HCA HCA Healthcare, Inc.
Stable Earnings Power
B- 64.5 / 100 composite

AlphaQuality composite grade, weighted for stable earnings power businesses.

Profitability

Weight: 20%
B+ 77
  • 5yr Avg ROIC 19.4%
  • Operating Margin Trend -0.14 pp/yr

Capital Efficiency

Weight: 15%
D+ 42
  • 5yr Avg ROE 0.0%
  • 5yr Share-Count CAGR -8.5%

Growth Quality

Weight: 15%
B 74
  • 5yr Revenue CAGR 6.5%
  • 5yr EPS CAGR 7.6%
  • Revenue-Growth Years (5) 5/5

Cash Generation

Weight: 15%
B+ 75
  • 5yr FCF Margin 8.3%
  • 5yr FCF/NI Conversion 0.90x

Balance Sheet

Weight: 20%
C 57
  • Net Debt / EBITDA 3.15x
  • Interest Coverage (EBIT/Int) 5.37x
  • Altman Z-Score 2.64

Stability

Weight: 15%
C+ 61
  • EPS Volatility (σ/μ) 0.53
  • Piotroski F-Score 7
  • Negative-Revenue Years (5) 0/5

Guru Flow

Curated superinvestor sentiment — not part of the AlphaQuality grade.
Holding

5 of 5 gurus held; 3 added; 2 trimmed.

Holders
5
Avg Δ position
-9.0%
New buys
0
Full exits
0
As of Q1 2026