HCA Healthcare, Inc. (HCA) Shareholders & Insider Trades
HCA Healthcare shareholders at a glance
The largest holder of HCA Healthcare stock is Frisco Holding Ii, with 36.6 million shares (16.89% of the company), worth about $15.15 billion as of September 25, 2026. The 10 largest holders together own 55.3%.
In Q2 2026, 1,416 institutional holdings reports listed 224.0 million shares worth $52.80 billion.
Insiders reported 66 transactions in the last two years: 12 sales worth $44.52 million and no purchases. The newest one on file is from May 7, 2026 (Marks Mike A, Chief Financial Officer).
Major holders as of September 25, 2026; quarterly totals from institutional holdings reports (latest Q2 2026); insider transactions on file through May 7, 2026.
HCA Healthcare, Inc.
Shareholders Summary
2026Q2
Ownership by Type
Geographic Distribution
Largest HCA Healthcare shareholders
| Holder | Shares | % of company | Value |
|---|---|---|---|
| Frisco Holding Ii | 36.6 million | 16.89% | $15.2B |
| Hercules Holding II | 32.3 million | 14.91% | $13.4B |
| Vanguard Capital Management LLC | 10.1 million | 4.68% | $4.2B |
| BlackRock Advisors LLC | 9.7 million | 4.47% | $4.0B |
| Sanders Capital LLC | 8.8 million | 4.08% | $3.7B |
| State Street Corporation | 7.5 million | 3.45% | $3.1B |
| Wellington Trust Co., NA | 4.7 million | 2.17% | $2.0B |
| Geode Capital Management LLC | 3.7 million | 1.69% | $1.5B |
| First Eagle Investment Management LLC | 3.3 million | 1.52% | $1.4B |
| BlackRock Life Ltd. | 3.1 million | 1.44% | $1.3B |
As of September 25, 2026.
HCA Healthcare institutional holdings by quarter
| Quarter | Reports | Shares | Value |
|---|---|---|---|
| Q2 2026 | 1,416 | 224.0 million | $52.8B |
| Q1 2026 | 1,496 | 131.0 million | $62.2B |
| Q4 2025 | 1,471 | 137.0 million | $63.9B |
| Q3 2025 | 1,368 | 140.0 million | $59.7B |
| Q2 2025 | 1,321 | 148.0 million | $56.7B |
| Q1 2025 | 1,307 | 155.0 million | $53.7B |
| Q4 2024 | 1,262 | 159.0 million | $47.8B |
| Q3 2024 | 1,281 | 161.0 million | $65.1B |
Shares and value held by institutions that file quarterly holdings reports (options not included).
HCA Healthcare insider trades
| Insider | Date | Title | Transaction | Value |
|---|---|---|---|---|
| Marks Mike A | May 7, 2026 | Chief Financial Officer | Stock Gift at price 0.00 per share. | – |
| Riley Wayne Joseph | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Frist William R. | Apr 28, 2026 | Director and Beneficial Owner of more than 10% of a Class of Security | Stock Award(Grant) at price 0.00 per share. | – |
| Frist Thomas F Iii | Apr 28, 2026 | Director and Beneficial Owner of more than 10% of a Class of Security | Stock Award(Grant) at price 0.00 per share. | – |
| Johnston Hugh F. | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Michelson Michael W | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Chidsey John W | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Deparle Nancy-Ann M. J.D. | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Smith Andrea B | Apr 28, 2026 | Director | Stock Award(Grant) at price 0.00 per share. | – |
| Mcalevey Michael R. | Feb 18, 2026 | Officer | Sale at price 533.37 per share. | $903,537 |
| Mcalevey Michael R. | Feb 13, 2026 | Officer | Conversion of Exercise of derivative security at price 236.61 per share. | $1.2M |
| Berres Jennifer | Feb 11, 2026 | Officer | Sale at price 503.00 - 526.16 per share. | $4.1M |
Newest 12 of 66 insider transactions in the last two years.
Questions and answers
Who owns the most HCA Healthcare stock?
Frisco Holding Ii, with 16.89% of the company (as of September 25, 2026). Next: Hercules Holding II (14.91%) and Vanguard Capital Management LLC (4.68%).
How many institutions own HCA Healthcare stock?
1,416 institutional holdings reports listed HCA Healthcare shares in Q2 2026, 224.0 million shares in all worth $52.80 billion.
Are HCA Healthcare insiders buying or selling the stock?
In the last two years insiders reported 12 sales and no purchases (66 transactions in all); the newest on file is from May 7, 2026.
