HCAHCA Healthcare

$469.28+12% 1Y

Is the business good?

Mixed

The checks split: earnings fully cash-backed (1.4×), but margins compressing.

1 good, 1 to watch, 2 without data
Profits arrive as cash1.42×derived · Jun 30, 2026

Operating profit is fully backed by cash. Conversion is worsening vs a year ago.

Margin direction, 3 years−1.5 ptsderived

Positive operating leverage, operating profit is growing faster than sales, so margins widen as the business scales.

Against the whole market›

Percentile against every name Ryufin tracks. Higher is better; the tick marks the middle of the market. Context, not one of the checks above.

FCF conversionbehind 68% of the market
Leverage (Debt/EBITDA)middle of the market

Where this answer is blind. The F-score rewards improvement, so an already-elite company can score mid-pack.

How good a business is HCA?

HCA Healthcare earns 19% on the capital it employs against a 9.0% cost of capital, so the business is worth more the bigger it gets.

19%

Return on invested capital · cost of capital 9.0% · 9.5 points above what the capital costs: growth creates value

Operating margin
13%

Operating margin · Medical Care Facilities median 9.3% · 12 months to Q2 2026

Cash conversion
1.42×

Cash conversion · 1.73× a year ago · operating cash flow covers the operating profit after tax

Share count, year on year
−7.9%

Share count, year on year · bought back, each share owns more of the company

Operating margin by fiscal year
YearOperating margin
FY202011%
FY202117%
FY202214%
FY202312%
FY202412%
FY202513%
Details›
Operating margin12 months to Q2 2026
13%
Net margin12 months to Q2 2026
8.8%
Free cash flow margin
7.7%
Revenue, trailing twelve months
$78.0B
Free cash flow, trailing twelve months
$6.00B
Net income, trailing twelve months
$6.84B
Return on invested capitaloperating profit after tax ÷ debt + equity − cash
19%

Margins, capital and share counts from the statements as filed with the SEC; cash conversion is operating cash flow over operating profit after tax.