Government Relations
For more than 50 years, HCA Healthcare has worked to develop comprehensive, local healthcare networks that deliver high-quality and convenient care to every patient, at every visit.
Dedication to the care and improvement of human life
Over half a century later, HCA Healthcare's commitment to the mission and values our founders envisioned remains unwavering.
This commitment extends beyond our hospitals, touching lives in the communities we serve through education, outreach programs, and partnerships that foster health, hope, and well-being for everyone we serve.
Investing in our communities
HCA Healthcare is proud to be a member of communities in 19 states and we are committed to investing in them for years to come. Our economic impact in 2025 included:
- $5B in capital investment
- $8B in federal, state and local taxes incurred, including $2.6B of income, property, sales and use taxes
- $33B in payroll and benefits
- $61M+ 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 About Our Investments In The States We Serve
*These numbers have been rounded to the nearest whole number.
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, Galen now has 25 campuses providing hands-on training and continued education for nursing students across the country.
HCA Healthcare is one of the nation’s leading sponsors of graduate medical education (GME) with over 5,758 residents and fellows enrolled in 365 programs accredited by the Accreditation Council for Graduate Medical Education at 85 teaching hospitals in 16 states.
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 2025, HCA Healthcare provided an estimated cost of approximately $4.5 billion for the delivery of charity care, uninsured discounts and other uncompensated care.
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 47 million annual patient encounters
Founded in 2009, the HCA Healthcare Research Institute is the multispecialty clinical research arm of HCA Healthcare. In 2025, the Research Institute participated in 523 active studies across 54 sites of care and more than 25,000 patient visits.
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 – Dec. 31, 2024
Archive
- Political Participation Overview for Election Cycle 2022
- Political Participation Overview Jan. 1 – June 30, 2022
- Political Participation Overview July 1 – Dec. 31, 2022
- Political Participation Overview Jan. 1 – June 30, 2023
- Political Participation Overview July 1 – Dec. 31, 2023
- Political Participation Overview Jan. 1 – June 30, 2024
Voting
HCA Healthcare encourages all colleagues to participate in the electoral process. Voting is a privilege and HCA Healthcare strives to make registration, as well as corrections to your voter registration card, as easy as possible.
Contact us
Have questions? Reach out to us at Gvt.Relations@HCAhealthcare.com.