rights vest in four equal annual installments beginning on February 1, 2018.