Early Access

10-KPeriod: FY2025

HCA Healthcare, Inc. Annual Report, Year Ended Dec 31, 2025

Filed February 10, 2026For Securities:HCA

Summary

HCA Healthcare, Inc. (HCA) reported strong financial performance for the fiscal year ended December 31, 2025, with revenues increasing to $75.6 billion, a 7.1% rise year-over-year. Net income attributable to HCA Healthcare, Inc. also saw a significant increase, reaching $6.784 billion, up from $5.760 billion in the prior year. This growth was driven by a combination of increased patient volumes, evidenced by a 2.9% rise in equivalent admissions, and an improved revenue per equivalent admission of 4.0%. The company continues to execute its growth strategy, focusing on expanding its presence in existing markets, enhancing operational excellence, and investing in digital and AI capabilities to drive efficiency and improve patient care. Despite a challenging macroeconomic environment marked by inflationary pressures and increasing labor costs, HCA Healthcare demonstrated resilience. The company's strategic investments in its workforce and operational efficiency have helped mitigate some of these pressures. Management remains focused on long-term value creation for stockholders, supported by ongoing share repurchase programs and a consistent dividend. Key risks to monitor include the evolving regulatory landscape, labor market dynamics, and cybersecurity threats, all of which the company actively manages.

Financial Statements
Beta
Revenue$75.60B
Operating Expenses$65.77B
Interest Expense$2.25B
Net Income$6.78B
EPS (Basic)$28.70
EPS (Diluted)$28.33
Shares Outstanding (Basic)236.41M
Shares Outstanding (Diluted)239.50M

Key Highlights

  • 1HCA Healthcare reported a 7.1% increase in consolidated revenues to $75.6 billion for the year ended December 31, 2025.
  • 2Net income attributable to HCA Healthcare, Inc. rose by 17.8% to $6.784 billion in 2025.
  • 3Equivalent admissions increased by 2.9% year-over-year, indicating growth in patient volumes.
  • 4Revenue per equivalent admission grew by 4.0%, reflecting favorable pricing and service mix.
  • 5The company continued its aggressive share repurchase program, repurchasing 26.7 million shares in 2025.
  • 6Salaries and benefits, while a significant cost, decreased as a percentage of revenue to 43.5% in 2025 from 44.1% in 2024.
  • 7HCA Healthcare is actively investing in digital and AI capabilities to improve operations and patient care.

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