HCA Healthcare, Inc.
HCA Healthcare, Inc. (HCA) Stock Ownership
Institutional vs insider vs public ownership from 13F and float data — top holders, activity, and insider trades below.
SEC 13F · FMP · HCA · as of Sep 30, 2025
Ownership Breakdown
1,344
Institutional Holders
▲ 41 vs Q2
$58.30B
Total Inst. Value
▲ $2.15B vs Q2
221.84M
Shares Outstanding
freeFloat 67.39%
136.84M
13F Shares Held
▼ 9.89M vs Q2
Institutional ownership = 13F shares ÷ total outstanding. Insider % = 100 − free float. Public % = free float − institution %. Data: FMP /symbol-positions-summary + /shares-float + SEC EDGAR.
Top Institutional Holders
HCA largest shareholders · institutional ownership
Q3 2025 · SEC 13F
Showing top 10 holders
| Holder | Shares | % Owned | Weight | Value | Reported | Change |
|---|---|---|---|---|---|---|
VANGUARD GROUP INC services-general medical & surgical hospitals, nec | 14.89M | 6.16% | 6.16% | $6.35T | Nov 7, 2025 | ▼ 580.9K |
BLACKROCK, INC. services-general medical & surgical hospitals, nec | 12.47M | 5.15% | 5.15% | $5.31T | Nov 12, 2025 | ▼ 483.6K |
SANDERS CAPITAL, LLC services-general medical & surgical hospitals, nec | 10.68M | 4.41% | 4.41% | $4.55T | Nov 13, 2025 | ▼ 426.9K |
STATE STREET CORP services-general medical & surgical hospitals, nec | 7.49M | 3.10% | 3.10% | $3.19T | Nov 14, 2025 | ▼ 466.1K |
CAPITAL WORLD INVESTORS services-general medical & surgical hospitals, nec | 4.96M | 2.05% | 2.05% | $2.11T | Nov 13, 2025 | ▲ 179.4K |
FIRST EAGLE INVESTMENT MANAGEMENT, LLC services-general medical & surgical hospitals, nec | 3.92M | 1.62% | 1.62% | $1.67T | Nov 12, 2025 | ▼ 290.4K |
WELLINGTON MANAGEMENT GROUP LLP services-general medical & surgical hospitals, nec | 3.88M | 1.60% | 1.60% | $1.65T | Nov 14, 2025 | ▼ 230.1K |
GEODE CAPITAL MANAGEMENT, LLC services-general medical & surgical hospitals, nec | 3.65M | 1.51% | 1.51% | $1.55T | Nov 12, 2025 | ▼ 147.8K |
JPMORGAN CHASE & CO services-general medical & surgical hospitals, nec | 2.99M | 1.23% | 1.23% | $1.27T | Nov 26, 2025 | ▼ 292.3K |
MORGAN STANLEY services-general medical & surgical hospitals, nec | 2.13M | 88.04% | 88.04% | $907.76B | May 27, 2026 | ▼ 100.7K |
Data from SEC Form 13F filings. Ownership bar normalised to largest holder. Change flags: isNew / isSoldOut / changeInSharesNumber (FMP extract-analytics/holder).
Institutional Activity
Q3 2025 vs prior quarter
Q3 2025
15
Increased
+1.98M shares0
New Positions
first time holders33
Decreased
−6.15M shares0
Sold Out
fully exitedNet shares change (top 50)
4.17M
+1.98M / −6.15M
Net new holders
-18
0 new / 0 exited
Based on top 50 institutional holders by position size. Fields: isNew, isSoldOut, changeInSharesNumber (FMP extract-analytics/holder, limit=50).
Insider Buying vs Selling
HCA insider trading · insider activity
Source: SEC Form 4
Insiders have been primarily selling shares recently. Selling may be driven by pre-scheduled Rule 10b5-1 plans rather than negative sentiment.
8
Buy transactions
0
Sell transactions
0.00
Buy/Sell ratio
$0M
Total disposed
Recent Insider Transactions
Showing 10 most recent · Common Stock only
| Name · Role | Date | Type | Shares | Price | Value | After Trans. | Filing |
|---|---|---|---|---|---|---|---|
Marks Mike A EVP and CFO | May 7, 2026 | Gift | 3,336 | — | — | 46.6K | Form 4 ↗ |
Marks Mike A EVP and CFO | May 7, 2026 | Gift | 3,336 | — | — | 0 | Form 4 ↗ |
Frist William R
| Apr 28, 2026 | Award | 809 | — | — | 13.7K | Form 4 ↗ |
FRIST THOMAS F III
| Apr 28, 2026 | Award | 1,041 | — | — | 15.9K | Form 4 ↗ |
Smith Andrea B director | Apr 28, 2026 | Award | 509 | — | — | 4.7K | Form 4 ↗ |
Riley Wayne Joseph director | Apr 28, 2026 | Award | 509 | — | — | 15.0K | Form 4 ↗ |
MICHELSON MICHAEL W director | Apr 28, 2026 | Award | 925 | — | — | 12.6K | Form 4 ↗ |
Johnston Hugh F director | Apr 28, 2026 | Award | 809 | — | — | 4.5K | Form 4 ↗ |
DEPARLE NANCY ANN director | Apr 28, 2026 | Award | 509 | — | — | 21.9K | Form 4 ↗ |
CHIDSEY JOHN director | Apr 28, 2026 | Award | 809 | — | — | 1.3K | Form 4 ↗ |
Source: /insider-trading/search (FMP stable). Buy/Sell direction: acquisitionOrDisposition A=Buy, D=Sell. RSU vesting (M-Exempt) excluded from sentiment bar. All data from SEC EDGAR public filings.
About institutional & insider ownership
HCA Healthcare, Inc. (HCA) is primarily owned by institutional investors, who hold approximately 61.7% of total shares outstanding. Company insiders own approximately 32.61%, while retail and public investors account for the remaining 5.70%.
The largest institutional shareholder of HCA Healthcare, Inc. is VANGUARD GROUP INC, holding approximately 14.89 million shares — equal to 6.16% of outstanding shares — as of September 30, 2025.
A total of 1,344 institutional investors currently hold HCA stock, with a combined institutional value of approximately $58.30 billion as of the most recent 13F filing period.
Frequently asked questions
HCA ownershipHCA Healthcare, Inc. (HCA) is primarily owned by institutional investors, who hold approximately 61.7% of shares. The largest shareholder is VANGUARD GROUP INC with a 6.16% stake. Company insiders hold 32.61%. Data sourced from SEC Form 13F as of September 30, 2025.