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Management credibility scorecard

HCA Healthcare (HCA)

3 quarters tracked (Q4'25 to Q2'26) · latest call July 24, 2026
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100%
Kept of 7 resolved - limited history
7
Kept or exceeded
0
Missed
11
Still pending
Share count, 3 yrs/yr · accretor

Score History

QuarterCall dateDisclosureFinancial qualityKeptMissed
Q2'26July 24, 20264/124 high, 4 medium flags10Call sheet →
Q1'26April 24, 202610/122 medium, 4 low flags00Call sheet →
Q4'25January 27, 202611/123 medium, 5 low flags60Call sheet →
Disclosure: the 6-item rubric, each scored 0-2, out of 12. Financial quality: flagged indicators by severity. Kept and missed count the prior-quarter promises scored on that call.

Promise Ledger · All Quarters

MarkedStatusPromise
Q2'26PendingComplete most of existing share repurchase authorization
$3.67B completed in H1, aggressive pace maintained
Q2'26PendingCapital expenditures of $5-5.5B
At $2.3B through H1, on track for range
Q2'26DeliveredSupplemental payment programs decline of $50-250M vs prior year
Now showing $300-500M benefit, actually improved from original guidance
Q2'26Pending$400M resiliency program benefit
No specific quantification provided in Q2, just vague 'improvement in cost metrics'
Q2'26Pending2-3% volume growth assumption for the year
Q2 at 2.7% equivalent admissions but surgery weakness concerning
Q2'26PendingFull year range of $600-900M expected impact on adjusted EBITDA from exchanges
Raised to $1.0-1.2B, a 33-60% increase from original midpoint
Q1'26PendingCapital spending range of $5-5.5 billion
Q1 at $1.1B suggests back-end loaded spending pattern
Q1'26Pending$600-900M adverse EBITDA impact from exchanges
Q1 at $150M suggests low end of range but won't narrow guidance
Q1'26PendingSlightly above 20% margins consistent with 2025
Q1 margins down 50 bps but temporal factors cited
Q1'26PendingAdjusted EBITDA between $15.55-16.45 billion for 2026
Reaffirmed guidance despite Q1 dynamics
Q1'26Pending$400 million resiliency program offset to exchange headwinds
Too early to judge but operational leverage improved as quarter progressed
Q1'26PendingGrowth in equivalent admissions between 2% to 3% for 2026
Q1 at 1.3% but management says Feb/March recovered to plan levels
Q4'25DeliveredWill update on enhanced premium tax credit impact when we know more
Provided detailed $600-900M impact range with specific modeling assumptions
Q4'25DeliveredWill provide 2026 guidance on Q4 call
Provided comprehensive 2026 guidance ranges across all key metrics
Q4'25ExceededResiliency plan should provide some relief on cost pressures
Upgraded to specific $400M target, more concrete than previous 'some relief' language
Q4'25DeliveredExpect mostly stable trends in operating costs consistent with past couple of years
Contract labor stable at 4.2%, good expense management demonstrated
Q4'25DeliveredContinue to see solid demand across our markets for health care services within 2-3% growth range
Achieved 2.4% equivalent admissions growth, within target range
Q4'25DeliveredHurricane-impacted markets will produce approximately $100 million in adjusted EBITDA growth in full-year 2025
Hit the $100M target through Q4 performance as guided
Each row is a promise from the prior call, scored against the quarter in "Marked". Kept-promise rate counts resolved promises only; pending is excluded.
Promise-kept rate counts resolved promises only (pending excluded).
Scores, kept-promise rates, and flags on this site reflect the author's opinion, applying a stated methodology to statements management made on public earnings calls. Informational and educational purposes only - not investment advice, a recommendation, or an offer to buy or sell any security. Sources believed reliable but not guaranteed; the author may hold positions in the securities discussed.

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