HCA Healthcare’s CEO Sam Hazen saw his overall compensation increase by $2.7 million in 2025 as the health system reported a net income of $6.8 billion on revenue of $75.6 billion, according to a proxy statement filed March 13 with the Securities and Exchange Commission.
Salaries and benefits for the Nashville, Tenn.-based, 190-hospital, for-profit health system totaled $32.9 billion in 2025, up from $32.2 billion in 2024.
“We finished 2025 with strong performance consistent with previous quarters,” Mr. Hazen said in the release. “Our investments in network expansion, workforce development and advancing clinical capabilities further strengthened the HCA Healthcare system.”
Below are HCA’s five highest-earning executives in 2024, a year marked by strategic growth and operational challenges:
1. Sam Hazen, CEO
- Salary: $1,577,815
- Stock awards: $8,474,543
- Option awards: $8,514,090
- Nonequity incentive plan compensation: $5,416,732
- Changes in pension value and nonqualified deferred compensation earnings: $1,934,400
- Other compensation: $539,026
- Total 2025 compensation: $26,456,606
- Total 2024 compensation: $23,799,137
2. Jon Foster, executive vice president and COO
- Salary: $1,043,375
- Stock awards: $1,903,173
- Option awards: $1,911,848
- Nonequity incentive plan compensation: $2,558,549
- Change in pension value and nonqualified deferred compensation earnings: $3,422,029
- Other compensation: $153,812
- Total 2025 compensation: $10,992,786
- Total 2024 compensation: $9,170,258
3. Michael McAlevey, executive vice president, chief legal and administrative officer
- Salary: $1,012,688
- Stock awards: $1,268,782
- Option awards: $1,274,603
- Nonequity incentive plan compensation: $1,986,638
- Other compensation: $167,624
- Total 2025 compensation: $5,710,335
- Total 2024 compensation: $5,738,785
4. Mike Marks, executive vice president and CFO
- Salary: $982,500
- Stock awards: $1,776,295
- Option awards: $1,784,399
- Nonequity incentive plan compensation: $2,422,729
- Change in pension value and nonqualified deferred compensation earnings: $3,305,382
- Other compensation: $83,806
- Total 2025 compensation: $10,355,111
- Total 2024 compensation: $5,509,371
5. Michael Cuffe, MD, executive vice president and chief clinical officer
- Salary: $974,834
- Stock awards: $1,268,782
- Option awards: $1,274,603
- Nonequity incentive plan compensation: $1,918,606
- Other compensation: $267,372
- Total 2025 compensation: $5,704,197
- Total 2024 compensation: $5,541,299
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