HCA
HCA Healthcare Inc.
Is HCA Halal?
Hospital operator with a generally permissible healthcare core; current total-assets debt screens fail.
What You Should Know
HCA operates hospitals, surgery centers, endoscopy centers and outpatient services. Debt/assets are 78.15%, above the examined total-assets limits; liquidity is 2.16% and receivables plus cash are 19.96%. Gross interest income and a universal prohibited-revenue allocation are unavailable.
⚠️ Concerns
- •Debt/assets are 78.15% and exceed examined total-assets limits
- •Quarterly interest expense is $584 million; gross interest income is not separately disclosed
- •Insurance-subsidiary debt securities and money-market funds require methodology-specific treatment
- •Patient receivables and reimbursement concentration are material
- •Elective, behavioral-health, pharmacy and facility-level activity is not fully disaggregated
- •Patient safety, privacy, malpractice, staffing and charity-care obligations require continuing review
Current quantitative Sharia screen
Based on 10-Q figures for the period ended 2026-03-31; calculated 2026-07-13.
48,023 / 61,450
1,327 / 61,450
12,264 / 61,450
- Financial
- Fails
- Overall
- Fails
Debt is 78.15%, above the examined FTSE 33.333% asset limit. Liquidity is 2.16% and receivables plus cash are 19.96%; gross interest income is unavailable, but the debt failure is decisive.
- Financial
- Fails
- Overall
- Fails
Debt is 78.15%, above the examined MSCI total-assets limit. Liquidity is 2.16% and receivables plus cash are 19.96%. This is a calculation against the named method, not an index-membership claim; business and income allocation remain incomplete.
- Financial
- Fails
- Overall
- Fails
Debt is 78.15%, above the examined 33% Malaysia SAC financial limit; identifiable liquidity is 2.16%. This is a calculation against SAC ratios, not an official classification of a U.S.-listed security; screened business revenue remains unavailable.
- Financial
- Not calculated
- Overall
- Not calculated
A properly licensed and reproducible historical market-cap series is not stored, so these methods are not estimated from a current spot price.
Business-activity disclosure
HCA owns and operates hospitals, surgery centers, endoscopy centers and outpatient and ancillary healthcare services. Medical care is generally permissible and socially beneficial; the filing does not disclose a conventional lending or financial-services segment.
Limitation: The filing reports consolidated healthcare revenue and facility operations but does not quantify a universal prohibited-revenue numerator by elective procedure, behavioral-health service, pharmacy, payer, patient end use or affiliate activity.
Purification
HCA does not separately disclose gross interest income and does not provide a universal activity-level allocation for every healthcare service or facility. No fixed purification percentage is prescribed here; readers should follow the scholar or methodology they use.
Inputs, assumptions and primary sources
- Debt uses HCA's disclosed $48.023 billion total debt: $3.650 billion of commercial paper and $44.373 billion of long-term debt net of issuance costs and discounts. Operating lease obligations are not entered as conventional debt.
- Cash uses $940 million of cash and cash equivalents. The balance sheet separately reports $387 million of insurance-subsidiary investments; these include debt securities and money-market funds and are entered as interest-bearing securities without double-counting cash.
- Receivables use $11.324 billion of accounts receivable. HCA's patient-revenue cycle, insurance reimbursement and government-program receivables are not treated as a financing arm.
- Revenue uses $19.109 billion for the quarter ended March 31, 2026. HCA operates hospitals, surgery centers, endoscopy centers and extensive outpatient and ancillary services.
- The filing reports $584 million of interest expense but does not separately disclose gross interest income. The income input is therefore unavailable rather than estimated.
- HCA's healthcare services are generally permissible, but the filing does not quantify every elective, behavioral-health, pharmacy, payer, patient or facility activity into a universal prohibited-revenue numerator.
This is a reproducible financial screen, not a fatwa. A failed total-assets screen can coexist with a pass under a market-cap methodology. ZakatInvest keeps the qualitative assessment separate so numerical thresholds do not erase material context.
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