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What Is HCA Healthcare's (NYSE:HCA) P/E Ratio After Its Share Price Rocketed?

HCA Healthcare (NYSE:HCA) shareholders are no doubt pleased to see that the share price has bounced 31% in the last month alone, although it is still down 21% over the last quarter. But shareholders may not all be feeling jubilant, since the share price is still down 13% in the last year.

Assuming no other changes, a sharply higher share price makes a stock less attractive to potential buyers. While the market sentiment towards a stock is very changeable, in the long run, the share price will tend to move in the same direction as earnings per share. So some would prefer to hold off buying when there is a lot of optimism towards a stock. One way to gauge market expectations of a stock is to look at its Price to Earnings Ratio (PE Ratio). Investors have optimistic expectations of companies with higher P/E ratios, compared to companies with lower P/E ratios.

See our latest analysis for HCA Healthcare

Does HCA Healthcare Have A Relatively High Or Low P/E For Its Industry?

HCA Healthcare's P/E of 12.25 indicates relatively low sentiment towards the stock. We can see in the image below that the average P/E (20.7) for companies in the healthcare industry is higher than HCA Healthcare's P/E.

NYSE:HCA Price Estimation Relative to Market May 1st 2020
NYSE:HCA Price Estimation Relative to Market May 1st 2020

Its relatively low P/E ratio indicates that HCA Healthcare shareholders think it will struggle to do as well as other companies in its industry classification. While current expectations are low, the stock could be undervalued if the situation is better than the market assumes. It is arguably worth checking if insiders are buying shares, because that might imply they believe the stock is undervalued.

How Growth Rates Impact P/E Ratios

Generally speaking the rate of earnings growth has a profound impact on a company's P/E multiple. That's because companies that grow earnings per share quickly will rapidly increase the 'E' in the equation. Therefore, even if you pay a high multiple of earnings now, that multiple will become lower in the future. A lower P/E should indicate the stock is cheap relative to others -- and that may attract buyers.

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HCA Healthcare's earnings per share fell by 16% in the last twelve months. But EPS is up 13% over the last 5 years.

A Limitation: P/E Ratios Ignore Debt and Cash In The Bank

One drawback of using a P/E ratio is that it considers market capitalization, but not the balance sheet. Thus, the metric does not reflect cash or debt held by the company. Hypothetically, a company could reduce its future P/E ratio by spending its cash (or taking on debt) to achieve higher earnings.

While growth expenditure doesn't always pay off, the point is that it is a good option to have; but one that the P/E ratio ignores.

So What Does HCA Healthcare's Balance Sheet Tell Us?

HCA Healthcare has net debt worth 91% of its market capitalization. If you want to compare its P/E ratio to other companies, you should absolutely keep in mind it has significant borrowings.

The Verdict On HCA Healthcare's P/E Ratio

HCA Healthcare trades on a P/E ratio of 12.2, which is below the US market average of 14.9. Given meaningful debt, and a lack of recent growth, the market looks to be extrapolating this recent performance; reflecting low expectations for the future. What we know for sure is that investors have become more excited about HCA Healthcare recently, since they have pushed its P/E ratio from 9.3 to 12.2 over the last month. If you like to buy stocks that have recently impressed the market, then this one might be a candidate; but if you prefer to invest when there is 'blood in the streets', then you may feel the opportunity has passed.

Investors should be looking to buy stocks that the market is wrong about. As value investor Benjamin Graham famously said, 'In the short run, the market is a voting machine but in the long run, it is a weighing machine. So this free visualization of the analyst consensus on future earnings could help you make the right decision about whether to buy, sell, or hold.

But note: HCA Healthcare may not be the best stock to buy. So take a peek at this free list of interesting companies with strong recent earnings growth (and a P/E ratio below 20).

If you spot an error that warrants correction, please contact the editor at editorial-team@simplywallst.com. This article by Simply Wall St is general in nature. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. Simply Wall St has no position in the stocks mentioned.

We aim to bring you long-term focused research analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Thank you for reading.