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        <issuerAddress>
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          <com:city>NASHVILLE</com:city>
          <com:stateOrCountry>TN</com:stateOrCountry>
          <com:zipCode>37203</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>6153449551</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Torres Kathryn A.</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
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        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Merrill Lynch</name>
          <address>
            <com:street1>3455 Peachtree Road NE, Suite 1000</com:street1>
            <com:city>Atlanta</com:city>
            <com:stateOrCountry>GA</com:stateOrCountry>
            <com:zipCode>30326</com:zipCode>
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        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>4473</noOfUnitsSold>
        <aggregateMarketValue>1289913.00</aggregateMarketValue>
        <noOfUnitsOutstanding>276966400</noOfUnitsOutstanding>
        <approxSaleDate>04/24/2023</approxSaleDate>
        <securitiesExchangeName>NYSE</securitiesExchangeName>
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        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>11/08/2021</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Appreciation Right Exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>HCA Healthcare, Inc.</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>109</amountOfSecuritiesAcquired>
        <paymentDate>11/08/2021</paymentDate>
        <natureOfPayment>Compensatory Payment</natureOfPayment>
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        <securitiesClassTitle>Common</securitiesClassTitle>
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        <natureOfAcquisitionTransaction>Restricted Stock Vesting</natureOfAcquisitionTransaction>
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        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>4364</amountOfSecuritiesAcquired>
        <paymentDate>02/18/2022</paymentDate>
        <natureOfPayment>Compensatory Payment</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>04/24/2023</noticeDate>
        <signature>KATHRYN TORRES</signature>
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text: 144
  0001680636
  XXXXXXXX
  LIVE
  0000860730
  HCA Healthcare, Inc.
  001-11239
  ONE PARK PLZ
  NASHVILLE
  TN
  37203
  6153449551
  Torres Kathryn A.
  Officer
  Common
  Merrill Lynch
  3455 Peachtree Road NE, Suite 1000
  Atlanta
  GA
  30326
  4473
  1289913.00
  276966400
  04/24/2023
  NYSE
  Common
  11/08/2021
  Stock Appreciation Right Exercise
  HCA Healthcare, Inc.
  N
  109
  11/08/2021
  Compensatory Payment
  Common
  02/18/2022
  Restricted Stock Vesting
  HCA Healthcare, Inc.
  N
  4364
  02/18/2022
  Compensatory Payment
  Y
  04/24/2023
  KATHRYN TORRES