HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionPeak6 Llc
Latest Disclosed Ownership0 shares
Latest Disclosed Value $ 0
Peak6 Llc ownership in HCA / HCA Healthcare, Inc.

On March 12, 2026 - Peak6 Llc filed a 13F-HR/A form disclosing ownership of 0 shares of HCA Healthcare, Inc. (MX:HCA) valued at $0 USD as of December 31, 2025. The entity filed a previous 13F-HR/A on March 30, 2026 disclosing 2 shares of HCA Healthcare, Inc..

Peak6 Llc 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 31,600 of underlying shares valued at $14,954,384 USD and put options representing 2,100 of underlying shares valued at $993,804 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)
2026-03-12 2025-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 0 -2 -100.00 0 0.0000
2026-02-13 2025-12-31 13F HCA HEALTHCARE COM 40412C101 0 -2 0
2026-03-30 2025-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 2 -4,317 -99.95 1 -100.00 0.0000
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 2 -4,317 1 0.0000
2026-03-26 2025-06-30 13F/A-2 HCAHEALTHCAREINC COM 40412C101 4,319 -1,742 -28.74 1,655 -21.01 0.0031
2025-11-13 2025-06-30 13F/A-1 HCAHEALTHCAREINC COM 40412C101 4,319 -1,742 1,655 0.0031
2025-08-14 2025-06-30 13F HCAHEALTHCAREINC COM 40412C101 4,319 -1,742 1,655 0.0030
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM 40412C101 6,061 4,722 352.65 2,094 422.19 0.0047
2025-02-13 2024-12-31 13F HCA HEALTHCARE COM 40412C101 1,339 1,339 402 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
(%)
2026-05-14 2026-03-31 13F HCA HEALTHCARE COM Call 31,600 -14.82 14,954 -13.66 n/a n/a n/a
2026-03-12 2025-12-31 13F/A HCA HEALTHCARE COM Call 37,100 126.22 17,321 147.82 n/a n/a n/a
2026-02-13 2025-12-31 13F HCA HEALTHCARE COM Call 37,100 17,321 n/a n/a n/a
2026-03-30 2025-09-30 13F/A HCA HEALTHCARE COM Call 16,400 -18.00 6,990 -8.78 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Call 16,400 6,990 n/a n/a n/a
2025-11-13 2025-06-30 13F/A HCAHEALTHCAREINC COM Call 20,000 7,662 n/a n/a n/a
2026-03-26 2025-06-30 13F/A HCAHEALTHCAREINC COM Call 20,000 163.16 7,662 191.77 n/a n/a n/a
2025-08-14 2025-06-30 13F HCAHEALTHCAREINC COM Call 20,000 7,662 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM Call 7,600 -6.17 2,626 8.02 n/a n/a n/a
2025-02-13 2024-12-31 13F HCA HEALTHCARE COM Call 8,100 2,431 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
(%)
2026-05-14 2026-03-31 13F HCA HEALTHCARE COM Put 2,100 -81.74 994 -81.50 n/a n/a n/a
2026-03-12 2025-12-31 13F/A HCA HEALTHCARE COM Put 11,500 125.49 5,369 147.03 n/a n/a n/a
2026-02-13 2025-12-31 13F HCA HEALTHCARE COM Put 11,500 5,369 n/a n/a n/a
2026-03-30 2025-09-30 13F/A HCA HEALTHCARE COM Put 5,100 -71.67 2,174 -68.48 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Put 5,100 2,174 n/a n/a n/a
2025-11-13 2025-06-30 13F/A HCAHEALTHCAREINC COM Put 18,000 6,896 n/a n/a n/a
2026-03-26 2025-06-30 13F/A HCAHEALTHCAREINC COM Put 18,000 847.37 6,896 951.07 n/a n/a n/a
2025-08-14 2025-06-30 13F HCAHEALTHCAREINC COM Put 18,000 6,896 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM Put 1,900 -48.65 657 -40.90 n/a n/a n/a
2025-02-13 2024-12-31 13F HCA HEALTHCARE COM Put 3,700 1,111 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.