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

HCA Healthcare (HCA) posted quarterly Return on Capital Employed of 18.08% for Q1 2026, up 243.0% YoY from 5.27% in Q1 2025, and up 6.81% sequentially from 19.4% in Q4 2025.

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

HCA Healthcare has disclosed Return on Capital Employed across 16 years of filings, most recently posting 18.08% for Q1 2026.

  • In Q1 2026, Return on Capital Employed rose 243.0% year-over-year to 18.08%; the TTM figure through Mar 2026 stood at 18.08% (up 243.0% YoY), while the FY2025 annual figure was 4.72%, up 52.0% from the prior year.
  • Return on Capital Employed climbed to 18.08% in Q1 2026, from 19.4% in the prior quarter.
  • Over the last five years, Return on Capital Employed for HCA reached as high as 0.88% in Q1 2022 and fell as low as 20.51% in Q1 2025.
  • The 5-year median for Return on Capital Employed is 13.19% (2023), against an average of 12.35%.
  • Annual changes were most pronounced in 2022 — Return on Capital Employed surged 865 bps — and 2023, when it slumped 1044 bps.
  • A 5-year view of Return on Capital Employed shows it stood at 8.34% in 2022, then slumped by 58 bps to 13.19% in 2023, then plunged 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.
  • According to Business Quant data, Return on Capital Employed over the past three periods registered 18.08%, 19.4%, and 20.16% for Q1 2026, Q4 2025, and Q3 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) ROCE (Qtr)
1 HCA Healthcare 87.94 Bn 90.32 Bn 16.26 Bn -18.08%
2 Chemed 18.08 Bn 18.07 Bn 215.76 Mn 26.99%
3 Tenet Healthcare 16.59 Bn 15.76 Bn 4.41 Bn 15.90%
4 Davita 15.37 Bn 16.23 Bn 1.07 Bn 14.27%
5 Encompass Health 10.07 Bn 10.70 Bn 1.34 Bn -2.33%
6 Ensign 9.52 Bn 8.93 Bn 293.37 Mn 9.57%
7 Universal Health Services 9.19 Bn 9.15 Bn 3.21 Bn 16.52%
8 Pacs 6.96 Bn 6.72 Bn 345.96 Mn 8.38%
9 Ww International 6.14 Bn 5.98 Bn -149.29 Mn -0.28%
10 Brookdale Senior Living 3.76 Bn 3.50 Bn 727.83 Mn 0.66%

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%