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HCA Holdings Inc (HCA)



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Upturn Advisory Summary
08/14/2025: HCA (2-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $394.1
1 Year Target Price $394.1
13 | Strong Buy |
2 | Buy |
9 | Hold |
1 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 22.39% | Avg. Invested days 47 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Large-Cap Stock | Market Capitalization 92.11B USD | Price to earnings Ratio 16.53 | 1Y Target Price 394.1 |
Price to earnings Ratio 16.53 | 1Y Target Price 394.1 | ||
Volume (30-day avg) 25 | Beta 1.4 | 52 Weeks Range 288.77 - 414.51 | Updated Date 08/14/2025 |
52 Weeks Range 288.77 - 414.51 | Updated Date 08/14/2025 | ||
Dividends yield (FY) 0.71% | Basic EPS (TTM) 23.82 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date 2025-07-25 | When Before Market | Estimate 6.32 | Actual 6.84 |
Profitability
Profit Margin 8.21% | Operating Margin (TTM) 15.95% |
Management Effectiveness
Return on Assets (TTM) 11.84% | Return on Equity (TTM) 136.32% |
Valuation
Trailing PE 16.53 | Forward PE 15.48 | Enterprise Value 136790102010 | Price to Sales(TTM) 1.27 |
Enterprise Value 136790102010 | Price to Sales(TTM) 1.27 | ||
Enterprise Value to Revenue 1.88 | Enterprise Value to EBITDA 9.53 | Shares Outstanding 233994000 | Shares Floating 161551452 |
Shares Outstanding 233994000 | Shares Floating 161551452 | ||
Percent Insiders 30.81 | Percent Institutions 65.73 |
Upturn AI SWOT
HCA Holdings Inc

Company Overview
History and Background
HCA Healthcare, formerly HCA Holdings Inc., was founded in 1968 by Dr. Thomas Frist Sr., Dr. Thomas Frist Jr., and Jack Massey. It aimed to create a network of hospitals providing efficient, cost-effective, and high-quality healthcare. HCA grew through acquisitions and expansions, becoming one of the largest for-profit healthcare providers in the U.S. It has navigated periods of public and private ownership.
Core Business Areas
- Hospital Services: Operates general acute care hospitals, offering medical and surgical services, intensive care, cardiac care, diagnostic and emergency services.
- Outpatient Services: Provides outpatient surgery centers, diagnostic imaging centers, radiation and oncology therapy centers, rehabilitation and physical therapy centers, and various other outpatient services.
- Other Services: Includes contract services, healthcare consulting, and other related services, supporting its core hospital and outpatient operations.
Leadership and Structure
The CEO of HCA Healthcare is Samuel N. Hazen. The organizational structure consists of a corporate headquarters overseeing regional divisions that manage individual hospitals and healthcare facilities. Senior management teams are responsible for finance, operations, legal, and clinical services.
Top Products and Market Share
Key Offerings
- Inpatient Care: Provides a wide range of inpatient medical and surgical services. Revenue is substantial, but specific market share data is difficult to pinpoint nationally due to the fragmented nature of the hospital industry. Competitors include Tenet Healthcare (THC) and Universal Health Services (UHS).
- Outpatient Surgery: Offers surgical procedures in outpatient settings. Similar to inpatient care, market share data is not readily available at a granular level. Competitors include AmSurg and UnitedHealth Group (UNH) through its Optum division.
- Emergency Services: Operates emergency rooms within its hospitals. Highly competitive due to local/regional factors and competitors include independent ER groups and other hospitals.
Market Dynamics
Industry Overview
The healthcare industry is experiencing increasing demand due to an aging population and advancements in medical technology. It is also facing challenges such as rising costs, regulatory pressures, and workforce shortages.
Positioning
HCA Healthcare is a leading for-profit hospital operator in the U.S. with a strong market presence in several states. Its competitive advantages include its size, scale, established network of hospitals, and ability to invest in technology and infrastructure.
Total Addressable Market (TAM)
The total U.S. hospital market is estimated to be several trillion dollars annually. HCA is positioned to capture a significant portion through its expansive network and strategic investments.
Upturn SWOT Analysis
Strengths
- Large and diversified hospital network
- Strong brand recognition
- Established relationships with physicians and payers
- Investment in technology and infrastructure
- Efficient operations and cost management
Weaknesses
- High debt levels
- Exposure to regulatory risks and changes in reimbursement policies
- Labor shortages and rising labor costs
- Dependence on government funding and insurance reimbursements
Opportunities
- Expansion into new markets and service lines
- Acquisition of smaller hospitals and healthcare facilities
- Development of innovative healthcare delivery models
- Growth in outpatient services and telehealth
- Increasing demand from an aging population
Threats
- Increased competition from other hospital systems
- Rising healthcare costs and pressure to reduce prices
- Changes in government regulations and healthcare policy
- Cybersecurity threats and data breaches
- Economic downturns and reduced consumer spending
Competitors and Market Share
Key Competitors
- UHS
- THC
- CYH
Competitive Landscape
HCA Healthcare benefits from its large scale and extensive network. Competitors like UHS and THC focus on specific geographies or service lines. HCA's weaknesses include high debt and regulatory exposure.
Major Acquisitions
MD Now Urgent Care
- Year: 2021
- Acquisition Price (USD millions): 0
- Strategic Rationale: Expanded HCA's urgent care footprint in Florida.
Valify
- Year: 2020
- Acquisition Price (USD millions): 0
- Strategic Rationale: Enhanced HCA's supply chain management capabilities.
Growth Trajectory and Initiatives
Historical Growth: HCA Healthcare has grown organically and through acquisitions. Review its historical revenue growth, expansion into new markets, and strategic investments.
Future Projections: Consult analyst estimates and company guidance for projections on future revenue growth, earnings growth, and capital expenditures.
Recent Initiatives: Highlight recent acquisitions, expansions, technology deployments, and other strategic initiatives undertaken by HCA Healthcare.
Summary
HCA Healthcare is a dominant player in the for-profit hospital industry, benefiting from its scale and established network. While facing challenges like debt and regulatory scrutiny, its strategic acquisitions and focus on efficiency contribute to its strong market position. The aging population and increasing demand for healthcare services offer opportunities for continued growth, although competition and economic uncertainties remain threats. Overall, HCA demonstrates financial strength, but constant vigilience for regulatory changes and innovation are keys to success.
Peer Comparison
Sources and Disclaimers
Data Sources:
- HCA Healthcare Investor Relations
- SEC Filings
- Industry Reports
- Analyst Reports
Disclaimers:
This analysis is for informational purposes only and should not be considered investment advice. Financial data is subject to change. Consult with a qualified financial advisor before making any investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About HCA Holdings Inc
Exchange NYSE | Headquaters Nashville, TN, United States | ||
IPO Launch date 2011-03-10 | CEO & Director Mr. Samuel N. Hazen | ||
Sector Healthcare | Industry Medical Care Facilities | Full time employees 226000 | Website https://hcahealthcare.com |
Full time employees 226000 | Website https://hcahealthcare.com |
HCA Healthcare, Inc., through its subsidiaries, owns and operates hospitals and related healthcare entities in the United States. It 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. The company 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, it operates behavioral hospitals, which provide therapeutic programs comprising child, adolescent and adult psychiatric care, adolescent and adult alcohol, drug abuse treatment, and counseling services. 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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