HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionBalyasny Asset Management Llc
Latest Disclosed Ownership2,508 shares
Latest Disclosed Value $ 1,186,886
Balyasny Asset Management Llc ownership in HCA / HCA Healthcare, Inc.

On May 15, 2026 - Balyasny Asset Management Llc filed a 13F-HR form disclosing ownership of 2,508 shares of HCA Healthcare, Inc. (MX:HCA) valued at $1,186,886 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 4,788 shares of HCA Healthcare, Inc.. This represents a change in shares of -47.62% during the quarter.

Balyasny Asset Management 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 and put 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)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM 40412C101 2,508 -2,280 -47.62 1,187 -46.94 0.0015
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 4,788 -2,382 -33.22 2,235 -26.84 0.0028
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 7,170 -116,049 -94.18 3,056 -93.53 0.0039
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 123,219 121,195 5,987.90 47,205 6,653.22 0.0711
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 2,024 -7,382 -78.48 699 -75.24 0.0012
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 9,406 -1,879 -16.65 2,823 -38.44 0.0042
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 11,285 9,325 475.77 4,587 629.09 0.0075
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM 40412C101 1,960 -7,801 -79.92 630 -80.68 0.0011
2024-05-13 2024-03-31 13F HCA HEALTHCARE COM 40412C101 9,761 -226,355 -95.87 3,256 -94.91 0.0057
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM 40412C101 236,116 232,829 7,083.33 63,912 7,809.78 0.1200
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 3,287 124 3.92 809 -15.75 0.0016
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 3,163 -8,351 -72.53 960 -68.41 0.0021
2023-05-15 2023-03-31 13F HCA HEALTHCARE COM 40412C101 11,514 9,350 432.07 3,036 484.97 0.0076
2023-02-14 2022-12-31 13F HCA HEALTHCARE COM 40412C101 2,164 -1,851 -46.10 519 -29.67 0.0014
2022-11-15 2022-09-30 13F HCA HEALTHCARE COM 40412C101 4,015 -812 -16.82 738 -9.00 0.0023
2022-08-15 2022-06-30 13F HCA HEALTHCARE COM 40412C101 4,827 4,827 811 0.0026
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM 40412C101 0 -69,764 -100.00 0 -100.00
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 69,764 -78,595 -52.98 17,924 -50.22 0.0613
2021-12-01 2021-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 148,359 148,359 36,010 0.1500
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM 40412C101 148,359 148,359 36,010 0.1481
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM 40412C101 0 -102,436 -100.00 0 -100.00
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM 40412C101 102,436 102,436 12,772 0.0936
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM 40412C101 0 -117,658 -100.00 0 -100.00
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 117,658 -4,343 -3.56 17,391 18.38 0.1034
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM 40412C101 122,001 114,278 1,479.71 14,691 1,307.18 0.1010
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM 40412C101 7,723 -37,563 -82.95 1,044 -82.32 0.0067
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 45,286 33,344 279.22 5,904 297.31 0.0393
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 11,942 -75,543 -86.35 1,486 -87.79 0.0107
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 87,485 -25,006 -22.23 12,171 5.45 0.0553
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 112,491 101,922 964.35 11,542 1,026.05 0.0524
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 10,569 -237,755 -95.74 1,025 -95.30 0.0043
2018-02-14 2017-12-31 13F HCA Healthcare Common Stock 40412C101 248,324 230,642 1,304.39 21,813 1,450.32 0.0682
2017-11-14 2017-09-30 13F HCA Healthcare Common Stock 40412C101 17,682 17,682 1,407 0.0055
2017-08-14 2017-06-30 13F HCA Holdings Common Stock 40412C101 0 -7,500 -100.00 0 -100.00
2017-05-15 2017-03-31 13F HCA Holdings Common Stock 40412C101 7,500 -214,419 -96.62 667 -95.94 0.0031
2017-02-14 2016-12-31 13F HCA Holdings Common Stock 40412C101 221,919 -75,823 -25.47 16,426 -28.36 0.0882
2016-08-15 2016-06-30 13F HCA Holdings Common Stock 40412C101 297,742 -318,562 -51.69 22,929 -52.33 0.1485
2016-05-16 2016-03-31 13F HCA Holdings Common Stock 40412C101 616,304 616,304 0.00 48,103 0.2856
2015-11-16 2015-09-30 13F HCA Holdings Common Stock 40412C101 0 -3,010 -100.00 0 -100.00
2015-08-14 2015-06-30 13F HCA Holdings Common Stock 40412C101 3,010 -1,550 -33.99 273 -20.41 0.0017
2015-05-15 2015-03-31 13F HCA Holdings Common Stock 40412C101 4,560 4,560 0.00 343 0.0028
2014-11-14 2014-09-30 13F HCA Holdings Common Stock 40412C101 0 -247,723 -100.00 0 -100.00
2014-08-15 2014-06-30 13F/A-1 HCA Holdings Common Stock 40412C101 247,723 -26,660 13,967 0.1583
2014-08-25 2014-06-30 13F/A-2 HCA Holdings Common Stock 40412C101 247,723 0 13,967 0.1583
2014-09-19 2014-06-30 13F/A-3 HCA Holdings Common Stock 40412C101 247,723 -26,660 -9.72 13,967 -3.04 0.1579
2014-08-14 2014-06-30 13F HCA Holdings Common Stock 40412C101 247,723 13,967
2014-05-15 2014-03-31 13F HCA Holdings Common Stock 40412C101 274,383 -205,618 -42.84 14,405 -37.10 0.1637
2014-02-14 2013-12-31 13F HCA Holdings Common Stock 40412C101 480,001 -270,975 -36.08 22,901 -28.67 0.2983
2013-11-14 2013-09-30 13F HCA Holdings Common Stock 40412C101 750,976 475,978 173.08 32,104 223.76 0.4332
2013-08-14 2013-06-30 13F HCA Holdings Common Stock 40412C101 274,998 274,998 9,916 0.1665
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
(%)
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM Call 320,000 13,233.33 96,048 9,751.08 n/a n/a n/a
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM Call 2,400 975 n/a n/a n/a
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM Call 60,000 7,481 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA Holdings Common Stock Call 0 -100.00 0 -100.00 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA Holdings Common Stock Call 250,000 -61.16 19,513 -15.92 n/a n/a n/a
2013-11-14 2013-09-30 13F HCA Holdings Call Call 0 -100.00 0 -100.00 n/a n/a n/a
2013-08-14 2013-06-30 13F HCA Holdings Call Call 643,600 23,208 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
(%)
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM Put 25,100 3,485.71 8,673 4,030.00 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM Put 700 -70.83 210 -78.46 n/a n/a n/a
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM Put 2,400 975 n/a n/a n/a
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2024-05-13 2024-03-31 13F HCA HEALTHCARE COM Put 1,200 33.33 400 64.61 n/a n/a n/a
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM Put 900 244 n/a n/a n/a
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM Put 156,000 47,343 n/a n/a n/a
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-12-01 2021-09-30 13F/A HCA HEALTHCARE COM Put 5,000 1,214 n/a n/a n/a
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM Put 5,000 1,214 n/a n/a n/a
2020-08-14 2020-06-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM Put 40,000 3,594 n/a n/a n/a
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM Put 25,000 3,206 n/a n/a n/a
2018-02-14 2017-12-31 13F HCA Healthcare Common Stock Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA Healthcare Common Stock Put 75,000 5,969 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA Holdings Common Stock Put 0 -100.00 0 -100.00 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA Holdings Common Stock Put 100,000 9,072 n/a n/a n/a
2014-11-14 2014-09-30 13F HCA Holdings Common Stock Put 0 -100.00 0 -100.00 n/a n/a n/a
2014-08-15 2014-06-30 13F/A HCA Holdings Common Stock Put 100,000 5,638 n/a n/a n/a
2014-08-25 2014-06-30 13F/A HCA Holdings Common Stock Put 100,000 5,638 n/a n/a n/a
2014-09-19 2014-06-30 13F/A HCA Holdings Common Stock Put 100,000 5,638 n/a n/a n/a
2014-08-14 2014-06-30 13F HCA Holdings Put Put 100,000 5,638 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.