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Dec 31, 2024

HCA Q4 2024 Earnings Report

HCA Healthcare's Q4 2024 results were announced, demonstrating strong business fundamentals and operational improvements.

Key Takeaways

HCA Healthcare reported revenues of $18.285 billion and net income of $1.438 billion for the fourth quarter of 2024. The company's performance was driven by increased admissions and equivalent admissions, reflecting continued growth and operational efficiency.

Revenues reached $18.285 billion.

Net income attributable to HCA Healthcare, Inc. was $1.438 billion, or $5.63 per diluted share, impacted by Hurricanes Helene and Milton.

Adjusted EBITDA totaled $3.712 billion.

Cash flows from operating activities amounted to $2.559 billion.

Total Revenue
$18.3B
Previous year: $17.3B
+5.7%
EPS
$6.22
Previous year: $5.9
+5.4%
Admissions
559.17K
Previous year: 544.55K
+2.7%
Number of Hospitals
190
Previous year: 186
+2.2%
Licensed Beds
49.99K
Previous year: 49.59K
+0.8%
Gross Profit
$15.5B
Previous year: $14.7B
+5.3%
Cash and Equivalents
$1.93B
Previous year: $935M
+106.7%
Free Cash Flow
$1.27B
Previous year: $1.52B
-15.9%
Total Assets
$59.5B
Previous year: $56.2B
+5.9%

HCA

HCA

Forward Guidance

HCA Healthcare issued its financial guidance for 2025, projecting revenues between $72.80 and $75.80 billion and net income attributable to HCA Healthcare, Inc. between $5.85 and $6.29 billion.

Positive Outlook

  • Revenues are projected to be between $72.80 and $75.80 billion.
  • Net Income Attributable to HCA Healthcare, Inc. is expected to be between $5.85 and $6.29 billion.
  • Adjusted EBITDA is forecasted to be between $14.30 and $15.10 billion.
  • EPS (diluted) is projected to be between $24.05 and $25.85 per diluted share.
  • Capital expenditures for 2025 are estimated to be approximately $5.0 to $5.2 billion.

Challenges Ahead

  • Guidance is subject to uncertainties and risks.
  • Potential impacts from volume growth and operating environment.
  • Consideration of payer mix and health care policy developments.
  • General economic conditions, including inflation, are a factor.
  • Exclusion of unpredictable items like gains/losses on sales of facilities.