HCA HEALTHCARE, INC., DEF 14A filed on 3/14/2025
Proxy Statement (definitive)
v3.25.0.1
Cover
12 Months Ended
Dec. 31, 2024
Document Information [Line Items]  
Document Type DEF 14A
Amendment Flag false
Entity Information [Line Items]  
Entity Registrant Name HCA Healthcare, Inc.
Entity Central Index Key 0000860730
v3.25.0.1
Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
2024 Pay Versus Performance Table
The following table sets forth additional compensation information of our Principal Executive Officer (“PEO”) and our
non-PEO
Named Executive Officers
(“non-PEO
NEOs”) along with total shareholder return, net income attributable to HCA Healthcare, Inc. and adjusted EBITDA performance results for our fiscal years ending in 2024, 2023, 2022, 2021 and 2020. “Compensation actually paid” does not represent the value of cash and shares of the Company’s common stock received by named executive officers during the year, but rather it is an amount calculated under SEC rules and includes, among other things, year-over-year changes in the value of unvested equity based awards. As a result of the calculation methodology required by the SEC, “Compensation actually paid” amounts differ from compensation actually received by the individuals and the compensation decisions described in the “Compensation Discussion and Analysis” section above.
 
               
Year
 
Summary
Compensation
Table Total
for PEO (1)
   
Compensation
Actually Paid
to PEO (2)(3)
   
Average
Summary
Compensation
Table Total
for non-PEO
NEOs (1)
   
Average
Compensation
Actually Paid
to non-PEO
NEOs (2)(3)
   
Value of Initial Fixed
$100 Investment Based On:
   
Net
Income
Attributable to
HCA
Healthcare, Inc.
   
Adjusted
EBITDA (10)
 
 
Total
Shareholder
Return
   
Peer Group
Total
Shareholder
Return (9)
 
2024 (4)
 
$
23,799,137
 
 
$
40,146,727
 
 
$
6,121,496
 
 
$
 6,090,844
 
 
$
211.12
 
 
$
146.87
 
 
$
5,760,000,000
 
 
$
13,882,000,000
 
2023 (5)
 
$
21,315,984
 
 
$
23,591,845
 
 
$
6,861,426
 
 
$
 7,050,413
 
 
$
188.93
 
 
$
143.18
 
 
$
5,242,000,000
 
 
$
12,726,000,000
 
2022 (6)
 
$
14,637,726
 
 
$
 9,582,202
 
 
$
5,166,993
 
 
$
 3,405,676
 
 
$
165.99
 
 
$
140.29
 
 
$
5,643,000,000
 
 
$
12,067,000,000
 
2021 (7)
 
$
20,635,260
 
 
$
84,568,577
 
 
$
5,999,564
 
 
$
19,628,647
 
 
$
175.93
 
 
$
143.09
 
 
$
6,956,000,000
 
 
$
12,644,000,000
 
2020 (8)
 
$
30,397,771
 
 
$
30,452,042
 
 
$
7,041,315
 
 
$
 7,875,351
 
 
$
111.64
 
 
$
113.45
 
 
$
3,754,000,000
 
 
$
10,037,000,000
 
 
(1)
Named executive officers included in the above compensation columns reflect the following:
 
   
Year
  
PEO
  
Non-PEO
NEOs
    
   
 
2024
  
Hazen
  
Rutherford*, Marks*, Foster, McAlevey, Cuffe
*  Effective 5/1/2024, Rutherford retired from and Marks was appointed to the Executive Vice President and Chief Financial Officer position.
  2023    Hazen    Rutherford, Foster, Akdamar, McManus   
  2022    Hazen    Rutherford, Foster, Hall, McAlevey   
  2021    Hazen    Rutherford, Foster, Hall, Cuffe   
  2020    Hazen    Rutherford, Foster, Hall, Perlin   
 
(2)
Fair value or change in fair value, as applicable, of equity awards in the “Actually Paid” columns was determined by reference to (1) for PSU awards, closing price on applicable
year-end
date(s) multiplied by the probability of achievement as of each such date or, in the case of vesting dates, the actual shares earned multiplied by the vesting price, (2) for SAR awards, a Black-Scholes value as of the applicable
year-end
or vesting date(s), determined based on the same methodology as used to determine grant date fair value for the applicable grant and (3) for RSU awards, the closing price on applicable
year-end
date(s) or, in the case of vesting dates, the actual vesting price.
 
(3)
For the portion of “Actually Paid” compensation that is based on
year-end
stock prices, the following prices were used: $300.15 for 2024 (closing price as of 12/31/24), $270.68 for 2023 (closing price as of 12/29/23), $239.96 for 2022 (closing price as of 12/30/22), $256.92 for 2021 (closing price as of 12/31/21) and $164.46 for 2020 (closing price as of 12/31/20).
 
(4)
2024 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2024 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2024 Summary Compensation Table Total   $ 23,799,137     $ 6,121,496  
Less: Change in Pension & Deferred Compensation Plans
  $ 372,138     $ 265,350  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 689,830     $ 149,373  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 16,580,668     $ 3,423,531  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/24   $ 17,195,564     $ 2,640,576  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/24   $ 10,479,537     $ 1,434,246  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 4,662,911     $ 668,465  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions*         $ 1,267,373  
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 96,234     $ 13,211  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 368,788     $ 46,153  
 
 
 
   
 
 
 
2024 Compensation Actually Paid
  $ 40,146,727     $ 6,090,844  
 
 
 
   
 
 
 
 
  *
Mr. Rutherford forfeited certain unvested equity awards as a result of his 5/1/2024 retirement.
 
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans         $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans    
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,447  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total
  $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
 
(9)
The Peer Group reflected in the Peer Group Total Shareholder Return is the S&P Health Care Index, as reflected in our 2024 Annual Report on Form the
10-K
pursuant to Item 201(e) of Regulation
S-K.
Each year reflects the cumulative total return assuming $100 invested on December 31, 2019 in our common stock and in the S&P Health Care Index, including the subsequent reinvestment of dividends.
 
(10)
Adjusted EBITDA was selected by the Compensation Committee as the Company-Selected Measure (“CSM”). It is a
non-Generally
Accepted Accounting Principles (“GAAP”) financial measure defined as income before depreciation and amortization, interest expense, losses and gains on sales of facilities, losses on retirement of debt, provision for income taxes and net income attributable to noncontrolling interests. Reconciliations of Adjusted EBITDA to the most directly comparable financial measure calculated in accordance with GAAP are included in Appendix D.
       
Company Selected Measure Name Adjusted EBITDA        
Named Executive Officers, Footnote
(1)
Named executive officers included in the above compensation columns reflect the following:
 
   
Year
  
PEO
  
Non-PEO
NEOs
    
   
 
2024
  
Hazen
  
Rutherford*, Marks*, Foster, McAlevey, Cuffe
*  Effective 5/1/2024, Rutherford retired from and Marks was appointed to the Executive Vice President and Chief Financial Officer position.
  2023    Hazen    Rutherford, Foster, Akdamar, McManus   
  2022    Hazen    Rutherford, Foster, Hall, McAlevey   
  2021    Hazen    Rutherford, Foster, Hall, Cuffe   
  2020    Hazen    Rutherford, Foster, Hall, Perlin   
       
Peer Group Issuers, Footnote The Peer Group reflected in the Peer Group Total Shareholder Return is the S&P Health Care Index, as reflected in our 2024 Annual Report on Form the
10-K
pursuant to Item 201(e) of Regulation
S-K.
Each year reflects the cumulative total return assuming $100 invested on December 31, 2019 in our common stock and in the S&P Health Care Index, including the subsequent reinvestment of dividends.
       
PEO Total Compensation Amount $ 23,799,137 $ 21,315,984 $ 14,637,726 $ 20,635,260 $ 30,397,771
PEO Actually Paid Compensation Amount $ 40,146,727 23,591,845 9,582,202 84,568,577 30,452,042
Adjustment To PEO Compensation, Footnote
(4)
2024 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2024 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2024 Summary Compensation Table Total   $ 23,799,137     $ 6,121,496  
Less: Change in Pension & Deferred Compensation Plans
  $ 372,138     $ 265,350  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 689,830     $ 149,373  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 16,580,668     $ 3,423,531  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/24   $ 17,195,564     $ 2,640,576  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/24   $ 10,479,537     $ 1,434,246  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 4,662,911     $ 668,465  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions*         $ 1,267,373  
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 96,234     $ 13,211  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 368,788     $ 46,153  
 
 
 
   
 
 
 
2024 Compensation Actually Paid
  $ 40,146,727     $ 6,090,844  
 
 
 
   
 
 
 
 
  *
Mr. Rutherford forfeited certain unvested equity awards as a result of his 5/1/2024 retirement.
 
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans         $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans    
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,447  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total
  $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
       
Non-PEO NEO Average Total Compensation Amount $ 6,121,496 6,861,426 5,166,993 5,999,564 7,041,315
Non-PEO NEO Average Compensation Actually Paid Amount $ 6,090,844 7,050,413 3,405,676 19,628,647 7,875,351
Adjustment to Non-PEO NEO Compensation Footnote
(4)
2024 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2024 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2024 Summary Compensation Table Total   $ 23,799,137     $ 6,121,496  
Less: Change in Pension & Deferred Compensation Plans
  $ 372,138     $ 265,350  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 689,830     $ 149,373  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 16,580,668     $ 3,423,531  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/24   $ 17,195,564     $ 2,640,576  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/24   $ 10,479,537     $ 1,434,246  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 4,662,911     $ 668,465  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions*         $ 1,267,373  
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 96,234     $ 13,211  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 368,788     $ 46,153  
 
 
 
   
 
 
 
2024 Compensation Actually Paid
  $ 40,146,727     $ 6,090,844  
 
 
 
   
 
 
 
 
  *
Mr. Rutherford forfeited certain unvested equity awards as a result of his 5/1/2024 retirement.
 
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans         $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans    
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,447  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total
  $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
       
Compensation Actually Paid vs. Total Shareholder Return LOGO        
Compensation Actually Paid vs. Net Income LOGO        
Compensation Actually Paid vs. Company Selected Measure LOGO        
Total Shareholder Return Vs Peer Group LOGO        
Tabular List, Table
Measures that were most important to the last fiscal year.
The following performance measures reflect the Company’s most important performance measures in effect for 2024, as further described and defined in the Compensation Discussion and Analysis under “Elements of Compensation — Annual Incentive Compensation: PEP” and “Elements of Compensation — Long-Term Equity Incentive Awards — Performance Share Units.”
 
   
Adjusted EBITDA
   
Earnings Per Share
   
Quality of Care
   
Patient Experience
       
Total Shareholder Return Amount $ 211.12 188.93 165.99 175.93 111.64
Peer Group Total Shareholder Return Amount 146.87 143.18 140.29 143.09 113.45
Net Income (Loss) $ 5,760,000,000 $ 5,242,000,000 $ 5,643,000,000 $ 6,956,000,000 $ 3,754,000,000
Company Selected Measure Amount 13,882,000,000 12,726,000,000 12,067,000,000 12,644,000,000 10,037,000,000
PEO Name Hazen        
Measure:: 1          
Pay vs Performance Disclosure          
Name Adjusted EBITDA        
Non-GAAP Measure Description It is a
non-Generally
Accepted Accounting Principles (“GAAP”) financial measure defined as income before depreciation and amortization, interest expense, losses and gains on sales of facilities, losses on retirement of debt, provision for income taxes and net income attributable to noncontrolling interests. Reconciliations of Adjusted EBITDA to the most directly comparable financial measure calculated in accordance with GAAP are included in Appendix D.
       
Measure:: 2          
Pay vs Performance Disclosure          
Name Earnings Per Share        
Measure:: 3          
Pay vs Performance Disclosure          
Name Quality of Care        
Measure:: 4          
Pay vs Performance Disclosure          
Name Patient Experience        
PEO | Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (372,138)     $ (451,661) $ (12,266,548)
PEO | Pension Adjustments Prior Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 689,830 $ 723,544 $ 952,610 980,231 645,000
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (16,580,668) (14,200,216) (12,055,290) (13,870,607) (13,082,198)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 17,195,564 15,028,391 13,374,858 34,793,801 16,696,602
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 10,479,537 (2,830,010) (3,338,709) 33,207,890 8,028,998
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 4,662,911 3,842,051 (3,998,784) 9,064,316 89,497
PEO | Dollar Value of Equivalent Payments Reported in Summary Compensation Table [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (96,234) (514,566) (435,499) (335,908) (166,818)
PEO | Dollar Value of Dividends Paid Prior to Vesting Date [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 368,788 226,667 445,290 545,255 109,738
Non-PEO NEO | Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (265,350) (264,662) (276,883) (103,724) (2,112,322)
Non-PEO NEO | Pension Adjustments Prior Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 149,373 135,006 182,990 207,139 325,250
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (3,423,531) (3,489,375) (3,063,442) (3,233,944) (2,617,165)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,640,576 3,692,881 2,698,985 7,765,175 3,335,797
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,434,246 (482,970) (573,313) 7,116,946 1,883,050
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 668,465 642,447 (737,029) 1,834,093 60,407
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (1,267,373)        
Non-PEO NEO | Dollar Value of Equivalent Payments Reported in Summary Compensation Table [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (13,211) (85,739) (73,188) (67,999) (66,927)
Non-PEO NEO | Dollar Value of Dividends Paid Prior to Vesting Date [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 46,153 $ 41,399 $ 80,563 $ 111,397 $ 25,946
v3.25.0.1
Award Timing Disclosure
12 Months Ended
Dec. 31, 2024
Apr. 29, 2024
USD ($)
$ / shares
Jan. 31, 2024
USD ($)
$ / shares
Award Timing Disclosures [Line Items]      
Award Timing MNPI Disclosure
Policies and Practices Related to the Timing of Equity Awards – 2024 Awards
While we do not have a formal written policy in place with regard to the timing of awards of SARs or similar awards in relation to the disclosure of material nonpublic information, our equity awards are generally granted on fixed dates determined in advance. Annual equity awards are typically granted to our executives in late January or early February each year. On limited occasions, the Committee may grant equity awards outside of our annual grant cycle for new hires, promotions, recognition, retention or other purposes.
The Committee’s general practice, and its practice for fiscal year 2024, has been to complete its annual executive compensation review and determine performance goals and target compensation for our executives, which coincides with the Company’s regularly scheduled Board meetings; then equity awards are granted with an effective date on the second full trading day following release of the Company’s fourth quarter earnings. For fiscal year 2025, the Committee granted equity awards in January 2025 effective as of the third full trading day following the release of the Company’s fourth quarter earnings and plans to continue this practice with respect to future grants.
The Committee approves all equity award grants on or before the grant date and does not grant equity awards in anticipation of the release of material nonpublic information. Similarly, the Committee does not time the release of material nonpublic information based on equity award grant dates. Generally, the Committee uses the Company’s three-month average stock price as of the grant date and a valuation model estimation to determine the number of SARs granted.
As set forth in the table below pursuant to Item 402(x)(2) of Regulation
S-K,
in 2024, the Committee granted SARs to the named executive officers with an effective date on the second full trading day following release of the Company’s quarterly earnings. The SARs have a
ten-year
term and an exercise price equal to the fair market value of the Company’s common shares on the date of grant. Consistent with the terms of the 2020 Stock Incentive Plan, the exercise price for each such award is the closing trading price of the Company’s common stock on the NYSE on the grant date.
 
Name
   
 
Grant
date
   
 


 
Number of
securities
underlying
the award


 
 
Exercise price of the award ($/Sh)
   
 


 
Grant
date fair
value of
the award


 
   
 













 
Percentage change in
the closing market
price of the securities
underlying the award
between the trading
day ending
immediately prior to
the disclosure of
material nonpublic
information and the
trading day
beginning immediately
following the
disclosure of material
nonpublic information













 
Samuel N. Hazen
   
 
1/31/2024
   
 
79,784
 
$304.90
   
 
$8,158,720
   
 
 5.18%
William B. Rutherford
   
 
1/31/2024
   
 
20,634
 
$304.90
   
 
$2,110,035
   
 
 5.18%
Michael A. Marks
   
 
1/31/2024
   
 
 5,503
 
$304.90
   
 
$  562,737
   
 
 5.18%
     
 
4/29/2024
   
 
 9,096
 
$311.42
   
 
$1,003,379
   
 
(2.37%)
Jon M. Foster
   
 
1/31/2024
   
 
20,634
 
$304.90
   
 
$2,110,035
   
 
 5.18%
Michael R. McAlevey
   
 
1/31/2024
   
 
11,005
 
$304.90
   
 
$1,125,372
   
 
 5.18%
     
 
4/29/2024
   
 
 2,274
 
$311.42
   
 
$  250,845
   
 
(2.37%)
Michael S. Cuffe, M.D.
   
 
1/31/2024
   
 
12,656
 
$304.90
   
 
$1,294,204
   
 
 5.18%
   
Award Timing Method The Committee’s general practice, and its practice for fiscal year 2024, has been to complete its annual executive compensation review and determine performance goals and target compensation for our executives, which coincides with the Company’s regularly scheduled Board meetings; then equity awards are granted with an effective date on the second full trading day following release of the Company’s fourth quarter earnings. For fiscal year 2025, the Committee granted equity awards in January 2025 effective as of the third full trading day following the release of the Company’s fourth quarter earnings and plans to continue this practice with respect to future grants.    
Award Timing Predetermined true    
Award Timing MNPI Considered true    
MNPI Disclosure Timed for Compensation Value false    
Awards Close in Time to MNPI Disclosures      
Underlying Security Market Price Change   (2.37) 5.18
Samuel N. Hazen [Member]      
Awards Close in Time to MNPI Disclosures      
Name     Samuel N. Hazen
Underlying Securities     79,784
Exercise Price | $ / shares     $ 304.9
Fair Value as of Grant Date     $ 8,158,720
William B. Rutherford [Member]      
Awards Close in Time to MNPI Disclosures      
Name     William B. Rutherford
Underlying Securities     20,634
Exercise Price | $ / shares     $ 304.9
Fair Value as of Grant Date     $ 2,110,035
Michael A. Marks [Member]      
Awards Close in Time to MNPI Disclosures      
Name     Michael A. Marks
Underlying Securities   9,096 5,503
Exercise Price | $ / shares   $ 311.42 $ 304.9
Fair Value as of Grant Date   $ 1,003,379 $ 562,737
Jon M. Foster [Member]      
Awards Close in Time to MNPI Disclosures      
Name     Jon M. Foster
Underlying Securities     20,634
Exercise Price | $ / shares     $ 304.9
Fair Value as of Grant Date     $ 2,110,035
Michael R. McAlevey [Member]      
Awards Close in Time to MNPI Disclosures      
Name     Michael R. McAlevey
Underlying Securities   2,274 11,005
Exercise Price | $ / shares   $ 311.42 $ 304.9
Fair Value as of Grant Date   $ 250,845 $ 1,125,372
Michael S. Cuffe, M.D [Member]      
Awards Close in Time to MNPI Disclosures      
Name     Michael S. Cuffe, M.D.
Underlying Securities     12,656
Exercise Price | $ / shares     $ 304.9
Fair Value as of Grant Date     $ 1,294,204