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Here's How Much You'd Have If You Invested $1000 in HCA Healthcare a Decade Ago

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How much a stock's price changes over time is a significant driver for most investors. Not only can price performance impact your portfolio, but it can help you compare investment results across sectors and industries as well.

The fear of missing out, or FOMO, also plays a factor in investing, especially with particular tech giants, as well as popular consumer-facing stocks.

What if you'd invested in HCA Healthcare (HCA - Free Report) ten years ago? It may not have been easy to hold on to HCA for all that time, but if you did, how much would your investment be worth today?

HCA Healthcare's Business In-Depth

With that in mind, let's take a look at HCA Healthcare's main business drivers.

HCA Healthcare is the largest non-governmental operator of acute care hospitals in the United States. Headquartered in Nashville, TN, it operates hospitals and related health care entities. At the end of 2024, the company operated 190 hospitals and approximately 2,400 ambulatory sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics, in 20 states and the United Kingdom.

It also operates outpatient health care facilities, which include freestanding ambulatory surgery centers (“ASCs”), freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, comprehensive rehabilitation and physical therapy centers, radiation and oncology therapy centers, physician practices and various other facilities.

The company operates in two geographically organized groups, the National and American Groups. HCA generated revenues of $70.6 billion in 2024.

The National Group (accounted for 27.8% of the overall 2024 revenues) had 55 hospitals located in states like Alaska, California, Idaho, Indiana, Kentucky, Nevada, New Hampshire, North Carolina, Tennessee, Utah and Virginia. The American Group (34.8%) has 65 hospitals in states like Colorado, Central Kansas, Louisiana and Texas.

Its Atlantic Group (32.8%) included 62 hospitals located in Florida, Georgia, Northern Kansas, Missouri and South Carolina. The company also operates seven hospitals in England that are included in the Corporate and Other group (4.6%).

The company's 180 general, acute care hospitals with 49,114 licensed beds provide a wide range of services to cater to different medical specialties, such as internal medicine, general surgery, cardiology, oncology, neurosurgery, orthopedics and obstetrics as well as diagnostic and emergency services. The general, acute care hospitals also provide outpatient services such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology and physical therapy.

Its six behavioral hospitals with 602 licensed beds offer child, adolescent and adult psychiatric care. It also provides adolescent and adult alcohol and drug abuse treatment and counseling.

Bottom Line

While anyone can invest, building a lucrative investment portfolio takes research, patience, and a little bit of risk. If you had invested in HCA Healthcare ten years ago, you're probably feeling pretty good about your investment today.

According to our calculations, a $1000 investment made in May 2015 would be worth $4,679.62, or a gain of 367.96%, as of May 22, 2025, and this return excludes dividends but includes price increases.

Compare this to the S&P 500's rally of 174.29% and gold's return of 164.34% over the same time frame.

Looking ahead, analysts are expecting more upside for HCA.

HCA Healthcare’s revenues remain on an uptick on the back of growth in admissions and inpatient surgeries. The resumption of deferred elective procedures is likely to sustain the trend. Revenues are anticipated to be between $72.8 billion and $75.8 billion in 2025, the midpoint of which indicates a 5.2% rise from the 2024 figure. Multiple buyouts aided in increasing patient volumes and added hospitals to the portfolio. HCA expects EPS to be between the range of $24.05-$25.85 in 2025. It resorts to prudent capital deployment via share buybacks and dividend payments. However, a debt-heavy balance sheet induces a rise in interest expenses. HCA had a long-term debt of $44.58 billion. Also, escalating expenses may strain margins. Total operating expenses rose 6% year over year in the first quarter. As such, the stock warrants a cautious stance.

Shares have gained 13.64% over the past four weeks and there have been 9 higher earnings estimate revisions for fiscal 2025 compared to none lower. The consensus estimate has moved up as well.

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