HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionTwo Sigma Advisers, Lp
Latest Disclosed Ownership4,660 shares
Latest Disclosed Value $ 2,175,568
Two Sigma Advisers, Lp ownership in HCA / HCA Healthcare, Inc.

On February 17, 2026 - Two Sigma Advisers, Lp filed a 13F-HR form disclosing ownership of 4,660 shares of HCA Healthcare, Inc. (MX:HCA) valued at $2,175,568 USD as of December 31, 2025. The entity filed a previous 13F-HR on May 15, 2025 disclosing 0 shares of HCA Healthcare, Inc..

Two Sigma Advisers, Lp 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.

Upgrade to unlock premium data and export to Excel .

Institutional Put/Call Ratios
(Premium Subscription Required)

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)
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 4,660 4,660 2,176 0.0042
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 0 -100.00 0
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 67,600 67,600 20,290 0.0469
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 0 -1,200 -100.00 0 -100.00
2024-08-14 2024-06-30 13F HCA HEALTHCARE COM 40412C101 1,200 1,200 386 0.0009
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 0 -192,000 -100.00 0 -100.00
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 192,000 191,100 21,233.33 58,268 24,485.65 0.1484
2023-05-15 2023-03-31 13F HCA HEALTHCARE COM 40412C101 900 900 237 0.0006
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM 40412C101 0 -95,900 -100.00 0 -100.00
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 95,900 43,700 83.72 24,639 94.47 0.0617
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM 40412C101 52,200 52,200 12,670 0.0328
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM 40412C101 0 -279,200 -100.00 0 -100.00
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM 40412C101 279,200 -146,300 -34.38 45,917 -13.45 0.1227
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM 40412C101 425,500 -391,936 -47.95 53,051 -33.13 0.1515
2020-09-15 2020-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 817,436 260,500 46.77 79,340 58.55 0.2331
2020-08-14 2020-06-30 13F HCA HEALTHCARE COM 40412C101 817,436 260,500 79,340 229,266.2500
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM 40412C101 556,936 129,500 30.30 50,041 -20.79 0.1915
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 427,436 279,644 189.21 63,179 255.00 0.1466
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM 40412C101 147,792 -165,500 -52.83 17,797 -57.97 0.0436
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM 40412C101 313,292 -629,300 -66.76 42,348 -65.54 0.1054
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 942,592 -66,800 -6.62 122,895 -2.17 0.3099
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 1,009,392 331,885 48.99 125,619 33.28 0.3431
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 677,507 622,400 1,129.44 94,255 1,567.05 0.2300
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 55,107 -36,400 -39.78 5,654 -36.30 0.0152
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 91,507 -115,300 -55.75 8,876 -51.14 0.0241
2018-02-14 2017-12-31 13F HCA HEALTHCARE COM 40412C101 206,807 -39,000 -15.87 18,166 -7.15 0.0490
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM 40412C101 245,807 -93,260 -27.50 19,564 -33.83 0.0554
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM 40412C101 339,067 -802,740 -70.30 29,567 -70.90 0.0976
2017-05-15 2017-03-31 13F HCA HOLDINGS COM 40412C101 1,141,807 56,252 5.18 101,609 26.45 0.3331
2017-02-14 2016-12-31 13F HCA HOLDINGS COM 40412C101 1,085,555 407,025 59.99 80,353 56.58 0.3073
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 678,530 -551,103 -44.82 51,317 -45.81 0.2186
2016-08-15 2016-06-30 13F HCA HOLDINGS COM 40412C101 1,229,633 -4,800 -0.39 94,694 -1.72 0.4811
2016-05-16 2016-03-31 13F HCA HOLDINGS COM 40412C101 1,234,433 -172,469 -12.26 96,347 1.26 0.5391
2016-02-16 2015-12-31 13F HCA HOLDINGS COM 40412C101 1,406,902 657,364 87.70 95,149 64.10 0.5670
2015-11-16 2015-09-30 13F HCA HOLDINGS COM 40412C101 749,538 -441,626 -37.08 57,984 -46.34 0.3656
2016-02-09 2015-06-30 13F/A-1 HCA HOLDINGS COMMON STOCK 40412C101 1,191,164 285,331 31.50 108,062 58.57 0.8314
2015-08-14 2015-06-30 13F HCA HOLDINGS COMMON STOCK 40412C101 1,179,664 106,495
2016-02-09 2015-03-31 13F/A-1 HCA HOLDINGS COMMON STOCK 40412C101 905,833 -416,298 -31.49 68,146 -29.77 0.5230
2015-05-15 2015-03-31 13F HCA HOLDINGS COMMON STOCK 40412C101 923,833 69,287
2016-02-09 2014-12-31 13F/A-1 HCA HOLDINGS COMMON STOCK 40412C101 1,322,131 -474,800 -26.42 97,031 -23.43 0.7756
2015-02-17 2014-12-31 13F HCA HOLDINGS COMMON STOCK 40412C101 1,331,031 97,445
2016-02-09 2014-09-30 13F/A-1 HCA HOLDINGS COM 40412C101 1,796,931 -24,300 -1.33 126,720 23.41 0.9987
2014-11-14 2014-09-30 13F HCA HOLDINGS COM 40412C101 1,798,431 126,669
2016-02-09 2014-06-30 13F/A-1 HCA HOLDINGS COMMON STOCK 40412C101 1,821,231 -242,200 -11.74 102,681 -5.22 0.8265
2014-08-14 2014-06-30 13F HCA HOLDINGS COMMON STOCK 40412C101 1,821,231 102,680
2014-05-15 2014-03-31 13F HCA HOLDINGS COMMON STOCK 40412C101 2,063,431 -169,700 -7.60 108,331 1.68 0.9850
2014-02-14 2013-12-31 13F HCA HOLDINGS COMMON STOCK 40412C101 2,233,131 -211,700 -8.66 106,542 1.94 1.0290
2013-11-14 2013-09-30 13F HCA HOLDINGS COMMON STOCK 40412C101 2,444,831 -75,687 -3.00 104,516 14.99 1.2456
2013-08-14 2013-06-30 13F HCA HOLDINGS COM 40412C101 2,520,518 2,520,518 90,889 1.2991
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
(%)
2016-05-16 2016-03-31 13F HCA HOLDINGS COM Call 0 0 n/a n/a n/a
2015-05-15 2015-03-31 13F HCA HOLDINGS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2016-02-09 2014-12-31 13F/A HCA HOLDINGS COM Call 16,000 300.00 1,174 316.31 n/a n/a n/a
2015-02-17 2014-12-31 13F HCA HOLDINGS COM Call 16,000 1,174 n/a n/a n/a
2016-02-09 2014-09-30 13F/A HCA HOLDINGS COM Call 4,000 282 n/a n/a n/a
2014-11-14 2014-09-30 13F HCA HOLDINGS COM Call 4,000 282 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
(%)
2016-05-16 2016-03-31 13F HCA HOLDINGS COM Put 0 0 n/a n/a n/a
2015-05-15 2015-03-31 13F HCA HOLDINGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2016-02-09 2014-12-31 13F/A HCA HOLDINGS COM Put 8,000 166.67 587 176.89 n/a n/a n/a
2015-02-17 2014-12-31 13F HCA HOLDINGS COM Put 8,000 587 n/a n/a n/a
2016-02-09 2014-09-30 13F/A HCA HOLDINGS COM Put 3,000 -57.14 212 -46.33 n/a n/a n/a
2014-11-14 2014-09-30 13F HCA HOLDINGS COM Put 3,000 212 n/a n/a n/a
2016-02-09 2014-06-30 13F/A HCA HOLDINGS COM Put 7,000 395 n/a n/a n/a
2014-08-14 2014-06-30 13F HCA HOLDINGS COM Put 7,000 395 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.