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HCA Holdings Inc (HCA)



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Upturn Advisory Summary
06/16/2025: HCA (3-star) is a REGULAR-BUY. BUY since 58 days. Profits (9.76%). Updated daily EoD!
Year Target Price $386.48
Year Target Price $386.48
13 | Strong Buy |
2 | Buy |
9 | Hold |
0 | Under performing |
1 | Sell |
Analysis of Past Performance
Type Stock | Historic Profit 24.92% | Avg. Invested days 51 | Today’s Advisory WEAK BUY |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Large-Cap Stock | Market Capitalization 91.25B USD | Price to earnings Ratio 16.84 | 1Y Target Price 387.75 |
Price to earnings Ratio 16.84 | 1Y Target Price 387.75 | ||
Volume (30-day avg) - | Beta 1.5 | 52 Weeks Range 288.77 - 414.51 | Updated Date 06/29/2025 |
52 Weeks Range 288.77 - 414.51 | Updated Date 06/29/2025 | ||
Dividends yield (FY) 0.76% | Basic EPS (TTM) 22.53 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 8.07% | Operating Margin (TTM) 15.58% |
Management Effectiveness
Return on Assets (TTM) 11.61% | Return on Equity (TTM) 16.06% |
Valuation
Trailing PE 16.84 | Forward PE 15.11 | Enterprise Value 136625680270 | Price to Sales(TTM) 1.27 |
Enterprise Value 136625680270 | Price to Sales(TTM) 1.27 | ||
Enterprise Value to Revenue 1.91 | Enterprise Value to EBITDA 9.71 | Shares Outstanding 240574000 | Shares Floating 168134693 |
Shares Outstanding 240574000 | Shares Floating 168134693 | ||
Percent Insiders 30 | Percent Institutions 65.41 |
Analyst Ratings
Rating 4.08 | Target Price 386.48 | Buy 2 | Strong Buy 13 |
Buy 2 | Strong Buy 13 | ||
Hold 9 | Sell 1 | Strong Sell - | |
Strong Sell - |
Upturn AI SWOT
HCA Holdings Inc

Company Overview
History and Background
HCA Healthcare (HCA Holdings Inc.) was founded in 1968 by Dr. Thomas Frist Sr., Dr. Thomas Frist Jr., and Jack Massey. It pioneered the concept of investor-owned hospitals and has grown to become one of the largest healthcare providers in the US. Significant milestones include rapid expansion in the 1970s and 1980s, going public and private multiple times, and strategic acquisitions to enhance its network.
Core Business Areas
- Hospital Operations: HCA operates a network of hospitals and freestanding surgery centers, providing a wide range of acute care services.
- Outpatient Services: The company offers outpatient services including diagnostic and imaging, rehabilitation, and specialized treatment centers.
- Healthcare Services: HCA provides various healthcare services such as physician practices, ambulatory care, and employer health solutions.
Leadership and Structure
HCA Healthcare is led by a board of directors and a senior management team. The CEO is Sam Hazen. The organizational structure includes regional divisions overseeing hospital operations, as well as corporate departments responsible for finance, strategy, and compliance.
Top Products and Market Share
Key Offerings
- Inpatient Services: Hospital admissions and related medical services, which constitutes a large part of HCA's revenue. Competitors include Tenet Healthcare (THC) and Community Health Systems (CYH). Market share data is included below in the 'Market Share Comparison' section.
- Outpatient Surgeries: Surgical procedures performed on an outpatient basis. Competitors include AmSurg Corp. and United Surgical Partners International. Market share data is included below in the 'Market Share Comparison' section.
- Emergency Services: Emergency room services provided by HCA hospitals. Competitors include Universal Health Services (UHS) and Envision Healthcare. Market share data is included below in the 'Market Share Comparison' section.
Market Dynamics
Industry Overview
The healthcare industry is experiencing ongoing consolidation, increasing regulatory scrutiny, and rising costs. Demand for healthcare services is driven by an aging population, chronic diseases, and technological advancements.
Positioning
HCA Healthcare is one of the leading hospital operators in the US, known for its extensive network, operational efficiency, and strong financial performance. Its competitive advantages include economies of scale, a comprehensive service offering, and a strong brand reputation.
Total Addressable Market (TAM)
The US hospital industry's total expenditure is roughly $1.3 Trillion. HCA Healthcare is positioned to capture significant value as healthcare needs increase due to an aging population.
Upturn SWOT Analysis
Strengths
- Large and diversified hospital network
- Strong brand recognition
- Efficient operations and cost management
- Advanced technology and infrastructure
- Experienced management team
Weaknesses
- High debt levels
- Exposure to regulatory changes
- Labor shortages and rising wage costs
- Geographic concentration in certain markets
Opportunities
- Acquisitions and strategic partnerships
- Expansion into new markets and service lines
- Increased demand for healthcare services
- Technological innovation and digital health solutions
- Growth in outpatient services
Threats
- Healthcare reform and policy changes
- Competition from other hospital operators
- Economic downturns and reduced healthcare spending
- Cybersecurity threats and data breaches
- Rising costs of medical supplies and equipment
Competitors and Market Share
Key Competitors
- UHS
- THC
- CYH
Competitive Landscape
HCA has advantages over its competitors due to its large scale, diversified service offering, and strong brand reputation. However, competitors may have advantages in specific geographic markets or service lines.
Major Acquisitions
Mission Health
- Year: 2019
- Acquisition Price (USD millions): 1500
- Strategic Rationale: Expanded HCA's presence in North Carolina and added a leading regional healthcare provider to its network.
Growth Trajectory and Initiatives
Historical Growth: HCA has experienced strong historical growth driven by acquisitions, organic expansion, and increasing healthcare demand.
Future Projections: Analyst estimates project continued revenue and earnings growth for HCA, driven by favorable demographic trends, technological advancements, and strategic investments.
Recent Initiatives: Recent initiatives include expanding outpatient services, investing in digital health solutions, and partnering with physician groups.
Summary
HCA Healthcare is a strong player in the hospital industry, benefiting from its large scale and efficient operations. The company is well-positioned for growth, but needs to manage its debt levels and adapt to changing healthcare regulations. Key strengths include its extensive network and brand reputation, while potential threats include rising costs and competition. Strategic initiatives like expanding outpatient services should contribute to future success.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company Filings (SEC)
- Industry Reports
- Financial News Sources (e.g. Yahoo Finance)
Disclaimers:
The data and analysis provided are for informational purposes only and should not be considered investment advice. Market share percentages are estimates.
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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