What is an income statement waterfall?

An income statement waterfall is a bar chart that walks from total revenue down to net income, with each step showing how much a cost or tax line removes (or adds). Subtotals — gross profit, operating income, pre-tax income — are anchored to zero so the cascade reconciles exactly to the bottom line.

How much of HCA Healthcare (HCA) revenue becomes net income?

For TTM through Q1 2026, HCA Healthcare turned $76.4B of revenue into $6.79B of net income — a net margin of 8.9%. The waterfall shows where the rest goes: cost of revenue, operating expenses, non-operating items, and taxes.

What are HCA Healthcare (HCA) gross, operating, and net margins?

For TTM through Q1 2026, HCA Healthcare reported a gross margin of 34.9%, an operating margin of 15.7%, and a net margin of 8.9%. Each subtotal in the waterfall corresponds to one of these margins.

Why does HCA Healthcare (HCA) have such a high (or low) gross margin?

Gross margin (gross profit ÷ revenue) reflects how much of each revenue dollar remains after direct production costs. Capital-light software and platform businesses often show gross margins above 60–80% because their cost of revenue is mainly hosting and support. Hardware, retail, and commodity businesses show lower gross margins because raw materials and manufacturing costs are significant. The waterfall makes this visible at a glance — the size of the "Cost of Revenue" bar relative to Revenue is the gross margin complement.

What is the difference between gross, operating, and net margin?

Gross margin = (Revenue − Cost of Revenue) ÷ Revenue. It measures production efficiency. Operating margin = Operating Income ÷ Revenue. It adds operating expenses (R&D, S&M, G&A) and measures the profitability of core operations. Net margin = Net Income ÷ Revenue. It also includes interest, other income/expense, and taxes, and represents the shareholder take after everything.

HCA Healthcare (HCA) Income Statement Waterfall

Revenue

$76.4B

Gross Margin

+34.9%

Operating Margin

+15.7%

Net Margin

+8.9%

Income statement waterfall for HCA Healthcare (HCA) — TTM through Q1 2026

Net income: $6.79B

Margin breakdown for HCA Healthcare (HCA) — TTM through Q1 2026

Line item	Amount	Running total
Revenue	$76.4B	$76.4B
Cost of Revenue	-$49.7B	$26.7B
Gross Profit	$26.7B	$26.7B
Operating Expenses	-$14.7B	$12B
Operating Income	$12B	$12B
Other Income / Expense	-$2.18B	$9.79B
Pre-tax Income	$9.79B	$9.79B
Income Tax	-$1.98B	$7.81B
Other Items	-$1.02B	$6.79B
Net Income	$6.79B	$6.79B

Revenue$76.4B
Cost of Revenue-$49.7B
Gross Profit$26.7B
Operating Expenses-$14.7B
Operating Income$12B
Other Income / Expense-$2.18B
Pre-tax Income$9.79B
Income Tax-$1.98B
Other Items-$1.02B
Net Income$6.79B

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