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Intuitive Surgical ( ISRG) stock tumbled Tuesday, alongside shares of other medtech leaders like Abbott Laboratories ( ABT), Stryker ( SYK) and Medtronic ( MDT), after HCA Healthcare trimmed its full-year earnings outlook, suggesting a drop in surgical procedures.

HCA Healthcare, the largest for-profit hospital operator, said inpatient surgeries declined 2.3% while outpatient procedures fell 3.4% in the second quarter compared with the year-ago period.

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As a result, HCA now projects $6.3 billion to $6.7 billion in net income and adjusted earnings before interest, taxes, depreciation and amortization, or EBITDA, of $15.4 billion to $16.1 billion. That's down from the prior outlook for roughly $6.5 billion to $7.04 billion in net income and adjusted EBITDA of $15.55 billion to $16.45 billion.

HCA also narrowed its sales guidance, now projecting $77 billion to $79.5 billion. The midpoint of the new outlook, $78.25 billion, matches the company's prior view.

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Intuitive Surgical stock toppled 6.8%, closing the regular session at 379.50. Abbott stock also took a 3.4% tumble, hitting 88.96. Both companies are due to report their second-quarter results this week. Procept Biorobotics ( PRCT) stock lost 9%, ending the day at 19.31.

Stryker, Medtronic, Boston Scientific ( BSX) and Edwards Lifesciences ( EW) fell 2% to 6% each. All four have ties to the surgical space.

HCA stock also skidded 7% to 363.60.

Follow Allison Gatlin on X/Twitter at @AGatlin_IBD.

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