Sustainability
Environmental sustainability
HCA Healthcare’s dedication to improving more lives in more ways is directly connected to the impact we have on the environment, as well as our understanding of how the environment impacts overall health and well-being. Our environmental strategy includes short- and long-term sustainability plans, and centers on incorporating the following four key pillars into our operations:
Managing energy and water responsibly by striving to reduce use of energy and water, decarbonize energy and manage water quality.
Enhancing climate resilience by working to ensure HCA Healthcare’s operations and the communities we serve are more resilient to climate risks.
Sourcing and consuming efficiently by focusing on decreasing emissions from purchased goods, sourcing responsibly, reducing consumption and reusing where possible.
Managing the environmental impact of our capital programs by trying to reduce carbon emissions, waste and other adverse environmental impacts from new construction, retrofits and expansions.
Establishing the blueprint for improving energy efficiency through utility partnership
After some of the largest wildfires ever recorded in Colorado occurred in 2020 and the effects of heavy smoke lingered in Denver’s atmosphere, the Facility Operations team at HealthONE in HCA Healthcare’s Continental Division took action to find more sustainable solutions.
Their goal: to identify ways HealthONE hospitals could do more to reduce their carbon emissions, better manage electricity usage and contribute to a healthier environment for Rocky Mountain region residents. One of their first steps was to call their local electricity vendor, Xcel Energy.
“We called our local electricity vendor and engaged with them on a strategic energy management program for the Denver market,” said Andy Draper, chief information officer (CIO) at HCA Healthcare Continental Division.
HealthONE and Xcel Energy partnered to launch a pilot of the Strategic Energy Management (SEM) program in 2020. Funded by Xcel Energy, the SEM program is a holistic approach to managing industrial and commercial energy use. By integrating energy management into business practices, the program provides businesses with a clear pathway to improving energy performance and operational efficiency.
Managing and reducing the energy use of facilities with 24/7 operations requires a different approach than standard office buildings. Through the SEM program, HealthONE is taking the lead in creating hospital-based groups, benchmarks and goals to establish an approach for other divisions and teams to follow. Working with SEM’s dedicated consulting team, HealthONE’s facility management teams continuously look for ways to help reduce energy usage at all HealthONE facilities. SEM consultants also provide guidance for how to apply for rebates, so our engineers can focus on energy-efficiency improvements.
“We’re all in this collaborative mode where we’re learning alongside the utility and they’re learning from us,” said Chris Talbert, AVP of capital project delivery at HCA Healthcare.
~$800,000
in electricity costs saved by HealthONE in 2022
Led by Continental Division’s Kevin Kucera, director of real estate, and Dennis Clair, director of facility management, the Facilities Management team’s approach at HealthONE has ranged from replacing boilers, reducing the energy use of chillers and managing electricity usage to adjusting variable frequency drives (VFD) to help optimize the HVAC systems at hospitals.
“Our teams work together to stay informed and provide the SEM consultants with the information they need,” said Kevin.
The team credits deep collaboration across HCA Healthcare and with Xcel Energy as one of the main contributing factors for the progress in energy reductions, which is timely as the City of Denver and Colorado have established energy performance targets and legislation. In 2022, the City of Denver approved an ordinance, called Energize Denver, requiring all commercial and multifamily buildings to reduce greenhouse gas emissions (GHG) by improving energy efficiency, utilizing renewable energy and electrifying buildings.
“Part of the success has been the communication between our groups within HCA Healthcare,” said Dennis. “We’ve been able to really come together and work together to try and save energy and money at the same time.”
Moving forward, the team will strive to share learnings with other HCA Healthcare divisions so they can also achieve savings by engaging local utilities and learning what steps they can take to reduce energy and ultimately create a better environment for their communities.
793K+
pounds of devices diverted from landfills for reprocessing
34.12M+
pounds of construction waste recycled
30.4M+
pounds of shredded paper diverted from landfills for recycling
23.6M+
pounds of waste diverted from landfills for recycling
Our people
At HCA Healthcare, we believe excellent people make excellence happen. That’s why we provide our more than 309,000 colleagues with programs, benefits and resources that are designed to support their overall well-being and strive to foster a culture of inclusion that allows colleagues to thrive.
*As of Dec. 31, 2023. Data is approximate and represents U.S.-based colleagues who provided demographic information.
Colleague Networks
Since launching the Colleague Networks program in 2021, our nine colleague-led, self-directed voluntary networks have helped strengthen our culture of belonging by facilitating connection, collaboration and celebration among colleagues.
We have established over 130 local Colleague Network chapters since April 2022 that are engaged in meaningful programming across the enterprise. Colleague Networks have seen a considerable amount of growth in recent months, with a 115% increase in membership since January 2023. We believe Colleague Networks are having a tangible impact on colleagues’ sense of belonging.
- Our October 2023 employee engagement survey showed that colleagues who were engaged with a Colleague Network reported having a higher sense of belonging at HCA Healthcare compared to the general colleague population.
Embracing diverse abilities
To support our strategic efforts of ensuring equitable care and creating a work environment for colleagues of all abilities, we expanded our partnerships with organizations to better understand the diverse needs of our colleagues and patients.
- 500+ local jobs expected to be created for adults with autism and neurodiversities
In 2023, we partnered with Deque Accessibility Solutions to host an Accessibility Awareness lab on our corporate campus. Colleagues participated in the interactive learning experience and were guided through different assistive technologies to have a deeper understanding of what it’s like to have specific disabilities, including dyslexia, blindness or low vision and mobility challenges.
In partnership with The Precisionists, Inc. (TPI), an organization that supports employment for adults with disabilities, we engage neurodiverse adults to work alongside HCA Healthcare’s Information Technology Group (ITG) on a variety of support functions including data analysis and data entry. In partnership with TPI and other community organizations, we plan to create more than 500 local jobs for adults with autism and neurodiversities within the next three to five years in Nashville, Tennessee.
We continue to support Project SEARCH, an adult internship program developed to help individuals with physical and developmental disabilities secure competitive paying jobs. In 2023, HCA Healthcare’s West Florida, Capital and North Carolina divisions partnered with Project SEARCH and helped participants learn new skills and receive valuable support with the goal of attaining a permanent career in healthcare.
- Through education, recruitment and targeted programming, our Diversability Colleague Network continues to seek to advance awareness and inclusion for colleagues with disabilities, as well as those who serve as caregivers or advocates for persons with disabilities. Our Diversability Colleague Network serves as a valuable advocacy group and has expanded to six divisions within its first year.
- We are incorporating information about neurodiversity in HCA Healthcare’s 2024 annual Code of Conduct training for colleagues to learn more about ways to best support colleagues and patients who are neurodiverse.
HCA Healthcare Sponsorship program
The HCA Healthcare Sponsorship Program, created on a recommendation from our Black Senior Leadership Council, was launched in 2022 for a cohort of Black, Hispanic/Latinx, and Asian/Pacific Islander executives to support the advancement of leaders of color. The program expanded in 2023 to be available to manager-level and above colleagues.
Being there for our military community
We are proud to be a nationally recognized military-friendly employer. We work to offer a supportive environment for our military community through our inclusive workplace programs, partnerships with other organizations, employment practices and recruitment.
Since 2012, HCA Healthcare has hired more than 60,000 veterans, active-duty and reserve personnel and military spouses.
One of our veteran colleagues, Alex Kell, a senior director with our Information Technology Group, was honored with a 2023 Employee Veteran Leadership Award (EVLA) by VIQTORY’s Military Friendly® program. The prestigious award program selects veterans for having a positive impact on the organizations they work for, as well as the military and veteran community. “HCA Healthcare’s culture is similar to the military in that it prioritizes caring like family and supporting one another,” Alex said. “HCA Healthcare seeks to connect colleagues with a higher purpose and people from the military are looking for that again after separation.”
We were one of the first organizations to partner with the U.S. Chamber of Commerce Foundation to help lead the Hiring 100,000 Military Spouses campaign in 2019. The 2019 campaign was a three-year call to action for U.S. organizations of all sizes to make a collective commitment to hire 100,000 military spouses. Through the campaign, more than 7,000 military spouses have joined HCA Healthcare.
In 2023, HCA Healthcare earned the following distinctions for our efforts to support U.S. veteran and military communities:
- Military Times recognized HCA Healthcare as a Best for Vets employer for the fourth consecutive year, highlighting its efforts to recruit, retain and support current and former service members, military spouses and military caregivers.
- VIQTORY has recognized HCA Healthcare as a Military Friendly employer for 13 consecutive years. This year, HCA Healthcare has been upgraded to Gold distinction for our veteran hiring practices, programs and support initiatives.
- RecruitMilitary® has recognized HCA Healthcare as a 2023 Champion for Military Hiring based on the pursuit of hiring excellence.
- Disabled American Veterans® has recognized and awarded HCA Healthcare the Patriot Employer award for demonstrating an unwavering commitment to hiring and supporting military talent through employment policies, hiring practices and community outreach.
Community partnerships
We strive to actively engage and serve as anchor institutions in our communities through our strategic partnerships and community-based relationships.
Increasing opportunity and access to healthcare careers
We serve a diverse patient population through our 186 hospitals and sites of care across 20 states. To help develop a workforce that reflects the diversity of our patients, we leverage our strategic partnerships with colleges and universities to help create opportunities for future healthcare leaders to learn and serve in their communities.
Left (left to right): HCA Healthcare Information Technology Group’s Paul Currie, vice president and chief technology officer; Gabriel Perez, vice president of software development; and Sheila Gibson, assistant vice president of acquisitions and new constructions; shared their career journeys, advice and career opportunities with 50 Fisk University and Tennessee State University (TSU) students at an HCA Healthcare Scholars 365 Smarter Tech for a Healthier Future program in September 2023.
Our commitment to invest $10 million in partnerships with Historically Black Colleges and Universities (HBCUs) and Hispanic Serving Institutions (HSIs) is intended to create opportunities for future healthcare leaders to learn and serve in their communities and will hopefully create a stronger, more inclusive health system and a higher quality of care for our patients. As part of this commitment, in 2023, we announced a gift of $620,000 to the University of California, Riverside (UCR) to support five scholarships for students enrolled in the UCR School of Medicine. This gift is part of our larger commitment to give $10 million over three years to HBCUs and HSIs. Beyond our financial investment, the HCA Healthcare Scholars 365 program provides career planning support, mentorship and internship opportunities for high-achieving undergraduates at HBCUs and HSIs.
Through on-site events, virtual workshops and more, we are impacting approximately 100,000 students with exposure and access to careers in healthcare. In 2023, HCA Healthcare was recognized with an ‘Innovations in Diversity’ award from Profiles in Diversity Journal for our expanded partnerships with HBCUs and HSIs.
Our pledge to invest $10 million investment in HBCUs/HSIs
2021
- We pledged to invest $10 million in HBCUs and HSIs over three years to help strengthen the diversity of our talent pipeline while addressing the nursing and clinical staffing shortages.
- We announced an agreement between HCA Healthcare and Galen College of Nursing with Fisk University to allow Fisk students to transfer applicable coursework credits to Galen’s BSN program and an investment in Florida A&M University’s (FAMU) School of Allied Health Sciences.
2022
- HCA Healthcare gave to several colleges and universities to help fund scholarships, build healthcare programs, and create more opportunities for students. These schools include Tennessee State University (TSU), Fisk University, The University of Texas at El Paso (UTEP) and Florida International University’s (FIU) Nicole Wertheim College of Nursing & Health Sciences (NWCNHS).
2023
- HCA Healthcare announced that it will gift $620,000 to the University of California, Riverside (UCR) to support five scholarships for students enrolled in the UCR School of Medicine. The service-based scholarships will require recipients to complete qualified service within their community. Through our local facility Riverside Community Hospital, we will also provide job shadowing opportunities, mentors for the university’s Mission Award recipients and seminar and leadership session opportunities.
$1.75 million investment in high school students and underemployed jobseekers
- To provide high school students with early access to careers in healthcare and introduce opportunities to unemployed and underemployed jobseekers, the HCA Healthcare Foundation, through the Healthier Tomorrow Fund, contributed more than $400,000 in grants to community colleges, universities and the Urban League of Broward County.
- Through a three-year, $1.35 million grant and partnership with Educate Texas, the HCA Healthcare Foundation jumpstarted the Pathways in Technology Early College High School (P-TECH) program. Developed by the Texas Education Agency with technical assistance provided by Educate Texas, P-TECH creates workforce pathways aligned with high-demand fields, including healthcare careers. This program initiates pathways for students to earn both a high school diploma and a no-cost, two-year post-secondary degree or industry-based credentials by the time they graduate high school. To-date, through this grant, over 80 healthcare pathways have been established at P-TECH campuses across Texas, and over 5,000 students have enrolled.
Championing positive mental wellness
We support mental health and wellness in our local communities through strong partnerships with numerous organizations, including:
Girl Scouts of the USA
The HCA Healthcare Foundation has helped Girl Scouts of the USA (GSUSA) launch a new series of Mental Wellness Patch Programs to address mental wellness among girls in fourth through 12th grade. This is a result of the foundation’s $1.38 million grant to GSUSA, through its Healthier Tomorrow Fund, which was announced in 2022. The GSUSA Mental Wellness Patch Programs, developed in partnership with the National Alliance on Mental Illness (NAMI) and the GSUSA Program Advisory Committee, including HCA Healthcare behavioral health experts, are currently available to all councils nationwide and more than 7,000 have been purchased since the patch program launched in August.
EVERFI from Blackbaud
Through our partnership with EVERFI, an international technology company driving social change through education, we continued working with local schools to provide students with education about mental health and wellness. In its third year, EVERFI and HCA Healthcare’s Understanding Mental Wellness online course was able to reach more students than ever. The course has reached more than 199,000 students and approximately 2,700 teachers at more than 1,100 schools across all 15 of HCA Healthcare’s U.S. divisions. HCA Healthcare partnered with EVERFI for three in-person events with local schools in 2023. On Jan. 12, 2023, more than 150 high school students attended EVERFI’s Social Media and Mental Wellness event with Hastings High School in Houston, Texas. On Sept. 29, 2023, more than 100 high school students from West Broward High School in Florida learned about suicide prevention awareness and fostering a supportive environment. Students interacted with each other and seminar leaders in engaging activities and breakout sessions. Emphasizing the importance of mental health education in schools leads to less stigma and improves the overall mental health of students. On Dec. 11, over 40 students from Septima Clark Academy participated in an event at the International African American Museum in Charleston, SC, focused on building resilience while navigating mental health challenges.
Musicians On Call
HCA Healthcare and the HCA Healthcare Foundation proudly support Musicians On Call (MOC), a program that brings live musical performances to the bedside to increase patients’ mental wellness. Thanks to HCA Healthcare’s ongoing support, in-person, virtual and digital streaming programs have launched in additional facilities nationwide in 2023. MOC has operated in HCA Healthcare facilities for over a decade.
Volunteers of America (VOA)
In 2023, the HCA Healthcare Foundation continued its support of Volunteers of America (VOA) Resilience Strength Training (VOA | ReST) 4 First Responders program in targeted areas served by HCA Healthcare, such as HealthONE in Denver, Medical City Healthcare in Dallas-Fort Worth and HCA Florida Healthcare in Miami. Through a two-year $600,000 grant, HCA Healthcare continued to amplify and promote four national webinars led by VOA on mental resiliency for first responders.
Improving health and access to care
American Heart Association
The American Heart Association’s Getting to the Heart of Stroke™ initiative, developed in conjunction with HCA Healthcare and the HCA Healthcare Foundation, focuses on preventing, treating and beating stroke by providing nationwide education about stroke risk and equitably empowering communities to improve health outcomes.
Getting to the Heart of Stroke™ 2023 milestones:
- Established a learning collaborative with the 10 facilities participating in quality improvement.
- Delivered the first installment of six professional education podcasts and webinar resources for clinical and medical professionals.
- Launched community health impact initiatives with more than 38 local community partners across 15 HCA Healthcare markets.
- Implemented over 90 policy systems and environmental changes to help improve health equity.
March of Dimes
Since 2019, our partnership with March of Dimes has focused on improving maternal mortality and morbidity outcomes through postpartum discharge education and by lowering hospital cesarean rates among low-risk, first-time mothers, headfirst position or NTSV (Nulliparous, Term, Singleton, Vertex) pregnancies.
For over a decade, we have seen a rich history of support from our colleagues who are dedicated to the meaningful mission of this organization. In 2023, six divisions supported March for Babies walks across 10 markets through leadership roles and fundraising, providing over $610,000 to ensure that all moms and babies have a healthy beginning. HCA Healthcare has contributed over $3.9 million to March of Dimes since 2019 through a combination of sponsorships and support, colleague fundraising and matching funds.
More than 212,000 babies are delivered annually across our network of hospitals, and we use data from these births to look for insights that will help improve prenatal, natal and postnatal care.
Responding to crisis and community needs
American Red Cross
- For the fifth year, HCA Healthcare continued to support and proudly partner with the American Red Cross. Through annual contributions to their Annual Disaster Giving Program (ADGP) or Disaster Responder Program, the Red Cross is able to provide a strong infrastructure, trained volunteers, innovative technology and critical resources when responding to disasters.
- During many disasters, HCA Healthcare works alongside the Red Cross in real-time to coordinate supplies and resources, support shelters and match patients with community shelters when discharged from the hospital.
Economic impact in
our communities
$29.5B
in payroll and benefits
$3.7B
estimated cost of charity care, uninsured discounts and other uncompensated care provided
$5.9B
federal, state and local
taxes incurred in 2023
$4.7B
in capital investments
Board service
Beyond volunteering, HCA Healthcare colleagues at every level of the organization chose to give their time and talent to nonprofits by serving on the board of directors. HCA Healthcare supports these colleagues through volunteer grants, a quarterly leadership newsletter, the CONNECT Forum professional development series and free access to boardsource.org.