HCA’s outpatient growth accelerates: 5 takeaways from a $18.3B Q1

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Nashville, Tenn.-based HCA Healthcare continues to see outpatient care driving a growing share of its business, according to first-quarter financial results released April 25.

Outpatient revenues accounted for 37.3% of total patient revenues in 2025, up from 36.9% in 2024.

Here are five more things to know:

1. HCA grew its network of freestanding ASCs to 125 in 2025, up from 121 centers in 2024.

2. HCA reported an operating income of $2.3 billion (a 12.7% margin) for the first quarter of 2025, compared to $2.2 billion (a 13% margin) during the same period last year.

3. First-quarter revenues reached $18.3 billion, up from $17.3 billion in the first quarter of 2024.

4. Same-facility inpatient surgeries increased 0.2%, while outpatient surgeries declined 2.1% compared to the first quarter of 2024.

5. After factoring in nonoperating expenses, HCA reported a net income of $1.61 billion (an 8.8% margin) for the first quarter, up slightly from $1.59 billion in the same quarter last year.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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