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 ($256.3m this quarter). Holder counts are more reliable. Shares outstanding: 216.5m as of 2026-07-24, 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 ≈ $390.63. Options: 32 managers hold calls ($656.3m notional), 35 hold puts ($376.1m).
Trends to Q2 2026
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 |
| Q3 2025 | 1,289 |
| Q4 2025 | 1,398 |
| Q1 2026 | 1,424 |
| Q2 2026 | 1,338 |
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 2024 | 538 | 550 |
| Q4 2024 | 475 | 622 |
| Q1 2025 | 583 | 553 |
| Q2 2025 | 571 | 570 |
| Q3 2025 | 570 | 571 |
| Q4 2025 | 601 | 609 |
| Q1 2026 | 614 | 664 |
| Q2 2026 | 553 | 756 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2025 | $848.8m | $690.6m | 0.81 |
| Q4 2025 | $797.6m | $856.0m | 1.07 |
| Q1 2026 | $571.0m | $546.5m | 0.96 |
| Q2 2026 | $656.3m | $376.1m | 0.57 |
Biggest buyers
| First Eagle Investment Management, LLC | Added | +3.3m |
| Crake Asset Management LLP | New | +1.2m |
| T. Rowe Price Investment Management, Inc. | Added | +1.0m |
| WELLINGTON MANAGEMENT GROUP LLP | Added | +799.8k |
| Metropolis Capital Ltd | Added | +602.3k |
| Consulta Ltd | New | +400.0k |
| Darsana Capital Partners LP | Added | +350.0k |
| GOLDMAN SACHS GROUP INC | Added | +328.2k |
| MORGAN STANLEY | Added | +291.9k |
| Pacer Advisors, Inc. | Added | +280.6k |
Biggest sellers
| FMR LLC | Reduced | -2.8m |
| Capital International Investors | Reduced | -1.1m |
| VIKING GLOBAL INVESTORS LP | Sold out | -1.1m |
| BlackRock, Inc. | Reduced | -359.7k |
| Nuveen, LLC | Reduced | -271.6k |
| PRICE T ROWE ASSOCIATES INC /MD/ | Reduced | -264.5k |
| Amundi | Reduced | -256.9k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | Reduced | -255.4k |
| Public Sector Pension Investment Board | Reduced | -213.6k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND | Reduced | -211.7k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $151.5m388.5k shares |
| JANE STREET GROUP, LLC | Added | $119.5m306.6k shares |
| CITADEL ADVISORS LLC | Added | $105.7m271.0k shares |
| IMC-Chicago, LLC | Added | $78.7m201.8k shares |
| Squarepoint Ops LLC | Added | $39.6m101.5k shares |
| GROUP ONE TRADING LLC | Added | $24.1m61.9k shares |
| CITIGROUP INC | New | $19.1m48.9k shares |
| Point72 Asset Management, L.P. | Added | $12.5m32.1k shares |
| UBS Group AG | Reduced | $12.4m31.8k shares |
| TUDOR INVESTMENT CORP ET AL | Added | $11.2m28.6k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $92.2m236.6k shares |
| CITADEL ADVISORS LLC | Added | $57.2m146.8k shares |
| JANE STREET GROUP, LLC | Added | $42.1m108.0k shares |
| IMC-Chicago, LLC | Added | $34.4m88.3k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $31.5m80.8k shares |
| UBS Group AG | Reduced | $14.0m35.9k shares |
| Pentwater Capital Management LP | New | $13.6m35.0k shares |
| GROUP ONE TRADING LLC | Reduced | $10.8m27.7k shares |
| BNP PARIBAS FINANCIAL MARKETS | Reduced | $8.7m223 shares |
| Militia Capital Management LLC | Reduced | $8.5m21.8k 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 since 1 Apr 2026
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 |
|---|---|---|---|---|---|
| Q4 2024 | 0 | — | 3 | $2.9m | — |
| Q1 2025 | 0 | — | 1 | $3.1m | — |
| Q2 2025 | 0 | — | 1 | $5.8m | — |
| Q3 2025 | 0 | — | 1 | $1.6m | $1.6m |
| Q4 2025 | 0 | — | 1 | $1.8m | — |
| Q1 2026 | 0 | — | 5 | $29.3m | — |
| Q2 2026 | 0 | — | 0 | — | — |
| Q3 2026 | 0 | — | 0 | — | — |
None reported since 1 Apr 2026.
Holders, Q2 2026
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.08% of their portfolio | 13.0m $5.1bn | Reduced -359.7k |
| VANGUARD CAPITAL MANAGEMENT LLC 0.08% of their portfolio | 10.1m $4.0bn | Reduced -36.7k |
| Sanders Capital, LLC 3.45% of their portfolio | 8.8m $3.4bn | Reduced -128.9k |
| STATE STREET CORP 0.09% of their portfolio | 7.5m $2.9bn | Reduced -70.5k |
| First Eagle Investment Management, LLC 2.13% of their portfolio | 6.6m $2.6bn | Added +3.3m |
| WELLINGTON MANAGEMENT GROUP LLP 0.32% of their portfolio | 4.7m $1.8bn | Added +799.8k |
| GEODE CAPITAL MANAGEMENT, LLC 0.08% of their portfolio | 3.7m $1.4bn | Reduced -24.5k |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.05% of their portfolio | 2.7m $1.1bn | Reduced -45.0k |
| MORGAN STANLEY 0.05% of their portfolio | 2.6m $1.0bn | Added +291.9k |
| GOLDMAN SACHS GROUP INC 0.10% of their portfolio | 2.5m $960.8m | Added +328.2k |
| JPMORGAN CHASE & CO 0.05% of their portfolio | 2.3m $896.8m | Reduced -176.1k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.38% of their portfolio | 2.2m $861.5m | Added +44.2k |
| NORGES BANK 0.08% of their portfolio | 2.1m $836.5m | Not comparable |
| Capital World Investors 0.09% of their portfolio | 2.0m $770.9m | Added +4.7k |
| Capital International Investors 0.15% of their portfolio | 1.9m $747.4m | Reduced -1.1m |
| NORTHERN TRUST CORP 0.08% of their portfolio | 1.7m $666.2m | Reduced -43.6k |
| FMR LLC 0.03% of their portfolio | 1.6m $636.5m | Reduced -2.8m |
| Invesco Ltd. 0.05% of their portfolio | 1.5m $596.4m | Added +91.1k |
| NORDEA INVESTMENT MANAGEMENT AB 0.45% of their portfolio | 1.4m $553.7m | Reduced -17.6k |
| BARCLAYS PLC 0.16% of their portfolio | 1.3m $514.3m | Added +70.9k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.09% of their portfolio | 1.2m $485.2m | Reduced -255.4k |
| Crake Asset Management LLP 10.75% of their portfolio | 1.2m $449.1m | New |
| Darsana Capital Partners LP 1.93% of their portfolio | 1.1m $428.9m | Added +350.0k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.06% of their portfolio | 1.1m $414.6m | Reduced -8.3k |
| Legal & General Group Plc 0.09% of their portfolio | 1.1m $411.0m | Reduced -40.7k |
| FRANKLIN RESOURCES INC 0.09% of their portfolio | 1.0m $400.0m | Reduced -190.8k |
| T. Rowe Price Investment Management, Inc. 0.26% of their portfolio | 1.0m $398.9m | Added +1.0m |
| Pacer Advisors, Inc. 1.01% of their portfolio | 998.9k $389.5m | Added +280.6k |
| Jupiter Topco LLC 0.15% of their portfolio | 951.9k $371.1m | First filing |
| Life Cycle Investment Partners Ltd 1.66% of their portfolio | 912.4k $355.7m | Added +218.2k |
| Metropolis Capital Ltd 12.50% of their portfolio | 910.6k $430.9m | Added +602.3k |
| Bank of New York Mellon Corp 0.06% of their portfolio | 898.6k $350.4m | Reduced -45.6k |
| VANGUARD FIDUCIARY TRUST CO 0.07% of their portfolio | 871.2k $339.7m | Reduced -15.3k |
| ROYAL BANK OF CANADA 0.05% of their portfolio | 821.2k $320.2m | Reduced -65.3k |
| LSV ASSET MANAGEMENT 0.57% of their portfolio | 808.3k $315.1m | Reduced -10.2k |
| LYRICAL ASSET MANAGEMENT LP 3.23% of their portfolio | 654.1k $255.0m | Reduced -14.6k |
| BANK OF AMERICA CORP /DE/ 0.02% of their portfolio | 611.6k $238.5m | Reduced -82.4k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.17% of their portfolio | 608.5k $237.2m | Reduced -77.2k |
| ROYAL LONDON ASSET MANAGEMENT LTD 0.43% of their portfolio | 604.4k $235.6m | Added +27.3k |
| PRINCIPAL FINANCIAL GROUP INC 0.12% of their portfolio | 602.3k $234.8m | Added +4.9k |
| UBS Group AG 0.04% of their portfolio | 592.4k $231.0m | Reduced -51.1k |
| National Pension Service 0.15% of their portfolio | 591.6k $230.7m | Added +2.8k |
| Russell Investments Group, Ltd. 0.18% of their portfolio | 530.3k $206.8m | Added +61.4k |
| ACADIAN ASSET MANAGEMENT LLC 0.24% of their portfolio | 512.4k $199.7m | Added +163.3k |
| Nuveen, LLC 0.05% of their portfolio | 511.9k $199.6m | Reduced -271.6k |
| Gobi Capital LLC 9.96% of their portfolio | 502.0k $195.7m | Added +239.8k |
| Cryder Capital Partners LLP 12.26% of their portfolio | 499.0k $194.6m | Added +44.6k |
| Allianz Asset Management GmbH 0.22% of their portfolio | 454.3k $214.7m | Reduced -3.7k |
| DEUTSCHE BANK AG\ 0.05% of their portfolio | 451.4k $176.0m | Reduced -129.6k |
| Swiss National Bank 0.09% of their portfolio | 441.4k $172.1m | Reduced -27.4k |
| DIMENSIONAL FUND ADVISORS LP 0.03% of their portfolio | 441.3k $172.1m | Reduced -9.8k |
| AustralianSuper Pty Ltd 0.69% of their portfolio | 409.4k $159.6m | Added +183.5k |
| HSBC HOLDINGS PLC 0.08% of their portfolio | 406.8k $158.6m | Added +97.3k |
| Consulta Ltd 5.63% of their portfolio | 400.0k $156.0m | New |
| LEE DANNER & BASS INC 8.77% of their portfolio | 390.2k $152.2m | Added +2.9k |
| SEI INVESTMENTS CO 0.13% of their portfolio | 381.3k $148.7m | Reduced -86.5k |
| Mitsubishi UFJ Asset Management Co., Ltd. 0.08% of their portfolio | 379.4k $147.9m | Added +21.2k |
| Amundi 0.03% of their portfolio | 358.2k $139.6m | Reduced -256.9k |
| SG Americas Securities, LLC 0.08% of their portfolio | 352.3k $137.4m | Reduced -144.2k |
| Vanguard Global Advisers, LLC 0.06% of their portfolio | 351.3k $137.0m | Reduced -8.7k |
| KBC Group NV 0.29% of their portfolio | 343.2k $133.8m | Reduced -11.4k |
| Sumitomo Mitsui Trust Group, Inc. 0.08% of their portfolio | 340.6k $132.8m | Reduced -11.3k |
| WELLS FARGO & COMPANY/MN 0.02% of their portfolio | 339.3k $132.3m | Added +146.5k |
| TD Asset Management Inc 0.11% of their portfolio | 338.2k $131.8m | Reduced -116.1k |
| California Public Employees Retirement System 0.07% of their portfolio | 318.4k $124.1m | Reduced -60.5k |
| BRANDES INVESTMENT PARTNERS, LP 0.85% of their portfolio | 311.0k $121.3m | Reduced -32.2k |
| LAZARD ASSET MANAGEMENT LLC 0.18% of their portfolio | 309.4k $120.6m | Added +2.0k |
| DANSKE BANK A/S 0.23% of their portfolio | 299.7k $116.9m | Reduced -658 |
| VANGUARD ASSET MANAGEMENT, Ltd 0.08% of their portfolio | 297.7k $116.1m | Added +14.6k |
| CAPTRUST FINANCIAL ADVISORS 0.18% of their portfolio | 294.3k $114.7m | Added +802 |
| AMERIPRISE FINANCIAL INC 0.02% of their portfolio | 293.2k $114.3m | Reduced -109.6k |
| ANTIPODES PARTNERS Ltd 2.07% of their portfolio | 289.9k $113.0m | Reduced -1.5k |
| ALLIANCEBERNSTEIN L.P. 0.04% of their portfolio | 284.1k $134.5m | Reduced -142.6k |
| Epoch Investment Partners, Inc. 0.60% of their portfolio | 268.7k $104.8m | Reduced -144.2k |
| O'SHAUGHNESSY ASSET MANAGEMENT, LLC 0.48% of their portfolio | 263.8k $102.9m | Reduced -14.0k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 255.8k $99.7m | Reduced -264.5k |
| RHUMBLINE ADVISERS 0.07% of their portfolio | 250.3k $97.6m | Reduced -10.5k |
| BANK OF MONTREAL /CAN/ 0.03% of their portfolio | 241.3k $94.1m | Reduced -3.4k |
| MACKENZIE FINANCIAL CORP 0.09% of their portfolio | 240.1k $93.6m | Added +188.1k |
| BloombergSen Inc. 10.42% of their portfolio | 238.9k $93.2m | Reduced -8.5k |
| Maj Invest Holding A/S 4.12% of their portfolio | 232.5k $90.6m | Added +60.0k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.08% of their portfolio | 228.6k $89.1m | Reduced -3.2k |
| NEUBERGER BERMAN GROUP LLC 0.06% of their portfolio | 227.3k $88.6m | Reduced -31.8k |
| AQR CAPITAL MANAGEMENT LLC 0.03% of their portfolio | 225.2k $87.6m | Reduced -105.4k |
| CITIGROUP INC 0.04% of their portfolio | 223.5k $87.1m | Reduced -10.0k |
| MILFORD FUNDS LTD 1.34% of their portfolio | 210.7k $82.2m | Added +49.0k |
| RAYMOND JAMES FINANCIAL INC 0.02% of their portfolio | 205.0k $79.9m | Reduced -4.1k |
| Bridgewater Associates, LP 0.33% of their portfolio | 203.2k $79.2m | Added +29.4k |
| Prana Capital Management, LP 2.30% of their portfolio | 193.8k $75.6m | Added +107.0k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.07% of their portfolio | 187.5k $73.1m | Reduced -2.0k |
| VIRGINIA RETIREMENT SYSTEMS ET Al 0.43% of their portfolio | 185.8k $72.4m | Added +14.1k |
| CITADEL ADVISORS LLC 0.04% of their portfolio | 184.5k $71.9m | Reduced -74.2k |
| Handelsbanken Fonder AB 0.20% of their portfolio | 182.7k $71.2m | Reduced -7.7k |
| VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.30% of their portfolio | 180.7k $70.4m | New |
| Quantinno Capital Management LP 0.08% of their portfolio | 180.6k $70.4m | Reduced -11.0k |
| ARGENT CAPITAL MANAGEMENT LLC 2.18% of their portfolio | 177.4k $69.1m | Reduced -38.4k |
| Retirement Systems of Alabama 0.20% of their portfolio | 174.6k $68.1m | Reduced -618 |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 0.34% of their portfolio | 173.6k $67.7m | Added +393 |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.09% of their portfolio | 169.7k $66.2m | Reduced -211.7k |
| BNP PARIBAS FINANCIAL MARKETS 0.03% of their portfolio | 166.2k $64.8m | Reduced -49.6k |