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Companies / Health Care / HCA Healthcare
HCA

HCA Healthcare

Health CareHealth ServicesS&P 500
Ticker HCANASHVILLE, TNFiscal year ends DecemberBook value per share $-29.56Diluted shares 224.7M

HCA Healthcare, Inc. (NYSE: HCA) operates hospitals and other health care facilities serving patients, physicians and communities in the United States and England. Its services include acute and emergency care, surgery, behavioral health, rehabilitation, diagnostic and imaging services, physician practices, urgent… From the company’s description.

In fiscal 2025, HCA Healthcare reported revenue of $75.60B, up 7.1% from fiscal 2024, and net income of $7.78B. Its operating margin was 15.8%, and operations generated $12.64B in cash. Over the twelve months to Jun 30, 2026, revenue was $78.01B.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$75.60BFY2025
+7.1% year over year
Last 12 mo $78.01B
15.83%FY2025
+0.9 percentage points
Last 12 mo 15.48%
$7.78BFY2025
+16.9% year over year
Last 12 mo $7.85B
-112.56%FY2025
+117.9 percentage points
Last 12 mo -102.98%
Cash & financing
$12.64BFY2025
+20.2% year over year
Last 12 mo $11.12B
$7.69BFY2025
+36.4% year over year
Last 12 mo $6.00B
-7.71FY2025
Was -17.22× a year earlier
Last 12 mo -7.49
239.5MFY2025
−8.5% year over year
Last 12 mo 224.7M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What HCA Healthcare does

In the company’s own words

HCA Healthcare, Inc. (NYSE: HCA) operates hospitals and other health care facilities serving patients, physicians and communities in the United States and England. Its services include acute and emergency care, surgery, behavioral health, rehabilitation, diagnostic and imaging services, physician practices, urgent care, home health and hospice care. At December 31, 2025, the company operated 190 hospitals, 121 freestanding ambulatory surgery centers and 31 freestanding endoscopy centers across 19 states and England. Its hospital network included 179 general acute care hospitals, seven behavioral hospitals and four rehabilitation hospitals. HCA receives payments from Medicare and Medicaid programs, managed care plans, private insurers and patients. It began operations through its predecessors in 1968; HCA Healthcare, Inc. was incorporated in 2010. The company reported revenue of $75.6 billion for the year ended December 31, 2025. Its website is www.hcahealthcare.com.

Company details
Sector
Health Care
Industry (SIC)
Health Services
Headquarters
NASHVILLE, TN
Fiscal year end
December
CIK
860730
SIC
8062

Financial performance, year by year

Fiscal 2013–2025 · USD
$-7.80B$15.60B$39.01B$62.41B$85.81B2013201420152016201720182019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns HCA Healthcare — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

817
funds hold it
3 of 35
superinvestors hold it
$19.44B
held by funds, at market
22.6%
of shares held by funds

Superinvestors in HCA Healthcare · what they did last quarter

Bill NygrenDECREASED -2.6%
Harris Associates (Oakmark)
0.1%of 13F portfolio
Tom GaynerINCREASED +2.3%
Markel Group (Markel-Gayner)
0.3%of 13F portfolio
Glenn GreenbergINCREASED +262.6%
Brave Warrior Advisors
<0.1%of 13F portfolio

Share of each manager’s reported 13F portfolio. Change is in shares held, since the previous quarter.

Largest fund holders · HCA Healthcare’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.08%of fund net assets
VANGUARD 500 INDEX FUND
VOO · VANGUARD INDEX FUNDS
0.09%of fund net assets
0.42%of fund net assets
First Eagle Global Fund
SGENX · First Eagle Funds
—of fund net assets
iShares Core S&P 500 ETF
IVV · iShares Trust
0.09%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Fund ownership is a subset of institutional 13F ownership — the two describe overlapping populations and must not be added together.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

Put this business in context.

Compare this company with peers, find it in your funds and follow its financial history with your connected AI:

  • “How do HCA Healthcare and its peers compare on margins and cash generation over ten years?”
  • “Where did five years of HCA Healthcare's earnings go — cash, debt, buybacks, reinvestment?”
  • “What changed in HCA Healthcare's last four quarterly filings that the numbers alone won't show?”
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