HCA Healthcare, Inc.: Beat — EPS $7.22, Revenue $19.85B

HCAHCA Healthcare, Inc.•Q3 2026•Oct 27, 2026, 7:00 AM EDT
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Earnings BeatQ3 2026 · Pre-market

Did HCA Healthcare, Inc. (HCA) beat earnings today?

@trystockwhiz

Yes, HCA Healthcare, Inc. (HCA) beat Wall Street analyst expectations for Q3 2026, reporting higher-than-expected EPS and higher-than-expected revenue.

Earnings Per Share+8.90% surprise
$7.22Actual
Expected: $6.63
vs. year ago +3.7%
Total Revenue+2.68% surprise
$19.85BActual
Expected: $19.33B
vs. year ago +3.6%
Released Oct 27 · 7:00 AM ET

Earning Report

MetricQ3 2026Q3 2025YoY Change %
Revenues$19.85B$19.16B+3.6%
Net Income$1.58B$1.64B-3.9%
GAAP Diluted EPS$7.27$6.96+4.5%
Adj. Diluted EPS$7.22$6.96+3.7%

Financial Outlook / Guidance

MetricNext Quarter OutlookFY2026 Outlook
Revenues—$77,000M-$79,500M
Net Income—$6,300M-$6,700M
Depreciation and amortization—$3,745M-$3,795M
Interest expense—$2,410M-$2,470M
Net income attributable to noncontrolling interests—$970M-$1,010M
Adjusted EBITDA—$15,400M-$16,100M
Diluted earnings per share—$28.70-$30.50
Shares used in computing diluted earnings per share—219.500M

Business Highlights

  • ➤Same-facility admissions increased 2.7% and equivalent admissions increased 3.0%.
  • ➤Same-facility emergency room visits increased 5.1%.
  • ➤The company experienced a payer-mix shift from increased uninsured volume.
  • ➤Patients losing exchange coverage primarily drove the uninsured-volume increase.
  • ➤Same-facility insured revenue per equivalent admission improved, excluding Medicaid supplemental programs.
  • ➤The company repurchased 7.230 million shares during the quarter.
  • ➤Approximately $4.240 billion remained under the repurchase authorization.
  • ➤The Board declared a $0.78 per-share quarterly cash dividend.
  • ➤HCA operated 189 hospitals and approximately 2,600 ambulatory sites.
  • ➤Operations spanned 19 states and the United Kingdom.

Management Commentary

Sam Hazen, Chief Executive Officer of HCA Healthcare

“I have often mentioned that HCA has strong staying power because of our scale, the important role we play in providing critical services to communities, and our disciplined culture. Despite the challenges brought about by federal policy changes this year, our colleagues have continued to provide high-quality care to patients, and we believe HCA Healthcare is positioned to end the year positively.”