Sec Form 4 Filing - RUTHERFORD BILL B @ HCA Healthcare, Inc. - 2020-01-29

FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person RUTHERFORD BILL B 2. Issuer Name and Ticker or Trading Symbol HCA Healthcare, Inc. [ HCA] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner X __ Officer (give title below) _____ Other (specify below) CFO and EVP (Last) (First) (Middle) ONE PARK PLAZA 3. Date of Earliest Transaction (MM/DD/YY) 01/29/2020 (Street) NASHVILLE, TN37203 4. If Amendment, Date Original Filed (MM/DD/YY) 6. Individual or Joint/Group Filing (Check Applicable Line) __ X __ Form filed by One Reporting Person _____ Form filed by More than One Reporting Person (City) (State) (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security (Instr. 3) 2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 11/19/2019 G V 40,000 D $ 0 40,000 I By BNR LLC ( 1 ) Common Stock 11/19/2019 G V 40,000 A $ 0 40,000 I By BNR LLC ( 1 ) Common Stock 35,533 D Common Stock 10,000 I By TJR LLC

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) 6. Date Exercisable and Expiration Date (MM/DD/YY) 7. Title and Amount of Underlying Securities (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares Stock Appreciation Right $ 145.24 01/29/2020 A 44,160 01/29/2021( 2 ) 01/29/2030 Common Stock 44,160 $ 0 44,160 D

Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer Other RUTHERFORD BILL B ONE PARK PLAZA NASHVILLE, TN37203 CFO and EVP Signatures /s/ Kevin A. Ball, Attorney-in-Fact 01/31/2020 Signature of Reporting Person Date

Explanation of Responses:

( 1 )The reported securities are held by a limited liability company. On February 1, 2019, the reporting person contributed 40,000 shares of common stock of HCA Healthcare, Inc. to the limited liability company. The reporting person was the sole member of the limited liability company on the date of the initial contribution. On November 19, 2019, the reporting person transferred 100% of his interests in the limited liability company to a family trust of which his spouse is the trustee. ( 2 )The stock appreciation rights vest in four equal annual installments beginning on January 29, 2021.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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