Capital Allocation at HCA

Capital Allocation at HCA

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Publication Date:
January 15, 2018

Industry:
Healthcare

Source:
Harvard Business School

In early 2017, HCA Holdings, an investor-owned hospital managet company, faced a stratecally important capital allocation decision. After the exit of its private equity s in 2016, HCA had to determine how best to allocate its substantial free cash flows among several competing alternatives. Equity analysts and some mutual fund investors were clamoring for the company to initiate regular quarterly dividends, while some other h fund investors were eager to see more share repurchases. Other choices being advocated by various parties included reducing leverage to improve HCA’s credit rating to investt grade, spurring growth by initiating a major acquisition program or reinvesting heavily in existing markets to enhance HCA’s strong competitive position. These choices had to be made in the face of uncertainty about the future of healthcare regulation and policy following the 2016 U.S. presidial election, and in the context of its closest publicly traded peers struggling with heavy debt burdens. HCA’s capital allocation choices would be crucial to its ability to provide high quality health care to patis, implet its corporate strategy and de value to shareholders.

Copyright © 2021 Harvard Business School Publishing. All rights reserved. Harvard Business Publishing is an affiliate of Harvard Business School.

Capital Allocation at HCA


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