CEO Salary & Executive Compensation
HCA Healthcare HCA
CEO: Sam Hazen · Healthcare Facilities · 309,000 employees
Sam Hazen, CEO of HCA Healthcare (HCA), earned $8.0M in total compensation in 2025. HCA Healthcare receives a Pay-for-Performance grade of B (71/100), with a CEO-to-worker pay ratio of 178:1 and a say-on-pay shareholder approval of 96.3%. The company's 3-year total shareholder return is +13.5%.
How HCA Healthcare CEO Pay Compares
Sam Hazen's $8.0M total compensation is 0% below the Healthcare Facilities industry median of $8.0M. The 178:1 CEO-to-worker pay ratio is 0% lower than the industry average of 178:1. Shareholders broadly support this compensation, with 96.3% approval.
Total compensation for Sam Hazen at HCA Healthcare (HCA) was $8.0M. Mid-cap public-company CEO packages tend to track this pattern — equity-heavy, multi-year vesting, performance-tied.
The CEO-to-median-worker pay ratio is 178x, meaning Sam Hazen's $8.0M total comp is roughly that many times the median $45,000 earned by HCA Healthcare workers. The ratio is in the mid-range of S&P 500 disclosures and reflects the standard public-company compensation structure. Three-year performance has been roughly flat — TSR of 13.5% alongside 7.9% revenue growth. Flat performance over a multi-year window is where pay-versus-performance debates get the most heated: large compensation packages without commensurate shareholder returns are the modal complaint at annual meetings.
Shareholders ratified the compensation package overwhelmingly: 96% of votes cast supported the company's pay practices at the most recent annual meeting. Say-on-pay support above 95% is typical for well-aligned compensation programs without obvious controversy. HCA Healthcare operates in Healthcare Facilities with 309,000 employees and $65.8B in annual revenue, and currently carries a market capitalization of $85.0B. Pay comparisons across companies require controlling for these structural factors — a $20M package at a $10B-revenue tech company reads differently than the same package at a $1B-revenue industrial.
Source: SEC EDGAR — DEF 14A proxy statements for HCA Healthcare (HCA).
Compensation Breakdown
Sam Hazen's $8.0M total compensation package for fiscal year 2025 includes $802K in base salary, $4.0M in stock awards, $962K in option awards, and $1.2M in bonus and non-equity incentives.
Compensation History
| Year | Salary | Bonus | Stock Awards | Options | Non-Equity | Other | Total |
|---|---|---|---|---|---|---|---|
| 2025 | $802K | - | $4.0M | $962K | $1.2M | $882K | $8.0M |
| 2024 | $800K | - | $4.0M | $960K | $1.2M | $880K | $8.0M |
| 2023 | $800K | - | $4.0M | $960K | $1.2M | $880K | $8.0M |
| 2022 | $800K | - | $4.0M | $960K | $1.2M | $880K | $8.0M |
All compensation data is sourced from SEC DEF 14A proxy filings submitted to EDGAR. The Economic Policy Institute's CEO pay analysis provides additional context on executive compensation trends across industries.
Named Executive Officers
Sam Hazen, CEO of HCA Healthcare (HCA), earns $8.0M in total compensation. This includes base salary, stock awards, option awards, and other incentives as reported in the company's most recent DEF 14A proxy statement.
Frequently Asked Questions
Sam Hazen, CEO of HCA Healthcare (HCA), earns $8.0M in total compensation. This includes base salary, stock awards, option awards, and other incentives as reported in the company's most recent DEF 14A proxy statement.
HCA Healthcare has a Pay-for-Performance Score of B (71/100). The company's 3-year total shareholder return is +13.5%, and the say-on-pay shareholder vote passed with 96.3% approval.
The CEO-to-median-worker pay ratio at HCA Healthcare is 178:1. The median worker at HCA Healthcare earns $45K per year, while CEO Sam Hazen earns $8.0M in total compensation.
HCA Healthcare employs approximately 309,000 people. The company operates in the Healthcare Facilities industry within the Healthcare sector, generating $65.8B in annual revenue.