Filing Flows › HCA Healthcare (HCA) › Q1 2026
HCA Healthcare (HCA) Q1 2026 earnings results (first quarter 2026)
10-Q filed Apr 29, 2026
HCA Healthcare (HCA) reported revenue of $19.1B for the first quarter 2026 (Q1 2026), +4% from a year earlier and -2% from the quarter before. Operating margin was 12.0%, net earnings $1.6B (8.5% of revenue).
HCA Healthcare, Q1 2026: revenue $19.1B (+4% year over year), operating margin 12.0%, net earnings $1.6B, operating cash flow $2.0B. The chart follows the revenue to costs, profit and cash.
| Q1 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $19.1B | -2% | +4% |
| Operating profit | $2.3B | -14% | -2% |
| Net earnings | $1.6B | -14% | +0.6% |
| Operating cash flow | $2.0B | -15% | +22% |
| Free cash flow | $895M | +3% | +36% |
What changed
Revenue was $19.1B in Q1 2026, up 4% year over year and down 2% from the previous quarter.
Operating profit was $2.3B, a 12.0% margin (down 0.7 points year over year). Operating profit fell $0.04B even though revenue rose $0.79B versus Q1 2025, so costs grew faster than sales. Total costs grew 5% against revenue growth of 4%. Net earnings were $1.6B, up 1% year over year. The effective tax rate was 18.8%.
Operating cash flow was $2.0B (up 22% year over year), 108% of net income including minority interests. Non-cash charges added back $0.93B of depreciation and amortization and $0.09B of share-based compensation. Working capital and other items used $0.86B. Capital expenditures of $1.1B left free cash flow of $0.90B.
Questions
What was HCA Healthcare's revenue in the first quarter 2026?
HCA Healthcare (HCA) reported revenue of $19.1B for the first quarter 2026 (Q1 2026), +4% from a year earlier and -2% from the quarter before.
Was HCA Healthcare profitable in the first quarter 2026?
Operating profit was $2.3B (12.0% of revenue) and net earnings $1.6B.
Source: HCA Healthcare 10-Q on SEC EDGAR.