HCA Healthcare: Expecting A Different Outcome Amid Pandemic's Resurgence

Jul. 14, 2020 12:20 AM ETHCA Healthcare, Inc. (HCA) Stock, , , , , 2 Comments
Dulan Lokuwithana
1.49K Followers

Summary

  • HCA Healthcare’s major revenue-generating areas are facing a resurgence of COVID-19 cases.
  • The curbs on elective surgeries could weigh on revenue growth and hurt margins.
  • The restrictions are not severe, even though consensus revenue forecasts indicate otherwise.
  • Our revenue estimates with HCA Healthcare’s current trading multiple highlight its undervaluation.
  • A compelling Buy as the firm’s COVID-19 response prepares it for a prolonged downturn.

Investment Thesis

The twin issues of pandemic and recession have thrown into question the defensive nature of the healthcare stocks. The for-profit hospitals are facing curbs on profitable elective surgeries, hindering their growth prospects. HCA Healthcare, Inc. (NYSE:HCA), dominating the Southern U.S., has witnessed its top line growth stagnating, and the net income has almost halved in the past quarter. That was before the region experienced a resurgence of the pandemic.

Now, the curbs are back but they are less severe, and the healthcare system is better prepared to handle a surging number of COVID-19 patients. The sharp decline in surgical procedures is unlikely to persist, and therefore, HCA’s consensus forecasts appear underwhelming. Even with the current trading multiple, our forecasts highlight an undervalued HCA. The company is debt-heavy, but gearing remains low compared to peers. The government relief programs and the capital rationalization have eased liquidity pressure. Despite the uncertain near-term outlook, the largest hospital operator in the U.S. is well-positioned to emerge unscathed from the twin impact of pandemic and recession.

HCA Healthcare_Company Pic_1

Source: Fierce Healthcare

Overly Exposed to a Resurgent Pandemic

When HCA IPOed more than nine years ago, the sector was battling uncertainty over the U.S. healthcare reforms at the time, and the firm’s debt-heavy capital structure came under heavy scrutiny of analysts. Since then, the company based in Nashville, Tennessee, has well outperformed the sector, more than quadrupling in value until COVID-19 pandemic rattled markets in late February this year. The deadly infection is making a comeback, and the hard-hit states are reimposing restrictions on non-emergency hospital procedures to accommodate the rising patient numbers, forcing the healthcare providers to defer profitable elective surgeries.

With Texas and Florida fast becoming the new virus hotspots, the hospital operators highly exposed to the region are taking a heavy beating. Housing more than

This article was written by

1.49K Followers
A research analyst with CFA (US) Level I & II qualifications, and CIMA (UK) full qualification, Dulan primarily covers Health-care and Restaurant Stocks for Seeking Alpha. A Graduate in Human Biology, Dulan's expertise in the industry refines his Health-care analysis, and the sheer passion in cuisines spices up the Restaurant sector coverage. With a focus on medium to long-term investment horizon, Dulan hopes to uncover investment opportunities in mid-cap to large-cap stocks less well covered by the analysts.

Analyst’s Disclosure:I/we have no positions in any stocks mentioned, and no plans to initiate any positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.

Seeking Alpha's Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.

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