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Form 8-K · Current Report · Filed 2026-07-14

HCA Healthcare Revises 2026 Guidance Due to Payer Mix Shift

HCA Healthcare, Inc. announced preliminary results for the second quarter of 2026 and revised its 2026 guidance due to an unfavorable payer mix shift driven by an increase in uninsured volume and a service mix shift related to a decline in surgical volume. The company anticipates revenues of approximately $20.230 billion, net income of approximately $1.699 billion, and Adjusted EBITDA of approximately $4.027 billion for Q2 2026. The revised 2026 guidance now ranges from $77.000 to $79.500 billion in revenues, $6.300 to $6.700 billion in net income, and $15.400 to $16.100 billion in Adjusted EBITDA. Positive factors include growth in admissions, equivalent admissions, and ER visits, as well as increased benefit from Medicaid Supplemental Payment Programs.

Filer
HCA Healthcare Inc. HCA · NYSE
Filed
Accession
0001193125-26-302539
CIK
0000860730
Signal
High impactHealthcare

Items reported

Item events

Reported Item

Earnings Miss Lowered Guidance General Statement

Market reaction

Close before filing

$390.74

Next session

-3.0%

Since filing

+3.0%

Latest close

$402.59

What happened, not what will happen — closing prices around the filing date.

Precedent

Previous filings from HCA reporting the same item, with the next session's move:

About HCA Healthcare Inc.

HCA Healthcare Inc. is a leading healthcare services company that owns and operates healthcare facilities across the United States. It plays a critical role in the healthcare sector by providing comprehensive medical care through its network of hospitals, surgery centers, and urgent care facilities. HCA Healthcare Inc. is renowned for its substantial investments in patient care technology and practice management. The company spans various segments of the healthcare industry, delivering services ranging from acute care to outpatient and specialty healthcare. Its operational reach extends across numerous states, significantly influencing healthcare accessibility and quality of medical services in urban and rural communities alike. Moreover, HCA Healthcare emphasizes clinical excellence, research, and education, contributing to the advancement of medical practices and healthcare innovation. HCA Healthcare Inc.'s extensive network and strategic initiatives enable it to adapt to the dynamic healthcare landscape, offering critical services like emergency care, labor and delivery, and oncology. As a pivotal entity in the healthcare sector, it underscores the importance of integrated health systems in enhancing patient outcomes and supporting community well-being.

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