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# Tenet Healthcare beats Q2 estimates, raises FY26 guidance, shares jump 15%
- URL: https://members.americanhealthintel.com/2026-07-24-ledger/
- Published: 2026-07-24T16:09:52.000Z
- Updated: 2026-07-24T16:09:52.000Z
- Description: Plus: HCA books offsetting $400M ACA coverage-loss hit and Florida Medicaid boost. The day's rules, money, and enforcement, sourced and tiered below.
- Author: American Health Intel

Plus: HCA books offsetting $400M ACA coverage-loss hit and Florida Medicaid boost. The day's rules, money, and enforcement, sourced and tiered below.

| American Health Intel Rules · Money · Medicine · Decoded daily The Ledger Friday, July 24, 2026 Tenet Healthcare beats Q2 estimates, raises FY26 guidance, shares jump 15% Plus: HCA books offsetting $400M ACA coverage-loss hit and Florida Medicaid boost. The day's rules, money, and enforcement, sourced and tiered below. ![](https://americanhealthintel.com/email/pulse-divider.png) Earnings Confidence: High Tenet Healthcare, the hospital chain, beat Wall Street's second quarter profit estimate by $1.86 a share and raised its full year guidance sharply, the kind of number that moves a hospital stock double digits in one session. Adjusted EPS of $6.12 beat the roughly $4.26 estimate; revenue hit $5.63 billion, up 6.8%. Tenet raised FY2026 EPS guidance to $20.30-$21.69 and revenue to $21.9B-$22.5B. Shares rose as much as 15%. Why it matters Strong hospital chain earnings suggest underlying demand for hospital care remains robust despite ongoing cost and coverage pressures elsewhere in the industry. Sources: [Businesswire](https://www.businesswire.com/news/home/20260723345068/en/Tenet-Reports-Strong-Second-Quarter-2026-Results-Raises-2026-Financial-Outlook?ref=members.americanhealthintel.com) Earnings Confidence: High HCA Healthcare, the nation's largest for-profit hospital chain, booked two nearly equal and opposite $400 million swings last quarter, one from patients who lost Affordable Care Act coverage, one from Florida's Medicaid program. An ACA-exchange coverage-loss hit and a Florida Medicaid supplemental-payment boost each ran about $400 million, largely canceling out. Revenue $20.23 billion (+8.7%), diluted EPS $7.62 (+11.6%). Why it matters The offsetting swing shows how directly a hospital chain's profits can hinge on two policy levers, ACA exchange enrollment and state Medicaid supplemental payment programs, both now under federal scrutiny. Sources: [Hcahealthcare](https://investor.hcahealthcare.com/news/news-details/2026/HCA-Healthcare-Reports-Second-Quarter-2026-Results/default.aspx?ref=members.americanhealthintel.com) · [SEC](https://www.sec.gov/Archives/edgar/data/0000860730/000119312526302539/hca-ex99%5F1.htm?ref=members.americanhealthintel.com) Also today AM Best upgrades Delta Dental of California to A+ from A [Read](https://americanhealthintel.com/editions/2026-07-24-ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#am-best-delta-dental-california-upgrade) Quest Diagnostics grows EPS 19.1%, raises FY26 guidance again [Read](https://americanhealthintel.com/editions/2026-07-24-ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#quest-diagnostics-q2-2026-guidance-raise) UC San Diego Health strike over 230 layoffs, Novant cuts 31 revenue-cycle roles [Read](https://americanhealthintel.com/editions/2026-07-24-ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#novant-ucsd-health-layoffs-strike) FRONTIER SCAN: 500+ facilities run through PE-nonprofit joint ventures [Read](https://americanhealthintel.com/editions/2026-07-24-ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#pe-nonprofit-joint-ventures-frontier-scan) 233Records$16.5BEnforcement9Deadlines76Rules [Read this issue + the trackers](https://americanhealthintel.com/editions/2026-07-24-ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) Pick your field on the site and every story tells you what it means for you. Reply to this email and tell us what you want covered. We read everything. We show our work. We score our own calls. [Track record](https://americanhealthintel.com/ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Calendar](https://americanhealthintel.com/calendar/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Enforcement](https://americanhealthintel.com/enforcement/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [X](https://x.com/amhealthintel?ref=members.americanhealthintel.com) · [LinkedIn](https://www.linkedin.com/company/american-health-intel?ref=members.americanhealthintel.com) News and analysis, not legal, medical, coding, or investment advice.You subscribed at americanhealthintel.com · [Unsubscribe](%%{unsubscribe%5Furl}%%) |
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