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HCA Healthcare INVESTOR CONTACT : Mark Kimbrough 615-344-2688 news FOR IMMEDIATE RELEASE MEDIA CONTACT : Harlow Sumerford 615-344-1851 HCA Healthcare Reports Second Quarter 2021 Results ; Raises 2021 Guidance Nashville , Tenn . , July 20 , 2021 - HCA Healthcare , Inc. ( NYSE : HCA ) today announced financial and operating results for the second quarter ended June 30 , 2021 . Key second quarter metrics ( all percentage changes compare 2Q 2021 to 2Q 2020 unless otherwise noted ) : ● Revenues totaled $ 14.435 billion Net income attributable to HCA Healthcare , Inc. totaled $ 1.450 billion , or $ 4.36 per diluted share • Adjusted EBITDA totaled $ 3.219 billion Cash flows from operating activities totaled $ 2.251 billion Same facility admissions increased 17.5 percent and same facility equivalent admissions increased 26.8 percent " With the effects of the pandemic moderating in the second quarter , we experienced a strong rebound in demand for healthcare services , " said Sam Hazen , Chief Executive Officer of HCA Healthcare . " We continue to invest aggressively in our strategic agenda , which is building greater clinical capabilities to serve our communities while also developing more comprehensive enterprise resources to support caregivers and differentiate our local networks . " Revenues in the second quarter of 2021 increased to $ 14.435 billion , compared to $ 11.068 billion in the second quarter of 2020. Net income attributable to HCA Healthcare , Inc. totaled $ 1.450 billion , or $ 4.36 per diluted share , compared to $ 1.079 billion , or $ 3.16 per diluted share , in the second quarter of 2020. The second quarter of 2021 results include gains on sales of facilities of $ 8 million , or $ 0.02 per diluted share , and losses on retirement of debt of $ 12 million , or $ 0.03 per diluted share . The second quarter of 2020 results included losses on sales of facilities of $ 27 million , or $ 0.07 per diluted share . The Company recognized $ 822 million ( $ 590 million net of tax ) , or $ 1.73 per diluted share , in government stimulus income during the second quarter of 2020 related to general distribution funds received from the provider relief fund established by the Coronavirus Aid , Relief , and Economic Security ( " CARES " ) Act . During October 2020 , the Company announced it would return , or repay early , its share of provider relief fund distributions of approximately $ 1.6 billion and approximately $ 4.4 billion in Medicare accelerated payments . In the third quarter of 2020 , the Company reversed the $ 822 million of government stimulus income that it recognized during the second quarter of 2020 . 1