HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionJane Street Group, Llc
Latest Disclosed Ownership143,150 shares
Latest Disclosed Value $ 67,744,306
Jane Street Group, Llc ownership in HCA / HCA Healthcare, Inc.

On May 12, 2026 - Jane Street Group, Llc filed a 13F-HR form disclosing ownership of 143,150 shares of HCA Healthcare, Inc. (MX:HCA) valued at $67,744,306 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 12, 2026 disclosing 131,403 shares of HCA Healthcare, Inc.. This represents a change in shares of 8.94% during the quarter.

Jane Street Group, 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 102,800 of underlying shares valued at $48,649,072 USD and put options representing 65,200 of underlying shares valued at $30,855,248 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)
2026-05-12 2026-03-31 13F HCA HEALTHCARE COM 40412C101 143,150 11,747 8.94 67,744 10.43 0.0043
2026-02-12 2025-12-31 13F HCA HEALTHCARE COM 40412C101 131,403 -1,087 -0.82 61,347 8.64 0.0093
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 132,490 5,062 3.97 56,467 15.67 0.0086
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 127,428 113,255 799.09 48,818 896.88 0.0097
2025-05-19 2025-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 14,173 -205,880 -93.56 4,897 -92.59 0.0012
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM 40412C101 14,173 -205,880 4,897 0.0010
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 220,053 74,139 50.81 66,049 11.37 0.0143
2024-11-15 2024-09-30 13F HCA HEALTHCARE COM 40412C101 145,914 -166,173 -53.25 59,304 -40.85 0.0131
2024-08-15 2024-06-30 13F HCA HEALTHCARE COM 40412C101 312,087 252,463 423.43 100,267 404.21 0.0229
2024-05-16 2024-03-31 13F HCA HEALTHCARE COM 40412C101 59,624 -37,468 -38.59 19,886 -24.33 0.0042
2024-02-15 2023-12-31 13F HCA HEALTHCARE COM 40412C101 97,092 -48,814 -33.46 26,281 -26.77 0.0068
2023-11-15 2023-09-30 13F HCA HEALTHCARE COM 40412C101 145,906 71,161 95.21 35,890 58.22 0.0116
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 74,745 34,646 86.40 22,684 114.54 0.0076
2023-05-16 2023-03-31 13F HCA HEALTHCARE COM 40412C101 40,099 -11,901 -22.89 10,573 -15.26 0.0043
2023-02-15 2022-12-31 13F HCA HEALTHCARE COM 40412C101 52,000 -121,189 -69.97 12,478 -60.80 0.0058
2022-11-15 2022-09-30 13F HCA HEALTHCARE COM 40412C101 173,189 -508,720 -74.60 31,830 -72.23 0.0139
2022-08-16 2022-06-30 13F HCA HEALTHCARE COM 40412C101 681,909 587,509 622.36 114,601 384.39 0.0486
2022-05-17 2022-03-31 13F HCA HEALTHCARE COM 40412C101 94,400 42,780 82.87 23,659 78.38 0.0077
2022-02-15 2021-12-31 13F HCA HEALTHCARE COM 40412C101 51,620 -85,144 -62.26 13,263 -60.05 0.0044
2021-11-16 2021-09-30 13F HCA HEALTHCARE COM 40412C101 136,764 59,494 76.99 33,195 107.79 0.0117
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM 40412C101 77,270 -13,487 -14.86 15,975 -6.54 0.0062
2021-05-18 2021-03-31 13F HCA HEALTHCARE COM 40412C101 90,757 57,658 174.20 17,093 214.04 0.0085
2021-02-17 2020-12-31 13F HCA HEALTHCARE COM 40412C101 33,099 29,536 828.96 5,443 1,125.90 0.0027
2020-11-17 2020-09-30 13F HCA HEALTHCARE COM 40412C101 3,563 -31,820 -89.93 444 -87.07 0.0003
2020-08-17 2020-06-30 13F HCA HEALTHCARE COM 40412C101 35,383 25,837 270.66 3,434 300.23 0.0026
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM 40412C101 9,546 6,117 178.39 858 69.23 0.0008
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 3,429 -22,845 -86.95 507 -83.98 0.0007
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM 40412C101 26,274 -10,811 -29.15 3,164 -36.88 0.0052
2019-08-15 2019-06-30 13F HCA HEALTHCARE COM 40412C101 37,085 -3,449 -8.51 5,013 -5.13 0.0089
2019-05-16 2019-03-31 13F HCA HEALTHCARE COM 40412C101 40,534 36,389 877.90 5,284 924.03 0.0086
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 4,145 -1,957 -32.07 516 -39.22 0.0011
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 6,102 -8,468 -58.12 849 -43.21 0.0017
2018-08-15 2018-06-30 13F HCA HEALTHCARE COM 40412C101 14,570 7,532 107.02 1,495 118.89 0.0035
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 7,038 -42,512 -85.80 683 -84.31 0.0018
2018-02-15 2017-12-31 13F HCA HEALTHCARE COM 40412C101 49,550 27,428 123.99 4,352 147.13 0.0125
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM 40412C101 22,122 -34,350 -60.83 1,761 -64.24 0.0057
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM 40412C101 56,472 49,576 718.91 4,924 701.95 0.0173
2017-05-15 2017-03-31 13F HCA HOLDINGS COM 40412C101 6,896 -994 -12.60 614 5.14 0.0027
2017-02-15 2016-12-31 13F HCA HOLDINGS COM 40412C101 7,890 -24,184 -75.40 584 -75.93 0.0025
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 32,074 29,182 1,009.06 2,426 987.89 0.0116
2016-08-15 2016-06-30 13F HCA HOLDINGS COM 40412C101 2,892 -29,517 -91.08 223 -91.19 0.0011
2016-05-17 2016-03-31 13F HCA HOLDINGS COM 40412C101 32,409 13,741 73.61 2,530 100.32 0.0142
2016-02-16 2015-12-31 13F HCA HOLDINGS COM 40412C101 18,668 18,668 0.00 1,263 0.0079
2015-11-16 2015-09-30 13F HCA HOLDINGS COM 40412C101 0 -214,463 -100.00 0 -100.00
2015-08-14 2015-06-30 13F HCA HOLDINGS COM 40412C101 214,463 182,815 577.65 19,456 717.14 0.1258
2015-05-12 2015-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 31,648 22,410 242.58 2,381 251.18 0.0184
2015-05-11 2015-03-31 13F HCA HOLDINGS COM 40412C101 9,238 678
2015-02-17 2014-12-31 13F HCA HOLDINGS COM 40412C101 9,238 1,000 12.14 678 16.70 0.0051
2014-11-14 2014-09-30 13F HCA HOLDINGS COM 40412C101 8,238 8,238 0.00 581 0.0059
2014-08-14 2014-06-30 13F HCA HOLDINGS COM 40412C101 0 -47,696 -100.00 0 -100.00
2014-05-15 2014-03-31 13F HCA HOLDINGS COM 40412C101 47,696 47,696 2,504 0.0277
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
(%)
2026-05-12 2026-03-31 13F HCA HEALTHCARE COM Call 102,800 -55.34 48,649 -54.73 n/a n/a n/a
2026-02-12 2025-12-31 13F HCA HEALTHCARE COM Call 230,200 15.79 107,471 26.84 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Call 198,800 49.92 84,729 66.79 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM Call 132,600 16.83 50,799 29.53 n/a n/a n/a
2025-05-19 2025-03-31 13F/A HCA HEALTHCARE COM Call 113,500 -61.20 39,220 -55.33 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM Call 113,500 39,220 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM Call 292,500 113.66 87,794 57.79 n/a n/a n/a
2024-11-15 2024-09-30 13F HCA HEALTHCARE COM Call 136,900 135.63 55,640 198.08 n/a n/a n/a
2024-08-15 2024-06-30 13F HCA HEALTHCARE COM Call 58,100 -65.84 18,666 -67.10 n/a n/a n/a
2024-05-16 2024-03-31 13F HCA HEALTHCARE COM Call 170,100 -39.72 56,733 -25.73 n/a n/a n/a
2024-02-15 2023-12-31 13F HCA HEALTHCARE COM Call 282,200 -34.87 76,386 -28.33 n/a n/a n/a
2023-11-15 2023-09-30 13F HCA HEALTHCARE COM Call 433,300 7.55 106,583 -12.83 n/a n/a n/a
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM Call 402,900 123.34 122,272 157.05 n/a n/a n/a
2023-05-16 2023-03-31 13F HCA HEALTHCARE COM Call 180,400 126.35 47,568 148.73 n/a n/a n/a
2023-02-15 2022-12-31 13F HCA HEALTHCARE COM Call 79,700 -38.93 19,125 -20.27 n/a n/a n/a
2022-11-15 2022-09-30 13F HCA HEALTHCARE COM Call 130,500 -13.35 23,985 -5.24 n/a n/a n/a
2022-08-16 2022-06-30 13F HCA HEALTHCARE COM Call 150,600 34.95 25,310 -9.51 n/a n/a n/a
2022-05-17 2022-03-31 13F HCA HEALTHCARE COM Call 111,600 83.55 27,969 79.05 n/a n/a n/a
2022-02-15 2021-12-31 13F HCA HEALTHCARE COM Call 60,800 2.88 15,621 8.90 n/a n/a n/a
2021-11-16 2021-09-30 13F HCA HEALTHCARE COM Call 59,100 -41.60 14,345 -31.44 n/a n/a n/a
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM Call 101,200 28.59 20,922 41.16 n/a n/a n/a
2021-05-18 2021-03-31 13F HCA HEALTHCARE COM Call 78,700 -41.49 14,822 -32.99 n/a n/a n/a
2021-02-17 2020-12-31 13F HCA HEALTHCARE COM Call 134,500 14.08 22,120 50.48 n/a n/a n/a
2020-11-17 2020-09-30 13F HCA HEALTHCARE COM Call 117,900 28.71 14,700 65.34 n/a n/a n/a
2020-08-17 2020-06-30 13F HCA HEALTHCARE COM Call 91,600 -17.10 8,891 -10.45 n/a n/a n/a
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM Call 110,500 161.23 9,928 58.80 n/a n/a n/a
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM Call 42,300 230.47 6,252 305.71 n/a n/a n/a
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM Call 12,800 -28.89 1,541 -36.66 n/a n/a n/a
2019-08-15 2019-06-30 13F HCA HEALTHCARE COM Call 18,000 20.00 2,433 24.39 n/a n/a n/a
2019-05-16 2019-03-31 13F HCA HEALTHCARE COM Call 15,000 -15.25 1,956 -11.21 n/a n/a n/a
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM Call 17,700 669.57 2,203 588.44 n/a n/a n/a
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM Call 2,300 -86.14 320 -81.21 n/a n/a n/a
2018-08-15 2018-06-30 13F HCA HEALTHCARE COM Call 16,600 492.86 1,703 526.10 n/a n/a n/a
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM Call 2,800 -99.27 272 -99.20 n/a n/a n/a
2018-02-15 2017-12-31 13F HCA HEALTHCARE COM Call 386,200 89.50 33,924 109.15 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM Call 203,800 0.20 16,220 -8.55 n/a n/a n/a
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM Call 203,400 2,442.50 17,736 2,391.01 n/a n/a n/a
2017-05-15 2017-03-31 13F HCA HOLDINGS COM Call 8,000 -64.91 712 -57.82 n/a n/a n/a
2017-02-15 2016-12-31 13F HCA HOLDINGS COM Call 22,800 -71.96 1,688 -72.55 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS COM Call 81,300 6,149 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2016-05-17 2016-03-31 13F HCA HOLDINGS COM Call 9,800 -13.27 765 0.13 n/a n/a n/a
2016-02-16 2015-12-31 13F HCA HOLDINGS COM Call 11,300 135.42 764 105.93 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA HOLDINGS COM Call 4,800 -64.96 371 -70.15 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA HOLDINGS COM Call 13,700 1,243 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
(%)
2026-05-12 2026-03-31 13F HCA HEALTHCARE COM Put 65,200 -61.10 30,855 -60.57 n/a n/a n/a
2026-02-12 2025-12-31 13F HCA HEALTHCARE COM Put 167,600 -32.31 78,246 -25.85 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Put 247,600 37.10 105,527 52.52 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM Put 180,600 16.37 69,188 29.01 n/a n/a n/a
2025-05-19 2025-03-31 13F/A HCA HEALTHCARE COM Put 155,200 -36.78 53,629 -27.22 n/a n/a n/a
2025-05-14 2025-03-31 13F HCA HEALTHCARE COM Put 155,200 53,629 n/a n/a n/a
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM Put 245,500 39.17 73,687 2.78 n/a n/a n/a
2024-11-15 2024-09-30 13F HCA HEALTHCARE COM Put 176,400 -3.66 71,694 21.87 n/a n/a n/a
2024-08-15 2024-06-30 13F HCA HEALTHCARE COM Put 183,100 59.91 58,826 54.04 n/a n/a n/a
2024-05-16 2024-03-31 13F HCA HEALTHCARE COM Put 114,500 -32.09 38,189 -16.32 n/a n/a n/a
2024-02-15 2023-12-31 13F HCA HEALTHCARE COM Put 168,600 141.20 45,637 165.42 n/a n/a n/a
2023-11-15 2023-09-30 13F HCA HEALTHCARE COM Put 69,900 -67.11 17,194 -73.34 n/a n/a n/a
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM Put 212,500 194.73 64,490 239.22 n/a n/a n/a
2023-05-16 2023-03-31 13F HCA HEALTHCARE COM Put 72,100 -55.47 19,011 -51.06 n/a n/a n/a
2023-02-15 2022-12-31 13F HCA HEALTHCARE COM Put 161,900 -39.39 38,850 -20.86 n/a n/a n/a
2022-11-15 2022-09-30 13F HCA HEALTHCARE COM Put 267,100 0.41 49,090 9.81 n/a n/a n/a
2022-08-16 2022-06-30 13F HCA HEALTHCARE COM Put 266,000 20.20 44,704 -19.40 n/a n/a n/a
2022-05-17 2022-03-31 13F HCA HEALTHCARE COM Put 221,300 48.32 55,462 44.69 n/a n/a n/a
2022-02-15 2021-12-31 13F HCA HEALTHCARE COM Put 149,200 -16.83 38,332 -11.97 n/a n/a n/a
2021-11-16 2021-09-30 13F HCA HEALTHCARE COM Put 179,400 67.51 43,544 96.66 n/a n/a n/a
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM Put 107,100 355.74 22,142 400.27 n/a n/a n/a
2021-05-18 2021-03-31 13F HCA HEALTHCARE COM Put 23,500 -55.32 4,426 -48.84 n/a n/a n/a
2021-02-17 2020-12-31 13F HCA HEALTHCARE COM Put 52,600 -46.54 8,651 -29.49 n/a n/a n/a
2020-11-17 2020-09-30 13F HCA HEALTHCARE COM Put 98,400 -10.95 12,269 14.40 n/a n/a n/a
2020-08-17 2020-06-30 13F HCA HEALTHCARE COM Put 110,500 338.49 10,725 373.72 n/a n/a n/a
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM Put 25,200 100.00 2,264 21.59 n/a n/a n/a
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM Put 12,600 -19.23 1,862 -0.90 n/a n/a n/a
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM Put 15,600 39.29 1,879 24.11 n/a n/a n/a
2019-08-15 2019-06-30 13F HCA HEALTHCARE COM Put 11,200 -25.33 1,514 -22.60 n/a n/a n/a
2019-05-16 2019-03-31 13F HCA HEALTHCARE COM Put 15,000 48.51 1,956 55.61 n/a n/a n/a
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM Put 10,100 18.82 1,257 6.26 n/a n/a n/a
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM Put 8,500 107.32 1,183 181.00 n/a n/a n/a
2018-08-15 2018-06-30 13F HCA HEALTHCARE COM Put 4,100 -14.58 421 -9.66 n/a n/a n/a
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM Put 4,800 -98.03 466 -97.82 n/a n/a n/a
2018-02-15 2017-12-31 13F HCA HEALTHCARE COM Put 243,100 -29.13 21,354 -21.78 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM Put 343,000 2,217.57 27,299 2,014.56 n/a n/a n/a
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM Put 14,800 1,291 n/a n/a n/a
2017-05-15 2017-03-31 13F HCA HOLDINGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-15 2016-12-31 13F HCA HOLDINGS COM Put 162,800 1,380.00 12,050 1,348.32 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS COM Put 11,000 175.00 832 170.13 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS COM Put 4,000 -44.44 308 -45.20 n/a n/a n/a
2016-05-17 2016-03-31 13F HCA HOLDINGS COM Put 7,200 -12.20 562 1.26 n/a n/a n/a
2016-02-16 2015-12-31 13F HCA HOLDINGS COM Put 8,200 555 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA HOLDINGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA HOLDINGS COM Put 11,500 1,043 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.