Calculation
| Net profit margin | = | 100 | × | Net income attributable to HCA Healthcare, Inc.1 | ÷ | Revenues1 | |
|---|---|---|---|---|---|---|---|
| Dec 31, 2021 | 11.84% | = | 100 | × | 6,956) | ÷ | 58,752) |
| Dec 31, 2020 | 7.28% | = | 100 | × | 3,754) | ÷ | 51,533) |
| Dec 31, 2019 | 6.83% | = | 100 | × | 3,505) | ÷ | 51,336) |
| Dec 31, 2018 | 8.11% | = | 100 | × | 3,787) | ÷ | 46,677) |
| Dec 31, 2017 | 5.08% | = | 100 | × | 2,216) | ÷ | 43,614) |
| Dec 31, 2016 | 6.97% | = | 100 | × | 2,890) | ÷ | 41,490) |
| Dec 31, 2015 | 5.37% | = | 100 | × | 2,129) | ÷ | 39,678) |
| Dec 31, 2014 | 5.08% | = | 100 | × | 1,875) | ÷ | 36,918) |
| Dec 31, 2013 | 4.55% | = | 100 | × | 1,556) | ÷ | 34,182) |
| Dec 31, 2012 | 4.86% | = | 100 | × | 1,605) | ÷ | 33,013) |
| Dec 31, 2011 | 8.30% | = | 100 | × | 2,465) | ÷ | 29,682) |
Based on: 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31).
1 US$ in millions
Revenue demonstrated consistent growth from 2011 to 2021, nearly doubling from $29.68 billion to $58.75 billion. While top-line expansion was steady, the net profit margin exhibited significant volatility, characterized by an initial period of compression followed by a strong upward trajectory in the later years.
- Revenue Growth Trajectory
- A continuous upward trend in total revenues is observed throughout the analyzed period. Growth was persistent and incremental, with a notable acceleration occurring toward the end of the timeframe, culminating in a peak of $58.75 billion by December 31, 2021.
- Net Profit Margin Volatility
- The net profit margin experienced a sharp decline in the early part of the period, falling from 8.30% in 2011 to a low of 4.55% in 2013. Between 2014 and 2017, the margin remained relatively unstable, oscillating between 5.08% and 6.97%.
- Profitability Acceleration
- A period of significant margin expansion began in 2018, where the profit margin rose to 8.11%. Following this, the margin maintained a generally upward trend, reaching a peak of 11.84% in 2021, representing the highest level of profitability recorded since 2011.
- Net Income and Efficiency Trends
- Net income showed substantial variance, particularly between 2011 and 2017, where increases in revenue did not consistently translate into proportional increases in profit. However, the period from 2020 to 2021 marks a significant shift in efficiency, as net income nearly doubled from $3.75 billion to $6.96 billion, which directly drove the expansion of the net profit margin.
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Comparison to Competitors
| HCA Healthcare Inc. | Abbott Laboratories | Elevance Health Inc. | Intuitive Surgical Inc. | Medtronic PLC | UnitedHealth Group Inc. | |
|---|---|---|---|---|---|---|
| Dec 31, 2021 | 11.84% | 16.42% | 4.46% | 29.85% | 11.97% | 6.06% |
| Dec 31, 2020 | 7.28% | 12.99% | 3.78% | 24.33% | 16.56% | 6.03% |
| Dec 31, 2019 | 6.83% | 11.56% | 4.66% | 30.80% | 15.16% | 5.76% |
| Dec 31, 2018 | 8.11% | 7.74% | 4.11% | 30.29% | 10.36% | 5.33% |
| Dec 31, 2017 | 5.08% | 1.74% | 4.31% | 21.09% | 13.56% | 5.28% |
| Dec 31, 2016 | 6.97% | 6.71% | 2.93% | 27.21% | 12.27% | 3.81% |
| Dec 31, 2015 | 5.37% | 21.68% | 3.27% | 24.69% | 13.20% | 3.72% |
| Dec 31, 2014 | 5.08% | 11.28% | 3.52% | 19.65% | 18.02% | 4.33% |
| Dec 31, 2013 | 4.55% | 11.79% | 3.55% | 29.62% | 20.90% | 4.62% |
| Dec 31, 2012 | 4.86% | 14.95% | 4.37% | 30.14% | 22.35% | 5.03% |
| Dec 31, 2011 | 8.30% | 12.17% | 4.42% | 28.17% | 19.43% | 5.08% |
Based on: 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31).
Comparison to Sector (Health Care Equipment & Services)
HCA Healthcare Inc., net profit margin, long-term trends, comparison to sector (health care equipment & services)
| HCA Healthcare Inc. | Health Care Equipment & Services | |
|---|---|---|
| Dec 31, 2021 | 11.84% | 7.14% |
| Dec 31, 2020 | 7.28% | 6.82% |
| Dec 31, 2019 | 6.83% | 6.91% |
| Dec 31, 2018 | 8.11% | 5.87% |
| Dec 31, 2017 | 5.08% | 5.60% |
| Dec 31, 2016 | 6.97% | 4.73% |
| Dec 31, 2015 | 5.37% | 5.78% |
| Dec 31, 2014 | 5.08% | 5.76% |
| Dec 31, 2013 | 4.55% | 6.37% |
| Dec 31, 2012 | 4.86% | 8.05% |
| Dec 31, 2011 | 8.30% | 7.40% |
Based on: 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31).
Comparison to Industry (Health Care)
| HCA Healthcare Inc. | Health Care | |
|---|---|---|
| Dec 31, 2021 | 11.84% | 15.24% |
| Dec 31, 2020 | 7.28% | 10.27% |
| Dec 31, 2019 | 6.83% | 14.56% |
| Dec 31, 2018 | 8.11% | 12.61% |
| Dec 31, 2017 | 5.08% | 9.26% |
| Dec 31, 2016 | 6.97% | 12.80% |
| Dec 31, 2015 | 5.37% | 13.94% |
| Dec 31, 2014 | 5.08% | 14.40% |
| Dec 31, 2013 | 4.55% | 15.04% |
| Dec 31, 2012 | 4.86% | 13.92% |
| Dec 31, 2011 | 8.30% | 12.06% |
Based on: 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31).