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Compiled from SEC Form N-PX filings and HCA Healthcare, Inc.’s Form 8-K, filed April 28, 2026 (Item 5.07 on EDGAR). Page generated October 14, 2026.
Meeting of April 23, 2026: 13 items on HCA Healthcare, Inc.’s Form 8-K, filed April 28, 2026: 2 approved · 2 not approved · 9 without a stated outcome.
None.
Material dissent: a director nominee under 80% of the votes cast, say-on-pay under 70%, any other item the board put forward under 80%, or a shareholder proposal with more than 50%, on the company’s own Form 8-K tally. How this is decided
Explore HCA Healthcare, Inc. in the interactive database Compare manager voting policies
These tallies are HCA Healthcare, Inc.’s own, as disclosed to the U.S. Securities and Exchange Commission on Form 8-K, filed April 28, 2026 (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.
| Ballot item | For | Against | Abstain | Withheld | Broker non-votes | Support (of votes cast) | Reported outcome | Voting standard |
|---|---|---|---|---|---|---|---|---|
| Elect Director: Thomas F. Frist III | 187,441,344 | 7,941,596 | 51,198 | -- | 14,343,334 | 96% | Not verified | — |
| Elect Director: Samuel N. Hazen | 193,666,243 | 1,713,185 | 54,710 | -- | 14,343,334 | 99.1% | Not verified | — |
| Elect Director: John W. Chidsey, III | 193,625,050 | 1,749,879 | 59,209 | -- | 14,343,334 | 99.1% | Not verified | — |
| Elect Director: Nancy-Ann DeParle | 173,121,216 | 22,234,733 | 78,189 | -- | 14,343,334 | 89% | Not verified | — |
| Elect Director: William R. Frist | 191,413,785 | 3,970,200 | 50,153 | -- | 14,343,334 | 98% | Not verified | — |
| Elect Director: Hugh F. Johnston | 179,518,581 | 15,858,336 | 57,221 | -- | 14,343,334 | 92% | Not verified | — |
| Elect Director: Michael W. Michelson | 188,824,111 | 6,553,509 | 56,518 | -- | 14,343,334 | 97% | Not verified | — |
| Elect Director: Wayne J. Riley, M.D. | 186,133,512 | 9,085,173 | 215,453 | -- | 14,343,334 | 95% | Not verified | — |
| Elect Director: Andrea B. Smith | 189,234,726 | 6,136,191 | 63,221 | -- | 14,343,334 | 97% | Not verified | — |
| 2. Appointment of Ernst & Young LLP as the Company's independent registered public accounting firm for the year ending December 31, 2026 | 192,731,533 | 16,987,639 | 58,300 | -- | 0 | 92% | Approved | — |
| 3. Adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2026 proxy statement | 182,386,619 | 12,758,446 | 289,073 | -- | 14,343,334 | 93% | Approved | — |
| 4. Stockholder proposal regarding a report on healthcare consequences as described in the Proxy Statement | 21,156,498 | 173,337,098 | 940,542 | -- | 14,343,334 | 11% | Not approved | — |
| 5. Stockholder proposal regarding shareholders' right to act by written consent as described in the Proxy Statement | 42,842,519 | 152,097,860 | 493,759 | -- | 14,343,334 | 22% | Not approved | — |
Source: HCA Healthcare, Inc., Form 8-K, filed with the SEC on April 28, 2026 — read the filing on EDGAR.
Each item below shows how the 1,017 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.
Combines 6 wordings of this item as funds reported it.
96% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Thomas F. Frist III
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 96% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 47,872,124 for, 144,572 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,982,487 | 9,791 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,158,805 | 922 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,829 | 20 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
99.1% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Samuel N. Hazen
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 99.1% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 48,010,008 for, 6,688 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,992,272 | 6 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,159,727 | 0 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,829 | 20 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 6 wordings of this item as funds reported it.
99.1% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: John W. Chidsey, III
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 99.1% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 47,997,202 for, 19,493 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,982,506 | 9,772 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,158,805 | 922 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,849 | 0 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
89% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Nancy-Ann DeParle
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 89% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 45,187,145 for, 2,817,128 against, 27,509 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,819,339 | 172,938 | 0 | 0 | For |
| Fidelity | 5,814,056 | 56,200 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,157,960 | 1,767 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 3,626 | 1,799,223 | 0 | 0 | Against |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,561 | 274 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 656,903 | 273 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,487 | 88 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 0 | 129,215 | 0 | 0 | Against |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
98% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: William R. Frist
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 98% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 48,000,689 for, 16,007 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,992,265 | 13 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,159,727 | 0 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,829 | 20 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
92% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Hugh F. Johnston
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 92% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 46,051,720 for, 1,964,976 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,819,364 | 172,914 | 0 | 0 | For |
| Fidelity | 5,814,056 | 56,200 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,157,960 | 1,767 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,849 | 0 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 773 | 1,052,061 | 0 | 0 | Against |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,487 | 88 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 0 | 129,215 | 0 | 0 | Against |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
97% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Michael W. Michelson
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 97% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 46,168,299 for, 1,848,396 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,992,255 | 23 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,159,727 | 0 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 3,646 | 1,799,203 | 0 | 0 | Against |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 6 wordings of this item as funds reported it.
95% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Wayne J. Riley, M.D.
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 95% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 47,720,864 for, 283,409 against, 27,509 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,982,481 | 9,796 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,158,805 | 922 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,829 | 20 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 5 wordings of this item as funds reported it.
97% Majority: yes · of votes cast
Description as filed by funds: Election of Directors: Andrea B. Smith
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 filed April 28, 2026 (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.
Reported outcome: not verified — the filing’s own statement of the outcome could not be identified for this item.
Support: 97% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 189 asset managers below reported 48,010,470 for, 6,226 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,992,259 | 19 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,159,727 | 0 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,849 | 0 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 189 asset managers. See all 189 in the interactive database.
Combines 19 wordings of this item as funds reported it.
93% Approved · of votes cast
Description as filed by funds: Advisory vote to approve named executive officer compensation.
HCA Healthcare, Inc.’s own tally for this item (“3. Adoption of a non-binding advisory resolution on the Company's named executive officer compensation as described in the Company's 2026 proxy statement”): 182,386,619 for, 12,758,446 against — passed, per its Form 8-K filed April 28, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “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:”
Support: 93% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
Also reported under other wordings, matched to the same row of HCA Healthcare, Inc.’s official tally and shown with their own fund figures; their managers are not in the figures or the table on this card: “Say on Pay” (3 managers, 15,754 for, 16,906 against).
Fund voting reports and institutional-manager reports both cover this item. An institutional manager can report shares that a fund it advises also reports, so the two are shown separately below and never added together, and their sum is not shown (fund and manager reports combined may count the same shares twice).
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 17,992,240 | 38 | 0 | 0 | For |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,158,883 | 844 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,780 | 69 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 0 | 857,126 | 0 | 0 | Against |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 656,903 | 273 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 335,294 | 11,750 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,066 | 746 | 1,582 | 0 | For |
Fund voting reports, all 183 managers: 46,990,915 for, 891,362 against, 16,669 abstained, 121 not voted, 38 mixed. Showing the 25 largest; see all in the interactive database.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| BlackRock | 6,572,636 | 10,812 | 0 | 0 | For |
| Sanders Capital, LLC | 5,719,070 | 152,799 | 0 | 0 | For |
| Capital Group | 5,063,520 | 0 | 32 | 0 | For |
| GEODE CAPITAL MANAGEMENT, LLC | 3,711,030 | 0 | 0 | 0 | For |
| Wellington | 3,666,429 | 0 | 0 | 0 | For |
| Fidelity | 3,070,569 | 0 | 0 | 0 | For |
| State Street | 2,993,129 | 14,472 | 0 | 0 | For |
| First Eagle Investment Management, LLC | 2,973,845 | 0 | 0 | 0 | For |
| National Pension Service | 2,571,538 | 0 | 0 | 0 | For |
| Janus Henderson | 2,031,590 | 0 | 0 | 0 | For |
| Vanguard | 1,659,092 | 0 | 0 | 0 | For |
| Northern Trust | 1,273,815 | 621 | 0 | 0 | For |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | 1,245,982 | 9,276 | 0 | 0 | For |
| Invesco | 0 | 1,234,801 | 0 | 0 | Against |
| Nuveen | 1,141,181 | 0 | 0 | 0 | For |
| Charles Schwab | 1,087,256 | 0 | 0 | 0 | For |
| AustralianSuper Pty Ltd | 0 | 1,017,076 | 0 | 0 | Against |
| UBS | 1,016,028 | 0 | 0 | 0 | For |
| VIKING GLOBAL INVESTORS LP | 968,805 | 0 | 0 | 0 | For |
| Goldman Sachs | 952,611 | 0 | 0 | 0 | For |
| NORDEA INVESTMENT MANAGEMENT AB | 0 | 925,969 | 0 | 0 | Against |
| PARAMETRIC PORTFOLIO ASSOCIATES LLC | 887,866 | 0 | 0 | 0 | For |
| MELLON INVESTMENTS Corp | 811,554 | 0 | 0 | 0 | For |
| T. Rowe Price | 743,938 | 24,094 | 0 | 0 | For |
| Darsana Capital Partners LP | 750,000 | 0 | 0 | 0 | For |
Institutional-manager reports, all 872 managers: 72,803,607 for, 8,046,853 against, 203,707 abstained, 27,999 not voted. Showing the 25 largest; see all in the interactive database.
Combines 7 wordings of this item as funds reported it.
92% Approved · of votes cast
Description as filed by funds: To ratify the appointment of Ernst & Young LLP as our independent registered public accounting firm for the fiscal year ending December 31, 2026.
HCA Healthcare, Inc.’s own tally for this item (“2. Appointment of Ernst & Young LLP as the Company's independent registered public accounting firm for the year ending December 31, 2026”): 192,731,533 for, 16,987,639 against — passed, per its Form 8-K filed April 28, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “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:”
Support: 92% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 191 asset managers below reported 46,007,247 for, 2,011,130 against, 15,087 abstained, 121 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 16,109,580 | 1,882,698 | 0 | 0 | Mixed |
| Fidelity | 5,870,256 | 0 | 0 | 0 | For |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 4,158,805 | 922 | 0 | 0 | For |
| FIRST EAGLE FUNDS | 2,397,075 | 0 | 0 | 0 | For |
| State Street | 1,802,829 | 20 | 0 | 0 | For |
| TIAA | 1,118,195 | 0 | 0 | 0 | For |
| Charles Schwab | 1,052,835 | 0 | 0 | 0 | For |
| Invesco | 857,126 | 0 | 0 | 0 | For |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 657,176 | 0 | 0 | 0 | For |
| JANUS INVESTMENT FUND | 531,871 | 0 | 0 | 0 | For |
| Principal | 392,575 | 0 | 0 | 0 | For |
| JPMorgan | 385,237 | 0 | 0 | 0 | For |
| T. Rowe Price | 347,044 | 0 | 0 | 0 | For |
| Jackson National | 320,164 | 0 | 0 | 0 | For |
| MASTER INVESTMENT PORTFOLIO | 248,558 | 0 | 0 | 0 | For |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 176,948 | 0 | 0 | 0 | For |
| Dimensional | 149,303 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 135,824 | 0 | 0 | 0 | For |
| SEI | 125,080 | 4,135 | 0 | 0 | For |
| Franklin Investors Securities Trust | 122,000 | 0 | 0 | 0 | For |
| Equitable | 119,812 | 1,582 | 0 | 0 | For |
Showing the 25 largest of 191 asset managers. See all 191 in the interactive database.
Combines 7 wordings of this item as funds reported it.
22% Not approved · of votes cast
Description as filed by funds: Stockholder proposal, if properly presented at the meeting, regarding stockholders' right to act by written consent.
HCA Healthcare, Inc.’s own tally for this item (“5. Stockholder proposal regarding shareholders' right to act by written consent as described in the Proxy Statement”): 42,842,519 for, 152,097,860 against — failed, per its Form 8-K filed April 28, 2026 (Item 5.07).
Reported outcome: Not approved, in the filing’s own words: “The stockholder proposal regarding shareholders' right to act by written consent as described in the Proxy Statement was not approved as follows:”
Support: 22% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 191 asset managers below reported 9,556,805 for, 38,456,326 against, 15,089 abstained, 2,350 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 2,154,027 | 15,838,248 | 2 | 0 | Mixed |
| Fidelity | 168,653 | 5,701,603 | 0 | 0 | Against |
| Capital Group | 4,873,106 | 0 | 0 | 0 | For |
| BlackRock | 6,772 | 4,152,955 | 0 | 0 | Against |
| FIRST EAGLE FUNDS | 0 | 2,397,075 | 0 | 0 | Against |
| State Street | 3,228 | 1,799,621 | 0 | 0 | Against |
| TIAA | 0 | 1,118,195 | 0 | 0 | Against |
| Charles Schwab | 0 | 1,052,835 | 0 | 0 | Against |
| Invesco | 0 | 857,126 | 0 | 0 | Against |
| Pacer Funds Trust | 0 | 728,400 | 0 | 0 | Against |
| Hartford | 0 | 657,176 | 0 | 0 | Against |
| JANUS INVESTMENT FUND | 210,867 | 321,004 | 0 | 0 | Mixed |
| Principal | 83 | 392,492 | 0 | 0 | Against |
| JPMorgan | 0 | 385,237 | 0 | 0 | Against |
| T. Rowe Price | 0 | 347,044 | 0 | 0 | Against |
| Jackson National | 142,949 | 177,215 | 0 | 0 | Mixed |
| MASTER INVESTMENT PORTFOLIO | 0 | 248,558 | 0 | 0 | Against |
| TEMPLETON GROWTH FUND INC | 201,982 | 0 | 0 | 0 | For |
| American Century | 0 | 176,948 | 0 | 0 | Against |
| Dimensional | 0 | 149,303 | 0 | 0 | Against |
| Columbia Threadneedle | 137,915 | 0 | 0 | 0 | For |
| Northern Trust | 7,441 | 128,383 | 0 | 0 | Mixed |
| SEI | 0 | 129,215 | 0 | 0 | Against |
| Franklin Investors Securities Trust | 0 | 122,000 | 0 | 0 | Against |
| Equitable | 0 | 121,394 | 0 | 0 | Against |
Showing the 25 largest of 191 asset managers. See all 191 in the interactive database.
Combines 4 wordings of this item as funds reported it.
11% Not approved · of votes cast
Description as filed by funds: Stockholder proposal, if properly presented at the meeting, regarding a report on healthcare consequences.
HCA Healthcare, Inc.’s own tally for this item (“4. Stockholder proposal regarding a report on healthcare consequences as described in the Proxy Statement”): 21,156,498 for, 173,337,098 against — failed, per its Form 8-K filed April 28, 2026 (Item 5.07).
Reported outcome: Not approved, in the filing’s own words: “The stockholder proposal regarding a report on healthcare consequences as described in the Proxy Statement was not approved as follows:”
Support: 11% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 183 asset managers below reported 1,693,145 for, 46,018,226 against, 109,113 abstained, 2,350 not voted.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 172,935 | 17,819,340 | 2 | 0 | Against |
| Fidelity | 56,200 | 5,814,056 | 0 | 0 | Against |
| Capital Group | 0 | 4,873,106 | 0 | 0 | Against |
| BlackRock | 4,668 | 4,155,059 | 0 | 0 | Against |
| FIRST EAGLE FUNDS | 0 | 2,397,075 | 0 | 0 | Against |
| State Street | 358 | 1,802,491 | 0 | 0 | Against |
| TIAA | 0 | 1,118,195 | 0 | 0 | Against |
| Charles Schwab | 274 | 1,052,561 | 0 | 0 | Against |
| Invesco | 0 | 857,126 | 0 | 0 | Against |
| Pacer Funds Trust | 728,400 | 0 | 0 | 0 | For |
| Hartford | 273 | 656,903 | 0 | 0 | Against |
| JANUS INVESTMENT FUND | 0 | 531,871 | 0 | 0 | Against |
| Principal | 88 | 392,487 | 0 | 0 | Against |
| JPMorgan | 0 | 385,237 | 0 | 0 | Against |
| T. Rowe Price | 0 | 347,044 | 0 | 0 | Against |
| Jackson National | 0 | 320,164 | 0 | 0 | Against |
| MASTER INVESTMENT PORTFOLIO | 0 | 248,558 | 0 | 0 | Against |
| TEMPLETON GROWTH FUND INC | 0 | 201,982 | 0 | 0 | Against |
| American Century | 0 | 176,948 | 0 | 0 | Against |
| Dimensional | 0 | 149,303 | 0 | 0 | Against |
| Columbia Threadneedle | 0 | 137,915 | 0 | 0 | Against |
| Northern Trust | 7,441 | 128,383 | 0 | 0 | Mixed |
| SEI | 129,215 | 0 | 0 | 0 | For |
| Franklin Investors Securities Trust | 0 | 122,000 | 0 | 0 | Against |
| Equitable | 1,582 | 119,812 | 0 | 0 | Against |
Showing the 25 largest of 183 asset managers. See all 183 in the interactive database.
Not shown here: this season’s fund filings also report 1 item from the meeting of April 24, 2025, which belongs to the 2024-2025 season. A meeting outside this season’s July 1 to June 30 window is not counted in this page’s items or in its totals of asset managers and fund votes.
Ranked separately for each type of Form N-PX report. An institutional manager can report shares that a fund it advises also reports, so the two tables can list the same shares and are never added together. Each is ranked by the shares voted on the item that the most managers of that type reported.
| # | Asset manager | Shares voted |
|---|---|---|
| 1 | Vanguard | 17,992,278 |
| 2 | Fidelity | 5,870,256 |
| 3 | Capital Group | 4,873,106 |
| 4 | BlackRock | 4,159,727 |
| 5 | FIRST EAGLE FUNDS | 2,397,075 |
| 6 | State Street | 1,802,849 |
| 7 | TIAA | 1,118,195 |
| 8 | Charles Schwab | 1,052,956 |
| 9 | Invesco | 857,126 |
| 10 | Pacer Funds Trust | 728,400 |
| # | Asset manager | Shares voted |
|---|---|---|
| 1 | BlackRock | 6,583,448 |
| 2 | Sanders Capital, LLC | 5,871,869 |
| 3 | Capital Group | 5,063,552 |
| 4 | GEODE CAPITAL MANAGEMENT, LLC | 3,711,030 |
| 5 | Wellington | 3,666,429 |
| 6 | Fidelity | 3,070,569 |
| 7 | State Street | 3,007,601 |
| 8 | First Eagle Investment Management, LLC | 2,973,845 |
| 9 | National Pension Service | 2,571,538 |
| 10 | Janus Henderson | 2,031,590 |
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.
Every figure above is derived from filings made with the US Securities and Exchange Commission: Form N-PX, in which registered funds disclose how they voted every proxy and institutional managers disclose their votes on executive pay (say-on-pay, say-on-frequency and golden parachutes), 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 October 14, 2026; a live search always shows the current data.
At HCA Healthcare, Inc.'s shareholder meeting held April 23, 2026, in the 2025-2026 proxy season, 1,017 asset managers reported how they voted on 13 ballot items in their SEC Form N-PX filings, covering 13,147 separate fund positions. On the most widely held item on that ballot — Advisory vote to approve named executive officer compensation. — HCA Healthcare, Inc.'s filing reports the proposal as approved, with 93% support 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). Source: HCA Healthcare, Inc.'s Form 8-K, Item 5.07, filed with the U.S. Securities and Exchange Commission on April 28, 2026.
HCA Healthcare, Inc. proxy season coverage: 2023-2024 · 2024-2025 · 2025-2026 (this page).
Download data (CSV): ballot items · votes by manager · column guide.