Overview Dividends

(HCA) HCA Holdings - Ratings and Ratios

Exchange: NYSE • Country: United States • Currency: USD • Type: Common Stock • ISIN: US40412C1018

Hospital, Outpatient, Surgery, Emergency, Psychiatry

HCA EPS (Earnings per Share)

EPS Growth (3Y CAGR): 15.89%
EPS Trend (3Y Correlation): 82.0%

HCA Revenue

Revenue Growth (3Y CAGR): 8.02%
Revenue Trend (3Y Correlation): 97.9%

Description: HCA HCA Holdings September 25, 2025

HCA Healthcare, Inc. (NYSE:HCA) operates a nationwide network of general-acute hospitals and a broad suite of outpatient facilities, ranging from freestanding surgery centers and urgent-care clinics to behavioral health hospitals and oncology centers. Its service portfolio spans inpatient care (including intensive-care, cardiac, and emergency services) and outpatient offerings such as radiology, laboratory, physical therapy, and physician practice management.

As of the end of FY 2023, HCA reported revenue of roughly **$15.6 billion**, with an adjusted operating margin near **7 %**-a level that reflects both the scale efficiencies of its integrated model and the cost pressures from a tight labor market. The company now runs **over 190 hospitals** and **more than 2,000 outpatient sites**, serving a patient mix that is approximately 55 % commercial, 30 % Medicare, and 15 % Medicaid.

Key economic drivers for HCA include the aging U.S. population, which is expanding demand for acute-care and chronic-disease management, and the ongoing shift toward outpatient and same-day procedures that improve throughput and reduce per-case costs. Conversely, inflation-driven labor shortages and potential regulatory changes to Medicare reimbursement pose downside risk to margins.

Given these dynamics, a thorough scenario-based valuation can help isolate the impact of payer mix shifts, labor-cost inflation, and outpatient-care growth on HCA’s future cash flows. For a deeper dive into HCA’s valuation metrics and scenario analysis, you may find the research tools on ValueRay worth exploring.

HCA Stock Overview

Market Cap in USD	109,228m
Sub-Industry	Health Care Facilities
IPO / Inception	2011-03-10

HCA Stock Ratings

Growth Rating	93.3%
Fundamental	75.0%
Dividend Rating	55.9%
Return 12m vs S&P 500	18.4%
Analyst Rating	4.08 of 5

HCA Dividends

Dividend Yield 12m	0.59%
Yield on Cost 5y	2.00%
Annual Growth 5y	36.07%
Payout Consistency	53.8%
Payout Ratio	10.7%

HCA Growth Ratios

Growth Correlation 3m	89.2%
Growth Correlation 12m	88.8%
Growth Correlation 5y	90.1%
CAGR 5y	30.00%
CAGR/Max DD 3y (Calmar Ratio)	1.05
CAGR/Mean DD 3y (Pain Ratio)	3.60
Sharpe Ratio 12m	1.95
Alpha	7.76
Beta	1.407
Volatility	23.61%
Current Volume	947.5k
Average Volume 20d	1490.4k
Stop Loss	461.2 (-3.2%)
Signal	0.98

Piotroski VR‑10 (Strict, 0-10) 7.5

Net Income (6.38b TTM) > 0 and > 6% of Revenue (6% = 4.46b TTM)

FCFTA 0.14 (>2.0%) and ΔFCFTA 3.66pp (YES ≥ +1.0pp, WARN ≥ +0.5pp)

NWC/Revenue -3.51% (prev 2.53%; Δ -6.04pp) (YES ≤20% & Δ≤-1pp; WARN ≤25% & Δ≤0 oder ≤40% & Δ≤-3pp)

CFO/TA 0.21 (>3.0%) and CFO 12.84b > Net Income 6.38b (YES >=105%, WARN >=100%)

Net Debt (45.35b) to EBITDA (14.96b) ratio: 3.03 <= 3.0 (WARN <= 3.5)

Current Ratio 0.85 (target 1.5–3.0; WARN 1.2–<1.5 or >3.0–5.0; CFO/TA gate active)

Outstanding Shares last Quarter (242.5m) change vs 12m ago -6.72% (target <= -2.0% for YES)

Gross Margin 15.64% (prev 15.08%; Δ 0.56pp) >=18% & Δ>=+0.5pp (WARN >=15% & Δ>=0)

Asset Turnover 124.8% (prev 117.1%; Δ 7.69pp) >=50% & Δ>=+2pp (WARN >=35% & Δ>=0)

Interest Coverage Ratio 5.22 (EBITDA TTM 14.96b / Interest Expense TTM 2.20b) >= 6 (WARN >= 3)

Altman Z'' 0.64

(A) -0.04 = (Total Current Assets 15.29b - Total Current Liabilities 17.90b) / Total Assets 59.75b

(B) -0.08 = Retained Earnings (Balance) -5.03b / Total Assets 59.75b

(D) -0.09 = Book Value of Equity -5.33b / Total Liabilities 61.91b

Total Rating: 0.64 = (6.56 * A) + (3.26 * B) + (6.72 * C) + (1.05 * D)

ValueRay F-Score (Strict, 0-100) 74.97

1. Piotroski 7.50pt = 2.50

2. FCF Yield 5.24% = 2.62

3. FCF Margin 10.89% = 2.72

4. Debt/Equity -8.69 = -2.50

5. Debt/Ebitda 3.03 = -1.81

6. ROIC - WACC (= 14.23)% = 12.50

7. RoE -161.9% = -2.50

8. Rev. Trend 97.86% = 7.34

9. EPS Trend 81.96% = 4.10

What is the price of HCA shares?

As of November 09, 2025, the stock is trading at USD 476.61 with a total of 947,496 shares traded.
Over the past week, the price has changed by +3.68%, over one month by +8.92%, over three months by +27.89% and over the past year by +34.96%.

Is HCA Holdings a good stock to buy?

Partly, yes. Based on ValueRay´s Fundamental Analyses, HCA Holdings (NYSE:HCA) is currently (November 2025) ok to buy, but has to be watched. It has a ValueRay Fundamental Rating of 74.97 and therefor a somewhat positive outlook according to the companies health.
Based on momentum, paid dividends and discounted-cash-flow analyses, the fair value of HCA is around 551.30 USD . This means that HCA is currently undervalued and has a potential upside of +15.67% (Margin of Safety).

Is HCA a buy, sell or hold?

HCA Holdings has received a consensus analysts rating of 4.08. Therefore, it is recommended to buy HCA.

Strong Buy: 13
Buy: 2
Hold: 9
Sell: 1
Strong Sell: 0

What are the forecasts/targets for the HCA price?

Issuer	Target	Up/Down from current
Wallstreet Target Price	474.3	-0.5%
Analysts Target Price	474.3	-0.5%
ValueRay Target Price	612.8	28.6%

HCA Fundamental Data Overview November 01, 2025

Market Cap USD = 109.23b (109.23b USD * 1.0 USD.USD)
P/E Trailing = 17.762
P/E Forward = 14.9701
P/S = 1.4687
P/B = 293.44
P/EG = 1.2217
Beta = 1.407
Revenue TTM = 74.37b USD
EBIT TTM = 11.50b USD
EBITDA TTM = 14.96b USD
Long Term Debt = 38.33b USD (from longTermDebt, last fiscal year)
Short Term Debt = 6.11b USD (from shortTermDebt, last quarter)
Debt = 46.35b USD (from shortLongTermDebtTotal, last quarter)
Net Debt = 45.35b USD (from netDebt column, last quarter)
Enterprise Value = 154.58b USD (109.23b + Debt 46.35b - CCE 997.0m)
Interest Coverage Ratio = 5.22 (Ebit TTM 11.50b / Interest Expense TTM 2.20b)
FCF Yield = 5.24% (FCF TTM 8.10b / Enterprise Value 154.58b)
FCF Margin = 10.89% (FCF TTM 8.10b / Revenue TTM 74.37b)
Net Margin = 8.57% (Net Income TTM 6.38b / Revenue TTM 74.37b)
Gross Margin = 15.64% ((Revenue TTM 74.37b - Cost of Revenue TTM 62.74b) / Revenue TTM)
Gross Margin QoQ = 15.47% (prev 15.95%)
Tobins Q-Ratio = 2.59 (Enterprise Value 154.58b / Total Assets 59.75b)
Interest Expense / Debt = 1.21% (Interest Expense 561.0m / Debt 46.35b)
Taxrate = 21.06% (516.0m / 2.45b)
NOPAT = 9.08b (EBIT 11.50b * (1 - 21.06%))
Current Ratio = 0.85 (Total Current Assets 15.29b / Total Current Liabilities 17.90b)
Debt / Equity = -8.69 (negative equity) (Debt 46.35b / totalStockholderEquity, last quarter -5.33b)
Debt / EBITDA = 3.03 (Net Debt 45.35b / EBITDA 14.96b)
Debt / FCF = 5.60 (Net Debt 45.35b / FCF TTM 8.10b)
Total Stockholder Equity = -3.94b (last 4 quarters mean from totalStockholderEquity)
RoA = 10.67% (Net Income 6.38b / Total Assets 59.75b)
RoE = -161.9% (negative equity) (Net Income TTM 6.38b / Total Stockholder Equity -3.94b)
RoCE = 33.43% (EBIT 11.50b / Capital Employed (Equity -3.94b + L.T.Debt 38.33b))
RoIC = 22.38% (NOPAT 9.08b / Invested Capital 40.56b)
WACC = 8.15% (E(109.23b)/V(155.58b) * Re(11.20%) + D(46.35b)/V(155.58b) * Rd(1.21%) * (1-Tc(0.21)))
Discount Rate = 11.20% (= CAPM, Blume Beta Adj.)
Shares Correlation 3-Years: -100.0 | Cagr: -5.44%
[DCF Debug] Terminal Value 70.10% ; FCFE base≈7.21b ; Y1≈8.25b ; Y5≈11.48b
Fair Price DCF = 517.0 (DCF Value 120.98b / Shares Outstanding 234.0m; 5y FCF grow 16.94% → 3.0% )
EPS Correlation: 81.96 | EPS CAGR: 15.89% | SUE: 3.47 | # QB: 3
Revenue Correlation: 97.86 | Revenue CAGR: 8.02% | SUE: 1.97 | # QB: 1

Additional Sources for HCA Stock

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