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HomeStocksHCAInstitutional Holders

HCA logoHCA Healthcare, Inc. (HCA) Institutional Ownership

Q2 2026 13F Data|Updated 2026-11-07

✨

Institutional ownership increased this quarter (+1.35 pp), with a relatively well-distributed shareholder base.

Institutional Ownership
Can exceed 100% due to securities lending, short interest, and reporting timing differences.
61.5%$49.6B total value · ▲ +1.35 pp vs prior quarter
Smart Money Score
Based on ownership concentration, fund quality, buying/selling activity, ownership indicators, and institutional trend.
35 / 100Bearish
Institutions & Flow1,343 holders-78 net flow (+103 / -181)

AI Insights & Key Takeaways

  • Negative Institutional Flow (-78)
  • Top 10 holders control 46.3% of institutional value
  • No Insider Signal

Top Institutional Holders of HCA

Ranked by reported Q2 2026 13F market value

Top 10 Holders
46.3%
Top 25 Holders
65.0%

Share of total reported institutional value in HCA held by the largest 10 / 25 filers.

#InstitutionShares HeldMarket ValueQoQ ChangeOwnership %% of Fund
1BlackRock, Inc.13.0M$5.07B-2.7%6.006%0.08%
2VANGUARD CAPITAL MANAGEMENT LLC10.1M$3.95B-0.4%4.684%0.08%
3Sanders Capital, LLC8.8M$3.44B-1.4%4.078%3.45%

Quarterly Institutional Activity

Filings activity in HCA during Q2 2026, grouped by how each filer changed its position.

OverviewNew Buyers103Added To184Trimmed1,014Exited181
  • BlackRock, Inc.$5.07B
  • VANGUARD CAPITAL MANAGEMENT LLC$3.95B

HCA Institutional Ownership by Quarter

8 quarters of 13F filings · Δ columns show change vs prior quarter

QuarterInst. HoldersΔ HoldersOwnership %Δ OwnershipTotal 13F ValueΔ Value
Q2 20261,3434.9%61.53%+1.35 pp$49.58B18%
Q1 20261,412+2.5%60.18%2.02 pp$60.50B3.1%
Q4 20251,378+8.9%62.20%+1.36 pp$62.42B+8.5%
Q3 20251,265+3.8%60.84%2.20 pp$57.53B+6.9%
Q2 20251,219+2.8%63.04%1.19 pp$53.80B+7.2%
Q1 20251,186

HCA — Frequently Asked Questions

Quick answers to the most common questions about buying HCA stock.

What percentage of HCA is owned by institutions?

Based on Q2 2026 13F filings, institutional ownership of HCA Healthcare, Inc. stands at 61.5%, held across 1,343 reporting institutions.

Who is the largest institutional holder of HCA?

BlackRock, Inc. is the largest reported institutional holder of HCA, with approximately 13,003,600 shares worth $5.07B as of Q2 2026.

Is HCA a hedge fund favorite?

No marquee "smart money" managers (Berkshire, Burry, ARK, Tiger Global, Pershing Square, Baupost, etc.) currently appear among the top 25 institutional holders of HCA.

What is HCA's Smart Money Score?

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.

How many institutions bought HCA this quarter?
4STATE STREET CORP7.5M$2.91B-0.9%3.450%0.04%
5WELLINGTON MANAGEMENT GROUP LLP4.7M$1.84B+20.5%2.174%0.32%
6GEODE CAPITAL MANAGEMENT, LLC3.7M$1.42B-0.7%1.694%0.08%
7First Eagle Investment Management, LLC3.3M$1.28B+1.3%1.522%1.06%
8VANGUARD PORTFOLIO MANAGEMENT LLC2.7M$1.06B-1.6%1.253%0.05%
9MORGAN STANLEY2.6M$1.01B+12.7%1.195%0.05%
10GOLDMAN SACHS GROUP INC2.5M$962.0M+15.3%1.140%0.08%
11JPMORGAN CHASE & CO2.3M$896.8M-7.1%1.056%0.05%
12ARROWSTREET CAPITAL, LIMITED PARTNERSHIP2.2M$861.5M+2.0%1.020%0.38%
13NORGES BANK2.1M$836.5M—0.991%0.08%
14Capital World Investors2.0M$770.9M+0.2%0.913%0.09%
15Capital International Investors1.9M$747.4M-36.8%0.885%0.15%
16NORTHERN TRUST CORP1.7M$666.2M-2.5%0.789%0.08%
17FMR LLC1.6M$636.5M-62.9%0.754%0.03%
18Invesco Ltd.1.5M$596.4M+6.3%0.707%0.05%
19NORDEA INVESTMENT MANAGEMENT AB1.4M$553.7M-1.2%0.660%0.45%
20BARCLAYS PLC1.3M$515.1M+2.7%0.610%0.10%
21UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AME1.2M$485.2M-17.0%0.575%0.09%
22Crake Asset Management LLP1.2M$449.1M—0.532%10.75%
23Metropolis Capital Ltd911K$430.9M+195.3%0.421%12.50%
24Darsana Capital Partners LP1.1M$428.9M+46.7%0.508%1.93%
25CHARLES SCHWAB INVESTMENT MANAGEMENT INC1.1M$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.

Sanders Capital, LLC
$3.44B
  • STATE STREET CORP$2.91B
  • WELLINGTON MANAGEMENT GROUP LLP$1.84B
  • GEODE CAPITAL MANAGEMENT, LLC$1.42B
  • First Eagle Investment Management, LLC$1.28B
  • VANGUARD PORTFOLIO MANAGEMENT LLC$1.06B
  • MORGAN STANLEY$1.01B
  • GOLDMAN SACHS GROUP INC$962.0M
  • JPMORGAN CHASE & CO$896.8M
  • ARROWSTREET CAPITAL, LIMITED PARTNERSHIP$861.5M
  • +4.7%
    64.23%
    +0.17 pp
    $50.20B
    +8.7%
    Q4 20241,1332.5%64.06%+2.40 pp$46.17B24%
    Q3 20241,162—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.

    103 institutions opened new positions in HCA during Q2 2026, while 181 fully exited. 184 added to existing positions and 1,014 trimmed.

    How is institutional ownership of HCA changing?

    HCA institutional ownership rose by 1.35 percentage points quarter-over-quarter, with a net change of -69 holders.

    How concentrated is HCA ownership among the top holders?

    The top 10 institutions account for 46.3% of all reported 13F value in HCA, and the top 25 account for 65.0%.

    Where does this HCA institutional ownership data come from?

    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.

    HCAHCA Healthcare, Inc.
    $494.99$107.2B
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