# HCA Healthcare, Inc.: Form 10-Q for the period ended Sep 30, 2026

- Company: [HCA Healthcare, Inc.](/companies/hca.md) (CIK 860730)
- Form: 10-Q
- Filed: 2026-10-29
- Accepted by EDGAR: Oct 29, 2026, 16:30 ET
- Period: 2026-09-30
- Accession: 0001193125-26-437871
- Inline XBRL: yes
- Main document: https://www.sec.gov/Archives/edgar/data/860730/000119312526437871/hca-20260930.htm
- All documents and exhibits: https://www.sec.gov/Archives/edgar/data/860730/000119312526437871/

## Figures reported in this filing

Standardized XBRL line items for the period ended 2026-09-30.

| Line item | Period | Value | XBRL concept |
| --- | --- | ---: | --- |
| Revenue | 3 months, 2026-07-01 to 2026-09-30 | $19.85bn | us-gaap:Revenues |
| Revenue | 9 months, 2026-01-01 to 2026-09-30 | $59.19bn | us-gaap:Revenues |
| Interest expense | 3 months, 2026-07-01 to 2026-09-30 | $607.0m | us-gaap:InterestExpense |
| Interest expense | 9 months, 2026-01-01 to 2026-09-30 | $1.79bn | us-gaap:InterestExpense |
| Income tax | 3 months, 2026-07-01 to 2026-09-30 | $521.0m | us-gaap:IncomeTaxExpenseBenefit |
| Income tax | 9 months, 2026-01-01 to 2026-09-30 | $1.51bn | us-gaap:IncomeTaxExpenseBenefit |
| Net income | 3 months, 2026-07-01 to 2026-09-30 | $1.58bn | us-gaap:NetIncomeLoss |
| Net income | 9 months, 2026-01-01 to 2026-09-30 | $4.90bn | us-gaap:NetIncomeLoss |
| Diluted EPS | 3 months, 2026-07-01 to 2026-09-30 | $7.27 | us-gaap:EarningsPerShareDiluted |
| Diluted EPS | 9 months, 2026-01-01 to 2026-09-30 | $22.05 | us-gaap:EarningsPerShareDiluted |
| Basic EPS | 3 months, 2026-07-01 to 2026-09-30 | $7.36 | us-gaap:EarningsPerShareBasic |
| Basic EPS | 9 months, 2026-01-01 to 2026-09-30 | $22.31 | us-gaap:EarningsPerShareBasic |
| Diluted shares (weighted) | 3 months, 2026-07-01 to 2026-09-30 | 217,212,000 shares | us-gaap:WeightedAverageNumberOfDilutedSharesOutstanding |
| Diluted shares (weighted) | 9 months, 2026-01-01 to 2026-09-30 | 222,197,000 shares | us-gaap:WeightedAverageNumberOfDilutedSharesOutstanding |
| Operating cash flow | 9 months, 2026-01-01 to 2026-09-30 | $8.81bn | us-gaap:NetCashProvidedByUsedInOperatingActivities |
| Capital expenditure | 9 months, 2026-01-01 to 2026-09-30 | $3.71bn | us-gaap:PaymentsToAcquirePropertyPlantAndEquipment |
| Dividends paid | 9 months, 2026-01-01 to 2026-09-30 | $519.0m | us-gaap:PaymentsOfDividends |
| Share repurchases | 9 months, 2026-01-01 to 2026-09-30 | $6.61bn | us-gaap:PaymentsForRepurchaseOfCommonStock |
| Cash and equivalents | at 2026-09-30 | $908.0m | us-gaap:CashAndCashEquivalentsAtCarryingValue |
| Current assets | at 2026-09-30 | $16.22bn | us-gaap:AssetsCurrent |
| Total assets | at 2026-09-30 | $63.45bn | us-gaap:Assets |
| Current liabilities | at 2026-09-30 | $19.78bn | us-gaap:LiabilitiesCurrent |
| Long-term debt | at 2026-09-30 | $42.40bn | us-gaap:LongTermDebtNoncurrent |
| Current portion of debt | at 2026-09-30 | $8.09bn | us-gaap:DebtCurrent |
| Shareholders' equity | at 2026-09-30 | −$8.08bn | us-gaap:StockholdersEquity |

## Management's discussion and analysis

As filed, 1,653 characters.

During January 2026, our Board of Directors authorized a share repurchase program for up to $10 billion of our outstanding common stock. During the quarter ended September 30, 2026, we repurchased 7,229,310 shares of our common stock at an average price of $410.85 per share through market purchases pursuant to the January 2026 authorization. At September 30, 2026, we had $4.240 billion of repurchase authorization available under the January 2026 authorization.

The following table provides certain information with respect to our repurchases of common stock from July 1, 2026 through September 30, 2026 (dollars in billions, except per share amounts).

| Period | Total Number of Shares Purchased | Average Price Paid per Share | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs | Approximate Dollar Value of Shares That May Yet Be Purchased Under Publicly Announced Plans or Programs |
| --- | ---: | ---: | ---: | ---: |
| July 1, 2026 - July 31, 2026 | 2,123,806 | $392.75 | 2,123,806 | $6.376 |
| August 1, 2026 - August 31, 2026 | 2,731,129 | $413.39 | 2,731,129 | $5.247 |
| September 1, 2026 - September 30, 2026 | 2,374,375 | $424.12 | 2,374,375 | $4.240 |
| Total for third quarter 2026 | 7,229,310 | $410.85 | 7,229,310 |  |

On October 26, 2026, our Board of Directors declared a quarterly dividend of $0.78 per share on our common stock payable on December 29, 2026 to stockholders of record at the close of business on December 15, 2026. Future declarations of quarterly dividends and the establishment of future record and payment dates are subject to the final determination of our Board of Directors.

## Market risk

As filed, 186 characters.

The information called for by this item is provided under the caption “Market Risk” under Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

## Controls and procedures

As filed, 735 characters.

### Evaluation of Disclosure Controls and Procedures

HCA’s management, with the participation of HCA’s chief executive officer and chief financial officer, has evaluated the effectiveness of HCA’s disclosure controls and procedures as of September 30, 2026. Based on that evaluation, HCA’s chief executive officer and chief financial officer concluded that HCA’s disclosure controls and procedures were effective as of September 30, 2026.

### Changes in Internal Control Over Financial Reporting

During the period covered by this report, there have been no changes in our internal control over financial reporting that have materially affected or are reasonably likely to materially affect our internal control over financial reporting.

## Risk factors

As filed, 448 characters.

Reference is made to the factors set forth under the caption “Forward-Looking Statements” in Part I, Item 2 of this quarterly report on Form 10-Q and other risk factors described in our annual report on Form 10-K for the year ended December 31, 2025, which are incorporated herein by reference. There have not been any material changes to the risk factors previously disclosed in our annual report on Form 10-K for the year ended December 31, 2025.

Filed Oct 29, 2026.
Source: SEC EDGAR, the filing index for accession 0001193125-26-437871. Last ingested by Listed: Nov 6, 2026, 18:47 ET. No prices; not investment advice.