---
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"
generated_at: "2026-07-14T11:45:05.231943+00:00"
event_type: "earnings"
sentiment: "negative"
materiality_score: 0.8
calibrated_materiality_score: 0.8
confidence: "high"
source: SEC EDGAR
---

# HCA Q2 prelim revenue $20.23B, EPS $7.62; cuts FY2026 guidance on payer mix shift

## Summary
- 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.

## SEC filing metadata
- 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
- event_type: earnings
- sentiment: negative
- materiality_score: 0.8
- calibrated_materiality_score: 0.8
- confidence: high
- sec_items: 2.02, 7.01, 9.01
- 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

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001193125-26-302539
- JSON: https://secwatch.observer/filing/0001193125-26-302539.json
- Plain text: https://secwatch.observer/filing/0001193125-26-302539.txt

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.