# HCA Forecasts Flat 2027 Profit as Uninsured Surge Cuts $400 Million

> HCA's 2027 profit forecast stays flat with 2026 as uninsured patients slash quarterly income by $400 million.
- Title: HCA Forecasts Flat 2027 Profit as Uninsured Surge Cuts $400…
- Summary: HCA's 2027 profit forecast stays flat with 2026 as uninsured patients slash quarterly income by $400 million. HCA Healthcare forecasts 2027 earnings to match…
- Keywords: hca healthcare, uninsured patients, quarterly income, 2027 profit forecast, medicaid supplemental payments, health insurance exchanges, finance, markets, HCA, Forecasts, Flat, 2027
- Source: BigGo Finance — https://finance.biggo.com/news/196c985f-0c4c-454a-881a-860490a03bcc
- Author: BigGo Finance
- Published: 2026-10-27T18:31:07+00:00
- Read time: 1 min
- Topics: hca healthcare, uninsured patients, quarterly income, 2027 profit forecast, medicaid supplemental payments, health insurance exchanges, finance, markets
## HCA Reports Q3 Earnings Beat
HCA Healthcare posted third-quarter adjusted earnings of $7.22 per share on revenue of $19.849 billion, beating analyst estimates.
## Uninsured Patients Cut Pretax Income
A rise in uninsured patients reduced pretax income by about $400 million in the quarter, mainly those who lost coverage on health insurance exchanges.
## 2027 Profit Forecast Flat with 2026
HCA forecasts 2027 earnings to be roughly flat with 2026 levels, a flat outlook that pushed shares down more than 5%.
## Medicaid Supplemental Payments Drop
Medicaid supplemental payment net benefits will fall by $550 million to $650 million next year versus 2026 levels.
## HCA Raises 2026 Full-Year Guidance
HCA raised its full-year 2026 guidance to $29.60 to $30.50 per share on revenue of $78.25 billion to $79.50 billion.
## Analyst Notes Market Disappointment
Morningstar analyst Julie Utterback said the market appeared disappointed by management's flat 2027 outlook, implying next year's profit will fall short of $32.14.
## Peers Also Decline in Stock Market
Tenet Healthcare and Universal Health Services shares fell 2% and 6% respectively after HCA's earnings report.
## Key takeaway

HCA Healthcare forecasts 2027 earnings to match 2026 levels despite a $400 million drop in quarterly income from rising uninsured patients.