HCA HEALTHCARE (HCA) Institutional Ownership & Top Holders
The most recent SEC Form 13F filings (Q1 2026) show 10 hedge funds and institutional investors holding a combined 5.1M shares of HCA HEALTHCARE (HCA), valued at $2.4B. The median portfolio weight is 0.5%.
Quarterly institutional ownership changes in HCA show net selling, with the combined position decreasing by 2.0M shares (27.8%) from the previous quarter.
Among 13F filers, the funds with the highest portfolio allocation to HCA are Cryder (14.0% of its 13F portfolio), Darsana (7.6%), and Gobi Capital (7.2%). In Q1 2026, Pentwater Capital Management made the largest position increase (+0.3%), while ABRAMS BISON INVESTMENTS made the largest reduction (-5.7%).
Top 10 Institutional Holders in HCA HEALTHCARE (HCA), Ranked by Portfolio Weight
Based on the latest SEC Form 13F filings (Q1 2026).
| # | Fund | Shares | Market Value | Portfolio Weight |
|---|---|---|---|---|
| 1 | Cryder | 454,444 | $215.1M | 14.0% |
| 2 | Darsana | 750,000 | $354.9M | 7.6% |
| 3 | Gobi Capital | 262,245 | $124.1M | 7.2% |
| 4 | First Eagle Investment Management | 3,254,570 | $1.5B | 2.0% |
| 5 | UTIMCO - The University of Texas | 10,566 | $5.0M | 0.7% |
| 6 | Markel Group | 82,430 | $39.0M | 0.3% |
| 7 | Pentwater Capital Management | 75,000 | $35.5M | 0.3% |
| 8 | Pzena Investment Management | 94,261 | $44.6M | 0.1% |
| 9 | Harris Associates | 158,143 | $74.8M | 0.1% |
| 10 | Brave Warrior Advisors | 1,333 | $631K | 0.0% |
- 10Institutional investors
- 5,142,992Shares held (disclosed)
- $2.4B13F market value
- 0.5%Median portfolio weight
Ownership History
Quarter-by-quarter share count, market value, and portfolio conviction weight (up to 5 of the heaviest weight-by-portfolio funds) of HCA. Sourced from 13F filings; reflects long equity positions only.
Quarter-over-Quarter ActivityQ1 2026
The biggest weight-increase and weight-decrease changes among funds that hold HCA. Deltas compare the selected filing to the previous reporting quarter.
Top buyers
- Pentwater Capital Management+0.3% · +75,000 shares
- UTIMCO - The University of Texas+0.2% · +2,060 shares
- Markel Group+0.0% · +1,750 shares
Top sellers
- ABRAMS BISON INVESTMENTS-5.7% · -165,000 shares
- Gobi Capital-2.2% · -141,825 shares
- Darsana-1.7% · -250,000 shares
Options Activity
- Total puts47,000 (-73,000)
Ownership Statistics
- Funds holding
- 10
- Median weight
- 0.5%
- Largest holder
- Cryder · 14.0%
- Smallest holder
- Brave Warrior Advisors · 0.0%
- Shares held
- 5,142,992 (-1,976,536)
All Institutional HoldersSortable · searchable
All institutional investors (Max 50) holding HCA in the selected quarter. Click a fund name to drill into its full 13F portfolio.
| 1 | Cryder | 454,444 | $215.1M | 14.0% |
| 2 | Darsana | 750,000 | $354.9M | 7.6% |
| 3 | Gobi Capital | 262,245 | $124.1M | 7.2% |
| 4 | First Eagle Investment Management | 3,254,570 | $1.5B | 2.0% |
| 5 | UTIMCO - The University of Texas | 10,566 | $5.0M | 0.7% |
| 6 | Markel Group | 82,430 | $39.0M | 0.3% |
| 7 | Pentwater Capital Management | 75,000 | $35.5M | 0.3% |
| 8 | Pzena Investment Management | 94,261 | $44.6M | 0.1% |
| 9 | Harris Associates | 158,143 | $74.8M | 0.1% |
| 10 | Brave Warrior Advisors | 1,333 | $630.8K | 0.0% |
Institutional Investor Count Over Time
Number of institutional investors disclosing a long position in HCA HEALTHCARE INC (HCA) each reporting quarter. Sourced from SEC Form 13F-HR filings.
See HCA HEALTHCARE INC (HCA) insider transactions — SEC Form 4 →
Methodology & FAQ
Methodology: How We Track HCA Institutional Holdings
Our data is systematically aggregated directly from quarterly Form 13F-HR disclosures submitted to the U.S. Securities and Exchange Commission (SEC).
- Who Must File (Reporting Threshold): This dataset includes filings from U.S. institutional investment managers, hedge funds, mutual funds, university endowments, and family offices managing at least $100 million in Section 13(f) securities (including equities, options, convertibles, ETFs, and warrants).
- What is Included (Data Scope): We capture long positions in Section 13(f) securities for HCA HEALTHCARE INC (HCA). By SEC regulation, 13F filings do not require the disclosure of short positions, non-U.S. holdings, or OTC derivatives. Listed options are excluded from portfolio weight calculations to ensure comparability across filers.
- Portfolio Weight Explained (Metric Definition): “Portfolio Weight” shows how much of a fund's total reported 13F portfolio value (excluding listed options) is allocated to HCA on the specific reporting date.
- How to Use This Data (Interpretation): Quarter-over-quarter changes in shares and portfolio weight reflect a combination of active trading and market price movements. These are descriptive metrics of fund allocation, not explicit buy or sell signals.
How do you measure hedge fund conviction and institutional concentration in HCA?
We evaluate fund conviction by looking at portfolio weight rather than just absolute share count. By tracking how the largest holders —such as Cryder , Darsana , and Gobi Capital as of Q1 2026— change their position sizing quarter-over-quarter, we help investors distinguish between deliberate position sizing changes and passive mark-to-market drift.
Does the HCA ownership data include short interest or options?
SEC Form 13F mandates the disclosure of long positions in Section 13(f) securities, which includes equities and listed options (put and call contracts), but excludes short interest, swaps, and OTC derivatives by regulatory design. On this platform, listed options are excluded from portfolio weight calculations to ensure comparability across filers.
Are family offices and university endowments included in this HCA data?
Yes. In addition to traditional hedge funds and large asset managers, any institutional entity exercising investment discretion over at least $100 million in Section 13(f) securities must file a Form 13F. This explicitly includes single-family offices and university endowments. If a qualifying family office or endowment holds HCA stock, their allocation is systematically aggregated alongside traditional fund data.
When is the institutional ownership data updated, and is there a reporting lag?
Institutional investment managers are required to file their Form 13F within 45 days after the end of a calendar quarter (the standard “T+45” window). Our platform re-ingests new filings from the SEC EDGAR database on a nightly cycle, typically within 24–48 hours of publication, providing a point-in-time snapshot of reported consensus positioning for HCA as of each filing date.