HCA and Tenet’s hospital portfolios remain relatively unchanged in 2025, while Community Health System continued its years-long divestiture strategy.
HCA
Nashville, Tenn.-based HCA operated 190 hospitals as of Dec. 31, the same number as at the end of 2024. There were some changes to the health system’s portfolio, however, as the system acquired two hospitals and sold two hospitals in 2025.
In February, HCA acquired Manchester, N.H.-based Catholic Medical Center and Lehigh Acres, Fla.-based Lehigh Regional Medical Center in separate deals.
In April, HCA sold San Jose, Calif.-based Regional Medical Center to the County of Santa Clara, Calif. In November, the Indiana Department of Health approved a certificate of public advantage for a merger between Terre Haute-based Union Hospital and HCA-owned Terre Haute Regional Hospital. The approval allowed the hospitals to proceed with a merger, with Union Health acquiring substantially all assets of the HCA-owned hospital.
Tenet Healthcare
Dallas-based Tenet operated 50 hospitals, as of Dec. 31, up from 49 at the end of 2024.
In September, Tenet opened Florida Coast Medical Center, a 54-bed hospital in Port St. Lucie, Fla. The facility is the sixth standalone hospital in the Palm Beach Health Network, a subsidiary of Tenet.
Tenet’s relatively quiet 2025 comes after a busy 2024, which saw the system sell 14 hospitals for a combined $4.8 billion. Tenet CEO Saum Sutaria, MD, said the system’s repositioned portfolio is “more predictable and capital efficient with attractive margins and free cash flow.”
CHS
Franklin, Tenn.-based Community Health Systems saw the largest portfolio change in 2025. CHS ended the year with 69 hospitals, down from 74 at the end of 2024.
Divestitures in 2025 included selling its 80% ownership stake in Cedar Park (Texas) Medical Center to St. Louis-based Ascension for $460 million, and selling ShorePoint Health-Port Charlotte (Fla.) and certain assets of ShorePoint Health-Punta Gorda (Fla.) to Altamonte Springs, Fla.-based AdventHealth for $260 million.
CHS has been downsizing its hospital portfolio since the late 2010s.
“Many of the hospitals we’ve divested didn’t fit into our network-of-care strategy,” CHS CEO Kevin Hammons told Becker’s. “Refocusing has allowed us to hone in on our core markets, where we have the full continuum of care and can truly leverage our scale.”
The system’s divestiture strategy continues into 2026 with plans to divest nine hospitals across multiple states — Alabama, Tennessee, Arkansas and Pennsylvania — for more than $1.2 billion this year.
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