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HCA HealthcareHCA -1.03%87 EV-to-OCF is 12.73 as of Sep. 06, 2026, which is 3% above its 10-year median of 12.41. GuruFocus rates HCA with a GF Score™ of 87/100 and a GF Value™ of $459.80 (Modestly Undervalued). The stock has 2 warning signs investors should review. Among 683 Healthcare Providers & Services companies, HCA Healthcare ranks worse than 63.1% on this metric.
EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, HCA Healthcare's Enterprise Value is $141,655 Mil.
HCA Healthcare's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 was $11,124 Mil. Therefore, HCA Healthcare's EV-to-OCF for today is 12.73.
The historical rank and industry rank for HCA Healthcare's EV-to-OCF or its related term are showing as below:
HCA'
s EV-to-OCF Range Over the Past 10 Years
Min: 4.29 Med: 12.41 Max: 40.15
Current: 12.73
During the past 13 years, the highest EV-to-OCF of HCA Healthcare was 40.15. The lowest was 4.29. And the median was 12.41.
HCA's EV-to-OCF is ranked worse than 63.1% of 683
companies
in the Healthcare Providers & Services industry
Industry Median: 8.87
vs HCA: 12.73
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
HCA Healthcare's PE Ratio (TTM) for today is calculated as:
HCA Healthcare's share price for today is $405.00.
HCA Healthcare's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Jun. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $29.870.
* 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.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Cash Flow from Operations is an important financial metric because it represents the cash generated from operating activities at a company's disposal. Companies with a low EV-to-OCF ratio, combined with a strong balance sheet are generally considered as undervalued.
HCA Healthcare EV-to-OCF Related Terms
HCA Healthcare EV-to-OCF Historical Data
* Premium members only.
The historical data trend for HCA Healthcare's EV-to-OCF 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 EV-to-OCF, along with its competitors' market caps and EV-to-OCF 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 EV-to-OCF vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, HCA Healthcare's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where HCA Healthcare's EV-to-OCF falls into.
HCA Healthcare's current Enterprise Value is $141,655 Mil.
HCA Healthcare's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $11,124 Mil.
* 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.
HCA Healthcare (HCA) has a EV-to-OCF of 12.73 as of Sep. 06, 2026. This is near median its historical median of 12.41. Over the past decade, HCA Healthcare's EV-to-OCF has ranged from 4.29 to 40.15. According to the industry distribution chart, HCA Healthcare ranks #431 out of 683 companies in the Healthcare Providers & Services industry, placing it in the top 63.1%.
Is HCA Healthcare's EV-to-OCF too high?
HCA Healthcare's current EV-to-OCF of 12.73 is near median its 10-year median of 12.41. Over the past 10 years, this metric has ranged from a low of 4.29 to a high of 40.15. The Healthcare Providers & Services industry median EV-to-OCF is 8.87. HCA Healthcare's value of 12.73 is 43.5% above this industry median. Based on the distribution chart, HCA Healthcare ranks #431 out of 683 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. Overall, HCA Healthcare has a GF Score™ of 87/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does HCA Healthcare's EV-to-OCF compare to THC and EHC?
According to the Healthcare Providers & Services industry distribution chart, HCA Healthcare ranks #431 out of 683 companies for EV-to-OCF. This places HCA Healthcare in the lower half of its industry. The industry median EV-to-OCF is 8.87. HCA Healthcare's value of 12.73 is 43.5% above this benchmark. Historically, HCA Healthcare's own EV-to-OCF has ranged from 4.29 to 40.15 over the past decade. While the company's 10-year median is 12.41 vs. the industry median of 8.87, 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 EV-to-OCF for a Healthcare Providers & Services company?
The median EV-to-OCF among Healthcare Providers & Services companies is 8.87, based on 683 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-OCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-OCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. HCA Healthcare's current EV-to-OCF of 12.73 is 43.5% 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 EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Healthcare Providers & Services industry, the median EV-to-OCF is 8.87 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. HCA Healthcare's current EV-to-OCF is 12.73, which is near median its own 10-year median of 12.41. 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 $459.80, compared to a current price of $405.00 — trading 11.9% below its estimated fair value. The current EV-to-OCF is 12.73, which is near median its 10-year median of 12.41 and 43.5% above the Healthcare Providers & Services industry median of 8.87. HCA Healthcare's overall GF Score™ is 87/100 with 2 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-OCF calculated?
EV-to-OCF is calculated from a company's financial statements. For HCA Healthcare (HCA), the current EV-to-OCF is 12.73 as of Sep. 06, 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 $405.00 is trading 11.9% below its estimated GF Value™ of $459.80.
GuruFocus considers HCA Healthcare to be Modestly Undervalued.
Key valuation signals for HCA:
EV-to-OCF: 12.73 (near median its 10-year median of 12.41)
GF Value™: $459.80 vs. price of $405.00 (11.9% below fair value)
Industry Position: 43.5% above the Healthcare Providers & Services median (#431 of 683)
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.
87GF Score
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