Government Relations

The positive impact of the HCA Healthcare network

2 minute read

HCA Healthcare launches Human Trafficking Awareness and Prevention Program

3 minute read

Shaping the future of medicine: HCA Healthcare welcomes 2,006 new residents and fellows in 2023

4 minute read

HCA Healthcare Named as One of the 2024 World’s Most Ethical Companies by Ethisphere

3 minute read

HCA Healthcare Announces More Than $300 Million in Clinical Education and Training Investments for Nurses

Investing in our communities

* Hospital locations as of Dec. 31, 2023

HCA Healthcare is proud to be a member of communities in 20 states and we are committed to investing in them for years to come. Our economic impact in 2023 included:

$4.4B+
in capital investment

$5.9B
in federal, state and local taxes incurred in 2023, including $2.3B of income, property, sales and use taxes

$29.5B
in payroll and benefits

$43M+
in enterprise giving to community organizations

Learn more about our principles for building healthy communities.

The positive impact of the HCA Healthcare networK

Hospitals

Licensed Beds

250

Other sites of care

Physicians

502

Nurses

542

Employees

1,265

Patient Encounters

102,859

7,504 Total Admissions

518 Deliveries

40,848 ER Visits

38.12% With Medicaid

Capital Investment

$23.4 Million

Salaries/Wages/Benefits

$132.1 Million

Local/State/Federal Tax

$22.2 Million

Hospitals

Licensed Beds

1,895

Other sites of care

Physicians

2,543

Nurses

4,153

Employees

9,463

Patient Encounters

584,641

77,790 Total Admissions

7,161 Deliveries

375,468 ER Visits

42.7% With Medicaid

Capital Investment

$131.6 Million

Salaries/Wages/Benefits

$1.4 Million

Local/State/Federal Tax

$266.4 Million

Hospitals

Licensed Beds

2,494

Other sites of care

171

Physicians

2,987

Nurses

4,352

Employees

12,717

Patient Encounters

1.6 Million

81,876 Total Admissions

10,977 Deliveries

319,522 ER Visits

39.8% With Medicaid

Capital Investment

$253.7 Million

Salaries/Wages/Benefits

$1.2 Million

Local/State/Federal Tax

$478.7 Million

Hospitals

Licensed Beds

13,142

Other sites of care

606

Physicians

11,108

Nurses

34,216

Employees

84,053

Patient Encounters

11.7 Million

614,747 Total Admissions

32,177 Deliveries

319,522 ER Visits

27.8% With Medicaid

Capital Investment

$1.3 Million

Salaries/Wages/Benefits

$5.7 Million

Local/State/Federal Tax

$1.3 Million

Hospitals

Licensed Beds

1,543

Other sites of care

Physicians

1,266

Nurses

2,755

Employees

8,161

Patient Encounters

1.6 Million

71,102 Total Admissions

7,662 Deliveries

335,577 ER Visits

32.7% With Medicaid

Capital Investment

$97.4 Million

Salaries/Wages/Benefits

$762 Million

Local/State/Federal Tax

$158 Million

Hospitals

Licensed Beds

454

Other sites of care

Physicians

497

Nurses

795

Employees

2,264

Patient Encounters

423,661

14,504 Total Admissions

1,259 Deliveries

63,049 ER Visits

35.9% With Medicaid

Capital Investment

$23.7 Million

Salaries/Wages/Benefits

$198.9 Million

Local/State/Federal Tax

$35.2 Million

Hospitals

Licensed Beds

278

Other sites of care

Physicians

256

Nurses

205

Employees

633

Patient Encounters

112,329

4,869 Total Admissions

113 Deliveries

20,964 ER Visits

47.2% With Medicaid

Capital Investment

$2.1 Million

Salaries/Wages/Benefits

$51.3 Million

Local/State/Federal Tax

$16.7 Million

Hospitals

Licensed Beds

1,432

Other sites of care

Physicians

1,525

Nurses

2,665

Employees

7,867

Patient Encounters

1.4 Million

55,547 Total Admissions

9,077 Deliveries

217,629 ER Visits

29.1% With Medicaid

Capital Investment

$142.6 Million

Salaries/Wages/Benefits

$674.6 Million

Local/State/Federal Tax

$142.4 Million

Hospitals

Licensed Beds

384

Other sites of care

Physicians

511

Nurses

465

Employees

6,927

Patient Encounters

330,177

655 Total Admissions

70,283 Deliveries

70,283 ER Visits

39.9% With Medicaid

Capital Investment

$70.1 Million

Salaries/Wages/Benefits

$103.9 Million

Local/State/Federal Tax

$59.7 Million

Hospitals

Licensed Beds

380

Other sites of care

Physicians

198

Nurses

476

Employees

1,601

Patient Encounters

282,576

13,745 Total Admissions

1,469 Deliveries

61,576 ER Visits

54% With Medicaid

Capital Investment

$3.1 Million

Salaries/Wages/Benefits

$148.1 Million

Local/State/Federal Tax

$43.2 Million

Hospitals

Licensed Beds

1,080

Other sites of care

Physicians

950

Nurses

1,765

Employees

6,038

Patient Encounters

1.4 Million

44,787 Total Admissions

1,761 Deliveries

198,682 ER Visits

34.3% With Medicaid

Capital Investment

$59.4 Million

Salaries/Wages/Benefits

$616.4 Million

Local/State/Federal Tax

$136.8 Million

Hospitals

Licensed Beds

1,524

Other sites of care

Physicians

1,847

Nurses

3,493

Employees

8,849

Patient Encounters

955,651

83,872 Total Admissions

8,202 Deliveries

364,013 ER Visits

44.7% With Medicaid

Capital Investment

$172.1 Million

Salaries/Wages/Benefits

$944.2 Million

Local/State/Federal Tax

$116 Million

Hospitals

Licensed Beds

432

Other sites of care

Physicians

669

Nurses

774

Employees

2,585

Patient Encounters

664,814

15,827 Total Admissions

494 Deliveries

91,038 ER Visits

22.3% With Medicaid

Capital Investment

$56.1 Million

Salaries/Wages/Benefits

$259.3 Million

Local/State/Federal Tax

$67.9 Million

Hospitals

Licensed Beds

1,072

Other sites of care

Physicians

1,072

Nurses

1,968

Employees

6,656

Patient Encounters

1.2 Million

54,419 Total Admissions

3,742 Deliveries

324,056 ER Visits

28.1% With Medicaid

Capital Investment

$153 Million

Salaries/Wages/Benefits

$594.7 Million

Local/State/Federal Tax

$141 Million

Hospitals

Licensed Beds

2,752

Other sites of care

138

Physicians

2,366

Nurses

4,886

Employees

36,997

Patient Encounters

3.2 Million

111,030 Total Admissions

10,890 Deliveries

559,240 ER Visits

31.8% With Medicaid

Capital Investment

$612.1 Million

Salaries/Wages/Benefits

$1.3 Billion

Local/State/Federal Tax

$604.9 Million

Hospitals

Licensed Beds

14,025

Other sites of care

808

Physicians

11,763

Nurses

25,362

Employees

74,601

Patient Encounters

11 Million

626,573 Total Admissions

90,562 Deliveries

2.5 MILLION ER Visits

25.9% With Medicaid

Capital Investment

$1.03 Billion

Salaries/Wages/Benefits

$6.47 Billion

Local/State/Federal Tax

$1.56 Billion

Hospitals

Licensed Beds

1,057

Other sites of care

Physicians

1,865

Nurses

2,448

Employees

6,814

Patient Encounters

1.1 Million

37,523 Total Admissions

7,842 Deliveries

193,398 ER Visits

22.8% With Medicaid

Capital Investment

$238.5 Million

Salaries/Wages/Benefits

$556.3 Million

Local/State/Federal Tax

$106.6 Million

Hospitals

Licensed Beds

3,335

Other sites of care

180

Physicians

3,060

Nurses

4,613

Employees

17,114

Patient Encounters

2.8 Million

121,843 Total Admissions

12,100 Deliveries

602,196 ER Visits

35.6% With Medicaid

Capital Investment

$201.8 Million

Salaries/Wages/Benefits

$1.4 Billion

Local/State/Federal Tax

$419.7 Million

Training the next generation of the healthcare workforce

Galen College of Nursing joined HCA Healthcare in 2020, bringing together two leading nursing organizations and creating the country’s largest academic practice partnership. This partnership has increased access to education and provided nursing career development opportunities that we believe will positively impact patient care. Through this partnership, we have 19 campuses and 12,000 students across the nation.*
HCA Healthcare is one of the nation’s leading sponsors of graduate medical education (GME) with more than 5,000 residents and fellows enrolled in 304 Accreditation Council for Graduate Medical Education (ACGME) accredited programs at 72 HCA Healthcare teaching hospitals across 16 states.**

_{*As of May 2024}

_{**As of Dec. 31, 2023}

Increasing access to affordable care

At HCA Healthcare, we work to help ensure the healthcare billing process is clear and supportive for our patients. In partnership with Parallon, HCA Healthcare’s full-service revenue cycle management provider, we have developed several programs and resources designed to provide support, including pricing information, financial counseling, patient-friendly billing practices and generous financial assistance programs.
In 2023, HCA Healthcare provided an estimated cost of $3.7 billion for the delivery of charity care, uninsured discounts and other uncompensated care. HCA Healthcare also cares for more Medicaid inpatients than any other health system in the U.S.

Innovations for care and research

Clinical research and partnerships are fundamental to how we address our communities’ most pressing healthcare needs. As a learning health system, we use our data from more than 43 million annual patient encounters to conduct research and create innovative tools that help improve patient outcomes.
Founded in 2009, the HCA Healthcare Research Institute is the multispecialty clinical research arm of HCA Healthcare. In 2023, the Research Institute expanded support to 36 sites throughout our network and participated in more than 300 industry-sponsored studies.

Political participation and related activities

Consistent with U.S. federal and state laws, we participate in the political giving process through contributions from the HCA Healthcare Good Government Fund and HCA Healthcare state PACs. HCA Healthcare will publish and archive semi-annual reports on our website of political contributions and related activities.

Political Participation Overview July 1 – December 31, 2024

Government Relations

For more than 50 years, HCA Healthcare has shown an unwavering commitment to the care and improvement of human life. It’s a commitment that extends beyond the walls of our hospitals and into the communities we serve.

The positive impact of the HCA Healthcare network

HCA Healthcare launches Human Trafficking Awareness and Prevention Program

Shaping the future of medicine: HCA Healthcare welcomes 2,006 new residents and fellows in 2023

HCA Healthcare Named as One of the 2024 World’s Most Ethical Companies by Ethisphere

HCA Healthcare Announces More Than $300 Million in Clinical Education and Training Investments for Nurses

Investing in our communities

The positive impact of the HCA Healthcare networK