$100 Billion Market Cap Hospital Operator HCA Healthcare To Buy Back Stock Worth $10 Billion

HCA Healthcare Inc. (NYSE:HCA), one of the nation’s largest hospital operators, released mixed fourth-quarter 2025 financial results on Tuesday.

HCA reported total revenues of $19.513 billion, representing a 6.7% year-over-year increase, missing the consensus estimate of $19.67 billion.

The hospital chain operator reported adjusted earnings of $8.01, up from $6.22 a year ago, surpassing the consensus of $7.43.

Net income for the quarter reached $1.878 billion, or $8.14 per share, compared to $1.438 billion, or $5.63/share, a year ago.

Results for the fourth quarter of 2025 included gains on sales of facilities of $41 million, or $0.13 per diluted share, primarily related to the sale of a hospital facility in Indiana.

Performance Metrics

In the fourth quarter of 2025, same-facility admissions increased by 2.4%, and same-facility equivalent admissions increased by 2.5%.

Same facility emergency room visits ...