How Much Does the HCA Healthcare CEO Make?
Sam Hazen, CEO of HCA Healthcare, earned $8.0M in total compensation in 2025, including $4.0M in stock awards and $802,000 in base salary.
This page answers a common executive-compensation question: How Much Does the HCA Healthcare CEO Make?. The answer draws on SEC DEF 14A proxy statements, the public disclosure mechanism for U.S. public-company executive pay. Every public company must file an annual proxy statement disclosing CEO and named-executive-officer compensation in detail. Why this matters for shareholders: executive compensation is the single most-disclosed governance metric at U.S. public companies, and the Dodd-Frank-mandated say-on-pay vote gives shareholders an explicit channel to express approval or dissent. Reading pay data well — including pay-versus-performance, peer-group selection, and time-vesting structures — is a basic part of stock-by-stock fundamental analysis.
The detailed answer below uses the actual proxy-statement filings, explains how to read them, and translates the executive-compensation accounting into the shareholder-relevant interpretation.
Sam Hazen leads HCA Healthcare (HCA), a Healthcare Facilities company with approximately 309,000 employees. In the 2025 proxy statement filed with the SEC, Sam Hazen's total compensation of $8,020,000 included $802,000 in base salary, $0 in cash bonus, $4,010,000 in stock awards, and $962,400 in option awards.
The CEO-to-median-worker pay ratio at HCA Healthcare is 178:1, meaning the CEO earns 178x the median worker's pay of $45,000. Over the past three years, HCA Healthcare produced a total shareholder return of 13.5% against 7.9% revenue growth. Our Pay-for-Performance Score rates the alignment as B (71/100).
In the most recent say-on-pay vote, 96.3% of shareholders approved the executive compensation plan. Strong shareholder support signals broad approval of the pay package.
Key Data
| Component | Amount |
|---|---|
| Total Compensation | $8,020,000 |
| Base Salary | $802,000 |
| Stock Awards | $4,010,000 |
| Option Awards | $962,400 |
| Non-Equity Incentive | $1,203,000 |
| CEO-to-Worker Pay Ratio | 178:1 |
| Pay-Performance Grade | B |
Frequently Asked Questions
Sam Hazen, CEO of HCA Healthcare, earned $8.0M in total compensation in 2025, including $4.0M in stock awards and $802,000 in base salary.
Sam Hazen is the chief executive officer of HCA Healthcare (HCA).
The CEO at HCA Healthcare earns approximately 178 times the median worker's pay of $45,000.
In 2025, total compensation of $8,020,000 was composed of $802,000 base salary, $0 cash bonus, $4,010,000 stock awards, $962,400 option awards, and $1,203,000 in non-equity incentive compensation.
Our Pay-for-Performance Score rates HCA Healthcare as B (71/100), based on three-year total shareholder return of 13.5%, revenue growth of 7.9%, and shareholder say-on-pay vote approval.
Sam Hazen, CEO of HCA Healthcare, earned $8.0M in total compensation in 2025, including $4.0M in stock awards and $802,000 in base salary.
Source: SEC EDGAR DEF 14A proxy statements, 2026.