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HCA / Q3 2026 (FQ3 2026 - Sep 2026; quarter ended 2026-09-30)

HCA Healthcare, Inc.

Reported: Oct 27, 2026

Forecast published

Opus 5.5 High in Shortcut

Shortcut

6.69

Normalized diluted EPS

+0.9% vs Street

Off by $0.53 per share

Street

6.63

Normalized diluted EPS

October 25 consensus snapshot

Off by $0.59 per share

Real

7.22

Issuer as-adjusted diluted EPS

Shortcut win

Reported result · Oct 27 ↗ · HCA reports as-adjusted diluted EPS of $7.22, excluding the $0.05 gain on facility sales; GAAP diluted EPS was $7.27.

USD per diluted common share. Comparisons use unrounded estimates.

Model download

Explore the assumptions and calculations behind the forecast.

Shortcut’s reasoning.

HCA guides annually: Jul-14-26 FY26 midpoints (EPS $29.60, Adj. EBITDA $15.75bn) less 1H26 actuals imply ~$7.92bn 2H26 EBITDA; with management's stated cadence (4Q growth > 3Q growth; 3Q laps 3Q25 state supplemental retro receipts) 3Q26 Adj. EBITDA is modelled at ~$3.75bn (-3.2% Y/Y) vs consensus $3.74bn.

Revenue ~$19.31bn (+0.8% Y/Y) built by payer: equivalent admissions +2.2%; Medicaid -5% (lapping 3Q25 retro payments, partly offset by ~$196m/qtr Florida DPP run-rate); managed care -1% as exchange volumes (-15%) migrate ~1:1 to uninsured; Medicare +5%.

Costs: salaries and supplies per equivalent admission -0.5% Y/Y (2Q26 -0.7%/-1.0% under the resiliency program); other opex 22.0% of revenue including ongoing Florida provider tax.

On the record.

Reporting period
Q3 2026 (FQ3 2026 - Sep 2026; quarter ended 2026-09-30)
Reporting basis
Normalized (HCA as-adjusted) diluted EPS
Consensus snapshot
October 25, 2026
Model / effort
Opus 5.5 · High effort
Workbook
Reviewed workbook
Record history
Forecast generated
Oct 26, 2026 at 4:32 AM PDT
Reviewed revision completed
Oct 26, 2026 at 4:32 AM PDT
First published
Oct 26, 2026 at 5:12 AM PDT
Result basis

HCA reports as-adjusted diluted EPS of $7.22, excluding the $0.05 gain on facility sales; GAAP diluted EPS was $7.27. This is the as-adjusted convention specified in the published forecast.