HCA realigns C-level chains of command

HCA Healthcare is changing reporting structures and hierarchies among its senior executives. 

Nashville, Tenn.-based HCA is adjusting the reporting paths for its CEO, CFO, COO, CIO and other executive roles, effective April 1 unless otherwise noted. CEO Sam Hazen said the changes "are part of our ongoing endeavor to streamline efforts and align organizationally around key strategic initiatives," according to a Feb. 13 company news release

The shifted reporting structure calls for:

  • HCA's three operating groups to report directly to Executive Vice President and COO Jon Foster;
  • Chad Wasserman, senior vice president and CIO, and Mike Schlosser, MD, senior vice president of care transformation and innovation, to report directly to Mr. Hazen; 
  • Mike Marks, incoming executive vice president and CFO, to assume responsibilities for all areas — except information technology — that currently report to the CFO on May 1, with payer contracting and alignment also reporting to him; 
  • Michael R. McAlevey, senior vice president and chief legal officer, to take on the expanded role of executive vice president – chief legal and administrative officer. 

HCA redesigned its organizations in January 2023 to add a third operating group, each of which contains five domestic divisions. The group presidents previously reported to the CEO, Mr. Hazen. Mr. Foster will assume greater responsibility under the new reporting structure; he assumed the COO role last year to "oversee all growth and operational support areas," including development, payer contracting and alignment, service lines, ambulatory surgery division and physician and provider relations.

The new changes also reshape the CFO role as it undergoes a transition. Mr. Marks will assume the role May 1, succeeding Bill Rutherford, who announced his retirement Jan. 30 after a decade in the role. Mr. Marks has served as senior vice president of finance since January 2023 and oversaw the company's revenue cycle management arm Parallon. 

HCA also has a new CIO. Mr. Wasserman assumed the position Feb. 1, succeeding P. Martin "Marty" Paslick, who retired after 11 years in the role. Mr. Wasserman and Dr. Schlosser, who has held the role of SVP of care transformation and innovation since 2021, will both report now to Mr. Hazen.  

With his promotion, Mr. McAlevey will oversee a newly consolidated organization. In addition to the legal department he currently oversees, he will assume responsibility for marketing and corporate affairs, government relations, development, ethics and compliance and information protection and security.

HCA operates 186 hospitals and 49,588 total licensed beds. It is seeing a strong start to 2024, with its stock price hitting a new record at upwards of $300 per share following an 8% increase in revenue in 2023.

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