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Healthcare Insights

HCA Healthcare hospitals by state

HCA Healthcare is the largest IDN in the U.S. by number of hospitals as well as net patient revenue. With more than 200 total hospitals, it outsizes other top health systems like Universal Health Services and CommonSpirit Health.

How many HCA hospitals are there?

Based on data from the Definitive Healthcare HospitalView product, HCA Healthcare operates 248 hospitals across 19 states and the United Kingdom, making it the largest health system in the country. However, HCA also operates hundreds of other healthcare organizations, such as ambulatory service centers, physician groups, imaging centers, and more.

HCA Healthcare is currently the largest health system in the country by net patient revenue, number of hospitals, and total hospital square footage. As a result, HCA has had a significant influence on healthcare in the U.S. for the last several years.

How prominent is HCA?

As the largest healthcare system in the country, HCA has had a significant influence on healthcare in the U.S. for the last several years. The health system has facilities in 19 states and is the IDN with the largest hospital facility square footage.

Below is a list of HCA hospitals by state.

Number of HCA hospitals by U.S. state

State# of HCA hospitalsExplore dataset
Texas76Explore
Florida51Explore
Tennessee20Explore
Virginia17Explore
Colorado11Explore
North Carolina11Explore
Utah10Explore
California9Explore
Kansas8Explore
South Carolina7Explore
Georgia6Explore
Missouri6Explore
Nevada5Explore
New Hampshire3Explore
Idaho2Explore
Kentucky2Explore
Louisiana2Explore
Alaska1Explore
Indiana1Explore

Fig. 1 Analysis of data from the Definitive Healthcare HospitalView product. Accessed December 2024.

Where does HCA have the most hospitals?

HCA Healthcare has the most hospitals in Texas, with 76. The state with the second most HCA hospitals is Florida, with 51. These two states have a significant lead over the rest of the states.

HCA is headquartered in Tennessee, which may explain why many of its network hospitals are based in Tennessee and the surrounding states in the U.S. Additional states with more than 10 HCA hospitals include:

Interestingly, while the state of Nevada has only five HCA hospitals, Sunrise Hospital & Medical Center in Las Vegas is one of the top HCA hospitals nationwide by net patient revenue.

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