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HCA Healthcare (HCA) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Medical Care Facilities
C
AverageMetricSide Score: 54/100
ProfitabilityProfit10/30
GrowthGrowth20/25
Balance SheetBalance8/25
Cash QualityCash16/20
Price & Volume
Market Cap $91.78B

HCA Healthcare, Inc., through its subsidiaries, provides health care services in the United States. The company owns, manages, and operates hospitals, ASCs, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, radiation and oncology therapy centers, as well as rehabilitation and physical therapy centers, physician practices, home health agencies, hospices, outpatient physical therapy providers, home and community-based services providers, and various other facilities. Its general and acute care hospitals offer medical and surgical services, including inpatient care, intensive care, cardiac care, diagnostic services, and emergency services; and outpatient services, such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology, and physical therapy. The company was formerly known as HCA Holdings, Inc. HCA Healthcare, Inc. was founded in 1968 and is headquartered in Nashville, Tennessee.

Moat Signals

Competitive analysis based on 60 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are expanding at ~12.4%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Moderate Moat

Limited ROE data for a reliable assessment.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~11.8% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 60 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~12.8% — no sign of cost or pricing stress.

Earnings Quality

Watch

FCF/Net Income has dropped below 0.7x in 4 quarters — monitor for earnings quality deterioration.

Leverage Risk

Healthy

Limited debt-to-equity data available.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Shares decreased 14.4% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$76.39B
6.7%
Q. Revenue
$19.11B
TTM EBITDA
$13.38B
11.7%
TTM Op. Income
$9.79B
13.8%
Q. Op. Income
$2.29B
TTM Net Income
$6.79B
17.6%
Q. Net Income
$1.62B
EPS
$7.25
Shares Out.
$223.59M
9.5%
$76.39B in TTM revenue grew 6.7% YoY, reaching $19.11B last quarter. TTM EBITDA of $13.38B and TTM operating income of $9.79B shows growth is flowing through. Net income of $6.79B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
16.8%
Op. Margin
12.0%
5.8%
Net Margin
8.5%
3.5%
Op. margin of 12.0% is down 0.7% YoY — costs are rising relative to revenue. Net margin at 8.5%.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
13.5x
P/S Ratio
1.2x
P/B Ratio
N/A
At 13.5x P/E, the stock trades below market averages — potentially undervalued. P/S of 1.2x and P/B of 0.0x provide additional context. Below-market P/E with growing revenue suggests a potential buying opportunity — the stock may be undervalued relative to its fundamentals.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$61.45B
Cash
$940.00M
Long-Term Debt
$39.49B
Book Value
$-6.30B
D/E Ratio
N/A
Debt/EBITDA
12.3

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$2.01B
Free Cash Flow
$895.00M
35.6%
FCF Margin
1.2%
FCF / Net Income
0.6
FCF of $895.00M on $2.01B in operating cash flow. The FCF / Net Income ratio of 0.1x indicates partial cash conversion — earnings quality needs attention.

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