HCA Healthcare projects 2026 revenue of $77B-$79.5B despite a $1B-$1.2B exchange headwind from insurance coverage declines.
HCA Healthcare expects 2026 revenue to reach $77 billion to $79.5 billion, reflecting a $1 billion to $1.2 billion headwind from exchange-related pressures. The company cited the expiration of enhanced premium tax credits, which led to increased uninsured patients seeking emergency care.
The forecast follows a period of declining insurance coverage, as fewer individuals maintained policies after subsidies lapsed. Comparable revenue growth in prior years was supported by stronger enrollment in exchange plans, which has since reversed.
Management highlighted the financial strain from uncompensated care but did not detail immediate market reactions to the guidance.