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HCA Healthcare, Inc. 2025-2026 Proxy Voting Records

Compiled from SEC Form N-PX filings and HCA Healthcare, Inc.’s Form 8-K (Item 5.07 on EDGAR). Page generated 02 October 2026.

  • 20Reported items
  • 1,032Asset managers
  • 13,148Fund votes
  • 2026-04-23Meeting date

Proxy season: 2023-2024 2024-2025 2025-2026

Explore HCA Healthcare, Inc. in the interactive database Compare manager voting policies

Official 2025-2026 meeting results reported by HCA Healthcare, Inc.

These tallies are HCA Healthcare, Inc.’s own, as disclosed to the U.S. Securities and Exchange Commission on Form 8-K (Item 5.07, “Submission of Matters to a Vote of Security Holders”). They cover every share voted at the meeting, not just the funds that file Form N-PX.

HCA Healthcare, Inc. — official shareholder meeting results, meeting held 2026-04-23
Ballot itemForAgainst AbstainWithheldBroker non-votesOutcome
Elect Director: Thomas F. Frist III 187,441,3447,941,59651,198 --14,343,334 Majority: yes
Elect Director: Samuel N. Hazen 193,666,2431,713,18554,710 --14,343,334 Majority: yes
Elect Director: John W. Chidsey, III 193,625,0501,749,87959,209 --14,343,334 Majority: yes
Elect Director: Nancy-Ann DeParle 173,121,21622,234,73378,189 --14,343,334 Majority: yes
Elect Director: William R. Frist 191,413,7853,970,20050,153 --14,343,334 Majority: yes
Elect Director: Hugh F. Johnston 179,518,58115,858,33657,221 --14,343,334 Majority: yes
Elect Director: Michael W. Michelson 188,824,1116,553,50956,518 --14,343,334 Majority: yes
Elect Director: Wayne J. Riley, M.D. 186,133,5129,085,173215,453 --14,343,334 Majority: yes
Elect Director: Andrea B. Smith 189,234,7266,136,19163,221 --14,343,334 Majority: yes
Proposal 2: The appointment of Ernst & Young LLP as the Company's independent registered public accounting firm for the year ending December 31, 2026 was ratified as follows: 192,731,53316,987,63958,300 --0 Majority: yes
Proposal 3: The adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2026 proxy statement was approved as follows: 182,386,61912,758,446289,073 --14,343,334 Majority: yes
Proposal 4: The stockholder proposal regarding a report on healthcare consequences as described in the Proxy Statement was not approved as follows: 21,156,498173,337,098940,542 --14,343,334 Majority: no
Proposal 5: The stockholder proposal regarding shareholders' right to act by written consent as described in the Proxy Statement was not approved as follows: 42,842,519152,097,860493,759 --14,343,334 Majority: no

Source: HCA Healthcare, Inc., Form 8-K — read the filing on EDGAR.

How asset managers voted at the HCA Healthcare, Inc. 2025-2026 meeting

Each item below shows how the 1,032 asset managers that disclosed a HCA Healthcare, Inc. vote in their SEC Form N-PX filings actually voted. Share totals are the shares those managers' funds voted, summed across every fund they report. These are reported items, not a count of the ballot: fund filings describe one ballot item in different words. Two descriptions are shown as one item only on evidence — the same text (or one cut short of the other), the same director nominee, or a match to the same row of HCA Healthcare, Inc.’s own Form 8-K tally — never because they merely read alike. A description that could not be joined that way is listed on its own, so one ballot item can appear more than once.

1. Advisory vote to approve named executive officer compensation.

SECTION 14A SAY-ON-PAY VOTESMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 19 wordings of this item as funds reported it.

93% Majority: yes · of votes cast

FOR 93%
FOR: 182,386,619AGAINST: 12,758,446

HCA Healthcare, Inc.’s own tally for this item (“Proposal 3: The adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2026 proxy statement was approved as follows:”): 182,386,619 for, 12,758,446 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 1,015 asset managers below cast 93% of the shares they voted on this item FOR (119,794,522 for, 8,938,160 against).

FOR 93%
FOR: 119,794,522 (92.9%)AGAINST: 8,938,160 (6.9%)ABSTAIN: 220,376 (0.2%)NOT VOTED: 28,121 (0.0%)SPLIT: 38 (0.0%)
Largest asset managers voting on “Advisory vote to approve named executive officer compensation.” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard19,651,33238 00For
BlackRock10,731,51811,656 00For
Capital Group9,936,6260 320For
Fidelity8,940,8250 00For
Sanders Capital, LLC5,719,070152,799 00For
State Street4,795,90914,541 00For
GEODE CAPITAL MANAGEMENT, LLC3,711,0300 00For
Wellington3,666,4290 00For
First Eagle Investment Management, LLC2,973,8450 00For
National Pension Service2,571,5380 00For
FIRST EAGLE FUNDS2,397,0750 00For
Charles Schwab2,140,0910 00For
Invesco02,091,927 00Against
Janus Henderson2,031,5900 00For
Northern Trust1,409,639621 00For
ARROWSTREET CAPITAL, LIMITED PARTNERSHIP1,245,9829,276 00For
Nuveen1,154,9300 00For
TIAA1,119,0100 00For
T. Rowe Price1,079,23235,844 00For
Goldman Sachs1,037,6290 00For
AustralianSuper Pty Ltd01,017,076 00Against
UBS1,016,1520 00For
VIKING GLOBAL INVESTORS LP968,8050 00For
NORDEA INVESTMENT MANAGEMENT AB0925,969 00Against
PARAMETRIC PORTFOLIO ASSOCIATES LLC887,8660 00For

Showing the 25 largest of 1,015 asset managers. See all 1,015 in the interactive database.

2. Stockholder proposal, if properly presented at the meeting, regarding stockholders' right to act by written consent.

CORPORATE GOVERNANCEMajority of the votes cast: no

Meeting held 2026-04-23.

Combines 7 wordings of this item as funds reported it.

22% Majority: no · of votes cast

FOR 22%AGAINST 78%
FOR: 42,842,519AGAINST: 152,097,860

HCA Healthcare, Inc.’s own tally for this item (“Proposal 5: The stockholder proposal regarding shareholders' right to act by written consent as described in the Proxy Statement was not approved as follows:”): 42,842,519 for, 152,097,860 against, per its Form 8-K (Item 5.07). FOR was not more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 191 asset managers below cast 20% of the shares they voted on this item FOR (9,556,803 for, 38,456,326 against).

FOR 20%AGAINST 80%
FOR: 9,556,803 (19.9%)AGAINST: 38,456,326 (80.1%)ABSTAIN: 15,089 (0.0%)NOT VOTED: 2,350 (0.0%)
Largest asset managers voting on “Stockholder proposal, if properly presented at the meeting, regarding stockholders' right to act by written co” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard2,154,02515,838,248 20Against
Fidelity168,6535,701,603 00Against
Capital Group4,873,1060 00For
BlackRock6,7724,152,955 00Against
FIRST EAGLE FUNDS02,397,075 00Against
State Street3,2281,799,621 00Against
TIAA01,118,195 00Against
Charles Schwab01,052,835 00Against
Invesco0857,126 00Against
Pacer Funds Trust0728,400 00Against
Hartford0657,176 00Against
JANUS INVESTMENT FUND210,867321,004 00Against
Principal83392,492 00Against
JPMorgan0385,237 00Against
T. Rowe Price0347,044 00Against
Jackson National142,949177,215 00Against
MASTER INVESTMENT PORTFOLIO0248,558 00Against
TEMPLETON GROWTH FUND INC201,9820 00For
American Century0176,948 00Against
Dimensional0149,303 00Against
Columbia Threadneedle137,9150 00For
Northern Trust7,441128,383 00Against
SEI0129,215 00Against
Franklin Investors Securities Trust0122,000 00Against
Equitable0121,394 00Against

Showing the 25 largest of 191 asset managers. See all 191 in the interactive database.

3. To ratify the appointment of Ernst & Young LLP as our independent registered public accounting firm for the fiscal year ending December 31, 2026.

AUDIT-RELATEDMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 7 wordings of this item as funds reported it.

92% Majority: yes · of votes cast

FOR 92%8%
FOR: 192,731,533AGAINST: 16,987,639

HCA Healthcare, Inc.’s own tally for this item (“Proposal 2: The appointment of Ernst & Young LLP as the Company's independent registered public accounting firm for the year ending December 31, 2026 was ratified as follows:”): 192,731,533 for, 16,987,639 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 191 asset managers below cast 96% of the shares they voted on this item FOR (46,007,247 for, 2,011,130 against).

FOR 96%
FOR: 46,007,247 (95.8%)AGAINST: 2,011,130 (4.2%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “To ratify the appointment of Ernst & Young LLP as our independent registered public accounting firm for the fi” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard16,109,5801,882,698 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,158,805922 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,82920 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI125,0804,135 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 191 asset managers. See all 191 in the interactive database.

4. Election of Directors: Thomas F. Frist III

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 6 wordings of this item as funds reported it.

96% Majority: yes · of votes cast

FOR 96%
FOR: 187,441,344AGAINST: 7,941,596

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Thomas F. Frist III”): 187,441,344 for, 7,941,596 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.6% of the shares they voted on this item FOR (47,872,124 for, 144,572 against).

FOR 99.6%
FOR: 47,872,124 (99.7%)AGAINST: 144,572 (0.3%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Thomas F. Frist III” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,982,4879,791 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,158,805922 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,82920 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

5. Election of Directors: Samuel N. Hazen

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

99.1% Majority: yes · of votes cast

FOR 99.1%
FOR: 193,666,243AGAINST: 1,713,185

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Samuel N. Hazen”): 193,666,243 for, 1,713,185 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.9% of the shares they voted on this item FOR (48,010,008 for, 6,688 against).

FOR 99.9%
FOR: 48,010,008 (100.0%)AGAINST: 6,688 (0.0%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Samuel N. Hazen” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,992,2726 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,159,7270 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,82920 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

6. Election of Directors: John W. Chidsey, III

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 6 wordings of this item as funds reported it.

99.1% Majority: yes · of votes cast

FOR 99.1%
FOR: 193,625,050AGAINST: 1,749,879

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: John W. Chidsey, III”): 193,625,050 for, 1,749,879 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.9% of the shares they voted on this item FOR (47,997,202 for, 19,493 against).

FOR 99.9%
FOR: 47,997,202 (99.9%)AGAINST: 19,493 (0.0%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: John W. Chidsey, III” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,982,5069,772 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,158,805922 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,8490 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

7. Election of Directors: Nancy-Ann DeParle

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

89% Majority: yes · of votes cast

FOR 89%11%
FOR: 173,121,216AGAINST: 22,234,733

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Nancy-Ann DeParle”): 173,121,216 for, 22,234,733 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 94% of the shares they voted on this item FOR (45,187,145 for, 2,817,128 against).

FOR 94%
FOR: 45,187,145 (94.1%)AGAINST: 2,817,128 (5.9%)ABSTAIN: 27,509 (0.1%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Nancy-Ann DeParle” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,819,339172,938 00For
Fidelity5,814,05656,200 00For
Capital Group4,873,1060 00For
BlackRock4,157,9601,767 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street3,6261,799,223 00Against
TIAA1,118,1950 00For
Charles Schwab1,052,561274 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford656,903273 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,48788 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI0129,215 00Against
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

8. Election of Directors: William R. Frist

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

98% Majority: yes · of votes cast

FOR 98%
FOR: 191,413,785AGAINST: 3,970,200

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: William R. Frist”): 191,413,785 for, 3,970,200 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.9% of the shares they voted on this item FOR (48,000,689 for, 16,007 against).

FOR 99.9%
FOR: 48,000,689 (99.9%)AGAINST: 16,007 (0.0%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: William R. Frist” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,992,26513 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,159,7270 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,82920 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

9. Election of Directors: Hugh F. Johnston

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

92% Majority: yes · of votes cast

FOR 92%8%
FOR: 179,518,581AGAINST: 15,858,336

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Hugh F. Johnston”): 179,518,581 for, 15,858,336 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 96% of the shares they voted on this item FOR (46,051,720 for, 1,964,976 against).

FOR 96%
FOR: 46,051,720 (95.9%)AGAINST: 1,964,976 (4.1%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Hugh F. Johnston” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,819,364172,914 00For
Fidelity5,814,05656,200 00For
Capital Group4,873,1060 00For
BlackRock4,157,9601,767 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,8490 00For
TIAA1,118,1950 00For
Charles Schwab7731,052,061 00Against
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,48788 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI0129,215 00Against
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

10. Election of Directors: Michael W. Michelson

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

97% Majority: yes · of votes cast

FOR 97%
FOR: 188,824,111AGAINST: 6,553,509

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Michael W. Michelson”): 188,824,111 for, 6,553,509 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 96% of the shares they voted on this item FOR (46,168,299 for, 1,848,396 against).

FOR 96%
FOR: 46,168,299 (96.1%)AGAINST: 1,848,396 (3.8%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Michael W. Michelson” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,992,25523 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,159,7270 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street3,6461,799,203 00Against
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

11. Election of Directors: Wayne J. Riley, M.D.

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 6 wordings of this item as funds reported it.

95% Majority: yes · of votes cast

FOR 95%
FOR: 186,133,512AGAINST: 9,085,173

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Wayne J. Riley, M.D.”): 186,133,512 for, 9,085,173 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.4% of the shares they voted on this item FOR (47,720,864 for, 283,409 against).

FOR 99.3%
FOR: 47,720,864 (99.4%)AGAINST: 283,409 (0.6%)ABSTAIN: 27,509 (0.1%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Wayne J. Riley, M.D.” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,982,4819,796 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,158,805922 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,82920 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

12. Election of Directors: Andrea B. Smith

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2026-04-23.

Combines 5 wordings of this item as funds reported it.

97% Majority: yes · of votes cast

FOR 97%
FOR: 189,234,726AGAINST: 6,136,191

HCA Healthcare, Inc.’s own tally for this item (“Elect Director: Andrea B. Smith”): 189,234,726 for, 6,136,191 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 189 asset managers below cast 99.9% of the shares they voted on this item FOR (48,010,470 for, 6,226 against).

FOR 99.9%
FOR: 48,010,470 (100.0%)AGAINST: 6,226 (0.0%)ABSTAIN: 15,087 (0.0%)NOT VOTED: 121 (0.0%)
Largest asset managers voting on “Election of Directors: Andrea B. Smith” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard17,992,25919 00For
Fidelity5,870,2560 00For
Capital Group4,873,1060 00For
BlackRock4,159,7270 00For
FIRST EAGLE FUNDS2,397,0750 00For
State Street1,802,8490 00For
TIAA1,118,1950 00For
Charles Schwab1,052,8350 00For
Invesco857,1260 00For
Pacer Funds Trust728,4000 00For
Hartford657,1760 00For
JANUS INVESTMENT FUND531,8710 00For
Principal392,5750 00For
JPMorgan385,2370 00For
T. Rowe Price347,0440 00For
Jackson National320,1640 00For
MASTER INVESTMENT PORTFOLIO248,5580 00For
TEMPLETON GROWTH FUND INC201,9820 00For
American Century176,9480 00For
Dimensional149,3030 00For
Columbia Threadneedle137,9150 00For
Northern Trust135,8240 00For
SEI129,2150 00For
Franklin Investors Securities Trust122,0000 00For
Equitable119,8121,582 00For

Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.

13. Stockholder proposal, if properly presented at the meeting, regarding a report on healthcare consequences.

HUMAN RIGHTS OR HUMAN CAPITAL/WORKFORCEMajority of the votes cast: no

Meeting held 2026-04-23.

Combines 4 wordings of this item as funds reported it.

11% Majority: no · of votes cast

11%AGAINST 89%
FOR: 21,156,498AGAINST: 173,337,098

HCA Healthcare, Inc.’s own tally for this item (“Proposal 4: The stockholder proposal regarding a report on healthcare consequences as described in the Proxy Statement was not approved as follows:”): 21,156,498 for, 173,337,098 against, per its Form 8-K (Item 5.07). FOR was not more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 183 asset managers below cast 4% of the shares they voted on this item FOR (1,693,145 for, 46,018,226 against).

AGAINST 96%
FOR: 1,693,145 (3.5%)AGAINST: 46,018,226 (96.2%)ABSTAIN: 109,113 (0.2%)NOT VOTED: 2,350 (0.0%)
Largest asset managers voting on “Stockholder proposal, if properly presented at the meeting, regarding a report on healthcare consequences.” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard172,93517,819,340 20Against
Fidelity56,2005,814,056 00Against
Capital Group04,873,106 00Against
BlackRock4,6684,155,059 00Against
FIRST EAGLE FUNDS02,397,075 00Against
State Street3581,802,491 00Against
TIAA01,118,195 00Against
Charles Schwab2741,052,561 00Against
Invesco0857,126 00Against
Pacer Funds Trust728,4000 00For
Hartford273656,903 00Against
JANUS INVESTMENT FUND0531,871 00Against
Principal88392,487 00Against
JPMorgan0385,237 00Against
T. Rowe Price0347,044 00Against
Jackson National0320,164 00Against
MASTER INVESTMENT PORTFOLIO0248,558 00Against
TEMPLETON GROWTH FUND INC0201,982 00Against
American Century0176,948 00Against
Dimensional0149,303 00Against
Columbia Threadneedle0137,915 00Against
Northern Trust7,441128,383 00Against
SEI129,2150 00For
Franklin Investors Securities Trust0122,000 00Against
Equitable1,582119,812 00Against

Showing the 25 largest of 183 asset managers. See all 183 in the interactive database.

14. Report on Impact of Hospital Acquisitions on Communities

OTHER SOCIAL ISSUES

Meeting held 2026-04-23.

Combines 2 wordings of this item as funds reported it.

42% fund support · no official result

FOR 42%AGAINST 58%

The 9 asset managers below cast 42% of the shares they voted on this item FOR (87,048 for, 120,667 against).

FOR: 87,048 (41.9%)AGAINST: 120,667 (58.1%)
Largest asset managers voting on “Report on Impact of Hospital Acquisitions on Communities” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Cardano Risk Management B.V.84,1650 00For
Dixon Mitchell Investment Counsel Inc.075,426 00Against
Empower026,535 00Against
Lincoln Financial09,139 00Against
NORTHERN LIGHTS FUND TRUST II05,400 00Against
CLEARWATER INVESTMENT TRUST03,042 00Against
Erste Asset Management GmbH2,8830 00For
Dorsey Wright & Associates0666 00Against
RWC Asset Management LLP0459 00Against

15. Advisory vote to approve named executive officer compensation.

SECTION 14A SAY-ON-PAY VOTESMajority of the votes cast: yes

Meeting held 2025-04-24 (outside the 2025-2026 season's 1 July to 30 June window; reported in this season's filings).

Combines 2 wordings of this item as funds reported it.

94% Majority: yes · of votes cast

FOR 94%
FOR: 198,712,163AGAINST: 13,569,145

HCA Healthcare, Inc.’s own tally for this item (“Proposal 3: The adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2025 proxy statement was approved as follows:”): 198,712,163 for, 13,569,145 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 4 asset managers below cast 94% of the shares they voted on this item FOR (55,329 for, 3,283 against).

FOR 94%
FOR: 55,329 (94.4%)AGAINST: 3,283 (5.6%)
Largest asset managers voting on “Advisory vote to approve named executive officer compensation.” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Investment Management Corp of Ontario55,1890 00For
OSSIAM03,283 00Against
OSBORNE PARTNERS CAPITAL MANAGEMENT, LLC1200 00For
FIRST UNITED BANK & TRUST200 00For

16. Say on Pay

SECTION 14A SAY-ON-PAY VOTESMajority of the votes cast: yes

Meeting held 2026-04-23.

93% Majority: yes · of votes cast

FOR 93%
FOR: 182,386,619AGAINST: 12,758,446

HCA Healthcare, Inc.’s own tally for this item (“Proposal 3: The adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2026 proxy statement was approved as follows:”): 182,386,619 for, 12,758,446 against, per its Form 8-K (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.

The 3 asset managers below cast 48.2% of the shares they voted on this item FOR (15,754 for, 16,906 against).

FOR 48.2%AGAINST 51.8%
FOR: 15,754 (48.2%)AGAINST: 16,906 (51.8%)
Largest asset managers voting on “Say on Pay” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Genus Capital Management Inc.016,906 00Against
ENGLISH CAPITAL MANAGEMENT LLC15,4570 00For
Empower2970 00For

17. Director Elections

DIRECTOR ELECTIONS

Meeting held 2026-04-23.

Combines 2 wordings of this item as funds reported it.

100% fund support · no official result

FOR 100%

The 2 asset managers below cast 100% of the shares they voted on this item FOR (257 for, 0 against).

FOR: 257 (100.0%)
Largest asset managers voting on “Director Elections” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Members Trust Co2370 00For
Ballew Advisors, Inc200 00For

18. Election of Directors (Majority Voting)

DIRECTOR ELECTIONS

Meeting held 2026-04-23.

All nominees (reported as one line). These filers reported the election of directors as a single line covering every nominee. It is not attributed to any one director, and no share total is shown for it.

100% fund support · no official result

FOR 100%

The 2 asset managers below cast 100% of the shares they voted on this item FOR.

FOR: 100.0%
Largest asset managers voting on “Election of Directors (Majority Voting)” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
ETF Opportunities Trust1,6460 00For
TEALWOOD ASSET MANAGEMENT INC150 00For

19. S/H Proposal - Corporate Governance

CORPORATE GOVERNANCE

Meeting held 2026-04-23.

0% fund support · no official result

AGAINST 100%

The 2 asset managers below cast 0% of the shares they voted on this item FOR (0 for, 1,661 against).

AGAINST: 1,661 (100.0%)
Largest asset managers voting on “S/H Proposal - Corporate Governance” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
ETF Opportunities Trust01,646 00Against
TEALWOOD ASSET MANAGEMENT INC015 00Against

20. S/H Proposal - Health Issues

OTHER SOCIAL ISSUES

Meeting held 2026-04-23.

0% fund support · no official result

AGAINST 100%

The 2 asset managers below cast 0% of the shares they voted on this item FOR (0 for, 1,661 against).

AGAINST: 1,661 (100.0%)
Largest asset managers voting on “S/H Proposal - Health Issues” at HCA Healthcare, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
ETF Opportunities Trust01,646 00Against
TEALWOOD ASSET MANAGEMENT INC015 00Against

Largest HCA Healthcare, Inc. shareholders voting in 2025-2026

Ranked by the number of HCA Healthcare, Inc. shares each manager voted on the most widely held ballot item of the 2025-2026 meeting.

Top HCA Healthcare, Inc. shareholders by shares voted, 2025-2026
#Asset manager Shares voted
1Vanguard 19,651,370
2BlackRock 10,743,175
3Capital Group 9,936,658
4Fidelity 8,940,825
5Sanders Capital, LLC 5,871,869
6State Street 4,810,450
7GEODE CAPITAL MANAGEMENT, LLC 3,711,030
8Wellington 3,666,429
9First Eagle Investment Management, LLC 2,973,845
10National Pension Service 2,571,538

Shown as share counts, not percentages: no shares-outstanding figure has been matched to HCA Healthcare, Inc. for the 2025-2026 season, so there is no denominator to divide by.

About this page

Every figure above is derived from filings made with the US Securities and Exchange Commission: Form N-PX, in which registered investment companies and institutional managers disclose how they voted every proxy, and Form 8-K Item 5.07, in which the company reports its own meeting results. This page is a static snapshot rebuilt weekly on 02 October 2026; a live search always shows the current data.

At HCA Healthcare, Inc.'s shareholder meeting held 2026-04-23, in the 2025-2026 proxy season, 1,032 asset managers reported how they voted in their SEC Form N-PX filings, covering 13,148 separate fund positions. Their filings are grouped here into 20 reported items; because filers word the same ballot item differently, that can be more than the number of items on the ballot. On the most widely held item on that ballot — Advisory vote to approve named executive officer compensation. — FOR was 93% of the votes cast (FOR divided by FOR plus AGAINST, the conventional basis for proxy support; abstentions, broker non-votes and unvoted shares are excluded because none of them took a side), which is more than half. Whether the item was approved is for the filing to say; that statement has not been read for this item. Source: HCA Healthcare, Inc.'s Form 8-K, Item 5.07, filed with the U.S. Securities and Exchange Commission (filing date not recorded for this item).

HCA Healthcare, Inc. proxy season coverage: 2023-2024 · 2024-2025 · 2025-2026 (this page).