Adjusted profit topped estimates as same-facility admissions rose 2.7% and emergency room visits increased 5.1%, even as uninsured patients cut income by $400 million.
On Tuesday, October 27, 2026, HCA Healthcare reported third quarter revenue of $19.849 billion, a 3.6% increase, though net income fell to $1.579 billion from $1.643 billion in the prior year period.
Shifting payer mixes created a $400 million unfavorable impact on adjusted EBITDA, as patients migrated from health insurance exchanges to uninsured volumes following federal policy changes.
Same facility equivalent admissions grew 3% in the third quarter, marking the 22nd consecutive quarter of volume growth, though surgical volumes declined 1.4% for inpatient and 3.7% for outpatient procedures.
HCA Healthcare reaffirmed full-year 2026 guidance, expecting revenue in the upper half of the $77 billion to $79.5 billion range and adjusted EBITDA in the upper half of $15.4 billion to $16.1 billion.
For 2027, HCA Healthcare anticipates stable earnings performance while navigating a $550 million to $650 million reduction in Medicaid supplemental payment benefits and forecasting 2% to 3% volume growth.