Ranked by reported Q2 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. | 13.0M | $5.07B | -2.7% | 6.006% | 0.08% |
| 2 | VANGUARD CAPITAL MANAGEMENT LLC | 10.1M | $3.95B | -0.4% | 4.684% | 0.08% |
| 3 | Sanders Capital, LLC | 8.8M | $3.44B | -1.4% | 4.078% | 3.45% |
| 4 | STATE STREET CORP | 7.5M | $2.91B | -0.9% | 3.450% | 0.04% |
| 5 | WELLINGTON MANAGEMENT GROUP LLP | 4.7M | $1.84B | +20.5% | 2.174% | 0.32% |
| 6 | GEODE CAPITAL MANAGEMENT, LLC | 3.7M | $1.42B | -0.7% | 1.694% | 0.08% |
| 7 | First Eagle Investment Management, LLC | 3.3M | $1.28B | +1.3% | 1.522% | 1.06% |
| 8 | VANGUARD PORTFOLIO MANAGEMENT LLC | 2.7M | $1.06B | -1.6% | 1.253% | 0.05% |
| 9 | MORGAN STANLEY | 2.6M | $1.01B | +12.7% | 1.195% | 0.05% |
| 10 | GOLDMAN SACHS GROUP INC | 2.5M | $962.0M | +15.3% | 1.140% | 0.08% |
| 11 | JPMORGAN CHASE & CO | 2.3M | $896.8M | -7.1% | 1.056% | 0.05% |
| 12 | ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | 2.2M | $861.5M | +2.0% | 1.020% | 0.38% |
| 13 | NORGES BANK | 2.1M | $836.5M | — | 0.991% | 0.08% |
| 14 | Capital World Investors | 2.0M | $770.9M | +0.2% | 0.913% | 0.09% |
| 15 | Capital International Investors | 1.9M | $747.4M | -36.8% | 0.885% | 0.15% |
| 16 | NORTHERN TRUST CORP | 1.7M | $666.2M | -2.5% | 0.789% | 0.08% |
| 17 | FMR LLC | 1.6M | $636.5M | -62.9% | 0.754% | 0.03% |
| 18 | Invesco Ltd. | 1.5M | $596.4M | +6.3% | 0.707% | 0.05% |
| 19 | NORDEA INVESTMENT MANAGEMENT AB | 1.4M | $553.7M | -1.2% | 0.660% | 0.45% |
| 20 | BARCLAYS PLC | 1.3M | $515.1M | +2.7% | 0.610% | 0.10% |
| 21 | UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AME | 1.2M | $485.2M | -17.0% | 0.575% | 0.09% |
| 22 | Crake Asset Management LLP | 1.2M | $449.1M | — | 0.532% | 10.75% |
| 23 | Metropolis Capital Ltd | 911K | $430.9M | +195.3% | 0.421% | 12.50% |
| 24 | Darsana Capital Partners LP | 1.1M | $428.9M | +46.7% | 0.508% | 1.93% |
| 25 | CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 1.1M | $414.6M | -0.8% | 0.491% | 0.06% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). “% of Fund” shows how much of that investor’s total 13F portfolio is invested in HCA — a direct measure of their conviction.
Filings activity in HCA during Q2 2026, grouped by how each filer changed its position.
Institutions that opened a new HCA position in Q2 2026
Institutions that fully closed their HCA position in Q2 2026
8 quarters of 13F filings · Δ columns show change vs prior quarter
| Quarter | Inst. Holders | Δ Holders | Ownership % | Δ Ownership | Total 13F Value | Δ Value |
|---|---|---|---|---|---|---|
| Q2 2026 | 1,343 | 4.9% | 61.53% | +1.35 pp | $49.58B | 18% |
| Q1 2026 | 1,412 | +2.5% | 60.18% | 2.02 pp | $60.50B | 3.1% |
| Q4 2025 | 1,378 | +8.9% | 62.20% | +1.36 pp | $62.42B | +8.5% |
| Q3 2025 | 1,265 | +3.8% | 60.84% | 2.20 pp | $57.53B | +6.9% |
| Q2 2025 | 1,219 | +2.8% | 63.04% | 1.19 pp | $53.80B | +7.2% |
| Q1 2025 | 1,186 | +4.7% | 64.23% | +0.17 pp | $50.20B | +8.7% |
| Q4 2024 | 1,133 | 2.5% | 64.06% | +2.40 pp | $46.17B | 24% |
| Q3 2024 | 1,162 | — | 61.66% | — | $60.51B | — |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Δ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying HCA stock.
Based on Q2 2026 13F filings, institutional ownership of HCA Healthcare, Inc. stands at 61.5%, held across 1,343 reporting institutions.
BlackRock, Inc. is the largest reported institutional holder of HCA, with approximately 13,003,600 shares worth $5.07B as of Q2 2026.
No marquee "smart money" managers (Berkshire, Burry, ARK, Tiger Global, Pershing Square, Baupost, etc.) currently appear among the top 25 institutional holders of HCA.
Our composite Smart Money Score for HCA is 35 out of 100 (Bearish). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
103 institutions opened new positions in HCA during Q2 2026, while 181 fully exited. 184 added to existing positions and 1,014 trimmed.
HCA institutional ownership rose by 1.35 percentage points quarter-over-quarter, with a net change of -69 holders.
The top 10 institutions account for 46.3% of all reported 13F value in HCA, and the top 25 account for 65.0%.
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