Operating metrics disclosed this quarter
Read from the filing itself — XBRL does not carry these, so no standard financial dataset has them.
Licensed Hospital Beds
50.5K
Licensed hospital beds at(a): March 31 50,459 50,571 June 30 50,550 50,485 September 30 50,577 December 31 50,436 (a) Licensed beds are those beds for which a facility has been granted approval to operate from the applicable state licensing agency.
Weighted Average Beds in Service
42.9K
Weighted average beds in service(b): Quarter: First 42,848 42,862 Second 42,905 42,858 Third 42,896 Fourth 42,985 Year 42,901 (b) Represents the average number of beds in service, weighted based on periods owned.
Freestanding Outpatient Surgical Centers in Operation
118
Number of freestanding outpatient surgical centers in operation at: March 31 119 125 June 30 118 124 September 30 123 December 31 121
Hospitals in Operation
190
Operating Data 2026 2025 Number of hospitals in operation at: March 31 189 192 June 30 190 191 September 30 191 December 31 190
Admissions
579.6K
Admissions(d): Quarter: First 580,258 576,361 Second 579,562 566,061 Third 577,804 Fourth 576,839 Year 2,297,065 (d) Represents the total number of patients admitted to our hospitals and is used by management and certain investors as a general measure of inpatient volume.
Average Daily Census
29.6K
Average daily census(c): Quarter: First 30,829 31,518 Second 29,571 29,399 Third 29,266 Fourth 29,442 Year 29,899 (c) Represents the average number of patients in our hospital beds each day.
Earnings Release
EX-99.1 2 hca-ex99_1.htm EX-99.1 EX-99.1 Exhibit 99.1 FOR IMMEDIATE RELEASE INVESTOR CONTACT: MEDIA CONTACT: Frank Morgan Harlow Sumerford 615-344-2688 615-344-1851 HCA Healthcare reports SECOND quarter 2026 results Nashville, Tenn., July 24, 2026 – HCA Healthcare, Inc. (NYSE: HCA) today announced financial and operating results for the second quarter ended June 30, 2026. The Company's financial and operating results, as well as its updated guidance and key assumptions, are consistent with its July 14, 2026 second quarter preview. Key second quarter metrics (all percentage changes compare 2Q 2026 to 2Q 2025 unless otherwise noted): • Revenues increased 8.7 percent to $20.230 billion • Net income attributable to HCA Healthcare, Inc. increased 2.8 percent to $1.699 billion • Diluted earnings per share increased 11.6 percent to $7.62 per diluted share, and diluted earnings per share, as adj...
Source
0001193125-26-315151
Filed July 24, 2026 at 11:45 AM UTC. The figures above are from the audited statements, not from this release.
Average Length of Stay
4.6
Average length of stay (days)(f): Quarter: First 4.8 4.9 Second 4.6 4.7 Third 4.7 Fourth 4.7 Year 4.8 (f) Represents the average number of days admitted patients stay in our hospitals.
Emergency Room Visits
2.5M
2026 2025 Emergency room visits(g): Quarter: First 2,509,083 2,518,716 Second 2,526,147 2,439,763 Third 2,477,474 Fourth 2,511,009 Year 9,946,962 (g) Represents the number of patients treated in our emergency rooms.
Equivalent Admissions
1.0M
Equivalent admissions(e): Quarter: First 1,023,575 1,012,090 Second 1,044,384 1,017,994 Third 1,038,799 Fourth 1,038,269 Year 4,107,152 (e) Equivalent admissions are used by management and certain investors as a general measure of combined inpatient and outpatient volume. Equivalent admissions are computed by multiplying admissions (inpatient volume) by the sum of gross inpatient revenues and gross outpatient revenues and then dividing the resulting amount by gross inpatient revenues. The equivalent admissions computation “equates” outpatient revenues to the volume measure (admissions) used to measure inpatient volume resulting in a general measure of combined inpatient and outpatient volume.
Admissions Growth
2.4%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0
Equivalent Admissions Growth
2.6%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0
Admissions Mix — Managed Care and Insurers
31.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Admissions Mix — Managed Medicaid
11.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Admissions Mix — Managed Medicare
27.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Admissions Mix — Medicaid
4.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Admissions Mix — Medicare
19.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Admissions Mix — Uninsured
8.0%
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table. Quarter Six Months 2026 2025 2026 2025 Medicare 19 % 19 % 19 % 20 % Managed Medicare 27 27 27 27 Medicaid 4 4 4 4 Managed Medicaid 11 11 11 11 Managed care and insurers 31 32 31 32 Uninsured 8 7 8 6 100 % 100 % 100 % 100 %
Same-Facility Uninsured Admissions Growth
23.4%
Consolidated and same facility revenue per equivalent admission increased 6.0% and 6.4%, respectively, in the second quarter of 2026, compared to the second quarter of 2025. The increase in revenue per equivalent admission was impacted by the incremental revenue from the Florida directed payment program approved during the quarter. Consolidated and same facility equivalent admissions increased 2.6% and 2.7%, respectively, in the second quarter of 2026, compared to the second quarter of 2025. Consolidated and same facility outpatient surgeries declined 4.4% and 3.4%, respectively, in the second quarter of 2026, compared to the second quarter of 2025. Consolidated and same facility inpatient surgeries each declined 2.3% in the second quarter of 2026, compared to the second quarter of 2025. Consolidated and same facility emergency department visits increased 3.5% and 3.6%, respectively, in the second quarter of 2026, compared to the second quarter of 2025. Same facility uninsured admissions increased 23.4% in the second quarter of 2026 compared to the second quarter of 2025. Same facility uninsured admissions increased 15.5% in the first quarter of 2026 compared to the first quarter of 2025. The increases in both periods reflect impacts from the expiration of the EPTCs at the end of 2025. Same facility uninsured admissions in 2025, compared to 2024, increased 7.1% in the fourth quarter, declined 2.0% in the third quarter, increased 0.4% in the second quarter and declined 0.7% in the first quarter. The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid, managed Medicaid, managed care and insurers and the uninsured for the quarters and six months ended June 30, 2026 and 2025 are set forth in the following table.
Inpatient Surgeries
133.0K
Inpatient surgeries(i): Quarter: First 133,262 133,759 Second 133,041 136,122 Third 138,563 Fourth 136,961 Year 545,405 (i) Represents the number of surgeries performed on patients who have been admitted to our hospitals. Pain management and endoscopy procedures are not included in inpatient surgeries.
Outpatient Surgeries
246.9K
Outpatient surgeries(h): Quarter: First 240,061 246,620 Second 246,947 258,365 Third 253,426 Fourth 264,401 Year 1,022,812 (h) Represents the number of surgeries performed on patients who were not admitted to our hospitals. Pain management and endoscopy procedures are not included in outpatient surgeries.
Days Revenue in Accounts Receivable
55
Days revenues in accounts receivable(j): Quarter: First 53 54 Second 55 51 Third 50 Fourth 51 (j) Revenues per day is calculated by dividing revenues for the quarter by the days in the quarter. Days revenues in accounts receivable is then calculated as accounts receivable at the end of the quarter divided by revenues per day.
Revenue per Equivalent Admission Growth
6.0%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0
Outpatient Revenues as a Percentage of Patient Revenues
34.0%
Outpatient revenues as a % of patient revenues(k): Quarter: First 37 % 37 % Second 34 % 38 % Third 38 % Fourth 40 % Year 38 % (k) Represents the percentage of patient revenues related to patients who are not admitted to our hospitals. The decline in the second quarter of 2026 is primarily related to the impact of incremental inpatient revenues related to the Florida state directed payment program.
Same-Facility Admissions Growth
2.5%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0
Same-Facility Equivalent Admissions Growth
2.7%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0
Same-Facility Revenue per Equivalent Admission Growth
6.4%
% changes from prior year: Revenues 8.7 % 6.4 % Income before income taxes 3.2 8.0 Net income attributable to HCA Healthcare, Inc. 2.8 13.1 Admissions(a) 2.4 2.1 Equivalent admissions(b) 2.6 2.3 Revenue per equivalent admission 6.0 3.9 Same facility % changes from prior year(c): Revenues 9.3 5.8 Admissions(a) 2.5 1.8 Equivalent admissions(b) 2.7 1.7 Revenue per equivalent admission 6.4 4.0