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On the Record · HCA Healthcare

HCA Healthcare acquisitions, on the record

The businesses HCA Healthcare bought and sold, as its annual reports describe them, with the cash it reported paying for acquisitions each year and every deal filing since 2016.

Deals its annual reports describe

BusinessDealWhenValue
four hospital facilities in Texas
Word for word“During 2023 , we paid $ 229 million to acquire four hospital facilities in Texas and $ 406 million to acquire nonhospital health care entities.” 10-K for 2023
agreed acquisitionDuring 2023$ 229 million
nonhospital health care entities
Word for word“During 2023 , we paid $ 229 million to acquire four hospital facilities in Texas and $ 406 million to acquire nonhospital health care entities.” 10-K for 2023
acquisitionDuring 2023$ 406 million
two hospital facilities, one in southern Georgia and one in Tennessee
Word for word“During 2021 , we paid $ 67 million to acquire two hospital facilities, one in southern Georgia and one in Tennessee, $ 594 million to acquire a network of urgent care centers in Florida and $ 114 million to acquire other nonhospital health care entities (noncontrolling interests of $ 117 million were recorded).” 10-K for 2023
acquisitionDuring 2021$ 67 million
a network of urgent care centers in Florida
Word for word“During 2021 , we paid $ 67 million to acquire two hospital facilities, one in southern Georgia and one in Tennessee, $ 594 million to acquire a network of urgent care centers in Florida and $ 114 million to acquire other nonhospital health care entities (noncontrolling interests of $ 117 million were recorded).” 10-K for 2023
acquisitionDuring 2021$ 594 million
an 80 % interest in a venture providing post-acute care services (home health and hospice)
Word for word“We also paid $ 330 million and assumed certain liabilities to acquire an 80 % interest (noncontrolling interests of $ 100 million were recorded) in a venture providing post-acute care services (home health and hospice).” 10-K for 2023
acquisition—$ 330 million
two hospital facilities in Louisiana
Word for word“During 2023 , we received proceeds of $ 162 million for the sale of two hospital facilities in Louisiana.” 10-K for 2023
divestitureDuring 2023$ 162 million
five hospitals in Georgia and other health care entity investments
Word for word“Cash flows from sales of hospitals and health care entities declined from $2.160 billion for 2021 (primarily related to the proceeds from our sales of five hospitals in Georgia and other health care entity investments) to $1.237 billion of net proceeds for 2022 (primarily related to proceeds from our sales of other health care entities) and were $193 million for 2023.” 10-K for 2023
divestiture2021—
three hospital facilities in Texas
Word for word“During 2024 , we paid $ 112 million to acquire three hospital facilities in Texas and $ 154 million to acquire nonhospital health care entities.” 10-K for 2024
acquisitionDuring 2024$ 112 million
a hospital facility in California
Word for word“During 2024 , we received proceeds of $ 295 million and recognized a pretax gain of $ 189 million ($ 145 million net of tax ) related to the sale of a hospital facility in California.” 10-K for 2024
divestitureDuring 2024proceeds of $ 295 million
hospitals and health care entities
Word for word“We expended $397 million, $266 million and $635 million for acquisitions of hospitals and health care entities during 2025, 2024 and 2023, respectively.” 10-K for 2025
acquisition2025$397 million
hospitals and health care entities
Word for word“Cash flows from sales of hospitals and health care entities were $269 million of net proceeds for 2025, $328 million of net proceeds for 2024 and $193 million of net proceeds for 2023.” 10-K for 2025
divestiture—$269 million of net proceeds for 2025
As filedReported in the company's financial data (XBRL), each linked to its filing
Fiscal year endedCash received from selling businessesGoodwill from acquisitions
2016-12-31$26 million$41 million
2017-12-31$25 million$693 million
2018-12-31$808 million$636 million
2019-12-31$61 million$332 million
2020-12-31$68 million$279 million
2021-12-31$2.16 billion$1 billion
2022-12-31$1.24 billion$262 million
2023-12-31$193 million$362 million
2024-12-31$328 million$170 million
2025-12-31$269 million$218 million

Deal filings since 2016

Read from HCA Healthcare’s annual reports (10-K for 2025, 10-K for 2024, 10-K for 2023) and the financial data it files with the SEC, as of 2026-02-10. Every quotation is word for word from the filing linked beside it; how these pages are built and checked. The full record is in its company data sheet.