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 ($182.9m this quarter). Holder counts are more reliable. Shares outstanding: 264.5m as of 2024-01-31, 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 ≈ $270.79. Options: 41 managers hold calls ($569.3m notional), 41 hold puts ($684.3m).
Trends to Q4 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 |
| Q3 2023 | 1,003 |
| Q4 2023 | 1,059 |
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 |
| Q3 2023 | 451 | 481 |
| Q4 2023 | 429 | 509 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2023 | $425.1m | $511.2m | 1.20 |
| Q2 2023 | $584.8m | $567.0m | 0.97 |
| Q3 2023 | $508.7m | $571.7m | 1.12 |
| Q4 2023 | $569.3m | $684.3m | 1.20 |
Biggest buyers
| MORGAN STANLEY | Added | +2.0m |
| ROYAL BANK OF CANADA | Added | +1.2m |
| JPMORGAN CHASE & CO | Added | +1.0m |
| Capital World Investors | Added | +936.8k |
| VIKING GLOBAL INVESTORS LP | New | +725.2k |
| ALLIANCEBERNSTEIN L.P. | Added | +693.8k |
| Point72 Asset Management, L.P. | Added | +475.2k |
| Sanders Capital, LLC | Added | +456.7k |
| 59 North Capital Management, LP | New | +426.6k |
| Holocene Advisors, LP | Added | +413.8k |
Biggest sellers
| BANK OF AMERICA CORP /DE/ | Reduced | -1.0m |
| Man Group plc | Sold out | -738.7k |
| BlackRock Inc. | Reduced | -688.3k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | Reduced | -550.4k |
| FMR LLC | Reduced | -447.0k |
| Amundi | Reduced | -439.3k |
| Invesco Ltd. | Reduced | -426.0k |
| CITADEL ADVISORS LLC | Reduced | -380.9k |
| Boston Partners | Reduced | -373.6k |
| Qube Research & Technologies Ltd | Reduced | -308.9k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $92.3m341.0k shares |
| CITADEL ADVISORS LLC | Added | $85.3m315.1k shares |
| JANE STREET GROUP, LLC | Reduced | $76.4m282.2k shares |
| Twin Tree Management, LP | Added | $33.7m124.4k shares |
| SIMPLEX TRADING, LLC | Added | $31.6m116.7k shares |
| UBS Group AG | Added | $24.5m90.6k shares |
| JPMORGAN CHASE & CO | Added | $22.5m83.2k shares |
| CITIGROUP INC | Added | $20.8m76.8k shares |
| BANK OF AMERICA CORP /DE/ | Added | $19.2m70.9k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $18.9m69.7k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $162.5m600.5k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $72.1m266.2k shares |
| CITADEL ADVISORS LLC | Reduced | $56.3m208.1k shares |
| BANK OF AMERICA CORP /DE/ | Added | $52.3m193.3k shares |
| JANE STREET GROUP, LLC | Added | $45.6m168.6k shares |
| UBS Group AG | Added | $35.6m131.5k shares |
| SIMPLEX TRADING, LLC | Added | $27.4m101.2k shares |
| JPMORGAN CHASE & CO | Added | $26.5m97.8k shares |
| BNP PARIBAS FINANCIAL MARKETS | Reduced | $22.1m818 shares |
| Jefferies Financial Group Inc. | Added | $21.4m79.0k 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 Q4 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 |
|---|---|---|---|---|---|
| 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 | — |
| Q3 2023 | 0 | — | 3 | $2.6m | — |
| Q4 2023 | 0 | — | 0 | — | — |
None reported in Q4 2023.
Holders, Q4 2023
| Manager | Shares | Change |
|---|---|---|
| VANGUARD GROUP INC 0.10% of their portfolio | 16.9m $4.6bn | Reduced -200.2k |
| BlackRock Inc. 0.10% of their portfolio | 14.5m $3.9bn | Reduced -688.3k |
| Sanders Capital, LLC 5.71% of their portfolio | 11.4m $3.1bn | Added +456.7k |
| WELLINGTON MANAGEMENT GROUP LLP 0.51% of their portfolio | 10.2m $2.8bn | Added +170.6k |
| STATE STREET CORP 0.11% of their portfolio | 8.6m $2.3bn | Reduced -5.7k |
| JPMORGAN CHASE & CO 0.08% of their portfolio | 5.8m $1.6bn | Added +1.0m |
| ROYAL BANK OF CANADA 0.30% of their portfolio | 4.5m $1.2bn | Added +1.2m |
| First Eagle Investment Management, LLC 2.91% of their portfolio | 4.5m $1.2bn | Reduced -5.1k |
| MORGAN STANLEY 0.05% of their portfolio | 4.2m $1.1bn | Added +2.0m |
| GEODE CAPITAL MANAGEMENT, LLC 0.11% of their portfolio | 3.8m $1.0bn | Added +5.4k |
| BANK OF AMERICA CORP /DE/ 0.10% of their portfolio | 3.3m $904.8m | Reduced -1.0m |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.12% of their portfolio | 3.3m $897.4m | Added +188.4k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.77% of their portfolio | 2.7m $730.6m | Reduced -550.4k |
| NORGES BANK 0.12% of their portfolio | 2.6m $695.0m | Added +161.2k |
| HARRIS ASSOCIATES L P 1.03% of their portfolio | 2.2m $600.5m | Added +234.0k |
| Longview Partners (Guernsey) LTD 3.89% of their portfolio | 2.2m $583.3m | Reduced -153.7k |
| NORTHERN TRUST CORP 0.10% of their portfolio | 2.0m $545.4m | Reduced -137.4k |
| ALLIANCEBERNSTEIN L.P. 0.19% of their portfolio | 1.8m $486.0m | Added +693.8k |
| Capital World Investors 0.09% of their portfolio | 1.8m $479.8m | Added +936.8k |
| Invesco Ltd. 0.11% of their portfolio | 1.7m $465.8m | Reduced -426.0k |
| Diamond Hill Capital Management, LLC (Investment Advisor) 2.02% of their portfolio | 1.7m $459.6m | Added +103.5k |
| Nuveen Asset Management, LLC 0.14% of their portfolio | 1.6m $424.4m | Reduced -18.4k |
| JANUS HENDERSON GROUP PLC 0.25% of their portfolio | 1.6m $420.2m | Reduced -231.3k |
| ROYAL LONDON ASSET MANAGEMENT LTD 1.14% of their portfolio | 1.5m $399.0m | Added +156.8k |
| Bank of New York Mellon Corp 0.08% of their portfolio | 1.5m $398.8m | Reduced -74.4k |
| FRANKLIN RESOURCES INC 0.19% of their portfolio | 1.5m $396.6m | Reduced -17.4k |
| FIL Ltd 0.41% of their portfolio | 1.4m $391.8m | Reduced -16.8k |
| Legal & General Group Plc 0.12% of their portfolio | 1.4m $370.5m | Added +9.8k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.14% of their portfolio | 1.3m $349.5m | Added +7.8k |
| GOLDMAN SACHS GROUP INC 0.07% of their portfolio | 1.2m $316.7m | Reduced -100.2k |
| Magellan Asset Management Ltd 3.05% of their portfolio | 1.1m $306.4m | Added +333.3k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.08% of their portfolio | 1.1m $304.9m | Added +6.4k |
| LSV ASSET MANAGEMENT 0.62% of their portfolio | 1.1m $285.5m | Reduced -68.5k |
| FMR LLC 0.02% of their portfolio | 986.2k $266.9m | Reduced -447.0k |
| MFN Partners Management, LP 8.48% of their portfolio | 973.9k $263.6m | Added +204.7k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC 0.84% of their portfolio | 871.6k $235.9m | Reduced -28.1k |
| Amundi 0.11% of their portfolio | 859.1k $238.1m | Reduced -439.3k |
| Cryder Capital Partners LLP 11.27% of their portfolio | 841.1k $227.7m | Reduced -77.1k |
| LYRICAL ASSET MANAGEMENT LP 3.54% of their portfolio | 800.9k $216.8m | Added +11.5k |
| VIKING GLOBAL INVESTORS LP 0.72% of their portfolio | 725.2k $196.3m | New |
| Swiss National Bank 0.13% of their portfolio | 637.9k $172.7m | Reduced -26.0k |
| DIMENSIONAL FUND ADVISORS LP 0.05% of their portfolio | 599.2k $162.2m | Reduced -15.2k |
| Russell Investments Group, Ltd. 0.28% of their portfolio | 585.6k $158.5m | Reduced -62.8k |
| MACQUARIE GROUP LTD 0.18% of their portfolio | 581.2k $157.3m | Reduced -32.0k |
| NORDEA INVESTMENT MANAGEMENT AB 0.20% of their portfolio | 578.2k $157.1m | Reduced -27.8k |
| VOYA INVESTMENT MANAGEMENT LLC 0.16% of their portfolio | 573.6k $155.1m | Added +8.8k |
| DEUTSCHE BANK AG\ 0.08% of their portfolio | 572.8k $155.0m | Added +20.3k |
| TD Asset Management Inc 0.15% of their portfolio | 553.2k $149.7m | Added +385.9k |
| ABRAMS BISON INVESTMENTS, LLC 14.92% of their portfolio | 550.0k $148.9m | Added +97.0k |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 1.01% of their portfolio | 537.1k $145.4m | Added +60 |
| Consulta Ltd 8.91% of their portfolio | 500.0k $135.3m | Added +150.0k |
| Mondrian Investment Partners LTD 2.14% of their portfolio | 499.2k $135.1m | Added +143.3k |
| BARCLAYS PLC 0.07% of their portfolio | 494.9k $134.0m | Reduced -58.7k |
| Sumitomo Mitsui Trust Group, Inc. 0.10% of their portfolio | 488.0k $132.1m | Reduced -16.8k |
| National Pension Service 0.18% of their portfolio | 483.7k $130.9m | Added +13.7k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.18% of their portfolio | 483.6k $130.9m | Added +5.2k |
| Point72 Asset Management, L.P. 0.39% of their portfolio | 479.2k $129.7m | Added +475.2k |
| Epoch Investment Partners, Inc. 0.56% of their portfolio | 457.4k $123.8m | Added +312.7k |
| Gobi Capital LLC 8.72% of their portfolio | 443.9k $120.1m | Added +89.8k |
| CANADA PENSION PLAN INVESTMENT BOARD 0.15% of their portfolio | 443.5k $120.1m | Added +87.8k |
| NEUBERGER BERMAN GROUP LLC 0.10% of their portfolio | 437.5k $118.4m | Added +3.9k |
| TRUIST FINANCIAL CORP 0.19% of their portfolio | 433.4k $117.3m | Reduced -29.9k |
| 59 North Capital Management, LP 9.31% of their portfolio | 426.6k $115.5m | New |
| Bridgewater Associates, LP 0.65% of their portfolio | 426.3k $115.4m | Added +50.6k |
| Holocene Advisors, LP 0.45% of their portfolio | 422.1k $114.3m | Added +413.8k |
| LEE DANNER & BASS INC 9.66% of their portfolio | 416.6k $112.8m | Reduced -10.5k |
| PRINCIPAL FINANCIAL GROUP INC 0.07% of their portfolio | 393.1k $106.4m | Reduced -6.3k |
| Swedbank AB 0.17% of their portfolio | 391.9k $106.1m | Added +41.8k |
| California Public Employees Retirement System 0.08% of their portfolio | 375.2k $101.6m | Reduced -25.9k |
| Polar Capital Holdings Plc 0.61% of their portfolio | 366.3k $99.1m | Added +34.3k |
| KBC Group NV 0.35% of their portfolio | 366.0k $99.1m | Added +926 |
| RHUMBLINE ADVISERS 0.10% of their portfolio | 359.8k $97.4m | Reduced -12.9k |
| UBS Group AG 0.04% of their portfolio | 350.7k $94.9m | Added +4.7k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.12% of their portfolio | 335.9k $90.9m | Added +36.2k |
| HSBC HOLDINGS PLC 0.08% of their portfolio | 333.9k $90.4m | Added +1.0k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.12% of their portfolio | 330.5k $89.5m | Added +351 |
| COOKE & BIELER LP 0.78% of their portfolio | 325.6k $88.1m | Reduced -5.4k |
| AMERIPRISE FINANCIAL INC 0.03% of their portfolio | 324.0k $87.7m | Reduced -32.7k |
| CREDIT SUISSE AG/ 0.08% of their portfolio | 322.7k $87.3m | Added +676 |
| BANK OF MONTREAL /CAN/ 0.03% of their portfolio | 319.7k $86.8m | Added +65.5k |
| BRANDES INVESTMENT PARTNERS, LP 1.29% of their portfolio | 313.7k $84.9m | Added +104.8k |
| CAPTRUST FINANCIAL ADVISORS 0.29% of their portfolio | 309.8k $83.9m | Reduced -14.0k |
| ADAGE CAPITAL PARTNERS GP, L.L.C. 0.17% of their portfolio | 306.6k $83.0m | Added +106.5k |
| BloombergSen Inc. 6.61% of their portfolio | 302.9k $82.0m | Added +17.3k |
| WELLS FARGO & COMPANY/MN 0.02% of their portfolio | 270.9k $73.3m | Reduced -46.7k |
| Thrivent Financial for Lutherans 0.16% of their portfolio | 268.6k $72.7m | Reduced -2.2k |
| Aberdeen Group plc 0.15% of their portfolio | 261.3k $70.7m | Added +96.9k |
| Pinnacle Financial Partners Inc 1.62% of their portfolio | 252.3k $68.3m | Reduced -27.0k |
| GLENVIEW CAPITAL MANAGEMENT, LLC 1.59% of their portfolio | 251.5k $68.1m | Reduced -78.9k |
| Cornerstone Investment Partners, LLC 3.82% of their portfolio | 250.7k $67.9m | Added +10.8k |
| Mitsubishi UFJ Trust & Banking Corp 0.15% of their portfolio | 240.9k $65.2m | Reduced -13.5k |
| Kinetic Partners Management, LP 5.51% of their portfolio | 238.6k $64.6m | Added +33.2k |
| Balyasny Asset Management L.P. 0.18% of their portfolio | 236.1k $63.9m | Added +232.8k |
| Korea Investment CORP 0.16% of their portfolio | 231.5k $62.7m | Added +3.9k |
| Ensign Peak Advisors, Inc 0.12% of their portfolio | 231.3k $62.6m | Reduced -34.4k |
| TODD ASSET MANAGEMENT LLC 1.35% of their portfolio | 226.6k $61.3m | Added +33.3k |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.13% of their portfolio | 218.0k $59.0m | Reduced -9.1k |
| EP Wealth Advisors, LLC 0.75% of their portfolio | 216.4k $58.6m | Added +7.4k |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.12% of their portfolio | 213.3k $57.7m | Added +3.4k |
| Brandywine Global Investment Management, LLC 0.46% of their portfolio | 210.8k $57.1m | Reduced -11.4k |