HCA Healthcare, the largest U.S. for-profit hospital operator, is eliminating a small percentage of positions across its corporate office and support functions as rising costs, shifting healthcare policy and more uninsured patients pressure its finances. The Nashville-based company has not disclosed the number of affected employees or departments involved. The cuts follow a May reduction that primarily affected non-direct patient care roles, while HCA said it continues hiring and investing in patient care. HCA narrowed its 2026 revenue forecast to $77 billion-$79.5 billion from $76.5 billion-$80 billion and cut its net-income outlook to $6.3 billion-$6.7 billion from $6.5 billion-$7 billion. It raised its estimated 2026 financial impact from Affordable Care Act-related changes to $1 billion-$1.2 billion from $600 million-$900 million. In the second quarter, revenue rose 8.7% to $20.23 billion and net income increased 2.8% to $1.7 billion, while a shift toward uninsured patients reduced pretax income by an estimated $400 million. HCA shares closed at $402.06 on Sept. 2, down 2.79%. Workforce reductions at Stanford Health Care, John Muir Health and Sharp HealthCare underscore broader cost and reimbursement pressures across the industry.