|HCA Overview
HCA

HCA Healthcare, Inc.

Healthcare • CIK: 0000860730

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Market Cap
$103.47B
P/E (TTM)
16.3x
Rev Growth (TTM)
+6.8%
Net Margin (TTM)
8.5%
FCF Yield (TTM)
7.8%
FCF Margin (TTM)
10.9%

LATEST EARNINGS

Q3 2025
4 months ago
View source
Revenue
$19.16B
+9.6%
Net Income
$1.64B
+29.4%
EPS
$6.96
+42.6%
Operating
12.6% +1.7%
Net
8.6% +1.3%
  • Revenues increased 9.6% to $19.161 billion compared to the prior year period.
  • Net income attributable to HCA Healthcare, Inc. increased 29.4% to $1.643 billion.
  • Diluted earnings per share increased 42.6% to $6.96 per diluted share.
  • Adjusted EBITDA increased 18.5% to $3.870 billion.

Cash Flow Health

Free Cash Flow8/8 positive
TTM$8.1B
Q3 '25
$3.1B+3%
Q2 '25
$3.0B+360%
FCF Margin
TTM10.9%
Q3 '2516.3%
Sector: 5.8%Above Avg
OCF Margin17.3%
OCF/NI2.02x
CapEx Coverage2.7x
FCF Yield7.8%
FCF Growth (2Y)+25%
Cash Conversion Cycle
52 days
DSO: 52+DIO: DPO:

Capital Allocation & Returns

Shareholder Friendly
Total Shareholder YieldTTM
TTM9.6%
Div Yield0.7%
+
Buyback (TTM)8.9%

Strong capital returns to shareholders

Dividend & Payout Metrics
Dividend Yield (TTM)0.7%
FCF Payout Ratio8.5%
Free Cash Flow (TTM)$8.1B
Stock Repurchases (TTM)$9.2B
Capital Return / FCF122.2%
Est. Dividends Paid (TTM)$684.6M
Shows how management rewards shareholders

Operational Efficiency & Returns

Return on Invested CapitalTTM
18.1%
Moderate
+0.0% YoY-2.9%
P25MedianP75
75th pctl (med: 0.1%)
DuPont BreakdownROIC = Margin × Turn × (1+D/E)
NOPAT Margin
9.8%
8Q: 9.9%
Asset Turnover
1.25x
8Q: 1.23x
Leverage (1+D/E)
-7.34x
D/E: -8.34x
DuPont: -90.0%18.1% ROIC
Asset & CapEx Efficiency
Fixed Asset Turn
2.50x
8Q:2.49x
Flat
Invested Cap Turn
2.27x
8Q:2.18x
+22.1%
CapEx Intensity
14.5%
8Q:14.6%
CapEx/Depreciation
1.37x
Asset-based ROIC formula

QUARTERLY TRENDS

Last 8 quarters + TTM

MetricTTMQ3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023
Revenue
$74.4B
$19.2B3.0%
$18.6B1.6%
$18.3B0.2%
$18.3B4.6%
$17.5B0.0%
$17.5B0.9%
$17.3B0.2%
$17.3B
Operating Income
$9.3B
$2.4B0.1%
$2.4B
$0100.0%
$2.3B9.1%
$2.1B11.9%
$1.9B14.8%
$2.2B0.4%
$2.2B
Net Income
$6.3B
$1.6B0.6%
$1.7B2.7%
$1.6B12.0%
$1.4B13.2%
$1.3B13.1%
$1.5B8.2%
$1.6B1.0%
$1.6B
Operating Cash Flow
$12.8B
$4.4B4.9%
$4.2B155.0%
$1.7B35.5%
$2.6B27.2%
$3.5B78.3%
$2.0B20.2%
$2.5B7.7%
$2.7B
Free Cash Flow
$8.1B
$3.1B3.1%
$3.0B359.7%
$660.0M48.2%
$1.3B45.2%
$2.3B236.8%
$690.0M48.9%
$1.4B10.8%
$1.5B
Total Equity
N/A

Valuation Analysis

Fair Value
Price-to-EarningsTTM
16.3x
Volatile
8Q: 55.5x+532%
Multiple expansion without fundamental improvement
Valuation Lenses
Earnings
16.3x
vs sector
Cash Flow
16.1x
EV/FCF vs
Growth-Adj
1.0xPEG
Undervalued for growth
Quality-Adj
0.9P/E per %ROIC
ROIC: 18.1%
Shareholder Returns
Dividend
0.7%
Buyback
8.9%
Total Yield
9.6%
Market Cap$103.47B
EV
Multi-angle valuation analysis with sector context

Business Quality & Moat

Overall Quality Score
-111/100
Below Average

Composite score: Returns (40%) + Consistency (30%) + Earnings Quality (30%)

Returns on Capital

Return on Equity (ROE)Top 10%
-1.8%
8Q:
Return on Invested Capital (ROIC)Top 25%
18.1%
8Q:
-2.9%
vs Sector:0.1%

DuPont Analysis (ROIC = NOPAT Margin × Asset Turnover)

NOPAT Margin: 9.8%
Asset Turnover: 1.25x

Earnings Quality

Cash Conversion

2.02x

OCF / Net Income

FCF Consistency

Positive quarters

Competitive Moat Indicators

Pricing Power

Gross Margin

Capital Efficiency

Invested Capital Turnover2.27x

Working Capital

Cash Conversion Cycle52 days

Growth Quality & Momentum

Moderate Growth
Growth Quality Score
67/100
Growth 40%
Margins 30%
FCF 20%
Consistency 10%

Growth Rates

Revenue Growth YoY
6.8%
OpInc Growth YoY
13.4%
EPS Growth YoY
16.3%
FCF 3Y CAGR
24.7%

Growth Quality Analysis

Efficient Growth: Free cash flow growing faster than revenue

Margin Quality & Sustainability

Low Quality
Profitability Cascade
Gross
Operating
12.5%
Above Avg in sector
Net
8.5%
Margins Unknown
Earnings Quality Signals
SBC / Revenue
FCF vs Net Gap
+2.4 pts
FCF: 10.9% | Net: 8.5%

Quality = stability + cash conversion + low dilution

Balance Sheet & Solvency

Solid
Net Debt / EBITDA
Net Debt: $43.51B
Interest Coverage
Leverage Metrics
Debt-to-Equity
-8.34x
Balance sheet risk & solvency analysis