HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionSignaturefd, Llc
Latest Disclosed Ownership16,893 shares
Latest Disclosed Value $ 7,994,366
Signaturefd, Llc ownership in HCA / HCA Healthcare, Inc.

On April 7, 2026 - Signaturefd, Llc filed a 13F-HR form disclosing ownership of 16,893 shares of HCA Healthcare, Inc. (MX:HCA) valued at $7,994,366 USD as of March 31, 2026. The entity filed a previous 13F-HR on January 20, 2026 disclosing 16,305 shares of HCA Healthcare, Inc.. This represents a change in shares of 3.61% during the quarter.

Signaturefd, 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 0 of underlying shares valued at $0 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)
2026-04-07 2026-03-31 13F HCA HEALTHCARE COM 40412C101 16,893 588 3.61 7,994 5.02 0.1225
2026-01-20 2025-12-31 13F HCA HEALTHCARE COM 40412C101 16,305 -379 -2.27 7,612 7.06 0.1162
2025-10-21 2025-09-30 13F HCA HEALTHCARE COM 40412C101 16,684 -762 -4.37 7,111 6.39 0.1121
2025-07-16 2025-06-30 13F HCA HEALTHCARE COM 40412C101 17,446 14,227 441.97 6,684 500.99 0.1139
2025-05-02 2025-03-31 13F HCA HEALTHCARE COM 40412C101 3,219 319 11.00 1,112 27.82 0.0211
2025-02-10 2024-12-31 13F HCA HEALTHCARE COM 40412C101 2,900 -255 -8.08 871 -32.14 0.0165
2024-10-21 2024-09-30 13F HCA HEALTHCARE COM 40412C101 3,155 133 4.40 1,282 32.16 0.0244
2024-07-29 2024-06-30 13F HCA HEALTHCARE COM 40412C101 3,022 150 5.22 971 1.36 0.0197
2024-05-03 2024-03-31 13F HCA HEALTHCARE COM 40412C101 2,872 63 2.24 958 25.92 0.0202
2024-02-01 2023-12-31 13F HCA HEALTHCARE COM 40412C101 2,809 -61 -2.13 760 7.80 0.0176
2023-11-03 2023-09-30 13F HCA HEALTHCARE COM 40412C101 2,870 -3 -0.10 706 -19.06 0.0184
2023-08-01 2023-06-30 13F HCA HEALTHCARE COM 40412C101 2,873 57 2.02 872 17.39 0.0223
2023-04-28 2023-03-31 13F HCA HEALTHCARE COM 40412C101 2,816 151 5.67 743 16.12 0.0203
2023-01-30 2022-12-31 13F HCA HEALTHCARE COM 40412C101 2,665 255 10.58 639 44.24 0.0187
2022-11-08 2022-09-30 13F HCA HEALTHCARE COM 40412C101 2,410 322 15.42 443 26.21 0.0152
2022-08-10 2022-06-30 13F HCA HEALTHCARE COM 40412C101 2,088 -197 -8.62 351 -38.74 0.0120
2022-05-02 2022-03-31 13F HCA HEALTHCARE COM 40412C101 2,285 247 12.12 573 9.35 0.0173
2022-01-25 2021-12-31 13F HCA HEALTHCARE COM 40412C101 2,038 -7 -0.34 524 5.65 0.0161
2021-10-28 2021-09-30 13F HCA HEALTHCARE COM 40412C101 2,045 256 14.31 496 34.05 0.0171
2021-07-26 2021-06-30 13F HCA HEALTHCARE COM 40412C101 1,789 151 9.22 370 19.74 0.0148
2021-04-30 2021-03-31 13F HCA HEALTHCARE COM 40412C101 1,638 153 10.30 309 26.64 0.0137
2021-02-11 2020-12-31 13F HCA HEALTHCARE COM 40412C101 1,485 -13 -0.87 244 30.48 0.0115
2020-11-03 2020-09-30 13F HCA HEALTHCARE COM 40412C101 1,498 2 0.13 187 28.97 0.0100
2020-07-30 2020-06-30 13F HCA HEALTHCARE COM 40412C101 1,496 -104 -6.50 145 0.69 0.0088
2020-04-23 2020-03-31 13F HCA HEALTHCARE COM 40412C101 1,600 275 20.75 144 -26.53 0.0124
2020-02-05 2019-12-31 13F HCA HEALTHCARE COM 40412C101 1,325 -259 -16.35 196 2.62 0.0145
2019-10-16 2019-09-30 13F HCA HEALTHCARE COM 40412C101 1,584 -21 -1.31 191 -11.98 0.0157
2019-07-31 2019-06-30 13F HCA HEALTHCARE COM 40412C101 1,605 -258 -13.85 217 -10.70 0.0188
2019-05-09 2019-03-31 13F HCA HEALTHCARE COM 40412C101 1,863 323 20.97 243 26.56 0.0207
2019-02-13 2018-12-31 13F HCA HEALTHCARE COM 40412C101 1,540 -1,091 -41.47 192 -47.54 0.0179
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 2,631 1,540 141.15 366 226.79 0.0372
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 1,091 86 8.56 112 15.46 0.0125
2018-05-08 2018-03-31 13F HCA HEALTHCARE COM 40412C101 1,005 504 100.60 97 155.26 0.0114
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 501 -18 -3.47 38 -5.00 0.0056
2016-07-29 2016-06-30 13F HCA HOLDINGS COM 40412C101 519 64 14.07 40 11.11 0.0058
2016-05-12 2016-03-31 13F HCA HOLDINGS COM 40412C101 455 357 364.29 36 414.29 0.0061
2016-01-22 2015-12-31 13F HCA HOLDINGS COM 40412C101 98 -4,719 -97.97 7 -98.12 0.0014
2015-10-23 2015-09-30 13F HCA HOLDINGS COM 40412C101 4,817 286 6.31 373 -9.25 0.0850
2015-07-15 2015-06-30 13F HCA HOLDINGS COM 40412C101 4,531 -994 -17.99 411 -1.20 0.0891
2015-04-15 2015-03-31 13F HCA HOLDINGS COM 40412C101 5,525 725 15.10 416 18.18 0.1009
2015-02-13 2014-12-31 13F HCA HOLDINGS COM 40412C101 4,800 4,800 352 0.0875
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
(%)
2019-05-09 2019-03-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 n/a n/a n/a
2019-02-13 2018-12-31 13F HCA HEALTHCARE COM Call 200 0 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.