NOTE 2 — SHARE-BASED COMPENSATION

Stock Incentive Plans

Our stock incentive plans are designed to promote the long-term financial interests and growth of the Company by attracting and retaining management and other personnel, motivating them to achieve long range goals and aligning their interests with those of our stockholders. Stock appreciation right (“SAR”) and restricted share unit (“RSU”) grants vest solely based upon continued employment over a specific period of time, and performance share unit (“PSU”) grants vest based upon both continued employment over a specific period of time and the achievement of predetermined financial targets over a specific period of time. During 2025, the Company’s stockholders approved certain amendments to the 2020 Stock Incentive Plan for Key Employees of HCA Healthcare, Inc. and its Affiliates, including an increase in the number of shares available for issuance under the plan by 13.150 million shares. At December 31, 2025 there were 18.794 million shares available for future grants under the plan.

Employee Stock Purchase Plan

Our employee stock purchase plan (“ESPP”) provides our participating employees an opportunity to obtain shares of our common stock at a discount (through payroll deductions over three-month periods). At December 31, 2025, 9.119 million shares of common stock were reserved for ESPP issuances. During 2025, 2024 and 2023, the Company recognized $19 million, $18 million and $17 million, respectively, of compensation expense related to the ESPP.

SAR, RSU and PSU Activity

The fair value of each SAR award is estimated on the grant date, using valuation models and the weighted average assumptions indicated in the following table. Awards under our stock incentive plans generally vest based on continued employment (“Time SARs” and “RSUs”) or based upon continued employment and the achievement of certain financial targets (“PSUs”). PSUs have a three-year cumulative earnings per share target, and the number of PSUs earned can vary from zero (for actual performance less than 85% of target for 2025 grants and 90% of target for 2024 and prior grants) to two times the original PSU grant (for actual performance of 110% or more of target). Each grant is valued as a single award with an expected term equal to the average expected term of the component vesting tranches. The expected term of the share-based award is limited by the contractual term. We use historical exercise behavior data and other factors to estimate the expected term of the SARs.

NOTE 2 — SHARE-BASED COMPENSATION (continued)

SAR, RSU and PSU Activity (continued)

Compensation cost is recognized on the straight-line attribution method. The straight-line attribution method requires that total compensation expense recognized must at least equal the vested portion of the grant-date fair value. The expected volatility is derived using historical stock price information for our common stock and the volatility implied by the trading of options to purchase our stock on open-market exchanges. The risk-free interest rate is the approximate yield on United States Treasury Strips having a life equal to the expected share-based award life on the date of grant. The expected life is an estimate of the number of years a share-based award will be held before it is exercised. The expected dividend yield is estimated based on the assumption that the dividend yield at date of grant will be maintained over the expected life of the grant.

 

 

 

2025

 

 

2024

 

 

2023

 

Risk-free interest rate

 

 

4.33

%

 

 

3.94

%

 

 

3.69

%

Expected volatility

 

 

33

%

 

 

33

%

 

 

36

%

Expected life, in years

 

 

5.28

 

 

 

5.23

 

 

 

5.14

 

Expected dividend yield

 

 

0.88

%

 

 

0.87

%

 

 

0.95

%

Information regarding Time SAR and Performance SAR activity during 2025, 2024 and 2023 is summarized below (share amounts in thousands):

 

 

Time
SARs

 

 

Performance
SARs

 

 

Total
SARs

 

 

Weighted
Average
Exercise
Price

 

 

Weighted
Average
Remaining
Contractual Term

 

Aggregate
Intrinsic Value
(dollars in millions)

 

SARs outstanding, December 31, 2022

 

 

5,960

 

 

 

127

 

 

 

6,087

 

 

$

126.38

 

 

 

 

 

 

Granted

 

 

580

 

 

 

 

 

 

580

 

 

 

253.49

 

 

 

 

 

 

Exercised

 

 

(1,156

)

 

 

(83

)

 

 

(1,239

)

 

 

95.29

 

 

 

 

 

 

Cancelled

 

 

(59

)

 

 

 

 

 

(59

)

 

 

202.05

 

 

 

 

 

 

SARs outstanding, December 31, 2023

 

 

5,325

 

 

 

44

 

 

 

5,369

 

 

 

146.46

 

 

 

 

 

 

Granted

 

 

491

 

 

 

 

 

 

491

 

 

 

305.44

 

 

 

 

 

 

Exercised

 

 

(1,128

)

 

 

(44

)

 

 

(1,172

)

 

 

111.02

 

 

 

 

 

 

Cancelled

 

 

(101

)

 

 

 

 

 

(101

)

 

 

246.78

 

 

 

 

 

 

SARs outstanding, December 31, 2024

 

 

4,587

 

 

 

 

 

 

4,587

 

 

 

170.31

 

 

 

 

 

 

Granted

 

 

418

 

 

 

 

 

 

418

 

 

 

329.80

 

 

 

 

 

 

Exercised

 

 

(859

)

 

 

 

 

 

(859

)

 

 

125.10

 

 

 

 

 

 

Cancelled

 

 

(40

)

 

 

 

 

 

(40

)

 

 

308.57

 

 

 

 

 

 

SARs outstanding, December 31, 2025

 

 

4,106

 

 

 

 

 

 

4,106

 

 

$

194.62

 

 

5.1 years

 

$

1,118

 

SARs exercisable, December 31, 2025

 

 

3,012

 

 

 

 

 

 

3,012

 

 

$

158.20

 

 

4.0 years

 

$

930

 

 

The weighted average fair values of SARs granted during 2025, 2024 and 2023 were $114.39, $102.65 and $87.47 per share, respectively. The intrinsic values of SARs exercised during 2025, 2024 and 2023 were $226 million, $257 million and $207 million, respectively. As of December 31, 2025, the unrecognized compensation cost related to nonvested SARs was $47 million.

NOTE 2 — SHARE-BASED COMPENSATION (continued)

SAR, RSU and PSU Activity (continued)

Information regarding RSU and PSU activity during 2025, 2024 and 2023 is summarized below (share amounts in thousands):

 

 

RSUs

 

 

PSUs

 

 

Total RSUs
and PSUs

 

 

Weighted
Average
Grant
Date Fair
Value

 

RSUs and PSUs outstanding, December 31, 2022

 

 

1,784

 

 

 

1,715

 

 

 

3,499

 

 

$

179.18

 

Granted

 

 

609

 

 

 

479

 

 

 

1,088

 

 

 

253.85

 

Performance adjustment

 

 

 

 

 

697

 

 

 

697

 

 

 

144.42

 

Vested

 

 

(717

)

 

 

(1,393

)

 

 

(2,110

)

 

 

152.50

 

Cancelled

 

 

(125

)

 

 

(88

)

 

 

(213

)

 

 

217.78

 

RSUs and PSUs outstanding, December 31, 2023

 

 

1,551

 

 

 

1,410

 

 

 

2,961

 

 

 

214.71

 

Granted

 

 

582

 

 

 

434

 

 

 

1,016

 

 

 

305.97

 

Performance adjustment

 

 

 

 

 

566

 

 

 

566

 

 

 

174.55

 

Vested

 

 

(639

)

 

 

(1,132

)

 

 

(1,771

)

 

 

181.81

 

Cancelled

 

 

(138

)

 

 

(103

)

 

 

(241

)

 

 

260.96

 

RSUs and PSUs outstanding, December 31, 2024

 

 

1,356

 

 

 

1,175

 

 

 

2,531

 

 

 

260.95

 

Granted

 

 

492

 

 

 

367

 

 

 

859

 

 

 

330.72

 

Performance adjustment

 

 

 

 

 

(175

)

 

 

(175

)

 

 

235.81

 

Vested

 

 

(526

)

 

 

(191

)

 

 

(717

)

 

 

237.46

 

Cancelled

 

 

(94

)

 

 

(71

)

 

 

(165

)

 

 

298.81

 

RSUs and PSUs outstanding, December 31, 2025

 

 

1,228

 

 

 

1,105

 

 

 

2,333

 

 

$

293.03

 

 

The fair values of RSUs and PSUs that vested during 2025, 2024 and 2023 were $238 million, $539 million and $550 million, respectively. As of December 31, 2025, the unrecognized compensation cost related to RSUs and PSUs was $387 million.

Historical Timeline

Fiscal YearFiled
2025Feb 10, 2026Showing above
2024Feb 14, 2025
2023Feb 16, 2024
2022Feb 17, 2023
2021Feb 18, 2022
2020Feb 19, 2021
2019Feb 20, 2020
2018Feb 21, 2019
2017Feb 23, 2018
2016Feb 22, 2017
2015Feb 26, 2016

About Stock Compensation Disclosures

Stock-based compensation disclosures detail the equity awards granted to employees and executives — including stock options, restricted stock units (RSUs), and performance shares — along with the valuation methods and assumptions used to expense them. This section reveals the true cost of talent retention and the alignment between management incentives and shareholder interests.

Key signals: total unrecognized compensation expense and its expected recognition period signal future earnings headwinds from already-granted awards. For stock options, examine Black-Scholes assumptions — expected volatility, risk-free rate, and expected term — as understating any of these reduces reported compensation expense. Compare stock compensation expense as a percentage of revenue against peers to assess dilution cost. Watch vesting schedules for acceleration clauses tied to change-of-control events. Performance-based awards with undemanding targets may indicate weak governance. Add back stock compensation to operating cash flow to calculate a more conservative free cash flow figure.