HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionPrincipal Financial Group Inc
Latest Disclosed Ownership597,377 shares
Latest Disclosed Value $ 282,703,226
Principal Financial Group Inc reports 0.62% decrease in ownership of HCA / HCA Healthcare, Inc.

On May 4, 2026 - Principal Financial Group Inc filed a 13F-HR form disclosing ownership of 597,377 shares of HCA Healthcare, Inc. (MX:HCA) valued at $282,703,226 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 2, 2026 disclosing 601,132 shares of HCA Healthcare, Inc.. This represents a change in shares of -0.62% during the quarter.

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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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)
2026-05-04 2026-03-31 13F HCA HEALTHCARE COM 40412C101 597,377 -3,755 -0.62 282,703 0.73 0.1510
2026-02-02 2025-12-31 13F HCA HEALTHCARE COM 40412C101 601,132 -91,279 -13.18 280,645 -4.90 0.1433
2025-11-04 2025-09-30 13F HCA HEALTHCARE COM 40412C101 692,411 -167,342 -19.46 295,106 -10.40 0.1488
2025-08-08 2025-06-30 13F HCA HEALTHCARE COM 40412C101 859,753 -20,910 -2.37 329,372 8.23 0.1741
2025-04-28 2025-03-31 13F HCA HEALTHCARE COM 40412C101 880,663 6,888 0.79 304,313 16.03 0.1708
2025-01-31 2024-12-31 13F HCA HEALTHCARE COM 40412C101 873,775 476,756 120.08 262,264 62.53 0.1430
2024-10-31 2024-09-30 13F HCA HEALTHCARE COM 40412C101 397,019 628 0.16 161,360 26.70 0.0889
2024-07-29 2024-06-30 13F HCA HEALTHCARE COM 40412C101 396,391 -26,016 -6.16 127,352 -9.61 0.0756
2024-04-29 2024-03-31 13F HCA HEALTHCARE COM 40412C101 422,407 29,326 7.46 140,885 32.41 0.0828
2024-02-07 2023-12-31 13F HCA HEALTHCARE COM 40412C101 393,081 -6,267 -1.57 106,399 8.32 0.0678
2023-11-02 2023-09-30 13F HCA HEALTHCARE COM 40412C101 399,348 -675 -0.17 98,232 -19.08 0.0706
2023-08-07 2023-06-30 13F HCA HEALTHCARE COM 40412C101 400,023 26,936 7.22 121,399 23.40 0.0830
2023-05-09 2023-03-31 13F HCA HEALTHCARE COM 40412C101 373,087 133,007 55.40 98,376 70.76 0.0703
2023-02-09 2022-12-31 13F HCA HEALTHCARE COM 40412C101 240,080 -10,150 -4.06 57,610 25.26 0.0434
2022-11-09 2022-09-30 13F HCA HEALTHCARE COM 40412C101 250,230 -19,728 -7.31 45,990 1.37 0.0365
2022-08-10 2022-06-30 13F HCA HEALTHCARE COM 40412C101 269,958 236,592 709.08 45,369 442.56 0.0336
2022-05-09 2022-03-31 13F HCA HEALTHCARE COM 40412C101 33,366 -259,594 -88.61 8,362 -88.89 0.0033
2022-05-09 2022-03-31 13F HCA HEALTHCARE COM 40412C101 291,888 73,153
2022-02-09 2021-12-31 13F HCA HEALTHCARE COM 40412C101 292,960 -16,644 -5.38 75,267 0.16 0.0449
2021-11-09 2021-09-30 13F HCA HEALTHCARE COM 40412C101 309,604 -16,569 -5.08 75,147 11.44 0.0490
2021-08-10 2021-06-30 13F HCA HEALTHCARE COM 40412C101 326,173 9,275 2.93 67,433 12.98 0.0436
2021-05-10 2021-03-31 13F HCA HEALTHCARE COM 40412C101 316,898 -25,564 -7.46 59,684 5.97 0.0421
2021-02-23 2020-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 342,462 -21,960 -6.03 56,321 23.95 0.0417
2021-02-08 2020-12-31 13F HCA HEALTHCARE COM 40412C101 342,462 -21,960 56,321 22,157.5494
2020-11-06 2020-09-30 13F HCA HEALTHCARE COM 40412C101 364,422 -25,217 -6.47 45,437 20.14 0.0382
2020-08-05 2020-06-30 13F HCA HEALTHCARE COM 40412C101 389,639 -1,237,990 -76.06 37,819 -74.14 0.0335
2020-05-12 2020-03-31 13F HCA HEALTHCARE COM 40412C101 1,627,629 132,811 8.88 146,243 -33.81 0.1619
2020-02-05 2019-12-31 13F HCA HEALTHCARE COM 40412C101 1,494,818 59,729 4.16 220,949 27.85 0.1841
2019-11-13 2019-09-30 13F HCA HEALTHCARE COM 40412C101 1,435,089 30,794 2.19 172,813 -8.96 0.1524
2019-08-12 2019-06-30 13F HCA HEALTHCARE COM 40412C101 1,404,295 476,011 51.28 189,818 56.84 0.1707
2019-05-10 2019-03-31 13F HCA HEALTHCARE COM 40412C101 928,284 219,386 30.95 121,029 37.19 0.1127
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 708,898 286,218 67.72 88,222 50.03 0.0940
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 422,680 4,490 1.07 58,803 37.05 0.0518
2018-08-13 2018-06-30 13F HCA HEALTHCARE COM 40412C101 418,190 12,960 3.20 42,906 9.16 0.0394
2018-05-14 2018-03-31 13F HCA HEALTHCARE COM 40412C101 405,230 -1,091 -0.27 39,307 10.13 0.0378
2018-02-12 2017-12-31 13F HCA HEALTHCARE COM 40412C101 406,321 -12,016 -2.87 35,691 7.20 0.0329
2017-11-02 2017-09-30 13F HCA HEALTHCARE COM 40412C101 418,337 -9,073 -2.12 33,295 -10.67 0.0323
2017-08-08 2017-06-30 13F HCA HEALTHCARE COM 40412C101 427,410 -39,141 -8.39 37,270 -10.23 0.0374
2017-05-11 2017-03-31 13F HCA HOLDINGS COM 40412C101 466,551 33,810 7.81 41,518 29.62 0.0500
2017-02-13 2016-12-31 13F HCA HOLDINGS COM 40412C101 432,741 -14,425 -3.23 32,031 -5.29 0.0406
2016-11-10 2016-09-30 13F HCA HOLDINGS COM 40412C101 447,166 -28,198 -5.93 33,820 -7.62 0.0447
2016-08-09 2016-06-30 13F HCA HOLDINGS COM 40412C101 475,364 -10,116 -2.08 36,608 -3.39 0.0511
2016-05-10 2016-03-31 13F HCA HOLDINGS COM 40412C101 485,480 1,683 0.35 37,892 15.81 0.0550
2016-02-09 2015-12-31 13F HCA HOLDINGS COM 40412C101 483,797 -363,927 -42.93 32,719 -50.11 0.0486
2015-11-12 2015-09-30 13F/A-1 HCA HOLDINGS COM 40412C101 847,724 -4,408 -0.52 65,580 -15.17 0.1030
2015-11-09 2015-09-30 13F HCA HOLDINGS COM 40412C101 847,724 65,580
2015-08-10 2015-06-30 13F HCA HOLDINGS COM 40412C101 852,132 -133,089 -13.51 77,306 4.30 0.1153
2015-05-14 2015-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 985,221 332,330 50.90 74,117 54.68 0.1104
2015-05-12 2015-03-31 13F HCA HOLDINGS COM 40412C101 985,221 74,118
2015-02-12 2014-12-31 13F HCA HOLDINGS COM 40412C101 652,891 137,453 26.67 47,916 31.82 0.0744
2014-11-13 2014-09-30 13F HCA HOLDINGS COM 40412C101 515,438 -926,202 -64.25 36,349 -55.28 0.0617
2014-08-12 2014-06-30 13F HCA HOLDINGS COM 40412C101 1,441,640 7,647 0.53 81,280 7.96 0.1367
2014-05-13 2014-03-31 13F HCA HOLDINGS COM 40412C101 1,433,993 -887,307 -38.22 75,285 -32.02 0.1343
2014-02-12 2013-12-31 13F HCA HOLDINGS COM 40412C101 2,321,300 601,946 35.01 110,750 50.67 0.2067
2013-11-05 2013-09-30 13F HCA HOLDINGS COM 40412C101 1,719,354 -524,835 -23.39 73,503 -9.17 0.1518
2013-08-12 2013-06-30 13F HCA HOLDINGS COM 40412C101 2,244,189 2,244,189 80,925 0.1792
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.