HCA Healthcare (HCA) official guidance
HCA Healthcare (HCA) official earnings guidance and management outlook. Each figure management stated is shown with its revisions and the source quote.
See the full Filings Intelligence suiteHCAHCA Healthcare, Inc.FY2027 · ends 2027-12-31
3 metrics3 newearnings call · 3d
2026-10-27 15:21:56 UTCfavorable cost performancenew
Last, we anticipate favorable cost performance, primarily due to our ongoing enterprise-wide resiliency program and the operating leverage from the expected volume growth.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
2026-10-27 15:21:56 UTCgenerally consistent with 2026new
When we aggregate these preliminary observations, we anticipate our earnings in 2027 will be generally consistent with 2026.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
2026-10-27 15:21:56 UTCa bit of a modest impactnew
The net of all of that, while we are not quite ready to size it in terms of earnings impact, we do think that work requirements specifically would have a bit of a modest impact in full year 2027.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
HCAHCA Healthcare, Inc.FY2026 · ends 2026-12-31
1 metric1 raisedearnings call · 3d
2026-10-27 15:21:56 UTC$600M – $800Mraised +75.0%
We now expect the incremental net benefit from Medicaid supplemental payment programs to be between $600 million and $800 million for the full year of 2026.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
2026-07-25 04:01:27 UTC$300M – $500Mmaintained
Medicaid supplemental payment programs net benefit between $300 million and $500 million.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$300M – $500Mmaintained
| Medicaid Supplemental Payment Programs | ($50) to ($250) million | $300 to $500 million |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$300M – $500Mnew
| Medicaid Supplemental Payment Programs | ($50) to ($250) million | $300 to $500 million |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
HCAHCA Healthcare, Inc.FY2027 · ends 2027-12-31
2 metrics2 newearnings call · 3d
2026-10-27 15:21:56 UTC-$650M – -$550Mnew
Next, we expect to receive approximately $550 million-$650 million less in Medicaid supplemental payment net benefits due to various state programs that received grandfather approvals in 2026 and reimbursed us for services we provided in prior years.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
2026-10-27 15:21:56 UTC2% – 3%new2% – 3% vs FY2026
First, we expect demand for services to remain strong with volume growth forecasted to be 2%-3%.
HCA · transcript · Q3 FY2026
2026-10-27 15:21:00 UTCOpen source
HCAHCA Healthcare, Inc.FY2026 · ends 2026-12-31
10 metrics10 maintainedearnings release · 3d
2026-10-27 11:18:12 UTC$3.7B – $3.8Bmaintained
| Depreciation and amortization | | 3,745 | | 3,795 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-24 11:46:45 UTC$3.7B – $3.8Bmaintained
| Depreciation and amortization | | 3,745 | | 3,795 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$3.7B – $3.8Braised +0.8%
| Depreciation and amortization | | 3,745 | | 3,795 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$3.7B – $3.8Bmaintained
| Depreciation and amortization | | 3,705 | | 3,775 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-27 12:13:45 UTC$3.7B – $3.8Bnew
| Depreciation and amortization | | 3,705 | | 3,775 |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC219.5Mmaintained-4.9% vs FY2025
| Shares used in computing diluted earnings per share (millions) | | 219.500 | | 219.500 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-24 11:46:45 UTC219.5Mmaintained-4.9% vs FY2025
| Shares used in computing diluted earnings per share (millions) | | 219.500 | | 219.500 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC219.5Mlowered -1.8%-4.9% vs FY2025
| Shares used in computing diluted earnings per share (millions) | | 219.500 | | 219.500 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC223.5Mmaintained-3.1% vs FY2025
| Shares used in computing diluted earnings per share (millions) | | 223.500 | | 223.500 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-27 12:13:45 UTC223.5Mnew
| Shares used in computing diluted earnings per share (millions) | | 223.500 | | 223.500 |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$15.4B – $16.1Bmaintained
| Adjusted EBITDA (a) (b) | $ | 15,400 | | 16,100 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-25 04:01:27 UTC$15.4B – $16.1Bmaintained
Adjusted EBITDA between $15.4 billion and $16.1 billion.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$15.4B – $16.1Bmaintained
| Adjusted EBITDA (a) (b) | $ | 15,400 | | 16,100 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$15.4B – $16.1Blowered -1.6%
| Adjusted EBITDA (a) (b) | $ | 15,400 | | $ | 16,100 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$15.6B – $16.4Bmaintained
| Adjusted EBITDA (a) (b) | $ | 15,550 | | $ | 16,450 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-28 05:01:25 UTC$15.6B – $16.4Bmaintained
We expect Adjusted EBITDA to range between $15.55 billion and $16.45 billion.
HCA · transcript · Q4 FY2025
2026-01-28 05:00:00 UTCOpen source
2026-01-27 12:13:45 UTC$15.6B – $16.4Bnew
| Adjusted EBITDA | $15.550 to $16.450 billion | |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$28.7 – $30.5maintained1.1% – 7.5% vs FY2025
| Net income attributable to HCA Healthcare, Inc. | $ | 28.70 | $ | 30.50 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-25 04:01:27 UTC$28.7 – $30.5maintained1.1% – 7.5% vs FY2025
Diluted earnings per share between $28.70 and $30.50.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$28.7 – $30.5maintained1.1% – 7.5% vs FY2025
| Net income attributable to HCA Healthcare, Inc. | $ | 28.70 | $ | 30.50 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$28.7 – $30.5lowered -2.3%1.1% – 7.5% vs FY2025
| Net income attributable to HCA Healthcare, Inc. | $ | 28.70 | | $ | 30.50 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$29.1 – $31.5maintained2.5% – 11% vs FY2025
| Diluted earnings per share: | | | | | | | | Net income attributable to HCA Healthcare, Inc. | $ | 29.10 | $ | 31.50 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-28 05:01:25 UTC$29.1 – $31.5maintained
We expect diluted earnings per share to range between $29.10 and $31.50.
HCA · transcript · Q4 FY2025
2026-01-28 05:00:00 UTCOpen source
2026-01-27 12:13:45 UTC$29.1 – $31.5new
| EPS (diluted) | $29.10 to $31.50 per diluted share | |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$2B – $2.1Bmaintained
| Provision for income taxes | | 1,975 | | 2,125 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-24 11:46:45 UTC$2B – $2.1Bmaintained
| Provision for income taxes | | 1,975 | | 2,125 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$2B – $2.1Blowered -1.7%
| Provision for income taxes | | 1,975 | | 2,125 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$2B – $2.2Bmaintained
| Provision for income taxes | | 2,010 | | 2,160 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-27 12:13:45 UTC$2B – $2.2Bnew
| Provision for income taxes | | 2,010 | | 2,160 |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$2.4B – $2.5Bmaintained
| Interest expense | | 2,410 | | 2,470 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-24 11:46:45 UTC$2.4B – $2.5Bmaintained
| Interest expense | | 2,410 | | 2,470 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$2.4B – $2.5Braised +2.7%
| Interest expense | | 2,410 | | 2,470 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$2.3B – $2.4Bmaintained
| Interest expense | | 2,330 | | 2,420 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-27 12:13:45 UTC$2.3B – $2.4Bnew
| Interest expense | | 2,330 | | 2,420 |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$6.3B – $6.7Bmaintained-7.1% – -1.2% vs FY2025
| Net income attributable to HCA Healthcare, Inc. (a) | $ | 6,300 | $ | 6,700 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-25 04:01:27 UTC$6.3B – $6.7Bmaintained-7.1% – -1.2% vs FY2025
Net income attributable to HCA Healthcare between $6.3 billion and $6.7 billion.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$6.3B – $6.7Bmaintained-7.1% – -1.2% vs FY2025
| Net income attributable to HCA Healthcare, Inc. (a) | $ | 6,300 | $ | 6,700 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$6.3B – $6.7Blowered -3.9%-7.1% – -1.2% vs FY2025
| Net income attributable to HCA Healthcare, Inc. (a) | $ | 6,300 | | $ | 6,700 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$6.5B – $7Braised +0.2%-4.3% – 3.7% vs FY2025
| Net income attributable to HCA Healthcare, Inc. (a) | $ | 6,495 | $ | 7,035 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-28 05:01:25 UTC$6.5B – $7Blowered -0.2%
We expect net income attributable to HCA Healthcare to range between $6.5 billion and $7 billion.
HCA · transcript · Q4 FY2025
2026-01-28 05:00:00 UTCOpen source
2026-01-27 12:13:45 UTC$6.5B – $7Bnew
| Net Income Attributable to HCA Healthcare, Inc. | $6.495 to $7.035 billion | |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$970M – $1Bmaintained
| Net income attributable to noncontrolling interests | | 970 | | 1,010 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-24 11:46:45 UTC$970M – $1Bmaintained
| Net income attributable to noncontrolling interests | | 970 | | 1,010 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$970M – $1Blowered -4.3%
| Net income attributable to noncontrolling interests | | 970 | | 1,010 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$1B – $1.1Bmaintained
| Net income attributable to noncontrolling interests | | 1,010 | | 1,060 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-27 12:13:45 UTC$1B – $1.1Bnew
| Net income attributable to noncontrolling interests | | 1,010 | | 1,060 |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-10-27 11:18:12 UTC$77B – $79.5Bmaintained1.9% – 5.2% vs FY2025
| Revenues | $ | 77,000 | $ | 79,500 |
HCA · EX-99.1 · Q3 FY2026
2026-10-27 11:17:11 UTCOpen source
2026-07-25 04:01:27 UTC$77B – $79.5Bmaintained1.9% – 5.2% vs FY2025
Revenue between $77 billion and $79.5 billion.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$77B – $79.5Bmaintained1.9% – 5.2% vs FY2025
| Revenues | $ | 77,000 | $ | 79,500 |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$77B – $79.5Bmaintained1.9% – 5.2% vs FY2025
| Revenues | $ | 77,000 | $ | 79,500 |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-04-24 11:12:26 UTC$76.5B – $80Bmaintained1.2% – 5.8% vs FY2025
| Revenues | $ | 76,500 | $ | 80,000 |
HCA · EX-99.1 · Q1 FY2026
2026-04-24 11:11:37 UTCOpen source
2026-01-28 05:01:25 UTC$76.5B – $80Bmaintained
We expect revenues to range between $76.5 billion and $80 billion.
HCA · transcript · Q4 FY2025
2026-01-28 05:00:00 UTCOpen source
2026-01-27 12:13:45 UTC$76.5B – $80Bnew
| Revenues | $76.500 to $80.000 billion | |
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
2026-07-25 04:01:27 UTC$5B – $5.5Bmaintained1.1% – 11.2% vs FY2025
We are maintaining our stated CapEx range of $5 billion-$5.5 billion
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
2026-07-24 11:46:45 UTC$5B – $5.5Bmaintained1.1% – 11.2% vs FY2025
The Company's 2026 estimate for capital expenditures of $5.0 billion to $5.5 billion, excluding acquisitions, remains unchanged.
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC$5B – $5.5Bmaintained1.1% – 11.2% vs FY2025
The Company's 2026 estimate for capital expenditures of $5.0 billion to $5.5 billion, excluding acquisitions, remains unchanged.
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source
2026-01-28 05:01:25 UTC$5B – $5.5Bmaintained
As a result of these opportunities, we have increased our capital spending range from $5 billion to $5.5 billion.
HCA · transcript · Q4 FY2025
2026-01-28 05:00:00 UTCOpen source
2026-01-27 12:13:45 UTC$5B – $5.5Bnew
Capital expenditures for 2026, excluding acquisitions, are estimated to range between $5.0 billion and $5.5 billion.
HCA · EX-99.1 · Q4 FY2025
2026-01-27 12:12:53 UTCOpen source
HCAHCA Healthcare, Inc.Q4 FY2026 · ends 2026-12-31
1 metric1 newearnings call · 2026-07-25 04:01:27 UTC
2026-07-25 04:01:27 UTCmay be higher than for the third quarternew
As we think about the quarterly progression for the remainder of 2026, we believe the fourth quarter Adjusted EBITDA growth rate, compared to the prior year, may be higher than for the third quarter.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
HCAHCA Healthcare, Inc.FY2027 · ends 2027-12-31
1 metric1 newearnings call · 2026-07-25 04:01:27 UTC
2026-07-25 04:01:27 UTCthe loss of coverage will be less than 2026new
As we think about attrition rates for the exchanges in 2027, we believe it's reasonable to estimate at this point, even with premium increases that we're starting to see, that the loss of coverage will be less than 2026.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
HCAHCA Healthcare, Inc.H4 FY2026 · ends 2026-12-31
1 metric1 newearnings call · 2026-07-25 04:01:27 UTC
2026-07-25 04:01:27 UTC-$300M – -$100Mnew
Regarding Medicaid supplemental payment programs, our updated guidance implies a $100 million-$300 million headwind in the back half of the year.
HCA · transcript · Q2 FY2026
2026-07-25 04:00:00 UTCOpen source
HCAHCA Healthcare, Inc.FY2026 · ends 2026-12-31
1 metric1 maintainedearnings release · 2026-07-24 11:46:45 UTC
2026-07-24 11:46:45 UTC-$1.2B – -$1Bmaintained
| Health Insurance Exchanges | ($600) to ($900) million | ($1.000) to ($1.200) billion |
HCA · EX-99.1 · Q2 FY2026
2026-07-24 11:45:42 UTCOpen source
2026-07-14 11:42:11 UTC-$1.2B – -$1Bnew
| Health Insurance Exchanges | ($600) to ($900) million | ($1.000) to ($1.200) billion |
HCA · EX-99.1 · Q2 FY2026
2026-07-14 11:40:57 UTCOpen source