HCA HealthcareHCA +0.22%93 EV-to-FCF is 17.44 as of Jun. 25, 2026, which is 28% below its 10-year median of 24.09. GuruFocus rates HCA with a GF Score™ of 93/100 and a GF Value™ of $451.47 (Modestly Undervalued). The stock has 3 warning signs investors should review. Among 410 Healthcare Providers & Services companies, HCA Healthcare ranks better than 50.24% on this metric.
EV-to-FCF is calculated as enterprise value divided by its free cash flow. As of today, HCA Healthcare's Enterprise Value is $138,251 Mil.
HCA Healthcare's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 was $7,927 Mil. Therefore, HCA Healthcare's EV-to-FCF for today is 17.44.
The historical rank and industry rank for HCA Healthcare's EV-to-FCF or its related term are showing as below:
HCA'
s EV-to-FCF Range Over the Past 10 Years
Min: -588.85 Med: 24.09 Max: 190.1
Current: 17.44
During the past 13 years, the highest EV-to-FCF of HCA Healthcare was 190.10. The lowest was -588.85. And the median was 24.09.
HCA's EV-to-FCF is ranked better than 50.24% of 410
companies
in the Healthcare Providers & Services industry
Industry Median: 17.47
vs HCA: 17.44
EV-to-FCF 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-FCF 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 $387.76.
HCA Healthcare's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $29.080.
* 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. Free Cash Flow is an important financial metric because it represents the actual amount of cash at a company's disposal. Companies with a low EV-to-FCF ratio, combined with a strong balance sheet are generally considered as undervalued.
HCA Healthcare EV-to-FCF Related Terms
HCA Healthcare EV-to-FCF Historical Data
* Premium members only.
The historical data trend for HCA Healthcare's EV-to-FCF 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-FCF, along with its competitors' market caps and EV-to-FCF 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-FCF vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, HCA Healthcare's EV-to-FCF distribution charts can be found below:
* The bar in red indicates where HCA Healthcare's EV-to-FCF falls into.
HCA Healthcare's current Enterprise Value is $138,251 Mil.
HCA Healthcare's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $7,927 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-FCF of 17.44 as of Jun. 25, 2026. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on HCA Healthcare and its competitors. This is 28% below median its historical median of 24.09. According to the industry distribution chart, HCA Healthcare ranks #204 out of 410 companies in the Healthcare Providers & Services industry, placing it in the top 49.8%.
Is HCA Healthcare's EV-to-FCF too high?
HCA Healthcare's current EV-to-FCF of 17.44 is 28% below median its 10-year median of 24.09. The Healthcare Providers & Services industry median EV-to-FCF is 17.47. HCA Healthcare's value of 17.44 is 0.2% below this industry median. Based on the distribution chart, HCA Healthcare ranks #204 out of 410 companies in the Healthcare Providers & Services industry, which is above 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 EV-to-FCF compare to THC and DVA?
According to the Healthcare Providers & Services industry distribution chart, HCA Healthcare ranks #204 out of 410 companies for EV-to-FCF. This puts HCA Healthcare in the upper half of its industry. The industry median EV-to-FCF is 17.47. HCA Healthcare's value of 17.44 is 0.2% below this benchmark. While the company's 10-year median is 24.09 vs. the industry median of 17.47, HCA Healthcare has consistently been below 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-FCF for a Healthcare Providers & Services company?
The median EV-to-FCF among Healthcare Providers & Services companies is 17.47, based on 410 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-FCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-FCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. HCA Healthcare's current EV-to-FCF of 17.44 is 0.2% below 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-FCF mean?
A high EV-to-FCF can signal that a stock is expensive relative to its fundamentals. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on HCA Healthcare and its competitors. For the Healthcare Providers & Services industry, the median EV-to-FCF is 17.47 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. HCA Healthcare's current EV-to-FCF is 17.44, which is 28% below median its own 10-year median of 24.09. 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 $451.47, compared to a current price of $387.76 — trading 14.1% below its estimated fair value. The current EV-to-FCF is 17.44, which is 28% below median its 10-year median of 24.09 and 0.2% below the Healthcare Providers & Services industry median of 17.47. HCA Healthcare's overall GF Score™ is 93/100 with 3 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-FCF calculated?
EV-to-FCF is calculated from a company's financial statements. For HCA Healthcare (HCA), the current EV-to-FCF is 17.44 as of Jun. 25, 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 $387.76 is trading 14.1% below its estimated GF Value™ of $451.47.
GuruFocus considers HCA Healthcare to be Modestly Undervalued.
Key valuation signals for HCA:
EV-to-FCF: 17.44 (28% below median its 10-year median of 24.09)
GF Value™: $451.47 vs. price of $387.76 (14.1% below fair value)
Industry Position: 0.2% below the Healthcare Providers & Services median (#204 of 410)
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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