HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionHighTower Advisors, LLC
Latest Disclosed Ownership41,726 shares
Latest Disclosed Value $ 19,747,339
HighTower Advisors, LLC ownership in HCA / HCA Healthcare, Inc.

On May 5, 2026 - HighTower Advisors, LLC filed a 13F-HR form disclosing ownership of 41,726 shares of HCA Healthcare, Inc. (MX:HCA) valued at $19,747,339 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 6, 2026 disclosing 39,390 shares of HCA Healthcare, Inc.. This represents a change in shares of 5.93% during the quarter.

HighTower Advisors, LLC has a history of taking positions in derivatives of the underlying security (HCA) in the form of stock options.

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)
2026-05-05 2026-03-31 13F HCA HEALTHCARE COM 40412C101 41,726 2,336 5.93 19,747 7.38 0.0210
2026-02-06 2025-12-31 13F HCA HEALTHCARE COM 40412C101 39,390 4,987 14.50 18,389 25.39 0.0201
2025-11-07 2025-09-30 13F HCA HEALTHCARE COM 40412C101 34,403 1,276 3.85 14,666 15.55 0.0167
2025-08-11 2025-06-30 13F HCA HEALTHCARE COM 40412C101 33,127 -1,710 -4.91 12,691 5.42 0.0159
2025-05-13 2025-03-31 13F HCA HEALTHCARE COM 40412C101 34,837 -265 -0.75 12,038 14.27 0.0163
2025-02-07 2024-12-31 13F HCA HEALTHCARE COM 40412C101 35,102 16,337 87.06 10,536 38.53 0.0144
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 18,765 -293 -1.54 7,605 24.12 0.0109
2024-08-13 2024-06-30 13F HCA HEALTHCARE COM 40412C101 19,058 0 0.00 6,127 -3.39 0.0095
2024-05-06 2024-03-31 13F HCA HEALTHCARE COM 40412C101 19,058 -1,169 -5.78 6,342 15.58 0.0103
2024-02-12 2023-12-31 13F HCA HEALTHCARE COM 40412C101 20,227 -11,454 -36.15 5,487 -28.80 0.0092
2023-11-08 2023-09-30 13F HCA HEALTHCARE COM 40412C101 31,681 7,322 30.06 7,706 3.80 0.0145
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 24,359 10,619 77.29 7,424 105.03 0.0146
2023-05-12 2023-03-31 13F HCA HEALTHCARE COM 40412C101 13,740 -7,697 -35.91 3,621 -29.40 0.0079
2023-02-09 2022-12-31 13F HCA HEALTHCARE COM 40412C101 21,437 6,249 41.14 5,129 83.77 0.0117
2022-11-09 2022-09-30 13F HCA HEALTHCARE COM 40412C101 15,188 2,104 16.08 2,791 26.46 0.0075
2022-08-10 2022-06-30 13F HCA HEALTHCARE COM 40412C101 13,084 559 4.46 2,207 -30.44 0.0057
2022-05-12 2022-03-31 13F HCA HEALTHCARE COM 40412C101 12,525 1,791 16.69 3,173 13.81 0.0071
2022-02-10 2021-12-31 13F HCA HEALTHCARE COM 40412C101 10,734 2,613 32.18 2,788 41.24 0.0061
2021-11-12 2021-09-30 13F HCA HEALTHCARE COM 40412C101 8,121 2,267 38.73 1,974 63.41 0.0053
2021-08-06 2021-06-30 13F HCA HEALTHCARE COM 40412C101 5,854 830 16.52 1,208 27.70 0.0035
2021-05-10 2021-03-31 13F HCA HEALTHCARE COM 40412C101 5,024 -7,444 -59.70 946 -53.81 0.0030
2021-02-10 2020-12-31 13F HCA HEALTHCARE COM 40412C101 12,468 -3,762 -23.18 2,048 1.44 0.0085
2020-11-13 2020-09-30 13F HCA HEALTHCARE COM 40412C101 16,230 -2,225 -12.06 2,019 13.30 0.0097
2020-08-10 2020-06-30 13F HCA HEALTHCARE COM 40412C101 18,455 -12,123 -39.65 1,782 -35.32 0.0097
2020-05-21 2020-03-31 13F HCA HEALTHCARE COM 40412C101 30,578 -12,827 -29.55 2,755 -57.07 0.0179
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 43,405 4,114 10.47 6,418 35.80 0.0379
2019-11-12 2019-09-30 13F HCA HEALTHCARE COM 40412C101 39,291 -594 -1.49 4,726 -12.12 0.0257
2019-08-13 2019-06-30 13F HCA HEALTHCARE COM 40412C101 39,885 -377 -0.94 5,378 2.42 0.0320
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 40,262 7,097 21.40 5,251 27.08 0.0351
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 33,165 12,050 57.07 4,132 40.74 0.0317
2018-11-09 2018-09-30 13F HCA HEALTHCARE COM 40412C101 21,115 -1,646 -7.23 2,936 25.95 0.0212
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 22,761 376 1.68 2,331 7.57 0.0183
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 22,385 8,666 63.17 2,167 79.83 0.0182
2018-02-14 2017-12-31 13F HCA HEALTHCARE COM 40412C101 13,719 -399 -2.83 1,205 7.49 0.0099
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM 40412C101 14,118 -4,057 -22.32 1,121 -29.01 0.0096
2017-09-22 2017-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 18,175 -14,852 -44.97 1,579 -46.24 0.0141
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM 40412C101 18,175 -14,852 1,579
2017-05-15 2017-03-31 13F HCA HOLDINGS COM 40412C101 33,027 23,711 254.52 2,937 325.04 0.0281
2017-02-10 2016-12-31 13F HCA HOLDINGS COM 40412C101 9,316 -3,446 -27.00 691 -28.91 0.0075
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 12,762 1,457 12.89 972 11.60 0.0113
2016-08-11 2016-06-30 13F HCA HOLDINGS COM 40412C101 11,305 1,146 11.28 871 10.11 0.0110
2016-05-16 2016-03-31 13F HCA HOLDINGS COM 40412C101 10,159 1,398 15.96 791 33.16 0.0026
2016-05-18 2015-12-31 13F/A-1 HCA HOLDINGS COM 40412C101 8,761 3,445 64.80 594 44.88 0.0071
2016-02-12 2015-12-31 13F HCA HOLDINGS COM 40412C101 8,761 594
2015-11-16 2015-09-30 13F HCA HOLDINGS COM 40412C101 5,316 977 22.52 410 4.06 0.0054
2015-08-11 2015-06-30 13F HCA HOLDINGS COM 40412C101 4,339 -3,704 -46.05 394 -34.88 0.0063
2015-05-15 2015-03-31 13F HCA HOLDINGS COM 40412C101 8,043 8,043 605 0.0090
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
(%)
2025-05-13 2025-03-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-02-07 2024-12-31 13F HCA HEALTHCARE COM Put 41,000 244 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA HOLDINGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2016-05-18 2015-12-31 13F/A HCA HOLDINGS COM Put 1,500 4 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.