HCA Healthcare sent out a pre-earnings shockwave Tuesday morning with preliminary second-quarter results suggesting that coverage disruptions from the end of enhanced Affordable Care Act exchange s | The country's largest for-profit health system released preliminary second-quarter results highlighting an increase in uninsured volumes. It now expects a $1 billion to $1.2 billion pre-tax hit across the full year due to payer mix shifts among exchange patients.

Hospital dealmaking remained hot during the second quarter of 2026, extending a merger and acquisition rebound that has lately seen more mid-to-large independent systems in…

HCA Healthcare's preliminary Q2 results showed higher revenue and EPS despite a $400 million hit from a shift toward uninsured patients.