HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionToronto Dominion Bank
Latest Disclosed Ownership49,153 shares
Latest Disclosed Value $ 23,263,161
Toronto Dominion Bank ownership in HCA / HCA Healthcare, Inc.

On May 15, 2026 - Toronto Dominion Bank filed a 13F-HR form disclosing ownership of 49,153 shares of HCA Healthcare, Inc. (MX:HCA) valued at $23,263,161 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 56,607 shares of HCA Healthcare, Inc.. This represents a change in shares of -13.17% during the quarter.

Toronto Dominion Bank 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 .

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 49,153 -7,454 -13.17 23,263 -11.97 0.0120
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 56,607 -8,913 -13.60 26,427 -5.31 0.0390
2025-11-14 2025-09-30 13F Hca Healthcare COM 40412C101 65,520 -9,344 -12.48 27,911 -2.69 0.0433
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 74,864 7,922 11.83 28,682 23.99 0.0476
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 66,942 -159,869 -70.49 23,131 -66.02 0.0453
2025-02-19 2024-12-31 13F/A-1 HCA HEALTHCARE COM 40412C101 226,811 130,076 134.47 68,076 73.15 0.1075
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 226,811 130,076 68,076 0.0330
2024-11-18 2024-09-30 13F/A-1 HCA Healthcare COM 40412C101 96,735 -1,945 -1.97 39,316 24.01 0.0695
2024-11-14 2024-09-30 13F HCA Healthcare COM 40412C101 96,735 -1,945 39,316 0.0028
2024-08-14 2024-06-30 13F HCA Healthcare COM 40412C101 98,680 -15,509 -13.58 31,704 -16.76 0.0509
2024-05-14 2024-03-31 13F HCA Healthcare COM 40412C101 114,189 1,593 1.41 38,085 24.96 0.0597
2024-02-13 2023-12-31 13F HCA Healthcare COM 40412C101 112,596 6,882 6.51 30,477 17.21 0.0442
2024-02-14 2023-09-30 13F/A-1 HCA Healthcare COM 40412C101 105,714 -26,809 -20.23 26,004 64,907.50 0.0430
2023-11-14 2023-09-30 13F HCA Healthcare COM 40412C101 105,714 -26,809 26,004 0.0017
2024-02-14 2023-06-30 13F/A-1 HCA Healthcare COM 40412C101 132,523 26,190 24.63 40 42.86 0.0596
2023-08-10 2023-06-30 13F HCA Healthcare COM 40412C101 132,523 26,190 40 0.0598
2023-05-11 2023-03-31 13F HCA Healthcare COM 40412C101 106,333 1,377 1.31 28 12.00 0.0457
2023-02-07 2022-12-31 13F HCA Healthcare COM 40412C101 104,956 -35,204 -25.12 25 -99.90 0.0377
2022-11-09 2022-09-30 13F HCA Healthcare COM 40412C101 140,160 16,026 12.91 25,750 23.45 0.0458
2022-08-11 2022-06-30 13F HCA Healthcare COM 40412C101 124,134 -22,638 -15.42 20,859 -43.29 0.0389
2022-05-09 2022-03-31 13F HCA Healthcare COM 40412C101 146,772 -5,228 -3.44 36,783 -5.81 0.0555
2022-02-04 2021-12-31 13F HCA HEALTHCARE COM 40412C101 152,000 11,903 8.50 39,050 14.84 0.0522
2021-11-08 2021-09-30 13F HCA HEALTHCARE COM 40412C101 140,097 20,295 16.94 34,004 37.30 0.0532
2021-08-13 2021-06-30 13F/A-1 HCA Healthcare COM 40412C101 119,802 -13,926 -10.41 24,767 -1.66 0.0383
2021-08-10 2021-06-30 13F HCA HEALTHCARE COM 40412C101 119,802 -13,926 24,767 0.0082
2021-05-11 2021-03-31 13F HCA HEALTHCARE COM 40412C101 133,728 -36,950 -21.65 25,186 -10.27 0.0443
2021-02-08 2020-12-31 13F HCA HEALTHCARE COM 40412C101 170,678 13,435 8.54 28,069 43.15 0.0515
2020-10-30 2020-09-30 13F HCA HEALTHCARE COM 40412C101 157,243 -26,282 -14.32 19,608 10.07 0.0482
2020-08-28 2020-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 183,525 -26,623 -12.67 17,814 -5.67 0.0452
2020-08-10 2020-06-30 13F HCA HEALTHCARE COM 40412C101 4,674 -205,474 17,814 10,343.8762
2020-05-13 2020-03-31 13F HCA HEALTHCARE COM 40412C101 210,148 -40,566 -16.18 18,885 -49.03 0.0577
2020-02-13 2019-12-31 13F HCA Healthcare COM 40412C101 250,714 51,031 25.56 37,052 54.11 0.0622
2019-11-12 2019-09-30 13F HCA HEALTHCARE COM 40412C101 199,683 9,520 5.01 24,043 -6.44 0.0506
2019-08-26 2019-06-30 13F/A-1 HCA Healthcare COM 40412C101 190,163 -92,928 -32.83 25,697 -30.37 0.0547
2019-08-13 2019-06-30 13F HCA Healthcare COM 40412C101 190,163 -92,928 25,697
2019-05-06 2019-03-31 13F HCA HEALTHCARE COM 40412C101 283,091 48,662 20.76 36,903 26.51 0.0576
2019-02-07 2018-12-31 13F HCA HEALTHCARE COM 40412C101 234,429 55,573 31.07 29,169 17.25 0.0500
2018-11-07 2018-09-30 13F HCA HEALTHCARE COM 40412C101 178,856 -3,211 -1.76 24,878 33.20 0.0455
2018-08-06 2018-06-30 13F HCA Healthcare COM 40412C101 182,067 28,566 18.61 18,677 25.46 0.0379
2018-05-10 2018-03-31 13F HCA Healthcare COM 40412C101 153,501 28,311 22.61 14,887 35.37 0.0332
2018-02-08 2017-12-31 13F HCA Healthcare COM 40412C101 125,190 12,533 11.12 10,997 22.67 0.0326
2017-11-06 2017-09-30 13F HCA Healthcare COM 40412C101 112,657 12,744 12.76 8,965 2.93 0.0288
2017-08-18 2017-06-30 13F HCA HOLDINGS COM 40412C101 99,913 19,038 23.54 8,710 21.02 0.0278
2017-05-05 2017-03-31 13F HCA Holdings COM 40412C101 80,875 24,830 44.30 7,197 73.51 0.0192
2017-02-06 2016-12-31 13F HCA Holdings COM 40412C101 56,045 41,742 291.84 4,148 283.01 0.0123
2016-11-03 2016-09-30 13F HCA Holdings COM 40412C101 14,303 7,993 126.67 1,083 122.38 0.0036
2016-08-15 2016-06-30 13F HCA HOLDINGS COM 40412C101 6,310 -1,325 -17.35 487 -18.01 0.0020
2016-05-04 2016-03-31 13F HCA Holdings COM 40412C101 7,635 -8,073 -51.39 594 -44.17 0.0037
2016-02-09 2015-12-31 13F HCA Holdings COM 40412C101 15,708 22 0.14 1,064 -12.50 0.0065
2015-11-10 2015-09-30 13F HCA HOLDINGS COM 40412C101 15,686 4,529 40.59 1,216 20.16 0.0069
2015-08-11 2015-06-30 13F HCA Holdings COM 40412C101 11,157 3,059 37.77 1,012 66.17 0.0048
2015-05-15 2015-03-31 13F HCA HOLDINGS COM 40412C101 8,098 8,098 609 0.0026
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
(%)
2025-11-14 2025-09-30 13F HCA HEALTHCARE INC COM LST Equity Option Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-08-14 2025-06-30 13F HCA HEALTHCARE INC COM LST Equity Option Call 3,900 0.00 1,494 10.91 n/a n/a n/a
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM Call 3,900 1,348 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.