HCA Healthcare (HCA) Return on Capital Employed (2011 - 2026)

HCA Healthcare (HCA) reported Return on Capital Employed of 18.08% for Q1 2026, up 243.0% year-over-year from 5.27% in Q1 2025, and up 6.81% quarter-over-quarter from 19.4% in Q4 2025.

HCA Healthcare (HCA) Return on Capital Employed (2011 - 2026) Analysis & Trends

HCA Healthcare (HCA) has 16 years of Return on Capital Employed data on file, last reported at 18.08% in Q1 2026.

  • Return on Capital Employed for Q1 2026 came in at 18.08%, up 243.0% year-over-year; the trailing twelve-month figure through Mar 2026 was 18.08% (up 243.0% YoY), and the FY2025 annual result was 4.72%, up 52.0% from the prior year.
  • Return on Capital Employed grew to 18.08% in Q1 2026 per HCA's latest filing, from 19.4% in the prior quarter.
  • Over five years, Return on Capital Employed peaked at 0.88% in Q1 2022 and troughed at 20.51% in Q1 2025.
  • A 5-year average of 12.35% and a median of 13.19% in 2023 frame the typical range for Return on Capital Employed.
  • The sharpest annual moves came in 2022 and 2023: Return on Capital Employed surged 865 bps in 2022, then plunged 1044 bps in 2023.
  • A 5-year view of Return on Capital Employed shows it stood at 8.34% in 2022, then plunged by 58 bps to 13.19% in 2023, then slumped by 43 bps to 18.83% in 2024, then slipped by 3 bps to 19.4% in 2025, then climbed by 7 bps to 18.08% in 2026.
  • Business Quant data shows HCA's Return on Capital Employed at 18.08% in Q1 2026, 19.4% in Q4 2025, and 20.16% in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) ROCE (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn -18.08%
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 15.90%
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn 14.27%
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn -2.33%
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 9.57%
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 16.52%
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 12.19%
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 26.99%
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 8.38%
10 Concentra Group Holdings Parent 3.59 Bn 3.54 Bn 170.47 Mn 13.68%

Historic Data

Download Data
DateValue
Mar 31, 2026 -18.08%
Dec 31, 2025 -19.40%
Sep 30, 2025 -20.16%
Jun 30, 2025 -19.40%
Mar 31, 2025 -20.51%
Dec 31, 2024 -18.83%
Sep 30, 2024 -15.70%
Jun 30, 2024 -13.55%
Mar 31, 2024 -11.72%
Dec 31, 2023 -13.19%
Sep 30, 2023 -8.01%
Jun 30, 2023 -8.91%
Mar 31, 2023 -9.56%
Dec 31, 2022 -8.34%
Sep 30, 2022 -4.95%
Jun 30, 2022 -0.51%
Mar 31, 2022 0.88%
Dec 31, 2021 1.03%
Sep 30, 2021 -3.43%
Jun 30, 2021 -8.13%