HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionRobeco Institutional Asset Management B.V.
Latest Disclosed Ownership25,303 shares
Latest Disclosed Value $ 11,974,392
Robeco Institutional Asset Management B.V. reports 22.28% increase in ownership of HCA / HCA Healthcare, Inc.

On April 21, 2026 - Robeco Institutional Asset Management B.V. filed a 13F-HR form disclosing ownership of 25,303 shares of HCA Healthcare, Inc. (MX:HCA) valued at $11,974,392 USD as of March 31, 2026. The entity filed a previous 13F-HR on January 23, 2026 disclosing 20,692 shares of HCA Healthcare, Inc.. This represents a change in shares of 22.28% 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.

Upgrade to unlock premium data and export to Excel .

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)
2026-04-21 2026-03-31 13F HCA HEALTHCARE COM 40412C101 25,303 4,611 22.28 11,974 23.95 0.0171
2026-01-23 2025-12-31 13F HCA HEALTHCARE COM 40412C101 20,692 3,625 21.24 9,660 32.82 0.0138
2025-10-22 2025-09-30 13F HCA HEALTHCARE COM 40412C101 17,067 -87 -0.51 7,274 10.68 0.0105
2025-07-18 2025-06-30 13F HCA HEALTHCARE COM 40412C101 17,154 -3,145 -15.49 6,572 -6.32 0.0106
2025-04-23 2025-03-31 13F HCA HEALTHCARE COM 40412C101 20,299 -22,076 -52.10 7,014 -44.85 0.0136
2025-01-23 2024-12-31 13F HCA HEALTHCARE COM 40412C101 42,375 5,672 15.45 12,719 -14.74 0.0241
2024-10-29 2024-09-30 13F HCA HEALTHCARE COM 40412C101 36,703 26,031 243.92 14,917 335.15 0.0296
2024-07-23 2024-06-30 13F HCA HEALTHCARE COM 40412C101 10,672 968 9.98 3,429 5.93 0.0074
2024-04-24 2024-03-31 13F HCA HEALTHCARE COM 40412C101 9,704 -8,493 -46.67 3,237 -34.29 0.0070
2024-02-14 2023-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 18,197 -131,695 -87.86 4,926 -86.64 0.0119
2024-02-08 2023-12-31 13F HCA HEALTHCARE COM 40412C101 15,137 -134,755 18 0.0034
2023-10-24 2023-09-30 13F HCA HEALTHCARE COM 40412C101 149,892 10,708 7.69 36,870 -12.71 0.0985
2023-07-24 2023-06-30 13F HCA HEALTHCARE COM 40412C101 139,184 115,251 481.56 42,240 569.40 0.1107
2023-05-04 2023-03-31 13F HCA HEALTHCARE COM 40412C101 23,933 -14,775 -38.17 6,311 -32.06 0.0172
2023-02-07 2022-12-31 13F HCA HEALTHCARE COM 40412C101 38,708 -19,568 -33.58 9,288 -13.30 0.0268
2022-12-01 2022-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 58,276 2,180 3.89 10,713 13.65 0.0346
2022-10-27 2022-09-30 13F HCA HEALTHCARE COM 40412C101 58,276 2,180 10,713 0.0342
2022-12-01 2022-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 56,096 -64,027 -53.30 9,426 -68.69 0.0293
2022-07-27 2022-06-30 13F HCA HEALTHCARE COM 40412C101 56,096 -64,027 9,426 0.0289
2022-12-01 2022-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 120,123 -30,616 -20.31 30,102 -22.28 0.0709
2022-04-26 2022-03-31 13F HCA HEALTHCARE COM 40412C101 120,123 -30,616 30,102 0.0701
2022-12-01 2021-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 150,739 -23,330 -13.40 38,730 -8.32 0.0824
2022-01-31 2021-12-31 13F HCA HEALTHCARE COM 40412C101 150,739 -23,330 38,730 0.0814
2022-12-01 2021-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 174,069 -11,747 -6.32 42,247 9.97 0.0937
2021-10-20 2021-09-30 13F HCA HEALTHCARE COM 40412C101 174,069 -11,747 42,247 0.0925
2022-12-01 2021-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 185,816 91,746 97.53 38,416 116.82 0.0852
2021-07-28 2021-06-30 13F HCA HEALTHCARE COM 40412C101 185,816 91,746 38,416 0.0840
2022-12-01 2021-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 94,070 -32,305 -25.56 17,718 -14.75 0.0437
2021-04-23 2021-03-31 13F HCA HEALTHCARE COM 40412C101 94,070 -32,305 17,718 0.0431
2022-12-01 2020-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 126,375 -1,291 -1.01 20,783 30.56 0.0546
2021-01-28 2020-12-31 13F HCA HEALTHCARE COM 40412C101 126,375 -1,291 20,783 0.0540
2021-01-19 2020-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 127,666 61,569 93.15 15,918 148.10 0.0492
2020-10-29 2020-09-30 13F HCA HEALTHCARE COM 40412C101 127,666 61,569 15,918 49,159.9647
2021-01-19 2020-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 66,097 -374,119 -84.99 6,416 -83.78 0.0218
2020-07-20 2020-06-30 13F HCA HEALTHCARE COM 40412C101 66,097 -374,119 6,416 21,770.6324
2021-01-19 2020-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 440,216 303 0.07 39,552 -39.17 0.1587
2020-04-30 2020-03-31 13F HCA HEALTHCARE COM 40412C101 440,216 303 39,552 158,533.3358
2021-01-19 2019-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 439,913 -79,701 -15.34 65,022 3.92 0.2082
2020-02-06 2019-12-31 13F HCA HEALTHCARE COM 40412C101 439,913 -79,701 65,022 207,967.8669
2021-01-19 2019-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 519,614 -117,267 -18.41 62,572 -27.32 0.2209
2019-10-17 2019-09-30 13F HCA HEALTHCARE COM 40412C101 519,614 -117,267 62,572 220,592.0329
2021-01-19 2019-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 636,881 -50,092 -7.29 86,089 -3.89 0.3040
2019-07-19 2019-06-30 13F HCA HEALTHCARE COM 40412C101 636,881 -50,092 86,089 303,572.3322
2021-01-19 2019-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 686,973 55,300 8.75 89,569 14.16 0.3294
2019-05-02 2019-03-31 13F HCA HEALTHCARE COM 40412C101 686,973 55,300 89,569 328,865.5052
2021-01-19 2018-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 631,673 441,416 232.01 78,458 196.45 0.3523
2019-02-08 2018-12-31 13F HCA HEALTHCARE COM 40412C101 631,673 441,416 78,458 351,684.0970
2021-01-19 2018-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 190,257 146,620 336.00 26,466 491.02 0.1048
2018-10-25 2018-09-30 13F HCA HEALTHCARE COM 40412C101 190,021 146,384 26,433
2021-01-19 2018-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 43,637 10,348 31.09 4,478 38.51 0.0204
2018-08-03 2018-06-30 13F HCA HEALTHCARE COM 40412C101 43,637 10,348 4,478
2021-01-19 2018-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 33,289 26,587 396.70 3,233 448.90 0.0152
2018-05-07 2018-03-31 13F HCA HEALTHCARE COM 40412C101 33,289 26,587 3,233 15,119.2287
2021-01-19 2017-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 6,702 -7,194 -51.77 589 -46.79 0.0031
2018-01-25 2017-12-31 13F HCA HEALTHCARE COM 40412C101 6,702 -7,194 589
2021-01-19 2017-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 13,896 0 0.00 1,107 -8.66 0.0069
2017-10-17 2017-09-30 13F HCA HEALTHCARE COM 40412C101 13,896 -5,093 1,107 6,858.2533
2021-01-19 2017-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 13,896 -1,872 -11.87 1,212 -13.68 0.0078
2017-08-07 2017-06-30 13F HCA HEALTHCARE COM 40412C101 18,989 -1,182 1,656 10,781.8937
2021-01-19 2017-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 15,768 -186,871 -92.22 1,404 -90.64 0.0093
2017-05-15 2017-03-31 13F HCA HOLDINGS COM 40412C101 20,171 -182,468 1,796 11,928.9235
2017-02-09 2016-12-31 13F HCA HOLDINGS COM 40412C101 202,639 -5,496 -2.64 15,000 -4.71 0.1173
2016-11-07 2016-09-30 13F HCA HOLDINGS COM 40412C101 208,135 41,560 24.95 15,742 22.73 0.1164
2016-07-22 2016-06-30 13F HCA HOLDINGS COM 40412C101 166,575 0 0.00 12,827 -1.34 0.0973
2016-05-16 2016-03-31 13F HCA HOLDINGS COM 40412C101 166,575 -778,090 -82.37 13,001 -79.65 0.1043
2016-02-08 2015-12-31 13F HCA HOLDINGS COM 40412C101 944,665 -8,441 -0.89 63,888 -13.35 0.5464
2015-11-12 2015-09-30 13F HCA HOLDINGS COM 40412C101 953,106 -64,126 -6.30 73,733 -20.10 0.5617
2015-08-17 2015-06-30 13F HCA HOLDINGS COM 40412C101 1,017,232 -112,694 -9.97 92,284 8.56 0.7005
2015-04-24 2015-03-31 13F HCA HOLDINGS COM 40412C101 1,129,926 -181,765 -13.86 85,006 -11.69 0.6391
2015-02-12 2014-12-31 13F HCA HOLDINGS COM 40412C101 1,311,691 -459,007 -25.92 96,264 -22.91 0.6903
2014-11-10 2014-09-30 13F HCA HOLDINGS COM 40412C101 1,770,698 -384,151 -17.83 124,869 2.78 0.8920
2014-08-13 2014-06-30 13F HCA HOLDINGS COM 40412C101 2,154,849 75,117 3.61 121,491 11.27 0.8694
2014-05-07 2014-03-31 13F HCA HOLDINGS COM 40412C101 2,079,732 -11,974 -0.57 109,186 9.41 0.8376
2014-02-04 2013-12-31 13F HCA HOLDINGS COM 40412C101 2,091,706 456,129 27.89 99,794 42.72 0.8292
2013-11-12 2013-09-30 13F HCA HOLDINGS COM 40412C101 1,635,577 488,829 42.63 69,921 69.09 0.6793
2013-08-27 2013-06-30 13F HCA Holdings COM 40412C101 1,146,748 1,146,748 41,351 0.4183
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.