HCA Healthcare, Inc.

NYSE: HCA

Stock price

479.84 USD

(+91.58%) 5 years

Financial Performance

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5Y price score: 141

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The price score is a basic measure of the stock's performance against the S&P 500 Index over a five-year period.

A score of 100 indicates that the stock did as well as the S&P 500 Index.

A score below 100 means the stock underperformed the index, while a score above 100 means it outperformed the S&P 500.

10Y return: 541%

DATE RANGE:

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353.9

52-week range

556.5

479.84

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Required return / cost of capital
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FCFF terminal growth rate
%

Your fair value & Margin of safety

To calculate fair value based on cost of capital and terminal growth assumptions above, please select free cash flow forecast.

Forecast:

Valuation

Free Cash Flow Yield

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FCF Yield TTM = Trailing Twelve Months free cash flow per share / current market price per shareLearn more

5.6 %

Dividend Yield TTM

0.6 %

Market cap $

$ 103,886

Price / Earnings TTM

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P/E TTM = current market price per share / Trailing Twelve Months diluted earnings per shareLearn more

15.9

Price / Book TTM

(13.2)

PEG TTM

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Price/Earnings-to-Growth ratio = P/E TTM divided by most recent annual diluted earnings per share growth rateLearn more

0.5

Earnings growth and return

LTM

5YR

10YR

Total return (price & dividends)

3.1 %

96.5 %

541 %

Free cash flow per share growth

10.8 %

80 %

503.1 %

Earnings per share growth

4.5 %

159.7 %

468.7 %

Founded: 1,989

Employees: 226,000

Business Summary:HCA 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.

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Fair Value Reference Estimate

Latest Earnings Call Takeaways

2026 Q3 (Oct 27, 2026)

1) Strategic Overview and Leadership Insights
- HCA Health reported a solid demand for services, with adjusted admissions growing 3% YoY, marking the 22nd consecutive quarter of volume growth.
- CEO Samuel N. Hazen emphasized the company's resilience and strategic initiatives, including digital transformation and network development, to enhance patient access and operational efficiency.
- The leadership remains optimistic about the company's positioning despite challenges from federal policy changes and payer mix pressures.

2) Financial Performance and Segment Results
- Adjusted EBITDA was positively impacted by a $50 million benefit from Medicaid supplemental payment programs, with total expected benefits for 2026 now between $600 million and $800 million.
- Diluted earnings per share increased nearly 4% YoY, reflecting strong operational discipline and cost management.
- Key metrics for Q3 2026 include:
| Metric | Q3 2026 | Q3 2025 | YoY Change | |---------------------------|-----------|-----------|--------------| | Adjusted Admissions | 3% | 2.3% | ↑ | | ER Visits | 5.1% | - | ↑ | | Inpatient Surgeries | -1.4% | - | ↓ | | Outpatient Surgeries | -3.7% | - | ↓ |

3) Challenges and Headwinds
- The company faced a significant decline in exchange equivalent admissions, down 19% YoY, primarily due to patients losing coverage and migrating to uninsured status.
- The shift in payer mix is estimated to have negatively impacted adjusted EBITDA by approximately $400 million in Q3.
- HCA anticipates a continued impact from Medicaid supplemental payment reductions in 2027, expecting $550 million to $650 million less compared to 2026.

4) Operational Plans and Future Outlook
- For 2027, HCA expects service demand to remain strong, projecting volume growth of 2% to 3%.
- The company is focused on enhancing operational efficiency through its resiliency programs, which are expected to yield ongoing cost savings.
- Leadership is cautious about the surgical volume recovery, particularly in elective procedures, and will assess performance through Q4 before finalizing 2027 guidance.

5) Guidance and Investor Considerations
- HCA reaffirmed its guidance for 2026, indicating performance is expected to be in the upper half of previously set ranges.
- The company will provide more detailed guidance for 2027 in January, with key assumptions including stabilization in payer mix and no significant policy changes beyond current expectations.
- The call lacked specific numerical guidance on the impact of upcoming regulatory changes and their implications for future earnings.

Bottom line: HCA Healthcare is navigating through a challenging environment with strong operational performance and strategic initiatives in place. While facing headwinds from payer mix shifts and regulatory changes, the company remains optimistic about future growth and is well-positioned to deliver value to shareholders.

Annual Reports, Presentations And IR Contacts

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HCA Healthcare, Inc. — Financial Overview, Stock Price, Market Cap

HCA Healthcare, Inc. is a company. Founded in 1989. As of October 30, 2026, the company's market capitalization is $103886079760 with a current stock price of $479.84.