HCA · Intrinsic value
Is HCA Healthcare, Inc. (HCA) overvalued or undervalued?
As of Oct 19, 2026, TickerWorth's valuation lenses put HCA Healthcare, Inc. (HCA) at $293.21 – $1,085.06, too broad a range to say where the delayed market price of $456.97 sits in it, so we do not call it over- or undervalued. It is a model estimate, and every input behind it is sourced below.
Model by Miraaj Patel · generated from a hand-researched model · Updated Oct 19, 2026 · How these pages are made
What is HCA worth?
- Fair-value range
- $293.21 – $1,085.06
- Market price
- $456.97
- Gap to fair value
- —
- Verdict
- Too wide to call
Reverse DCF: Today's price implies revenue growth of 9.9% a year for 5 years; our model assumes 3.7% a year on average over the same horizon.
What is HCA's TickerWorth Score?
Middle of the pack — real strengths and real weaknesses
Compared with Healthcare companies in US
Its strongest point: looks cheap on the numbers. Its weakest: balance sheet looks stretched.
- Value · 79 of 100
Cheaper than 79% of Healthcare companies in US
- Price vs worth · 82 of 100
- Quality · 48 of 100
More profitable than 48% of Healthcare companies in US
- Financial health · 9 of 100
Financially stronger than 9% of Healthcare companies in US
- Growth · 36 of 100
Growing faster than 36% of Healthcare companies in US
- Momentum · 44 of 100
Outperformed 44% of Healthcare companies in US over the past year
Confidence: Medium confidence · Scored
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Why HCA gets a range, not one number
At a recent price of $456.97, HCA Healthcare, Inc. (HCA) sits inside a range too wide to call either way: our valuation lenses put the business somewhere between $293.21 and $1,085 per share. They disagree too widely for us to state a single fair value. We publish the range rather than a midpoint because a number that precise would claim more than the methods can support. This is an educational model, not a price target or a recommendation.
Read the full reasoning
The valuation discounts HCA Healthcare, Inc.'s projected free cash flows at a weighted-average cost of capital (WACC) of 8.7%, with a long-run terminal growth rate of 2.5%. About 75% of the enterprise value comes from the terminal value — the portion beyond the explicit forecast window — which is typical for a stable, cash-generative business and a reminder that small changes in the discount rate or terminal growth assumption swing the intrinsic value meaningfully.
Running the DCF in reverse — solving for the growth the current price already assumes — the market is implying roughly 9.9% annual revenue growth for HCA. Our base case instead compounds to about 3.7% a year over the same forecast, so the market is pricing in materially faster growth than our base case. The reverse-DCF is a quick sanity check: it reframes 'is this stock cheap?' as 'do I believe the growth the price requires?' rather than arguing over a single point estimate of fair value.
Sensitivity matters more than any single number. Across a reasonable band of discount-rate assumptions, HCA's modeled DCF value ranges from about $144.00 to $641.92 per share. If that range still sits below today's price, the market is optimistic relative to the model across the whole band; if it brackets the price, the stock is roughly fairly valued on our assumptions. Use the interactive slider to see exactly where your own cost-of-capital view lands.
How to read this page: the DCF fair value is what HCA Healthcare, Inc. would be worth if its cash flows grow as modeled and are discounted at the stated WACC. The assumptions table shows every input and its source; the reverse-DCF shows what the market believes; the sensitivity band shows how fragile the answer is. None of this is investment advice — it is a transparent, auditable framework for forming your own view of HCA's intrinsic value. Figures update as new filings and prices come in.
Every input behind HCA's DCF
| Input | Value |
|---|---|
| Base-year revenueHCA Healthcare FY2025 10-K (accession 0001193125-26-044769, filed 2026-02-10): Revenues $75,600M for FY2025, +7.1% on FY2024's $70,603M (FY2023 $64,968M). UNCHANGED as the base; 2026 belongs in the forecast. CROSS-CHECK: H1 2026 revenue $39,339M, +6.5% on H1 2025's $36,926M, BUT Q2 2026 includes ~$980M of Florida state-directed-payment revenue that relates to periods BEFORE 2026 (Oct 2024-Dec 2025), booked when CMS approved the program in the quarter (2Q release). Ex that catch-up H1 was +3.9%. TTM through 2026-06-30: $78,013M. Context: revenue from Medicaid supplemental and state-directed payment (SDP) programs was ~$6.2B in FY2025 (8.2% of revenue), up from $5.5B in 2024 and $4.4B in 2023 (10-K) - the line the 2025 Federal Budget Act starts phasing down from 2028. | $75,600,000,000 |
| Base EBIT marginHCA Healthcare FY2025 10-K (accession 0001193125-26-044769, filed 2026-02-10): Operating EBIT = income before taxes $9,832M + interest expense $2,248M + gains on sales of facilities (-$37M) = $12,043M; / $75,600M = 15.93%. Equals management's Adjusted EBITDA ($15,566M = $12,043M + D&A $3,523M) less D&A. FY2025 is the PEAK of the recent run: FY2024 14.97% ($10,570M), FY2023 14.85% ($9,649M) - 2025 was lifted by growing SDP revenue and exchange enrollment at its high. TWO THINGS THIS LINE CONTAINS: (1) 100% of the operating profit of the hospital partnerships HCA consolidates - the partners' share comes out below the line as net income attributable to noncontrolling interests ($998M in FY2025), which is why the bridge deducts them (see market.net_debt); (2) equity in earnings of affiliates ($78M), so equity-method stakes are valued here, not again in the bridge. CROSS-CHECK: H1 2026 EBIT = $4,781M + $1,183M - $9M = $5,955M, 15.1% of revenue, flattered by the ~$423M prior-period Florida benefit; ex that ~14.2% on ex-catch-up revenue. Base margin does not drive value: the forecast starts from Year 1. | 15.9% |
| Forecast revenue growthESTIMATEAssumption — TickerWorth's 5-year explicit forecast | 4% → 4% → 4% → 4% → 4% |
| Risk-free rateUS 10Y Treasury constant maturity (FRED DGS10): 5.24% on 2026-10-01, the latest published observation. Shared by every model in this tracker. | 5.2% |
| Betayfinance published beta (5Y monthly), read 2026-10-05: Published 5Y-monthly beta 1.11, used AS PUBLISHED. Cost of equity 5.24% + 1.11 x 5.0% = 10.79%, ~4.5 points above HCA's ~6.3% marginal cost of debt - a sensible premium for equity under ~$50B of debt, so there is no case to normalize UP. A bottom-up beta would be LOWER: Damodaran's Hospitals/Healthcare Facilities unlevered beta 0.56 (January 2026, the figure the DVA model uses) relevered at HCA's market debt/equity of 0.53 and 23.5% tax = 0.79, which would give $407.09. Not used: the published figure reflects HCA's actual policy and payer-mix exposure (2026 showed both), and a 0.79 would assume them away. This is the single biggest lever on the value; each 0.1 of beta is worth ~$35/share. | 1.11 |
| Terminal growthESTIMATEAssumption — house default: House default 2.5% (roughly long-run nominal GDP), kept for comparability. For HCA it is arguably modest - admissions grow ~2% a year in its Sun Belt markets and pricing adds more - but Medicaid funding is structurally shrinking under the FBA and the commercial mix is under pressure, so 2.5% is not unreasonable. 3.0% gives $332.40; 2.0% gives $259.87. Must remain < WACC of 8.70%. | 2.5% |
| Diluted sharesHCA Healthcare 2Q 2026 earnings release, 8-K Ex-99.1 (accession 0001193125-26-315151, filed 2026-07-24); HCA Healthcare Q2 2026 10-Q (accession 0001193125-26-321077, filed 2026-07-28): Q2 2026 weighted-average shares used in diluted EPS: 222.828M. The count falls fast - FY2024 261.8M, FY2025 239.5M, Q2 2026 222.8M - because HCA spent $10.1B on buybacks in FY2025 and $3.6B in H1 2026 (4.752M shares for $2,064M in Q2 alone), with $7.21B of authorization left at 2026-06-30. Shares OUTSTANDING were already 216.5M at 2026-07-24, and the 2026 guidance assumes 219.5M diluted for the full year. Using ~216.5M would lift the value to $301.78. The 10-Q weighted diluted count is used per house method - mildly conservative; it will step down at Q3. | 223M |
| Market priceBackup price feed · as of 2026-10-19 13:54 UTC | $456.97 |
Change HCA's assumptions
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What does HCA Healthcare, Inc. do?
What does it do?
HCA Healthcare, Inc., through its subsidiaries, provides health care services in the United States. The company owns, manages, and operates hospitals, ASCs, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, radiation and oncology therapy centers, as well as rehabilitation and physical therapy centers, physician practices, home health agencies, hospices, outpatient physical therapy providers, home and community-based services providers, and various other facilities. It operates in the Medical Care Facilities industry (Healthcare sector), headquartered in United States. The company employs roughly 230,000 people.
How does it make money?
The business turns $78.0B in annual revenue into profit. Out of every $100 of sales, about $15 is left as operating profit (operating margin of 15.2%), after a 43% gross margin on the products/services it sells. After all costs, taxes and interest, 8.8% of revenue becomes bottom-line net profit.
Is it financially healthy?
Financially it looks stretched: may struggle to cover its short-term bills (1.0× current ratio), and is currently profitable.
Who at HCA filed insider trades?
| Date | Insider | Relationship | What happened | Value | Filing |
|---|---|---|---|---|---|
| McAlevey Michael R | EVP & Chief Legal & Admin Off. | Other acquisition/disposition | $3,332,901.00 | Form 4 for McAlevey Michael R (opens sec.gov in a new tab) | |
| Marks Mike A | EVP and CFO | Gift | — | Form 4 for Marks Mike A (opens sec.gov in a new tab) | |
| Marks Mike A | EVP and CFO | Gift | — | Form 4 for Marks Mike A (opens sec.gov in a new tab) | |
| Frist William R | Director, 10% owner | Grant / award | — | Form 4 for Frist William R (opens sec.gov in a new tab) | |
| FRIST THOMAS F III | Director, 10% owner | Grant / award | — | Form 4 for FRIST THOMAS F III (opens sec.gov in a new tab) | |
| Smith Andrea B | Director | Grant / award | — | Form 4 for Smith Andrea B (opens sec.gov in a new tab) |
A disclosure, not a signal to trade. Source: SEC EDGAR (Form 4). Older filings and the 90-day buying-and-selling read are part of Pro. See plans
Common questions
What is HCA's intrinsic value?
TickerWorth's valuation lenses put HCA Healthcare, Inc. (HCA) between $293.21 and $1,085 per share, versus a market price of $456.97. They disagree too widely for us to state a single fair value, so we publish the range.
Is HCA overvalued or undervalued?
At $456.97 the price sits inside a range too wide to call either way. We don't call HCA overvalued or undervalued from a range this wide. This is an educational estimate, not advice.
What discount rate is used for HCA?
A WACC of 8.7% and a terminal growth rate of 2.5%.
Is HCA Healthcare stock undervalued?
TickerWorth's fair-value range for HCA Healthcare, Inc. (HCA) is $293.21 – $1,085.06 against a market price of $456.97. Too wide to call. We publish a range here, not one number, so we do not call it over- or undervalued. This is a model estimate, not investment advice.
HCA Healthcare (HCA) DCF valuation and fair value
Our fair-value range for HCA Healthcare, Inc. (HCA) is $293.21 – $1,085.06, built on a 8.7% discount rate (WACC) and 2.5% terminal growth. It blends our discounted-cash-flow model with other valuation lenses. Every assumption is listed on this page with its source.
What growth is priced into HCA Healthcare stock?
Today's price implies revenue growth of 9.9% a year for 5 years; our model assumes 3.7% a year on average over the same horizon. This is a reverse DCF: it holds our cash-flow model's other inputs and solves for the revenue growth that makes the model equal today's price of $456.97. A model estimate, not investment advice.
HCA Healthcare (HCA) insider trading
The most recent insider filing (SEC Form 4) for HCA Healthcare, Inc. (HCA): McAlevey Michael R, EVP & Chief Legal & Admin Off., other acquisition/disposition on 2026-08-26. The latest filings are listed on this page. A disclosure, not a signal to trade.
Other ways into the coverage
Not investment advice. TickerWorth Score is a model output.
TickerWorth is not a licensed investment adviser, and these figures are estimates from public filings and market data that can be wrong.