HCA Healthcare, Inc. (HCA) valuation

Share price $432.46 · Close 2026-04-24

Price-to-Earnings

P/E · Trailing Diluted
15.26×
P/E history →

Price-to-Free-Cash-Flow

P/FCF · Trailing
13.46×
P/FCF history →

Free-Cash-Flow Yield

FCF Yield · Trailing
7.43%
FCF Yield history →

Enterprise-Value-to-EBITDA

EV/EBITDA · Trailing
EV/EBITDA history →

Price-to-Sales

P/S · Trailing
1.28×
P/S history →

Price-to-Book

P/B · Latest filing
-16.12×
P/B history →

Expectations investing: what does the price imply?

Growth stretched +8pp above source

Rappaport-style reverse-DCF. We start from the current market price ($432.46 × 224.6M shares = $97.13B market cap, $142.58B enterprise value) and solve for the operating path that would justify it.

To reconcile today's price with a plausible scenario, the model lands on:

  • Year-1 revenue growth: 12.1%
    Source is analyst consensus of 4.1%; the scenario bumped Y1 by +8.0pp to reconcile.
  • Target EBIT margin (Y10): 15.0%
    Scenario lands above the 3-yr max of 13.0% (starting 13.0%, ending 15.0%).
  • High-growth plateau: 3 years
    Tier default for Y2 at 4.9%.

at or below the reference above the reference outside the historical band

Where the PV comes from
Y1–3
+5%
Y4–10
+20%
Terminal
+74%

Share of the total PV the model has assigned to each window. The further out a cash flow sits, the harder it is to estimate — so readers can weigh how much of the scenario rests on the near, plateau, and post-horizon periods.

Facts · FY2025 (2025-12-31)

Share price
$432.46
Diluted shares
224.6M
Total debt
$46.49B
Cash & equivalents
$1.04B
Revenue
$75.60B
Pretax income (cont. ops)
$9.83B
Filer does not tag us-gaap:OperatingIncomeLoss; using pretax income from continuing operations as the operating-income base. For banks this is effectively operating income (interest expense is a core cost); for oil majors and some pharma filers it's a close proxy with small non-operating items mixed in.
Pretax margin
13.0%
Operating cash flow
$12.64B
CapEx
$4.94B
Observed YoY growth
7.1%
Analyst current-FY growth
4.1%
Analyst next-FY growth
4.9%
3-year revenue CAGR
7.9%

Assumptions

Initial revenue growth
4.1%
from analyst consensus
Year-2 growth
4.9%
from analyst next-FY consensus
Starting EBIT margin
13.0%
from latest FY EBIT margin (GAAP)
Tax rate
21.0%
from 3-year median of EffectiveTaxRate
Starting ROIC
19.7%
NOPAT₀ ÷ invested capital, capped at 40.0%

Constants

Horizon
10 years
WACC
9.0%
Terminal growth
2.5%
Terminal ROIC
11.0%

Yearly projection

Year Revenue Growth EBIT Margin NOPAT ROIC Reinvestment FCF Discount PV of FCF
1 $84.72B 12.1% $11.19B 13.2% $8.84B 18.8% $5.69B $3.15B 0.917 $2.89B
2 $95.62B 12.9% $12.82B 13.4% $10.13B 18.0% $7.18B $2.95B 0.842 $2.48B
3 $107.92B 12.9% $14.69B 13.6% $11.61B 17.1% $8.63B $2.98B 0.772 $2.30B
4 $120.22B 11.4% $16.60B 13.8% $13.12B 16.2% $9.33B $3.79B 0.708 $2.69B
5 $132.13B 9.9% $18.52B 14.0% $14.64B 15.4% $9.84B $4.80B 0.650 $3.12B
6 $143.26B 8.4% $20.37B 14.2% $16.10B 14.5% $10.09B $6.01B 0.596 $3.58B
7 $153.21B 6.9% $22.09B 14.4% $17.46B 13.6% $10.01B $7.45B 0.547 $4.08B
8 $161.58B 5.5% $23.62B 14.6% $18.67B 12.7% $9.51B $9.16B 0.502 $4.60B
9 $168.01B 4.0% $24.90B 14.8% $19.68B 11.9% $8.52B $11.16B 0.460 $5.14B
10 $172.21B 2.5% $25.87B 15.0% $20.45B 11.0% $6.97B $13.48B 0.422 $5.69B
Sum of PV of FCF (years 1-10) $36.57B

Terminal value

NOPATN+1
$20.96B
ReinvestmentN+1
$4.65B
FCFN+1
$16.31B
Terminal value (undiscounted)
$250.96B
PV of terminal value
$106.01B
Gordon-growth: TV = FCFN+1 ÷ (WACC − g) = $16.31B ÷ (9.0% − 2.5%).

Equity bridge

PV of operating FCF $36.57B
+ PV of terminal value $106.01B
= Enterprise value $142.58B
− Total debt $46.49B
+ Cash & equivalents $1.04B
= Equity value $97.13B
÷ Diluted shares 224.6M
= DCF PV / share $432.46
Market price $432.46
Reconciliation delta −0.0% (≈ 0 by construction)
Full calculation trail Click to expand — every number on this page derived step by step.

1 · Enterprise-value target (what the DCF must match)

Market cap   = price × diluted shares
             = $432.46 × 224.6M
             = $97.13B

EV target    = market cap + total debt − cash & equivalents
             = $97.13B + $46.49B − $1.04B
             = $142.58B
            

2 · Starting NOPAT (base year 0)

GAAP EBIT          = $9.83B   (13.0% of revenue)
× (1 − tax rate)  = × (1 − 21.0%) = × 0.7904
= NOPAT₀            = $7.77B
            

3 · Invested capital & starting ROIC

Invested capital = total debt + book equity − cash
                 = $46.49B + -$6.03B − $1.04B
                 = $39.42B

Raw ROIC₀        = NOPAT₀ / Invested capital
                 = $7.77B / $39.42B
                 = 19.7%
(no cap applied; raw value is within the 40.0% ceiling)
            

4 · Growth path construction

Source       = analyst consensus: Y1 = 4.1%, Y2 = 4.9%
Clamp        = [2.5%, 60%] (no sub-terminal or 60%+ starts)
Plateau rate = 4.9% (Y2 — held from year 2 through end of plateau)
Tier         = 3 years (rule: plateau rate < 15% → 3y, < 25% → 5y, else 7y)
Plateau      = 3 years
Fade         = linear from effective Y2 to terminal 2.5% across the remaining 7 years

Effective Y1 growth after solver bumps = 12.1%
Effective Y2 growth after solver bumps = 12.9%
Growth by year:
  Y1 = 12.1%
  Y2 = 12.9%
  Y3 = 12.9%
  Y4 = 11.4%
  Y5 = 9.9%
  Y6 = 8.4%
  Y7 = 6.9%
  Y8 = 5.5%
  Y9 = 4.0%
  Y10 = 2.5%
            

5 · Margin path construction

Starting margin (Y0) = 13.0%   (source: latest FY EBIT margin (GAAP))
Target margin (Y10)  = 15.0%   (solver output, normal band)
Year-t margin        = starting + (target − starting) × (t / 10)
Margin by year:
  Y1 = 13.2%
  Y2 = 13.4%
  Y3 = 13.6%
  Y4 = 13.8%
  Y5 = 14.0%
  Y6 = 14.2%
  Y7 = 14.4%
  Y8 = 14.6%
  Y9 = 14.8%
  Y10 = 15.0%
            

6 · ROIC path construction

The capex heuristic compares latest-period CapEx ($4.94B) against the Normalized CapEx (3-yr mean) of $4.85B — mean of the last three annual CapEx values. When the latest is above 1.4× that mean and CapEx is at least 5% of revenue, we treat the filer as capital-intensive and mid-investment, hold ROIC flat for a 5-year harvest phase, and only then fade to terminal ROIC. The 3-yr mean does not feed the DCF directly — it only gates this flag.

Capex-heuristic inactive (latest CapEx 1.02× the 3-yr mean of $4.85B — below the 1.4× / 5%-of-revenue gates).
Fade from Y1: ROIC_t = ROIC₀ + (ROIC_terminal − ROIC₀) × (t / 10)
ROIC₀ = 19.7%; ROIC_terminal = 11.0%

ROIC by year:
  Y1 = 18.8%
  Y2 = 18.0%
  Y3 = 17.1%
  Y4 = 16.2%
  Y5 = 15.4%
  Y6 = 14.5%
  Y7 = 13.6%
  Y8 = 12.7%
  Y9 = 11.9%
  Y10 = 11.0%
            

7 · Solver iterations

Each row is one bisection attempt. The solver sweeps Y1 growth bumps 0pp → +20pp across the plateau ladder inside the normal margin bracket, then — if nothing reconciles — repeats the same sweep in a widened margin band ([-10%, 80%]). The first feasible attempt is the one the page uses. If no combination reconciles, the page shows the attempt whose PV sits closest to the target EV so both levers are balanced.

# Phase Plateau Y1 bump Solved margin PV(EV) vs target Feasible?
1 normal 3y +0pp 15.6% $113.33B −20.5% no
2 normal 3y +2pp 15.6% $120.38B −15.6% no
3 normal 3y +4pp 15.6% $128.05B −10.2% no
4 normal 3y +6pp 15.6% $136.39B −4.3% no
5 normal 3y +8pp 15.0% $142.58B −0.0% yes ✓

8 · Terminal value derivation

NOPAT_{N+1}         = NOPAT_{10} × (1 + g_terminal)
                    = $20.45B × (1 + 2.5%)
                    = $20.96B

ΔNOPAT              = NOPAT_{N+1} − NOPAT_{10}
                    = $511.2M
Reinvestment_{N+1}  = ΔNOPAT / ROIC_terminal
                    = $511.2M / 11.0%
                    = $4.65B

FCF_{N+1}           = NOPAT_{N+1} − Reinvestment_{N+1}
                    = $20.96B − $4.65B
                    = $16.31B

Terminal value (TV) = FCF_{N+1} / (WACC − g_terminal)
                    = $16.31B / (9.0% − 2.5%)
                    = $250.96B

PV(TV)              = TV / (1 + WACC)^10
                    = $250.96B / 2.367
                    = $106.01B
            

9 · Reconciliation check (DCF PV vs. the market)

This isn't a fair value — it's the inverse check. The solver built the scenario so that DCF PV reproduces the current enterprise value; if the normal bracket worked the delta below is ~0 by construction. A non-zero delta only appears when the solver fell through to the widened margin band.

Σ PV(FCF_1..10) = $36.57B
+ PV(TV)          = $106.01B
= Enterprise value = $142.58B   (≈ EV target $142.58B by construction)
− Total debt      = $46.49B
+ Cash            = $1.04B
= Equity value    = $97.13B
÷ Diluted shares  = 224.6M
= DCF PV / share  = $432.46

Market price      = $432.46
Reconciliation Δ  = −0.0%   (≈ 0 by construction — the solver anchored on this price)
            
Open this scenario in the calculator →
Every input above is pre-filled; the calculator auto-runs and lets you override any assumption.

Every rule above — growth-source priority, plateau tiers, compound cap, solver ladder, flag colours — is documented on the expectations scenario methodology.

What these ratios mean & how they're built: see the valuation ratios glossary on the company-facts methodology page — per-ratio definitions and the exact us-gaap concepts behind each numerator and denominator.

Sources. Denominators come from SEC EDGAR XBRL filings for HCA (CIK 0000860730); analyst growth forecasts come from analyst consensus. Share price is the latest split-adjusted close from our daily history (live quote as fallback). Per-share denominators are split-adjusted to today's share count.