HCA Healthcare (HCA) Debt/Equity Ratio: History & Chart

HCA Healthcare, Inc.(HCA)

Medical - Care Facilities · Nashville, TN

$423.30-2.19 (-0.51%)

Delayed quote: Sep 15, 2026, 10:20 AM EDT

About HCA Healthcare, Inc.

HCA Healthcare, Inc., operating through its subsidiaries, delivers a comprehensive array of healthcare services throughout the United States. The organization manages a network of general and acute care hospitals that provide a full spectrum of medical and surgical care, encompassing inpatient services, intensive care, cardiac treatment, diagnostic procedures, and emergency services. These hospitals additionally offer a broad range of outpatient care, such as ambulatory surgery, laboratory testing, radiology, respiratory therapy, cardiology, and physical therapy. Beyond its hospital infrastructure, HCA Healthcare operates numerous specialized outpatient facilities. These include standalone ambulatory surgery centers, dedicated emergency care facilities, urgent care clinics, walk-in clinics, advanced diagnostic and imaging centers, rehabilitation and physical therapy centers, radiation and oncology treatment facilities, physician practices, and various other healthcare sites. Furthermore, the company oversees psychiatric hospitals, which offer diverse therapeutic programs. These services cater to child, adolescent, and adult psychiatric care, alongside adolescent and adult alcohol and drug abuse treatment and counseling. As of December 31, 2021, HCA Healthcare's extensive portfolio included 182 hospitals, specifically 175 general and acute care hospitals, five psychiatric hospitals, and two rehabilitation hospitals. Its network also featured 125 freestanding surgery centers and 21 freestanding endoscopy centers, all distributed across 20 states and England. Founded in 1968 and formerly known as HCA Holdings, Inc., the company's corporate headquarters are situated in Nashville, Tennessee.

Nashville, TN

320,000 employees

www.hcahealthcare.com

Healthcare / Medical - Care Facilities

Sector: Healthcare
Industry: Medical - Care Facilities
CEO: Samuel N. Hazen

View full financials

HCA Debt to Equity Ratio Metrics

DEBT TO EQUITY RATIO

-7.42

DEBT TO EQUITY RATIO AVG TTM

-8.58

DEBT TO EQUITY RATIO AVG 3Y

-15.80

DEBT TO EQUITY RATIO AVG 5Y

-16.73

DEBT TO EQUITY RATIO AVG 10Y

-12.15

DEBT TO EQUITY RATIO AVG 15Y

-8.61

DEBT TO EQUITY RATIO AVG 20Y

-6.11

CURRENT VS TTM AVG

+13.53%

CURRENT VS 3Y AVG

+53.06%

CURRENT VS 5Y AVG

+55.65%

CURRENT VS 10Y AVG

+38.96%

CURRENT VS 15Y AVG

+13.89%

CURRENT VS 20Y AVG

-21.40%

SECTOR MEDIAN · HEALTHCARE

0.69

median of 84 covered companies

CURRENT VS SECTOR MEDIAN

-1182.98%

vs the sector median at left

NAME	MARKET CAP	DEBT TO EQUITY RATIO	TTM	3Y	5Y
HCA Healthcare, Inc. (HCA)	$91.65B	-7.42	-8.58	-15.80	-16.73
Elevance Health Inc. (ELV)vs ›	$91.35B	0.69	0.78	0.74	0.71
GSK plc (GSK)vs ›	$99.91B	1.03	1.16	1.41	1.52
Sanofi (SNY)vs ›	$102.58B	0.34	0.26	0.26	0.29
Regeneron Pharmaceuticals, Inc. (REGN)vs ›	$79.94B	0.06	0.09	0.10	0.13
McKesson Corporation (MCK)vs ›	$104.88B	N/A	1.40	1.09	1.08
Stryker Corporation (SYK)vs ›	$106.75B	0.62	0.71	0.74	0.82
Cigna Corporation (CI)vs ›	$76.31B	0.75	0.77	0.73	0.72
Boston Scientific Corporation (BSX)vs ›	$65.40B	0.51	0.51	0.51	0.54
Medtronic plc (MDT)vs ›	$119.47B	0.56	0.58	0.53	0.52

NAME

MARKET CAP

DEBT TO EQUITY RATIO

TTM

HCA Healthcare, Inc. (HCA)

$91.65B

-7.42

-8.58

-15.80

-16.73

Elevance Health Inc. (ELV)vs ›

$91.35B

0.69

0.78

0.74

0.71

GSK plc (GSK)vs ›

$99.91B

1.03

1.16

1.41

1.52

Sanofi (SNY)vs ›

$102.58B

0.34

0.26

0.29

Regeneron Pharmaceuticals, Inc. (REGN)vs ›

$79.94B

0.06

0.09

0.10

0.13

McKesson Corporation (MCK)vs ›

$104.88B

N/A

1.40

1.09

1.08

Stryker Corporation (SYK)vs ›

$106.75B

0.62

0.71

0.74

0.82

Cigna Corporation (CI)vs ›

$76.31B

0.75

0.77

0.73

0.72

Boston Scientific Corporation (BSX)vs ›

$65.40B

0.51

0.54

Medtronic plc (MDT)vs ›

$119.47B

0.56

0.58

0.53

0.52

Debt to Equity Ratio FAQ

What is the debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The debt to equity ratio for HCA stock is -7.42.

Is HCA Healthcare, Inc.'s debt to equity ratio high or low?

The debt to equity ratio of -7.42 is 56% above its 5-year average of -16.73, near the high end of its 5-year range (-57.91–-7.42).

What is the TTM average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The TTM average debt to equity ratio for HCA stock is -8.58.

What is the 3Y average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The 3Y average debt to equity ratio for HCA stock is -15.80.

What is the 5Y average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The 5Y average debt to equity ratio for HCA stock is -16.73.

What is the 10Y average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The 10Y average debt to equity ratio for HCA stock is -12.15.

What is the 15Y average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The 15Y average debt to equity ratio for HCA stock is -8.61.

What is the 20Y average debt to equity ratio for HCA Healthcare, Inc. (HCA)?

The 20Y average debt to equity ratio for HCA stock is -6.11.

DATE	DEBT TO EQUITY RATIO
2026-06-30	-7.42
2026-03-31	-7.91
2025-12-31	-8.33
2025-09-30	-8.69
2025-06-30	-10.55
2025-03-31	-13.20
2024-12-31	-18.10
2024-09-30	-20.57
2024-06-30	-26.73
2024-03-31	-26.07
2023-12-31	-23.60
2023-09-30	-16.60
2023-06-30	-17.69
2023-03-31	-16.26
2022-12-31	-14.53
2022-09-30	-11.71
2022-06-30	-11.06
2022-03-31	-19.42
2021-12-31	-39.36
2021-09-30	-48.98
2021-06-30	-57.91
2021-03-31	132.80
2020-12-31	57.79
2020-09-30	-33.47
2020-06-30	-18.18
2020-03-31	-12.27
2019-12-31	-12.67
2019-09-30	-10.01
2019-06-30	-9.65
2019-03-31	-8.34
2018-12-31	-6.63
2018-09-30	-5.91
2018-06-30	-5.54
2018-03-31	-5.33
2017-12-31	-4.86
2017-09-30	-4.86
2017-06-30	-4.66
2017-03-31	-4.49
2016-12-31	-4.30
2016-09-30	-4.05
2016-06-30	-3.88
2016-03-31	-4.04
2015-12-31	-4.01
2015-09-30	-4.08
2015-06-30	-4.02
2015-03-31	-3.86
2014-12-31	-3.73
2014-09-30	-3.86
2014-06-30	-3.63
2014-03-31	-3.69
2013-12-31	-3.43
2013-09-30	-3.39
2013-06-30	-3.20
2013-03-31	-3.07
2012-12-31	-2.99
2012-09-30	-3.43
2012-05-30	-3.28
2012-03-31	-3.24
2011-12-31	-3.28
2011-09-30	-2.61
2011-06-30	-2.92
2011-03-31	-2.84
2010-12-31	-2.37
2010-09-30	-2.54
2010-06-30	-2.55
2010-03-31	-2.60
2009-12-31	-2.86
2009-09-30	-2.79
2009-06-30	-2.80
2009-03-31	-2.69
2008-12-31	-2.63
2008-09-30	-2.43
2008-06-30	-2.71
2008-03-31	-2.61
2007-12-31	-2.59
2007-09-30	-2.57
2007-06-30	-2.58
2007-03-31	-2.51
2006-12-31	-2.50
2006-09-30	2.21
2006-06-30	2.42
2006-03-31	2.48
2005-12-31	2.15
2005-09-30	1.46
2005-06-30	1.53
2005-03-31	1.85
2004-12-31	2.39
2004-09-30	1.27
2004-06-30	1.37
2004-03-31	1.41
2003-12-31	1.40
2003-09-30	1.44
2003-06-30	1.40
2003-03-31	1.28
2002-12-31	1.22
2002-09-30	1.28

DATE

DEBT TO EQUITY RATIO

2026-06-30

-7.42

2026-03-31

-7.91

2025-12-31

-8.33

2025-09-30

-8.69

2025-06-30

-10.55

2025-03-31

-13.20

2024-12-31

-18.10

2024-09-30

-20.57

2024-06-30

-26.73

2024-03-31

-26.07

2023-12-31

-23.60

2023-09-30

-16.60

2023-06-30

-17.69

2023-03-31

-16.26

2022-12-31

-14.53

2022-09-30

-11.71

2022-06-30

-11.06

2022-03-31

-19.42

2021-12-31

-39.36

2021-09-30

-48.98

2021-06-30

-57.91

2021-03-31

132.80

2020-12-31

57.79

2020-09-30

-33.47

2020-06-30

-18.18

2020-03-31

-12.27

2019-12-31

-12.67

2019-09-30

-10.01

2019-06-30

-9.65

2019-03-31

-8.34

2018-12-31

-6.63

2018-09-30

-5.91

2018-06-30

-5.54

2018-03-31

-5.33

2017-12-31

-4.86

2017-09-30

-4.86

2017-06-30

-4.66

2017-03-31

-4.49

2016-12-31

-4.30

2016-09-30

-4.05

2016-06-30

-3.88

2016-03-31

-4.04

2015-12-31

-4.01

2015-09-30

-4.08

2015-06-30

-4.02

2015-03-31

-3.86

2014-12-31

-3.73

2014-09-30

-3.86

2014-06-30

-3.63

2014-03-31

-3.69

2013-12-31

-3.43

2013-09-30

-3.39

2013-06-30

-3.20

2013-03-31

-3.07

2012-12-31

-2.99

2012-09-30

-3.43

2012-05-30

-3.28

2012-03-31

-3.24

2011-12-31

-3.28

2011-09-30

-2.61

2011-06-30

-2.92

2011-03-31

-2.84

2010-12-31

-2.37

2010-09-30

-2.54

2010-06-30

-2.55

2010-03-31

-2.60

2009-12-31

-2.86

2009-09-30

-2.79

2009-06-30

-2.80

2009-03-31

-2.69

2008-12-31

-2.63

2008-09-30

-2.43

2008-06-30

-2.71

2008-03-31

-2.61

2007-12-31

-2.59

2007-09-30

-2.57

2007-06-30

-2.58

2007-03-31

-2.51

2006-12-31

-2.50

2006-09-30

2.21

2006-06-30

2.42

2006-03-31

2.48

2005-12-31

2.15

2005-09-30

1.46

2005-06-30

1.53

2005-03-31

1.85

2004-12-31

2.39

2004-09-30

1.27

2004-06-30

1.37

2004-03-31

1.41

2003-12-31

1.40

2003-09-30

1.44

2003-06-30

1.40

2003-03-31

1.28

2002-12-31

1.22

2002-09-30

1.28

Debt to Equity Ratio: -7.42

HCA Debt to Equity Ratio

HCA Average Debt to Equity Ratio Chart

HCA Current vs Average Debt to Equity Ratio Chart

HCA Debt to Equity Ratio Metrics

HCA Competitors' Debt to Equity Ratio

Financial Health

Debt to Equity Ratio Formula & Definition

Debt to Equity Ratio FAQ

HCA Debt to Equity Ratio History

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