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HCA + Healthcare ™ INVESTOR CONTACT : Mark Kimbrough 615-344-2688 ● Nashville , Tenn . , October 22 , 2021 – HCA Healthcare , Inc. ( NYSE : HCA ) today announced financial and operating results for the third quarter ended September 30 , 2021 . Key third quarter metrics ( all percentage changes compare 3Q 2021 to 3Q 2020 unless otherwise noted ) : ● ● FOR IMMEDIATE RELEASE MEDIA CONTACT : Harlow Sumerford 615-344-1851 HCA Healthcare Reports Third Quarter 2021 Results ; Revises 2021 Guidance Revenues totaled $ 15.276 billion Net income attributable to HCA Healthcare , Inc. totaled $ 2.269 billion , or $ 7.00 per diluted share Adjusted EBITDA totaled $ 3.224 billion Cash flows from operating activities totaled $ 2.277 billion Same facility admissions and same facility equivalent admissions increased 6.8 percent and 9.3 percent , respectively " During the third quarter we experienced the most intense surge yet of the pandemic , and our colleagues and physicians delivered record levels of patient care to meet the demand caused by the Delta variant , " said Sam Hazen , Chief Executive Officer of HCA Healthcare . " Once again , the disciplined operating culture and strong execution by our teams were on display . I want to thank them for their tremendous work and dedication to serving others . " Revenues in the third quarter of 2021 increased to $ 15.276 billion , compared to $ 13.311 billion in the third quarter of 2020. Net income attributable to HCA Healthcare , Inc. totaled $ 2.269 billion , or $ 7.00 per diluted share , compared to $ 668 million , or $ 1.95 per diluted share , in the third quarter of 2020. Results for the third quarter of 2021 include gains on sales of facilities of $ 1.047 billion , or $ 2.43 per diluted share , related to the sale of four hospitals in Georgia and other health care entity investments . Results for the third quarter of 2020 included a reversal of $ 822 million , or $ 1.72 per diluted share , in government stimulus income recorded in 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 and $ 14 million , or $ 0.03 per diluted share , of gains on sales of facilities . 1