HCA Healthcare
1,399 hedge funds and large institutions have $63.7B invested in HCA Healthcare in 2025 Q4 according to their latest regulatory filings, with 215 funds opening new positions, 470 increasing their positions, 523 reducing their positions, and 87 closing their positions.
147% more first-time investments, than exits
New positions opened: 215 | Existing positions closed: 87
9% more capital invested
Capital invested by funds: $58.3B → $63.7B (+$5.36B)
9% more funds holding
Funds holding: 1,288 → 1,399 (+111)
6% more funds holding in top 10
Funds holding in top 10: 34 → 36 (+2)
1.25% more ownership
Funds ownership: 58.51% → 59.77% (+1.3%)
8% less call options, than puts
Call options by funds: $780M | Put options by funds: $851M
10% less repeat investments, than reductions
Existing positions increased: 470 | Existing positions reduced: 523
Top Buyers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Fidelity Investments
Boston,
Massachusetts
|
+$895M |
| 2 |
Acadian Asset Management
Boston,
Massachusetts
|
+$182M |
| 3 |
Los Angeles Capital Management
Los Angeles,
California
|
+$123M |
| 4 |
Citadel Advisors
Miami,
Florida
|
+$122M |
| 5 |
Arrowstreet Capital
Boston,
Massachusetts
|
+$114M |
Top Sellers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Bank of America
Charlotte,
North Carolina
|
-$612M |
| 2 |
JP Morgan Chase
New York
|
-$291M |
| 3 |
Diamond Hill Capital Management
Columbus,
Ohio
|
-$287M |
| 4 |
UBS Group
Zurich,
Switzerland
|
-$231M |
| 5 |
Wellington Management Group
Boston,
Massachusetts
|
-$212M |
HCA Hedge Fund Activity: Q4 2025 in Review
1,399 of the 8,284 institutional investors tracked by Wall St. Rank reported a position in HCA Healthcare (HCA) for Q4 2025, worth a combined $63.7B — up 9.2% from $58.3B a quarter earlier.
Buyers outnumbered sellers: 215 funds opened new HCA positions and 87 closed out — a net gain of 128 holders — while 470 added to existing stakes and 523 trimmed.
The largest buyer was Fidelity Investments, adding an estimated $895M. The largest seller was Bank of America, cutting an estimated $612M.
- 1,399 institutional investors held HCA Healthcare (HCA) as of Q4 2025, up from 1,288 in Q3 2025.
- Funds reported $63.7B of HCA Healthcare stock for Q4 2025, up 9.2% quarter-over-quarter.
- 215 funds opened new HCA Healthcare positions in Q4 2025 and 87 closed out, a net change of +128 holders.
- The largest HCA Healthcare buyer in Q4 2025 was Fidelity Investments, an estimated $895M added.
- The largest HCA Healthcare seller in Q4 2025 was Bank of America, an estimated $612M sold.
Based on aggregated 13F filings for Q4 2025.