HCA Healthcare key statistics and ratios
In fiscal 2025, HCA Healthcare had a net margin of 9.0% and a current ratio of 0.97. Each ratio below is calculated from the figures on its income statement, balance sheet and cash flow pages.
Financial ratios
| Fiscal year | 2016Dec 2016 | 2017Dec 2017 | 2018Dec 2018 | 2019Dec 2019 | 2020Dec 2020 | 2021Dec 2021 | 2022Dec 2022 | 2023Dec 2023 | 2024Dec 2024 | 2025Dec 2025 | LTMSept 2026 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Net margin | 7.0% | 5.1% | 8.1% | 6.8% | 7.3% | 11.8% | 9.4% | 8.1% | 8.2% | 9.0% | 8.6% |
| Free-cash-flow margin | 7.0% | 5.5% | 6.8% | 6.7% | 12.4% | 9.2% | 6.9% | 7.2% | 8.0% | 10.2% | 7.6% |
| Return on assets | 8.6% | 6.3% | 10.0% | 8.3% | 8.1% | 14.2% | 10.9% | 9.6% | 10.0% | 11.3% | 10.9% |
| Asset turnover | 1.23 | 1.24 | 1.23 | 1.22 | 1.11 | 1.20 | 1.17 | 1.20 | 1.22 | 1.26 | 1.27 |
| Current ratio | 1.56 | 1.62 | 1.35 | 1.44 | 1.42 | 1.41 | 1.38 | 1.18 | 1.08 | 0.97 | 0.82 |
| Debt to equity | — | — | — | — | >999% | — | — | — | — | — | — |
| Effective tax rate | 28.6% | 37.4% | 17.7% | 21.0% | 19.2% | 21.5% | 20.3% | 21.0% | 21.9% | 20.9% | 20.6% |
| Capital spending as % of revenue | 6.7% | 6.9% | 7.7% | 8.1% | 5.5% | 6.1% | 7.3% | 7.3% | 6.9% | 6.5% | 6.6% |
| Free cash flow ÷ net income | 100.1% | 108.8% | 84.2% | 98.3% | 170.4% | 77.4% | 73.1% | 89.4% | 97.9% | 113.4% | 88.1% |
| Dividends ÷ net income | — | 0.0% | 12.9% | 15.7% | 4.1% | 9.0% | 11.6% | 12.6% | 12.0% | 10.0% | 10.1% |
| Dividends and buybacks ÷ free cash flow | 95.1% | 85.1% | 63.3% | 45.9% | 9.3% | 164.2% | 185.4% | 95.4% | 119.4% | 139.7% | 164.8% |
| Quarter | 2024 Q4Dec 2024 | 2025 Q1Mar 2025 | 2025 Q2Jun 2025 | 2025 Q3Sept 2025 | 2025 Q4Dec 2025 | 2026 Q1Mar 2026 | 2026 Q2Jun 2026 | 2026 Q3Sept 2026 |
|---|---|---|---|---|---|---|---|---|
| Net margin | 7.9% | 8.8% | 8.9% | 8.6% | 9.6% | 8.5% | 8.4% | 8.0% |
| Free-cash-flow margin | 7.0% | 3.6% | 16.3% | 16.3% | 4.5% | 4.7% | 5.5% | 15.6% |
| Current ratio | 1.08 | 1.19 | 0.98 | 0.85 | 0.97 | 0.83 | 0.99 | 0.82 |
Financial health
- Short-term assets cover short-term liabilities $16.2bn of assets due within a year against $19.8bn of liabilities due within a year.
- Short-term assets cover long-term liabilities Not assessable from the reported split. Not assessable.
- More cash than debt $908m of cash against $50.5bn of debt.
- Debt below 40% of shareholders' equity Equity or debt not reported. Not assessable.
- Debt burden no higher than five years ago Five-year comparison not available. Not assessable.
- A year's operating cash flow covers at least 20% of debt $11.2bn of operating cash flow against $50.5bn of debt.
- Operating profit covers interest at least five times over Interest not separately reported. Not assessable.
Moat
Strong moat
How hard HCA Healthcare's competitive advantage looks for rivals to wear away, judged from 10 years of its own filings: returns on capital, pricing power, profit durability, cash conversion and discipline.
- Returns on capital 16 / 20
Net income has been a median 10.2% of total assets over 10 years.
- Durability 11 / 20
Net margin has been a median 8.5%; its worst year was 6.7%.
- Cash conversion 12 / 20
Free cash flow was positive in 8 of 9 years, at a median 7.0% of revenue.
- Discipline 20 / 20
The diluted share count fell 33.3% over five years; stock-based pay has been a median 0.6% of revenue.
AI disruption exposure: Low. In this industry, the business rests on physical assets, regulated networks or products AI itself depends on.
Compare with peers
- Universal Health Services statistics
- Ensign Group, Inc statistics
- Pacs Group, Inc. statistics
- Acadia Healthcare Company, Inc. statistics
- Surgery Partners, Inc. statistics
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