HCA · NYSE
Who owns HCA Healthcare?
1 of the world’s richest people holds HCA Healthcare in our tracked profiles.
HCA ▼ 0.88%as of Nov 11, 2026 12:21 PM ET · via Finnhub
About
HCA Healthcare runs hospitals, surgery centers and other outpatient sites in 19 U.S. states and England, providing acute care, surgery, emergency, behavioral and rehabilitation services.
Services-General Medical & Surgical Hospitals, NEC · Nashville, Tennessee
Source: HCA Healthcare, Inc. annual report (10-K) (filed 2026-02-10) ↗. Summary in our own words.
Billionaire holders
Thomas Frist Jr & familyHealthCo-founder
HCA Healthcare, Inc. (issuer CIK 0000860730) · ~32% (Frist affiliates collectively) · as of Mar 2026More
- Entry
- HCA Healthcare, Inc. (issuer CIK 0000860730)
- Ticker
- HCA
- Exchange
- NYSE
- Role
- Co-founder (1968); Frist founder affiliates together with sponsors collectively own ~32% of common stock per 2026 proxy; son Thomas F. Frist III is board chairman; Frist Group has rights to nominate two directors under Amended and Restated Stockholders' Agreement effective 2026-02-06
- Stake
- ~32% (Frist affiliates collectively)
- Stake as of
- 2026-03-13
Each row is a sourced entry from that person’s profile. Stakes are as of the date shown, not today.
Recent SEC filings
No Form 4 insider trades in HCA Healthcare from the holders above in the last 90 days.
Form 4 insider trades post within 2 business days. New to filings? Read Filings 101.
Recent moves
HCA Healthcare beats estimates, but shares slide
The move
HCA Healthcare, the hospital chain founded by the Frist family, reported Q3 2026 revenue of $19.85 billion, up 3.6% from a year earlier, and adjusted diluted earnings per share of $7.22, beating analyst estimates of about $6.65. Same-facility admissions grew 2.7%. Management said a shift toward more uninsured patients cost the company roughly $400 million in pretax income during the quarter.
Why it matters
Hospital demand stayed strong, but the loss of exchange-plan coverage among some patients is squeezing margins even as the top line grows.
The bear case
Shares fell more than 4% after the report, as investors focused on management's caution that 2027 earnings will stay roughly level with 2026 rather than on the quarterly beat.
What to watch
HCA's next earnings report, expected in late January 2027.
HCA Healthcare's revenue rises, but uninsured patients cut into profit
The move
HCA Healthcare, the hospital chain co-founded by the Frist family, reported third-quarter revenue of $19.849 billion, up 3.6% from $19.161 billion a year earlier. Net income attributable to HCA fell 3.9% to $1.579 billion, while diluted earnings per share rose 4.5% to $7.27. The company said a shift toward uninsured patients, mainly people who lost exchange coverage, cut an estimated $400 million from pre-tax income. HCA bought back $2.970 billion of stock in the quarter and said it now expects full-year results in the upper half of the guidance it issued in July. CEO Sam Hazen said HCA is "positioned to end the year positively."
Why it matters
It is an early, concrete look at how the loss of ACA exchange subsidies and coverage is showing up in a major hospital operator's results.
The bear case
Per-share earnings and full-year guidance both improved despite the coverage-related hit, and the company kept buying back stock at scale.
What to watch
Whether the uninsured-patient mix keeps worsening as more people lose exchange coverage heading into 2027.
HCA Healthcare sells home health and hospice units to DAI
The move
Deaconess Associations Incorporated closed its acquisition of 24 home health locations and 7 hospice locations from HCA Healthcare across eight states on Oct 2. The agencies will join DAI's Central Pyramid subsidiary.
Why it matters
It's a sign HCA, the hospital chain co-founded by the Frist family, is narrowing its focus and letting smaller operators consolidate home-care services.
The bear case
This is a relatively small divestiture for a company HCA's size, with no disclosed sale price, so its financial impact looks minor.
What to watch
Whether HCA sheds more non-core home health or hospice assets
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