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HCA Healthcare HCA Q4 2025 Annual earnings

Reported January 27, 2026 · Before market open

Revenue$19.5BMiss by $171.9M
EPS$8.01Beat by $0.55
Revenue estimate$19.7B
EPS estimate$7.46

Next report

Jan 26, 2027 (in 3 months)
Revenue estimate$19.9B
EPS estimate$8.08

Financials

Q4 2025

Income statement

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Revenue$19.5B+6.7%
Net income$1.9B+30.6%
EPS (diluted)$8.10+43.9%

Balance sheet

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Cash & equivalents$1.0B-46.2%
Total debt$54.3B+7.1%
Total equity-$6.0B-141%
Total assets$60.7B+2.0%

Cash flow

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Operating cash flow$2.4B-7.8%
CapEx$1.5B+15.9%
Free cash flow$870.0M-31.7%

Valuation & ratios

Valuation

as of 12/31/25
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Market cap$106.53B+40.1%
Enterprise value$159.84B+28.1%
P/E15.7×+2.5×
P/S1.4×+0.3×

Profitability

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Net margin9%+0.8pp
FCF margin10.2%+2.2pp

Returns & leverage

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Current ratio1×-0.1×

Segments

By segment

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American Group$6.9B+3.6%
Atlantic Group$6.3B+1.3%
National Group$5.5B+7.4%
Corporate And Other$814.0M+184%

FAQ

When did HCA Healthcare report Q4 2025 earnings?
HCA Healthcare (HCA) reported Q4 2025 earnings on January 27, 2026 before market open.
What were HCA Healthcare's Q4 2025 revenue and EPS?
HCA Healthcare reported revenue of $19.5B and eps of $8.01 for Q4 2025.
Did HCA Healthcare beat estimates in Q4 2025?
Revenue missed the consensus estimate of $19.7B by $171.9M. EPS beat the consensus estimate of $7.46 by $0.55.
How did HCA Healthcare's Q4 2025 results compare year-over-year?
Compared to the same quarter a year prior, revenue grew 6.7% from $18.3B a year earlier and eps grew 28.8% from $6.22.
Where can I find HCA Healthcare's Q4 2025 SEC filings?
You can read the 8-K earnings release (0001193125-26-023323) and the 10-K periodic report (0001193125-26-044769) directly on SEC EDGAR. The filing index links above go to sec.gov.