HCA HEALTHCARE INC HCA
COM · Common Stock · CUSIP 40412C101 · ISIN US40412C1018
American healthcare facilities company
- SectorHealth care
- IndustryServices-General Medical & Surgical Hospitals, NEC
- HeadquartersNashville, TN
- Founded1968
- Websitehcahealthcare.com
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($191.4m this quarter). Holder counts are more reliable. Shares outstanding: 272.0m as of 2023-07-31, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $303.37. Options: 34 managers hold calls ($584.8m notional), 39 hold puts ($567.0m).
Trends to Q2 2023
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 871 |
| Q4 2022 | 961 |
| Q1 2023 | 973 |
| Q2 2023 | 1,017 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q4 2022 | 425 | 443 |
| Q1 2023 | 403 | 473 |
| Q2 2023 | 428 | 487 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2022 | $404.9m | $507.2m | 1.25 |
| Q4 2022 | $462.5m | $503.2m | 1.09 |
| Q1 2023 | $425.1m | $511.2m | 1.20 |
| Q2 2023 | $584.8m | $567.0m | 0.97 |
Biggest buyers
| ROYAL BANK OF CANADA | Added | +1.8m |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | Added | +1.5m |
| BANK OF AMERICA CORP /DE/ | Added | +1.1m |
| JANUS HENDERSON GROUP PLC | Added | +557.6k |
| Man Group plc | New | +520.2k |
| VOYA INVESTMENT MANAGEMENT LLC | Added | +513.9k |
| TWO SIGMA INVESTMENTS, LP | Added | +362.6k |
| Sanders Capital, LLC | Added | +354.3k |
| MILLENNIUM MANAGEMENT LLC | Added | +310.5k |
| Amundi | Added | +281.7k |
Biggest sellers
| PRICE T ROWE ASSOCIATES INC /MD/ | Reduced | -2.2m |
| WELLINGTON MANAGEMENT GROUP LLP | Reduced | -1.9m |
| HARRIS ASSOCIATES L P | Reduced | -1.9m |
| FMR LLC | Reduced | -1.7m |
| JACOBS LEVY EQUITY MANAGEMENT, INC | Sold out | -771.3k |
| Boston Partners | Reduced | -585.3k |
| Invesco Ltd. | Reduced | -410.4k |
| VANGUARD GROUP INC | Reduced | -406.4k |
| STRS OHIO | Reduced | -355.8k |
| LYRICAL ASSET MANAGEMENT LP | Reduced | -300.8k |
Biggest calls
| JANE STREET GROUP, LLC | Added | $122.3m402.9k shares |
| Twin Tree Management, LP | Added | $106.9m352.1k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $93.6m308.5k shares |
| CITADEL ADVISORS LLC | Reduced | $67.7m223.0k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $44.2m145.8k shares |
| SIMPLEX TRADING, LLC | Added | $23.0m75.7k shares |
| PEAK6 Investments LLC | Added | $16.4m54.1k shares |
| CAPITAL FUND MANAGEMENT S.A. | Added | $10.8m35.5k shares |
| Walleye Capital LLC | Added | $10.3m34.1k shares |
| D. E. Shaw & Co., Inc. | New | $10.2m33.6k shares |
Biggest puts
| MILLENNIUM MANAGEMENT LLC | Added | $125.6m413.8k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $71.8m236.6k shares |
| JANE STREET GROUP, LLC | Added | $64.5m212.5k shares |
| Balyasny Asset Management L.P. | New | $47.3m156.0k shares |
| CITADEL ADVISORS LLC | Reduced | $42.1m138.8k shares |
| BARCLAYS PLC | New | $24.6m81.0k shares |
| Jefferies Financial Group Inc. | Reduced | $21.8m71.8k shares |
| BNP PARIBAS FINANCIAL MARKETS | Reduced | $21.6m712 shares |
| SIMPLEX TRADING, LLC | Reduced | $18.9m62.3k shares |
| Twin Tree Management, LP | Reduced | $18.6m61.3k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
Frisco Holding II
13D · may seek influence
new · filed 2026-02-10
Stated purposeOn February 6, 2026, certain dispositions and acquisitions of Shares (the "Exchange") occurred pursuant to an Exchange Agreement, dated as of that date (the "Exchange Agreement"), between the Issuer and Frisco, Inc., the predecessor in interest of Frisco, which resulted from the conversion of Frisco, Inc. into a partnership following completion of the Exchange. Specifically, Frisco disposed of 36,629,188 Shares to the Issuer in exchange for 36,557,141 Shares newly issued by the Issuer to Frisco. These transactions, together with the conversion of Frisco to an entity taxable as a partnership for U.S. federal income tax purposes, constituted a reorganization for purposes of Section 368(a) of the Internal Revenue Code of 1986, as amended. Frisco's being taxable as a partnership may in the fu… Full filing |
31.6% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-30 | 5.2% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-27; now reported by VANGUARD CAPITAL MANAGEMENT LLC)
Insider purchases and sales in Q2 2023
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q3 2021 | 0 | — | 0 | — | — |
| Q4 2021 | 0 | — | 8 | $28.9m | — |
| Q1 2022 | 0 | — | 2 | $16.3m | — |
| Q2 2022 | 2 | $490.4k | 2 | $623.8k | — |
| Q3 2022 | 0 | — | 0 | — | — |
| Q4 2022 | 0 | — | 5 | $9.6m | — |
| Q1 2023 | 0 | — | 10 | $20.7m | — |
| Q2 2023 | 0 | — | 4 | $8.1m | — |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2023-04-28 | Cuffe Michael S. EVP and Chief Clinical Officer | Sold | $3.6m12.6k shares |
| 2023-04-28 | Akdamar Erol R Group President | Sold | $997.5k3.5k shares |
| 2023-04-24 | Torres Kathryn A. SVP-Payer Contracting & Align. | Sold | $1.3m4.5k shares |
| 2023-04-14 | Paslick P. Martin SVP and CIO | Sold | $738.9k2.7k shares |
| 2023-04-10 | Paslick P. Martin SVP and CIO | Sold | $685.5k2.5k shares |
| 2023-04-04 | Paslick P. Martin SVP and CIO | Sold | $804.0k3.0k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q2 2023
| Manager | Shares | Change |
|---|---|---|
| VANGUARD GROUP INC 0.13% of their portfolio | 17.5m $5.3bn | Reduced -406.4k |
| BlackRock Inc. 0.13% of their portfolio | 14.9m $4.5bn | Added +213.2k |
| WELLINGTON MANAGEMENT GROUP LLP 0.63% of their portfolio | 11.0m $3.3bn | Reduced -1.9m |
| Sanders Capital, LLC 6.94% of their portfolio | 10.9m $3.3bn | Added +354.3k |
| STATE STREET CORP 0.14% of their portfolio | 9.0m $2.7bn | Added +149.8k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.24% of their portfolio | 5.7m $1.7bn | Reduced -2.2m |
| BANK OF AMERICA CORP /DE/ 0.18% of their portfolio | 5.1m $1.5bn | Added +1.1m |
| First Eagle Investment Management, LLC 3.54% of their portfolio | 4.6m $1.4bn | Reduced -32.7k |
| JPMORGAN CHASE & CO 0.15% of their portfolio | 4.5m $1.4bn | Reduced -50.7k |
| GEODE CAPITAL MANAGEMENT, LLC 0.14% of their portfolio | 3.8m $1.1bn | Reduced -12.1k |
| ROYAL BANK OF CANADA 0.31% of their portfolio | 3.7m $1.1bn | Added +1.8m |
| HARRIS ASSOCIATES L P 1.72% of their portfolio | 3.0m $914.5m | Reduced -1.9m |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 1.10% of their portfolio | 3.0m $908.6m | Added +1.5m |
| Longview Partners (Guernsey) LTD 5.05% of their portfolio | 2.5m $771.2m | Reduced -61.6k |
| NORGES BANK 0.15% of their portfolio | 2.5m $759.9m | Added +129.6k |
| MORGAN STANLEY 0.06% of their portfolio | 2.1m $643.4m | Reduced -31.8k |
| NORTHERN TRUST CORP 0.12% of their portfolio | 2.1m $632.8m | Reduced -135.0k |
| Invesco Ltd. 0.16% of their portfolio | 2.0m $620.6m | Reduced -410.4k |
| FMR LLC 0.04% of their portfolio | 1.7m $528.4m | Reduced -1.7m |
| FRANKLIN RESOURCES INC 0.24% of their portfolio | 1.7m $511.1m | Reduced -56.3k |
| Bank of New York Mellon Corp 0.10% of their portfolio | 1.6m $489.2m | Reduced -76.4k |
| Nuveen Asset Management, LLC 0.17% of their portfolio | 1.6m $483.1m | Added +42.9k |
| Diamond Hill Capital Management, LLC (Investment Advisor) 2.10% of their portfolio | 1.5m $466.4m | Reduced -87.2k |
| ROYAL LONDON ASSET MANAGEMENT LTD 1.40% of their portfolio | 1.4m $433.9m | Added +107.0k |
| Legal & General Group Plc 0.14% of their portfolio | 1.4m $432.9m | Added +43.3k |
| FIL Ltd 0.48% of their portfolio | 1.4m $426.7m | Reduced -48.4k |
| GOLDMAN SACHS GROUP INC 0.10% of their portfolio | 1.3m $408.1m | Reduced -41.0k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.15% of their portfolio | 1.2m $312.0m | Unchanged |
| LSV ASSET MANAGEMENT 0.76% of their portfolio | 1.1m $346.3m | Reduced -48.0k |
| ALLIANCEBERNSTEIN L.P. 0.14% of their portfolio | 1.1m $345.8m | Reduced -59.0k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.10% of their portfolio | 1.1m $342.0m | Reduced -33.1k |
| JANUS HENDERSON GROUP PLC 0.21% of their portfolio | 1.1m $335.5m | Added +557.6k |
| Magellan Asset Management Ltd 2.86% of their portfolio | 1.1m $321.0m | Reduced -192.5k |
| Amundi 0.16% of their portfolio | 1.0m $307.7m | Added +281.7k |
| Cryder Capital Partners LLP 13.63% of their portfolio | 921.0k $279.5m | Reduced -3.0k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC 1.03% of their portfolio | 914.2k $277.4m | Reduced -82.5k |
| Boston Partners 0.33% of their portfolio | 809.6k $245.6m | Reduced -585.3k |
| LYRICAL ASSET MANAGEMENT LP 4.46% of their portfolio | 785.2k $238.3m | Reduced -300.8k |
| MFN Partners Management, LP 7.58% of their portfolio | 769.2k $233.4m | Unchanged |
| Swiss National Bank 0.15% of their portfolio | 751.0k $227.9m | Reduced -90.5k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.28% of their portfolio | 714.0k $216.7m | Reduced -101.9k |
| Russell Investments Group, Ltd. 0.39% of their portfolio | 662.6k $201.0m | Reduced -88.5k |
| DIMENSIONAL FUND ADVISORS LP 0.06% of their portfolio | 643.6k $195.3m | Reduced -6.0k |
| MACQUARIE GROUP LTD 0.22% of their portfolio | 638.5k $193.8m | Reduced -21.4k |
| PUTNAM INVESTMENTS LLC 0.27% of their portfolio | 614.9k $186.6m | Reduced -58.0k |
| Third Point LLC 2.67% of their portfolio | 600.0k $182.1m | Reduced -260.0k |
| NORDEA INVESTMENT MANAGEMENT AB 0.25% of their portfolio | 599.6k $182.0m | Added +33.9k |
| VOYA INVESTMENT MANAGEMENT LLC 0.19% of their portfolio | 599.2k $181.9m | Added +513.9k |
| DEUTSCHE BANK AG\ 0.09% of their portfolio | 583.8k $177.2m | Added +95.4k |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 1.18% of their portfolio | 536.5k $162.8m | Reduced -4.5k |
| Man Group plc 0.49% of their portfolio | 520.2k $157.9m | New |
| Sumitomo Mitsui Trust Group, Inc. 0.12% of their portfolio | 513.4k $155.8m | Reduced -82.4k |
| AMERIPRISE FINANCIAL INC 0.05% of their portfolio | 489.8k $148.7m | Added +164.4k |
| ABRAMS BISON INVESTMENTS, LLC 14.76% of their portfolio | 485.0k $147.2m | Reduced -155.0k |
| TRUIST FINANCIAL CORP 0.24% of their portfolio | 475.0k $144.1m | Added +9.5k |
| National Pension Service 0.22% of their portfolio | 454.5k $136.5m | Added +66.2k |
| Mondrian Investment Partners LTD 2.75% of their portfolio | 452.4k $137.3m | Reduced -50.5k |
| BARCLAYS PLC 0.09% of their portfolio | 444.0k $134.7m | Added +255.7k |
| LEE DANNER & BASS INC 11.13% of their portfolio | 426.3k $129.4m | Reduced -4.2k |
| NEUBERGER BERMAN GROUP LLC 0.11% of their portfolio | 421.5k $127.7m | Reduced -7.1k |
| California Public Employees Retirement System 0.11% of their portfolio | 410.5k $124.6m | Reduced -25.1k |
| CITADEL ADVISORS LLC 0.14% of their portfolio | 409.4k $124.3m | Reduced -283.5k |
| PRINCIPAL FINANCIAL GROUP INC 0.08% of their portfolio | 400.0k $121.4m | Added +26.9k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.17% of their portfolio | 391.3k $118.7m | Reduced -3.2k |
| RHUMBLINE ADVISERS 0.13% of their portfolio | 377.9k $114.7m | Reduced -1.6k |
| WELLS FARGO & COMPANY/MN 0.03% of their portfolio | 368.6k $111.9m | Reduced -3.2k |
| TWO SIGMA INVESTMENTS, LP 0.30% of their portfolio | 368.5k $111.8m | Added +362.6k |
| Gobi Capital LLC 7.18% of their portfolio | 365.5k $110.9m | Unchanged |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.15% of their portfolio | 344.4k $104.5m | Reduced -18.5k |
| MILLENNIUM MANAGEMENT LLC 0.11% of their portfolio | 342.6k $104.0m | Added +310.5k |
| Polar Capital Holdings Plc 0.69% of their portfolio | 331.4k $100.6m | Added +97.8k |
| CAPTRUST FINANCIAL ADVISORS 0.39% of their portfolio | 325.5k $98.8m | Reduced -5.2k |
| Ensign Peak Advisors, Inc 0.20% of their portfolio | 325.0k $98.6m | Reduced -53.8k |
| CREDIT SUISSE AG/ 0.10% of their portfolio | 316.9k $96.2m | Reduced -49.3k |
| UBS Group AG 0.04% of their portfolio | 311.0k $94.4m | Added +59.8k |
| Bridgewater Associates, LP 0.57% of their portfolio | 302.7k $91.9m | Reduced -38.0k |
| BloombergSen Inc. 7.86% of their portfolio | 292.4k $88.7m | Reduced -11.9k |
| HSBC HOLDINGS PLC 0.09% of their portfolio | 283.8k $86.2m | Added +30.9k |
| Consulta Ltd 5.80% of their portfolio | 275.0k $83.5m | Reduced -75.0k |
| Pinnacle Financial Partners Inc 2.08% of their portfolio | 273.9k $83.1m | Added +11.4k |
| Thrivent Financial for Lutherans 0.19% of their portfolio | 271.2k $82.3m | Reduced -48.4k |
| COOKE & BIELER LP 0.76% of their portfolio | 269.5k $81.8m | Reduced -84.9k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.23% of their portfolio | 267.9k $81.3m | Added +24.9k |
| VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.38% of their portfolio | 267.2k $81.1m | Added +80.9k |
| TORONTO DOMINION BANK 0.06% of their portfolio | 265.0k $80.4m | Added +158.7k |
| Korea Investment CORP 0.23% of their portfolio | 264.4k $80.2m | Added +6.0k |
| GLENVIEW CAPITAL MANAGEMENT, LLC 2.15% of their portfolio | 263.6k $80.0m | Reduced -188.6k |
| FARALLON CAPITAL MANAGEMENT, L.L.C. 0.48% of their portfolio | 262.4k $79.6m | Added +105.8k |
| Cornerstone Investment Partners, LLC 4.58% of their portfolio | 245.6k $74.5m | Reduced -3.6k |
| ENVESTNET ASSET MANAGEMENT INC 0.03% of their portfolio | 244.3k $74.1m | Reduced -197.5k |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.17% of their portfolio | 242.5k $73.6m | Reduced -13.7k |
| Brandywine Global Investment Management, LLC 0.60% of their portfolio | 235.7k $71.5m | Reduced -283.7k |
| CANADA PENSION PLAN INVESTMENT BOARD 0.11% of their portfolio | 234.6k $71.2m | Reduced -12.2k |
| BANK OF MONTREAL /CAN/ 0.03% of their portfolio | 232.7k $70.7m | Added +21.8k |
| KBC Group NV 0.29% of their portfolio | 228.5k $69.3m | Reduced -30.3k |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.15% of their portfolio | 225.1k $68.3m | Reduced -18.1k |
| APG Asset Management N.V. 0.12% of their portfolio | 219.1k $60.9m | Added +29.1k |
| LAZARD ASSET MANAGEMENT LLC 0.08% of their portfolio | 205.7k $62.4m | Added +3.6k |
| Swedbank AB 0.11% of their portfolio | 205.3k $62.3m | Added +1.3k |
| BRANDES INVESTMENT PARTNERS, LP 1.24% of their portfolio | 202.3k $61.4m | Reduced -113.9k |