HCA Healthcare, Inc.
MX ˙ BMV ˙ US40412C1018
SecurityMX:HCA / HCA Healthcare, Inc.
InstitutionTwo Sigma Investments, Lp
ManagerJohn Overdeck, David Siegel
Latest Disclosed Ownership1,222 shares
Latest Disclosed Value $ 578,299
Two Sigma Investments, Lp ownership in HCA / HCA Healthcare, Inc.

On May 15, 2026 - Two Sigma Investments, Lp filed a 13F-HR form disclosing ownership of 1,222 shares of HCA Healthcare, Inc. (MX:HCA) valued at $578,299 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 0 shares of HCA Healthcare, Inc..

Two Sigma Investments, 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)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM 40412C101 1,222 1,222 578 0.0005
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM 40412C101 0 -10,200 -100.00 0 -100.00
2025-11-14 2025-09-30 13F HCA HEALTHCARE COM 40412C101 10,200 100 0.99 4,347 12.35 0.0065
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 10,100 0 0.00 3,869 10.86 0.0069
2025-05-15 2025-03-31 13F HCA HEALTHCARE COM 40412C101 10,100 -457,337 -97.84 3,490 -97.51 0.0075
2025-02-14 2024-12-31 13F HCA HEALTHCARE COM 40412C101 467,437 463,579 12,016.04 140,301 8,847.77 0.3060
2024-11-14 2024-09-30 13F HCA HEALTHCARE COM 40412C101 3,858 3,858 1,568 0.0034
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM 40412C101 0 -5,900 -100.00 0 -100.00
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 5,900 -362,574 -98.40 1,451 -98.70 0.0039
2023-08-14 2023-06-30 13F HCA HEALTHCARE COM 40412C101 368,474 362,566 6,136.87 111,824 7,082.02 0.2805
2023-05-15 2023-03-31 13F HCA HEALTHCARE COM 40412C101 5,908 5,908 1,558 0.0045
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM 40412C101 0 -151,634 -100.00 0 -100.00
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 151,634 -207,127 -57.73 38,958 -55.26 0.0832
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM 40412C101 358,761 288,130 407.94 87,078 496.34 0.1946
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM 40412C101 70,631 70,631 14,602 0.0331
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM 40412C101 0 -76,916 -100.00 0 -100.00
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM 40412C101 76,916 68,604 825.36 12,650 1,121.04 0.0363
2020-11-16 2020-09-30 13F HCA HEALTHCARE COM 40412C101 8,312 -686,132 -98.80 1,036 -98.46 0.0037
2020-08-14 2020-06-30 13F HCA HEALTHCARE COM 40412C101 694,444 610,560 727.86 67,403 794.29 0.3338
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM 40412C101 83,884 -64,243 -43.37 7,537 -65.58 0.0614
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM 40412C101 148,127 131,659 799.48 21,895 1,004.14 0.0659
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM 40412C101 16,468 16,468 -88.88 1,983 -90.94 0.0067
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM 40412C101 0 -357,063 -100.00 0 -100.00
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 357,063 -673,053 -65.34 46,554 -63.69 0.1509
2019-02-14 2018-12-31 13F HCA HEALTHCARE COM 40412C101 1,030,116 16,776 1.66 128,198 -9.06 0.5019
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM 40412C101 1,013,340 881,308 667.50 140,976 940.72 0.3843
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM 40412C101 132,032 -122,374 -48.10 13,546 -45.11 0.0404
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM 40412C101 254,406 254,406 92.69 24,677 82.17 0.0821
2018-02-14 2017-12-31 13F HCA HEALTHCARE COM 40412C101 0 -5,226 -100.00 0 -100.00
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM 40412C101 5,226 5,226 416 0.0015
2017-08-14 2017-06-30 13F HCA HOLDINGS COM 40412C101 0 -280,909 -100.00 0 -100.00
2017-05-15 2017-03-31 13F HCA HOLDINGS COM 40412C101 280,909 201,839 255.27 24,998 327.10 0.0842
2017-02-14 2016-12-31 13F HCA HOLDINGS COM 40412C101 79,070 -10,247 -11.47 5,853 -13.35 0.0224
2016-11-14 2016-09-30 13F HCA HOLDINGS COM 40412C101 89,317 -390,043 -81.37 6,755 -81.70 0.0245
2016-08-15 2016-06-30 13F HCA HOLDINGS COM 40412C101 479,360 259,076 117.61 36,916 114.72 0.1585
2016-05-16 2016-03-31 13F HCA HOLDINGS COM 40412C101 220,284 -984,815 -81.72 17,193 -78.90 0.0819
2016-02-16 2015-12-31 13F HCA HOLDINGS COM 40412C101 1,205,099 862,175 251.42 81,501 207.21 0.3909
2015-11-16 2015-09-30 13F HCA HOLDINGS COM 40412C101 342,924 -487,429 -58.70 26,529 -64.78 0.1359
2016-02-09 2015-06-30 13F/A-1 HCA HOLDINGS COM 40412C101 830,353 325,126 64.35 75,330 98.20 0.3657
2015-08-14 2015-06-30 13F HCA HOLDINGS COM 40412C101 830,353 75,330
2016-02-09 2015-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 505,227 -331,840 -39.64 38,008 -38.13 0.1872
2015-05-15 2015-03-31 13F HCA HOLDINGS COM 40412C101 505,227 38,009
2016-02-09 2014-12-31 13F/A-1 HCA HOLDINGS COM 40412C101 837,067 -1,168,228 -58.26 61,432 -56.56 0.3532
2015-02-17 2014-12-31 13F HCA HOLDINGS COM 40412C101 837,067 61,433
2016-02-09 2014-09-30 13F/A-1 HCA HOLDINGS COM 40412C101 2,005,295 42,195 2.15 141,413 27.77 0.6648
2014-11-14 2014-09-30 13F HCA HOLDINGS COM 40412C101 2,005,295 141,413
2016-02-09 2014-06-30 13F/A-1 HCA HOLDINGS COM 40412C101 1,963,100 -6,270 -0.32 110,680 7.05 0.5223
2014-08-14 2014-06-30 13F HCA HOLDINGS COM 40412C101 1,963,100 110,680
2014-05-15 2014-03-31 13F HCA HOLDINGS COM 40412C101 1,969,370 -523,175 -20.99 103,392 -13.06 0.5539
2014-02-14 2013-12-31 13F HCA HOLDINGS COM 40412C101 2,492,545 436,633 21.24 118,920 35.31 0.6575
2013-11-14 2013-09-30 13F HCA HOLDINGS COM 40412C101 2,055,912 -363,127 -15.01 87,890 0.76 0.5602
2013-08-14 2013-06-30 13F HCA HOLDINGS COM 40412C101 2,419,039 2,419,039 87,231 0.6095
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
(%)
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM Call 13,000 3,340 n/a n/a n/a
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM Call 6,000 987 n/a n/a n/a
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM Call 4,800 -20.00 709 -1.94 n/a n/a n/a
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM Call 6,000 25.00 723 1.97 n/a n/a n/a
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM Call 2,000 261 n/a n/a n/a
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM Call 7,700 92.50 790 103.61 n/a n/a n/a
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM Call 4,000 33.33 388 46.97 n/a n/a n/a
2018-02-14 2017-12-31 13F HCA HEALTHCARE COM Call 3,000 -25.00 264 -31.96 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM Call 6,000 523 n/a n/a n/a
2017-05-15 2017-03-31 13F HCA HOLDINGS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-14 2016-12-31 13F HCA HOLDINGS COM Call 22,500 104.55 1,665 100.12 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS COM Call 11,000 -68.02 832 -68.59 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS COM Call 34,400 22.86 2,649 21.24 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA HOLDINGS COM Call 28,000 833.33 2,185 976.35 n/a n/a n/a
2016-02-16 2015-12-31 13F HCA HOLDINGS COM Call 3,000 -76.92 203 -79.82 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA HOLDINGS COM Call 13,000 -23.53 1,006 -34.76 n/a n/a n/a
2016-02-09 2015-06-30 13F/A HCA HOLDINGS COM Call 17,000 41.67 1,542 70.76 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA HOLDINGS COM Call 17,000 1,542 n/a n/a n/a
2016-02-09 2015-03-31 13F/A HCA HOLDINGS COM Call 12,000 903 n/a n/a n/a
2015-05-15 2015-03-31 13F HCA HOLDINGS COM Call 12,000 903 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
(%)
2026-05-15 2026-03-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2026-02-17 2025-12-31 13F HCA HEALTHCARE COM Put 500 233 n/a n/a n/a
2022-05-16 2022-03-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM Put 12,600 3,237 n/a n/a n/a
2021-11-15 2021-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-08-16 2021-06-30 13F HCA HEALTHCARE COM Put 1,000 207 n/a n/a n/a
2021-05-17 2021-03-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-02-16 2020-12-31 13F HCA HEALTHCARE COM Put 5,900 970 n/a n/a n/a
2020-05-15 2020-03-31 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2020-02-14 2019-12-31 13F HCA HEALTHCARE COM Put 6,800 9.68 1,005 34.54 n/a n/a n/a
2019-11-14 2019-09-30 13F HCA HEALTHCARE COM Put 6,200 210.00 747 176.67 n/a n/a n/a
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM Put 2,000 -33.33 270 -30.95 n/a n/a n/a
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM Put 3,000 50.00 391 44.81 n/a n/a n/a
2018-11-14 2018-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-08-14 2018-06-30 13F HCA HEALTHCARE COM Put 11,200 194.74 1,149 211.38 n/a n/a n/a
2018-05-15 2018-03-31 13F HCA HEALTHCARE COM Put 3,800 -66.07 369 -67.89 n/a n/a n/a
2017-11-14 2017-09-30 13F HCA HEALTHCARE COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-08-14 2017-06-30 13F HCA HEALTHCARE COM Put 11,900 1,038 n/a n/a n/a
2017-05-15 2017-03-31 13F HCA HOLDINGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-02-14 2016-12-31 13F HCA HOLDINGS COM Put 21,200 48.25 1,569 45.01 n/a n/a n/a
2016-11-14 2016-09-30 13F HCA HOLDINGS COM Put 14,300 -48.38 1,082 -49.27 n/a n/a n/a
2016-08-15 2016-06-30 13F HCA HOLDINGS COM Put 27,700 -37.05 2,133 -37.89 n/a n/a n/a
2016-05-16 2016-03-31 13F HCA HOLDINGS COM Put 44,000 633.33 3,434 745.81 n/a n/a n/a
2016-02-16 2015-12-31 13F HCA HOLDINGS COM Put 6,000 20.00 406 4.91 n/a n/a n/a
2015-11-16 2015-09-30 13F HCA HOLDINGS COM Put 5,000 -54.55 387 -61.22 n/a n/a n/a
2016-02-09 2015-06-30 13F/A HCA HOLDINGS COM Put 11,000 998 n/a n/a n/a
2015-08-14 2015-06-30 13F HCA HOLDINGS COM Put 11,000 998 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.