HCA Healthcare, Inc. (HCA) Earnings History
Elite Compounder36 years of earnings data (1990–2025) · 5-year EPS CAGR exceeds 18% — top-tier earnings quality
Loading earnings history...
HCA Healthcare, Inc. (HCA) Earnings Overview
As of June 23, 2026, HCA Healthcare, Inc. (HCA) reported trailing twelve-month net income of $6.78B, reflecting +29.0% year-over-year growth. The company earned $29.40 per diluted share over the past four quarters, with a net profit margin of 9.0%.
Looking at the long-term picture, HCA's 5-year EPS compound annual growth rate (CAGR) stands at +21.0%, indicating exceptional earnings growth. The company achieved its highest annual net income of $6.96B in fiscal 2021.
HCA Healthcare, Inc. maintains positive profitability with a gross margin of 41.5%, operating margin of 15.8%, and net margin of 9.0%. The company continues to generate positive earnings from operations. View revenue history →
Compared to peers including THC ($1.70B net income, 6.6% margin), CYH (-$88M net income, 4.1% margin), UHS ($1.52B net income, 8.6% margin), HCA has outperformed on profitability metrics. Compare HCA vs THC →
HCA Earnings vs Peers
Earnings metrics vs comparable public companies
HCA Historical Earnings Data (1990–2025)
36 years| Fiscal Year | Net Income | YoY % | Operating Income | EPS (Diluted) | Net Margin | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $6.78B | +17.8% | $11.96B | $28.38 | 9.0% | 15.8% |
| 2024 | $5.76B | +9.9% | $10.55B | $22.00 | 8.2% | 14.9% |
| 2023 | $5.24B | -7.1% | $9.63B | $18.96 | 8.1% | 14.8% |
| 2022 | $5.64B | -18.9% | $9.05B | $19.15 | 9.4% | 15.0% |
| 2021 | $6.96B | +85.3% | $9.68B | $21.16 | 11.8% | 16.5% |
| 2020 | $3.75B | +7.1% | $7.26B | $10.93 | 7.3% | 14.1% |
| 2019 | $3.50B | -7.4% | $7.22B | $10.07 | 6.8% | 14.1% |
| 2018 | $3.79B | +70.9% | $6.64B | $10.66 | 8.1% | 14.2% |
| 2017 | $2.22B | -23.3% | $6.06B | $5.95 | 5.1% | 13.9% |
| 2016 | $2.89B | +35.7% | $6.20B | $7.30 | 7.0% | 14.9% |
| 2015 | $2.13B | +13.5% | $5.96B | $4.99 | 5.4% | 15.0% |
| 2014 | $1.88B | +20.5% | $5.57B | $4.16 | 5.1% | 15.1% |
| 2013 | $1.56B | -3.1% | $4.79B | $3.37 | 4.6% | 14.0% |
| 2012 | $1.60B | -34.9% | $4.82B | $3.49 | 4.9% | 14.6% |
| 2011 | $2.46B | +104.2% | $4.34B | $4.97 | 7.6% | 13.3% |
| 2010 | $1.21B | +14.5% | $4.17B | $2.76 | 3.9% | 13.6% |
| 2009 | $1.05B | +56.6% | $3.80B | $3.02 | 3.5% | 12.6% |
| 2008 | $673M | -23.0% | $2.94B | $1.93 | 2.4% | 10.3% |
| 2007 | $874M | -15.6% | $2.95B | $2.51 | 3.3% | 11.0% |
| 2006 | $1.04B | -27.2% | $2.84B | $2.53 | 4.1% | 11.1% |
| 2005 | $1.42B | +14.3% | $2.90B | $3.18 | 5.8% | 11.9% |
| 2004 | $1.25B | -6.5% | $2.72B | $2.58 | 5.3% | 11.6% |
| 2003 | $1.33B | +59.9% | $2.80B | $2.61 | 6.1% | 12.8% |
| 2002 | $833M | -6.0% | $2.05B | $1.59 | 4.2% | 10.4% |
| 2001 | $886M | +203.4% | $2.23B | $1.65 | 4.9% | 12.4% |
| 2000 | $292M | -60.5% | $16.55B | $0.40 | 1.8% | 99.3% |
| 1999 | $740M | +57.1% | $16.44B | $1.11 | 4.4% | 98.7% |
| 1998 | $471M | +254.4% | $16.89B | $0.73 | 2.5% | 90.4% |
| 1997 | -$305M | -120.3% | $1.17B | $-0.46 | -1.6% | 6.2% |
| 1996 | $1.50B | +56.6% | $2.90B | $2.22 | 7.6% | 14.6% |
| 1995 | $961M | +52.5% | $2.64B | $1.43 | 5.4% | 14.9% |
| 1994 | $630M | +24.3% | $1.51B | $1.80 | 5.7% | 13.5% |
| 1993 | $507M | +1888.2% | $1.38B | $1.03 | 4.9% | 13.5% |
| 1992 | $26M | +67.8% | $41M | $0.78 | 3.3% | 5.4% |
| 1991 | $15M | +55.1% | $20M | $0.61 | 3.3% | 4.3% |
| 1990 | $10M | - | $17M | $0.55 | 3.6% | 6.3% |
Download Data
Export HCA earnings history in CSV or JSON format
Free sign-in required to download data
Full Stock Analysis
Deep dive into HCA consensus models and risk factors.
Intrinsic Valuation
DCF models, multiple analysis, and analyst estimates.
Historical Returns
36+ years return with dividends reinvested.
DCA Calculator
See how regular investing compounds over time.
Peer Comparison
Compare growth, multiples, and margins vs sector.
HCA — Frequently Asked Questions
Quick answers to the most common questions about buying HCA stock.
What is HCA earnings per share (EPS)?
HCA trailing twelve-month (TTM) diluted EPS is $29.40, reflecting +29.0% year-over-year growth. The 5-year EPS CAGR is +21.0%. Complete EPS history from 1990 to 2025 is available in the table on this page.
What is HCA Healthcare, Inc.'s net income?
HCA Healthcare, Inc. (HCA) trailing twelve-month net income is $6.8B as of 2025. Earnings grew +29.0% year-over-year. HCA Healthcare, Inc. has been profitable for 28 consecutive years.
Is HCA profitable?
Yes, HCA is profitable with a TTM net income of $6.8B and a net profit margin of +9.0%. HCA Healthcare, Inc. has generated profits for 28 consecutive years.
What is HCA's earnings growth rate?
HCA compound annual EPS growth rates (CAGR): 1-Year: +29.0%, 3-Year: +14.0%, 5-Year: +21.0%, 10-Year: +19.0%. These figures measure the annualised rate of diluted EPS growth over each period, based on data from 1990 to 2025.
What are HCA's profit margins?
HCA Healthcare, Inc. net profit margin is +9.0%, operating margin is +15.8%, and gross margin is +41.5%. Margins are within a typical range for the sector. Return on Equity is N/A.
Is HCA growing earnings?
Yes, HCA earnings are accelerating — EPS growth of +29.0% exceeds the 5-year CAGR of +21.0%. TTM net income reached $6.8B. Earnings momentum is strengthening.
What was HCA's best earnings year?
HCA Healthcare, Inc.'s highest annual net income on record is $7.0B, achieved in fiscal year 2021. Earnings history on this page spans 1990 to 2025 and includes all annual and quarterly figures.
What were HCA's earnings last quarter?
HCA's most recent reported quarter was Q4 2025. Net income was $1.9B with diluted EPS of $8.14. For a full breakdown of all quarters, see the quarterly earnings table on this page.