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HCA logoHCA Healthcare, Inc.(HCA)Earnings, Financials & Key Ratios

HCA•NYSE
$428.79
$95.86B mkt cap·15.1× P/E·Price updated May 6, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryHospitals and inpatient facilities
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$75.6B+7.1%
  • EBITDA$15.49B+11.8%
  • Net Income$6.78B+17.8%
  • EPS (Diluted)28.38+29.0%
  • Gross Margin41.5%+2.2%
  • EBITDA Margin20.49%+4.4%
  • Operating Margin15.83%+5.9%
  • Net Margin8.97%+10.0%
  • ROIC19.89%+7.9%
  • Interest Coverage5.37+4.6%
Analysis→Technical→

HCA Key Insights

HCA Healthcare, Inc. (HCA) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Excellent 3Y average ROE of 887.8%
  • ✓Strong Piotroski F-Score: 7/9
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Share count reduced 11.9% through buybacks
  • ✓Efficient asset utilization: 1.2x turnover

✗Weaknesses

No significant weaknesses identified

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

HCA Price & Volume

HCA Healthcare, Inc. (HCA) stock price & volume — 10-year historical chart

Loading chart...

HCA Growth Metrics

HCA Healthcare, Inc. (HCA) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years6.66%
5 Years7.97%
3 Years7.87%
TTM7.08%

Profit CAGR

10 Years12.29%
5 Years12.56%
3 Years6.33%
TTM17.78%

EPS CAGR

10 Years18.98%
5 Years21.03%
3 Years14.01%
TTM29.06%

Return on Capital

10 Years22.38%
5 Years23.84%
3 Years24.45%
Last Year26.98%

HCA Recent Earnings

HCA Healthcare, Inc. (HCA) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 11/12 qtrs (92%)●Beat Revenue 10/12 qtrs (83%)
Q2 2026Latest
Apr 24, 2026
EPS
$7.15
Est $7.12
+0.4%
Revenue
$19.1B
Est $19.1B
+0.1%
Q1 2026
Jan 27, 2026
EPS
$8.01
Est $7.46
+7.4%
Revenue
$19.5B
Est $19.7B
-0.9%
Q4 2025
Oct 24, 2025
EPS
$6.96
Est $5.79
+20.2%
Revenue
$19.2B
Est $18.6B
+3.0%
Q3 2025
Jul 25, 2025
EPS
$6.84
Est $6.29
+8.7%
Revenue
$18.6B
Est $18.5B
+0.6%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestApr 24, 2026
$7.15vs $7.12+0.4%
$19.1Bvs $19.1B+0.1%
Q1 2026Jan 27, 2026
$8.01vs $7.46+7.4%
$19.5Bvs $19.7B-0.9%
Q4 2025Oct 24, 2025
$6.96vs $5.79+20.2%
$19.2Bvs $18.6B+3.0%
Q3 2025Jul 25, 2025
$6.84vs $6.29+8.7%
$18.6Bvs $18.5B+0.6%
Based on last 12 quarters of dataView full earnings history →

HCA Peer Comparison

HCA Healthcare, Inc. (HCA) competitors in Hospitals and inpatient facilities — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
THC logoTHCTenet Healthcare CorporationDirect Competitor16.37B186.9112.073.12%7.94%19.56%15.45%1.47
CYH logoCYHCommunity Health Systems, Inc.Direct Competitor397.43M2.820.75-1.18%-0.41%52.34%
UHS logoUHSUniversal Health Services, Inc.Direct Competitor10.35B165.407.169.71%8.56%20.65%8.2%0.74
ENSG logoENSGThe Ensign Group, Inc.Direct Competitor10.28B175.9530.1318.72%6.89%16.61%3.61%1.86
SEM logoSEMSelect Medical Holdings CorporationProduct Competitor2.04B16.4413.935.12%2.42%6.57%18.77%1.82
ACHC logoACHCAcadia Healthcare Company, Inc.Product Competitor2.33B25.27-2.085.04%-32.84%-40.92%1.24
SGRY logoSGRYSurgery Partners, Inc.Product Competitor1.85B14.26-23.386.24%-2.28%-2.39%10.6%1.14
USPH logoUSPHU.S. Physical Therapy, Inc.Product Competitor1.09B71.7450.52-3.12%5.4%4.56%5.59%0.21

Compare HCA vs Peers

HCA Healthcare, Inc. (HCA) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs THC

Most directly comparable listed peer for HCA.

Scale Benchmark

vs UNH

Larger-name benchmark to compare HCA against a more recognizable public peer.

Peer Set

Compare Top 5

vs THC, CYH, UHS, ENSG

HCA Income Statement

HCA Healthcare, Inc. (HCA) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Sales/Revenue43.61B46.68B51.34B51.53B58.75B60.23B64.97B70.6B75.6B
Revenue Growth %5.12%7.02%9.98%0.38%14.01%2.52%7.86%8.67%7.08%
Cost of Goods Sold7.32B7.72B8.48B8.37B36.26B37.06B39.39B41.92B44.23B
COGS % of Revenue16.77%16.55%16.52%16.24%61.72%61.52%60.63%59.38%58.5%
Gross Profit
36.3B▲ 0%
38.95B▲ 7.3%
42.85B▲ 10.0%
43.16B▲ 0.7%
22.49B▼ 47.9%
23.18B▲ 3.0%
25.58B▲ 10.4%
28.68B▲ 12.1%
31.37B▲ 9.4%
Gross Margin %83.23%83.45%83.48%83.76%38.28%38.48%39.37%40.62%41.5%
Gross Profit Growth %5.04%7.31%10.02%0.72%-47.89%3.05%10.36%12.12%9.4%
Operating Expenses30.24B32.31B35.64B35.9B12.81B14.12B15.95B18.13B19.41B
OpEx % of Revenue69.34%69.22%69.42%69.67%21.81%23.45%24.55%25.68%25.67%
Selling, General & Admin20.06B21.43B23.56B23.87B26.78B27.68B29.49B31.17B8B
SG&A % of Revenue45.99%45.9%45.89%46.33%45.58%45.96%45.39%44.15%10.58%
Research & Development000000000
R&D % of Revenue---------
Other Operating Expenses10.18B10.89B12.08B12.03B-13.96B-13.56B-13.54B-13.04B11.41B
Operating Income
6.06B▲ 0%
6.64B▲ 9.7%
7.22B▲ 8.7%
7.26B▲ 0.6%
9.68B▲ 33.3%
9.05B▼ 6.5%
9.63B▲ 6.3%
10.55B▲ 9.6%
11.96B▲ 13.4%
Operating Margin %13.89%14.23%14.06%14.09%16.47%15.03%14.82%14.94%15.83%
Operating Income Growth %-2.27%9.66%8.67%0.61%33.27%-6.46%6.34%9.56%13.44%
EBITDA8.19B8.92B9.81B9.98B12.53B12.02B12.7B13.86B15.49B
EBITDA Margin %18.77%19.11%19.12%19.37%21.33%19.96%19.55%19.63%20.49%
EBITDA Growth %0.29%8.94%10.02%1.72%25.52%-4.06%5.67%9.09%11.75%
D&A (Non-Cash Add-back)2.13B2.28B2.6B2.72B2.85B2.97B3.08B3.31B3.52B
EBIT6.07B7.09B7.07B7.01B11.4B10.32B9.64B10.58B12.08B
Net Interest Income-1.67B-1.76B-1.84B-1.56B-1.53B-1.74B-1.94B-2.06B-2.25B
Interest Income000000000
Interest Expense1.67B1.76B1.84B1.56B1.53B1.74B1.94B2.06B2.25B
Other Income/Expense-1.68B-1.31B-1.97B-1.83B155M-473M-1.92B-2.02B-2.13B
Pretax Income
4.38B▲ 0%
5.33B▲ 21.8%
5.24B▼ 1.7%
5.43B▲ 3.5%
9.83B▲ 81.1%
8.58B▼ 12.7%
7.71B▼ 10.2%
8.52B▲ 10.6%
9.83B▲ 15.4%
Pretax Margin %10.04%11.43%10.22%10.54%16.74%14.24%11.86%12.07%13.01%
Income Tax1.64B946M1.1B1.04B2.11B1.75B1.61B1.87B2.05B
Effective Tax Rate %37.39%17.73%20.96%19.21%21.48%20.35%20.96%21.89%20.85%
Net Income
2.22B▲ 0%
3.79B▲ 70.9%
3.5B▼ 7.4%
3.75B▲ 7.1%
6.96B▲ 85.3%
5.64B▼ 18.9%
5.24B▼ 7.1%
5.76B▲ 9.9%
6.78B▲ 17.8%
Net Margin %5.08%8.11%6.83%7.28%11.84%9.37%8.07%8.16%8.97%
Net Income Growth %-23.32%70.89%-7.45%7.1%85.3%-18.88%-7.11%9.88%17.78%
Net Income (Continuing)2.74B4.39B4.14B4.39B7.72B6.83B6.09B6.66B7.78B
Discontinued Operations000000000
Minority Interest1.81B2.03B2.24B2.32B2.42B2.69B2.83B3.05B3.26B
EPS (Diluted)
5.95▲ 0%
10.66▲ 79.2%
10.07▼ 5.5%
10.93▲ 8.5%
21.16▲ 93.6%
19.15▼ 9.5%
18.96▼ 1.0%
22.00▲ 16.0%
28.38▲ 29.0%
EPS Growth %-18.49%79.16%-5.53%8.54%93.6%-9.5%-0.99%16.03%29%
EPS (Basic)6.3311.0410.2711.0821.5119.4419.2422.2728.62
Diluted Shares Outstanding372.22M355.3M348.23M345.37M328.75M294.67M276.41M261.81M230.71M
Basic Shares Outstanding350.09M342.9M341.21M339.43M323.31M290.35M272.4M258.6M230.71M
Dividend Payout Ratio-12.86%15.69%4.08%8.97%11.57%12.61%11.98%10.01%

HCA Balance Sheet

HCA Healthcare, Inc. (HCA) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Total Current Assets9.98B10.21B11.2B12.33B13.54B13.64B14.93B16.41B13.56B
Cash & Short-Term Investments732M502M621M1.79B1.45B908M935M2.02B1.04B
Cash Only732M502M621M1.79B1.45B908M935M1.93B1.04B
Short-Term Investments000000088M0
Accounts Receivable6.5B6.79B7.38B7.05B8.1B8.89B9.96B10.75B10.87B
Days Sales Outstanding54.4153.0952.4749.9450.2953.8855.9555.5852.47
Inventory1.57B1.73B1.85B2.02B1.99B2.07B2.02B1.74B1.65B
Days Inventory Outstanding78.4881.8579.5888.3219.9920.3718.7315.1313.63
Other Current Assets1.17B1.19B1.35B1.46B2.01B1.78B2.01B1.9B0
Total Non-Current Assets26.62B28.99B33.86B35.16B37.2B38.8B41.28B43.1B47.16B
Property, Plant & Equipment17.89B19.76B24.55B25.22B26.18B27.64B29.92B31.55B31.14B
Fixed Asset Turnover2.44x2.36x2.09x2.04x2.24x2.18x2.17x2.24x2.43x
Goodwill7.04B7.61B7.94B8.21B9.14B9.29B9.61B9.77B0
Intangible Assets359M342M330M369M403M359M339M323M10.29B
Long-Term Investments617M594M564M810M886M1.2B1.23B1.23B633M
Other Non-Current Assets710M690M480M546M598M298M184M230M5.09B
Total Assets
36.59B▲ 0%
39.21B▲ 7.1%
45.06B▲ 14.9%
47.49B▲ 5.4%
50.74B▲ 6.8%
52.44B▲ 3.3%
56.21B▲ 7.2%
59.51B▲ 5.9%
60.72B▲ 2.0%
Asset Turnover1.19x1.19x1.14x1.09x1.16x1.15x1.16x1.19x1.25x
Asset Growth %8.4%7.14%14.92%5.4%6.85%3.34%7.2%5.87%2.03%
Total Current Liabilities6.16B7.57B7.76B8.7B9.58B9.9B12.65B15.18B16.35B
Accounts Payable2.61B2.58B2.9B3.54B4.11B4.24B4.23B4.28B4.66B
Days Payables Outstanding130.01121.78125.02154.1741.3841.7539.2337.2338.45
Short-Term Debt200M788M145M209M237M370M2.42B4.7B6.74B
Deferred Revenue (Current)000000000
Other Current Liabilities67M459M528M547M549M794M867M910M2.42B
Current Ratio1.62x1.35x1.44x1.42x1.41x1.38x1.18x1.08x0.83x
Quick Ratio1.36x1.12x1.20x1.18x1.21x1.17x1.02x0.97x0.73x
Cash Conversion Cycle2.8713.167.02-15.9128.932.4935.4533.4827.65
Total Non-Current Liabilities35.43B34.56B37.87B35.89B39.67B42.61B42.5B43.78B47.14B
Long-Term Debt32.86B32.03B33.58B30.8B33.77B37.13B37.17B38.33B41.6B
Capital Lease Obligations001.5B1.67B2.33B2.33B1.9B1.86B1.85B
Deferred Tax Liabilities000000000
Other Non-Current Liabilities2.57B2.52B2.79B3.43B3.57B3.14B3.42B3.58B3.69B
Total Liabilities41.59B42.13B45.62B44.6B49.25B52.51B55.15B58.96B63.49B
Total Debt33.06B32.82B35.57B33.06B36.73B40.2B41.86B45.24B50.2B
Net Debt32.33B32.32B34.95B31.26B35.27B39.29B40.92B43.3B49.16B
Debt / Equity---11.43x24.66x-39.49x81.51x-
Debt / EBITDA4.04x3.68x3.62x3.31x2.93x3.34x3.29x3.26x3.24x
Net Debt / EBITDA3.95x3.62x3.56x3.13x2.82x3.27x3.22x3.12x3.17x
Interest Coverage3.64x4.02x3.84x4.50x7.46x5.94x4.98x5.14x5.37x
Total Equity
-5B▲ 0%
-2.92B▲ 41.6%
-565M▲ 80.6%
2.89B▲ 611.9%
1.49B▼ 48.5%
-73M▼ 104.9%
1.06B▲ 1552.1%
555M▼ 47.6%
-2.77B▼ 599.3%
Equity Growth %11.33%41.58%80.64%611.86%-48.51%-104.9%1552.05%-47.64%-599.28%
Book Value per Share-13.42-8.21-1.628.374.53-0.253.832.12-12.01
Total Shareholders' Equity-6.81B-4.95B-2.81B572M-933M-2.77B-1.77B-2.5B-6.03B
Common Stock4M3M3M3M3M3M3M3M2M
Retained Earnings-6.53B-4.57B-2.35B777M-532M-2.28B-1.35B-2.12B-5.72B
Treasury Stock000000000
Accumulated OCI-278M-381M-460M-502M-404M-490M-425M-387M-305M
Minority Interest1.81B2.03B2.24B2.32B2.42B2.69B2.83B3.05B3.26B

HCA Cash Flow Statement

HCA Healthcare, Inc. (HCA) cash flow — operating, investing & free cash flow history

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Cash from Operations5.43B6.76B7.6B9.23B8.96B8.52B9.43B10.51B12.64B
Operating CF Margin %12.44%14.48%14.81%17.91%15.25%14.15%14.52%14.89%16.71%
Operating CF Growth %-4.02%24.6%12.44%21.44%-2.96%-4.88%10.67%11.48%20.18%
Net Income2.74B4.39B4.14B4.39B7.72B6.83B5.24B6.66B6.78B
Depreciation & Amortization2.13B2.28B2.6B2.72B2.85B2.97B3.08B3.31B3.52B
Stock-Based Compensation270M268M347M362M440M341M262M360M0
Deferred Taxes433M74M250M41M-70M571M229M22M0
Other Non-Cash Items145M-281M352M443M-1.48B-1.04B1.08B269M1.6B
Working Capital Changes-296M33M-88M1.28B-503M-1.15B-457M-106M728M
Change in Receivables-4.64B-423M-326M327M-962M-797M0-799M-94M
Change in Inventory-69M-242M-158M-304M-540M-59M0334M-154M
Change in Payables374M698M396M1.25B999M-296M0359M666M
Cash from Investing-4.28B-3.9B-5.72B-3.39B-2.64B-3.39B-5.32B-4.93B-4.99B
Capital Expenditures-3.02B-3.57B-4.16B-2.83B-3.58B-4.39B-4.74B-4.88B-4.94B
CapEx % of Revenue6.91%7.65%8.1%5.5%6.09%7.3%7.3%6.9%6.54%
Acquisitions-1.21B-445M-1.62B-500M1.05B1.01B-442M0-128M
Investments---------
Other Investing-52M60M59M-58M-121M-7M-131M-58M12M
Cash from Financing-1.06B-3.08B-1.77B-4.68B-6.66B-5.66B-4.09B-4.58B-8.55B
Debt Issued (Net)1.51B-344M567M-3.22B3.25B3.29B1.29B3.21B3.21B
Equity Issued (Net)-2.05B-1.53B-1.03B-441M-8.21B-7B-3.81B-6.04B-10.07B
Dividends Paid0-487M-550M-153M-624M-653M-661M-690M-679M
Share Repurchases-2.05B-1.53B-1.03B-441M-8.21B-7B-3.81B-6.04B-10.07B
Other Financing-519M-714M-757M-866M-1.07B-1.29B-917M-1.05B-1.01B
Net Change in Cash
86M▲ 0%
-230M▼ 367.4%
119M▲ 151.7%
1.17B▲ 884.9%
-342M▼ 129.2%
-543M▼ 58.8%
27M▲ 105.0%
998M▲ 3596.3%
-893M▼ 189.5%
Free Cash Flow
2.41B▲ 0%
3.19B▲ 32.2%
3.44B▲ 8.0%
6.4B▲ 85.7%
5.38B▼ 15.9%
4.13B▼ 23.3%
4.69B▲ 13.6%
5.64B▲ 20.3%
7.69B▲ 36.4%
FCF Margin %5.53%6.83%6.71%12.41%9.16%6.85%7.21%7.99%10.17%
FCF Growth %-16.66%32.23%8.03%85.74%-15.87%-23.32%13.57%20.31%36.41%
FCF per Share6.488.979.8918.5216.3714.0116.9621.5433.34
FCF Conversion (FCF/Net Income)2.45x1.79x2.17x2.46x1.29x1.51x1.80x1.83x1.86x
Interest Paid1.7B1.74B1.91B1.61B1.5B1.66B1.89B1.94B0
Taxes Paid1.21B872M849M1B2.18B1.18B1.39B1.84B0

HCA Key Ratios

HCA Healthcare, Inc. (HCA) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric2016201720182019202020212022202320242025
Return on Equity (ROE)----322.65%317.55%797.03%1062.21%713.31%-
Return on Invested Capital (ROIC)19.05%17.33%17.56%16.97%15.89%20.47%17.87%17.78%18.43%19.89%
Gross Margin83.29%83.23%83.45%83.48%83.76%38.28%38.48%39.37%40.62%41.5%
Net Margin6.97%5.08%8.11%6.83%7.28%11.84%9.37%8.07%8.16%8.97%
Debt / Equity----11.43x24.66x-39.49x81.51x-
Interest Coverage4.08x3.64x4.02x3.84x4.50x7.46x5.94x4.98x5.14x5.37x
FCF Conversion1.96x2.45x1.79x2.17x2.46x1.29x1.51x1.80x1.83x1.86x
Revenue Growth4.57%5.12%7.02%9.98%0.38%14.01%2.52%7.86%8.67%7.08%

HCA SEC Filings & Documents

HCA Healthcare, Inc. (HCA) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Apr 24, 2026·SEC

Material company update

Feb 25, 2026·SEC

Material company update

Jan 27, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 10, 2026·SEC

FY 2025

Feb 14, 2025·SEC

FY 2024

Feb 16, 2024·SEC

10-Q Quarterly Reports

6
FY 2025

Oct 30, 2025·SEC

FY 2025

Aug 4, 2025·SEC

FY 2025

May 1, 2025·SEC

HCA Frequently Asked Questions

HCA Healthcare, Inc. (HCA) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

HCA Healthcare, Inc. (HCA) reported $75.60B in revenue for fiscal year 2025. This represents a 280% increase from $19.91B in 1996.

HCA Healthcare, Inc. (HCA) grew revenue by 7.1% over the past year. This is steady growth.

Yes, HCA Healthcare, Inc. (HCA) is profitable, generating $6.78B in net income for fiscal year 2025 (9.0% net margin).

Dividend & Returns

Yes, HCA Healthcare, Inc. (HCA) pays a dividend with a yield of 0.69%. This makes it attractive for income-focused investors.

HCA Healthcare, Inc. (HCA) generated $7.69B in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

Explore More HCA

HCA Healthcare, Inc. (HCA) financial analysis — history, returns, DCA and operating performance tools

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