Financials · HCA

HCA Healthcare Inc. (HCA) financials

For the twelve months ended Sep 30, 2026, HCA Healthcare Inc. reported $78.70B of revenue and $6.78B of net income.

Revenue, TTM
$78.70B
Revenue growth, YoY
+5.8%
Net income, TTM
$6.78B
Net income growth, YoY
+6.8%
Net margin
8.6%
Free cash flow, TTM
$5.97B
EPS, diluted, TTM
$30.13
EPS growth, YoY
+16.3%
Cash
$908.00M
Total debt
$50.49B
P/E
15.26
P/S
1.31
Market cap
$103.40B
Annual revenue$75.60B
FY2016FY2025
Annual net income$6.78B
FY2016FY2025
Annual free cash flow$7.69B
FY2016FY2025

HCA revenue and earnings growth

HCA revenueQ3 2026$19.85B

Quarter YoY
+3.6%
QoQ
-1.9%
FY YoY
+7.1%
5Y CAGR
+8.0%

HCA revenue was $19.85B in fiscal Q3 2026 (ended Sep 30, 2026), up 3.6% from a year earlier and down 1.9% from the prior quarter. For the full fiscal 2025 it was $75.60B, up 7.1% from fiscal 2024. Compound annual growth was +8.0% over 5 years. It rose in each of the last 9 fiscal years. Fiscal 2025 is the highest of the 10 fiscal years on file.

HCA net incomeQ3 2026$1.58B

Quarter YoY
-3.9%
QoQ
-7.1%
FY YoY
+17.8%
5Y CAGR
+12.6%
10Y CAGR
+12.3%

HCA net income was $1.58B in fiscal Q3 2026 (ended Sep 30, 2026), down 3.9% from a year earlier and down 7.1% from the prior quarter. For the full fiscal 2025 it was $6.78B, up 17.8% from fiscal 2024. Compound annual growth was +12.6% over 5 years and +12.3% over 10 years. It rose in 6 of the last 10 fiscal years.

HCA EPSQ3 2026$7.27

Quarter YoY
+4.5%
QoQ
-4.6%
FY YoY
+28.8%
5Y CAGR
+21.0%
10Y CAGR
+19.0%

HCA diluted EPS was $7.27 in fiscal Q3 2026 (ended Sep 30, 2026), up 4.5% from a year earlier and down 4.6% from the prior quarter. For the full fiscal 2025 it was $28.33, up 28.8% from fiscal 2024. Compound annual growth was +21.0% over 5 years and +19.0% over 10 years.

HCA free cash flowQ3 2026$3.10B

Quarter YoY
-0.8%
QoQ
+181.2%
FY YoY
+36.4%
5Y CAGR
+3.8%
10Y CAGR
+12.5%

HCA free cash flow was $3.10B in fiscal Q3 2026 (ended Sep 30, 2026), down 0.8% from a year earlier and up 181.2% from the prior quarter. For the full fiscal 2025 it was $7.69B, up 36.4% from fiscal 2024. Compound annual growth was +3.8% over 5 years and +12.5% over 10 years. It rose in 7 of the last 10 fiscal years. Fiscal 2025 is the highest of the 15 fiscal years on file.

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Income statement

Income statement
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue$75.60B$70.60B$64.97B$60.23B$58.75B$51.53B$51.34B$46.68B$43.61B$41.49B
Selling, general and admin$548.00M$421.00M$353.00M$307.00M$337.00M$416.00M$370.00M$344.00M$340.00M$343.00M
Interest expense$2.25B$2.06B$1.94B$1.74B$1.57B$1.58B$1.82B$1.75B$1.69B$1.71B
Pre-tax income$9.83B$8.52B$7.71B$8.58B$9.83B$5.43B$5.24B$5.33B$4.38B$4.81B
Income tax$2.05B$1.87B$1.61B$1.75B$2.11B$1.04B$1.10B$946.00M$1.64B$1.38B
Net income$6.78B$5.76B$5.24B$5.64B$6.96B$3.75B$3.50B$3.79B$2.22B$2.89B
EPS, basic$28.70$22.27$19.25$19.43$21.52$11.10$10.27$10.90$6.12$7.53
EPS, diluted$28.33$22.00$18.97$19.15$21.16$10.93$10.07$10.66$5.95$7.30
Diluted shares239.5M261.8M276.4M294.7M328.8M343.6M348.2M355.3M372.2M395.9M

Balance sheet

Balance sheet
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Cash and equivalents$1.04B$1.93B$935.00M$908.00M$1.45B$1.79B$621.00M$502.00M$732.00M$646.00M
Receivables$10.87B$10.75B$9.96B$8.89B$8.10B$7.05B$7.38B$6.79B$6.50B$5.83B
Inventory$1.65B$1.74B$2.02B$2.07B$1.99B$2.02B$1.85B$1.73B$1.57B$1.50B
Current assets$15.78B$16.41B$14.93B$13.64B$13.54B$12.33B$11.20B$10.21B$9.98B$9.09B
Total assets$60.72B$59.51B$56.21B$52.44B$50.74B$47.49B$45.06B$39.21B$36.59B$33.76B
Current liabilities$16.35B$15.18B$12.65B$9.90B$9.58B$8.70B$7.76B$7.57B$6.16B$5.83B
Short-term debt$4.89B$4.70B$2.42B$370.00M$237.00M$209.00M$145.00M$788.00M$200.00M$216.00M
Long-term debt$41.60B$38.33B$37.17B$37.71B$34.34B$30.80B$33.58B$32.03B$32.86B$31.16B
Total debt$46.49B$43.03B$39.59B$38.08B$34.58B$31.00B$33.72B$32.82B$33.06B$31.38B
Total liabilities$63.49B$58.96B$55.15B$52.51B$49.25B$44.60B$45.62B$42.13B$41.59B$39.39B
Shareholders' equity-$6.03B$555.00M$1.06B-$73.00M$1.49B$2.89B-$565.00M-$2.92B-$5.00B-$5.63B

Cash flow

Cash flow
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Operating cash flow$12.64B$10.51B$9.43B$8.52B$8.96B$9.23B$7.60B$6.76B$5.43B$5.65B
Capital expenditures$4.94B$4.88B$4.74B$4.39B$3.58B$2.83B$4.16B$3.57B$3.02B$2.76B
Free cash flow$7.69B$5.64B$4.69B$4.13B$5.38B$6.40B$3.44B$3.19B$2.41B$2.89B
Investing cash flow-$4.99B-$4.93B-$5.32B-$3.39B-$2.64B-$3.39B-$5.72B-$3.90B-$4.28B-$3.24B
Financing cash flow-$8.55B-$4.58B-$4.09B-$5.66B-$6.66B-$4.68B-$1.77B-$3.08B-$1.06B-$2.51B
Dividends paid$679.00M$690.00M$661.00M$653.00M$624.00M$153.00M$550.00M$487.00M$0-
Share repurchases$10.07B$6.04B$3.81B$7.00B$8.21B$441.00M$1.03B$1.53B$2.05B$2.75B
Stock-based compensation$401.00M$360.00M$262.00M$341.00M$440.00M$362.00M$347.00M$268.00M$270.00M$251.00M
Depreciation and amortization$3.52B$3.31B$3.08B$2.97B$2.85B$2.72B$2.60B$2.28B$2.13B$1.97B

Key ratios

Key ratios
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue growth, YoY7.1%8.7%7.9%2.5%14.0%0.4%10.0%7.0%5.1%-
Net income growth, YoY17.8%9.9%-7.1%-18.9%85.3%7.1%-7.4%70.9%-23.3%35.7%
EPS growth, YoY28.8%16.0%-0.9%-9.5%93.6%8.5%-5.5%79.2%-18.5%46.3%
Net margin9.0%8.2%8.1%9.4%11.8%7.3%6.8%8.1%5.1%7.0%
Free cash flow margin10.2%8.0%7.2%6.9%9.2%12.4%6.7%6.8%5.5%7.0%
Return on equity-1037.8%494.5%-467.2%129.8%----
Return on assets11.2%9.7%9.3%10.8%13.7%7.9%7.8%9.7%6.1%8.6%
Current ratio0.971.081.181.381.411.421.441.351.621.56
Debt to equity-77.5337.35-23.2210.72----

Source: XBRL data HCA Healthcare Inc. files with the SEC, latest filing dated Oct 29, 2026 (see filings on SEC EDGAR). Provided for information only, not investment advice. Check the filing before relying on a number.

* Worked out from the filings rather than stated in them: Q4 is the full year less the first nine months.

Per-share figures are as filed. The filings show no stock split in these periods.

EPS growth is left out where the share count moved enough to suggest a split the filings do not show. Growth rates need a positive starting figure. CAGR is compound annual growth between fiscal years. The CSV holds every period on file, in full figures, from the same SEC filings.

HCA peers

CompanyRevenueGrowthNet incomeNet marginMarket cap
HCA$78.70B+5.8%$6.78B8.6%$103.40B
THC$22.15B+6.2%$2.90B13.1%$22.55B
EHC$6.34B+9.4%$644.40M10.2%$13.50B
UHS$18.35B+8.0%$1.46B8.0%$11.52B
ENSG$5.67B+17.5%$399.12M7.0%$10.56B
PACS$5.71B+11.0%$277.58M4.9%$7.87B
NHC$1.58B+5.6%$115.13M7.3%$3.27B
SGRY$3.37B+4.0%-$88.60M-2.6%$3.04B
MD$1.96B+1.9%$150.09M7.7%$2.44B

HCA FAQ

8 questions
  • What is HCA revenue?
    HCA Healthcare Inc. (HCA) reported $78.70B of revenue for the twelve months ended Sep 30, 2026. That is up 5.8% from the year before. Revenue for fiscal 2025 was $75.60B.
  • Is HCA profitable?
    Yes. HCA Healthcare Inc. earned $6.78B in net income for the twelve months ended Sep 30, 2026, a net margin of 8.6%.
  • How much cash and debt does HCA have?
    HCA Healthcare Inc. reported $908.00M in cash and cash equivalents and $50.49B of debt on its most recent balance sheet in SEC filings.
  • How fast is HCA revenue growing?
    HCA Healthcare Inc.'s revenue changed +7.1% in fiscal 2025, to $75.60B. Its compound annual growth rate was +8.0% over 5 years.
  • What is HCA free cash flow?
    HCA Healthcare Inc. generated $5.97B of free cash flow for the twelve months ended Sep 30, 2026, which is operating cash flow of $11.17B less capital expenditures.
  • What is HCA earnings per share?
    Diluted earnings per share were $30.13 for the twelve months ended Sep 30, 2026, from SEC filings, restated for any stock split those filings show.
  • When did HCA last report financial results?
    The latest statements here come from HCA Healthcare Inc.'s 10-Q filed on Oct 29, 2026, covering the period ended Sep 30, 2026.
  • Where does this HCA financial data come from?
    Quantisnow builds these statements from the structured XBRL data HCA Healthcare Inc. files with the SEC. It is provided for information only and is not investment advice.