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HCA Holdings Inc (HCA)



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Upturn Advisory Summary
04/01/2025: HCA (3-star) is a STRONG-BUY. BUY since 6 days. Profits (2.76%). Updated daily EoD!
Analysis of Past Performance
Type Stock | Historic Profit -8.84% | Avg. Invested days 38 | Today’s Advisory Strong Buy |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Large-Cap Stock | Market Capitalization 85.44B USD | Price to earnings Ratio 15.78 | 1Y Target Price 374.89 |
Price to earnings Ratio 15.78 | 1Y Target Price 374.89 | ||
Volume (30-day avg) 1667386 | Beta 1.69 | 52 Weeks Range 289.33 - 415.32 | Updated Date 04/2/2025 |
52 Weeks Range 289.33 - 415.32 | Updated Date 04/2/2025 | ||
Dividends yield (FY) 0.83% | Basic EPS (TTM) 21.99 |
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 8.16% | Operating Margin (TTM) 15.56% |
Management Effectiveness
Return on Assets (TTM) 11.39% | Return on Equity (TTM) 82.44% |
Valuation
Trailing PE 15.78 | Forward PE 13.81 | Enterprise Value 128423867254 | Price to Sales(TTM) 1.21 |
Enterprise Value 128423867254 | Price to Sales(TTM) 1.21 | ||
Enterprise Value to Revenue 1.82 | Enterprise Value to EBITDA 9.24 | Shares Outstanding 246203008 | Shares Floating 175274746 |
Shares Outstanding 246203008 | Shares Floating 175274746 | ||
Percent Insiders 29.31 | Percent Institutions 65.85 |
Analyst Ratings
Rating 4.2 | Target Price 392.19 | Buy 3 | Strong Buy 15 |
Buy 3 | Strong Buy 15 | ||
Hold 5 | Sell 1 | Strong Sell 1 | |
Strong Sell 1 |
Upturn AI SWOT
HCA Holdings Inc

Company Overview
History and Background
HCA Healthcare, founded in 1968 by Dr. Thomas Frist Sr., Dr. Thomas Frist Jr., and Jack Massey, pioneered the hospital corporation model. It grew rapidly through acquisitions and organic expansion, becoming one of the largest healthcare providers in the US. HCA faced bankruptcy in the late 1980s and went private several times before returning to the public market.
Core Business Areas
- Hospital Services: Operates general acute care hospitals, surgery centers, freestanding emergency rooms, urgent care centers, diagnostic and imaging centers, and rehabilitation and physical therapy centers. Provides a comprehensive suite of medical and surgical services.
- Outpatient Services: Offers a broad range of outpatient services including diagnostic and imaging, surgery, and rehabilitation, extending its healthcare delivery beyond inpatient care.
- Other Services: Includes various support services such as medical education programs, supply chain management, and revenue cycle management.
Leadership and Structure
Sam Hazen serves as the Chief Executive Officer. The company is structured with a board of directors overseeing management. HCA operates on a decentralized model with regional divisions managing local hospital operations.
Top Products and Market Share
Key Offerings
- Inpatient Hospital Services: General acute care services, surgeries, emergency care. HCA commands a significant portion of inpatient hospital revenue. Competitors include Tenet Healthcare (THC), Community Health Systems (CYH). Market Share approximated 15% of US for profit hospital beds.
- Market Share (%): 15
- Market Share (%): 11
- Outpatient Surgery Centers: Ambulatory surgical services, diagnostics, and imaging. HCA's outpatient network is expanding. Competitors include UnitedHealth Group's Optum and AmSurg. Competitors are increasing
- Emergency Room Services: 24/7 emergency medical care. ER services are high demand and are a key element for full service hospital. Competitors such as UHS and Envision Healthcare (Private)
- Market Share (%): 10
Market Dynamics
Industry Overview
The healthcare industry is experiencing increasing demand due to an aging population, technological advancements, and changing reimbursement models. Consolidation is also a key trend.
Positioning
HCA is a leading for-profit hospital operator with a wide geographic footprint and a focus on efficient operations and quality care. HCA leverages scale and technology for competitive advantage.
Total Addressable Market (TAM)
The total addressable market for US hospital services is estimated at hundreds of billions of dollars annually. HCA captures a meaningful share, positioned for growth alongside industry trends. TAM estimation $1.2 Trillion (US Hospital Market)
Upturn SWOT Analysis
Strengths
- Large scale and geographic footprint
- Efficient operations and cost management
- Strong brand recognition
- Experienced management team
- Extensive network of hospitals and outpatient facilities
Weaknesses
- High debt levels
- Exposure to regulatory changes and reimbursement pressures
- Labor shortages
- Litigation risks
Opportunities
- Expanding outpatient services
- Acquiring smaller hospitals and healthcare providers
- Leveraging technology for improved efficiency and patient care
- Growth in underserved markets
- Partnerships with payers and other healthcare organizations
Threats
- Increasing competition from other hospital systems
- Changes in government regulations and reimbursement policies
- Rising labor costs
- Economic downturns impacting patient volumes
- Cybersecurity threats
Competitors and Market Share
Key Competitors
- Tenet Healthcare (THC)
- Universal Health Services (UHS)
- Community Health Systems (CYH)
Competitive Landscape
HCA has a competitive advantage due to its scale, efficient operations, and strong brand. It faces competition from other for-profit hospital systems, non-profit hospitals, and alternative healthcare providers.
Major Acquisitions
Mission Health
- Year: 2019
- Acquisition Price (USD millions): 1500
- Strategic Rationale: Expanded HCA's presence in North Carolina, providing access to new markets and patient populations.
Growth Trajectory and Initiatives
Historical Growth: HCA has grown historically through a combination of acquisitions, organic expansion, and same-facility growth. The company has focused on expanding its geographic footprint and service offerings.
Future Projections: Analysts project continued revenue growth for HCA, driven by increased healthcare demand and strategic initiatives. Earnings growth may be impacted by cost pressures and regulatory changes.
Recent Initiatives: HCA has been investing in technology, expanding its outpatient network, and focusing on improving patient satisfaction and outcomes.
Summary
HCA is a large and well-established healthcare provider with a strong market position. The company benefits from scale, efficient operations, and a wide geographic footprint. However, it faces challenges related to debt, regulatory pressures, and labor costs. HCA's focus on technology and outpatient services positions it for continued growth.
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THC

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UHS

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UNH

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Sources and Disclaimers
Data Sources:
- SEC Filings
- Company Investor Relations
- Market Research Reports
- Analyst Estimates
Disclaimers:
The data and analysis provided are for informational purposes only and should not be considered financial advice. Investment decisions should be based on independent research and consultation with a qualified financial advisor. Market share data is based on estimates and may not be precise. Financial data is as of the latest available information.
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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