Jan 27 (Reuters) – HCA Healthcare on Tuesday forecast its profit for 2026 above Wall Street estimates after reporting better-than-expected ​quarterly earnings on robust medical care demand.

Hospital operators such ‌as HCA are benefiting from higher utilization of the government’s Medicare insurance plans, particularly ‌when older adults who are covered undergo surgical procedures.

As subsidies that were present during the COVID-19 pandemic under individual Affordable Care Act (Obamacare) plans expire this year, patients availing elective procedures, preventive care visits ⁠and diagnostic services are ‌expected to increase while their insurance is still affordable.

Raking in patients who are insured under government-backed plans ‍provides reliable reimbursement for medical services, compared to uninsured cases that often result in uncompensated care, which amass costs and bad debt for hospital ​operators.

Shares of Nashville, Tennessee-based HCA climbed nearly 5% in premarket ‌trading.

HCA’s revenue from same-facility per equivalent admission – or the combined volume of inpatient and outpatient admissions – increased 2.9%.

However, same-facility inpatient surgeries were flat, while same-facility outpatient surgeries declined 0.5% in the quarter ended December 31.

HCA reported total revenue of $19.51 billion in the fourth quarter, ⁠missing expectations of $19.68 billion.

On an adjusted ​basis, the company posted a profit ​of $8.01 per share, beating analysts’ estimate of $7.46 per share.

The company expects 2026 profit in the range of $29.10 to $31.50 per ‍share, the midpoint ⁠of which is above analysts’ average estimate of $29.46 per share, according to data compiled by LSEG.

The company also authorized ⁠a share repurchase program for up to $10 billion of its outstanding common stock.

(Reporting ‌by Padmanabhan Ananthan and Christy Santhosh in Bengaluru; Editing ‌by Shilpi Majumdar and Maju Samuel)