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HCA Healthcare (HCA) Q3 2026 Earnings: Guidance Reaffirmed

Q3 2026 (quarter ended Sep 30, 2026): revenue, EPS and full-year guidance from the SEC filing

Published Nov 5, 2026

TL;DR

  • HCA Healthcare reaffirmed its full-year guidance; revenue +3.6% vs a year earlier.

HCA Healthcare's results for Q3 2026 (quarter ended Sep 30, 2026) come from the company's own earnings release, filed with the SEC on 2026-10-27. Everything below is taken from that filing; quotes are copied exactly. Company outlooks are the company's own.

At a glance

ItemValue
Revenue (GAAP)$19,849 million (+3.6% vs a year earlier)
Diluted EPS (GAAP)$7.27
Adjusted per-share figure (company's non-GAAP measure; FFO/AFFO for REITs)$7.22
Full-year guidanceReaffirmed

Guidance

HCA expects full-year 2026 results in the upper half of its July guidance ranges: revenues $77.0–79.5 billion, EPS $28.70–30.50.

Why this label: Ranges unchanged; company 'now believes' results will be in the upper half of guidance issued July 14, 2026 (toward the high end, rule 8).

MetricPeriodNewPrior (as stated in the release)
revenuesFY2026$77.0–79.5 billion (upper half expected)not stated
diluted EPSFY2026$28.70–30.50 (upper half expected)not stated
adjusted EBITDAFY2026$15.4–16.1 billion (upper half expected)not stated
position within guidance rangesFY2026upper half of ranges issued July 14, 2026not stated

From the release

Revenue: "Revenues in the third quarter of 2026 totaled $19.849 billion, compared to $19.161 billion in the third quarter of 2025."

Earnings per share: "Diluted earnings per share increased 4.5 percent to $7.27 per diluted share, and diluted earnings per share, as adjusted, increased 3.7 percent to $7.22 per diluted share"

revenues: "Revenues · $ · 77,000 · $ · 79,500"

diluted EPS: "Net income attributable to HCA Healthcare, Inc. · $ · 28.70 · $ · 30.50"

adjusted EBITDA: "Adjusted EBITDA (a) (b) · $ · 15,400 · $ · 16,100"

Quotes are copied from the filing; in table rows, cell borders are shown as “·”.

Key fact: Payer-mix shift to uninsured patients cut Q3 pretax income by an estimated $400 million

Source

HCA Healthcare earnings release (SEC filing), accession 0001193125-26-432665, filed 2026-10-27.

Part of the Q3 2026 Guidance Tracker. Educational only, not advice. Free weekly recap every Sunday: yieldterminalpro.com/newsletter.

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