Reading HCA? Track it free: the weekly brief, plus an alert if the thesis breaks. No credit card.
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NYSEHealth CareMedical Care FacilitiesSnapshot 2026-06-12
Recent financial performance is holding in the top half of its industry — the reason to own it looks intact.
Recent financial performance is strong, but management's recent track record has been unsteady, with frequent disruptive corporate changes. Earnings quality is mixed, and the sector backdrop is a headwind, which may present challenges. Peer multiples imply a price about 16% above where it trades (it looks cheap on this basis); the read is fair. If HCA cuts guidance on the next call, that could be a meaningful negative. This read is provisional.
Daily closes. Earnings/event dots are placed inline.
A consensus fair price across 8 valuation methods, at three horizons. Current price $387.18. Estimates are diagnostics, not price targets. Short-horizon estimates are close to coin-flips, so confidence is a method-agreement read, not a prediction.
No-growth: today's peer multiple on trailing earnings. The headline read.
Embeds projected growth. Leans optimistic by design. Upside context.
We take the 12-month fair value above and grade our own number — how the market prices this name versus what we'd justify, and where the two diverge.
At $387 HCA trades at 13× p/e, below its 14× p/e peer median. Our $435 fair value sits above the price; high confidence. Analysts: $413–$635. Not investment advice.
One valuation read at a 12-month horizon, plus how price compares to peers and the company's own history.
The price implies about 11% below a flat-multiple fair value, below our forecast of about 13%. This describes what's priced in, not a forecast of the move.
Only a turbulent sector regime (Heating) — not the full expensive x weak x turbulent stack.
For similar setups historically (n=20,154): about 33% saw a 20%+ drawdown, and roughly 76% of those did not recover within the year. These are historical base rates for the cohort, not a forecast of this stock.
Each factor is a parallel diagnostic with a clear read of what it shows and how names like it have historically fared. Never aggregated into a single score.
Operating income rose in 2 of the last 3 quarter-over-quarter moves. Historically, Health Care names rated strong grew net income 59% of the time over the next year (vs 52% for the rest of the cohort, n=2344).
Over the trailing year it converted 1.91x of net income into operating cash flow. Historically, Health Care names rated neutral grew net income 54% of the time over the next year (vs 50% for the rest of the cohort, n=2269).
Not enough signal yet.
Not enough signal to read sensitivity to the broad stock market, the US dollar, real (inflation-adjusted) rates, long-term interest rates, Fed net liquidity.
7 material management or governance events in the past 24 months, led by capital-allocation actions. Historically, Health Care names rated volatile grew net income 43% of the time over the next year (vs 57% for the rest of the cohort, n=600).
The next print and the backdrop around it (sector regime and the AI cycle). Context for the path, not a forecast of returns.
EPS estimate $7.39 → $7.36 (-0.4% / 30d). 0 raised, 2 cut, 20 covering analysts.
0 upgrades, 0 downgrades / 30d, 1 maintained. 60% of analysts rate Buy.
2 PT revisions / 30d. Avg target 13.0% above current price.
How management runs the business: capital, margins, balance sheet, and how reliably they guide and deliver.
What a normal day, a bad day, and the worst of the last year would mean for a $10,000 position.
On a typical day, $10k can swing ±$113.
How much price usually moves either way.
On a bad day, this stock has moved -$278.
A rough but not unusual down day (about the 95th percentile).
In the worst 12 months, $10k could have lost $3,362.
Deepest peak-to-trough drop in the last year.
Past results, not a forecast. Not investment advice.
The most important moves since the prior daily snapshot.
No material changes since the prior snapshot.
as of 2026-06-12
Specific, dated things to watch for, each with what would confirm it and what would prove it wrong.
Why it matters: Keeping guidance shows confidence in growth. Changes may mean challenges ahead.
Confirms one read:Management keeps 2026 revenue guidance the same.
Confirms the other:Management cuts revenue guidance for 2026.
Recent news graded against this company's own objectives — whether it reinforces or challenges the thesis, and how confirmed it is.
No graded news catalysts for HCA yet.
Conditional scenarios: if X happens, the view would shift in this direction. These are not predictions.
Recent SEC 8-K filings ranked by likely impact, confidence, and recency.
Entry into a Material Definitive Agreement. Issuance of $3,000,000,000 aggregate principal amount of senior notes Overview On April 30, 2026, HCA Inc. (the “Issuer”), a direct, wholly owned subsidiary of HCA Healthcare, Inc. (the “Parent Guarantor”), completed the public offering of (i) $1,000,000,000 aggregate principal amount of its 4.700% Senior Notes due 2031 (the “2031 Notes”), (ii) $750,000,000 aggregate principal amount of its 5.000% Senior Notes due 2033 (the “2033 Notes”) and (iii) $…
Whether the overall read has been drifting up or down lately, and how it's changed since last week.
Not investment advice. Scores describe historical and current data; they are not forecasts of future returns. Consult a licensed advisor before making investment decisions.
Long-thesis check; widest uncertainty.
$413.00 – $635.00 (median $520.00) · 11 analysts · as of 2026-06-04
Roughly priced in line with peers.
Cheaper than its own typical valuation.
Trailing four: 2025-Q1, 2025-Q2, 2025-Q3, 2026-Q1
A side-by-side read on sector standing, valuation, and risk versus Health Care Facilities.
| Stock | Sector standing | Valuation | Risk |
|---|---|---|---|
HCA HCA Healthcare | Above typical Show detailsSector percentile: 79 of 100 | fair | moderate |
THC Tenet Health | Above typical Show detailsSector percentile: 87 of 100 | fair | elevated |
EHC Encompass Health | Above typical Show detailsSector percentile: 95 of 100 | full | moderate |
UHS Universal Health Services | Above typical Show detailsSector percentile: 91 of 100 | inexpensive | elevated |
ENSG Ensign Group | Above typical Show detailsSector percentile: 83 of 100 | expensive | moderate |
Not investment advice. As of 2026-06-12.
via XLV
Tailwind = sector leading the S&P 500; headwind = trailing. Both can be constructive. Historically, headwind regimes have averaged stronger forward returns than tailwind.
Context label only: describes the market state (e.g. real bear vs narrative panic, healthy uptrend vs late-stage froth). It is not a per-ticker buy/sell signal and does not predict factor performance.
Not investment advice. As of 2026-06-12.
A guidance track record builds as the company issues and delivers on guidance.
Priorities management has stated in recent disclosures, with status and evidence drawn from earnings calls, filings, and press releases.
HCA Healthcare continues to reaffirm its 2026 revenue guidance range of $76.5 billion to $80 billion.
HCA Healthcare plans to maintain its capital expenditures for 2026 between $5 billion and $5.5 billion.
HCA Healthcare announced a share buyback program as part of its capital allocation strategy.
Why it matters: Changes in spending can affect growth and how well the company operates.
Confirms one read:Management says capital spending is steady or going up.
Confirms the other:Management says it will cut capital spending.
Why it matters: A drop in sector revenue growth could signal broader issues affecting HCA's performance.
Confirms:Sector revenue growth falls below its median for the first time.
Disproves:Sector revenue growth remains above its median.
Why it matters: Growth in admissions is key for revenue. A decline may signal deeper issues.
Confirms:Same facility admissions growth below 0.5% in Q2 2026 compared to Q2 2025.
Disproves:Same facility admissions growth above 1% in Q2 2026 compared to Q2 2025.
Why it matters: Updates on the buyback show management's plan to give value to shareholders.
Confirms:Management announces the start of the $3 billion share buyback program.
Disproves:No updates or delays in the share buyback program.
Results of Operations and Financial Condition. On April 24, 2026, HCA Healthcare, Inc. (the “Company”) issued a press release announcing, among other matters, its results of operations for the first quarter ended March 31, 2026, the text of which is set forth as Exhibit 99.1 .
Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant. The information provided in
Other Events On April 27, 2026, HCA Healthcare, Inc. (the “Registrant”) issued a press release (the “Press Release”) announcing the commencement of its proposed public offering by HCA Inc. (the “Issuer”), a direct, wholly owned subsidiary of the Registrant, of senior unsecured notes (the “Offering”). The text of the Press Release is set forth as Exhibit 99.1 and is incorporated herein by reference. On April 27, 2026, the Issuer provided notice of its election to redeem all $1.500 billion of i…
Other Events. On April 24, 2026, the Company announced that its Board of Directors had declared a quarterly cash dividend of $0.78 per share of the Company’s common stock. The dividend will be paid on June 30, 2026 to stockholders of record at the close of business on June 16, 2026.