HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionPrelude Capital Management, Llc
Latest Disclosed Ownership1,186 shares
Latest Disclosed Value $ 561,263
Prelude Capital Management, Llc ownership in HCA / HCA Healthcare, Inc.

On May 15, 2026 - Prelude Capital Management, Llc filed a 13F-HR form disclosing ownership of 1,186 shares of HCA Healthcare, Inc. (MX:HCA) valued at $561,263 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 972 shares of HCA Healthcare, Inc.. This represents a change in shares of 22.02% during the quarter.

Prelude Capital Management, 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 0 of underlying shares valued at $0 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)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM 40412C101 1,186 214 22.02 561 23.84 0.0429
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 972 -3,683 -79.12 454 -77.16 0.0334
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 4,655 -945 -16.88 1,984 -7.55 0.1548
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 5,600 32 0.57 2,145 11.49 0.2086
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 5,568 536 10.65 1,924 27.42 0.1463
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 5,032 2,059 69.26 1,510 25.00 0.0946
2024-11-14 2024-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 2,973 -2,870 -49.12 1,208 -35.64 0.0731
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 2,973 -2,870 1,208 0.0453
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM 40412C101 5,843 -10,031 -63.19 1,877 -64.54 0.1303
2024-05-15 2024-03-31 13F HCA HEALTHCARE COM 40412C101 15,874 -16,620 -51.15 5,294 -39.81 0.2779
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM 40412C101 32,494 5,122 18.71 8,795 30.64 0.5826
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 27,372 20,086 275.68 6,733 204.48 0.4387
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 7,286 -9,513 -56.63 2,211 -50.08 0.1440
2023-06-01 2023-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 16,799 -5,207 -23.66 4,430 -16.12 0.2651
2023-05-15 2023-03-31 13F HCA HEALTHCARE COM 40412C101 16,799 -5,207 4,430 0.1440
2023-02-14 2022-12-31 13F HCA HEALTHCARE COM 40412C101 22,006 -4,795 -17.89 5,281 7.19 0.2743
2022-11-14 2022-09-30 13F HCA HEALTHCARE COM 40412C101 26,801 3,016 12.68 4,926 23.24 0.1768
2022-08-24 2022-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 23,785 4,013 20.30 3,997 -19.33 0.1137
2022-08-15 2022-06-30 13F HCA HEALTHCARE COM 40412C101 23,785 4,013 3,997 0.1137
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM 40412C101 19,772 18,531 1,493.23 4,955 1,453.29 0.1424
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 1,241 -2,062 -62.43 319 -60.22 0.0082
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM 40412C101 3,303 3,303 802 0.0205
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM 40412C101 0 -17,456 -100.00 0 -100.00
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM 40412C101 17,456 10,708 158.68 3,288 196.22 0.0846
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM 40412C101 6,748 2,769 69.59 1,110 123.79 0.0283
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM 40412C101 3,979 -436 -9.88 496 15.62 0.0240
2020-08-14 2020-06-30 13F HCA HEALTHCARE COM 40412C101 4,415 4,415 10.96 429 -13.51 0.0236
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM 40412C101 0 -517 -100.00 0 -100.00
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 517 -1,858 -78.23 76 -73.43 0.0029
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM 40412C101 2,375 1,136 91.69 286 71.26 0.0129
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM 40412C101 1,239 -268 -17.78 167 -14.80 0.0082
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 1,507 -824 -35.35 196 -32.41 0.0110
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 2,331 -2,612 -52.84 290 -57.85 0.0194
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 4,943 -3,062 -38.25 688 -16.20 0.0400
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 8,005 3,869 93.54 821 104.74 0.0519
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 4,136 4,136 -48.33 401 -51.16 0.0291
2017-02-14 2016-12-31 13F HCA HOLDINGS COM 40412C101 0 -1,837 -100.00 0 -100.00
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 1,837 1,197 187.03 139 183.67 0.0146
2016-08-15 2016-06-30 13F HCA HOLDINGS COM 40412C101 640 640 -65.16 49 -64.75 0.0069
2015-11-16 2015-09-30 13F HCA HOLDINGS COM 40412C101 0 -993 -100.00 0 -100.00
2015-08-14 2015-06-30 13F HCA HOLDINGS COM 40412C101 993 993 0.00 90 0.0126
2015-05-15 2015-03-31 13F HCA HOLDINGS COM 40412C101 0 -250 -100.00 0 -100.00
2015-02-13 2014-12-31 13F HCA HOLDINGS COM 40412C101 250 -940 -78.99 18 -78.57 0.0026
2014-11-14 2014-09-30 13F HCA HOLDINGS COM 40412C101 1,190 -12,260 -91.15 84 -86.92 0.0118
2014-02-14 2013-12-31 13F HCA HOLDINGS COM 40412C101 13,450 -6,300 -31.90 642 -23.93 0.1059
2013-11-14 2013-09-30 13F HCA HOLDINGS COM 40412C101 19,750 18,750 1,875.00 844 2,244.44 0.1363
2013-08-14 2013-06-30 13F HCA HOLDINGS COM 40412C101 1,000 0 0.00 36 -12.20 0.0077
2013-05-22 2013-03-31 13F/A-1 HCA COM 40412C101 1,000 1,000 41 0.0076
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
(%)
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-08-14 2020-06-30 13F HCA HEALTHCARE COM Call 57,500 5,581 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
(%)
2022-11-14 2022-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-08-24 2022-06-30 13F/A HCA HEALTHCARE COM Put 1,500 252 n/a n/a n/a
2022-08-15 2022-06-30 13F HCA HEALTHCARE COM Put 1,500 252 n/a n/a n/a
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM Put 6,000 -14.29 1,130 -1.82 n/a n/a n/a
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM Put 7,000 -12.50 1,151 15.45 n/a n/a n/a
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM Put 8,000 997 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.