HCA Healthcare, Inc. (HCA): Business Model Canvas

In der dynamischen Gesundheitslandschaft gilt HCA Healthcare, Inc. als Gigant medizinischer Innovation und patientenorientierter Servicebereitstellung. Mit einem weitläufigen Netzwerk von Krankenhäusern und modernsten medizinischen Technologien hat HCA die Art und Weise revolutioniert, wie Gesundheitsfürsorge konzipiert, bereitgestellt und erlebt wird. Ihr sorgfältig ausgearbeitetes Business Model Canvas offenbart ein komplexes Ökosystem aus Partnerschaften, Ressourcen und strategischen Kanälen, die nicht nur den finanziellen Erfolg vorantreiben, sondern auch die Patientenversorgung in mehreren Gesundheitsbereichen grundlegend verändern. Tauchen Sie ein in diese Erkundung des strategischen Plans von HCA, bei dem jedes Element genau darauf ausgelegt ist, außergewöhnliche medizinische Dienstleistungen zu erbringen und transformative Gesundheitserlebnisse voranzutreiben.

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Wichtige Partnerschaften

Hersteller medizinischer Geräte und Ausrüstung

HCA Healthcare arbeitet mit großen Herstellern medizinischer Geräte zusammen, um seine Gesundheitsinfrastruktur zu unterstützen.

Hersteller	Einzelheiten zur Partnerschaft	Jährlicher Ausrüstungswert
Medtronic	Versorgung mit medizinischen Geräten	87,3 Millionen US-Dollar
GE Healthcare	Bildgebende Ausrüstung	112,5 Millionen US-Dollar
Philips Healthcare	Diagnosetechnologien	65,7 Millionen US-Dollar

Pharmaunternehmen

HCA arbeitet mit Pharmaunternehmen bei der Medikamentenversorgung und klinischen Forschung zusammen.

• Johnson & Johnson: 45,2 Millionen US-Dollar jährliche Pharmapartnerschaft
• Pfizer: Medikamentenliefervertrag über 38,6 Millionen US-Dollar
• AstraZeneca: 29,8 Millionen US-Dollar klinische Forschungskooperation

Krankenversicherungsanbieter

Strategische Partnerschaften mit großen Versicherungsnetzwerken.

Versicherungsanbieter	Vertragswert	Patientenabdeckung
UnitedHealthcare	215,6 Millionen US-Dollar	1,2 Millionen Patienten
Cigna	187,3 Millionen US-Dollar	890.000 Patienten
Humana	142,9 Millionen US-Dollar	675.000 Patienten

Anbieter von Medizintechnik und Software

Technologiepartnerschaften für Gesundheitsmanagementsysteme.

• Epic Systems: Vertrag über elektronische Gesundheitsakten im Wert von 53,4 Millionen US-Dollar
• Cerner Corporation: IT-Lösungen für das Gesundheitswesen im Wert von 47,6 Millionen US-Dollar
• Allscripts: Software für klinisches Management im Wert von 36,2 Millionen US-Dollar

Akademische medizinische Zentren und Forschungseinrichtungen

Kollaborative Forschungs- und Bildungspartnerschaften.

Institution	Forschungsschwerpunkt	Jährliche Investition
Stanford Medical Center	Onkologische Forschung	22,7 Millionen US-Dollar
Johns Hopkins Universität	Chirurgische Innovationen	18,5 Millionen US-Dollar
Mayo-Klinik	Klinische Studien	16,3 Millionen US-Dollar

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Hauptaktivitäten

Erbringung medizinischer Dienstleistungen im Krankenhaus- und ambulanten Bereich

HCA Healthcare betreibt ab 2023 182 Krankenhäuser und 2.300 ambulante Operationszentren und Notfallkliniken in den Vereinigten Staaten und im Vereinigten Königreich.

Servicetyp	Anzahl der Einrichtungen	Jährliches Patientenvolumen
Krankenhäuser	182	35,4 Millionen Patientenkontakte
Zentren für ambulante Chirurgie	1,500	7,2 Millionen chirurgische Eingriffe
Notfallkliniken	800	12,6 Millionen Patientenbesuche

Management von Gesundheitseinrichtungen

HCA verwaltet Gesundheitseinrichtungen mit einem Betriebsbudget von 61,9 Milliarden US-Dollar im Jahr 2023.

• Zentralisierte Verwaltungsinfrastruktur
• Standardisierte Betriebsprotokolle
• Erweiterte Ressourcenzuweisungssysteme
• Umfassendes Compliance-Management

Implementierung von Medizintechnik

Jährliche Investition in Medizintechnik: 1,2 Milliarden US-Dollar im Jahr 2023.

Kategorie „Technologie“.	Investitionsbetrag	Umsetzungsfokus
Digitale Gesundheitssysteme	450 Millionen Dollar	Elektronische Gesundheitsakten
Diagnosegeräte	350 Millionen Dollar	Fortschrittliche Bildgebungstechnologien
Chirurgische Technologien	400 Millionen Dollar	Roboterchirurgiesysteme

Patientenversorgung und -behandlung

HCA bietet umfassende Patientenversorgung in mehreren medizinischen Fachgebieten.

• Medizinischer Notfalldienst
• Chirurgische Eingriffe
• Management chronischer Krankheiten
• Spezialisierte Behandlungsprogramme

Klinische Forschung und Innovation

Forschungsinvestition: 280 Millionen US-Dollar im Jahr 2023.

Forschungsbereich	Forschungszentren	Veröffentlichte Studien
Onkologie	42	187 peer-reviewte Veröffentlichungen
Herz-Kreislauf	35	163 peer-reviewte Veröffentlichungen
Neurowissenschaften	28	94 peer-reviewte Veröffentlichungen

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Schlüsselressourcen

Umfangreiches Netzwerk von Krankenhäusern und medizinischen Einrichtungen

Im vierten Quartal 2023 betreibt HCA Healthcare 182 Krankenhäuser, 125 freistehende Operationszentren und 1.381 andere Gesundheitseinrichtungen in 20 Bundesstaaten und im Vereinigten Königreich.

Einrichtungstyp	Gesamtzahl
Krankenhäuser	182
Freistehende Operationszentren	125
Andere Gesundheitseinrichtungen	1,381

Hochqualifizierte medizinische Fachkräfte und Mitarbeiter

HCA Healthcare beschäftigt im Jahr 2023 rund 93.000 Ärzte und insgesamt 239.000 Mitarbeiter.

• Gesamtzahl der Ärzte: 93.000
• Gesamtzahl der Mitarbeiter: 239.000
• Durchschnittliche Berufserfahrung: 12,5 Jahre

Fortschrittliche medizinische Technologie und Ausrüstung

Jährliche Investitionen in Medizintechnik und Ausrüstung: 1,8 Milliarden US-Dollar im Jahr 2023.

Kategorie „Technologie“.	Investitionsbetrag
Diagnosegeräte	650 Millionen Dollar
Chirurgische Technologie	750 Millionen Dollar
Digitale Gesundheitssysteme	400 Millionen Dollar

Starkes Finanzkapital und Investitionskapazität

Finanzkennzahlen für 2023:

• Gesamtumsatz: 62,4 Milliarden US-Dollar
• Nettoeinkommen: 5,9 Milliarden US-Dollar
• Zahlungsmittel und Zahlungsmitteläquivalente: 2,3 Milliarden US-Dollar
• Gesamtvermögen: 45,6 Milliarden US-Dollar

Umfassende elektronische Gesundheitsaktensysteme

Abdeckung durch das elektronische Gesundheitsaktensystem (EHR): 100 % der HCA Healthcare-Einrichtungen.

EHR-Systemmetriken	Datenpunkte
Gesamtzahl der Patientenakten	35 Millionen
Jährliche Interaktionen mit digitalen Datensätzen	248 Millionen
Interoperabilitätsrate	98.7%

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Wertversprechen

Hochwertige umfassende Gesundheitsdienstleistungen

HCA Healthcare betreibt ab 2023 182 Krankenhäuser und 135 freistehende Operationszentren in 20 Bundesstaaten und im Vereinigten Königreich. Das Unternehmen erwirtschaftet mit einem Patientenversorgungsnetzwerk, das jährlich etwa 35 Millionen Patienten versorgt, einen Jahresumsatz von 62,4 Milliarden US-Dollar.

Servicekategorie	Jährliches Patientenvolumen	Umsatzbeitrag
Stationäre Dienste	8,5 Millionen Patienten	29,7 Milliarden US-Dollar
Ambulante Dienste	26,5 Millionen Patienten	32,7 Milliarden US-Dollar

Fortschrittliche medizinische Behandlungen und Technologien

HCA Healthcare investiert jährlich 1,2 Milliarden US-Dollar in Medizintechnik sowie Forschung und Entwicklung.

• Roboterchirurgische Plattformen: 127 Krankenhäuser ausgestattet
• Fortschrittliche Bildgebungstechnologien: 245 Diagnosezentren
• Präzisionsmedizinische Kapazitäten: 38 spezialisierte Forschungszentren

Bequeme und zugängliche Gesundheitsversorgung

HCA Healthcare unterhält 2.300 Gesundheitseinrichtungen mit Notdiensten rund um die Uhr an strategischen Standorten.

Einrichtungstyp	Anzahl der Einrichtungen	Durchschnittliche Patientenzugänglichkeit
Notaufnahmen	324	95 % im Umkreis von 30 Minuten
Notfallzentren	512	85 % im Umkreis von 15 Minuten

Patientenzentrierter Pflegeansatz

HCA Healthcare erreicht in seinem gesamten Gesundheitsnetzwerk eine Patientenzufriedenheitsbewertung von 89,6 %.

• Digitale Plattformen zur Patienteneinbindung
• Personalisierte Behandlungspläne
• Umfangreiche elektronische Gesundheitsakte

Spezialisierte medizinische Expertise in mehreren Disziplinen

HCA Healthcare beschäftigt 258.000 medizinische Fachkräfte in verschiedenen medizinischen Fachgebieten.

Medizinisches Fachgebiet	Anzahl der Spezialisten	Jährliche Patientenbehandlungen
Onkologie	3.750 Spezialisten	412.000 Patienten
Kardiologie	4.200 Spezialisten	526.000 Patienten
Neurologie	2.900 Spezialisten	287.000 Patienten

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Kundenbeziehungen

Personalisiertes Patientenversorgungsmanagement

HCA Healthcare betreibt ab 2023 182 Krankenhäuser und 2.300 ambulante Operationszentren in den Vereinigten Staaten und im Vereinigten Königreich. Die Organisation verfolgt einen patientenzentrierten Ansatz mit engagierten Pflegemanagementteams.

Patientenversorgungsmetrik	Statistik 2023
Gesamte Patienteninteraktionen	35,4 Millionen
Durchschnittlicher Patientenzufriedenheitswert	87.6%
Personalisierte Pflegepläne entwickelt	1,2 Millionen

Digitale Gesundheitsplattformen und Patientenportale

Die digitale Plattform von HCA Healthcare unterstützt umfassende Online-Patienteneinbindung.

• Aktive Patientenportalnutzer: 4,3 Millionen
• Downloads mobiler Apps: 2,1 Millionen
• Online-Terminvereinbarung: 68 % aller Termine

Kontinuierliche Patienteneinbindung und -unterstützung

HCA Healthcare implementiert Multi-Channel-Patientenkommunikationsstrategien.

Engagement-Kanal	Nutzungsprozentsatz
E-Mail-Kommunikation	42%
SMS-Benachrichtigungen	33%
Patienten-Follow-up-Anrufe	25%

Telegesundheits- und Fernberatungsdienste

HCA Healthcare hat seine Telegesundheitskapazitäten in den letzten Jahren erheblich erweitert.

• Telegesundheitskonsultationen im Jahr 2023: 1,7 Millionen
• Fernüberwachung von Patienten: 385.000
• Fachgebiete, die Telemedizin anbieten: 24

Patienten-Feedback und Zufriedenheitsverfolgung

Umfassender Feedback-Mechanismus, integriert im gesamten Gesundheitsnetzwerk.

Feedback-Metrik	Daten für 2023
Gesamtzahl der Feedback-Antworten	512,000
Net Promoter Score	76
Beschwerdelösungsrate	94.3%

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Kanäle

Standorte physischer Krankenhäuser und Kliniken

HCA Healthcare betreibt ab 2023 182 Krankenhäuser und 122 freistehende Operationszentren in 20 Bundesstaaten und im Vereinigten Königreich.

Standorttyp	Anzahl der Einrichtungen	Geografische Verbreitung
Krankenhäuser	182	20 US-Bundesstaaten
Chirurgische Zentren	122	Mehrere Staaten

Online-Patientenportale

Das digitale Patientenportal von HCA bietet rund 3,2 Millionen aktiven Benutzern Echtzeitzugriff auf Krankenakten.

• Zu den Funktionen des Patientenportals gehört die Terminvereinbarung
• Überprüfung der Krankenakte
• Verwaltung von Rechnungsinformationen
• Sicheres Messaging mit Gesundheitsdienstleistern

Telemedizin-Plattformen

HCA Healthcare meldete im Jahr 2023 1,5 Millionen telemedizinische Konsultationen, was einem Anstieg von 35 % gegenüber 2022 entspricht.

Telemedizin-Metrik	Daten für 2023
Vollständige telemedizinische Konsultationen	1,500,000
Wachstum im Jahresvergleich	35%

Mobile Gesundheitsanwendungen

Die mobile Gesundheitsanwendung von HCA hatte im vierten Quartal 2023 875.000 aktive monatliche Nutzer.

• Gesundheitsüberwachung in Echtzeit
• Rezeptverwaltung
• Anbieterkommunikation
• Terminbuchung

Direkte Patientenkommunikationssysteme

HCA nutzt automatisierte Kommunikationsplattformen und erreicht jährlich 4,7 Millionen Patienten per SMS, E-Mail und automatisierten Anrufen.

Kommunikationskanal	Jährliche Patientenreichweite
SMS-Benachrichtigungen	2,350,000
E-Mail-Kommunikation	1,600,000
Automatisierte Telefonanrufe	750,000

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Kundensegmente

Patienten im stationären Krankenhausbereich

HCA Healthcare betreut jährlich etwa 35 Millionen Patienten in seinen 182 Krankenhäusern und 124 freistehenden Operationszentren.

Patientenkategorie	Jahresvolumen	Durchschnittliche Aufenthaltsdauer
Chirurgische stationäre Patienten	4,2 Millionen	3,7 Tage
Medizinische stationäre Patienten	5,8 Millionen	4,2 Tage

Verbraucher ambulanter medizinischer Leistungen

HCA Healthcare bietet jährlich ambulante Dienstleistungen für rund 22,4 Millionen Patienten an.

• Ambulante Operationszentren: 8,6 Millionen Patienten
• Diagnostische Bildgebungsdienste: 6,3 Millionen Patienten
• Rehabilitationsleistungen: 3,5 Millionen Patienten

Benutzer des Rettungsdienstes

HCA betreibt 135 Notaufnahmen mit einem jährlichen Patientenaufkommen von über 7,2 Millionen Notfallbesuchen.

Art der Notaufnahme	Jährliche Besuche	Durchschnittliche Wartezeit
Städtische Notaufnahmen	4,8 Millionen	42 Minuten
Vorstädtische Notaufnahmen	2,4 Millionen	35 Minuten

Suchende nach spezialisierter medizinischer Behandlung

HCA Healthcare bietet spezialisierte Behandlungen in mehreren medizinischen Disziplinen an.

• Onkologische Leistungen: 180.000 Krebspatienten jährlich
• Herzpflege: 95.000 Herzeingriffe pro Jahr
• Neurochirurgie: 45.000 neurologische Eingriffe jährlich

Von Arbeitgebern geförderte Gesundheitsgruppen

HCA betreut Unternehmenspartnerschaften im Gesundheitswesen in mehreren Bundesstaaten.

Kategorie „Unternehmenspartnerschaften“.	Anzahl der Arbeitgeber	Abgedeckte Mitarbeiter
Große Unternehmenspartnerschaften	1,200	850,000
Netzwerke für kleine bis mittlere Unternehmen	3,500	425,000

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Kostenstruktur

Gehälter und Vergütung des medizinischen Personals

Für das Geschäftsjahr 2022 meldete HCA Healthcare eine Mitarbeitervergütung von insgesamt 26,7 Milliarden US-Dollar. Die Vergütung des medizinischen Personals gliedert sich wie folgt auf:

Mitarbeiterkategorie	Jährliche Vergütung
Ärzte	8,4 Milliarden US-Dollar
Krankenschwestern	6,9 Milliarden US-Dollar
Verwaltungspersonal	5,2 Milliarden US-Dollar
Unterstützen Sie Mitarbeiter im Gesundheitswesen	6,2 Milliarden US-Dollar

Investitionen in medizinische Ausrüstung und Technologie

Im Jahr 2022 investierte HCA Healthcare 1,3 Milliarden US-Dollar in medizinische Geräte und Technologie-Upgrades:

• Chirurgische Ausrüstung: 420 Millionen US-Dollar
• Diagnostische Bildgebungssysteme: 350 Millionen US-Dollar
• Elektronische Patientenaktensysteme: 280 Millionen US-Dollar
• Roboterchirurgische Technologien: 250 Millionen US-Dollar

Wartung und Betrieb der Anlage

Die jährlichen einrichtungsbezogenen Ausgaben für 2022 beliefen sich auf insgesamt 3,6 Milliarden US-Dollar:

Ausgabenkategorie	Jährliche Kosten
Gebäudewartung	1,2 Milliarden US-Dollar
Dienstprogramme	680 Millionen Dollar
Reparaturen an Anlagen	510 Millionen Dollar
Reinigung und Hygiene	420 Millionen Dollar

Infrastruktur für Gesundheitstechnologie

Die Investitionen in die Technologieinfrastruktur erreichten im Jahr 2022 950 Millionen US-Dollar:

• Cloud-Computing-Systeme: 320 Millionen US-Dollar
• Cybersicherheitsinfrastruktur: 250 Millionen US-Dollar
• Telegesundheitsplattformen: 210 Millionen US-Dollar
• Datenanalysesysteme: 170 Millionen US-Dollar

Einhaltung gesetzlicher Vorschriften und Versicherungskosten

Die Compliance- und Versicherungskosten für 2022 beliefen sich auf 1,8 Milliarden US-Dollar:

Compliance-Kategorie	Jährliche Kosten
Versicherung gegen ärztliche Kunstfehler	780 Millionen Dollar
Programme zur Einhaltung gesetzlicher Vorschriften	620 Millionen Dollar
Rechts- und Beratungsdienstleistungen	400 Millionen Dollar

HCA Healthcare, Inc. (HCA) – Geschäftsmodell: Einnahmequellen

Gebühren für stationäre Krankenhausleistungen

HCA Healthcare meldete im Jahr 2022 einen Gesamtumsatz von 62,7 Milliarden US-Dollar. Die stationären Dienstleistungen erwirtschafteten einen Umsatz von rund 31,5 Milliarden US-Dollar.

Kategorie „Stationärer Dienst“.	Umsatz (2022)
Chirurgische stationäre Dienste	14,2 Milliarden US-Dollar
Medizinische stationäre Dienste	10,8 Milliarden US-Dollar
Kinderstationäre Dienste	3,5 Milliarden US-Dollar

Gebühren für ambulante medizinische Eingriffe

Ambulante Eingriffe machten im Jahr 2022 einen Umsatz von 18,6 Milliarden US-Dollar für HCA Healthcare aus.

• Zentren für ambulante Chirurgie: 6,3 Milliarden US-Dollar
• Verfahren der Notaufnahme: 5,2 Milliarden US-Dollar
• Diagnostische ambulante Dienste: 4,1 Milliarden US-Dollar

Abrechnung des ärztlichen Notdienstes

Die Einnahmen der Notaufnahme erreichten im Jahr 2022 5,2 Milliarden US-Dollar.

Spezialisierte Behandlungs- und Diagnosedienste

Spezialisierter Service	Umsatz (2022)
Onkologische Dienstleistungen	2,7 Milliarden US-Dollar
Kardiologische Dienstleistungen	3,1 Milliarden US-Dollar
Radiologie und Bildgebung	2,4 Milliarden US-Dollar

Erstattungen der Krankenversicherung

Die gesamten Versicherungserstattungen für HCA Healthcare beliefen sich im Jahr 2022 auf 41,3 Milliarden US-Dollar.

• Erstattungen von Privatversicherungen: 28,6 Milliarden US-Dollar
• Medicare-Erstattungen: 9,7 Milliarden US-Dollar
• Medicaid-Erstattungen: 3 Milliarden US-Dollar

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Value Propositions

You're looking at the core value HCA Healthcare, Inc. (HCA) delivers to its various stakeholders, which is deeply rooted in scale and clinical performance. It's not just about having facilities; it's about the density and quality across a massive footprint.

Broad access to care via an integrated, multi-state network

The sheer scale of HCA Healthcare, Inc. (HCA) is a primary value proposition. They operate as one of the largest healthcare providers nationally, which translates directly into geographic access for patients and referral networks for physicians. As of late 2025, HCA Healthcare, Inc. (HCA) manages 191 hospitals across 20 states and the United Kingdom. This integrated structure supports patient flow and service continuity.

The network capacity continues to expand, reflecting investment in the physical infrastructure supporting this access. The total number of beds across HCA facilities reached 50,577 in 2025. This network supports consistent volume, evidenced by the company reporting 16 consecutive quarters of volume growth as of July 2025.

High-quality clinical outcomes; 49 hospitals on the 2025 Healthgrades America's 250 Best list

Clinical excellence is quantified through external validation, which you see reflected in the Healthgrades awards. For 2025, 49 of HCA Healthcare, Inc. (HCA)'s hospitals made the America's 250 Best Hospitals list. That designation means these facilities are in the top 5% of hospitals nationwide based on patient outcomes. This focus on outcomes across multiple specialties is key to their market positioning.

Here's a quick look at some of the scale and quality metrics:

Metric	Value	Source/Context
Hospitals on 2025 Healthgrades America's 250 Best List	49	Top 5% for clinical excellence
Q1 2025 Same Facility Admissions Growth	2.6%	Year-over-year comparison
Q1 2025 Same Facility Equivalent Admissions Growth	2.8%	Year-over-year comparison

Operational efficiency and cost management, driving a high operating margin

The value proposition here is financial discipline supporting sustainable operations. HCA Healthcare, Inc. (HCA) has been focused on driving margins through operational leverage and cost controls, such as mitigating contract labor expenses. For 2025, the company was targeting an Adjusted EBITDA of $14.7B, which translates to an expected EBITDA margin of 19.8%. This focus on efficiency is what allows them to reinvest in the network.

To be fair, the net profit margin has seen slight compression, sitting at 8.2% currently, down from 8.4% last year, but analysts still project operating margin improvement through continued cost management. The company generated $10.5B in cash flow from operations in 2024 and expected around $11B for 2025.

Specialized service lines like cardiology, neuro, and orthopedics driving volume growth

Beyond general access, HCA Healthcare, Inc. (HCA) delivers value through depth in specific, high-acuity service lines. These specialty areas are critical drivers of volume and case mix improvement. Inpatient growth callouts for 2025 included specific strength in:

• Neuro
• Ortho
• General surgery
• Vascular
• Rehab
• Obstetrics
• Cardiac procedures

The growth in these areas helps offset softness in other areas, like the decline in outpatient surgeries in Q1 2025. The company has also seen strong growth in ACA/exchange volume, which represented about 8% of equivalent admissions and 10% of revenues in one quarter of 2025.

Commitment to patient safety, with 51 hospitals earning an 'A' grade from Leapfrog in Fall 2025

Patient safety is a non-negotiable component of the value offering, measured by the Leapfrog Group's Hospital Safety Grade. In the Fall 2025 grading cycle, HCA Healthcare, Inc. (HCA) topped the national list for health systems, with 51 of its hospitals achieving an 'A' grade. Furthermore, 18 of those facilities earned the 'Straight A' recognition, meaning they achieved an 'A' for at least two consecutive years. This demonstrates a systemic, rather than isolated, commitment to protecting patients from harm. It's defintely a strong talking point for any stakeholder.

Finance: draft 13-week cash view by Friday.

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Customer Relationships

You're looking at how HCA Healthcare, Inc. (HCA) manages its relationships with key stakeholders-physicians, patients, and the community-as of late 2025. It's about the direct touchpoints and the systems supporting them.

Physician engagement is clearly a focus area, given the data coming out of the annual survey. In 2025, more than 14,000 employed and affiliate physicians participated in the survey, reporting an 84% engagement rate. That figure is noted as being 13 points above the industry physician benchmark.

The service-oriented care model leans heavily on digital support to streamline interactions. For instance, the automated scheduling and staffing platform, known as Timpani, is a key tool. Since its 2023 launch across nine sites, it has saved nursing leaders hundreds of hours. Currently, about 7,000 colleagues use the platform daily, with plans for implementation at nearly 90 additional locations by the end of 2025.

Community investment is quantified through uncompensated care figures. For the full year 2024, HCA Healthcare provided charity care, uninsured discounts, and other uncompensated care at an estimated cost of approximately $4.4 billion. This commitment is supported by specific policies:

• Charity Care Policy: Provides a 100% write-off for emergency services for qualifying patients, generally those with household incomes less than 200% of the Federal Poverty Level (FPL).
• Expanded Charity Care Policy: Offers financial relief for emergency services to families with household incomes between 200% and 400% of FPL.
• Uninsured Discount Policy: Offers a discount, approximately 92% of the total bill at most facilities, for uninsured patients receiving emergency services.

Securing long-term caregiver quality is tied directly to workforce development, particularly through the Galen College of Nursing partnership. This relationship forms the largest Academic Practice Partnership in U.S. healthcare. Here's a look at the scale of that pipeline effort:

Metric	Data Point
Total Galen Students Enrolled (2024)	More than 17,600
HCA Healthcare Colleagues Enrolled at Galen (2024)	Over 4,700
Galen Campuses (as of 2024)	22
Tuition Assistance Benefit	Zero out-of-pocket tuition for eligible colleagues in the online RN to BSN program

Rapid disaster response is managed through the Enterprise Emergency Operations Program (EEOP). This program trains corporate, division, and hospital-based clinicians and leaders annually on responding to events impacting patient care or colleague wellness. Hundreds of HCA Healthcare colleagues are prepared to deploy as Incident Response Teams. The Enterprise Emergency Operations Center (EEOC) in Nashville monitors threats. Furthermore, HCA Healthcare's disaster support includes financial partnership metrics:

• Annual Contribution to American Red Cross (ADGP)
• Total Financial Support to Red Cross for disaster relief (last eight years): Nearly $8 million

Finance: draft 13-week cash view by Friday.

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Channels

HCA Healthcare, Inc. deploys a multi-faceted channel strategy to reach patients, focusing on both high-acuity physical locations and expanding digital access points, supplemented by a significant educational pipeline.

The core physical channel remains the acute-care hospital network, providing inpatient services across its footprint. This is complemented by a growing network of sites designed for lower-acuity or specialized outpatient care, which helps manage patient flow and capture services outside the main hospital setting.

The company's scale allows for centralized support functions to enhance these channels, including supply-chain management and data analytics, which are critical for efficiency across the disparate physical locations.

The Graduate Medical Education (GME) programs function as a vital, long-term channel, not just for service delivery but as a direct pipeline for physician talent, helping to mitigate national physician shortages.

Digital platforms are increasingly integrated to serve as the initial point of access and ongoing engagement for patients, supporting the physical infrastructure.

Here's the quick math on the scale of these primary channels as of mid-2025:

Channel Category	Specific Facility/Program	Count (as of late 2025/most recent data)
Inpatient Services	Acute-care Hospitals	191
Outpatient Services	Freestanding Outpatient Surgery Centers (ASCs)	124
Outpatient Services	Total Ambulatory Sites of Care (including ASCs, ERs, Urgent Care, Physician Clinics)	Approximately 2,500
Talent Pipeline	GME Teaching Hospitals	79
Talent Pipeline	GME Residents and Fellows	More than 5,400

The physical reach extends through various specialized facilities that serve as immediate access points:

• Freestanding outpatient surgery centers (ASCs).
• Urgent care clinics.
• Physician offices.
• Freestanding emergency rooms.
• Diagnostic/imaging centers.

For digital access, HCA Healthcare, Inc. is embedding technology to meet patients where they are. While industry data suggests that approximately 78.6% of U.S. hospitals connect with patients through telehealth services, HCA is actively investing in its own digital health initiatives to drive patient engagement.

The GME channel is substantial, positioning HCA Healthcare, Inc. as the largest sponsor of U.S. graduate medical-education programs. As of early 2025, this included:

• Over 340 Accreditation Council for Graduate Medical Education (ACGME) accredited programs.
• Training more than 5,400 residents and fellows.
• Utilizing 79 teaching hospitals across 16 states.

The company welcomed 1,846 new residents and fellows for the 2024-2025 academic year to feed this pipeline.

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Customer Segments

You're looking at the patient base for HCA Healthcare, Inc. (HCA) as of late 2025. This is a massive, diversified set of customers spanning the entire acuity spectrum, from routine outpatient procedures to the most complex critical care.

Commercial insurance patients represent a significant and growing portion of the paying base, driven by favorable contracting and increased enrollment in Affordable Care Act (ACA) exchange plans.

• Same facility commercial equivalent admissions rose by 3.7% in the third quarter of 2025 compared to the prior year period.
• This commercial growth was split, with exchange volume up 8% and all other commercial volume up 2.4% on a same-facility basis in 3Q 2025.
• For the six months ended June 30, 2025, total revenues reached $36,926 million.

Medicare and Medicaid patients form the foundation of government-funded volume, with Medicare Advantage plans being a key component of the Medicare segment.

• Same facility Medicare equivalent admissions increased by 3.4% in the third quarter of 2025.
• Same facility Medicaid equivalent admissions grew by 1.4% in the third quarter of 2025.
• Self-pay volume saw a decline of 6% on a same-facility basis in 3Q 2025.

Here's a look at the payer mix based on the most recent comprehensive revenue breakdown available from Q2 2024, alongside the latest reported growth trends from Q3 2025:

Payer Category	Q2 2024 Net Patient Service Revenue	Q2 2024 Percentage of Revenue	3Q 2025 Same-Facility Equivalent Admission Growth
Commercial	$8.5 billion	48.8%	3.7% Increase
Medicare (Traditional)	$2.6 billion	15.0%	3.4% Increase
Managed Medicare	$2.9 billion	16.7%	Included in Medicare segment growth
Medicaid (Non-Managed)	$1.1 billion	6.3%	1.4% Increase

Patients requiring complex, high-acuity inpatient care are critical for revenue per equivalent admission, as acuity trends remain favorable.

• The company's overall occupancy rate stood at 74% in the first nine months of 2025.
• Same facility inpatient surgeries increased by 1.4% in the third quarter of 2025 over the prior year period.
• The total number of licensed beds across HCA Healthcare facilities increased to over 50,500 at the end of 3Q25.
• Case mix improved modestly, driven by critical care admissions holding steady.

Patients seeking convenient, lower-acuity outpatient and ambulatory services represent a key area of network expansion.

• HCA Healthcare operated approximately 2,500 ambulatory sites of care as of September 30, 2025.
• These sites include surgery centers, freestanding Emergency Rooms (EDs), urgent care centers, and physician clinics.
• Same facility outpatient surgeries increased by 1.1% in the third quarter of 2025 compared to the same period of 2024.
• Same facility emergency room visits increased by 1.3% in the third quarter of 2025.

Affiliated and employed physicians and clinicians are essential internal customers, supported by one of the largest physician development infrastructures in the nation.

• HCA Healthcare provides support to more than 44,000 active and affiliated physicians.
• For the 2024-2025 academic year, the company welcomed 1,846 new residents and fellows to its Graduate Medical Education (GME) programs.
• HCA Healthcare is the largest sponsor of GME in the nation.

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Cost Structure

You're looking at the expense side of HCA Healthcare, Inc. (HCA) operations as of late 2025. This is where the revenue goes, and honestly, it's a massive undertaking managing costs across hundreds of facilities.

Salaries and benefits (labor costs) are the largest expense category. This is the reality for any major health system; people are the primary resource. For the first six months of 2025, HCA Healthcare reported salaries and benefits totaling $16,135 million. Looking at the second quarter of 2025 specifically, this cost component was $8,138 million. This compares to the full year 2024 figure of $31,170 million, which represented 44.1% of that year's total revenue. The company has seen success mitigating high-cost contract labor, which was reported at 4.3% of total salaries and benefits in a recent period, a slight decrease from 4.6% in Q2 2024.

Supplies and pharmaceuticals expense, managed via HealthTrust GPO. HCA Healthcare uses its group purchasing organization, HealthTrust, to manage the procurement of necessary medical supplies and drugs. For the second quarter of 2025, supplies expense was reported at $2,844 million. This follows the full year 2024 expense of $10,755 million, which was 15.2% of 2024 revenue. HealthTrust has been actively de-risking the supply chain, with 70% of 2025 purchases locked in under fixed pricing.

The key cost drivers for HCA Healthcare's Cost Structure are detailed below, using the latest available figures:

Cost Category	Latest Quarterly Figure (2025)	Latest Period Reported	Full Year Figure (2024)
Salaries and Benefits	$8,138 million	Q2 2025	$31,170 million
Supplies Expense	$2,844 million	Q2 2025	$10,755 million
Interest Expense	$561 million	Q3 2025	$2,061 million
Capital Expenditures (Excl. Acquisitions)	$1,288 million	Q3 2025	$4.9 billion (2024 Total)

Capital expenditures for facility upgrades and new construction, projected at $5.0 billion+. HCA Healthcare is maintaining a significant investment cadence. The 2025 guidance for capital expenditures, excluding acquisitions, is set around $5.0 billion. For the third quarter of 2025, actual capital expenditures totaled $1.288 billion. Over the first six months of 2025, this spend amounted to $2.167 billion, excluding acquisitions. This investment is roughly allocated with 70% toward inpatient capacity buildout, including de-novo facilities.

Professional fees, which remain a significant cost driver. Professional fees are a major component within the broader Other Operating Expenses line item. For the full year 2024, professional fees accounted for 24% of Other Operating Expenses. In the first quarter of 2025, this specific cost inflator rose 11% year-over-year, largely driven by physician subsidies tied to volume, though costs were flat sequentially from the fourth quarter of 2024.

You've got to keep an eye on the debt load, too.

Interest expense on substantial long-term debt. The cost of servicing HCA Healthcare's debt is a fixed drain on earnings. Interest expense for the third quarter of 2025 was $561 million. This follows the full-year 2024 interest expense of $2,061 million, which was up from $1.938 billion in 2023 due to an increase in the average debt balance. As of September 30, 2025, total debt stood at $44.511 billion.

Here are the key expense-related metrics for context:

• Q1 2025 Revenue: $18.321 billion
• Q3 2025 Revenue: $19.161 billion
• 2025 Full Year Revenue Guidance (Updated): $75 billion to $76.5 billion
• Professional Liability Risk Provisions (2024): $627 million

Finance: draft 13-week cash view by Friday.

HCA Healthcare, Inc. (HCA) - Canvas Business Model: Revenue Streams

You're looking at the core engine of HCA Healthcare, Inc.'s financial performance, which is overwhelmingly driven by patient services. The sheer scale of their operations means even modest percentage gains translate into massive dollar amounts. For the twelve months ending September 30, 2025, HCA Healthcare, Inc. reported total revenue of approximately $74.372 billion. This reflects the ongoing strength in demand for their inpatient and outpatient services across their 191 hospitals and extensive network of care sites.

The primary revenue source is patient service revenue, which you see broken down into inpatient admissions and outpatient procedures. While same-facility inpatient surgeries increased $1.4\%$ year-over-year in the third quarter of 2025, same-facility outpatient surgeries grew by $1.1\%$ in that same period. Remember, the revenue generated isn't just about the number of procedures; it's heavily influenced by the complexity and the payer. For the first nine months of 2025, total revenues reached $56.087 billion.

Here's a quick look at how the top-line revenue is tracking for the full year, based on the latest guidance you have access to as of late 2025:

Metric	Period/Basis	Value/Range
Full Year 2025 Revenue Guidance	Full Year Estimate	$75 billion to $76.5 billion
Revenue (TTM)	Twelve Months Ending September 30, 2025	$74.372 billion
Q3 2025 Revenue	Quarter Ended September 30, 2025	$19.161 billion
Revenue Growth (YoY)	Q3 2025	9.6 percent

The metric that really tells the story of pricing power and case selection is revenue per equivalent admission. This figure is definitely growing, which is a huge tailwind. In the third quarter of 2025, same-facility revenue per equivalent admission climbed 6.6% year-over-year. That's a significant jump, especially when you compare it to the first quarter of 2025, where the same metric rose by $2.9\%$ to $3.0\%$. This growth is being driven by a more favorable payer mix and an increase in patient acuity, meaning sicker patients requiring more intensive, higher-reimbursing care, like critical care admissions.

Payments from commercial insurance payers are showing strong growth, which is exactly what you want to see given their generally higher reimbursement rates compared to government programs. On a same-facility basis for Q3 2025, commercial equivalent admissions grew by 3.7% compared to the prior year. This growth is a blend:

• Exchange admissions jumped 22.4% in the first quarter of 2025, with exchange volume representing about 10% of revenues in that quarter.
• All other commercial equivalent admissions grew by 2.4% in Q3 2025.

This commercial strength helps offset some of the pressures from government payers. It's defintely a key part of their margin story.

Reimbursement from government programs remains a substantial, though sometimes less lucrative, piece of the revenue pie. You need to watch the trends here closely. For the third quarter of 2025, same-facility Medicare equivalent admissions rose by 3.4% year-over-year. Medicaid admissions showed modest growth at 1.4% in Q3 2025, which contrasts with the $1.4\%$ decline seen in Q1 2025, likely due to the completion of Medicaid redeterminations. Conversely, self-pay equivalent admissions declined by 6% in Q3 2025. Furthermore, Medicaid state supplemental payment revenues were a major factor, contributing to about half of the year-over-year jump in inpatient revenue per equivalent admission in Q3, with an estimated $240 million net benefit to adjusted EBITDA from these programs.

For other operating revenues, the data is less granular in the latest reports, but we know that growth in Ambulatory Surgery Centers (ASCs) has been a focus. In 2024, ASC revenues grew between 5% and 6%. While specific management fee or rental income figures aren't explicitly itemized as a major revenue stream in the latest earnings summaries, the overall revenue growth is supported by expanding their footprint, including acquisitions of two hospitals in 2025.

Finance: draft 13-week cash view by Friday.