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HCA Holdings Inc (HCA)


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Upturn Advisory Summary
10/15/2025: HCA (2-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $417.52
1 Year Target Price $417.52
13 | Strong Buy |
2 | Buy |
9 | Hold |
1 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 30.89% | Avg. Invested days 53 | 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 97.90B USD | Price to earnings Ratio 17.24 | 1Y Target Price 417.52 |
Price to earnings Ratio 17.24 | 1Y Target Price 417.52 | ||
Volume (30-day avg) 25 | Beta 1.41 | 52 Weeks Range 288.25 - 439.01 | Updated Date 10/14/2025 |
52 Weeks Range 288.25 - 439.01 | Updated Date 10/14/2025 | ||
Dividends yield (FY) 0.67% | Basic EPS (TTM) 24.27 |
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 - | When - | Estimate - | Actual - |
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 17.24 | Forward PE 14.97 | Enterprise Value 145267686515 | Price to Sales(TTM) 1.35 |
Enterprise Value 145267686515 | Price to Sales(TTM) 1.35 | ||
Enterprise Value to Revenue 2 | Enterprise Value to EBITDA 10.12 | Shares Outstanding 233993500 | Shares Floating 162190255 |
Shares Outstanding 233993500 | Shares Floating 162190255 | ||
Percent Insiders 30.53 | Percent Institutions 63.09 |
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 grew rapidly through acquisitions, becoming one of the largest healthcare providers in the U.S. It has undergone several ownership changes, including a leveraged buyout in 2006 and a return to the public market in 2011.
Core Business Areas
- Hospital Services: Provides a range of medical and surgical services, including inpatient care, intensive care, and emergency services.
- Outpatient Services: Offers outpatient surgery, diagnostic imaging, rehabilitation, and other outpatient care services.
- Other Services: Includes services such as physician practices, home health services, and freestanding emergency rooms.
Leadership and Structure
Sam Hazen is the current CEO. HCA Healthcare operates under a decentralized structure, with individual hospitals and facilities having significant autonomy within the overall corporate framework.
Top Products and Market Share
Key Offerings
- Inpatient Care: Hospital-based care for patients requiring overnight stays. HCA holds a significant market share in several metropolitan areas. Competitors include Tenet Healthcare and Community Health Systems. Specific revenue data unavailable.
- Outpatient Surgery: Surgical procedures performed outside of a hospital setting. Market share data is fragmented, but HCA is a major player. Competitors include AmSurg and United Surgical Partners International. Specific revenue data unavailable.
- Emergency Services: Emergency medical care provided in hospital emergency departments and freestanding ERs. HCA has a substantial presence. Competitors include Envision Healthcare and physician-owned practices. Specific revenue data unavailable.
Market Dynamics
Industry Overview
The healthcare industry is experiencing increasing demand due to an aging population and technological advancements. It is also facing challenges such as rising costs, regulatory changes, and labor shortages.
Positioning
HCA Healthcare is one of the largest for-profit hospital operators in the U.S., with a strong presence in many markets. Its competitive advantages include its scale, brand recognition, and established relationships with physicians and payers.
Total Addressable Market (TAM)
The U.S. hospital market is estimated to be worth hundreds of billions of dollars. HCA is well-positioned to capture a significant portion of this market.
Upturn SWOT Analysis
Strengths
- Large scale and geographic diversification
- Established brand and reputation
- Strong relationships with physicians and payers
- Advanced technology and infrastructure
- Experienced management team
Weaknesses
- High debt levels
- Exposure to regulatory changes
- Labor shortages
- Dependence on government reimbursement programs
- Potential for legal and regulatory challenges
Opportunities
- Expansion into new markets
- Acquisition of smaller hospitals and healthcare providers
- Growth in outpatient services
- Development of new technologies and services
- Increased demand for healthcare services from an aging population
Threats
- Rising costs of healthcare
- Changes in government reimbursement policies
- Increased competition from other healthcare providers
- Cybersecurity threats
- Economic downturns
Competitors and Market Share
Key Competitors
- UHS
- THC
- CYH
Competitive Landscape
HCA Healthcare benefits from its size, scale, and brand recognition. However, it faces competition from other large for-profit hospital operators, non-profit hospital systems, and physician-owned practices.
Major Acquisitions
Valify
- Year: 2019
- Acquisition Price (USD millions): 0
- Strategic Rationale: Acquired to enhance cost management and supply chain efficiency.
Growth Trajectory and Initiatives
Historical Growth: HCA has grown organically and through acquisitions, expanding its geographic footprint and service offerings.
Future Projections: Analyst estimates suggest continued growth in revenue and earnings, driven by increasing demand for healthcare services and strategic initiatives.
Recent Initiatives: Recent initiatives include expanding its footprint through acquisitions, investing in new technologies, and improving operational efficiency.
Summary
HCA Healthcare is a strong player in the for-profit hospital industry, benefiting from its scale and brand. It is well-positioned to capitalize on the increasing demand for healthcare services, but faces challenges related to rising costs and regulatory changes. While historically financially strong, monitoring debt levels and reimbursement rates is essential. Overall, HCA's strategic initiatives position it for continued growth.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company filings
- Industry reports
- Analyst estimates
Disclaimers:
The information provided is for informational purposes only and should not be considered financial advice. Market share data is approximate and may vary depending on the source.
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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