HCA Healthcare, Inc.
US ˙ NYSE ˙ US40412C1018

SecurityHCA / HCA Healthcare, Inc.
InstitutionSei Investments Co
Latest Disclosed Ownership367,032 shares
Latest Disclosed Value $ 171,351,418
Sei Investments Co reports 136.87% increase in ownership of HCA / HCA Healthcare, Inc.

On February 13, 2026 - Sei Investments Co filed a 13F-HR form disclosing ownership of 367,032 shares of HCA Healthcare, Inc. (US:HCA) valued at $171,352,560 USD as of December 31, 2025. The entity filed a previous 13F-HR on November 13, 2025 disclosing 154,954 shares of HCA Healthcare, Inc.. This represents a change in shares of 136.87% during the quarter. The current value of the position is $133,317,033 USD.

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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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)
2026-02-13 2025-12-31 13F HCA HEALTHCARE COM 40412C101 367,032 212,078 136.87 171,351 159.46 0.1691
2025-11-13 2025-09-30 13F HCA HEALTHCARE COM 40412C101 154,954 18,365 13.45 66,041 26.21 0.0710
2025-08-14 2025-06-30 13F HCA HEALTHCARE COM 40412C101 136,589 11,258 8.98 52,328 20.83 0.0607
2025-05-14 2025-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 125,331 37,210 42.23 43,309 63.75 0.0557
2025-05-13 2025-03-31 13F HCA HEALTHCARE COM 40412C101 87,375 -746 28,311 0.0308
2025-02-11 2024-12-31 13F HCA HEALTHCARE COM 40412C101 88,121 -41,708 -32.13 26,448 -49.88 0.0340
2024-11-12 2024-09-30 13F HCA HEALTHCARE COM 40412C101 129,829 51,896 66.59 52,768 110.75 0.0685
2024-08-13 2024-06-30 13F HCA HEALTHCARE COM 40412C101 77,933 22,770 41.28 25,039 36.10 0.0355
2024-05-07 2024-03-31 13F HCA HEALTHCARE COM 40412C101 55,163 9,211 20.04 18,397 47.95 0.0270
2024-02-14 2023-12-31 13F HCA HEALTHCARE COM 40412C101 45,952 -3,614 -7.29 12,435 1.99 0.0200
2023-11-14 2023-09-30 13F HCA HEALTHCARE COM 40412C101 49,566 -7,877 -13.71 12,192 -30.06 0.0219
2023-08-11 2023-06-30 13F HCA HEALTHCARE COM 40412C101 57,443 -1,549 -2.63 17,432 12.07 0.0304
2023-05-12 2023-03-31 13F HCA HEALTHCARE COM 40412C101 58,992 -1,509 -2.49 15,555 7.14 0.0289
2023-02-10 2022-12-31 13F HCA HEALTHCARE COM 40412C101 60,501 -3,765 -5.86 14,519 22.90 0.0323
2022-11-14 2022-09-30 13F HCA HEALTHCARE COM 40412C101 64,266 6,191 10.66 11,813 18.84 0.0264
2022-08-15 2022-06-30 13F HCA HEALTHCARE COM 40412C101 58,075 -31,742 -35.34 9,940 -56.36 0.0215
2022-05-13 2022-03-31 13F HCA HEALTHCARE COM 40412C101 89,817 -26,453 -22.75 22,775 -24.05 0.0458
2022-02-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 116,270 25,226 27.71 29,987 36.02 0.0563
2021-11-12 2021-09-30 13F HCA HEALTHCARE COM 40412C101 91,044 -7,692 -7.79 22,046 8.12 0.0463
2021-08-06 2021-06-30 13F HCA HEALTHCARE COM 40412C101 98,736 -10,438 -9.56 20,390 6.31 0.0452
2021-05-12 2021-03-31 13F HCA HEALTHCARE COM 40412C101 109,174 -343 -0.31 19,179 7.06 0.0483
2021-02-08 2020-12-31 13F HCA HEALTHCARE COM 40412C101 109,517 7,114 6.95 17,914 39.88 0.0463
2020-12-04 2020-09-30 13F/A-1 HCA HEALTHCARE COM 40412C101 102,403 17,480 20.58 12,807 55.42 0.0371
2020-11-06 2020-09-30 13F HCA HEALTHCARE COM 40412C101 114,035 29,112 14,257 34,327.6861
2020-08-17 2020-06-30 13F/A-1 HCA HEALTHCARE COM 40412C101 84,923 982 1.17 8,240 9.27 0.0256
2020-08-11 2020-06-30 13F HCA HEALTHCARE COM 40412C101 100,509 16,568 12,836 34,818.3333
2020-05-14 2020-03-31 13F HCA HEALTHCARE COM 40412C101 83,941 6,713 8.69 7,541 -33.82 0.0277
2020-02-06 2019-12-31 13F HCA HEALTHCARE COM 40412C101 77,228 9,171 13.48 11,394 39.22 0.0340
2019-11-12 2019-09-30 13F HCA HEALTHCARE COM 40412C101 68,057 7,777 12.90 8,184 0.58 0.0209
2019-08-14 2019-06-30 13F HCA HEALTHCARE COM 40412C101 60,280 -6,877 -10.24 8,137 -7.25 0.0266
2019-05-15 2019-03-31 13F HCA HEALTHCARE COM 40412C101 67,157 23,476 53.74 8,773 51.44 0.0295
2019-02-13 2018-12-31 13F HCA HEALTHCARE COM 40412C101 43,681 5,560 14.59 5,793 8.99 0.0206
2018-11-08 2018-09-30 13F HCA HEALTHCARE COM 40412C101 38,121 -44,105 -53.64 5,315 -37.00 0.0193
2018-08-03 2018-06-30 13F HCA HEALTHCARE COM 40412C101 82,226 -10,468 -11.29 8,437 -6.17 0.0287
2018-05-11 2018-03-31 13F HCA HEALTHCARE COM 40412C101 92,694 19,634 26.87 8,992 40.13 0.0345
2018-02-08 2017-12-31 13F HCA HEALTHCARE COM 40412C101 73,060 -18,993 -20.63 6,417 -12.43 0.0223
2017-11-06 2017-09-30 13F HCA HEALTHCARE COM 40412C101 92,053 9,122 11.00 7,328 1.34 0.0260
2017-07-31 2017-06-30 13F HCA HEALTHCARE COM 40412C101 82,931 -95,898 -53.63 7,231 -54.56 0.0288
2017-05-05 2017-03-31 13F HCA HOLDINGS COM 40412C101 178,829 13,244 8.00 15,914 29.84 0.0697
2017-02-02 2016-12-31 13F HCA HOLDINGS COM 40412C101 165,585 -18,565 -10.08 12,257 -12.00 0.0594
2016-11-04 2016-09-30 13F HCA HOLDINGS COM 40412C101 184,150 -4,699 -2.49 13,928 -4.23 0.0708
2016-08-11 2016-06-30 13F HCA HOLDINGS COM 40412C101 188,849 -26,972 -12.50 14,543 -13.67 0.0872
2016-05-10 2016-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 215,821 10,120 4.92 16,845 21.08 0.1048
2016-02-03 2015-12-31 13F HCA HOLDINGS COM 40412C101 205,701 -35,590 -14.75 13,912 -25.47 0.0848
2015-11-02 2015-09-30 13F/A-1 HCA HOLDINGS COM 40412C101 241,291 26,849 12.52 18,667 -4.05 0.1713
2015-10-30 2015-09-30 13F DIREXION SHS ETF TR COM 40412C101 241,291 18,667
2015-08-07 2015-06-30 13F/A-1 HCA HOLDINGS COM 40412C101 214,442 105,370 96.61 19,454 137.13 0.1759
2015-08-04 2015-06-30 13F HCA HOLDINGS COM 40412C101 214,442 105,370 19,454 0.1759
2015-05-14 2015-03-31 13F/A-1 HCA HOLDINGS COM 40412C101 109,072 62,653 134.97 8,204 140.94 0.0712
2015-05-01 2015-03-31 13F HCA HOLDINGS COM 40412C101 109,072 8,204
2015-02-10 2014-12-31 13F HCA HOLDINGS COM 40412C101 46,419 46,419 3,405 0.0301
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.