Item 1.01 Entry into a Material Definitive Agreement.

Issuance of $2,700,000,000 aggregate principal amount of senior notes

Overview

On February 26, 2020, HCA Inc. (the "Issuer"), a direct, wholly owned subsidiary of HCA Healthcare, Inc. (the "Parent Guarantor"), completed the public offering of $2,700,000,000 aggregate principal amount of its 3.500% Senior Notes due 2030 (the "Notes"), guaranteed on a senior unsecured basis by the Parent Guarantor. The Notes have been registered under the Securities Act of 1933, as amended (the "Securities Act"), pursuant to the Issuer's and the Parent Guarantor's shelf registration statement on Form S-3, filed on August 9, 2018 (File No. 333-226709) (the "Registration Statement"), as supplemented by the prospectus supplement dated February 11, 2020, previously filed with the Securities and Exchange Commission under the Securities Act.

On February 26, 2020, the Notes were issued pursuant to an Indenture, dated as of August 1, 2011 (the "Base Indenture"), among the Issuer, the Parent Guarantor, Delaware Trust Company (as successor to Law Debenture Trust Company of New York), as trustee (the "Trustee"), and Deutsche Bank Trust Company Americas, as registrar, paying agent and transfer agent (the "Registrar"), as amended and supplemented by the Supplemental Indenture No. 26, dated as of February 26, 2020, among the Issuer, the Parent Guarantor, the Trustee and the Registrar (together with the Base Indenture, the "Indenture").

The following is a brief description of the terms of the Notes and the Indenture.

Maturity and Interest Payment Dates

The Notes will mature on September 1, 2030. Interest on the Notes will be payable semi-annually, on March 1 and September 1 of each year, commencing on September 1, 2020, to holders of record on the preceding February 15 or August 15, as the case may be.

Ranking

The Notes are the Issuer's senior unsecured obligations and: (i) rank senior in right of payment to any of its existing and future subordinated indebtedness, (ii) rank equally in right of payment with any of its existing and future senior indebtedness, (iii) are effectively subordinated in right of payment to any of its existing and future secured indebtedness to the extent of the value of the collateral securing such indebtedness, and (iv) are structurally subordinated in right of payment to all existing and future indebtedness and other liabilities of its subsidiaries.

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Guarantees

The Notes are fully and unconditionally guaranteed on a senior unsecured basis by the Parent Guarantor.

Covenants

The Indenture contains covenants limiting the Issuer's and certain of its subsidiaries' ability to: (i) create liens on certain assets to secure debt, (ii) engage in certain sale and lease-back transactions and (iii) consolidate, merge, sell or otherwise dispose of all or substantially all of its assets. These covenants are subject to a number of important limitations and exceptions.

Optional Redemption

The Indenture permits the Issuer to redeem some or all of the Notes at any time at the redemption prices set forth in the Indenture.

Change of Control

Upon the occurrence of a change of control, as defined in the Indenture, each holder of the Notes has the right to require the Issuer to repurchase some or all of such holder's Notes at a purchase price in cash equal to 101% of the principal amount thereof, plus accrued and unpaid interest, if any, to the repurchase date.

Events of Default

The Indenture also provides for events of default which, if any of them occurs, would permit or require the principal of and accrued interest on the Notes to become or to be declared due and payable.

The foregoing descriptions of the Notes and the Indenture (including the form of the Notes) are qualified in their entirety by the terms of such agreements. Please refer to such agreements, which are incorporated herein by reference and attached hereto as Exhibits 4.1 through 4.3.

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             Indenture dated as of August 1, 2011, among HCA Inc., the
                 guarantors named on Schedule I thereto, Delaware Trust Company (as
                 successor to Law Debenture Trust Company of New York), as trustee,
                 and Deutsche Bank Trust Company Americas, as paying agent, registrar
                 and transfer agent (filed as Exhibit 4.5 to the Registrant's
                 Registration Statement on Form S-3 (File No. 333-226709) and
                 incorporated herein by reference)

   4.2             Supplemental Indenture No. 26, dated as of February 26, 2020,
                 among HCA Inc., HCA Healthcare, Inc., Delaware Trust Company, as
                 trustee, and Deutsche Bank Trust Company Americas, as paying agent,
                 registrar and transfer agent

   4.3             Form of Global Note representing the Notes (included in Exhibit
                 4.2)

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   5.1        Opinion of Cleary Gottlieb Steen & Hamilton LLP

  23.1        Consent of Cleary Gottlieb Steen & Hamilton LLP (included in Exhibit
            5.1)

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

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