(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 (Earnings per Share) of HCA over the last years for every Quarter: "2020-09": 1.92, "2020-12": 4.13, "2021-03": 4.14, "2021-06": 4.37, "2021-09": 4.57, "2021-12": 4.42, "2022-03": 4.12, "2022-06": 4.21, "2022-09": 3.93, "2022-12": 4.64, "2023-03": 4.93, "2023-06": 4.29, "2023-09": 3.91, "2023-12": 5.9, "2024-03": 5.36, "2024-06": 5.5, "2024-09": 4.9, "2024-12": 6.22, "2025-03": 6.45, "2025-06": 6.84, "2025-09": 6.96,

HCA Revenue

Revenue of HCA over the last years for every Quarter: 2020-09: 13311, 2020-12: 14293, 2021-03: 13977, 2021-06: 14435, 2021-09: 15276, 2021-12: 15064, 2022-03: 14945, 2022-06: 14820, 2022-09: 14971, 2022-12: 15497, 2023-03: 15591, 2023-06: 15861, 2023-09: 16213, 2023-12: 17303, 2024-03: 17339, 2024-06: 17492, 2024-09: 17487, 2024-12: 18285, 2025-03: 18321, 2025-06: 18605, 2025-09: 19161,
Risk via 10d forecast
Volatility 24.7%
Value at Risk 5%th 43.1%
Relative Tail Risk -1.02%
Reward TTM
Sharpe Ratio 1.14
Alpha 28.93
Character TTM
Hurst Exponent 0.709
Beta 0.288
Beta Downside 0.411
Drawdowns 3y
Max DD 28.45%
Mean DD 8.35%
Median DD 5.53%

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 108,759m
Sub-Industry Health Care Facilities
IPO / Inception 2011-03-10
Return 12m vs S&P 500 20.3%
Analyst Rating 4.08 of 5

HCA Dividends

Dividend Yield 0.60%
Yield on Cost 5y 1.94%
Yield CAGR 5y 36.07%
Payout Consistency 53.8%
Payout Ratio 10.7%

HCA Growth Ratios

CAGR 3y 28.49%
CAGR/Max DD Calmar Ratio 1.00
CAGR/Mean DD Pain Ratio 3.41
Current Volume 1000.7k
Average Volume 1411.8k

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
(C) 0.19 = EBIT TTM 11.50b / Avg Total Assets 59.60b
(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) 74.98

1. Piotroski 7.50pt = 2.50
2. FCF Yield 5.25% = 2.63
3. FCF Margin 10.89% = 2.72
4. Debt/Equity -8.69 = -2.50
5. Debt/Ebitda 3.03 = -1.81
6. ROIC - WACC (= 17.13)% = 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 16, 2025, the stock is trading at USD 472.65 with a total of 1,000,700 shares traded.
Over the past week, the price has changed by -0.83%, over one month by +12.97%, over three months by +20.28% and over the past year by +37.91%.

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 74.98 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 559.94 USD . This means that HCA is currently undervalued and has a potential upside of +18.47% (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 476.7 0.9%
Analysts Target Price 476.7 0.9%
ValueRay Target Price 606.1 28.2%

HCA Fundamental Data Overview November 09, 2025

Market Cap USD = 108.76b (108.76b USD * 1.0 USD.USD)
P/E Trailing = 18.4162
P/E Forward = 14.9701
P/S = 1.4624
P/B = 293.44
P/EG = 1.2217
Beta = 1.376
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 = 154.11b USD (108.76b + Debt 46.35b - CCE 997.0m)
Interest Coverage Ratio = 5.22 (Ebit TTM 11.50b / Interest Expense TTM 2.20b)
FCF Yield = 5.25% (FCF TTM 8.10b / Enterprise Value 154.11b)
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 = 2.58 (Enterprise Value 154.11b / 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 = 5.25% (E(108.76b)/V(155.11b) * Re(7.08%) + D(46.35b)/V(155.11b) * Rd(1.21%) * (1-Tc(0.21)))
Discount Rate = 7.08% (= CAPM, Blume Beta Adj.) -> floored to rf + 0.7*ERP = 8.05%
Shares Correlation 3-Years: -100.0 | Cagr: -5.44%
[DCF Debug] Terminal Value 80.13% ; FCFE base≈7.21b ; Y1≈8.25b ; Y5≈11.48b
Fair Price DCF = 869.4 (DCF Value 198.39b / Shares Outstanding 228.2m; 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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