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HCA Healthcare, Inc. (HCA) 10-Year Financial Performance & Capital Metrics

HCA • • Industrial / General
HealthcareHealthcare FacilitiesHospital & Acute Care FacilitiesGeneral Acute Care Hospitals
AboutHCA Healthcare, Inc., through its subsidiaries, provides health care services company in the United States. The company operates general and acute care hospitals that offers medical and surgical services, including inpatient care, intensive care, cardiac care, diagnostic, and emergency services; and outpatient services, such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology, and physical therapy. It also operates outpatient health care facilities consisting of freestanding ambulatory surgery centers, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, rehabilitation and physical therapy centers, radiation and oncology therapy centers, physician practices, and various other facilities. In addition, the company operates psychiatric hospitals, which provide therapeutic programs comprising child, adolescent and adult psychiatric care, adolescent and adult alcohol, drug abuse treatment, and counseling services. As of December 31, 2021, it operated 182 hospitals, including 175 general and acute care hospitals, five psychiatric hospitals, and two rehabilitation hospitals; 125 freestanding surgery centers; and 21 freestanding endoscopy centers in 20 states and England. The company was formerly known as HCA Holdings, Inc. HCA Healthcare, Inc. was founded in 1968 and is headquartered in Nashville, Tennessee.Show more
  • Revenue $70.6B +8.7%
  • EBITDA $13.86B +9.1%
  • Net Income $5.76B +9.9%
  • EPS (Diluted) 22.00 +16.0%
  • Gross Margin 14.94% +0.8%
  • EBITDA Margin 19.63% +0.4%
  • Operating Margin 14.94% +0.8%
  • Net Margin 8.16% +1.1%
  • ROE 713.31% -32.8%
  • ROIC 18.43% +3.6%
  • Debt/Equity 81.51 +106.4%
  • Interest Coverage 5.12 +3.0%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Excellent 3Y average ROE of 857.5%
  • ✓Strong Piotroski F-Score: 7/9
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Share count reduced 5.3% through buybacks
  • ✓Efficient asset utilization: 1.2x turnover

✗Weaknesses

  • ✗High debt to equity ratio of 81.5x
  • ✗Expensive at 228.2x book value

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y6.7%
5Y6.58%
3Y6.32%
TTM6.82%

Profit (Net Income) CAGR

10Y11.88%
5Y10.45%
3Y-6.1%
TTM7.52%

EPS CAGR

10Y18.12%
5Y16.92%
3Y1.31%
TTM16.06%

ROCE

10Y Avg21.9%
5Y Avg22.26%
3Y Avg22.67%
Latest24%

Peer Comparison

General Acute Care Hospitals
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
HCAHCA Healthcare, Inc.110.4B483.8021.998.67%8.57%7.13%5.11%81.51
UHSUniversal Health Services, Inc.11.28B204.1912.1410.82%8.09%18.85%9.96%0.73
THCTenet Healthcare Corporation17.69B201.326.160.57%6.49%15.56%6.31%1.68
ARDTArdent Health Partners, LLC1.27B8.905.6310.29%3.24%12.57%10.01%1.50
AUNAAuna S.A.138.14M4.592.8214.47%4.33%10.05%100%2.32
CYHCommunity Health Systems, Inc.462.66M3.34-0.861.15%2.6%25.94%

Profit & Loss

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+39.68B41.49B43.61B46.68B51.34B51.53B58.75B60.23B64.97B70.6B
Revenue Growth %0.07%0.05%0.05%0.07%0.1%0%0.14%0.03%0.08%0.09%
Cost of Goods Sold+33.42B34.87B37.09B39.64B43.62B44.27B49.07B51.18B55.34B60.06B
COGS % of Revenue0.84%0.84%0.85%0.85%0.85%0.86%0.84%0.85%0.85%0.85%
Gross Profit+6.26B6.62B6.52B7.04B7.71B7.26B9.68B9.05B9.63B10.55B
Gross Margin %0.16%0.16%0.15%0.15%0.15%0.14%0.16%0.15%0.15%0.15%
Gross Profit Growth %0.07%0.06%-0.01%0.08%0.1%-0.06%0.33%-0.06%0.06%0.1%
Operating Expenses+344M430M466M447M497M00000
OpEx % of Revenue0.01%0.01%0.01%0.01%0.01%-----
Selling, General & Admin00000000031.17B
SG&A % of Revenue---------0.44%
Research & Development0000000000
R&D % of Revenue----------
Other Operating Expenses344M430M466M447M497M0000-31.17B
Operating Income+5.92B6.19B6.06B6.59B7.22B7.26B9.68B9.05B9.63B10.55B
Operating Margin %0.15%0.15%0.14%0.14%0.14%0.14%0.16%0.15%0.15%0.15%
Operating Income Growth %0.09%0.05%-0.02%0.09%0.09%0.01%0.33%-0.06%0.06%0.1%
EBITDA+7.82B8.15B8.19B8.87B9.81B9.98B12.53B12.02B12.7B13.86B
EBITDA Margin %0.2%0.2%0.19%0.19%0.19%0.19%0.21%0.2%0.2%0.2%
EBITDA Growth %0.08%0.04%0%0.08%0.11%0.02%0.26%-0.04%0.06%0.09%
D&A (Non-Cash Add-back)1.9B1.97B2.13B2.28B2.6B2.72B2.85B2.97B3.08B3.31B
EBIT5.5B6.41B6.05B7.1B7.08B6.99B11.36B10.32B9.64B10.58B
Net Interest Income+-1.54B-1.6B-1.67B-1.76B-1.84B-1.56B-1.53B-1.74B-1.94B-2.06B
Interest Income0000000000
Interest Expense1.54B1.6B1.67B1.76B1.84B1.56B1.53B1.74B1.94B2.06B
Other Income/Expense-1.96B-1.38B-1.68B-1.26B-1.97B-1.83B155M-473M-1.92B-2.02B
Pretax Income+3.96B4.81B4.38B5.33B5.24B5.43B9.83B8.58B7.71B8.52B
Pretax Margin %0.1%0.12%0.1%0.11%0.1%0.11%0.17%0.14%0.12%0.12%
Income Tax+1.26B1.38B1.64B946M1.1B1.04B2.11B1.75B1.61B1.87B
Effective Tax Rate %0.54%0.6%0.51%0.71%0.67%0.69%0.71%0.66%0.68%0.68%
Net Income+2.13B2.89B2.22B3.79B3.5B3.75B6.96B5.64B5.24B5.76B
Net Margin %0.05%0.07%0.05%0.08%0.07%0.07%0.12%0.09%0.08%0.08%
Net Income Growth %0.14%0.36%-0.23%0.71%-0.07%0.07%0.85%-0.19%-0.07%0.1%
Net Income (Continuing)2.7B3.43B2.74B4.39B4.14B4.39B7.72B6.83B6.09B6.66B
Discontinued Operations0000000000
Minority Interest1.55B1.67B1.81B2.03B2.24B2.32B2.42B2.69B2.83B3.05B
EPS (Diluted)+4.997.305.9510.6610.0710.9321.1619.1518.9622.00
EPS Growth %0.2%0.46%-0.18%0.79%-0.06%0.09%0.94%-0.09%-0.01%0.16%
EPS (Basic)5.347.806.3311.0410.2711.1021.5119.4419.2422.27
Diluted Shares Outstanding426.72M395.85M372.22M355.3M348.23M343.61M328.75M294.67M276.41M261.81M
Basic Shares Outstanding398.74M370.54M350.09M342.9M341.21M338.27M323.31M290.35M272.4M258.6M
Dividend Payout Ratio---0.13%0.16%0.04%0.09%0.12%0.13%0.12%

Balance Sheet

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+9.23B9.09B9.98B10.21B11.2B12.33B13.54B13.64B14.93B16.41B
Cash & Short-Term Investments741M646M732M502M621M1.79B1.45B908M935M2.02B
Cash Only741M646M732M502M621M1.79B1.45B908M935M1.93B
Short-Term Investments00000000088M
Accounts Receivable5.89B5.83B6.5B6.79B7.38B7.05B8.1B8.89B9.96B10.75B
Days Sales Outstanding54.1751.2554.4153.0952.4749.9450.2953.8855.9555.58
Inventory1.44B1.5B1.57B1.73B1.85B2.02B1.99B2.07B2.02B1.74B
Days Inventory Outstanding15.7215.7315.4815.9515.4716.714.7714.7513.3310.56
Other Current Assets1.16B1.11B1.17B1.19B1.35B1.46B2.01B1.78B2.01B1.9B
Total Non-Current Assets+23.51B24.67B26.62B28.99B33.86B35.16B37.2B38.8B41.28B43.1B
Property, Plant & Equipment15.01B16.35B17.89B19.76B24.55B25.22B26.18B27.64B29.92B31.55B
Fixed Asset Turnover2.64x2.54x2.44x2.36x2.09x2.04x2.24x2.18x2.17x2.24x
Goodwill6.34B6.33B7.04B7.61B7.94B8.21B9.14B9.29B9.61B9.77B
Intangible Assets393M374M359M342M330M369M403M359M339M323M
Long-Term Investments610M542M617M594M564M810M886M1.2B1.23B1.23B
Other Non-Current Assets1.16B1.07B710M690M480M546M598M298M184M230M
Total Assets+32.74B33.76B36.59B39.21B45.06B47.49B50.74B52.44B56.21B59.51B
Asset Turnover1.21x1.23x1.19x1.19x1.14x1.09x1.16x1.15x1.16x1.19x
Asset Growth %0.05%0.03%0.08%0.07%0.15%0.05%0.07%0.03%0.07%0.06%
Total Current Liabilities+5.52B5.83B6.16B7.57B7.76B8.7B9.58B9.9B12.65B15.18B
Accounts Payable2.17B2.32B2.61B2.58B2.9B3.54B4.11B4.24B4.23B4.28B
Days Payables Outstanding23.724.2625.6423.7324.3129.1430.5830.2327.9225.99
Short-Term Debt233M216M200M788M145M209M237M370M2.42B4.7B
Deferred Revenue (Current)0000000000
Other Current Liabilities0067M459M528M547M549M794M867M910M
Current Ratio1.67x1.56x1.62x1.35x1.44x1.42x1.41x1.38x1.18x1.08x
Quick Ratio1.41x1.30x1.36x1.12x1.20x1.18x1.21x1.17x1.02x0.97x
Cash Conversion Cycle46.1942.7244.2445.3143.6437.4934.4938.3941.3640.15
Total Non-Current Liabilities+33.27B33.56B35.43B34.56B37.87B35.89B39.67B42.61B42.5B43.78B
Long-Term Debt30.25B31.16B32.86B32.03B33.58B30.8B33.77B37.13B37.17B38.33B
Capital Lease Obligations00001.5B1.67B2.33B2.33B1.9B1.86B
Deferred Tax Liabilities0000000000
Other Non-Current Liabilities3.02B2.4B2.57B2.52B2.79B3.43B3.57B3.14B3.42B3.58B
Total Liabilities38.79B39.39B41.59B42.13B45.62B44.6B49.25B52.51B55.15B58.96B
Total Debt+30.49B31.38B33.06B32.82B35.57B33.06B36.73B40.2B41.86B45.24B
Net Debt29.75B30.73B32.33B32.32B34.95B31.26B35.27B39.29B40.92B43.3B
Debt / Equity-----11.43x24.66x-39.49x81.51x
Debt / EBITDA3.90x3.85x4.04x3.70x3.62x3.31x2.93x3.34x3.29x3.26x
Net Debt / EBITDA3.80x3.77x3.95x3.64x3.56x3.13x2.82x3.27x3.22x3.12x
Interest Coverage3.84x3.87x3.63x3.74x3.92x4.66x6.33x5.21x4.97x5.12x
Total Equity+-6.05B-5.63B-5B-2.92B-565M2.89B1.49B-73M1.06B555M
Equity Growth %0.07%0.07%0.11%0.42%0.81%6.12%-0.49%-1.05%15.52%-0.48%
Book Value per Share-14.17-14.23-13.42-8.21-1.628.424.53-0.253.832.12
Total Shareholders' Equity-7.6B-7.3B-6.81B-4.95B-2.81B572M-933M-2.77B-1.77B-2.5B
Common Stock4M4M4M3M3M3M3M3M3M3M
Retained Earnings-7.34B-6.97B-6.53B-4.57B-2.35B777M-532M-2.28B-1.35B-2.12B
Treasury Stock0000000000
Accumulated OCI-265M-338M-278M-381M-460M-502M-404M-490M-425M-387M
Minority Interest1.55B1.67B1.81B2.03B2.24B2.32B2.42B2.69B2.83B3.05B

Cash Flow

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+4.73B5.65B5.43B6.76B7.6B9.23B8.96B8.52B9.43B10.51B
Operating CF Margin %0.12%0.14%0.12%0.14%0.15%0.18%0.15%0.14%0.15%0.15%
Operating CF Growth %0.06%0.19%-0.04%0.25%0.12%0.21%-0.03%-0.05%0.11%0.11%
Net Income2.7B3.43B2.74B4.39B4.14B4.39B7.72B6.83B5.24B6.66B
Depreciation & Amortization1.9B1.97B2.13B2.28B2.6B2.72B2.85B2.97B3.08B3.31B
Stock-Based Compensation239M251M270M268M347M362M440M341M262M360M
Deferred Taxes-160M123M433M74M250M41M-70M571M229M22M
Other Non-Cash Items378M-161M145M-281M352M443M-1.48B-1.04B1.08B269M
Working Capital Changes-323M42M-296M33M-88M1.28B-503M-1.15B-457M-106M
Change in Receivables-4.11B-3.25B-4.64B-423M-326M327M-962M-797M0-799M
Change in Inventory-314M-112M-69M-242M-158M-304M-540M-59M0334M
Change in Payables192M144M374M698M396M1.25B999M-296M0359M
Cash from Investing+-2.58B-3.24B-4.28B-3.9B-5.72B-3.39B-2.64B-3.39B-5.32B-4.93B
Capital Expenditures-2.38B-2.76B-3.02B-3.57B-4.16B-2.83B-3.58B-4.39B-4.74B-4.88B
CapEx % of Revenue0.06%0.07%0.07%0.08%0.08%0.06%0.06%0.07%0.07%0.07%
Acquisitions----------
Investments----------
Other Investing70M96M-52M60M59M-58M-121M-7M-131M-58M
Cash from Financing+-1.98B-2.51B-1.06B-3.08B-1.77B-4.68B-6.66B-5.66B-4.09B-4.58B
Debt Issued (Net)----------
Equity Issued (Net)----------
Dividends Paid000-487M-550M-153M-624M-653M-661M-690M
Share Repurchases----------
Other Financing-357M-572M-519M-714M-757M-866M-1.07B-1.29B-917M-1.05B
Net Change in Cash----------
Free Cash Flow+2.36B2.89B2.41B3.19B3.44B6.4B5.38B4.13B4.69B5.64B
FCF Margin %0.06%0.07%0.06%0.07%0.07%0.12%0.09%0.07%0.07%0.08%
FCF Growth %0.04%0.23%-0.17%0.32%0.08%0.86%-0.16%-0.23%0.14%0.2%
FCF per Share5.537.316.488.979.8918.6216.3714.0116.9621.54
FCF Conversion (FCF/Net Income)2.22x1.96x2.45x1.79x2.17x2.46x1.29x1.51x1.80x1.83x
Interest Paid1.65B1.67B1.7B1.74B1.91B1.61B1.5B1.66B1.89B1.94B
Taxes Paid1.19B1.25B1.21B872M849M1B2.18B1.18B1.39B1.84B

Key Ratios

Metric2015201620172018201920202021202220232024
Return on Equity (ROE)-----322.65%317.55%797.03%1062.21%713.31%
Return on Invested Capital (ROIC)19.27%19.02%17.33%17.43%16.97%15.89%20.47%17.87%17.78%18.43%
Gross Margin15.78%15.95%14.96%15.08%15.03%14.09%16.47%15.03%14.82%14.94%
Net Margin5.37%6.97%5.08%8.11%6.83%7.28%11.84%9.37%8.07%8.16%
Debt / Equity-----11.43x24.66x-39.49x81.51x
Interest Coverage3.84x3.87x3.63x3.74x3.92x4.66x6.33x5.21x4.97x5.12x
FCF Conversion2.22x1.96x2.45x1.79x2.17x2.46x1.29x1.51x1.80x1.83x
Revenue Growth7.48%4.57%5.12%7.02%9.98%0.38%14.01%2.52%7.86%8.67%

Revenue by Segment

2015201620172018201920202021202220232024
Managed Care And Other Insurers21.88B23.44B24.81B24.47B26.54B26.54B30.3B29.12B31.82B34.95B
Managed Care And Other Insurers Growth-7.12%5.85%-1.39%8.49%-0.03%14.17%-3.88%9.27%9.85%
Managed Medicare4.13B4.36B4.79B5.5B6.45B7B8.42B9.2B10.5B11.99B
Managed Medicare Growth-5.37%9.94%14.81%17.37%8.45%20.39%9.22%14.07%14.21%
Medicare8.65B8.89B9.48B9.83B10.8B10.42B10.45B10.45B10.59B10.78B
Medicare Growth-2.78%6.61%3.67%9.84%-3.50%0.26%0.00%1.32%1.84%
Medicaid1.71B1.6B1.63B1.36B1.57B1.97B2.29B2.64B3.61B4.68B
Medicaid Growth--6.33%2.13%-16.74%15.76%25.00%16.54%15.11%36.80%29.73%
Managed Medicaid2.23B2.48B2.35B2.4B2.45B2.62B3.12B4B3.88B3.98B
Managed Medicaid Growth-10.92%-5.21%2.30%1.96%6.98%19.19%27.98%-2.98%2.60%
International1.29B1.2B1.1B1.16B1.16B1.12B1.34B1.32B1.51B1.68B
International Growth--7.72%-8.20%5.38%0.52%-3.61%19.29%-1.42%14.58%11.46%

Revenue by Geography

2015201620172018201920202021202220232024
American Group18.87B19.65B20.91B21.96B23.17B23.59B26.15B26.86B22.32B24.6B
American Group Growth-4.11%6.43%5.01%5.53%1.81%10.85%2.73%-16.93%10.23%
Atlantic Group--------21.17B23.17B
Atlantic Group Growth---------9.47%
National Group18.76B19.84B20.77B22.58B25.91B25.69B29.83B30.35B18.11B19.61B
National Group Growth-5.81%4.67%8.71%14.76%-0.85%16.08%1.76%-40.35%8.33%
Corporate and Other2.05B2B1.93B2.14B2.25B2.25B2.77B3.02B3.38B-
Corporate and Other Growth--2.59%-3.36%10.73%5.29%-0.18%23.51%8.80%11.93%-

Frequently Asked Questions

Valuation & Price

HCA Healthcare, Inc. (HCA) has a price-to-earnings (P/E) ratio of 22.0x. This is roughly in line with market averages.

Growth & Financials

HCA Healthcare, Inc. (HCA) reported $74.37B in revenue for fiscal year 2024. This represents a 129% increase from $32.51B in 2011.

HCA Healthcare, Inc. (HCA) grew revenue by 8.7% over the past year. This is steady growth.

Yes, HCA Healthcare, Inc. (HCA) is profitable, generating $6.38B in net income for fiscal year 2024 (8.2% net margin).

Dividend & Returns

Yes, HCA Healthcare, Inc. (HCA) pays a dividend with a yield of 0.54%. This makes it attractive for income-focused investors.

HCA Healthcare, Inc. (HCA) has a return on equity (ROE) of 713.3%. This is excellent, indicating efficient use of shareholder capital.

HCA Healthcare, Inc. (HCA) generated $8.10B in free cash flow for fiscal year 2024. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

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