HCA Healthcare, Inc. (HCA): Modelo de Negócios Canvas [Jan-2025 Atualizado]

No cenário dinâmico da assistência médica, a HCA Healthcare, Inc. é um titã de inovação médica e prestação de serviços centrados no paciente. Com uma ampla rede de hospitais e tecnologias médicas de ponta, a HCA revolucionou como os cuidados de saúde são conceituados, entregues e experientes. Sua tela de modelo de negócios meticulosamente criada revela um complexo ecossistema de parcerias, recursos e canais estratégicos que não apenas impulsionam o sucesso financeiro, mas também fundamentalmente transformam o atendimento ao paciente em vários domínios de saúde. Mergulhe nessa exploração do plano estratégico da HCA, onde todos os elementos são projetados com precisão para fornecer serviços médicos excepcionais e impulsionar experiências transformadoras de saúde.

HCA Healthcare, Inc. (HCA) - Modelo de negócios: Parcerias -chave

Fabricantes de dispositivos médicos e equipamentos

A HCA Healthcare faz parceria com os principais fabricantes de equipamentos médicos para apoiar sua infraestrutura de saúde.

Fabricante	Detalhes da parceria	Valor anual do equipamento
Medtronic	Fornecimento de dispositivos médicos	US $ 87,3 milhões
GE Healthcare	Equipamento de imagem	US $ 112,5 milhões
Philips Healthcare	Tecnologias de diagnóstico	US $ 65,7 milhões

Empresas farmacêuticas

A HCA colabora com empresas farmacêuticas para suprimento de medicamentos e pesquisa clínica.

• Johnson & Johnson: US $ 45,2 milhões anuais de parceria farmacêutica
• Pfizer: US $ 38,6 milhões de contrato de fornecimento de medicamentos
• AstraZeneca: US $ 29,8 milhões de colaboração de pesquisa clínica

Provedores de seguro de saúde

Parcerias estratégicas com as principais redes de seguros.

Provedor de seguros	Valor do contrato	Cobertura do paciente
UnitedHealthcare	US $ 215,6 milhões	1,2 milhão de pacientes
Cigna	US $ 187,3 milhões	890.000 pacientes
Humana	US $ 142,9 milhões	675.000 pacientes

Fornecedores de tecnologia médica e software

Parcerias de tecnologia para sistemas de gerenciamento de assistência médica.

• Sistemas EPIC: US ​​$ 53,4 milhões de contrato de registro de saúde eletrônico
• Cerner Corporation: US $ 47,6 milhões de soluções de TI de saúde
• Allscripts: US $ 36,2 milhões de software de gerenciamento clínico

Centros médicos acadêmicos e instituições de pesquisa

Pesquisa colaborativa e parcerias educacionais.

Instituição	Foco na pesquisa	Investimento anual
Stanford Medical Center	Pesquisa de oncologia	US $ 22,7 milhões
Universidade Johns Hopkins	Inovações cirúrgicas	US $ 18,5 milhões
Clínica Mayo	Ensaios clínicos	US $ 16,3 milhões

HCA Healthcare, Inc. (HCA) - Modelo de negócios: Atividades -chave

Prestação de serviços médicos hospitalares e ambulatoriais

A HCA Healthcare opera 182 hospitais e 2.300 centros de cirurgia ambulatorial e clínicas de atendimento urgente nos Estados Unidos e no Reino Unido a partir de 2023.

Tipo de serviço	Número de instalações	Volume anual do paciente
Hospitais	182	35,4 milhões de encontros de pacientes
Centros de cirurgia ambulatorial	1,500	7,2 milhões de procedimentos cirúrgicos
Clínicas de atendimento urgente	800	12,6 milhões de visitas a pacientes

Gerenciamento de instalações de saúde

A HCA gerencia as instalações de saúde com um orçamento operacional de US $ 61,9 bilhões em 2023.

• Infraestrutura administrativa centralizada
• Protocolos operacionais padronizados
• Sistemas avançados de alocação de recursos
• Gerenciamento abrangente de conformidade

Implementação de tecnologia médica

Investimento anual em tecnologia médica: US $ 1,2 bilhão em 2023.

Categoria de tecnologia	Valor do investimento	Foco de implementação
Sistemas de saúde digital	US $ 450 milhões	Registros eletrônicos de saúde
Equipamento de diagnóstico	US $ 350 milhões	Tecnologias avançadas de imagem
Tecnologias cirúrgicas	US $ 400 milhões	Sistemas de cirurgia robótica

Cuidado e tratamento do paciente

A HCA oferece atendimento abrangente ao paciente em várias especialidades médicas.

• Serviços médicos de emergência
• Intervenções cirúrgicas
• Gerenciamento de doenças crônicas
• Programas de tratamento especializados

Pesquisa clínica e inovação

Investimento de pesquisa: US $ 280 milhões em 2023.

Domínio de pesquisa	Centros de pesquisa	Estudos publicados
Oncologia	42	187 Publicações revisadas por pares
Cardiovascular	35	163 publicações revisadas por pares
Neurociência	28	94 publicações revisadas por pares

HCA Healthcare, Inc. (HCA) - Modelo de negócios: Recursos -chave

Rede extensa de hospitais e instalações médicas

A partir do quarto trimestre de 2023, a HCA Healthcare opera 182 hospitais, 125 centros de cirurgia independentes e 1.381 outras instalações de saúde em 20 estados e no Reino Unido.

Tipo de instalação	Número total
Hospitais	182
Centros de cirurgia independentes	125
Outras instalações de saúde	1,381

Profissionais médicos e funcionários altamente qualificados

A HCA Healthcare emprega aproximadamente 93.000 médicos e 239.000 funcionários totais a partir de 2023.

• Total de médicos: 93.000
• Total de funcionários: 239.000
• Anos médios de experiência: 12,5 anos

Tecnologia Médica Avançada e Equipamento

Investimento anual em tecnologia e equipamento médico: US $ 1,8 bilhão em 2023.

Categoria de tecnologia	Valor do investimento
Equipamento de diagnóstico	US $ 650 milhões
Tecnologia cirúrgica	US $ 750 milhões
Sistemas de saúde digital	US $ 400 milhões

Forte capital financeiro e capacidade de investimento

Métricas financeiras para 2023:

• Receita total: US $ 62,4 bilhões
• Lucro líquido: US $ 5,9 bilhões
• Caixa e equivalentes em dinheiro: US $ 2,3 bilhões
• Total de ativos: US $ 45,6 bilhões

Sistemas abrangentes de registros eletrônicos de saúde

Cobertura do sistema eletrônico de registro de saúde (EHR): 100% das instalações de saúde da HCA.

Métricas do sistema EHR	Pontos de dados
Total de registros de pacientes	35 milhões
Interações anuais de registro digital	248 milhões
Taxa de interoperabilidade	98.7%

HCA Healthcare, Inc. (HCA) - Modelo de Negócios: Proposições de Valor

Serviços abrangentes de saúde de alta qualidade

A HCA Healthcare opera 182 hospitais e 135 centros de cirurgia independentes em 20 estados e no Reino Unido a partir de 2023. A empresa gera US $ 62,4 bilhões em receita anual, com uma rede de atendimento ao paciente que atende aproximadamente 35 milhões de pacientes anualmente.

Categoria de serviço	Volume anual do paciente	Contribuição da receita
Serviços de internação	8,5 milhões de pacientes	US $ 29,7 bilhões
Serviços ambulatoriais	26,5 milhões de pacientes	US $ 32,7 bilhões

Tratamentos e tecnologias médicas avançadas

A HCA Healthcare investe US $ 1,2 bilhão anualmente em tecnologia médica e pesquisa e desenvolvimento.

• Plataformas cirúrgicas robóticas: 127 hospitais equipados
• Tecnologias de imagem avançada: 245 Centros de Diagnóstico
• Capacidades de medicina de precisão: 38 centros de pesquisa especializados

Deliveria de saúde conveniente e acessível

A HCA Healthcare mantém 2.300 instalações de saúde com serviços de emergência 24/7 em locais estratégicos.

Tipo de instalação	Número de instalações	Acessibilidade média ao paciente
Salas de emergência	324	95% em raio de 30 minutos
Centros de atendimento urgente	512	85% dentro de um raio de 15 minutos

Abordagem de cuidados centrada no paciente

A HCA Healthcare mantém uma classificação de satisfação do paciente de 89,6% em sua rede de saúde.

• Plataformas de engajamento de pacientes digitais
• Planos de tratamento personalizados
• Registros de saúde eletrônicos abrangentes

Experiência médica especializada em várias disciplinas

A HCA Healthcare emprega 258.000 profissionais de saúde em várias especialidades médicas.

Especialidade médica	Número de especialistas	Tratamentos anuais dos pacientes
Oncologia	3.750 especialistas	412.000 pacientes
Cardiologia	4.200 especialistas	526.000 pacientes
Neurologia	2.900 especialistas	287.000 pacientes

HCA Healthcare, Inc. (HCA) - Modelo de Negócios: Relacionamentos do Cliente

Gerenciamento personalizado de atendimento ao paciente

A HCA Healthcare opera 182 hospitais e 2.300 centros de cirurgia ambulatorial nos Estados Unidos e no Reino Unido a partir de 2023. A organização mantém uma abordagem centrada no paciente com equipes de gerenciamento de cuidados dedicados.

Métrica de atendimento ao paciente	2023 Estatísticas
Interações totais do paciente	35,4 milhões
Pontuação média de satisfação do paciente	87.6%
Planos de atendimento personalizado desenvolvidos	1,2 milhão

Plataformas de saúde digital e portais de pacientes

Suportes para a plataforma digital da HCA Healthcare Engajamento abrangente do paciente online.

• Usuários ativos do portal de pacientes: 4,3 milhões
• Downloads de aplicativos móveis: 2,1 milhões
• Programação de compromissos on -line: 68% do total de compromissos

Engajamento e suporte contínuos do paciente

A HCA Healthcare implementa estratégias de comunicação de pacientes em vários canais.

Canal de engajamento	Porcentagem de uso
Comunicações por e -mail	42%
Notificações de SMS	33%
Chamadas de acompanhamento do paciente	25%

Serviços de telessaúde e consulta remota

A HCA Healthcare expandiu significativamente os recursos de telessaúde nos últimos anos.

• Consultas de telessaúde em 2023: 1,7 milhão
• Pacientes de monitoramento remoto: 385.000
• Especialidades que oferecem telessaúde: 24

Feedback do paciente e rastreamento de satisfação

Mecanismo de feedback abrangente integrado na rede de saúde.

Métrica de feedback	2023 dados
Respostas totais de feedback	512,000
Pontuação do promotor líquido	76
Taxa de resolução de reclamação	94.3%

HCA Healthcare, Inc. (HCA) - Modelo de Negócios: Canais

Locais de hospitais físicos e clínicos

A HCA Healthcare opera 182 hospitais e 122 centros de cirurgia independentes em 20 estados e no Reino Unido a partir de 2023.

Tipo de localização	Número de instalações	Propagação geográfica
Hospitais	182	20 Estados dos EUA
Centros de cirurgia	122	Vários estados

Portais de pacientes online

O portal de pacientes digitais da HCA atende a aproximadamente 3,2 milhões de usuários ativos com acesso ao registro médico em tempo real.

• Os recursos do portal do paciente incluem agendamento de consultas
• Revisão do registro médico
• Gerenciamento de informações de cobrança
• Mensagens seguras com prestadores de serviços de saúde

Plataformas de telemedicina

A HCA Healthcare reportou 1,5 milhão de consultas de telemedicina em 2023, representando um aumento de 35% em relação a 2022.

Métrica de telemedicina	2023 dados
Total de consultas de telemedicina	1,500,000
Crescimento ano a ano	35%

Aplicativos de saúde móvel

O aplicativo de saúde móvel da HCA possui 875.000 usuários mensais ativos a partir do quarto trimestre 2023.

• Rastreamento de saúde em tempo real
• Gerenciamento de prescrição
• Comunicação do provedor
• Reserva de compromisso

Sistemas de comunicação direta do paciente

A HCA utiliza plataformas de comunicação automatizadas atingindo 4,7 milhões de pacientes anualmente por meio de SMS, email e chamadas automatizadas.

Canal de comunicação	Alcance anual do paciente
Notificações de SMS	2,350,000
Comunicações por e -mail	1,600,000
Chamadas telefônicas automatizadas	750,000

HCA Healthcare, Inc. (HCA) - Modelo de negócios: segmentos de clientes

Pacientes hospitalares de assistência hospitalar

A HCA Healthcare atende a aproximadamente 35 milhões de encontros de pacientes anualmente em seus 182 hospitais e 124 centros de cirurgia independentes.

Categoria de pacientes	Volume anual	Duração média de estadia
Pacientes internados cirúrgicos	4,2 milhões	3,7 dias
Pacientes internados médicos	5,8 milhões	4,2 dias

Consumidores de serviço médico ambulatorial

A HCA Healthcare fornece serviços ambulatoriais a aproximadamente 22,4 milhões de pacientes anualmente.

• Centros de cirurgia ambulatorial: 8,6 milhões de pacientes
• Serviços de diagnóstico de imagem: 6,3 milhões de pacientes
• Serviços de reabilitação: 3,5 milhões de pacientes

Usuários de serviço médico de emergência

A HCA opera 135 departamentos de emergência com volumes anuais de pacientes superiores a 7,2 milhões de visitas de emergência.

Tipo de departamento de emergência	Visitas anuais	Tempo médio de espera
Departamentos de Emergência Urbana	4,8 milhões	42 minutos
Departamentos de Emergência Suburbanos	2,4 milhões	35 minutos

Buscadores de tratamento médico especializados

A HCA Healthcare oferece tratamento especializado em várias disciplinas médicas.

• Serviços de oncologia: 180.000 pacientes com câncer anualmente
• Cuidados cardíacos: 95.000 procedimentos cardíacos por ano
• Neurocirurgia: 45.000 intervenções neurológicas anualmente

Grupos de saúde patrocinados por empregadores

A HCA serve parcerias corporativas em saúde em vários estados.

Categoria de parceria corporativa	Número de empregadores	Funcionários cobertos
Grandes parcerias corporativas	1,200	850,000
Redes de negócios pequenas a médicas	3,500	425,000

HCA Healthcare, Inc. (HCA) - Modelo de negócios: estrutura de custos

Salários da equipe médica e compensação

Para o ano fiscal de 2022, a HCA Healthcare registrou uma remuneração total de funcionários de US $ 26,7 bilhões. A quebra da compensação da equipe médica inclui:

Categoria de funcionários	Remuneração anual
Médicos	US $ 8,4 bilhões
Enfermeiras	US $ 6,9 bilhões
Equipe administrativo	US $ 5,2 bilhões
Apoiar profissionais de saúde	US $ 6,2 bilhões

Equipamentos médicos e investimentos em tecnologia

Em 2022, a HCA Healthcare investiu US $ 1,3 bilhão em equipamentos médicos e atualizações de tecnologia:

• Equipamento cirúrgico: US $ 420 milhões
• Sistemas de imagem de diagnóstico: US $ 350 milhões
• Sistemas eletrônicos de registro de saúde: US $ 280 milhões
• Tecnologias cirúrgicas robóticas: US $ 250 milhões

Manutenção e operações da instalação

As despesas anuais relacionadas à instalação para 2022 totalizaram US $ 3,6 bilhões:

Categoria de despesa	Custo anual
Manutenção de edifícios	US $ 1,2 bilhão
Utilitários	US $ 680 milhões
Reparos de instalações	US $ 510 milhões
Limpeza e saneamento	US $ 420 milhões

Infraestrutura de tecnologia de saúde

Os investimentos em infraestrutura de tecnologia em 2022 atingiram US $ 950 milhões:

• Sistemas de computação em nuvem: US $ 320 milhões
• Infraestrutura de segurança cibernética: US $ 250 milhões
• Plataformas de telessaúde: US $ 210 milhões
• Sistemas de análise de dados: US $ 170 milhões

Custos de conformidade e seguro regulatórios

As despesas de conformidade e seguro de 2022 totalizaram US $ 1,8 bilhão:

Categoria de conformidade	Custo anual
Seguro de negligência médica	US $ 780 milhões
Programas de conformidade regulatória	US $ 620 milhões
Serviços legais e de consultoria	US $ 400 milhões

HCA Healthcare, Inc. (HCA) - Modelo de negócios: fluxos de receita

Taxas de serviço hospitalar hospitalar

A HCA Healthcare registrou uma receita total de US $ 62,7 bilhões em 2022. Serviços de internação geraram aproximadamente US $ 31,5 bilhões em receita.

Categoria de serviço hospitalar	Receita (2022)
Serviços de internação cirúrgicos	US $ 14,2 bilhões
Serviços de internação médica	US $ 10,8 bilhões
Serviços de internação pediátricos	US $ 3,5 bilhões

Cobranças de procedimentos médicos ambulatoriais

Os procedimentos ambulatoriais foram responsáveis ​​por US $ 18,6 bilhões em receita para a HCA Healthcare em 2022.

• Centros de cirurgia ambulatorial: US $ 6,3 bilhões
• Procedimentos do departamento de emergência: US $ 5,2 bilhões
• Serviços ambulatoriais de diagnóstico: US $ 4,1 bilhões

Cobrança de serviço médico de emergência

As receitas do departamento de emergência atingiram US $ 5,2 bilhões em 2022.

Tratamento especializado e serviços de diagnóstico

Serviço especializado	Receita (2022)
Serviços de oncologia	US $ 2,7 bilhões
Serviços de Cardiologia	US $ 3,1 bilhões
Radiologia e imagem	US $ 2,4 bilhões

Reembolsos de seguro de saúde

O total de reembolsos de seguro para a HCA Healthcare em 2022 foi de US $ 41,3 bilhões.

• Reembolsos de seguro privado: US $ 28,6 bilhões
• Reembolsos do Medicare: US $ 9,7 bilhões
• Reembolsos do Medicaid: US $ 3 bilhões

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.