HCA Healthcare, Inc. is a leading health care services company in the United States, operating 186 hospitals, 124 freestanding surgery centers, and 24 freestanding endoscopy centers as of December 31, 2023. The company's primary objective is to provide a comprehensive array of quality health care services in a cost-effective manner. HCA's general, acute care hospitals typically provide a full range of services to accommodate medical specialties, while behavioral hospitals offer mental health care services. The company's facilities are located in 20 states and England. HCA's strategy emphasizes developing comprehensive local networks supported by enterprise expertise and economies of scale, aiming to be the health care system of choice in the communities it serves.

• Employees: Approximately 310,000 (as of December 31, 2023)
• Geographic Footprint: 20 states and England
• Headquarters: Nashville, Tennessee
• Founded: 1968
• Number of hospitals: 186 (as of December 31, 2023)
• Number of freestanding surgery centers: 124 (as of December 31, 2023)
• Number of freestanding endoscopy centers: 24 (as of December 31, 2023)
• Revenue: $64.968 billion (FY2023)

• CEO: Samuel N. Hazen
• CFO: William B. Rutherford
• President - American Group: Erol R. Akdamar
• Senior Vice President and Chief Human Resources Officer: Jennifer L. Berres
• Senior Vice President - Internal Audit Services: Phillip G. Billington
• Senior Vice President - Government Relations: Jeff E. Cohen
• Executive Vice President and Chief Clinical Officer: Michael S. Cuffe, M.D.
• Executive Vice President and Chief Operating Officer: Jon M. Foster
• President - Atlantic Group: Richard A. Hammett
• Senior Vice President - Finance: Michael A. Marks
• Senior Vice President and Chief Legal Officer: Michael R. McAlevey
• President - National Group: Timothy M. McManus
• Senior Vice President and Chief Nurse Executive: Sammie S. Mosier
• Senior Vice President - Marketing and Communications: Deborah M. Reiner
• Senior Vice President and Chief Development Officer: Joseph A. Sowell, III
• Senior Vice President - Payer Contracting and Alignment: Kathryn A. Torres
• Senior Vice President and Chief Information Officer: Chad J. Wasserman
• Senior Vice President and Chief Ethics and Compliance Officer: Kathleen M. Whalen
• Senior Vice President and Controller: Christopher F. Wyatt

Key executives have extensive experience in healthcare and management.

• Annual Revenue: $64.968 billion (FY2023)
• Net Income: $5.242 billion (FY2023)
• Total Assets: $56.211 billion (as of December 31, 2023)
• Key Financial Highlights: Revenues increased 7.9% and 7.6% on a consolidated and same facility basis, respectively, for 2023 compared to 2022. Net income decreased by 7.1% for 2023 compared to 2022.

HCA Healthcare provides a wide array of health care services through its facilities:

• General Acute Care Hospitals: Offer a full range of services including internal medicine, general surgery, cardiology, oncology, neurosurgery, orthopedics, obstetrics, diagnostics and emergency services.
• Outpatient and Ancillary Services: Provided through general acute care hospitals, freestanding surgery centers, emergency care facilities, urgent care facilities, walk-in clinics, diagnostic centers and rehabilitation facilities.
• Behavioral Health Hospitals: Offer mental health care services through inpatient, partial hospitalization and outpatient settings.

HCA Healthcare operates through geographically organized groups:

• National Group: Includes 57 hospitals located in Alaska, California, Idaho, Indiana, Kentucky, Nevada, New Hampshire, North Carolina, Tennessee, Utah and Virginia.
• Atlantic Group: Includes 62 hospitals located in Florida, Georgia, Northern Kansas, Missouri and South Carolina.
• American Group: Includes 60 hospitals located in Colorado, Central Kansas, Louisiana and Texas.
• Corporate and Other: Includes the seven hospitals we operate in England.

The company does not provide a revenue breakdown by segment.

HCA Healthcare's business strategy is focused on providing high-quality, convenient and cost-effective healthcare. Key strategic initiatives include:

• Growing presence in existing markets by recruiting and collaborating with physicians and developing comprehensive service lines.
• Achieving industry-leading performance in clinical, operational and satisfaction measures through various initiatives and programs.
• Recruiting and retaining physicians and other health care professionals to meet the need for high quality health services.
• Utilizing economies of scale to grow the company by investing in shared service platforms and other initiatives.
• Pursuing a disciplined development strategy by selectively developing and acquiring new hospitals and other health care facilities.
• Investing in clinical systems and digital capabilities and transforming care models with innovative solutions.

HCA Healthcare operates in the health care services industry, which is highly competitive. Key aspects of the competitive landscape include:

• Market Position: HCA is one of the leading health care service providers in the United States.
• Key Competitors: The company faces competition from other hospitals, health care systems, specialty hospitals, surgery centers, and other medical facilities.
• Industry Trends: The industry is experiencing trends such as increasing demand for outpatient services, consolidation among payers, and a focus on value-based purchasing.

• Risks related to indebtedness: The company has significant indebtedness, which could adversely affect its ability to raise additional capital, react to economic changes, and meet obligations.
• Risks related to human capital: The company's performance depends on its ability to recruit and retain qualified physicians, nurses, and other healthcare professionals, and labor union activity.
• Risks related to technology, data privacy and cybersecurity: Cybersecurity incidents and data breaches could compromise facilities, confidential data, and critical systems, potentially harming patients and disrupting operations.
• Risks related to governmental regulation and other legal matters: The company is subject to extensive laws and regulations, and failure to comply could result in penalties or significant changes to operations. Changes in government health care programs may also adversely affect revenues.
• Risks related to operations, strategy, demand and competition: The company faces competition from other healthcare providers, and changes in patient volumes, payer mix, and reimbursement rates could adversely affect results of operations.