Item 1.01 Entry into a Material Definitive Agreement.

On November 20, 2019, HCA Inc., a direct, wholly owned subsidiary of HCA Healthcare, Inc., entered into a joinder agreement (the "B-13 Joinder Agreement") to refinance its existing senior secured term B-11 loan credit facility maturing on March 18, 2023 and pay related fees and expenses with a new $1.148 billion senior secured term B-13 loan credit facility maturing on March 18, 2026 (the "Tranche B-13 Term Loan Facility") on substantially the same terms as its existing senior secured term B-11 loan credit facility, other than (i) amortization payments on the aggregate principal amount of the Tranche B-13 Term Loan Facility are equal to 0.25% payable at the end of each fiscal quarter, commencing with the fiscal quarter ending December 31, 2019 and (ii) any prepayment of term loans under the Tranche B-13 Term Loan Facility in connection with a repricing transaction occurring on a date that is prior to the date that is six months after the effective date of the B-13 Joinder Agreement will be subject to a prepayment premium equal to 1.00% of the principal amount of any such term loans.

The foregoing description does not purport to be complete and is qualified in its entirety by reference to the B-13 Joinder Agreement, a copy of which is filed as Exhibit 4.1 hereto and is incorporated herein by reference.

Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an

Off-Balance Sheet Arrangement of a Registrant.

The information provided in Item 1.01 of this report is incorporated by reference into this Item 2.03.

Item 9.01 Financial Statements and Exhibits.




(d) Exhibits:

 Exhibit
   No.                                       Description

   4.1             Joinder Agreement No. 10, dated as of November 20, 2019, by and
                 among HCA Inc., as borrower, the guarantors party thereto, Bank of
                 America, N.A., as administrative agent and collateral agent, and the
                 lenders party thereto.

   104           Cover Page Interactive Data File (embedded within the Inline XBRL
                 document).

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