A 12 minute read
May 29, 2019

Based in Nashville, TN, HCA Healthcare is one of the largest health systems, or IDNs, in the United States. Health systems, also referred to as integrated delivery networks (IDNs), are networks of providers and care facilities that are formed with the goal of improving clinical and quality performance.

With nearly 40,000 staffed beds covering a CBSA population of 1,903,045 people, this health system is not only large, but also financially strong. According to Definitive Healthcare's Hospitals and IDN platform, HCA's net patient revenue is $39 billion, which lands them in the 99th percentile. Perhaps this IDN's financial strength is a result of their payor mix, which tilts toward private payors like UnitedHealthcare (30.5 percent of total claims) and Humana (5.3 percent of total claims).

Fig 1 HCA Healthcare payor mix, Definitive Healthcare’s hospital & IDN platform, May 2019

So far, it's been a busy year for HCA Healthcare. In February 2019, HCA Healthcare completed the purchase of Mission Health, a six-hospital system in Asheville and western North Carolina, for approximately $1.5 billion. Then, in May 2019, HCA Healthcare announced the release of its new Sepsis Prediction and Optimization of Therapy (SPOT) technology. SPOT, which uses the popular dog name because it sniffs out sepsis in a way humans cannot, is an algorithm and alert system for the early detection of sepsis and, so far, has helped save an estimated 8,000 lives in the last five years. 

How many hospitals does HCA currently operate?

Hospitals 211
Physician groups 127
Ambulatory surgery centers 157
Imaging centers 129
Urgent care clinic 150
Fig 2 Data from Definitive Healthcare’s hospital & IDN platform, May 2019

The HCA System is mainly comprised of hospitals (211), ambulatory surgery centers (ASCs) (157), and urgent care clinics (150) – followed closely by physician groups (129) and imaging centers (129). They have not invested heavily in retail clinics (4), home health agencies (8), or hospice facilities (7).

HCA hospitals are spread across the U.S. but have the biggest footprint in southern states like Florida, Texas, Virginia, Tennessee, and now North Carolina, with the recent acquisition of Mission Health.

Fig 3 View of HCA Healthcare facilities across the United States, Definitive Healthcare platform, May 2019

Top 50 HCA Hospitals by Net Patient Revenue

Rank Hospital Name Net Patient Revenue # of Staffed Beds
1.  Methodist Hospital (TX) $1,499,642,523 1,548
2.  Mission Hospital - Asheville (NC) $1,209,452,518 665
3.  Medical City Dallas (TX) $891,748,599 723
4.  TriStar Centennial Medical Center (TN) $754,040,800 525
5.  Johnston-Willis Hospital (VA) $721,229,000 292
6.  St. David's Medical Center (TX) $681,294,002 350
7.  Good Samaritan Hospital (CA) $638,715,289 300
8.  Swedish Medical Center (CO) $619,211,405 356
9.  Wesley Medical Center (KS) $608,392,801 552
10.  Sunrise Hospital & Medical Center (NV) $602,446,949 557
11.  Presbyterian/St. Luke's Medical Center (CO) $600,019,534 337
12.  JFK Medical Center (FL) $599,622,690 486
13.  Henrico Doctor's Hospital (VA) $545,346,507 340
14.  Medical City Plano (TX) $544,453,348 438
15.  Riverside Community Hospital (CA) $510,163,505 456
16.  Trident Medical Center (SC) $506,104,421 296
17.  Sky Ridge Medical Center (CO) $499,682,464 284
18.  North Florida Regional Medical Center (FL) $491,899,553 381
19.  Memorial Health University Medical Center (GA) $486,802,747 517
20.  Los Robles Health System (CA) $471,034,233 287
21.  Las Palmas Medical Center (TX) $470,227,675 287
22.  Tulane Medical Center (LA) $460,410,316 235
23 Clear Lake Regional Medical Center (TX) $454,634,642 556
24.  St. David's North Austin Medical Center (TX) $440,149,022 350
25.  Ocala Regional Medical Center (FL) $434,661,844 200
26. Kendall Regional Medical Center (FL) $429,961,666 394
27. Grand Strand Medical Center (SC) $415,330,721 369
28. Doctor's Hospital of Augusta (GA) $406,504,563 259
29. Research Medical Center (MO) $403,412,597 374
30. Regional Medical Center of San Jose (CA) $402,530,165 258
31. The Woman's Hospital of Texas (TX) $401,691,768 257
32. MountainView Hospital (NV) $392,725,332 301
33. Plantation General Hospital (FL) $391,494,846 264
34. Brandon Regional Hospital (FL) $381,813,223 397
35. Osceola Regional Medical Center (FL) $366,104,541 371
36. St. Mark's Hospital (UT) $365,408,405 233
37. Memorial Hospital Jacksonville (FL) $358,942,261 377
38. The Medical Center of Aurora (CO) $346,583,925 308
39. Corpus Christi Medical Center (TX) $344,151,192 250
40. Aventura Hospital and Medical Center (FL) $343,850,638 351
41. Lawnwood Regional Medical Center & Heart Institute (FL) $341,283,145 312
42. Orange Park Medical Center (FL) $332,208,906 273
43. St. David's South Austin Medical Center (TX) $328,058,993 299
44. Parkridge Medical Center (TN) $315,563,790 275
45. Reston Hospital Center (VA) $312,802,416 199
46. Overland Park Regional Medical Center (KS) $310,554,568 262
47. Kingwood Medical Center (TX) $306,660,206 494
48. Eastern Idaho Regional Medical Center (ID) $304,458,809 226
49. Rose Medical Center (CO) $303,723,166 231
50. LewisGale Medical Center (VA) $301,908,831 330

Fig 4 Data from Definitive Healthcare’s hospital & IDN platform, May 2019

HCA hospitals across the U.S. continue to expand, with many projects underway to install new, or replace existing, equipment and technology. Recently, certain HCA hospitals have expressed interest in nuclear medicine cameras, MRI units, and CT scanners. More details about HCA hospital RFPs (requests for proposals) can be found within Definitive Healthcare's platform.

Learn more

Want to learn more about HCA Healthcare, or other IDNs across the US? Definitive Healthcare's Hospitals and IDNs platform includes:

  • Executive and department leadership phone numbers, email addresses, and LinkedIn profiles.
  • Affiliations with GPOs, regional purchasing coalitions, physician groups, ACOs, and other institutions.
  • Detailed hospital financial, clinical, and quality metrics.
  • Open requests for proposals (RFPs) & certificates of need (CONs) for technology, consulting, construction, and major equipment purchases.
  • Data on technology implementations such as EHR solutions, clinical systems, ePrescribing software and other applications.
  • Real-time coverage of executive leadership changes, M&A activity, software implementations, new hospital services, and other developments.

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Tory Waldron

Tory Waldron is a communications professional with a lifelong passion for writing and editing. Before joining Definitive Healthcare, she spent three years at a PR agency working with various B2B ...

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