HCA Healthcare, Inc.
US ˙ NYSE ˙ US40412C1018

SecurityHCA / HCA Healthcare, Inc.
InstitutionSpire Wealth Management
Latest Disclosed Ownership8,138 shares
Latest Disclosed Value $ 3,851,461
Spire Wealth Management reports 4.90% decrease in ownership of HCA / HCA Healthcare, Inc.

On April 22, 2026 - Spire Wealth Management filed a 13F-HR form disclosing ownership of 8,138 shares of HCA Healthcare, Inc. (US:HCA) valued at $3,851,227 USD as of March 31, 2026. The entity filed a previous 13F-HR on January 14, 2026 disclosing 8,557 shares of HCA Healthcare, Inc.. This represents a change in shares of -4.90% during the quarter. The current value of the position is $2,955,966 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)
2026-04-22 2026-03-31 13F HCA HEALTHCARE COM 40412C101 8,138 -419 -4.90 3,851 -3.60 0.0830
2026-01-14 2025-12-31 13F HCA HEALTHCARE COM 40412C101 8,557 -72 -0.83 3,995 8.65 0.1338
2025-10-23 2025-09-30 13F HCA HEALTHCARE COM 40412C101 8,629 1,447 20.15 3,678 34.94 0.1252
2025-08-04 2025-06-30 13F HCA HEALTHCARE COM 40412C101 7,182 -3,476 -32.61 2,725 -25.99 0.0979
2025-04-23 2025-03-31 13F HCA HEALTHCARE COM 40412C101 10,658 745 7.52 3,683 23.76 0.1179
2025-01-24 2024-12-31 13F HCA HEALTHCARE COM 40412C101 9,913 1,851 22.96 2,975 -9.19 0.0924
2024-10-15 2024-09-30 13F HCA HEALTHCARE COM 40412C101 8,062 5,686 239.31 3,277 329.36 0.1105
2024-07-31 2024-06-30 13F HCA HEALTHCARE COM 40412C101 2,376 -554 -18.91 763 -21.90 0.0269
2024-04-24 2024-03-31 13F HCA HEALTHCARE COM 40412C101 2,930 165 5.97 977 22.89 0.0177
2024-02-06 2023-12-31 13F HCA HEALTHCARE COM 40412C101 2,765 366 15.26 796 34.75 0.0263
2023-11-08 2023-09-30 13F HCA HEALTHCARE COM 40412C101 2,399 1,989 485.12 590 375.81 0.0225
2023-08-09 2023-06-30 13F HCA HEALTHCARE COM 40412C101 410 -7 -1.68 124 13.76 0.0046
2023-05-09 2023-03-31 13F HCA HEALTHCARE COM 40412C101 417 186 80.52 110 0.0043
2023-02-03 2022-12-31 13F HCA HEALTHCARE COM 40412C101 231 28 13.79 0 -100.00 0.0031
2022-11-07 2022-09-30 13F HCA HEALTHCARE COM 40412C101 203 -48 -19.12 37 -11.90 0.0022
2022-07-22 2022-06-30 13F HCA HEALTHCARE COM 40412C101 251 -24 -8.73 42 -39.13 0.0017
2022-04-18 2022-03-31 13F HCA HEALTHCARE COM 40412C101 275 -40 -12.70 69 -14.81 0.0018
2022-01-14 2021-12-31 13F HCA HEALTHCARE COM 40412C101 315 40 14.55 81 20.90 0.0018
2021-10-22 2021-09-30 13F HCA HEALTHCARE COM 40412C101 275 -22 -7.41 67 9.84 0.0018
2021-07-26 2021-06-30 13F HCA HEALTHCARE COM 40412C101 297 -37 -11.08 61 -3.17 0.0017
2021-05-21 2021-03-31 13F/A-1 HCA HEALTHCARE COM 40412C101 334 334 63 0.0017
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.