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HCA Healthcare (HCA) Q1 2025 earnings results (first quarter 2025)

10-Q filed May 1, 2025

HCA Healthcare (HCA) reported revenue of $18.3B for the first quarter 2025 (Q1 2025), +6% from a year earlier and +0.2% from the quarter before. Operating margin was 12.7%, net earnings $1.6B (8.8% of revenue).

Revenue$18.3B
Year over year+6%
Quarter over quarter+0.2%
Operating margin12.7%
Net earnings$1.6B

HCA Healthcare, Q1 2025: revenue $18.3B (+6% year over year), operating margin 12.7%, net earnings $1.6B, operating cash flow $1.7B. The chart follows the revenue to costs, profit and cash.

Q1 2025AmountQ/QY/Y
Revenue$18.3B+0.2%+6%
Operating profit$2.3B+9%+4%
Net earnings$1.6B+12%+1%
Operating cash flow$1.7B-35%-33%
Free cash flow$660M-48%-51%

What changed

Revenue was $18.3B in Q1 2025, up 6% year over year and roughly flat from the previous quarter.

Operating profit was $2.3B, a 12.7% margin (down 0.3 points year over year). Of the extra revenue versus a year earlier, 8% reached operating profit, below the 13% margin then. Total costs grew 6% against revenue growth of 6%. The fastest-growing cost line was General & admin (+40%). Net earnings were $1.6B, up 1% year over year. The effective tax rate was 21.6%.

Operating cash flow was $1.7B (down 33% year over year), 90% of net income including minority interests. Non-cash charges added back $0.86B of depreciation and amortization and $0.10B of share-based compensation. Working capital and other items used $1.1B. Capital expenditures of $1.0B left free cash flow of $0.66B.

Questions

What was HCA Healthcare's revenue in the first quarter 2025?

HCA Healthcare (HCA) reported revenue of $18.3B for the first quarter 2025 (Q1 2025), +6% from a year earlier and +0.2% from the quarter before.

Was HCA Healthcare profitable in the first quarter 2025?

Operating profit was $2.3B (12.7% of revenue) and net earnings $1.6B.

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Source: HCA Healthcare 10-Q on SEC EDGAR.