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Behind HCA's Q2 Beat: One-Time Medicaid Boost and a Growing Insurance Headwind
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Shares of HCA Healthcare Inc (NYSE:HCA) were rising on Monday, after the company reported its second-quarter results on Friday.

Here are some key analyst takeaways:

  • KeyBanc Capital Markets analyst Matthew Gillmor maintained an Overweight rating, while cutting the price target from $475 to $435.
  • RBC Capital Markets analyst Ben Hendrix reiterated an Outperform rating and price target of $435.

Check out other analyst stock ratings.

KeyBanc Capital Markets: HCA Healthcare’s EBITDA grew 4.6% year-on-year to $4.027 billion, coming in slightly ahead of Street expectations of $3.950 billion, Gillmor said in a note. He added, however, that the results included around $400 million of incremental Medicaid supplemental payments that the consensus did not reflect.

The analyst noted that HCA Healthcare’s results were negatively impacted by two factors:

  • $400 million from more HIX (Health Insurance Exchange) patients losing coverage.
  • Weaker surgical trends, with inpatient surgeries down 2.3% and same store outpatient surgeries down 3.4%.

These negative factors were partially offset by strong medical volumes and expense management, he further stated.

RBC Capital Markets: HCA Healthcare reset its core EBITDA growth expectations for 2026 more in line with its long-term historical target of 4%-6%, "given the pronounced ACA (Affordable Care Act) payer mix headwind and persistent surgical volume softness," Hendrix said.

The analyst stated that management raised their full-year HIX headwind estimate to a range of -$1.0 billion to -$1.2 billion, citing two "assumptions that failed to materialize," namely:

  • The assumption that 15%-20% of patients losing exchange coverage would transition to employer-sponsored insurance, rather than becoming uninsured.
  • The expectations that the newly uninsured population would result in lower hospital utilization. While exchange equivalent admissions declined by around 22,000 same-facility year to-date, uninsured equivalent admissions were up around 26,500.

"Same-facility inpatient surgeries declined 2.3% and outpatient surgeries declined 3.4% in the quarter, with elective inpatient surgeries down 6% year-to-date versus -2% in 2025," he further wrote.

HCA Stock Price Activity: HCA Healthcare shares were up 1.79% at $389.05 at the time of publication on Monday, according to Benzinga Pro data.

Disclaimer:This article represents the opinion of the author only. It does not represent the opinion of Webull, nor should it be viewed as an indication that Webull either agrees with or confirms the truthfulness or accuracy of the information. It should not be considered as investment advice from Webull or anyone else, nor should it be used as the basis of any investment decision.
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