HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionNomura Holdings Inc
Latest Disclosed Ownership531 shares
Latest Disclosed Value $ 251,290
Nomura Holdings Inc ownership in HCA / HCA Healthcare, Inc.

On May 15, 2026 - Nomura Holdings Inc filed a 13F-HR form disclosing ownership of 531 shares of HCA Healthcare, Inc. (MX:HCA) valued at $251,290 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 10,066 shares of HCA Healthcare, Inc.. This represents a change in shares of -94.72% during the quarter.

Nomura Holdings Inc 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 12,000 of underlying shares valued at $5,678,880 USD and put options representing 12,000 of underlying shares valued at $5,678,880 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 531 -9,535 -94.72 251 -94.66 0.0007
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 10,066 6,136 156.13 4,699 180.70 0.0063
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 3,930 3,930 1,675 0.0026
2025-08-18 2025-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 0 -34,116 -100.00 0 -100.00
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 0 -34,116 0
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 34,116 -79,237 -69.90 11,789 -65.35 0.0220
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 113,353 113,353 34,023 0.0459
2025-01-13 2024-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 0 -2,820 -100.00 0 -100.00
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 0 0
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM 40412C101 2,820 -9,615 -77.32 906 -78.15 0.0017
2024-05-15 2024-03-31 13F HCA HEALTHCARE COM 40412C101 12,435 8,457 212.59 4,147 285.41 0.0104
2024-03-27 2023-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 3,978 2,478 165.20 1,077 192.39 0.0029
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM 40412C101 3,978 2,478 1,077 0.0022
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 1,500 -3,416 -69.49 369 -75.32 0.0010
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 4,916 -167 -3.29 1,492 11.27 0.0040
2023-05-15 2023-03-31 13F HCA HEALTHCARE COM 40412C101 5,083 5,083 1,340 0.0043
2023-02-15 2022-12-31 13F/A-1 HCA HEALTHCARE CMN 40412C101 0 -6,175 -100.00 0 -100.00
2023-02-14 2022-12-31 13F HCA HEALTHCARE CMN 40412C101 0 -6,175 0
2022-11-15 2022-09-30 13F HCA HEALTHCARE CMN 40412C101 6,175 -37,281 -85.79 1,136 -85.06 0.0046
2022-08-17 2022-06-30 13F/A-1 HCA HEALTHCARE CMN 40412C101 43,456 25,620 143.64 7,603 69.94 0.0262
2022-08-15 2022-06-30 13F HCA HEALTHCARE CMN 40412C101 43,456 25,620 7,603 0.0212
2022-05-18 2022-03-31 13F HCA HEALTHCARE CMN 40412C101 17,836 6,701 60.18 4,474 56.38 0.0134
2022-02-14 2021-12-31 13F HCA HEALTHCARE CMN 40412C101 11,135 -2,039 -15.48 2,861 -12.32 0.0073
2021-11-15 2021-09-30 13F HCA HEALTHCARE CMN 40412C101 13,174 -7,525 -36.35 3,263 -23.69 0.0081
2021-08-16 2021-06-30 13F HCA HEALTHCARE CMN 40412C101 20,699 20,699 4,276 0.0109
2021-05-17 2021-03-31 13F HCA HEALTHCARE CMN 40412C101 0 -52,582 -100.00 0 -100.00
2021-02-16 2020-12-31 13F HCA HEALTHCARE CMN 40412C101 52,582 47,538 942.47 9 -98.73 0.0145
2020-11-12 2020-09-30 13F HCA HEALTHCARE CMN 40412C101 5,044 -37,892 -88.25 629 -84.89 0.0014
2020-08-14 2020-06-30 13F HCA HEALTHCARE CMN 40412C101 42,936 -79,012 -64.79 4,162 -61.94 0.0145
2020-05-15 2020-03-31 13F/A-1 HCA HEALTHCARE CMN 40412C101 121,948 -20,813 -14.58 10,935 -48.16 0.0459
2020-02-14 2019-12-31 13F HCA HEALTHCARE CMN 40412C101 142,761 -109,239 -43.35 21,095 -28.44 0.0782
2019-11-14 2019-09-30 13F HCA HEALTHCARE CMN 40412C101 252,000 33,198 15.17 29,477 0.12 0.1122
2019-08-23 2019-06-30 13F/A-1 HCA HEALTHCARE CMN 40412C101 218,802 218,802 -13.17 29,442 -0.12 0.1302
2019-08-14 2019-06-30 13F HCA HEALTHCARE CMN 40412C101 218,802 218,802 29,442
2019-02-14 2018-12-31 13F HCA HEALTHCARE CMN 40412C101 0 -117,800 -100.00 0 -100.00
2018-11-14 2018-09-30 13F HCA HEALTHCARE CMN 40412C101 117,800 111,723 1,838.46 16,524 2,548.08 0.0580
2018-08-17 2018-06-30 13F/A-1 HCA HEALTHCARE CMN 40412C101 6,077 -18,847 -75.62 624 -74.19 0.0020
2018-08-14 2018-06-30 13F HCA HEALTHCARE CMN 40412C101 6,077 -18,847 450
2018-05-14 2018-03-31 13F/A-1 HCA HEALTHCARE CMN 40412C101 24,924 2,377 10.54 2,418 22.00 0.0042
2018-05-14 2018-03-31 13F HCA HEALTHCARE CMN 40412C101 47,471 4,400
2018-02-14 2017-12-31 13F HCA HEALTHCARE CMN 40412C101 22,547 -87,962 -79.60 1,982 -77.43 0.0035
2017-11-14 2017-09-30 13F HCA HEALTHCARE CMN 40412C101 110,509 88,702 406.76 8,783 361.78 0.0185
2017-08-15 2017-06-30 13F HCA HEALTHCARE CMN 40412C101 21,807 -210,401 -90.61 1,902 -90.80 0.0047
2017-05-18 2017-03-31 13F/A-1 HCA HOLDINGS CMN 40412C101 232,208 -552 -0.24 20,665 19.82 0.0537
2017-05-15 2017-03-31 13F HCA HOLDINGS CMN 40412C101 232,208 20,665
2017-02-13 2016-12-31 13F HCA HOLDINGS CMN 40412C101 232,760 228,601 5,496.54 17,247 5,392.68 0.0438
2016-11-14 2016-09-30 13F HCA HOLDINGS CMN 40412C101 4,159 -50,441 -92.38 314 -92.51 0.0009
2016-09-02 2016-06-30 13F/A-1 HCA HOLDINGS CMN 40412C101 54,600 51,895 1,918.48 4,195 1,897.62 0.0137
2016-08-15 2016-06-30 13F HCA HOLDINGS CMN 40412C101 54,600 4,195
2016-05-16 2016-03-31 13F HCA HOLDINGS CMN 40412C101 2,705 -17,888 -86.86 210 -84.88 0.0007
2016-02-12 2015-12-31 13F HCA HOLDINGS CMN 40412C101 20,593 17,912 668.11 1,389 584.24 0.0039
2015-11-16 2015-09-30 13F HCA HOLDINGS CMN 40412C101 2,681 -26,808 -90.91 203 -92.16 0.0007
2015-08-14 2015-06-30 13F HCA HOLDINGS CMN 40412C101 29,489 16,423 125.69 2,590 170.35 0.0073
2015-05-15 2015-03-31 13F HCA HOLDINGS CMN 40412C101 13,066 -57,907 -81.59 958 -81.25 0.0031
2015-02-17 2014-12-31 13F HCA HOLDINGS CMN 40412C101 70,973 68,434 2,695.31 5,108 2,802.27 0.0137
2014-11-14 2014-09-30 13F HCA HOLDINGS CMN 40412C101 2,539 -7,796 -75.43 176 -69.60 0.0005
2014-08-13 2014-06-30 13F HCA HOLDINGS CMN 40412C101 10,335 -5,089 -32.99 579 -28.07 0.0002
2014-05-14 2014-03-31 13F HCA HOLDINGS CMN 40412C101 15,424 15,424 49.24 805 39.03 0.0002
2014-02-14 2013-12-31 13F HCA HOLDINGS CMN 40412C101 0 -15,535 -100.00 0 -100.00
2013-11-14 2013-09-30 13F HCA HOLDINGS CMN 40412C101 15,535 -102,980 -86.89 663 -84.52 0.0040
2013-08-15 2013-06-30 13F HCA HOLDINGS CMN 40412C101 118,515 94,716 397.98 4,283 343.37 0.0348
2013-08-16 2013-03-31 13F/A-2 HCA HOLDINGS CMN 40412C101 23,799 -10,213 -30.03 966 -6.21 0.0102
2013-08-16 2012-12-31 13F/A-1 HCA HOLDINGS CMN 40412C101 34,012 34,012 1,030 0.0115
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
(%)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM Call 12,000 -29.41 5,679 -28.45 n/a n/a n/a
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM Call 17,000 0.00 7,937 9.54 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Call 17,000 -65.73 7,245 -61.87 n/a n/a n/a
2025-08-18 2025-06-30 13F/A HCA HEALTHCARE COM Call 49,600 -0.80 19,002 9.98 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM Call 49,600 19,002 n/a n/a n/a
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM Call 50,000 17,278 n/a n/a n/a
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-05-15 2024-03-31 13F HCA HEALTHCARE COM Call 80,000 26,682 n/a n/a n/a
2022-11-15 2022-09-30 13F HCA HEALTHCARE CMN Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-08-17 2022-06-30 13F/A HCA HEALTHCARE CMN Call 116,100 20,314 n/a n/a n/a
2022-08-15 2022-06-30 13F HCA HEALTHCARE CMN Call 116,100 20,314 n/a n/a n/a
2021-08-16 2021-06-30 13F HCA HEALTHCARE CMN Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-05-17 2021-03-31 13F HCA HEALTHCARE CMN Call 50,500 10 n/a n/a n/a
2018-02-14 2017-12-31 13F HCA HEALTHCARE CMN Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA HEALTHCARE CMN Call 7,900 628 n/a n/a n/a
2017-02-13 2016-12-31 13F HCA HOLDINGS CMN Call 0 -100.00 0 -100.00 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS CMN Call 50,000 -80.00 3,779 -80.32 n/a n/a n/a
2016-09-02 2016-06-30 13F/A HCA HOLDINGS CMN Call 250,000 400.00 19,206 393.98 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS CMN Call 250,000 19,206 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA HOLDINGS CMN Call 50,000 -94.32 3,888 -93.46 n/a n/a n/a
2016-02-12 2015-12-31 13F HCA HOLDINGS CMN Call 880,600 8.58 59,405 -3.39 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA HOLDINGS CMN Call 811,000 8,091.92 61,492 6,968.05 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA HOLDINGS CMN Call 9,900 -80.20 870 -76.25 n/a n/a n/a
2015-05-15 2015-03-31 13F HCA HOLDINGS CMN Call 50,000 25.00 3,663 27.23 n/a n/a n/a
2015-02-17 2014-12-31 13F HCA HOLDINGS CMN Call 40,000 100.00 2,879 107.72 n/a n/a n/a
2014-11-14 2014-09-30 13F HCA HOLDINGS CMN Call 20,000 -33.33 1,386 -11.55 n/a n/a n/a
2014-05-14 2014-03-31 13F HCA HOLDINGS CMN Call 30,000 1,567 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
(%)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM Put 12,000 71.43 5,679 73.75 n/a n/a n/a
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM Put 7,000 0.00 3,268 9.55 n/a n/a n/a
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM Put 7,000 -90.67 2,983 -89.62 n/a n/a n/a
2025-08-18 2025-06-30 13F/A HCA HEALTHCARE COM Put 75,000 200.00 28,732 232.62 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM Put 75,000 28,732 n/a n/a n/a
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM Put 25,000 8,639 n/a n/a n/a
2018-11-14 2018-09-30 13F HCA HEALTHCARE CMN Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-08-17 2018-06-30 13F/A HCA HEALTHCARE CMN Put 230,000 23,598 n/a n/a n/a
2018-08-14 2018-06-30 13F HCA HEALTHCARE CMN Put 230,000 17,044 n/a n/a n/a
2017-08-15 2017-06-30 13F HCA HOLDINGS CMN Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-05-18 2017-03-31 13F/A HCA HOLDINGS CMN Put 250,000 -16.67 22,248 0.09 n/a n/a n/a
2017-05-15 2017-03-31 13F HCA HOLDINGS CMN Put 250,000 22,248 n/a n/a n/a
2017-02-13 2016-12-31 13F HCA HOLDINGS CMN Put 300,000 500.00 22,229 488.22 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS CMN Put 50,000 -80.00 3,779 -80.32 n/a n/a n/a
2016-09-02 2016-06-30 13F/A HCA HOLDINGS CMN Put 250,000 400.00 19,206 393.98 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS CMN Put 250,000 19,206 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA HOLDINGS CMN Put 50,000 26.90 3,888 46.28 n/a n/a n/a
2016-02-12 2015-12-31 13F HCA HOLDINGS CMN Put 39,400 2,658 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.