HCA Healthcare HCA Insider Ownership

Updated Nov 5, 2026

Over the past year, HCA insiders sold $31.12 million of stock (61.98K shares) on the open market and bought none.

• HCA Healthcare's open-market sales in the past 12 months came from 5 insiders; no insider bought.
• The largest open-market sales of HCA in the past 12 months were by Samuel N. Hazen (CEO), totaling $21.48 million (42.88K shares), most recently on February 3, 2026.
• The latest open-market trade in HCA stock by an insider was a sale of 1.69K shares for $903,537 by Michael R. McAlevey (EVP & Chief Legal & Administrative Officer) on February 18, 2026.
• Outside the open market, HCA Healthcare insiders received 109.08K shares in stock awards, acquired 138.87K shares through option exercises and conversions, gave up 110.66K shares to cover taxes or exercise prices and gave away 23.42K shares as gifts over the past 12 months.
• Per Business Quant, HCA insiders together hold 81.72Mn shares based on their latest Form 4 filings, down 0.13% from 81.83Mn shares at the end of Q2 2026.
• HCA Healthcare insiders hold 33.15Mn shares directly (40.56% of their total) and 48.57Mn shares (59.44%) indirectly, through entities such as trusts and partnerships.
• HCA's insider total is spread across 25 insiders who have filed a Form 4 in the past two years.
• HCA's largest insider holders by reported holdings are William R. Frist (Director and 10% owner, 38.15Mn shares), Hercules Holding II (10% owner, 32.28Mn shares) and Patricia F. Elcan (10% owner, 10.02Mn shares).
• Of the shares held by HCA insiders, 46.68% belong to William R. Frist.
• Institutional holders reported 59.45% of HCA Healthcare's outstanding shares for Q2 2026; insiders' latest Form 4 filings put their stake at about 38.08%, and other investors, including the public, hold the remaining 2.47%.
• In the last 12 months, 41 Form 4 filings with transactions in HCA stock came from 21 insiders.
• These insider figures for HCA Healthcare are based on Form 4 filings through November 3, 2026.