{"schema_version":"secwatch.filing_event.v1","accession":"0001193125-26-302539","form_type":"8-K","ticker":"HCA","cik":"0000860730","company_name":"HCA Healthcare, Inc.","filed_at":"2026-07-14T11:40:57+00:00","discovered_at":"2026-07-14T11:45:00.309503+00:00","generated_at":"2026-07-14T11:45:05.231943+00:00","sec_items":["2.02","7.01","9.01"],"event_type":"earnings","sentiment":"negative","materiality_score":0.8,"calibrated_materiality_score":0.8,"confidence":"high","headline":"HCA Q2 prelim revenue $20.23B, EPS $7.62; cuts FY2026 guidance on payer mix shift","bullets":["Q2 2026 revenue $20.230B (+8.7% YoY); net income $1.699B ($7.62 diluted EPS) vs $1.653B ($6.83) in Q2 2025.","Adjusted EBITDA $4.027B vs $3.849B; same-facility admissions +2.5%, ER visits +3.6%, but inpatient surgeries -2.3% and outpatient surgeries -3.4%.","Payer mix shift from health insurance exchanges reduced pre-tax income ~$400M in Q2; Medicaid supplemental programs added ~$400M net benefit.","FY2026 guidance cut: revenue $77-79.5B (prev $76.5-80B), EPS $28.70-30.50 (prev $29.10-31.50), Adjusted EBITDA $15.4-16.1B (prev $15.55-16.45B).","Health insurance exchange impact estimate worsened to ($1.0)-($1.2)B from ($600)-($900)M; Medicaid supplemental improved to $300-500M from ($50)-($250)M."],"urls":{"canonical":"https://secwatch.observer/filing/0001193125-26-302539","json":"https://secwatch.observer/filing/0001193125-26-302539.json","markdown":"https://secwatch.observer/filing/0001193125-26-302539.md","text":"https://secwatch.observer/filing/0001193125-26-302539.txt","edgar_index":"https://www.sec.gov/Archives/edgar/data/860730/000119312526302539/0001193125-26-302539-index.htm","edgar_primary_document":"https://www.sec.gov/Archives/edgar/data/860730/000119312526302539/hca-20260714.htm"},"model":{"generated_by":"deepseek-v4-flash:cloud@v2","generated_at":"2026-07-14T11:45:05.231943+00:00"},"review":{"review_status":"machine_generated","human_reviewed":false,"corrected":false,"correction_note":null,"correction_timestamp":null,"superseded_by":null,"related_filings":[]},"source_grounded_claims":[],"license":"Source filings: public domain (SEC EDGAR). Summaries (headline + bullets): CC-BY-4.0; attribute https://secwatch.observer"}