Saturday 17 October 2026
Export HCA’s income statement to Excel — free account
HCA Healthcare, Inc.
HCA Healthcare Medical Care Facilities
HCA Healthcare, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $75.6 billion, up 7.08% from fiscal 2024. In the quarter to June 2026, revenue grew 8.73%, EPS grew 11.6%, free cash flow fell 63.6% and total debt rose 11.8%, each against the same quarter a year earlier. Member of the S&P 500; dividend growth for five consecutive years, revenue growth for ten, operating cash flow growth for three.
457.58
10.92
−2.33%
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Target Price Range
Analyst price targets
Free accountTen years at a glance Fiscal years to December
| Group | Line | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Trend | 2026e | 2027e | 2028e |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Price, $ | |||||||||||||||
| Price, $ | Low | 60.07 | 71.18 | 84.92 | 110.31 | 58.38 | 156.43 | 164.47 | 215.96 | 268.80 | 289.98 |
Analyst estimates 2026–2028 Powerpack |
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| High | 83.69 | 91.03 | 147.42 | 150.17 | 166.87 | 263.92 | 279.02 | 304.86 | 417.14 | 520.00 | |||||
| People | |||||||||||||||
| People | Employees | 241,000 | 253,000 | 262,000 | 280,000 | 275,000 | 284,000 | 294,000 | 310,000 | 316,000 | 320,000 | ||||
| Revenue/emp, $m | 0.17 | 0.17 | 0.18 | 0.18 | 0.19 | 0.21 | 0.20 | 0.21 | 0.22 | 0.24 | |||||
| Income, $m | |||||||||||||||
| Income, $m | Revenue | 41,490 | 43,614 | 46,677 | 51,336 | 51,533 | 58,752 | 60,233 | 64,968 | 70,603 | 75,600 | ||||
| Gross margin, % | 83.29 | 83.23 | 83.45 | 83.48 | 83.76 | 83.86 | 84.44 | 84.76 | 84.77 | 84.96 | |||||
| EBT | 4,810 | 4,381 | 5,335 | 5,244 | 5,430 | 9,833 | 8,580 | 7,706 | 8,523 | 9,832 | |||||
| EBT margin, % | 11.59 | 10.04 | 11.43 | 10.22 | 10.54 | 16.74 | 14.24 | 11.86 | 12.07 | 13.01 | |||||
| Net income | 3,432 | 2,743 | 4,389 | 4,145 | 4,387 | 7,721 | 6,834 | 6,091 | 6,657 | 7,782 | |||||
| Depreciation | 2,000 | 2,162 | 2,309 | 2,626 | 2,751 | 2,880 | 2,998 | 3,112 | 3,347 | 3,567 | |||||
| Per share, $ | |||||||||||||||
| Per share, $ | Revenue | 108.16 | 120.38 | 134.40 | 150.45 | 152.34 | 181.72 | 207.45 | 238.50 | 273.02 | 319.78 | ||||
| Earnings | 7.30 | 5.95 | 10.66 | 10.07 | 10.93 | 21.16 | 19.15 | 18.97 | 22.00 | 28.33 | |||||
| Cash flow | 14.74 | 14.98 | 19.47 | 22.28 | 27.29 | 27.71 | 29.35 | 34.62 | 40.66 | 53.45 | |||||
| Capex | (7.20) | (8.32) | (10.29) | (12.19) | (8.38) | (11.06) | (15.14) | (17.42) | (18.85) | (20.91) | |||||
| Free cash flow | 7.54 | 6.65 | 9.18 | 10.09 | 18.91 | 16.65 | 14.21 | 17.21 | 21.81 | 32.54 | |||||
| Book value | (14.68) | (13.79) | (8.40) | (1.66) | 8.55 | 4.61 | (0.25) | 3.89 | 2.15 | (11.72) | |||||
| Shares, m | 384 | 362 | 347 | 341 | 338 | 323 | 290 | 272 | 259 | 236 | |||||
| Valuation, × | |||||||||||||||
| Valuation, × | P/E | 10.17 | 15.07 | 11.69 | 14.68 | 15.05 | 12.09 | 12.65 | 14.51 | 13.66 | 16.45 | ||||
| P/S | 0.69 | 0.74 | 0.93 | 0.98 | 1.08 | 1.41 | 1.17 | 1.15 | 1.10 | 1.46 | |||||
| P/B | 0.00 | 0.00 | 0.00 | 0.00 | 19.24 | 55.79 | 0.00 | 70.75 | 139.86 | 0.00 | |||||
| EV/Sales | 1.43 | 1.48 | 1.62 | 1.63 | 1.65 | 1.98 | 1.79 | 1.75 | 1.68 | 2.06 | |||||
| EV/FCF | 20.50 | 26.86 | 23.70 | 24.26 | 13.26 | 21.59 | 26.12 | 24.25 | 21.05 | 20.26 | |||||
| Cash, $m | |||||||||||||||
| Cash, $m | Operating cash flow | 5,653 | 5,426 | 6,761 | 7,602 | 9,232 | 8,959 | 8,522 | 9,431 | 10,514 | 12,636 | ||||
| Capex | (2,760) | (3,015) | (3,573) | (4,158) | (2,835) | (3,577) | (4,395) | (4,744) | (4,875) | (4,944) | |||||
| Free cash flow | 2,893 | 2,411 | 3,188 | 3,444 | 6,397 | 5,382 | 4,127 | 4,687 | 5,639 | 7,692 | |||||
| Balance, $m | |||||||||||||||
| Balance, $m | Working capital | 3,252 | 3,819 | 2,644 | 3,439 | 3,629 | 3,960 | 3,741 | 2,272 | 1,237 | (567) | ||||
| Total debt | 31,376 | 33,058 | 32,821 | 33,722 | 31,004 | 34,579 | 38,084 | 39,593 | 43,031 | 46,492 | |||||
| Net debt | 30,730 | 32,326 | 32,319 | 33,101 | 29,211 | 33,128 | 37,176 | 38,658 | 41,098 | 45,452 | |||||
| Shareholders’ equity | (5,633) | (4,995) | (2,918) | (565) | 2,892 | 1,489 | (73) | 1,060 | 555 | (2,771) | |||||
| Returns, % | |||||||||||||||
| Returns, % | ROA | 8.69 | 6.30 | 9.99 | 8.32 | 8.11 | 14.16 | 10.94 | 9.65 | 9.95 | 11.28 | ||||
| ROIC | 15.57 | 13.95 | 14.18 | 13.95 | 14.24 | 17.68 | 15.33 | 15.18 | 15.86 | 17.64 | |||||
| ROE | (49.49) | (41.70) | (95.72) | (201.26) | 322.65 | 317.55 | 797.03 | 1,062.21 | 713.31 | (612.27) | |||||
Negative figures in brackets.
Fiscal years to Dec 2025 · latest quarter Jun 2026
Charts ten years each
HCA Healthcare, Inc. vs peers in Medical Care Facilities (Q) = latest quarter vs a year earlier
| Company | Market cap | P/E | Fwd P/E | Revenue growth (Q) | EPS growth (Q) | FCF growth (Q) | Gross margin (Q) | EBIT margin (Q) | Compare |
|---|---|---|---|---|---|---|---|---|---|
| HCA HCA Healthcare, Inc. | $101.4B | 15.3× | 12.3× | +8.73% (above 0%: growing) | +11.57% (above 0%: growing) | −63.61% (below 0%: shrinking) | 85.73% | 15.24% | |
| THC Tenet Healthcare Corporation | $22.2B | 10.3× | 6.4× | +14.61% (above 0%: growing) | +212.97% (above 0%: growing) | −43.88% (below 0%: shrinking) | 46.78% | 24.85% | Compare |
| EHC Encompass Health Corporation | $12.6B | 20.6× | 16.8× | +9.58% (above 0%: growing) | +9.93% (above 0%: growing) | −45.01% (below 0%: shrinking) | 100.00% | 17.85% | Compare |
| DVA DaVita Inc. | $12.1B | 15.0× | 13.1× | +5.17% (above 0%: growing) | +56.49% (above 0%: growing) | +49.36% (above 0%: growing) | 32.70% | 16.29% | Compare |
| FMS Fresenius Medical Care AG & Co. KGaA | $11.8B | 11.5× | 12.5× | +3.89% (above 0%: growing) | +6.82% (above 0%: growing) | +1.57% (above 0%: growing) | 26.95% | 9.58% | Compare |
| UHS Universal Health Services, Inc. | $11.0B | 7.5× | 6.1× | +8.27% (above 0%: growing) | +9.47% (above 0%: growing) | −23.78% (below 0%: shrinking) | 90.87% | 11.14% | Compare |
| ENSG The Ensign Group, Inc. | $10.4B | 26.9× | 24.1× | +17.33% (above 0%: growing) | +16.22% (above 0%: growing) | +12.24% (above 0%: growing) | 16.65% | 8.50% | Compare |
| PACS PACS Group, Inc. | $7.6B | 27.6× | 16.8× | +9.07% (above 0%: growing) | +45.45% (above 0%: growing) | +220.51% (above 0%: growing) | 17.07% | 7.66% | Compare |
| CHE Chemed Corporation | $6.7B | 25.7× | 20.4× | +8.80% (above 0%: growing) | +42.78% (above 0%: growing) | −43.51% (below 0%: shrinking) | 32.90% | 13.25% | Compare |
| Median of peers | $11.4B | 17.8× | 15.0× | +8.94% | +29.50% | −11.11% | 32.80% | 12.20% |
HCA metrics, ten years each
- Revenue
- Net income
- EPS (diluted)
- EBITDA
- Free cash flow
- Operating cash flow
- Gross margin
- Operating margin
- Net margin
- Free cash flow margin
- P/E ratio
- P/S ratio
- P/B ratio
- Price to free cash flow
- EV/EBITDA
- EV/Sales
- EV/FCF
- Return on equity
- Return on assets
- Return on invested capital
- Debt to equity
- Current ratio
- Total debt
- Shares outstanding
- Book value per share
- Revenue growth
- Piotroski F-score
- Altman Z-score
- Beneish M-score
HCA Healthcare, Inc. (HCA) key facts
- Strength: HCA Healthcare, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $75.6 billion, up 7.08% from fiscal 2024.
- Strength: Net income was $7.8 billion, or $28.33 per share (basic), a net margin of 8.97%.
- HCA Healthcare, Inc. (HCA) is a Medical Care Facilities company in the Healthcare sector, listed on the New York Stock Exchange.
- As of October 16, 2026, HCA traded at $457.58, a market capitalization of $101.4 billion.
- At that price the stock trades at 15.3× trailing-twelve-month earnings and 1.3× sales; its P/E is higher than 74% of its own readings over the past ten years.
- HCA Healthcare, Inc. pays an annual dividend of $3.06 per share, a yield of 0.67%, with a payout ratio of 10.2%.
- Return on equity was −612.3% and debt-to-equity -15.49.
- Its Piotroski F-score is 7 out of 9 and its Altman Z-score is 2.80 (grey zone) for fiscal 2025.