Lindsey Espe, Madison Foley, Jameson Murray, Sydney Scheben, McCauley Studdard

History • In 1968 Dr. Frist, Jack Massey, and

Dr. Thomas Frist, Jr. formed their own hospital company, Hospital Corporation of America.

• The company grew rapidly and by the end of the year had 26 hospitals and over 3000 beds.

• Continuing to grow by the year 1981 HCA operated 349 hospitals with more than 49,000 beds.

History• In 1987 HCA spun off of a privately owned company

named HealthTrust, but remerged as a public company in 1992.

• In 1994 HCA merged with Columbia. • HCA became a private company for the third time

when it completed another merger. This merger was the largest buyout in history at the time. (33 billion)

• Became public again in 2011 and currently remains public

Values• Safe place to work • Necessary tools and equipment to perform

work• Open and available communication • Fair workplace• Fair and understandable compensation and

benefits

Mission Statement and Values• “Above all else, we are committed to the care and improvement of

human life. In recognition of this commitment, we will strive to deliver high quality, cost-effective healthcare in the communities we serve. In pursuit of our mission, we believe the following value statements are essential and timeless:

• •We recognize and affirm the unique and intrinsic worth of each individual.

• •We treat all those we serve with compassion and kindness. • •We act with absolute honesty, integrity and fairness in the way we

conduct our business and the way we live our lives. • •We trust our colleagues as valuable members of our healthcare

team and pledge to treat one another with loyalty, respect, and dignity.”

It’s All About Location, Location, Location

• HCA is a company that owns several hospitals and provides healthcare to people in several states

• 163 different hospitals • 110 freestanding surgery clinics• 4-5% of all inpatient care is by HCA facilities in

the United States.

The Product• http

://www.youtube.com/watch?v=8xM2o58V4Y4&playnext=1&list=PL1F7627C6EC946492&feature=results_main

• HCA does not personally do any advertising; each individual hospital advertises for itself

Reaching Out to the Community

• volunteering in the Middle Tennessee area• Purpose: to provide health/wellness, safety,

cultural, and general welfare for the area

Pricing

• Varies by hospital • Tristar Skyline pricing estimate

HCA Financials

• Cash flows: $1.460 billion• Debt: $27 billion• Net income: $931 million• Stock- upward trend

– Previous close: $33.24

Ethics and Compliance • Named to Ethisphere’s “World’s Most Ethical

Companies.” • Recent issues:

– Unnecessary Cardiac Work (August 6)– Violated False Claims Act and the Spark Statute

August 6 stock

HCA International • London, England

–Hospitals and care centers

Technology: @HCAhealthcare#“hCARE”#Apple,Inc. Apps#Social media #Up-to-date products

Management:A Healthy Work Place

• HCA’s Five Key Areas are: Culture, Leadership, Voice, Compensation/Rewards, and Staffing

• Only 6% of people had a negative interviewing experience with HCA

• The overall company rating by employees is 3.1 out of 5 with a majority of the employees satisfied with their work place.

• 72% approval of the CEO among employees

This is a foundation run by and supported by HCA employees. Its purpose is to help HCA employees and their immediate families that are affected by financial hardship for whatever reason. However, this is not an employee benefit.

Foundation

Equal Opportunity Employer

• “We strive to create and maintain a setting in which we celebrate cultural and other differences and consider them the strengths of the organization. No one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation or veteran status.”

Let’s Meet the TeamExecutives

–30 White men–1 Hispanic male–1 African American male–1 White female

Executives

Richard M. Bracken: CEO David G. Anderson: SVP- Finance and Treasurer

Victor L. Campbell: SVP

Jana J. Davis: SVP- Communications R. Milton Johnson: CFO

Juan Vallarino: SVP- Employer and Payer Engagement

HCAKey Competitors

Ascension Health• Ascension Health is the largest market

competitor with HCA. It is a Catholic Church organization headquartered in St. Louis, MO. In Nashville, they own St. Thomas hospital, one of the largest in the state.

Community Health Systems• Community Health Systems is a Nashville

based healthcare company. Around Nashville, Gateway and Heritage hospitals are the major competitors. In the Fortune 500 listings, they are listed as #198.

Catholic Health Initiative• The Catholic Health Initiative is

headquartered in Denver, CO, and owns 76 hospitals in 19 states. Their mission is to provide personal healthcare based on Catholic principles; with integrity.

Health Management Associates

• HMA is operated in Naples, Florida, and owns 70 hospitals in 15 US states. They have over 40,000 employees who saw over 3.5 million patients last year. They are known for being very outspoken in regards to the Healthcare overhaul.

DaVita• The leader in kidney related healthcare in

the United States. They are significant competitors, because HCA does offer kidney treatment, and DaVita takes most of their patients from that.

SWOT

Analysis

SWOT Analysis: Strengths• 1. Large Infrastructure

– 163 Hospitals– 157 are Acute Care hospitals– 5 Psychiatric and 1 Rehabilitation Hospital

• 2. Multiple Regions of Business– Locations in 20 states– Locations in the UK

• 3. Broad Range of Services Provided– Medical and Surgical Services Provided– Inpatient & Cardiac Care– -Emergency Services

SWOT Analysis: Strengths

• 4. Located in High-Growth, Urban Areas• 5. Diversified Portfolio of Assets and

Services• 6. Strong Market Share

–4.5%–Next Highest Competitor is 2.2%

SWOT Analysis: Weaknesses • 1. Decrease in Number of Open Heart

Surgeries– High Revenue per Surgery

• 2. Large Fraud Settlement in 1990’s• 3. Rate of Revenue Growth declining• 4. Individual Facility Management Issues• 5. Low Occupancy Rates

– 53%– Lower than many competitors

SWOT Analysis: Opportunities

• 1. Hospital is in a “Growth Phase” of its life cycle

• 2. Increase per capita disposable income• 3. Increase in aging population• 4. New drugs and procedures every day• 5. Decline in Non-Profits

– Leads to Consolidation

SWOT Analysis: Threats• 1. Intense Competition• 2. Rising cost of Healthcare• 3. Consistent, Heavy Level of Regulation• 4. Rising Technology Costs• 5. Nursing shortage

– Leads to higher wages and costs

SWOT Analysis: Conclusion• In conclusion, HCA has and will be able to

consistently compete in the industry. They control a significant percentage of the national healthcare market. They span across different regions and provide a wide variety of services that will lead to growth in the future. They have a plethora of new opportunities because of the aging population and will continue to be a power for years to come.