Government Relations

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:

• $4.7B 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

We made significant progress on our commitments to enhance care experiences, care for colleagues and give back to the communities we serve. Learn more below and in our Annual Impact Report.

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

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.

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.