FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      
1. Name and Address of Reporting Person * Marks Mike A 2. Date of Event Requiring Statement (MM/DD/YYYY)
1/1/2023 

3. Issuer Name and Ticker or Trading Symbol HCA Healthcare, Inc. [HCA]
(Last)        (First)        (Middle)
ONE PARK PLAZA
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)_____ Director                          _____ 10% Owner
___X___ Officer (give title below)        _____ Other (specify below)
SVP-Finance /
(Street)
NASHVILLE, TN 37203      
(City)              (State)              (Zip)
5. If Amendment, Date Original Filed(MM/DD/YYYY)
 

6. Individual or Joint/Group Filing(Check Applicable Line) _X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock  4360  D   
Common Stock  32647  I  By MAM 2020 Trust 
Common Stock  26500  I  By LAM 2020 Trust 

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Appreciation Right   (1) 2/1/2027  Common Stock  4585  $81.96  D   
Stock Appreciation Right   (2) 1/31/2028  Common Stock  9150  $101.16  D   
Stock Appreciation Right   (3) 1/30/2029  Common Stock  10670  $139.06  D   
Stock Appreciation Right   (4) 1/29/2030  Common Stock  11040  $145.24  D   
Stock Appreciation Right   (5) 2/3/2031  Common Stock  6280  $173.12  D   
Stock Appreciation Right   (6) 1/28/2032  Common Stock  4160  $236.61  D   

Explanation of Responses:
(1)  The stock appreciation rights vested in four equal annual installments beginning on February 1, 2018.
(2)  The stock appreciation rights vested in four equal annual installments beginning on January 31, 2019.
(3)  The stock appreciation rights vest in four equal annual installments beginning on January 30, 2020.
(4)  The stock appreciation rights vest in four equal annual installments beginning on January 29, 2021.
(5)  The stock appreciation rights vest in four equal annual installments beginning on February 3, 2022.
(6)  The stock appreciation rights vest in four equal annual installments beginning on January 28, 2023.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Marks Mike A
ONE PARK PLAZA
NASHVILLE, TN 37203


SVP-Finance

Signatures
/s/ Kevin A. Ball, Attorney-in-Fact 1/11/2023
**Signature of Reporting Person Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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