HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionSimplex Trading, Llc
Latest Disclosed Ownership0 shares
Latest Disclosed Value $ 0
Simplex Trading, Llc ownership in HCA / HCA Healthcare, Inc.

On May 14, 2026 - Simplex Trading, Llc filed a 13F-HR form disclosing ownership of 0 shares of HCA Healthcare, Inc. (MX:HCA) valued at $0 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 11, 2026 disclosing 613 shares of HCA Healthcare, Inc..

Simplex Trading, 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 13,100 of underlying shares valued at $6,199,444 USD and put options representing 8,700 of underlying shares valued at $4,117,188 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)
2026-05-14 2026-03-31 13F HCA HEALTHCARE COM 40412C101 0 -100.00 0
2026-02-11 2025-12-31 13F HCA HEALTHCARE COM 40412C101 613 613 286 0.0002
2023-02-02 2022-12-31 13F HCA HEALTHCARE COM 40412C101 0 -2,007 -100.00 0 -100.00
2022-11-04 2022-09-30 13F HCA HEALTHCARE COM 40412C101 2,007 -11,319 -84.94 368 -83.56 0.0004
2022-08-03 2022-06-30 13F HCA HEALTHCARE COM 40412C101 13,326 13,326 2,239 0.0024
2022-05-02 2022-03-31 13F HCA HEALTHCARE COM 40412C101 0 -1,642 -100.00 0 -100.00
2022-02-23 2021-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 1,642 1,642 421 0.0004
2020-10-14 2020-09-30 13F HCA HEALTHCARE COM 40412C101 0 -9,395 -100.00 0 -100.00
2020-07-13 2020-06-30 13F HCA HEALTHCARE COM 40412C101 9,395 300 3.30 911 11.51 0.0015
2020-04-29 2020-03-31 13F HCA HEALTHCARE COM 40412C101 9,095 9,095 -3.19 817 -10.32 0.0014
2018-01-10 2017-12-31 13F HCA HEALTHCARE COM 40412C101 0 -8,078 -100.00 0 -100.00
2017-10-25 2017-09-30 13F HCA HEALTHCARE COM 40412C101 8,078 8,078 642 0.0262
2017-01-11 2016-12-31 13F HCA HOLDINGS COM 40412C101 0 -27,815 -100.00 0 -100.00
2016-10-07 2016-09-30 13F HCA HOLDINGS COM 40412C101 27,815 27,815 0.00 2,103 0.1426
2016-04-14 2016-03-31 13F HCA HOLDINGS COM 40412C101 0 -36,503 -100.00 0 -100.00
2016-01-20 2015-12-31 13F HCA HOLDINGS COM 40412C101 36,503 -23,789 -39.46 2,468 -47.08 0.1933
2015-10-08 2015-09-30 13F HCA HOLDINGS COM 40412C101 60,292 -21,334 -26.14 4,664 -37.02 0.3419
2015-07-08 2015-06-30 13F HCA HOLDINGS COM 40412C101 81,626 54,693 203.07 7,405 265.50 0.6206
2015-04-21 2015-03-31 13F HCA HOLDINGS COM 40412C101 26,933 26,933 2,026 0.2356
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
(%)
2026-05-14 2026-03-31 13F HCA HEALTHCARE CALL Call 13,100 -31.77 6,199 -30.84 n/a n/a n/a
2026-02-11 2025-12-31 13F HCA HEALTHCARE CALL Call 19,200 -39.62 8,964 68,846.15 n/a n/a n/a
2025-11-12 2025-09-30 13F HCA HEALTHCARE CALL Call 31,800 -20.70 14 -13.33 n/a n/a n/a
2025-08-05 2025-06-30 13F HCA HEALTHCARE CALL Call 40,100 10.16 15 25.00 n/a n/a n/a
2025-05-12 2025-03-31 13F HCA HEALTHCARE CALL Call 36,400 -58.21 13 -53.85 n/a n/a n/a
2025-02-11 2024-12-31 13F HCA HEALTHCARE CALL Call 87,100 63.41 26 23.81 n/a n/a n/a
2024-11-08 2024-09-30 13F HCA HEALTHCARE CALL Call 53,300 29.68 22 61.54 n/a n/a n/a
2024-07-25 2024-06-30 13F HCA HEALTHCARE CALL Call 41,100 -41.78 13 -43.48 n/a n/a n/a
2024-04-25 2024-03-31 13F HCA HEALTHCARE CALL Call 70,600 -39.50 24 -25.81 n/a n/a n/a
2024-02-02 2023-12-31 13F HCA HEALTHCARE CALL Call 116,700 19.20 32 29.17 n/a n/a n/a
2023-11-01 2023-09-30 13F HCA HEALTHCARE CALL Call 97,900 29.33 24 9.09 n/a n/a n/a
2023-08-04 2023-06-30 13F HCA HEALTHCARE CALL Call 75,700 35.18 23 57.14 n/a n/a n/a
2023-04-27 2023-03-31 13F HCA HEALTHCARE CALL Call 56,000 -37.29 15 -33.33 n/a n/a n/a
2023-02-02 2022-12-31 13F HCA HEALTHCARE CALL Call 89,300 23.51 21 -99.84 n/a n/a n/a
2022-11-04 2022-09-30 13F HCA HEALTHCARE CALL Call 72,300 295.08 13,288 332.13 n/a n/a n/a
2022-08-03 2022-06-30 13F HCA HEALTHCARE CALL Call 18,300 -67.72 3,075 -78.36 n/a n/a n/a
2022-05-02 2022-03-31 13F HCA HEALTHCARE CALL Call 56,700 84.09 14,210 79.58 n/a n/a n/a
2022-02-23 2021-12-31 13F/A HCA HEALTHCARE CALL Call 30,800 48.79 7,913 80.50 n/a n/a n/a
2022-02-04 2021-12-31 13F HCA HEALTHCARE CALL Call 20,700 4,384 n/a n/a n/a
2021-10-28 2021-09-30 13F HCA HEALTHCARE CALL Call 20,700 0.00 4,384 2.45 n/a n/a n/a
2021-08-12 2021-06-30 13F HCA HEALTHCARE CALL Call 20,700 5,555.74 4,279 -37.92 n/a n/a n/a
2021-04-26 2021-03-31 13F HCA HEALTHCARE CALL Call 366 21.19 6,893 38.80 n/a n/a n/a
2021-02-02 2020-12-31 13F HCA HEALTHCARE CALL Call 302 -30.41 4,966 -8.22 n/a n/a n/a
2020-10-14 2020-09-30 13F HCA HEALTHCARE CALL Call 434 -11.61 5,411 13.56 n/a n/a n/a
2020-07-13 2020-06-30 13F HCA HEALTHCARE CALL Call 491 63.12 4,765 76.22 n/a n/a n/a
2020-04-29 2020-03-31 13F HCA HEALTHCARE CALL Call 301 -42.23 2,704 -64.88 n/a n/a n/a
2020-02-05 2019-12-31 13F HCA HEALTHCARE CALL Call 521 283.09 7,700 370.37 n/a n/a n/a
2019-10-15 2019-09-30 13F HCA HEALTHCARE CALL Call 136 -49.63 1,637 -55.14 n/a n/a n/a
2019-07-26 2019-06-30 13F HCA HEALTHCARE CALL Call 270 -0.37 3,649 3.28 n/a n/a n/a
2019-04-18 2019-03-31 13F HCA HEALTHCARE CALL Call 271 -45.14 3,533 -42.52 n/a n/a n/a
2019-01-16 2018-12-31 13F HCA HEALTHCARE CALL Call 494 43.60 6,147 28.46 n/a n/a n/a
2018-10-23 2018-09-30 13F HCA HEALTHCARE CALL Call 344 15.44 4,785 56.53 n/a n/a n/a
2018-07-30 2018-06-30 13F HCA HEALTHCARE CALL Call 298 -6.29 3,057 651.11 n/a n/a n/a
2018-04-26 2018-03-31 13F HCA HEALTHCARE CALL Call 318 -1.55 407 37.04 n/a n/a n/a
2018-01-10 2017-12-31 13F HCA HEALTHCARE CALL Call 323 14.54 297 306.85 n/a n/a n/a
2017-10-25 2017-09-30 13F HCA HEALTHCARE CALL Call 282 -57.47 73 -70.92 n/a n/a n/a
2017-07-12 2017-06-30 13F HCA HEALTHCARE CALL Call 663 -33.63 251 -45.55 n/a n/a n/a
2017-04-21 2017-03-31 13F HCA HOLDINGS CALL Call 999 21.24 461 406.59 n/a n/a n/a
2017-01-11 2016-12-31 13F HCA HOLDINGS CALL Call 824 301.95 91 93.62 n/a n/a n/a
2016-10-07 2016-09-30 13F HCA HOLDINGS CALL Call 205 -46.48 47 -39.74 n/a n/a n/a
2016-07-18 2016-06-30 13F HCA HOLDINGS CALL Call 383 21.20 78 -45.07 n/a n/a n/a
2016-04-14 2016-03-31 13F HCA HOLDINGS CALL Call 316 39.21 142 44.90 n/a n/a n/a
2016-01-20 2015-12-31 13F HCA HOLDINGS CALL Call 227 -11.33 98 -28.47 n/a n/a n/a
2015-10-08 2015-09-30 13F HCA HOLDINGS CALL Call 256 -64.98 137 -64.23 n/a n/a n/a
2015-07-08 2015-06-30 13F HCA HOLDINGS CALL Call 731 93.90 383 13.65 n/a n/a n/a
2015-04-21 2015-03-31 13F HCA HOLDINGS CALL Call 377 -52.16 337 -48.94 n/a n/a n/a
2015-03-04 2014-12-31 13F HCA HOLDINGS CALL Call 788 660 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
(%)
2026-05-14 2026-03-31 13F HCA HEALTHCARE PUT Put 8,700 -77.86 4,117 -77.56 n/a n/a n/a
2026-02-11 2025-12-31 13F HCA HEALTHCARE PUT Put 39,300 -3.68 18,348 107,823.53 n/a n/a n/a
2025-11-12 2025-09-30 13F HCA HEALTHCARE PUT Put 40,800 15.25 17 30.77 n/a n/a n/a
2025-08-05 2025-06-30 13F HCA HEALTHCARE PUT Put 35,400 -34.32 14 -27.78 n/a n/a n/a
2025-05-12 2025-03-31 13F HCA HEALTHCARE PUT Put 53,900 -32.96 19 -25.00 n/a n/a n/a
2025-02-11 2024-12-31 13F HCA HEALTHCARE PUT Put 80,400 8.36 24 -20.00 n/a n/a n/a
2024-11-08 2024-09-30 13F HCA HEALTHCARE PUT Put 74,200 18.53 30 50.00 n/a n/a n/a
2024-07-25 2024-06-30 13F HCA HEALTHCARE PUT Put 62,600 7.93 20 5.26 n/a n/a n/a
2024-04-25 2024-03-31 13F HCA HEALTHCARE PUT Put 58,000 -42.69 19 -29.63 n/a n/a n/a
2024-02-02 2023-12-31 13F HCA HEALTHCARE PUT Put 101,200 42.94 27 58.82 n/a n/a n/a
2023-11-01 2023-09-30 13F HCA HEALTHCARE PUT Put 70,800 13.64 17 -5.56 n/a n/a n/a
2023-08-04 2023-06-30 13F HCA HEALTHCARE PUT Put 62,300 -22.80 19 -14.29 n/a n/a n/a
2023-04-27 2023-03-31 13F HCA HEALTHCARE PUT Put 80,700 -33.53 21 -27.59 n/a n/a n/a
2023-02-02 2022-12-31 13F HCA HEALTHCARE PUT Put 121,400 -26.74 29 -99.90 n/a n/a n/a
2022-11-04 2022-09-30 13F HCA HEALTHCARE PUT Put 165,700 65.20 30,454 80.67 n/a n/a n/a
2022-08-03 2022-06-30 13F HCA HEALTHCARE PUT Put 100,300 122.39 16,856 49.14 n/a n/a n/a
2022-05-02 2022-03-31 13F HCA HEALTHCARE PUT Put 45,100 53.92 11,302 50.15 n/a n/a n/a
2022-02-23 2021-12-31 13F/A HCA HEALTHCARE PUT Put 29,300 -34.16 7,527 -20.15 n/a n/a n/a
2022-02-04 2021-12-31 13F HCA HEALTHCARE PUT Put 44,500 9,426 n/a n/a n/a
2021-10-28 2021-09-30 13F HCA HEALTHCARE PUT Put 44,500 0.00 9,426 2.47 n/a n/a n/a
2021-08-12 2021-06-30 13F HCA HEALTHCARE PUT Put 44,500 11,549.21 9,199 27.87 n/a n/a n/a
2021-04-26 2021-03-31 13F HCA HEALTHCARE PUT Put 382 -51.83 7,194 -44.84 n/a n/a n/a
2021-02-02 2020-12-31 13F HCA HEALTHCARE PUT Put 793 13.94 13,041 50.29 n/a n/a n/a
2020-10-14 2020-09-30 13F HCA HEALTHCARE PUT Put 696 -11.56 8,677 13.60 n/a n/a n/a
2020-07-13 2020-06-30 13F HCA HEALTHCARE PUT Put 787 139.21 7,638 158.39 n/a n/a n/a
2020-04-29 2020-03-31 13F HCA HEALTHCARE PUT Put 329 -72.79 2,956 -83.46 n/a n/a n/a
2020-02-05 2019-12-31 13F HCA HEALTHCARE PUT Put 1,209 42.91 17,870 75.42 n/a n/a n/a
2019-10-15 2019-09-30 13F HCA HEALTHCARE PUT Put 846 9.73 10,187 -2.25 n/a n/a n/a
2019-07-26 2019-06-30 13F HCA HEALTHCARE PUT Put 771 272.46 10,421 286.25 n/a n/a n/a
2019-04-18 2019-03-31 13F HCA HEALTHCARE PUT Put 207 -47.59 2,698 -45.11 n/a n/a n/a
2019-01-16 2018-12-31 13F HCA HEALTHCARE PUT Put 395 77.13 4,915 58.45 n/a n/a n/a
2018-10-23 2018-09-30 13F HCA HEALTHCARE PUT Put 223 -31.38 3,102 -6.96 n/a n/a n/a
2018-07-30 2018-06-30 13F HCA HEALTHCARE PUT Put 325 33.74 3,334 3,446.81 n/a n/a n/a
2018-04-26 2018-03-31 13F HCA HEALTHCARE PUT Put 243 -59.09 94 -10.48 n/a n/a n/a
2018-01-10 2017-12-31 13F HCA HEALTHCARE PUT Put 594 -18.41 105 -7.89 n/a n/a n/a
2017-10-25 2017-09-30 13F HCA HEALTHCARE PUT Put 728 48.27 114 65.22 n/a n/a n/a
2017-07-12 2017-06-30 13F HCA HEALTHCARE PUT Put 491 -47.82 69 -40.52 n/a n/a n/a
2017-04-21 2017-03-31 13F HCA HOLDINGS PUT Put 941 303.86 116 262.50 n/a n/a n/a
2017-01-11 2016-12-31 13F HCA HOLDINGS PUT Put 233 -82.36 32 -70.37 n/a n/a n/a
2016-10-07 2016-09-30 13F HCA HOLDINGS PUT Put 1,321 204.38 108 83.05 n/a n/a n/a
2016-07-18 2016-06-30 13F HCA HOLDINGS PUT Put 434 37.78 59 37.21 n/a n/a n/a
2016-04-14 2016-03-31 13F HCA HOLDINGS PUT Put 315 -51.01 43 -50.00 n/a n/a n/a
2016-01-20 2015-12-31 13F HCA HOLDINGS PUT Put 643 -44.47 86 -80.45 n/a n/a n/a
2015-10-08 2015-09-30 13F HCA HOLDINGS PUT Put 1,158 -13.26 440 471.43 n/a n/a n/a
2015-07-08 2015-06-30 13F HCA HOLDINGS PUT Put 1,335 107.94 77 2.67 n/a n/a n/a
2015-04-21 2015-03-31 13F HCA HOLDINGS PUT Put 642 -64.49 75 -14.77 n/a n/a n/a
2015-03-04 2014-12-31 13F HCA HOLDINGS PUT Put 1,808 88 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.