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 ($113.8m this quarter). Holder counts are more reliable. Shares outstanding: 234.0m as of 2025-07-31, 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 ≈ $382.86. Options: 34 managers hold calls ($801.3m notional), 31 hold puts ($847.6m).
Trends to Q2 2025
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 |
| Q1 2024 | 1,128 |
| Q2 2024 | 1,160 |
| Q3 2024 | 1,206 |
| Q4 2024 | 1,181 |
| Q1 2025 | 1,228 |
| Q2 2025 | 1,251 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q3 2023 | 451 | 481 |
| Q4 2023 | 429 | 509 |
| Q1 2024 | 501 | 488 |
| Q2 2024 | 557 | 481 |
| Q3 2024 | 538 | 550 |
| Q4 2024 | 475 | 622 |
| Q1 2025 | 583 | 553 |
| Q2 2025 | 571 | 570 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2024 | $640.0m | $828.7m | 1.29 |
| Q4 2024 | $673.0m | $624.4m | 0.93 |
| Q1 2025 | $815.2m | $606.7m | 0.74 |
| Q2 2025 | $801.3m | $847.6m | 1.06 |
Biggest buyers
| Capital World Investors | Added | +1.4m |
| ROYAL BANK OF CANADA | Added | +1.2m |
| VIKING GLOBAL INVESTORS LP | Added | +690.8k |
| UBS Group AG | Added | +456.1k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | Added | +307.7k |
| Metropolis Capital Ltd | Added | +261.6k |
| HRT FINANCIAL LP | New | +213.0k |
| MILLENNIUM MANAGEMENT LLC | New | +181.0k |
| Abdiel Capital Advisors, LP | Added | +169.2k |
| Balyasny Asset Management L.P. | Added | +121.2k |
Biggest sellers
| Pacer Advisors, Inc. | Reduced | -1.3m |
| WELLINGTON MANAGEMENT GROUP LLP | Reduced | -1.1m |
| PRICE T ROWE ASSOCIATES INC /MD/ | Reduced | -1.0m |
| BANK OF AMERICA CORP /DE/ | Reduced | -985.8k |
| MFN Partners Management, LP | Sold out | -973.9k |
| BlackRock, Inc. | Reduced | -951.2k |
| Diamond Hill Capital Management, LLC (Investment Advisor) | Reduced | -476.8k |
| Sanders Capital, LLC | Reduced | -462.6k |
| Consulta Ltd | Reduced | -350.0k |
| JPMORGAN CHASE & CO | Reduced | -320.4k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $167.7m437.8k shares |
| CITADEL ADVISORS LLC | Added | $143.2m373.7k shares |
| IMC-Chicago, LLC | Added | $89.2m232.9k shares |
| Twin Tree Management, LP | Added | $80.4m209.8k shares |
| JANE STREET GROUP, LLC | Added | $50.8m132.6k shares |
| PUBLIC INVESTMENT FUND | Reduced | $40.0m104.5k shares |
| MILLENNIUM MANAGEMENT LLC | Added | $29.3m76.5k shares |
| GROUP ONE TRADING LLC | Added | $27.8m72.5k shares |
| D. E. Shaw & Co., Inc. | Added | $24.3m63.4k shares |
| Walleye Trading LLC | Added | $22.3m58.2k shares |
Biggest puts
| Apollo Management Holdings, L.P. | New | $283.1m738.9k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $156.4m408.3k shares |
| JANE STREET GROUP, LLC | Added | $69.2m180.6k shares |
| MILLENNIUM MANAGEMENT LLC | Added | $55.7m145.5k shares |
| CITADEL ADVISORS LLC | Reduced | $44.1m115.2k shares |
| Pentwater Capital Management LP | Added | $44.1m115.0k shares |
| UBS Group AG | Reduced | $35.9m93.6k shares |
| NOMURA HOLDINGS INC | Added | $28.7m75.0k shares |
| IMC-Chicago, LLC | Added | $27.0m70.4k shares |
| GROUP ONE TRADING LLC | Reduced | $19.6m51.1k 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 2025
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 2023 | 0 | — | 3 | $2.6m | — |
| Q4 2023 | 0 | — | 0 | — | — |
| Q1 2024 | 0 | — | 7 | $7.7m | $400.1k |
| Q2 2024 | 0 | — | 4 | $5.2m | — |
| Q3 2024 | 0 | — | 5 | $8.3m | $3.2m |
| Q4 2024 | 0 | — | 3 | $2.9m | — |
| Q1 2025 | 0 | — | 1 | $3.1m | — |
| Q2 2025 | 0 | — | 1 | $5.8m | — |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-05-13 | Foster Jon M EVP and COO | Sold | $5.8m15.7k 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 2025
| Manager | Shares | Change |
|---|---|---|
| VANGUARD GROUP INC 0.10% of their portfolio | 15.5m $5.9bn | Reduced -276.0k |
| BlackRock, Inc. 0.09% of their portfolio | 13.0m $5.0bn | Reduced -951.2k |
| Sanders Capital, LLC 5.71% of their portfolio | 11.1m $4.3bn | Reduced -462.6k |
| STATE STREET CORP 0.11% of their portfolio | 8.0m $3.0bn | Reduced -191.0k |
| Capital World Investors 0.27% of their portfolio | 4.8m $1.8bn | Added +1.4m |
| First Eagle Investment Management, LLC 3.23% of their portfolio | 4.2m $1.6bn | Reduced -312.2k |
| WELLINGTON MANAGEMENT GROUP LLP 0.29% of their portfolio | 4.1m $1.6bn | Reduced -1.1m |
| GEODE CAPITAL MANAGEMENT, LLC 0.10% of their portfolio | 3.8m $1.4bn | Reduced -94.4k |
| JPMORGAN CHASE & CO 0.09% of their portfolio | 3.3m $1.3bn | Reduced -320.4k |
| NORGES BANK 0.14% of their portfolio | 3.0m $1.2bn | Added +72.9k |
| ROYAL BANK OF CANADA 0.10% of their portfolio | 2.6m $990.7m | Added +1.2m |
| BANK OF AMERICA CORP /DE/ 0.07% of their portfolio | 2.3m $879.5m | Reduced -985.8k |
| MORGAN STANLEY 0.06% of their portfolio | 2.2m $854.5m | Reduced -29.5k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.55% of their portfolio | 2.0m $777.2m | Reduced -74.7k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.15% of their portfolio | 2.0m $753.7m | Added +307.7k |
| NORTHERN TRUST CORP 0.10% of their portfolio | 1.9m $727.2m | Reduced -93.4k |
| VIKING GLOBAL INVESTORS LP 2.07% of their portfolio | 1.9m $717.2m | Added +690.8k |
| GOLDMAN SACHS GROUP INC 0.10% of their portfolio | 1.6m $630.8m | Reduced -62.6k |
| Nuveen, LLC 0.17% of their portfolio | 1.6m $630.2m | Reduced -2.4k |
| FMR LLC 0.03% of their portfolio | 1.6m $614.9m | Added +48.1k |
| UBS Group AG 0.13% of their portfolio | 1.6m $599.3m | Added +456.1k |
| Longview Partners (Guernsey) LTD 5.16% of their portfolio | 1.6m $598.6m | Reduced -96.0k |
| FRANKLIN RESOURCES INC 0.15% of their portfolio | 1.4m $547.2m | Reduced -50.5k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.06% of their portfolio | 1.4m $523.4m | Reduced -1.0m |
| JANUS HENDERSON GROUP PLC 0.24% of their portfolio | 1.3m $483.7m | Reduced -87.6k |
| BARCLAYS PLC 0.19% of their portfolio | 1.3m $483.0m | Added +24.3k |
| Bank of New York Mellon Corp 0.08% of their portfolio | 1.1m $440.5m | Reduced -108.0k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.07% of their portfolio | 1.1m $431.9m | Reduced -16.9k |
| ROYAL LONDON ASSET MANAGEMENT LTD 0.98% of their portfolio | 1.1m $430.1m | Reduced -313.3k |
| Legal & General Group Plc 0.11% of their portfolio | 1.1m $427.6m | Reduced -27.1k |
| Invesco Ltd. 0.07% of their portfolio | 1.1m $417.2m | Reduced -113.1k |
| Darsana Capital Partners LP 10.94% of their portfolio | 1.0m $383.1m | Reduced -250.0k |
| NORDEA INVESTMENT MANAGEMENT AB 0.33% of their portfolio | 927.8k $350.4m | Added +59.2k |
| LSV ASSET MANAGEMENT 0.78% of their portfolio | 868.8k $332.9m | Added +3.4k |
| PRINCIPAL FINANCIAL GROUP INC 0.17% of their portfolio | 859.8k $329.4m | Reduced -20.9k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC 0.97% of their portfolio | 784.6k $300.6m | Reduced -10.8k |
| Diamond Hill Capital Management, LLC (Investment Advisor) 1.29% of their portfolio | 732.0k $280.4m | Reduced -476.8k |
| LYRICAL ASSET MANAGEMENT LP 3.91% of their portfolio | 707.5k $271.0m | Reduced -56.0k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.22% of their portfolio | 676.2k $259.1m | Added +12.5k |
| Abdiel Capital Advisors, LP 23.14% of their portfolio | 646.2k $247.6m | Added +169.2k |
| Epoch Investment Partners, Inc. 1.23% of their portfolio | 621.0k $237.9m | Reduced -73.9k |
| National Pension Service 0.20% of their portfolio | 609.1k $233.3m | Reduced -4.6k |
| Cryder Capital Partners LLP 13.04% of their portfolio | 604.8k $231.7m | Added +35.0k |
| Metropolis Capital Ltd 7.33% of their portfolio | 603.0k $231.0m | Added +261.6k |
| ALLIANCEBERNSTEIN L.P. 0.08% of their portfolio | 600.2k $230.0m | Added +72.8k |
| TD Asset Management Inc 0.19% of their portfolio | 577.6k $221.3m | Reduced -93.0k |
| Swiss National Bank 0.13% of their portfolio | 558.9k $214.1m | Added +23.1k |
| Russell Investments Group, Ltd. 0.24% of their portfolio | 500.3k $191.6m | Reduced -29.3k |
| DEUTSCHE BANK AG\ 0.07% of their portfolio | 482.6k $184.9m | Reduced -65.1k |
| DIMENSIONAL FUND ADVISORS LP 0.04% of their portfolio | 476.3k $182.5m | Reduced -9.0k |
| KBC Group NV 0.46% of their portfolio | 441.1k $169.0m | Added +96.0k |
| Sumitomo Mitsui Trust Group, Inc. 0.10% of their portfolio | 433.1k $165.9m | Added +4.4k |
| AMERIPRISE FINANCIAL INC 0.04% of their portfolio | 427.2k $163.7m | Reduced -56.3k |
| Bridgewater Associates, LP 0.63% of their portfolio | 406.7k $155.8m | Reduced -22.0k |
| Magellan Asset Management Ltd 1.78% of their portfolio | 405.6k $155.4m | Reduced -113.2k |
| Gobi Capital LLC 7.56% of their portfolio | 399.0k $152.9m | Reduced -6.6k |
| LEE DANNER & BASS INC 11.83% of their portfolio | 396.9k $152.1m | Reduced -3.5k |
| Amundi 0.05% of their portfolio | 394.7k $149.2m | Added +104.8k |
| ANTIPODES PARTNERS Ltd 4.65% of their portfolio | 391.5k $150.0m | Reduced -44.0k |
| BRANDES INVESTMENT PARTNERS, LP 1.27% of their portfolio | 365.7k $140.1m | Reduced -8.1k |
| Mitsubishi UFJ Asset Management Co., Ltd. 0.10% of their portfolio | 342.4k $131.2m | Added +15.8k |
| California Public Employees Retirement System 0.08% of their portfolio | 325.4k $124.6m | Reduced -18.7k |
| Maj Invest Holding A/S 4.28% of their portfolio | 319.1k $122.2m | Added +1.2k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.16% of their portfolio | 316.4k $121.2m | Reduced -18.3k |
| Allianz Asset Management GmbH 0.16% of their portfolio | 316.3k $121.2m | Reduced -47.7k |
| RHUMBLINE ADVISERS 0.10% of their portfolio | 315.2k $120.8m | Reduced -12.0k |
| CAPTRUST FINANCIAL ADVISORS 0.26% of their portfolio | 303.1k $116.1m | Reduced -252 |
| HSBC HOLDINGS PLC 0.07% of their portfolio | 298.9k $114.3m | Reduced -48.1k |
| TRUIST FINANCIAL CORP 0.17% of their portfolio | 298.1k $114.2m | Reduced -9.6k |
| VIRGINIA RETIREMENT SYSTEMS ET Al 0.75% of their portfolio | 285.4k $109.3m | Added +39.6k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.12% of their portfolio | 284.3k $108.9m | Reduced -6.3k |
| BloombergSen Inc. 9.01% of their portfolio | 278.6k $106.7m | Reduced -3.4k |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 0.61% of their portfolio | 277.4k $106.3m | Reduced -222.7k |
| WELLS FARGO & COMPANY/MN 0.02% of their portfolio | 269.5k $103.2m | Added +44.8k |
| NEUBERGER BERMAN GROUP LLC 0.08% of their portfolio | 268.1k $102.7m | Reduced -10 |
| ABRAMS BISON INVESTMENTS, LLC 9.11% of their portfolio | 255.0k $97.7m | Reduced -142.0k |
| BNP PARIBAS FINANCIAL MARKETS 0.08% of their portfolio | 253.6k $97.2m | Reduced -125.5k |
| Consulta Ltd 6.12% of their portfolio | 250.0k $95.8m | Reduced -350.0k |
| Swedbank AB 0.11% of their portfolio | 246.3k $94.4m | First filing |
| HARRIS ASSOCIATES L P 0.15% of their portfolio | 242.2k $92.8m | Reduced -62.9k |
| RAYMOND JAMES FINANCIAL INC 0.03% of their portfolio | 238.6k $91.4m | Added +13.3k |
| ARGENT CAPITAL MANAGEMENT LLC 2.52% of their portfolio | 230.4k $88.3m | Added +2.8k |
| MACQUARIE GROUP LTD 0.10% of their portfolio | 222.3k $85.2m | Reduced -6.3k |
| ENVESTNET ASSET MANAGEMENT INC 0.02% of their portfolio | 218.2k $83.6m | Added +6.4k |
| AQR CAPITAL MANAGEMENT LLC 0.07% of their portfolio | 217.7k $82.7m | Reduced -21.8k |
| HRT FINANCIAL LP 0.44% of their portfolio | 213.0k $81.6m | New |
| Handelsbanken Fonder AB 0.27% of their portfolio | 198.2k $75.9m | Added +4.4k |
| Mitsubishi UFJ Trust & Banking Corp 0.17% of their portfolio | 195.4k $74.9m | Reduced -9.8k |
| Pinnacle Financial Partners Inc 1.57% of their portfolio | 195.3k $74.8m | Reduced -58.3k |
| Brandywine Global Investment Management, LLC 0.53% of their portfolio | 194.8k $74.6m | Reduced -4.6k |
| CITIGROUP INC 0.05% of their portfolio | 189.8k $72.7m | Reduced -63.6k |
| CANADA LIFE ASSURANCE Co 0.11% of their portfolio | 188.2k $72.1m | Reduced -1.8k |
| Boston Partners 0.08% of their portfolio | 186.3k $71.4m | Added +22.3k |
| Cornerstone Investment Partners, LLC 3.06% of their portfolio | 181.1k $69.4m | Reduced -29.6k |
| MILLENNIUM MANAGEMENT LLC 0.06% of their portfolio | 181.0k $69.3m | New |
| Retirement Systems of Alabama 0.25% of their portfolio | 179.2k $68.6m | Added +3.3k |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.12% of their portfolio | 177.6k $68.0m | Reduced -5.4k |
| AVIVA PLC 0.14% of their portfolio | 177.2k $67.9m | Added +18.5k |
| FIL Ltd 0.06% of their portfolio | 173.8k $66.6m | Reduced -5.4k |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.14% of their portfolio | 171.8k $65.8m | Added +1.1k |