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HCA HealthcareHCA +1.09%93 Debt-to-EBITDA is 3.19 as of Jun. 2026, which is 4% below its 10-year median of 3.34. GuruFocus rates HCA with a GF Score™ of 93/100 and a GF Value™ of $457.36 (Modestly Undervalued). The stock has 2 warning signs investors should review. Among 477 Healthcare Providers & Services companies, HCA Healthcare ranks worse than 62.47% on this metric.
Debt-to-EBITDA measures a company's ability to pay off its debt.
A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt. According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.
The historical rank and industry rank for HCA Healthcare's Debt-to-EBITDA or its related term are showing as below:
HCA'
s Debt-to-EBITDA Range Over the Past 10 Years
Min: 2.58 Med: 3.34 Max: 4.03
Current: 3.25
During the past 13 years, the highest Debt-to-EBITDA Ratio of HCA Healthcare was 4.03. The lowest was 2.58. And the median was 3.34.
HCA's Debt-to-EBITDA is ranked worse than 62.47% of 477
companies
in the Healthcare Providers & Services industry
Industry Median: 2.18
vs HCA: 3.25
A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt.
According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.
HCA Healthcare Debt-to-EBITDA Related Terms
HCA Healthcare Debt-to-EBITDA Historical Data
* Premium members only.
The historical data trend for HCA Healthcare's Debt-to-EBITDA can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
For the Medical Care Facilities subindustry, HCA Healthcare's Debt-to-EBITDA, along with its competitors' market caps and Debt-to-EBITDA data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
HCA Healthcare Debt-to-EBITDA vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, HCA Healthcare's Debt-to-EBITDA distribution charts can be found below:
* The bar in red indicates where HCA Healthcare's Debt-to-EBITDA falls into.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
In the calculation of annual Debt-to-EBITDA, the EBITDA of the last fiscal year is used. In calculating the annualized quarterly data,
the EBITDA data used here is four times the quarterly (Jun. 2026) EBITDA data.
HCA Healthcare (HCA) has a Debt-to-EBITDA of 3.19 as of Jun. 2026. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on HCA Healthcare. This is near median its historical median of 3.34. Over the past decade, HCA Healthcare's Debt-to-EBITDA has ranged from 2.58 to 4.03. According to the industry distribution chart, HCA Healthcare ranks #298 out of 477 companies in the Healthcare Providers & Services industry, placing it in the top 62.5%.
Is HCA Healthcare's Debt-to-EBITDA too high?
HCA Healthcare's current Debt-to-EBITDA of 3.19 is near median its 10-year median of 3.34. Over the past 10 years, this metric has ranged from a low of 2.58 to a high of 4.03. The Healthcare Providers & Services industry median Debt-to-EBITDA is 2.18. HCA Healthcare's value of 3.19 is 46.3% above this industry median. Based on the distribution chart, HCA Healthcare ranks #298 out of 477 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. Overall, HCA Healthcare has a GF Score™ of 93/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does HCA Healthcare's Debt-to-EBITDA compare to THC and DVA?
According to the Healthcare Providers & Services industry distribution chart, HCA Healthcare ranks #298 out of 477 companies for Debt-to-EBITDA. This places HCA Healthcare in the lower half of its industry. The industry median Debt-to-EBITDA is 2.18. HCA Healthcare's value of 3.19 is 46.3% above this benchmark. Historically, HCA Healthcare's own Debt-to-EBITDA has ranged from 2.58 to 4.03 over the past decade. While the company's 10-year median is 3.34 vs. the industry median of 2.18, HCA Healthcare has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Debt-to-EBITDA for a Healthcare Providers & Services company?
The median Debt-to-EBITDA among Healthcare Providers & Services companies is 2.18, based on 477 companies in the industry. Companies in the top quartile (top 25%) have a Debt-to-EBITDA significantly above this median, while those in the bottom quartile fall well below. However, Debt-to-EBITDA should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. HCA Healthcare's current Debt-to-EBITDA of 3.19 is 46.3% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Debt-to-EBITDA mean?
A high Debt-to-EBITDA can signal that a stock is expensive relative to its fundamentals. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on HCA Healthcare. For the Healthcare Providers & Services industry, the median Debt-to-EBITDA is 2.18 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. HCA Healthcare's current Debt-to-EBITDA is 3.19, which is near median its own 10-year median of 3.34. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is HCA Healthcare stock overvalued right now?
Based on GuruFocus' analysis, HCA Healthcare (HCA) is currently considered Modestly Undervalued. The stock's GF Value™ is $457.36, compared to a current price of $413.36 — trading 9.6% below its estimated fair value. The current Debt-to-EBITDA is 3.19, which is near median its 10-year median of 3.34 and 46.3% above the Healthcare Providers & Services industry median of 2.18. HCA Healthcare's overall GF Score™ is 93/100 with 2 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Debt-to-EBITDA calculated?
Debt-to-EBITDA is calculated from a company's financial statements. For HCA Healthcare (HCA), the current Debt-to-EBITDA is 3.19 as of Jun. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is HCA Healthcare (HCA) Overvalued in 2026?
Based on GuruFocus' analysis, HCA Healthcare stock appears to be undervalued.
The current stock price of $413.36 is trading 9.6% below its estimated GF Value™ of $457.36.
GuruFocus considers HCA Healthcare to be Modestly Undervalued.
Key valuation signals for HCA:
Debt-to-EBITDA: 3.19 (near median its 10-year median of 3.34)
GF Value™: $457.36 vs. price of $413.36 (9.6% below fair value)
Industry Position: 46.3% above the Healthcare Providers & Services median (#298 of 477)
No single metric tells the full story. See the HCA stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
HCA Healthcare is a Nashville-based healthcare provider organization operating the largest collection of acute-care hospitals in the United States. As of December 2025, the firm owned and operated 190 hospitals and over 2,500 outpatient facillities across 19 states and a small foothold in the United Kingdom.
93GF Score
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