HCA Healthcare, Inc.

HCA 10-K · Q4 2025
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HCA Q4 2025 request

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Income Statement

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Income Statement
Metric Q4 2025 Q4 2024 YoY
Revenue 19,513 18,285 +6.7%
Show Product Lines breakouts
Product And Service Other 716 356 +101.1%
Show Business Segments breakouts
American Group [Member] · Operating Segments 6,933 6,563 +5.6%
Atlantic Group [Member] · Operating Segments 6,278 5,951 +5.5%
Corporate And Other 814 737 +10.4%
National Group [Member] · Operating Segments 5,488 5,034 +9.0%
Labor And Related Expense 8,360 7,917 +5.6%
Show Business Segments breakouts
American Group [Member] · Operating Segments 2,305 2,194 +5.1%
Atlantic Group [Member] · Operating Segments 2,273 2,186 +4.0%
National Group [Member] · Operating Segments 1,964 1,886 +4.1%
Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Before Tax -7 -64 +89.1%
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax 1 -9 +111.1%
Other Comprehensive Income Loss Before Tax 17 -6 +383.3%
Supplies Expense 2,977 2,793 +6.6%
Show Business Segments breakouts
American Group [Member] · Operating Segments 1,123 1,070 +5.0%
Atlantic Group [Member] · Operating Segments 951 902 +5.4%
National Group [Member] · Operating Segments 805 718 +12.1%
Other Comprehensive Income Loss Tax 5 3 +66.7%
Other Cost And Expense Operating 4,087 3,873 +5.5%
Show Business Segments breakouts
American Group [Member] · Operating Segments 1,806 1,678 +7.6%
Atlantic Group [Member] · Operating Segments 1,565 1,625 -3.7%
National Group [Member] · Operating Segments 1,367 1,240 +10.2%
Other Comprehensive Income Loss Net Of Tax 12 -9 +233.3%
Income Loss From Equity Method Investments -25 -10 -150.0%
Show Business Segments breakouts
American Group [Member] · Operating Segments -21 -13 -61.5%
Atlantic Group [Member] · Operating Segments 0 -1 +100.0%
National Group [Member] · Operating Segments 0 0 —
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest 2,175 1,677 +29.7%
Depreciation & Amortization 911 856 +6.4%
Show Business Segments breakouts
American Group [Member] · Operating Segments 292 284 +2.8%
Atlantic Group [Member] · Operating Segments 292 271 +7.7%
Corporate And Other 97 81 +19.8%
National Group [Member] · Operating Segments 230 220 +4.5%
Show Consolidation Items breakouts
Eliminations and Reconciling Items [Member] 911 856 +6.4%
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest 285 248 +14.9%
Interest Expense 572 528 +8.3%
Show Consolidation Items breakouts
Eliminations and Reconciling Items [Member] 572 528 +8.3%
Comprehensive Income 1,890 1,429 +32.3%
Gain Loss On Disposition Of Assets -41 195 -121.0%
Show Consolidation Items breakouts
Eliminations and Reconciling Items [Member] -41 195 -121.0%
Total Costs & Expenses 16,841 16,152 +4.3%
Income Before Taxes 2,672 2,133 +25.3%
Show Consolidation Items breakouts
Eliminations and Reconciling Items [Member] 2,672 2,133 +25.3%
Income Tax Expense (Benefit) 509 447 +13.9%
Net Income 2,163 1,686 +28.3%
Net Income Loss Attributable To Noncontrolling Interest 285 248 +14.9%
Net Income 1,878 1,438 +30.6%
EPS (Basic) 8.23 5.7 +44.4%
EPS (Diluted) 8.1 5.63 +43.9%
Wtd Avg Shares (Basic) -3.2 -2.17 -47.8%
Wtd Avg Shares (Diluted) -2.96 -2.18 -35.9%
General & Administrative 153 120 +27.5%

Balance Sheet

Balance Sheet
Metric Q4 2025 Q4 2024 YoY
Current Assets
Cash & Cash Equivalents 1,040 1,933 -46.2%
Accounts Receivable 10,867 10,751 +1.1%
Inventory 1,652 1,738 -4.9%
Other Assets Current 2,224 1,992 +11.6%
Total Current Assets 15,783 16,414 -3.8%
Non-Current Assets
Property, Plant & Equipment 31,141 29,414 +5.9%
Available For Sale Securities Debt Securities Noncurrent 485 569 -14.8%
Operating Lease Right-of-Use Assets 2,130 2,131 -0.0%
Other Non-Current Assets 255 230 +10.9%
Total Assets 60,720 59,513 +2.0%
Show Business Segments breakouts
American Group [Member] · Operating Segments 21,217 20,714 +2.4%
Atlantic Group [Member] · Operating Segments 17,945 17,168 +4.5%
Corporate And Other 7,962 8,776 -9.3%
National Group [Member] · Operating Segments 13,596 12,855 +5.8%
Goodwill (Q) — — —
Show Business Acquisition breakouts
Other [Member] 218 170 +28.2%
Long Term Investments 485 569 -14.8%
Show Fair Value Hierarchy breakouts
Fair Value Inputs Level1 158 208 -24.0%
Fair Value Inputs Level2 327 361 -9.4%
Other Assets
Property Plant And Equipment Gross 66,275 62,514 +6.0%
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment -35,134 -33,100 -6.1%
Equity Method Investments 633 662 -4.4%
Intangible Assets Net Including Goodwill 10,293 10,093 +2.0%
Show Business Segments breakouts
American Group [Member] 5,688 5,586 +1.8%
Atlantic Group [Member] 2,214 2,124 +4.2%
Corporate And Other 1,157 1,146 +1.0%
National Group [Member] 1,234 1,237 -0.2%
Current Liabilities
Accounts Payable 4,659 4,276 +9.0%
Accrued Salaries Current 2,525 2,304 +9.6%
Other Accrued Liabilities Current 4,277 3,899 +9.7%
Debt Current 4,889 4,698 +4.1%
Total Current Liabilities 16,350 15,177 +7.7%
Non-Current Liabilities
Long-Term Debt 41,603 38,333 +8.5%
Operating Lease Liabilities 1,853 1,863 -0.5%
Long-Term Debt 44,285 43,031 +2.9%
Other Liabilities
Professional Liability Risks 1,466 1,544 -5.1%
Income Taxes And Other Liabilities 2,219 2,041 +8.7%
Stockholders' Equity
Common Stock Value Outstanding 2 3 -33.3%
Accumulated Other Comprehensive Income -305 -387 +21.2%
Retained Earnings -5,724 -2,115 -170.6%
Total Stockholders' Equity -6,027 -2,499 -141.2%
Minority Interest 3,256 3,054 +6.6%
Stockholders Equity Including Portion Attributable To Noncontrolling Interest -2,771 555 -599.3%
Show Equity Components breakouts
Accumulated Other Comprehensive Income -305 -387 +21.2%
Common Stock 2 3 -33.3%
Noncontrolling Interest 3,256 3,054 +6.6%
Retained Earnings -5,724 -2,115 -170.6%
Total Liabilities & Equity 60,720 59,513 +2.0%
Land 3,415 3,295 +3.6%
Buildings And Improvements Gross 23,726 22,691 +4.6%
Machinery And Equipment Gross 36,989 34,670 +6.7%
Construction In Progress Gross 2,145 1,858 +15.4%

Cash Flow Statement

Cash Flow Statement
Metric YTD Q4 2025 YTD Q4 2024 YoY
Operating Activities
Change in Accounts Receivable -439 -854 +48.6%
Increase Decrease In Inventories And Other Operating Assets -29 150 -119.3%
Increase Decrease In Accounts Payable And Accrued Liabilities 637 282 +125.9%
Deferred Income Taxes And Tax Credits -1,004 89 -1228.1%
Amortization Of Financing Costs And Discounts 12 9 +33.3%
Stock-Based Compensation 100 85 +17.6%
Other Non-Cash Items 49 61 -19.7%
Net Cash from Operations 2,359 2,559 -7.8%
Investing Activities
Capital Expenditures -1,489 -1,285 -15.9%
Payments To Acquire Interest In Subsidiaries And Affiliates -36 -42 +14.3%
Proceeds From Divestiture Of Businesses 92 16 +475.0%
Show Business Acquisition breakouts
Hospital Facility [Member] 75 0 —
Show Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations breakouts
Real Estate and Other Investments [Member] 17 16 +6.2%
Payments For Proceeds From Investments 98 -30 +426.7%
Net Cash from Investing -1,317 -1,346 +2.2%
Financing Activities
Proceeds From Issuance Of Long Term Debt 3,241 0 —
Proceeds From Repayments Of Lines Of Credit 296 0 —
Repayments Of Long Term Debt -1,555 -64 -2329.7%
Payments To Minority Shareholders -196 -181 -8.3%
Debt Issuance Costs -22 0 —
Payments Of Dividends -162 -165 +1.8%
Share Repurchases -2,558 -1,700 -50.5%
Proceeds From Payments For Other Financing Activities -43 -53 +18.9%
Net Cash from Financing -999 -2,163 +53.8%
Supplemental
Interest Paid 511 533 -4.1%
Income Taxes Paid 1,513 358 +322.6%
Other Cash Flow
Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents 0 -5 +100.0%
Net Change in Cash 43 -955 +104.5%
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents 1,040 1,933 -46.2%

Values in millions USD. Source: SEC EDGAR 10-K filing.

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