HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionSG Americas Securities, LLC
Latest Disclosed Ownership496,510 shares
Latest Disclosed Value $ 234,968
SG Americas Securities, LLC ownership in HCA / HCA Healthcare, Inc.

On April 16, 2026 - SG Americas Securities, LLC filed a 13F-HR form disclosing ownership of 496,510 shares of HCA Healthcare, Inc. (MX:HCA) valued at $234,968 USD as of March 31, 2026. The entity filed a previous 13F-HR on January 9, 2026 disclosing 134,811 shares of HCA Healthcare, Inc.. This represents a change in shares of 268.30% during the quarter.

SG Americas Securities, 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 32,700 of underlying shares valued at $24 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)
2026-04-16 2026-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 496,510 361,699 268.30 235 277.42 0.2522
2026-01-09 2025-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 134,811 127,226 1,677.34 63 1,966.67 0.0804
2025-10-23 2025-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 7,585 -3,202 -29.68 3 -25.00 0.0109
2025-08-08 2025-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 10,787 3,593 49.94 4 100.00 0.0172
2025-04-15 2025-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 7,194 6,716 1,405.02 2 0.0082
2025-01-17 2024-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 478 -99,706 -99.52 0 -100.00 0.0006
2024-10-03 2024-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 100,184 30,572 43.92 41 81.82 0.1476
2024-07-12 2024-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 69,612 61,399 747.58 22 1,000.00 0.1303
2024-05-06 2024-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 8,213 -20,342 -71.24 3 -71.43 0.0132
2024-01-12 2023-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 28,555 5,841 25.72 8 40.00 0.0721
2023-10-13 2023-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 22,714 11,520 102.91 6 66.67 0.0639
2023-07-10 2023-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 11,194 10,509 1,534.16 3 0.0257
2023-04-28 2023-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 685 -2,629 -79.33 0 0.0021
2023-02-02 2022-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 3,314 -13,002 -79.69 1 -100.00 0.0097
2022-10-31 2022-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 16,316 1,650 11.25 2,999 21.66 0.0371
2022-07-29 2022-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 14,666 5,299 56.57 2,465 4.98 0.0262
2022-04-29 2022-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 9,367 1,370 17.13 2,348 14.26 0.0172
2022-02-07 2021-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 7,997 -7,278 -47.65 2,055 -44.58 0.0112
2021-11-01 2021-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 15,275 -17,861 -53.90 3,708 -45.88 0.0174
2021-08-12 2021-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 33,136 -29,656 -47.23 6,851 -42.07 0.0319
2021-05-13 2021-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 62,792 44,049 235.02 11,826 283.71 0.0619
2021-02-04 2020-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 18,743 14,228 315.13 3,082 447.42 0.0165
2020-11-09 2020-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 4,515 -7,323 -61.86 563 -51.00 0.0036
2020-07-20 2020-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 11,838 -50,525 -81.02 1,149 -79.49 0.0096
2020-04-30 2020-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 62,363 60,252 2,854.19 5,603 1,695.83 0.0525
2020-01-28 2019-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 2,111 -49,525 -95.91 312 -94.98 0.0028
2019-11-04 2019-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 51,636 15,445 42.68 6,218 27.11 0.0510
2019-07-29 2019-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 36,191 -33,771 -48.27 4,892 -46.37 0.0337
2019-04-29 2019-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 69,962 -319,548 -82.04 9,122 -81.18 0.0840
2019-01-31 2018-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 389,510 346,940 814.99 48,475 718.56 0.4238
2018-11-06 2018-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 42,570 21,215 99.34 5,922 170.29 0.0439
2018-08-07 2018-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 21,355 -8,339 -28.08 2,191 -23.92 0.0197
2018-05-03 2018-03-31 13F HCA HEALTHCARE INC COM COM 40412C101 29,694 -16,218 -35.32 2,880 -28.59 0.0230
2018-01-24 2017-12-31 13F HCA HEALTHCARE INC COM COM 40412C101 45,912 -457 -0.99 4,033 9.27 0.0376
2017-11-07 2017-09-30 13F HCA HEALTHCARE INC COM COM 40412C101 46,369 -78,578 -62.89 3,691 -66.12 0.0324
2017-08-03 2017-06-30 13F HCA HEALTHCARE INC COM COM 40412C101 124,947 -31,166 -19.96 10,895 -21.57 0.0981
2017-05-10 2017-03-31 13F HCA HOLDINGS INC COM COM 40412C101 156,113 96,631 162.45 13,892 215.51 0.1229
2017-02-08 2016-12-31 13F HCA HOLDINGS INC COM COM 40412C101 59,482 21,864 58.12 4,403 54.76 0.0370
2017-02-08 2016-09-30 13F/A-1 HCA HOLDINGS INC COM COM 40412C101 37,618 20,715 122.55 2,845 118.51 0.0298
2016-11-08 2016-09-30 13F HCA HOLDINGS INC COM COM 40412C101 37,618 2,845
2016-08-03 2016-06-30 13F HCA HOLDINGS INC COM COM 40412C101 16,903 -12,084 -41.69 1,302 -42.44 0.0092
2016-05-12 2016-03-31 13F HCA HOLDINGS INC COM COM 40412C101 28,987 3,593 14.15 2,262 31.74 0.0163
2016-02-12 2015-12-31 13F HCA HOLDINGS INC COM COM 40412C101 25,394 -73,506 -74.32 1,717 4,805.71 0.0122
2015-11-09 2015-09-30 13F HCA HOLDINGS OPT 40412C951 98,900 91,002 1,152.22 35 -95.12 0.0002
2015-11-09 2015-09-30 13F HCA HOLDINGS INC COM COM 40412C101 5,263 -2,635 407 0.0024
2015-08-06 2015-06-30 13F HCA HOLDINGS INC COM COM 40412C101 7,898 -64,746 -89.13 717 -86.88 0.0047
2015-05-13 2015-03-31 13F HCA HOLDINGS INC COM COM 40412C101 72,644 53,247 274.51 5,465 283.78 0.0325
2015-02-12 2014-12-31 13F HCA HOLDINGS INC COM COM 40412C101 19,397 12,959 201.29 1,424 213.66 0.0070
2014-11-13 2014-09-30 13F HCA HOLDINGS INC COM COM 40412C101 6,438 -44,700 -87.41 454 -84.25 0.0027
2014-08-13 2014-06-30 13F HCA HOLDINGS INC COM COM 40412C101 51,138 3,977 8.43 2,883 16.44 0.0167
2014-05-14 2014-03-31 13F HCA HOLDINGS INC COM COM 40412C101 47,161 -48,554 -50.73 2,476 -45.78 0.0107
2014-02-12 2013-12-31 13F HCA HOLDINGS INC COM COM 40412C101 95,715 163 0.17 4,567 11.80 0.0190
2013-11-12 2013-09-30 13F HCA HOLDINGS INC COM COM 40412C101 95,552 -329,974 -77.54 4,085 -73.38 0.0168
2013-08-13 2013-06-30 13F HCA HOLDINGS INC COM COM 40412C101 425,526 425,526 15,344 0.0750
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
(%)
2026-04-16 2026-03-31 13F HCA HEALTHCARE OPT Call 32,700 -71.04 0 n/a n/a n/a
2026-01-09 2025-12-31 13F HCA HEALTHCARE OPT Call 112,900 63.15 1 -100.00 n/a n/a n/a
2025-10-23 2025-09-30 13F HCA HEALTHCARE OPT Call 69,200 1 n/a n/a n/a
2025-01-17 2024-12-31 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-10-03 2024-09-30 13F HCA HEALTHCARE OPT Call 129,700 3 n/a n/a n/a
2023-10-13 2023-09-30 13F HCA HEALTHCARE OPT Call 0 -100.00 0 n/a n/a n/a
2023-07-10 2023-06-30 13F HCA HEALTHCARE OPT Call 54,000 1 n/a n/a n/a
2023-04-28 2023-03-31 13F HCA HEALTHCARE OPT Call 0 -100.00 0 n/a n/a n/a
2023-02-02 2022-12-31 13F HCA HEALTHCARE OPT Call 70,000 0 n/a n/a n/a
2022-10-31 2022-09-30 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-07-29 2022-06-30 13F HCA HEALTHCARE OPT Call 39,500 132.35 21 133.33 n/a n/a n/a
2022-04-29 2022-03-31 13F HCA HEALTHCARE OPT Call 17,000 9 n/a n/a n/a
2021-08-12 2021-06-30 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-05-13 2021-03-31 13F HCA HEALTHCARE OPT Call 51,000 221 n/a n/a n/a
2020-11-09 2020-09-30 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-07-20 2020-06-30 13F HCA HEALTHCARE OPT Call 18,000 50 n/a n/a n/a
2020-04-30 2020-03-31 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-01-28 2019-12-31 13F HCA HEALTHCARE OPT Call 25,000 208 n/a n/a n/a
2018-05-03 2018-03-31 13F HCA HEALTHCARE OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2018-01-24 2017-12-31 13F HCA HEALTHCARE OPT Call 69,400 0.00 60 81.82 n/a n/a n/a
2017-11-07 2017-09-30 13F HCA HEALTHCARE OPT Call 69,400 0.00 33 -84.86 n/a n/a n/a
2017-08-03 2017-06-30 13F HCA HEALTHCARE OPT Call 69,400 218 n/a n/a n/a
2015-11-09 2015-09-30 13F HCA HOLDINGS OPT Call 0 -100.00 0 -100.00 n/a n/a n/a
2015-08-06 2015-06-30 13F HCA HOLDINGS OPT Call 42,000 567 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
(%)
2024-10-03 2024-09-30 13F HCA HEALTHCARE OPT Put 0 -100.00 0 n/a n/a n/a
2024-07-12 2024-06-30 13F HCA HEALTHCARE OPT Put 5,700 -80.81 0 n/a n/a n/a
2024-05-06 2024-03-31 13F HCA HEALTHCARE OPT Put 29,700 -9.73 0 n/a n/a n/a
2024-01-12 2023-12-31 13F HCA HEALTHCARE OPT Put 32,900 0.00 0 n/a n/a n/a
2023-10-13 2023-09-30 13F HCA HEALTHCARE OPT Put 32,900 31.60 1 n/a n/a n/a
2023-07-10 2023-06-30 13F HCA HEALTHCARE OPT Put 25,000 0 n/a n/a n/a
2020-11-09 2020-09-30 13F HCA HEALTHCARE OPT Put 0 -100.00 0 -100.00 n/a n/a n/a
2020-07-20 2020-06-30 13F HCA HEALTHCARE OPT Put 63,400 -13.62 1,335 -30.03 n/a n/a n/a
2020-04-30 2020-03-31 13F HCA HEALTHCARE OPT Put 73,400 -44.85 1,908 291.79 n/a n/a n/a
2020-01-28 2019-12-31 13F HCA HEALTHCARE OPT Put 133,100 81.34 487 -44.22 n/a n/a n/a
2019-11-04 2019-09-30 13F HCA HEALTHCARE OPT Put 73,400 0.00 873 25.25 n/a n/a n/a
2019-07-29 2019-06-30 13F HCA HEALTHCARE OPT Put 73,400 0.00 697 9.08 n/a n/a n/a
2019-04-29 2019-03-31 13F HCA HEALTHCARE OPT Put 73,400 46.80 639 213.24 n/a n/a n/a
2019-01-31 2018-12-31 13F HCA HEALTHCARE OPT Put 50,000 204 n/a n/a n/a
2018-05-03 2018-03-31 13F HCA HEALTHCARE OPT Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-01-24 2017-12-31 13F HCA HEALTHCARE OPT Put 116,400 0.00 41 -88.98 n/a n/a n/a
2017-11-07 2017-09-30 13F HCA HEALTHCARE OPT Put 116,400 0.00 372 51.22 n/a n/a n/a
2017-08-03 2017-06-30 13F HCA HEALTHCARE OPT Put 116,400 246 n/a n/a n/a
2017-05-10 2017-03-31 13F HCA HOLDINGS OPT Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-08 2016-12-31 13F HCA HOLDINGS OPT Put 96,600 0.00 7 -46.15 n/a n/a n/a
2017-02-08 2016-09-30 13F/A HCA HOLDINGS OPT Put 96,600 0.00 13 -63.89 n/a n/a n/a
2016-11-08 2016-09-30 13F HCA HOLDINGS OPT Put 96,600 13 n/a n/a n/a
2016-08-03 2016-06-30 13F HCA HOLDINGS OPT Put 96,600 0.00 36 -29.41 n/a n/a n/a
2016-05-12 2016-03-31 13F HCA HOLDINGS OPT Put 96,600 -2.33 51 -41.38 n/a n/a n/a
2016-02-12 2015-12-31 13F HCA HOLDINGS OPT Put 98,900 87 n/a n/a n/a
2015-11-09 2015-09-30 13F HCA HOLDINGS OPT Put 0 -100.00 0 -100.00 n/a n/a n/a
2015-08-06 2015-06-30 13F HCA HOLDINGS OPT Put 96,600 41.64 37 85.00 n/a n/a n/a
2015-05-13 2015-03-31 13F HCA HOLDINGS OPT Put 68,200 41.49 20 11.11 n/a n/a n/a
2015-02-12 2014-12-31 13F HCA HOLDINGS OPT Put 48,200 0.00 18 -5.26 n/a n/a n/a
2014-11-13 2014-09-30 13F HCA HOLDINGS OPT Put 48,200 19 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.