HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionBnp Paribas Arbitrage, Sa
Latest Disclosed Ownership215,802 shares
Latest Disclosed Value $ 102,126,138
Bnp Paribas Arbitrage, Sa ownership in HCA / HCA Healthcare, Inc.

On May 12, 2026 - Bnp Paribas Arbitrage, Sa filed a 13F-HR form disclosing ownership of 215,802 shares of HCA Healthcare, Inc. (MX:HCA) valued at $102,126,138 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 10, 2026 disclosing 211,904 shares of HCA Healthcare, Inc.. This represents a change in shares of 1.84% during the quarter.

Bnp Paribas Arbitrage, Sa has a history of taking positions in derivatives of the underlying security (HCA) in the form of stock options. The firm currently holds call options representing 330 of underlying shares valued at $15,616,920 USD and put options representing 413 of underlying shares valued at $19,544,812 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

MX:HCA / HCA Healthcare, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-12 2026-03-31 13F HCA Healthcare Equity 40412C101 215,802 3,898 1.84 102,126 3.23 0.0051
2026-02-10 2025-12-31 13F HCA Healthcare Equity 40412C101 211,904 -48,235 -18.54 98,930 -10.77 0.0448
2025-11-13 2025-09-30 13F HCA Healthcare Equity 40412C101 260,139 6,518 2.57 110,871 14.11 0.0592
2025-08-14 2025-06-30 13F HCA Healthcare Equity 40412C101 253,621 -125,478 -33.10 97,162 -25.83 0.0557
2025-05-14 2025-03-31 13F HCA Healthcare Equity 40412C101 379,099 32,016 9.22 130,998 25.75 0.0770
2025-02-14 2024-12-31 13F HCA Healthcare Equity 40412C101 347,083 38,951 12.64 104,177 -16.81 0.0584
2024-11-13 2024-09-30 13F HCA Healthcare Equity 40412C101 308,132 81,860 36.18 125,234 72.27 0.0842
2024-08-13 2024-06-30 13F HCA Healthcare Equity 40412C101 226,272 56,041 32.92 72,697 28.04 0.0592
2024-05-01 2024-03-31 13F HCA Healthcare Equity 40412C101 170,231 50,421 42.08 56,777 75.08 0.0499
2024-02-14 2023-12-31 13F/A-2 HCA Healthcare Equity 40412C101 119,810 46,432 63.28 32,430 79.68 0.0368
2024-02-07 2023-12-31 13F/A-1 HCA Healthcare Equity 40412C101 118,994 45,616 32,209 0.0045
2024-02-07 2023-12-31 13F HCA Healthcare Equity 40412C101 118,994 32,209
2023-11-14 2023-09-30 13F HCA Healthcare Equity 40412C101 73,378 -55,786 -43.19 18,050 -53.95 0.0232
2023-08-09 2023-06-30 13F HCA Healthcare Equity 40412C101 129,164 22,599 21.21 39,199 39.50 0.0490
2023-05-12 2023-03-31 13F HCA HEALTHCARE EQUITY 40412C101 106,565 -70,610 -39.85 28,099 -33.91 0.0394
2023-02-14 2022-12-31 13F HCA Healthcare Equity 40412C101 177,175 61,517 53.19 42,515 100.01 0.0653
2022-11-16 2022-09-30 13F/A-1 HCA Healthcare Equity 40412C101 115,658 48,554 72.36 21,257 88.49 0.0340
2022-11-15 2022-09-30 13F HCA Healthcare Equity 40412C101 115,658 48,554 21,257 0.0051
2022-08-12 2022-06-30 13F HCA Healthcare Equity 40412C101 67,104 11,136 19.90 11,277 -19.60 0.0176
2022-05-18 2022-03-31 13F/A-1 HCA Healthcare Equity 40412C101 55,968 9,011 19.19 14,027 16.26 0.0189
2022-02-09 2021-12-31 13F HCA HEALTHCARE EQUITY 40412C101 46,957 -32,763 -41.10 12,064 -37.65 0.0172
2021-11-16 2021-09-30 13F/A-1 HCA HEALTHCARE EQUITY 40412C101 79,720 6,455 8.81 19,350 27.75 0.0274
2021-11-12 2021-09-30 13F HCA HOLDINGS EQUITY 40412C101 429,589 356,324 53,561 0.0000
2021-08-10 2021-06-30 13F HCA HEALTHCARE EQUITY 40412C101 73,265 28,411 63.34 15,147 79.31 0.0200
2021-05-07 2021-03-31 13F HCA HEALTHCARE EQUITY 40412C101 44,854 -111,961 -71.40 8,448 -67.25 0.0124
2021-02-10 2020-12-31 13F HCA HOLDINGS EQUITY 40412C101 156,815 -272,774 -63.50 25,790 -51.85 0.0480
2020-10-30 2020-09-30 13F HCA HOLDINGS EQUITY 40412C101 429,589 338,253 370.34 53,561 504.18 0.0766
2020-08-06 2020-06-30 13F HCA HOLDINGS EQUITY 40412C101 91,336 -94,927 -50.96 8,865 -47.03 0.0156
2020-05-13 2020-03-31 13F HCA HOLDINGS EQUITY 40412C101 186,263 91,215 95.97 16,736 19.12 0.0343
2020-02-12 2019-12-31 13F HCA HOLDINGS EQUITY 40412C101 95,048 -164,411 -63.37 14,049 -55.03 0.0256
2019-11-07 2019-09-30 13F HCA HOLDINGS EQUITY 40412C101 259,459 54,084 26.33 31,244 12.55 0.0555
2019-07-30 2019-06-30 13F HCA HOLDINGS EQUITY 40412C101 205,375 -22,144 -9.73 27,761 -6.42 0.0553
2019-04-25 2019-03-31 13F HCA HOLDINGS EQUITY 40412C101 227,519 185,524 441.78 29,664 467.60 0.0641
2019-02-12 2018-12-31 13F HCA HOLDINGS EQUITY 40412C101 41,995 -141,573 -77.12 5,226 -79.54 0.0123
2018-11-07 2018-09-30 13F HCA HOLDINGS EQUITY 40412C101 183,568 22,960 14.30 25,538 54.98 0.0377
2018-07-25 2018-06-30 13F HCA HOLDINGS EQUITY 40412C101 160,608 -51,333 -24.22 16,478 -19.85 0.0274
2018-05-11 2018-03-31 13F HCA HOLDINGS EQUITY 40412C101 211,941 106,830 101.64 20,558 122.68 0.0385
2018-03-05 2017-12-31 13F/A-1 HCA HOLDINGS EQUITY 40412C101 105,111 -129,233 -55.15 9,233 -50.50 0.0164
2018-02-01 2017-12-31 13F HCA HOLDINGS EQUITY 40412C101 105,111 -129,233 9,233
2017-11-03 2017-09-30 13F HCA HEALTHCARE STOCK 40412C101 234,344 71,980 44.33 18,651 31.73 0.0456
2017-08-03 2017-06-30 13F HCA HEALTHCARE STOCK 40412C101 162,364 -59,368 -26.77 14,158 -28.24 0.0427
2017-05-03 2017-03-31 13F HCA HOLDINGS STOCK 40412C101 221,732 163,232 279.03 19,732 355.68 0.0521
2017-02-14 2016-12-31 13F HCA HOLDINGS STOCK 40412C101 58,500 11,488 24.44 4,330 21.80 0.0203
2016-10-05 2016-09-30 13F * HCA HOLDINGS INC COM STOCK 40412C101 47,012 -7,465 -13.70 3,556 -15.26 0.0146
2016-07-06 2016-06-30 13F * HCA HOLDINGS INC COM STOCK 40412C101 54,477 -162,852 -74.93 4,195 -75.27 0.0189
2016-04-22 2016-03-31 13F * HCA HOLDINGS INC COM STOCK 40412C101 217,329 173,171 392.16 16,963 468.05 0.0717
2016-04-19 2015-12-31 13F/A-1 * HCA HOLDINGS INC COM STOCK 40412C101 44,158 -53,250 -54.67 2,986 -60.37 0.0145
2016-02-10 2015-12-31 13F * HCA HOLDINGS INC COM STOCK 40412C101 44,158 2,986
2015-11-13 2015-09-30 13F * HCA HOLDINGS INC COM STOCK 40412C101 97,408 23,956 32.61 7,535 13.09 0.0189
2015-08-14 2015-06-30 13F HCA HOLDINGS INC COM STOCK 40412C101 73,452 -25,953 -26.11 6,664 -10.90 0.0186
2015-05-15 2015-03-31 13F * HCA HOLDINGS INC COM STOCK 40412C101 99,405 26,944 37.18 7,478 40.64 0.0207
2015-03-10 2014-12-31 13F/A-1 * HCA HOLDINGS INC COM STOCK 40412C101 72,461 -65,110 -47.33 5,318 -45.19 0.0188
2015-02-11 2014-12-31 13F * HCA HOLDINGS INC COM STOCK 40412C101 72,461 5,318
2014-11-12 2014-09-30 13F * HCA HOLDINGS INC COM STOCK 40412C101 137,571 20,292 17.30 9,702 46.72 0.0084
2014-08-14 2014-06-30 13F/A-1 * HCA HOLDINGS INC COM STOCK 40412C101 117,279 6,279 5.66 6,612 14.55 0.0062
2014-08-14 2014-06-30 13F HCA HOLDINGS INC COM STOCK 40412C101 117,279 6,612
2014-05-13 2014-03-31 13F HCA HOLDINGS STOCK 40412C101 111,000 83,737 307.15 5,772 344.00 0.0045
2014-04-02 2013-12-31 13F/A-1 HCA HOLDINGS STOCK 40412C101 27,263 -886 -3.15 1,301 8.06 0.0009
2014-02-12 2013-12-31 13F HCA HOLDINGS STOCK 40412C101 27,263 1,301
2013-11-13 2013-09-30 13F HCA HOLDINGS STOCK 40412C101 28,149 -2,271 -7.47 1,203 9.76 0.0009
2013-08-13 2013-06-30 13F HCA HOLDINGS STOCK 40412C101 30,420 30,420 1,097 0.0008
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-12 2026-03-31 13F HCA Healthcare Option Call 330 17.86 15,617 19.46 n/a n/a n/a
2026-02-10 2025-12-31 13F HCA Healthcare Option Call 280 43.59 13,072 57.30 n/a n/a n/a
2025-11-13 2025-09-30 13F HCA Healthcare Option Call 195 85.71 8,311 106.61 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA Healthcare Option Call 105 -37.87 4,023 -31.12 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA Healthcare Option Call 169 -26.20 5,840 -15.04 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA Healthcare Option Call 229 76.15 6,873 30.10 n/a n/a n/a
2024-11-13 2024-09-30 13F HCA Healthcare Option Call 130 136.36 5,284 198.98 n/a n/a n/a
2024-08-13 2024-06-30 13F HCA Healthcare Option Call 55 1,767 n/a n/a n/a
2024-05-01 2024-03-31 13F HCA Healthcare Option Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-02-14 2023-12-31 13F/A HCA Healthcare Option Call 166 0.00 4,493 10.04 n/a n/a n/a
2024-02-07 2023-12-31 13F/A HCA Healthcare Option Call 166 4,493 n/a n/a n/a
2024-02-07 2023-12-31 13F HCA Healthcare Option Call 166 4,493 n/a n/a n/a
2023-11-14 2023-09-30 13F HCA Healthcare Option Call 166 0.00 4,083 -18.94 n/a n/a n/a
2023-08-09 2023-06-30 13F HCA Healthcare Option Call 166 -66.53 5,038 -61.48 n/a n/a n/a
2023-05-12 2023-03-31 13F HCA HEALTHCARE OPTION Call 496 -20.39 13,079 -12.52 n/a n/a n/a
2023-02-14 2022-12-31 13F HCA Healthcare Option Call 623 19.12 14,950 55.52 n/a n/a n/a
2022-11-16 2022-09-30 13F/A HCA Healthcare Option Call 523 106.72 9,612 126.11 n/a n/a n/a
2022-11-15 2022-09-30 13F HCA Healthcare Option Call 523 9,612 n/a n/a n/a
2022-08-12 2022-06-30 13F HCA Healthcare Option Call 253 4.55 4,252 -29.91 n/a n/a n/a
2022-05-18 2022-03-31 13F/A HCA Healthcare Option Call 242 414.89 6,065 402.49 n/a n/a n/a
2022-02-09 2021-12-31 13F HCA HEALTHCARE OPTION Call 47 -68.03 1,208 -66.16 n/a n/a n/a
2021-11-16 2021-09-30 13F/A HCA HEALTHCARE OPTION Call 147 212.77 3,568 267.35 n/a n/a n/a
2021-11-12 2021-09-30 13F HCA HOLDINGS OPTION Call 324 4,040 n/a n/a n/a
2021-08-10 2021-06-30 13F HCA HEALTHCARE OPTION Call 47 0.00 972 9.72 n/a n/a n/a
2021-05-07 2021-03-31 13F HCA HEALTHCARE OPTION Call 47 -85.49 885 -83.39 n/a n/a n/a
2021-02-10 2020-12-31 13F HCA HOLDINGS OPTION Call 324 0.00 5,329 31.91 n/a n/a n/a
2020-10-30 2020-09-30 13F HCA HOLDINGS OPTION Call 324 0.00 4,040 28.47 n/a n/a n/a
2020-08-06 2020-06-30 13F HCA HOLDINGS OPTION Call 324 0.00 3,145 8.00 n/a n/a n/a
2020-05-13 2020-03-31 13F HCA HOLDINGS OPTION Call 324 2,911 n/a n/a n/a
2017-05-03 2017-03-31 13F HCA HOLDINGS OPTION Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-14 2016-12-31 13F HCA HOLDINGS OPTION Call 64 0 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-12 2026-03-31 13F HCA Healthcare Option Put 413 -10.22 19,545 -8.99 n/a n/a n/a
2026-02-10 2025-12-31 13F HCA Healthcare Option Put 460 -5.35 21,476 3.68 n/a n/a n/a
2025-11-13 2025-09-30 13F HCA Healthcare Option Put 486 151.81 20,713 180.17 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA Healthcare Option Put 193 -47.12 7,394 -41.38 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA Healthcare Option Put 365 55.98 12,613 79.58 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA Healthcare Option Put 234 42.68 7,024 5.37 n/a n/a n/a
2024-11-13 2024-09-30 13F HCA Healthcare Option Put 164 17.99 6,665 49.27 n/a n/a n/a
2024-08-13 2024-06-30 13F HCA Healthcare Option Put 139 -16.27 4,466 -19.35 n/a n/a n/a
2024-05-01 2024-03-31 13F HCA Healthcare Option Put 166 -79.71 5,537 -75.00 n/a n/a n/a
2024-02-07 2023-12-31 13F/A HCA Healthcare Option Put 818 22,142 n/a n/a n/a
2024-02-14 2023-12-31 13F/A HCA Healthcare Option Put 818 -0.61 22,142 9.37 n/a n/a n/a
2024-02-07 2023-12-31 13F HCA Healthcare Option Put 818 22,142 n/a n/a n/a
2023-11-14 2023-09-30 13F HCA Healthcare Option Put 823 15.59 20,244 -6.31 n/a n/a n/a
2023-08-09 2023-06-30 13F HCA Healthcare Option Put 712 -41.54 21,608 -32.72 n/a n/a n/a
2023-05-12 2023-03-31 13F HCA HEALTHCARE OPTION Put 1,218 24.03 32,116 36.29 n/a n/a n/a
2023-02-14 2022-12-31 13F HCA Healthcare Option Put 982 45.27 23,564 89.67 n/a n/a n/a
2022-11-16 2022-09-30 13F/A HCA Healthcare Option Put 676 514.55 12,424 572.29 n/a n/a n/a
2022-11-15 2022-09-30 13F HCA Healthcare Option Put 676 12,424 n/a n/a n/a
2022-08-12 2022-06-30 13F HCA Healthcare Option Put 110 266.67 1,849 146.07 n/a n/a n/a
2022-05-18 2022-03-31 13F/A HCA Healthcare Option Put 30 -65.52 752 -66.40 n/a n/a n/a
2022-02-09 2021-12-31 13F HCA HEALTHCARE OPTION Put 87 0.00 2,235 5.87 n/a n/a n/a
2021-11-16 2021-09-30 13F/A HCA HEALTHCARE OPTION Put 87 0.00 2,112 17.41 n/a n/a n/a
2021-11-12 2021-09-30 13F HCA HOLDINGS OPTION Put 308 3,840 n/a n/a n/a
2021-08-10 2021-06-30 13F HCA HEALTHCARE OPTION Put 87 0.00 1,799 9.77 n/a n/a n/a
2021-05-07 2021-03-31 13F HCA HEALTHCARE OPTION Put 87 -71.75 1,639 -67.66 n/a n/a n/a
2021-02-10 2020-12-31 13F HCA HOLDINGS OPTION Put 308 0.00 5,065 31.90 n/a n/a n/a
2020-10-30 2020-09-30 13F HCA HOLDINGS OPTION Put 308 -8.88 3,840 17.07 n/a n/a n/a
2020-08-06 2020-06-30 13F HCA HOLDINGS OPTION Put 338 0.00 3,281 8.04 n/a n/a n/a
2020-05-13 2020-03-31 13F HCA HOLDINGS OPTION Put 338 604.17 3,037 328.21 n/a n/a n/a
2020-02-12 2019-12-31 13F HCA HOLDINGS OPTION Put 48 0.00 709 22.66 n/a n/a n/a
2019-11-07 2019-09-30 13F HCA HOLDINGS OPTION Put 48 0.00 578 -10.80 n/a n/a n/a
2019-07-30 2019-06-30 13F HCA HOLDINGS OPTION Put 48 0.00 649 3.68 n/a n/a n/a
2019-04-25 2019-03-31 13F HCA HOLDINGS OPTION Put 48 626 n/a n/a n/a
2017-05-03 2017-03-31 13F HCA HOLDINGS OPTION Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-14 2016-12-31 13F HCA HOLDINGS OPTION Put 83 3 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.