Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in HCA held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | BlackRock, Inc. | 13.4M | $6.32B | +6.2% | 5.977% | 0.11% |
| 2 | VANGUARD CAPITAL MANAGEMENT LLC | 10.2M | $4.82B | β | 4.553% | 0.12% |
| 3 | Sanders Capital, LLC | 9.0M | $4.24B | -14.4% | 4.006% | 5.05% |
| 4 | STATE STREET CORP | 7.5M | $3.57B | -0.4% | 3.372% | 0.12% |
| 5 | FMR LLC | 4.4M | $2.08B | +14.8% | 1.969% | 0.11% |
| 6 | WELLINGTON MANAGEMENT GROUP LLP | 3.9M | $1.85B | +14.1% | 1.748% | 0.35% |
| 7 | GEODE CAPITAL MANAGEMENT, LLC | 3.7M | $1.74B | +0.8% | 1.652% | 0.11% |
| 8 | First Eagle Investment Management, LLC | 3.3M | $1.54B | -10.7% | 1.456% | 2.04% |
| 9 | Capital International Investors | 3.0M | $1.44B | β | 1.357% | 0.34% |
| 10 | VANGUARD PORTFOLIO MANAGEMENT LLC | 2.8M | $1.31B | β | 1.234% | 0.07% |
| 11 | MORGAN STANLEY | 2.3M | $1.09B | +4.6% | 1.026% | 0.07% |
| 12 | ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | 2.2M | $1.02B | -6.3% | 0.968% | 0.55% |
| 13 | GOLDMAN SACHS GROUP INC | 2.1M | $1.01B | +20.8% | 0.957% | 0.12% |
| 14 | Capital World Investors | 2.0M | $933.4M | -60.6% | 0.882% | 0.13% |
| 15 | NORTHERN TRUST CORP | 1.8M | $829.2M | -0.6% | 0.784% | 0.11% |
| 16 | UBS ASSET MANAGEMENT AMERICAS INC | 1.5M | $709.9M | -3.8% | 0.671% | 0.15% |
| 17 | Invesco Ltd. | 1.4M | $680.8M | +26.4% | 0.643% | 0.10% |
| 18 | NORDEA INVESTMENT MANAGEMENT AB | 1.4M | $670.9M | +33.5% | 0.647% | 0.63% |
| 19 | BARCLAYS PLC | 1.3M | $608.7M | -2.7% | 0.575% | 0.25% |
| 20 | FRANKLIN RESOURCES INC | 1.2M | $575.7M | -1.4% | 0.544% | 0.14% |
| 21 | Legal & General Group Plc | 1.1M | $518.1M | +1.8% | 0.490% | 0.12% |
| 22 | VIKING GLOBAL INVESTORS LP | 1.1M | $508.8M | +7.6% | 0.481% | 1.42% |
| 23 | CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 1.1M | $507.1M | +0.3% | 0.479% | 0.08% |
| 24 | JANUS HENDERSON GROUP PLC | 1.0M | $481.5M | -6.7% | 0.455% | 0.24% |
| 25 | Bank of New York Mellon Corp | 944K | $446.8M | -2.6% | 0.422% | 0.08% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). β% of Fundβ shows how much of that investorβs total 13F portfolio is invested in HCA β a direct measure of their conviction.
Filings activity in HCA during Q1 2026, grouped by how each filer changed its position.
Institutions that opened a new HCA position in Q1 2026
Institutions that fully closed their HCA position in Q1 2026
8 quarters of 13F filings Β· Ξ columns show change vs prior quarter
| Quarter | Inst. Holders | Ξ Holders | Ownership % | Ξ Ownership | Total 13F Value | Ξ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 1,382 | +1.5% | 68.06% | 3.45 pp | $58.91B | 4.8% |
| Q4 2025 | 1,362 | +9.0% | 71.51% | +5.36 pp | $61.90B | +8.1% |
| Q3 2025 | 1,250 | +2.5% | 66.15% | +4.00 pp | $57.26B | +6.4% |
| Q2 2025 | 1,219 | +2.8% | 62.15% | +4.15 pp | $53.80B | +7.2% |
| Q1 2025 | 1,186 | +4.7% | 58.00% | +4.67 pp | $50.20B | +8.7% |
| Q4 2024 | 1,133 | 2.5% | 53.33% | 16.57 pp | $46.17B | 24% |
| Q3 2024 | 1,162 | +3.7% | 69.90% | +1.40 pp | $60.51B | +2.1% |
| Q2 2024 | 1,121 | β | 68.50% | β | $59.29B | β |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Ξ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying HCA stock.
Based on Q1 2026 13F filings, institutional ownership of HCA Healthcare, Inc. stands at 68.1%, held across 1,382 reporting institutions.
BlackRock, Inc. is the largest reported institutional holder of HCA, with approximately 13,363,266 shares worth $6.32B as of Q1 2026.
Yes β 1 widely-followed marquee investor appear among the top 25 institutional holders of HCA, including VIKING GLOBAL INVESTORS LP.
Our composite Smart Money Score for HCA is 40 out of 100 (Neutral). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
167 institutions opened new positions in HCA during Q1 2026, while 147 fully exited. 747 added to existing positions and 462 trimmed.
HCA institutional ownership fell by 3.45 percentage points quarter-over-quarter, with a net change of +20 holders.
The top 10 institutions account for 49.1% of all reported 13F value in HCA, and the top 25 account for 67.0%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.
HCA Healthcare, Inc. (HCA) Institutional Ownership