Does anything beat buy & hold on HCA Healthcare (HCA)?
Every setup we tested on HCA Healthcare (HCA) — ranked out-of-sample, corrected for multiple testing, and forward-tracked in public from the day this page published. The honest answer is the headline.
No setup beat simply holding once tested honestly. We say so plainly.
Its best setup only beat buy-and-hold in one window — a regime artifact, not a strategy. Buy-and-hold benchmark: +19.9% CAGR over 15.3 years (+10.4% CAGR in the out-of-sample window).
Educational research from historical backtests — not investment advice. Past performance does not predict future results.
HCA: we tested 726 setups and none beat simply holding HCA Healthcare
For HCA Healthcare (HCA), we ran 726 indicator configurations against a plain buy-and-hold benchmark, and none of them earned the right to replace it. Individual stocks carry idiosyncratic risk — earnings surprises, guidance changes, sector rotation — that indicators built on price history cannot see coming. The best-looking setup, Klinger Oscillator on the weekly timeframe, ranked at the top in-sample but delivered an out-of-sample Sharpe of 1.02, short of our hurdle of 1.69. Buy-and-hold returned +19.9% annualized over the test period; the top strategies mostly captured pieces of that same move while adding trading friction.
How to read this honestly: when you test 726 setups and keep the best one, something will always look impressive by chance alone. That is why we require the survivor to clear 1.69 out of sample. Klinger Oscillator managed 1.02, with out-of-sample alpha of +8.8% across 4.6 years and 66 trades, and only 14.7% of everything we tested beat the benchmark on unseen data — roughly what luck would produce. None of this predicts anything: the regime that generated these numbers can shift, and single stocks shift faster than most. Treat this page as a record of what failed under honest testing, not a forecast.
Every figure above is computed from our own backtests — nothing is estimated or invented. Hypothetical results; not investment advice.
The least-bad setups — shown with their failure numbers
Nothing here earned a verdict — these are the best of a losing field, published so you can see exactly how "best" still failed.
Klinger Oscillator
Mechanical rule (exactly as backtested): Long while the Klinger volume-force oscillator is above its signal line. Signals are evaluated at weekly-bar close, the position changes on the NEXT bar, 0.08% cost per side, long/flat only — no leverage, no shorting.
Out-of-sample (last ~30% of the window, never used to pick this setup): Sharpe 1.02 · alpha +8.8% · 18 trades over 4.6 yrs.
Chaikin Volatility
Mechanical rule (exactly as backtested): Chaikin's high-low range expansion — long on expanding volatility within an uptrend. Signals are evaluated at weekly-bar close, the position changes on the NEXT bar, 0.08% cost per side, long/flat only — no leverage, no shorting.
Out-of-sample (last ~30% of the window, never used to pick this setup): Sharpe 1.02 · alpha +5.2% · 21 trades over 4.6 yrs.
Stochastic (10,3)
Mechanical rule (exactly as backtested): VARIANT — stochastic(10,3); long while %K leads %D. Signals are evaluated at weekly-bar close, the position changes on the NEXT bar, 0.08% cost per side, long/flat only — no leverage, no shorting.
Out-of-sample (last ~30% of the window, never used to pick this setup): Sharpe 1.01 · alpha +9.0% · 27 trades over 4.6 yrs.
Since publication — including if it loses
The forward record is just getting started — the gap between the two is the honest score. Marked to market nightly from real prices, rules frozen at publication, as of 2026-06-29. Currently LONG.
We tested 726 setups (indicator × parameters × timeframe) on HCA Healthcare (HCA). Only setups with ≥30 trades qualify (543 did). Setups are ranked by out-of-sample Sharpe — the last ~30% of history, which standard-parameter rules never saw during selection. Because picking the best of 726 tries mines even the holdout, the VALIDATED verdict additionally requires the top setup’s OOS Sharpe to clear a selection hurdle of 1.69 (√(2 ln N)/√T) AND positive alpha in both windows. Of the eligible setups, 14.7% had positive out-of-sample alpha (median OOS Sharpe 0.31) — the table below is truncated, but this summary covers all of them. Full recipe: methodology · the engine’s contract lives in the repo as STRATEGY_METHODOLOGY.md.
Top 20 of 543 eligible setups
Ranked by out-of-sample Sharpe. Full + out-of-sample columns, costs included. Hypothetical.
| # | Setup | TF | Total ret | Sharpe | Max DD | Win | Trades | α vs B&H | OOS Sharpe | OOS α | OOS trades |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Klinger Oscillator | Weekly | +457.6% | 0.69 | -28.3% | 53.0% | 66 | -8.0% | 1.02 | +8.8% | 18 |
| 2 | Chaikin Volatility | Weekly | +147.8% | 0.44 | -35.8% | 54.1% | 61 | -13.8% | 1.02 | +5.2% | 21 |
| 3 | Stochastic (10,3) | Weekly | +611.1% | 0.66 | -35.7% | 56.1% | 98 | -6.2% | 1.01 | +9.0% | 27 |
| 4 | Fisher Transform | Weekly | +319.4% | 0.55 | -40.5% | 53.4% | 73 | -10.1% | 1.01 | +6.6% | 17 |
| 5 | Delta Volume (CVD proxy) | Daily | +264.4% | 0.49 | -47.0% | 45.9% | 233 | -11.2% | 0.99 | +9.6% | 60 |
| 6 | Stochastic Fast (5,3) | Weekly | +583.7% | 0.65 | -35.2% | 53.9% | 102 | -6.5% | 0.91 | +7.8% | 26 |
| 7 | SMA 5/20 Cross | Daily | +603.4% | 0.68 | -29.5% | 45.0% | 109 | -6.4% | 0.87 | +8.2% | 27 |
| 8 | Stochastic Slow (21,5) | Weekly | +453.0% | 0.65 | -27.2% | 63.6% | 55 | -8.1% | 0.87 | +5.2% | 16 |
| 9 | Ichimoku (fast) | Daily | +624.5% | 0.71 | -34.5% | 48.2% | 168 | -6.2% | 0.84 | +6.4% | 46 |
| 10 | T3 8/21 Cross | Daily | +487.0% | 0.65 | -30.3% | 51.9% | 77 | -7.7% | 0.84 | +5.1% | 21 |
| 11 | Accumulation/Distribution | Daily | +184.3% | 0.42 | -47.4% | 46.2% | 249 | -12.9% | 0.81 | +5.3% | 61 |
| 12 | On-Balance Volume | Daily | +371.0% | 0.56 | -41.7% | 44.6% | 251 | -9.3% | 0.8 | +5.6% | 64 |
| 13 | Chaikin Oscillator | Daily | +205.2% | 0.44 | -43.5% | 48.4% | 221 | -12.4% | 0.8 | +5.1% | 65 |
| 14 | A/D Oscillator | Daily | +205.2% | 0.44 | -43.5% | 48.4% | 221 | -12.4% | 0.8 | +5.1% | 65 |
| 15 | Vortex | Daily | +568.5% | 0.65 | -39.6% | 46.7% | 184 | -6.8% | 0.79 | +6.9% | 51 |
| 16 | Chaikin Money Flow | Daily | +193.6% | 0.43 | -50.8% | 49.2% | 185 | -12.7% | 0.79 | +5.3% | 53 |
| 17 | Inverse Fisher RSI | Daily | +853.5% | 0.76 | -36.8% | 47.3% | 112 | -4.1% | 0.78 | +5.8% | 30 |
| 18 | Ease of Movement | Daily | >+999% | 0.82 | -39.2% | 47.3% | 188 | -2.4% | 0.77 | +5.7% | 44 |
| 19 | DEMA 20/50 Cross | Daily | +375.5% | 0.59 | -31.5% | 52.3% | 65 | -9.3% | 0.77 | +5.4% | 14 |
| 20 | Ehlers Cyber Cycle | Weekly | +320.1% | 0.53 | -40.5% | 61.9% | 84 | -10.1% | 0.77 | +4.6% | 24 |
Hypothetical backtests with 0.08%/side costs. Not investment advice — see the full disclaimer.
These are historical backtests of mechanical rules. They are educational research, not investment advice, not a recommendation, and not tailored to you. Educational information only — not investment advice. Hypothetical backtested results; past performance does not guarantee future results. Trading involves risk of loss.