From its stock hitting an all-time high to striking multiple M&A deals, here are 10 things to know about Nashville, Tenn.-based HCA Healthcare — the largest health system in the U.S. — in 2025:
1. Through the first three quarters of 2025, for-profit HCA recorded a net income of $4.9 billion, up from $4.3 billion during the same period in 2024.
2. As of Sept. 30, HCA operates 191 hospitals and about 2,500 ambulatory care sites in 20 states and the United Kingdom.
3. HCA CEO Sam Hazen said in the company’s Jan. 24 financial report that the first half of the decade, which ended in 2024, “proved to be another period of long-term growth for the company and resulted in operational improvements across key performance indicators and greater value for our patients, employees and shareholders.”
4. HCA’s stock reached a record high of $515.85 on Nov. 25.
5. HCA acquired Manchester, N.H.-based Catholic Medical Center on Feb. 1 for $110 million. Prior to the acquisition, CMC was reported to be on “the brink of bankruptcy,”and saw a $45.6 million operating loss in fiscal 2023, with a projected $41.5 million loss for fiscal 2024.
6. HCA acquired Lehigh Acres, Fla.-based Lehigh Regional Medical Center from Ontario, Calif.-based Prime Healthcare on Feb. 27. The 53-bed hospital is now part of HCA’s west Florida division.
7. The County of Santa Clara, Calif., assumed ownership and operations of San Jose, Calif.-based Regional Medical Center on April 1. The county acquired the 252-bed hospital from HCA for $175 million.
8. The Indiana Department of Health on Nov. 9 approved a certificate of public advantage for a merger between Terre Haute-based Union Hospital and HCA-owned Terre Haute Regional Hospital. The approval allows the two hospitals to proceed with the merger application filed in February. Union Health will acquire substantially all assets of Terre Haute Regional, and the merged enterprise will be regulated under the state’s COPA framework. The deal was approved despite opposition from the Federal Trade Commission and Indiana Attorney General Todd Rokita.
9. Asheville, N.C.-based Mission Health and its owner, HCA, settled a lawsuit in August filed by several North Carolina counties and municipalities alleging anticompetitive practices. As part of the agreement, Mission Health will donate $1 million to a new charity fund that will be created to provide healthcare cost assistance to families and individuals earning up to 400% of the federal poverty level. Also as part of the agreement, Mission Health will continue to operate Brevard-based Transylvania Regional Hospital for an additional three years.
10. HCA completed the first wave of its Meditech Expanse EHR implementation, vice president and chief health information officer Jake O’Shea said in October. The rollout brings the new system live at 32 hospitals within HCA’s network. In 2022, HCA named Meditech as its preferred EHR provider. Under the partnership, HCA said it would complete a large-scale deployment of Meditech’s Expanse platform.
