How did HCA Healthcare's revenue and expenses trend in Q4 2024?

**HCA Healthcare's revenue for Q4 2024 was $18.29 billion.** Despite the absence of specific expense data for the quarter, we can infer trends in the company's financial health through related information:

1. **Financial Position**: HCA Healthcare ended the third quarter with cash and cash equivalents of $2.9 billion and long-term debt of $38.3 billion, which is higher than the previous year's $37.2 billion. The long-term debt-to-capital ratio stands at 97.99%, indicating a higher debt level compared to the industry average.
2. **Cash Flow**: The company generated $5.9 billion in free cash flow over the trailing 12 months, marking a 25.5% year-over-year increase. This follows a 13.6% growth in the prior year, indicating strong cash-generating abilities.
3. **Investment and Growth**: HCA continues to invest in enhancing its clinical systems, digital capabilities, and care models. The company plans significant upgrades at Palms West Hospital, allocating $140 million for new expansions, which is set to begin in the second quarter of 2025.
4. **Market Position**: HCA Healthcare is the largest for-profit hospital operator in the United States, with 187 hospitals and over 2,600 healthcare and ambulatory facilities. Despite the impact of hurricanes Helene and Milton, which affected revenue and expenses in Q3 and Q4 2024, the company expects to alleviate these expenses in 2025.

In conclusion, HCA Healthcare's revenue for Q4 2024 was robust, with strong cash flow and investment in growth opportunities despite higher debt levels.