HCA Healthcare, Inc. (HCA) Earnings History

HCA Healthcare, Inc. - Q3 2025 Earnings

Filed at: Oct 23, 2025, 8:00 PM EDT|Read from source

EXECUTIVE SUMMARY

HCA Healthcare reported a strong third quarter with significant increases in revenue, net income, and EPS, leading to a raised full-year guidance. The company's operational execution and focus on patient care contributed to positive financial results.

POSITIVE HIGHLIGHTS

  • •

    Revenues increased 9.6% to $19.161 billion compared to the prior year period.

    positive
  • •

    Net income attributable to HCA Healthcare, Inc. increased 29.4% to $1.643 billion.

    positive
  • •

    Diluted earnings per share increased 42.6% to $6.96 per diluted share.

    positive
  • •

    Adjusted EBITDA increased 18.5% to $3.870 billion.

    positive
  • •

    Same facility admissions increased 2.1% and same facility equivalent admissions increased 2.4%.

    positive
  • •

    Full-year 2025 guidance was raised for revenues, net income, Adjusted EBITDA, and diluted EPS.

    positive

CONCERNS & RISKS

  • •

    Losses on sales of facilities were $2 million in Q3 2025, compared to $4 million in Q3 2024, indicating a slight increase in asset disposals.

    attention
  • •

    The company's balance sheet shows total debt of $44.511 billion as of September 30, 2025, which is a significant leverage.

    attention
  • •

    While not a direct concern for the quarter, the forward-looking statements mention numerous risks including inflation, healthcare policy changes, and potential reductions in Medicare/Medicaid payments, which could impact future performance.

    attention

FINANCIAL METRICS

Revenue
Quarterly
$19.16B
+9.6%
Prior year: $17.49B
Annual (YTD)
$56.09B
N/A
Prior year: $52.32B
Net Income
Quarterly
$1.64B
+29.4%
Prior year: $1.27B
Annual (YTD)
$4.91B
N/A
Prior year: $4.32B
EPS (Diluted)
Quarterly
$6.96
+42.6%
Prior year: $4.88
Annual (YTD)
$20.23
N/A
Prior year: $16.37
Operating Income
Quarterly
N/A
N/A
EPS (Basic)
Quarterly
N/A
N/A

MARGIN ANALYSIS

Operating Margin
Current Quarter
12.6%
Prior Year
10.9%
YoY Change
+170 bps
Net Margin
Current Quarter
8.6%
Prior Year
7.3%
YoY Change
+131 bps

Margin expansion indicates improving profitability and operational efficiency. Measured in basis points (bps): 100 bps = 1.0%.

MANAGEMENT GUIDANCE

FY 2025

revenues
$75000000.0B—$76500000.0B
Mid-point: $75750000.0B
"Raised from previous guidance of $74.0B to $76.0B"
net_income_attributable_to_HCA_Healthcare_Inc
6,495,000,000—6,715,000,000
Mid-point: 6,605,000,000
"Raised from previous guidance of $6.11B to $6.48B"
adjusted_ebitda
15,250,000,000—15,650,000,000
Mid-point: 15,450,000,000
"Raised from previous guidance of $14.7B to $15.3B"
eps_diluted
$27.00—$28.00
Mid-point: $27.50
"Raised from previous guidance of $25.50 to $27.00"

Forward-looking guidance is subject to change and does not constitute a guarantee. Actual results may differ materially from these estimates.

SPECIAL ITEMS & ADJUSTMENTS

Q3 2025
Losses on sales of facilities
Minimal impact
+$2M
Q3 2024
Losses on sales of facilities
Minimal impact
+$4M
$0.02 per share
Nine Months Ended Sep 30, 2025
Losses on sales of facilities
Minimal impact
+$4M
$0.01 per share
Nine Months Ended Sep 30, 2024
Gains on sales of facilities
Positive impact on prior year results
+$209M
$0.61 per share
Q3 2024
Expenses and loss of revenues associated with Hurricane Helene
Negative impact on prior year results
+$50M
$0.15 per share
Total Impact
+$269M$0.79 per share

Special items are non-recurring events that may distort period-over-period comparisons. Analysts typically adjust for these when calculating normalized earnings.

MANAGEMENT COMMENTARY

Teams continued to execute the agenda at a high level, remaining disciplined in efforts to improve patient care.

— HCA Healthcare, Inc., Q3 2025 2025 Earnings Call

Investments in advanced technology and training of people are key focus areas.

— HCA Healthcare, Inc., Q3 2025 2025 Earnings Call

Outcomes were better across many operational measures, including quality and key stakeholders' satisfaction.

— HCA Healthcare, Inc., Q3 2025 2025 Earnings Call

Commentary excerpts from earnings call transcripts provide management's perspective on performance, strategy, and outlook. Always review full transcripts for complete context.

OPERATIONAL METRICS

Same Facility Admissions
2.1
percent
Same Facility Emergency Room Visits
1.3
percent
Same Facility Equivalent Admissions
2.4
percent
Same Facility Inpatient Surgeries
1.4
percent
Same Facility Outpatient Surgeries
1.1
percent
Same Facility Revenue Per Equivalent Admission
6.6
percent

Operational metrics provide insight into business drivers and customer engagement beyond traditional financial measures.

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