HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionFirst Eagle Investment Management, LLC
ManagerJohn Arnhold
Latest Disclosed Ownership3,254,570 shares
Latest Disclosed Value $ 1,540,192,631
First Eagle Investment Management, LLC reports 10.74% decrease in ownership of HCA / HCA Healthcare, Inc.

On May 14, 2026 - First Eagle Investment Management, LLC filed a 13F-HR/A form disclosing ownership of 3,254,570 shares of HCA Healthcare, Inc. (MX:HCA) valued at $1,540,192,631 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 4, 2026 disclosing 3,646,152 shares of HCA Healthcare, Inc.. This represents a change in shares of -10.74% 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)
2026-05-14 2026-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 3,254,570 -391,582 -10.74 1,540,193 -9.52 2.5188
2026-05-12 2026-03-31 13F HCA HEALTHCARE COM 40412C101 3,254,570 -391,582 1,540,193 1.9817
2026-02-04 2025-12-31 13F HCA HEALTHCARE COM 40412C101 3,646,152 -273,320 -6.97 1,702,243 1.90 2.9957
2025-11-12 2025-09-30 13F HCA HEALTHCARE COM 40412C101 3,919,472 -290,385 -6.90 1,670,479 3.58 2.9591
2025-08-06 2025-06-30 13F HCA HEALTHCARE COM 40412C101 4,209,857 -312,244 -6.90 1,612,796 3.21 3.1664
2025-05-12 2025-03-31 13F HCA HEALTHCARE COM 40412C101 4,522,101 18,252 0.41 1,562,612 15.59 3.2606
2025-02-10 2024-12-31 13F HCA HEALTHCARE COM 40412C101 4,503,849 23,177 0.52 1,351,830 -25.77 3.0170
2024-11-12 2024-09-30 13F HCA HEALTHCARE COM 40412C101 4,480,672 -12,367 -0.28 1,821,079 26.16 3.7465
2024-08-12 2024-06-30 13F HCA HEALTHCARE COM 40412C101 4,493,039 -9,500 -0.21 1,443,523 -3.88 3.2315
2024-05-09 2024-03-31 13F HCA HEALTHCARE COM 40412C101 4,502,539 724 0.02 1,501,732 23.24 3.4113
2024-02-08 2023-12-31 13F HCA HEALTHCARE COM 40412C101 4,501,815 -5,113 -0.11 1,218,551 9.92 2.9032
2023-11-08 2023-09-30 13F HCA HEALTHCARE COM 40412C101 4,506,928 -49,437 -1.09 1,108,614 -19.83 2.8683
2023-08-09 2023-06-30 13F HCA HEALTHCARE COM 40412C101 4,556,365 -32,653 -0.71 1,382,766 14.28 3.5360
2023-05-11 2023-03-31 13F HCA HEALTHCARE COM 40412C101 4,589,018 -27,842 -0.60 1,210,032 9.22 3.1994
2023-02-09 2022-12-31 13F HCA HEALTHCARE COM 40412C101 4,616,860 116,442 2.59 1,107,862 33.94 3.0493
2022-11-10 2022-09-30 13F HCA HEALTHCARE COM 40412C101 4,500,418 31,417 0.70 827,132 10.13 2.4806
2022-08-10 2022-06-30 13F HCA HEALTHCARE COM 40412C101 4,469,001 1,963,219 78.35 751,060 19.60 2.1204
2022-05-11 2022-03-31 13F HCA HEALTHCARE COM 40412C101 2,505,782 143,254 6.06 627,999 3.46 1.5377
2022-02-10 2021-12-31 13F HCA HEALTHCARE COM 40412C101 2,362,528 -23,371 -0.98 606,981 4.81 1.5205
2021-11-10 2021-09-30 13F HCA HEALTHCARE COM 40412C101 2,385,899 116,903 5.15 579,105 23.45 1.4853
2021-08-11 2021-06-30 13F HCA HEALTHCARE COM 40412C101 2,268,996 15,168 0.67 469,092 10.51 1.1727
2021-05-13 2021-03-31 13F HCA HEALTHCARE COM 40412C101 2,253,828 -113,933 -4.81 424,486 9.01 1.1293
2021-02-10 2020-12-31 13F HCA HEALTHCARE COM 40412C101 2,367,761 -8,694 -0.37 389,402 31.42 1.0969
2020-11-10 2020-09-30 13F HCA HEALTHCARE COM 40412C101 2,376,455 4,272 0.18 296,296 28.69 0.8891
2020-08-10 2020-06-30 13F HCA HEALTHCARE COM 40412C101 2,372,183 13,352 0.57 230,244 8.64 0.7235
2020-05-12 2020-03-31 13F HCA HEALTHCARE COM 40412C101 2,358,831 -1,286 -0.05 211,941 -39.25 0.7693
2020-02-10 2019-12-31 13F HCA HEALTHCARE COM 40412C101 2,360,117 -13,740 -0.58 348,849 22.03 0.9547
2019-11-12 2019-09-30 13F HCA HEALTHCARE COM 40412C101 2,373,857 6,470 0.27 285,860 -10.67 0.8120
2019-08-13 2019-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 2,367,387 97,819 4.31 320,000 8.14 0.8636
2019-08-12 2019-06-30 13F HCA HEALTHCARE COM 40412C101 2,269,568 0 295,906
2019-05-13 2019-03-31 13F HCA HEALTHCARE COM 40412C101 2,269,568 -21,110 -0.92 295,906 3.80 0.8001
2019-02-11 2018-12-31 13F HCA HEALTHCARE COM 40412C101 2,290,678 2,823 0.12 285,075 -10.43 0.8242
2018-11-13 2018-09-30 13F HCA HEALTHCARE COM 40412C101 2,287,855 -2,182 -0.10 318,286 35.47 0.7998
2018-08-13 2018-06-30 13F HCA HEALTHCARE COM 40412C101 2,290,037 2,290,037 234,958 0.5772
2015-05-07 2015-03-31 13F HCA HOLDINGS COM 40412C101 0 -1,415,378 -100.00 0 -100.00
2015-02-09 2014-12-31 13F HCA HOLDINGS COM 40412C101 1,415,378 -1,755,744 -55.37 103,875 -53.55 0.2524
2014-11-13 2014-09-30 13F HCA HOLDINGS COM 40412C101 3,171,122 207,063 6.99 223,628 33.82 0.5550
2014-08-13 2014-06-30 13F/A-1 HCA HOLDINGS COM 40412C101 2,964,059 2,964,059 84.58 167,114 188.59 0.4045
2014-08-08 2014-06-30 13F HCA HOLDINGS COM 40412C101 2,964,059 167,114
2013-11-13 2013-09-30 13F HCA HOLDINGS COM 40412C101 0 -1,605,839 -100.00 0 -100.00
2013-08-12 2013-06-30 13F HCA HOLDINGS COM 40412C101 1,605,839 1,605,839 57,907 0.1760
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.