HCA Healthcare Inc (HCA) stock analysis
HCA Healthcare Inc (HCA) clears 4 of this site's 8 mechanical value filters, 6 of 8 Buffett-style checks and 3 of 5 Lynch-style checks. At $467.31 it trades 2.8% below this site's neutral DCF value (a margin of safety of +2.8%). Its earnings quality rates Strong and it returns +10.4% to shareholders net of dilution. Figures are as of October 23, 2026, from SEC filings and market data refreshed weekly; this is educational analysis, not investment advice.
Data as of October 23, 2026. Refreshed weekly from SEC filings and market data.
What does HCA Healthcare do?
HCA Healthcare operates one of the largest US hospital systems, with around 190 hospitals and thousands of outpatient sites in the US and UK. It is paid for patient care by insurers and Medicare.
Brands and businesses it owns
- HCA Florida Healthcare
- TriStar Health
- Sarah Cannon
What stands out about HCA Healthcare?
- The share price implies 7.3% yearly growth. At $467.31, HCA's free cash flow of $28.15 per share would have to grow 7.3% a year, fading to 2.5% by year 10, for this site's DCF (10% discount rate) to match the price. This site's baseline starts at 8%, so the price asks for less growth than the baseline. Change the assumptions.
- Misses 2 of the 8 value filters. It fails PEG Ratio < 1.5 (1.55) and Price/Book < 8 (403.00); the other 4 pass and 2 were not evaluated. See every filter.
- Strongest against peers: return on equity. At 696% (peer median 15%) it ranks 1st of 34 among health care stocks this site tracks. See the ranking.
- Weakest against peers: debt / equity. At 125.80 (peer median 0.69) it ranks 34th of 34 among health care stocks this site tracks. See the ranking.
- Dividend raises 1 of 6 flags. Its trailing yield is 0.69%. See the Sustainable Dividend Screener.
How has HCA Healthcare's share price moved?
The interactive price chart needs JavaScript.
Is HCA Healthcare undervalued? The value diligence check
Every value-investing signal this site computes for this stock, gathered in one place: the same real numbers from the tools below, not a new score.
- Margin of safety (DCF) +2.8%
- P/E vs. its own history 14.6x · the middle Real range: 12.1x–16.5x over 5 years (net income per diluted share from each fiscal year's 10-K, paired with the real closing price at that fiscal year-end).
- Wall St. analyst rating Buy · 3.74/5 31 analysts this month: 6 strong buy, 12 buy, 12 hold, 1 sell, 0 strong sell (Finnhub). Up from 3.73 last month.
- Earnings quality (is the profit real?) Strong · all 5 checks clean Beneish M-score −2.94 · accruals −9.7% of assets · 183% of profit arrived as cash · stock comp 0.5% of revenue · share count −6.9% a year. From the latest 10-K (year to Dec 2025) - see the Earnings Quality Screener for how each check is scored.
- Shareholder yield (cash back to owners) +10.4% net Latest fiscal year (2025): dividends 0.7% + buybacks 10.1% − stock comp 0.4%, as a share of today's market cap. Over 14 years its split-adjusted share count fell 52%. See Shareholder Yield Leaders.
- Capital needed to grow (See's test) $3.00 per $1 of new profit · FlightSafety-like Operating profit $6.6B → $11B, capital needed $21B → $34B, 2016–2025 (3-year averages); return on capital now 32% before tax. Buffett's See's Candies needed $0.42 per $1 of new profit, FlightSafety $3.20, a typical grower about $5. See Capital-Light Compounders.
- PEG (growth at a reasonable price) 1.55 · Above fair P/E 14.6× ÷ 9.4% a year of growth behind it. 174th lowest of 447 stocks with a usable PEG. Lynch's fair value is a PEG of 1; a very high PEG usually means almost no growth, a very low one a profit spike. See PEG Ratio Ranking.
- Compounder lenses (4) 2 of 4 · misses capital-light, price Capital-light growth: not cleared (profit grew 1.6×, under 2×); Profit is real: cleared; Cash to owners: cleared; Fair price (PEG): not cleared (PEG 1.55, over 1.5). See Compounders at a Fair Price, which also lets you move the PEG bar.
- Value trap check Clear
- Munger's Inversion Check 0 flags
- Standing vs. sector peers 3 of 7 measures above the median Compared with the 33 other health care stocks this site tracks: 2 in the top third, 2 in the bottom third.
- Dividend payout sustainability 1/6 flags
How does HCA Healthcare compare with its peers?
3 of 7 measures sit above the median of the 33 other health care stocks tracked here, 2 in the top third and 2 in the bottom third.
- P/E ratiolower is cheaper · peer median 24.6× 14.6× ✓5th of 32
- Free-cash-flow yieldhigher is cheaper · peer median 5.5% 6.0% –12th of 34
- Return on equityhigher is better · peer median 15% 696% ✓1st of 34
- Net marginhigher is better · peer median 9.3% 8.8% –19th of 34
- Revenue growthhigher is better, year on year · peer median 8.6% 7.3% –22nd of 34
- Debt / equitylower is safer · peer median 0.69 125.80 ✕34th of 34
- Dividend yieldamong dividend payers · peer median 1.10% 0.69% ✕18th of 21
Peers are the stocks this site tracks in the same sector group, not every listed competitor. The bar runs from the weakest peer (left) to the strongest (right); the tick is the middle. Measures that don't apply to a sector (cash-flow yield for banks, debt for financials) are left out.
What would Buffett & Lynch say?
Buffett's checklist is built around durable, profitable businesses bought at sensible prices, and HCA doesn't clear enough of it yet. In its favor: HCA is currently earning a strong return on shareholders' equity, and has kept that profitability up over five years, not just this year, has grown earnings per share at a solid clip over five years, earns many times its interest expense, so debt service isn't a worry, is trading below what a conservative discounted-cash-flow estimate says it's worth - his own "price is what you pay, value is what you get" test, not a fixed multiple ceiling, and trades at a reasonable multiple of owner earnings, his own term for the real cash a business could pay out. Where it comes up short: HCA carries more debt relative to equity than he typically tolerates, and runs thinner pretax margins than he'd like to see.
- ROE (TTM) > 11% ✓
- ROE (5yr avg) > 11% ✓
- Debt/Equity < 0.5 ✕
- Pretax margin > 15% ✕
- EPS growth (5yr) > 7% ✓
- Interest coverage > 5x ✓
- Trading below intrinsic value (DCF) ✓
- Price vs. owner earnings < 25x ✓
- Bonus: returning capital via buybacks FY2025
Lynch looked for growth stories that weren't overpriced for that growth, and HCA falls short of his bar. In its favor: HCA is growing earnings 20-50% a year, his classic fast-grower zone, isn't asking too much even by a fast grower's usual richer multiple, and is generating real cash to back up a fast grower's higher price tag. Where it comes up short: HCA doesn't clear the tighter PEG bar a fast grower needs to justify its pace, and is leaning on more debt than he liked a growth story to carry.
- PEG < 1 (stricter for fast growers) ✕
- EPS growth 20%-50% ✓
- Debt/Equity < 0.5 ✕
- P/E < 40 ✓
- Price/FCF < 40 ✓
Quantitative approximations of each investor's documented approach, not endorsed by either investor or their estates - commentary, not this site's actual ranking criteria. Buffett never published a numeric checklist: only 2 of his 8 checks here trace to his own documented concepts ("owner earnings," from his 1986 shareholder letter, and "price is what you pay, value is what you get," his case against fixed P/E/P/B ceilings) - the other 6 (ROE, debt, margins, growth, interest coverage) use commonly-cited thresholds that are not numbers he himself published. The 8 hard filters below (plus the Munger check and Graham margin of safety) are this site's real, mechanical screen and are computed completely independently of the checklists above.
Berkshire Hathaway's own filing
Which of the 8 value filters does HCA Healthcare pass?
- Market Cap > $25B $99.5B
- Trailing P/E < 25 14.55
- PEG Ratio < 1.5 1.55
- Price/Book < 8 403.00
- Price/Sales < 7 1.28
- EPS Growth YoY > -5% +11.6%
- vs 50-day MA (±12%) Not evaluated †
- vs 200-day MA (±12%) Not evaluated †
What is HCA Healthcare's margin of safety?
+8% on 2026-10-07 → +3% on 2026-10-23 (5 weekly readings).
Where is HCA Healthcare in its 52-week range?
What is the short interest in HCA Healthcare?
4,884,718 shares short as of 2026-09-30 (FINRA settlement date). Reported twice a month, so this only changes roughly every two weeks, not daily.
What could go wrong with HCA Healthcare? Munger's inversion check
"Invert, always invert." Instead of reasons to buy, these are reasons to hesitate, not a verdict, and not everything worth knowing about a business.
- Margin of safety, even in the bull case +43%
- Short interest under 5% of float 3.4%
- Passes most of the 6 fundamental filters 4/6 passed
- Price run-up backed by value, not just momentum +29% off 52wk low
Doesn't cover circle of competence, management quality, or accounting concerns: those need judgment, not data.
How much have HCA Healthcare shareholders gained per year?
Earnings growth per share plus dividend.
An earnings-based proxy, not a stock-price total return - it doesn't capture multiple expansion/contraction or reinvested dividends. EPS from HCA's own 10-K filings; dividend yield is the current trailing yield on today's price, from the same weekly fetch as the rest of this site.
What do HCA Healthcare's 10-year financials show?
From HCA's own 10-K filings (SEC EDGAR): up to the last 10 fiscal years. Press any year's bars for the exact figures.
Frequently asked questions about HCA Healthcare
What kind of company is HCA Healthcare?
HCA Healthcare operates one of the largest US hospital systems, with around 190 hospitals and thousands of outpatient sites in the US and UK. It is paid for patient care by insurers and Medicare. Brands and businesses it owns include HCA Florida Healthcare, TriStar Health and Sarah Cannon. This site groups it with Health Care stocks.
Is HCA Healthcare trading above or below its DCF value?
At $467.31, HCA trades 2.8% below this site's neutral DCF value of $480.76 per share, a margin of safety of +2.8%. That DCF projects free cash flow for 10 years, with growth starting at 8% and fading to 2.5%, discounted at 10%; it is one set of assumptions, not a forecast. Test your own in the Intrinsic Value Calculator.
How many of this site's 8 value filters does HCA Healthcare pass?
HCA passes 4 of 8. It passes Market Cap > $25B ($99.5B), Trailing P/E < 25 (14.55), Price/Sales < 7 (1.28) and EPS Growth YoY > -5% (+11.6%). It misses PEG Ratio < 1.5 (1.55) and Price/Book < 8 (403.00). vs 50-day MA (±12%) and vs 200-day MA (±12%) were not evaluated, because the moving-average checks only run on stocks that clear the fundamentals first. The 8-filter list shows every stock that passes all of them.
What growth is HCA Healthcare's share price pricing in?
At $467.31, HCA's free cash flow of $28.15 per share would have to grow 7.3% a year, fading to 2.5% by year 10, for this site's DCF (10% discount rate) to match the price. This site's baseline starts at 8%, so the price asks for less growth than the baseline. Change the assumptions.
How much cash does HCA Healthcare return to shareholders?
HCA's net shareholder yield is +10.4%: the cash it returns through dividends and buybacks, minus stock-based compensation, as a share of its market value. Latest fiscal year (2025): dividends 0.7% + buybacks 10.1% − stock comp 0.4%, as a share of today's market cap. Over 14 years its split-adjusted share count fell 52%. Its trailing dividend yield is 0.69%, paid out of 11% of its free cash flow; the dividend-sustainability check raises 1 of 6 flags (high leverage). See Shareholder Yield Leaders and the Sustainable Dividend Screener.
When does HCA Healthcare report earnings next?
HCA Healthcare's next earnings report is expected on October 27, 2026 before the market opens, with analysts expecting earnings of $6.73 per share. Dates come from the Finnhub earnings calendar and can move. In its last 4 quarters it beat the estimate 3 times, by an average of +7.2%.
Where do these numbers come from?
- Financial statements: HCA Healthcare's 10-K annual report for the year ended Dec 31, 2025, filed Feb 10, 2026 (filing index). Every earlier year in the 10-year financials comes from the company's older 10-K filings, all listed on SEC EDGAR.
- Prices and market data: quotes, P/E and analyst ratings from Finnhub; daily price history and the 52-week range from Twelve Data, both refreshed weekly. Short interest comes from FINRA, reported twice a month.
- How to check a figure: click any number in the card above to see its exact source, and read the Editorial Standards for every rule behind the checks.
About this HCA Healthcare Inc analysis
This page shows every value-investing check the site runs on HCA Healthcare Inc (HCA) in one place: the 8 mechanical filters, the Buffett and Lynch checklists, a margin of safety from a disclosed DCF, earnings quality, shareholder yield and how it ranks against its sector peers. The numbers come from SEC filings and public market data, refreshed weekly, and the same rules apply to every stock on the stock list. See Editorial Standards for the sources and the rules, or run your own filters in the stock screener.