Analyses / HCA
Large-cap hospital operator trading near 52-week midpoint; modest dividend, near-term caution on elective procedures.
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The Thesis
▲ Bull Case
Stable 8–9% net margin, 14% EPS growth, forward P/E 13.4x suggests room vs peers. Dividend yield 0.95% + 10% payout ratio leaves capital for buybacks. Beta 1.14 implies moderate resilience.
▼ Bear Case
52-week high 556.52 vs current 421 signals downside momentum; CEO guidance excludes surgery rebound. Current ratio 0.96 tight; negative tangible book value (-44.78) flags high leverage. Insider selling (46 sells vs 37 buys) suggests caution.
Valuation
fair — score 64/100
Forward P/E 13.4x discount to S&P 500 ~18x reflects leverage and cyclicality. EPS growth 14% + dividend 0.95% justify modest premium to market. P/S 1.20x and EV/EBITDA 9.98x near historical norms.
Technical Levels
Support · $415.00 (Recent day low; near consolidation floor) · $400.00 (Round number; 5% below current) · $354.00 (52-week low; major support)
Resistance · $430.00 (Day high; near-term overhead) · $450.00 (200-day MA zone; key pivot) · $510.00 (Mid-point between 52-week high & current) · $557.00 (52-week high; major resistance)
RSI: unavailable
Financial Health
Score 58/100. Typical LBO-backed structure: low liquidity ratios (< 1.0) and heavy intangible-driven balance sheet offset by solid operating margins and cash generation. Rising rates and procedure misses could stress refinancing.
Catalysts
| Q3/Q4 Earnings (likely Oct/Nov 2025) | 2–3 months | high |
| Procedure volume trends & elective surgery recovery | ongoing | high |
| Federal Reserve rate path & refinancing costs | ongoing | medium |
| M&A or capital allocation announcement | varies | medium |
Risk Flags
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HCA FAQ
Is HCA a buy right now?
HCA Healthcare Inc's current read is a value setup with 62 confidence over a 3-6 months horizon. Valuation: fair. See the full bull and bear case above, or run a live analysis for the exact entry, target and stop.
Is HCA overvalued?
fair (valuation score 64/100). Forward P/E 13.4x discount to S&P 500 ~18x reflects leverage and cyclicality. EPS growth 14% + dividend 0.95% justify modest premium to market. P/S 1.20x and EV/EBITDA 9.98x near historical norms.
What are the risks of buying HCA?
52-week high 556.52 vs current 421 signals downside momentum; CEO guidance excludes surgery rebound. Current ratio 0.96 tight; negative tangible book value (-44.78) flags high leverage. Insider selling (46 sells vs 37 buys) suggests caution.