Thomas Frist Jr & family

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Oct 31, 2026 edition

Thomas Frist Jr & familyIPO / MarketsHealthHCAAI read · ▼ Beat, but cautious

HCA Healthcare beats estimates, but shares slide

The move

HCA Healthcare, the hospital chain founded by the Frist family, reported Q3 2026 revenue of $19.85 billion, up 3.6% from a year earlier, and adjusted diluted earnings per share of $7.22, beating analyst estimates of about $6.65. Same-facility admissions grew 2.7%. Management said a shift toward more uninsured patients cost the company roughly $400 million in pretax income during the quarter.

Why it matters

Hospital demand stayed strong, but the loss of exchange-plan coverage among some patients is squeezing margins even as the top line grows.

The bear case

Shares fell more than 4% after the report, as investors focused on management's caution that 2027 earnings will stay roughly level with 2026 rather than on the quarterly beat.

What to watch

HCA's next earnings report, expected in late January 2027.

Source · FierceHealthcareRead original ↗Report an error

Oct 28, 2026 edition

Thomas Frist Jr & familyEarningsHealthHCAAI read · — Mixed

HCA Healthcare's revenue rises, but uninsured patients cut into profit

The move

HCA Healthcare, the hospital chain co-founded by the Frist family, reported third-quarter revenue of $19.849 billion, up 3.6% from $19.161 billion a year earlier. Net income attributable to HCA fell 3.9% to $1.579 billion, while diluted earnings per share rose 4.5% to $7.27. The company said a shift toward uninsured patients, mainly people who lost exchange coverage, cut an estimated $400 million from pre-tax income. HCA bought back $2.970 billion of stock in the quarter and said it now expects full-year results in the upper half of the guidance it issued in July. CEO Sam Hazen said HCA is "positioned to end the year positively."

Why it matters

It is an early, concrete look at how the loss of ACA exchange subsidies and coverage is showing up in a major hospital operator's results.

The bear case

Per-share earnings and full-year guidance both improved despite the coverage-related hit, and the company kept buying back stock at scale.

What to watch

Whether the uninsured-patient mix keeps worsening as more people lose exchange coverage heading into 2027.

Source · SEC filing (HCA Healthcare 8-K)Read original ↗Report an error

Oct 4, 2026 edition

Thomas Frist Jr & familyDivestitureHealthHCAAI read · — Trimming the home-care footprint

HCA Healthcare sells home health and hospice units to DAI

The move

Deaconess Associations Incorporated closed its acquisition of 24 home health locations and 7 hospice locations from HCA Healthcare across eight states on Oct 2. The agencies will join DAI's Central Pyramid subsidiary.

Why it matters

It's a sign HCA, the hospital chain co-founded by the Frist family, is narrowing its focus and letting smaller operators consolidate home-care services.

The bear case

This is a relatively small divestiture for a company HCA's size, with no disclosed sale price, so its financial impact looks minor.

What to watch

Whether HCA sheds more non-core home health or hospice assets

Source · Home Health Care NewsRead original ↗Report an error

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Footprint

Prices via Finnhub · as of Nov 11, 2026 12:21 PM ET. For information only.

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