FN2 Earnings Intelligence

HCA Healthcare, Inc. earnings overview

Latest HCA Healthcare, Inc. (HCA) earnings intelligence, including the newest scorecard, market reaction, and transcript analysis.

Next reportHCA Healthcare, Inc. reports Tuesday, Oct 27, 2026 · Before market openConsensus EPS $6.65 · consensus revenue $19.33B
HCA FY2026 Q2 · Calendar Q3 2026

HCA Healthcare, Inc.

HCA Healthcare's Q2 2026 results tell a two-sided story. The company beat both EPS ($7.59 vs $7.56) and revenue ($20.23B vs $19.76B) estimates, yet management lowered full-year guidance for 2026. The central tension is payer-mix: the expiration of enhanced premium tax credits triggered a near 1-for-1 migration of exchange patients to uninsured status, driving an approximately $400M adjusted EBITDA headwind. Partially offsetting this, the newly approved Florida Medicaid supplemental payment program contributed a $540M net benefit in Q2. Simultaneously, HCA announced a $7B three-year capital expenditure plan to add 1,000-1,200 inpatient beds and 250-300 outpatient facilities. The stock's 9.4% subsequent drift upward suggests the market viewed the Florida Medicaid approval and capacity investment as outweighing the guidance reduction. The resiliency program continues to deliver cost…

EPS surprise+0.4%
Market move+1.5%
HCA FY2026 Q1 · Calendar Q2 2026

HCA Healthcare, Inc.

The supplied analysis supports a balanced view: HCA's demand and earnings trajectory remained resilient enough for management to maintain guidance, but the near-term evidence also shows reliance on Medicaid supplemental payments and cost initiatives to offset softer volume and payer-related pressure.

EPS surprise+0.4%
Market move-8.8%
HCA FY2025 Q4 · Calendar Q1 2026

HCA Healthcare, Inc.

HCA enters 2026 with continued volume growth and planned capacity, digital, and AI investment, but the durability of earnings growth depends on offsetting exchange and Medicaid policy headwinds through operating savings and execution.

EPS surprise+7.4%
Market move+7.1%
HCA FY2025 Q3 · Calendar Q4 2025

HCA Healthcare, Inc.

The quarter supports a constructive operating case for HCA: demand was broad-based, guidance was raised, and supplemental payments and efficiency programs added support. The key qualification is that part of the outlook depends on reimbursement programs and other policy-sensitive factors, while regional, labor, and integration risks remain.

EPS surprise+20.2%
Market move+1.6%
HCA FY2025 Q2 · Calendar Q3 2025

HCA Healthcare, Inc.

The supplied analysis supports a constructive near-term operating thesis: strong demand, improved payer mix, outpatient growth, and recovery in hurricane-affected markets helped HCA raise guidance. The evidence is balanced by policy, reimbursement, volume, and labor uncertainties that could affect durability.

EPS surprise+8.7%
Market move-2.1%
HCA FY2025 Q1 · Calendar Q2 2025

HCA Healthcare, Inc.

The supplied analysis supports a constructive operating thesis for HCA: broad-based volume growth, payer-mix improvement, operating leverage, and capacity investment were paired with maintained guidance. The main qualification is continued exposure to policy, reimbursement, labor, tariff, and hurricane uncertainty.

EPS surprise—
Market move-4.0%
HCA FY2024 Q4 · Calendar Q1 2025

HCA Healthcare, Inc.

HCA's current evidence supports a constructive operating thesis: service demand, network expansion, cash generation, and efficiency initiatives provide several growth levers. The case is less secure if supplemental payments weaken, weather costs recur, payer mix deteriorates, or policy changes pressure outpatient economics.

EPS surprise—
Market move-3.8%

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