HCA Healthcare reported strong financial results for Q4 2024, with revenues totaling $18.285 billion, a 5.7% increase compared to Q4 2023. Net income attributable to the company was $1.438 billion, or $5.63 per diluted share, which includes an estimated $0.60 per share impact from Hurricanes Helene and Milton. Adjusted EBITDA was $3.712 billion, up from $3.618 billion in the prior year. Cash flows from operating activities were $2.559 billion, slightly lower than $2.674 billion in Q4 2023.
Same facility admissions increased 3.0%, and same facility revenue per equivalent admission rose 2.9% compared to the same quarter in 2023. Same facility inpatient surgeries grew 2.8%, while outpatient surgeries declined 1.3%. The hurricanes resulted in additional expenses and revenue losses estimated at $200 million for Q4 and $250 million for the year.
For the full year 2024, revenues reached $70.603 billion, up from $64.968 billion in 2023, and net income attributable to the company was $5.760 billion, or $22.00 per diluted share. Adjusted EBITDA for 2024 was $13.882 billion, compared to $12.726 billion in 2023.
The company repurchased 4.739 million shares in Q4 at a cost of $1.7 billion, with $764 million remaining under its authorization. HCA’s Board also approved a new $10 billion share repurchase program and declared a quarterly cash dividend of $0.72 per share, payable on March 31, 2025.
HCA’s facilities impacted by the hurricanes have resumed normal operations, and future dividends will depend on the company’s financial performance. The company remains focused on long-term growth and operational improvements.