HCA’s outpatient growth over 3 years in 8 things to know

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Nashville, Tenn.-based HCA Healthcare’s ASC arm, HCA Surgery Ventures, is one of the largest players in the industry.

At the end of 2025, the company operated 150 surgical centers, placing it in the top five. 

Here are eight notes about its financial performance and where it has focused its growth over the past three years. 

2025

  • Nashville, Tenn.-based HCA Healthcare doubled down on outpatient growth in 2025 with the addition of about 100 facilities to its outpatient lines.
  • HCA Healthcare reported $75.6 billion in total revenue from 2025, an  increase of $5 billion from 2024.
  • Shaun Cartwright, who took over as COO of HCA Healthcare’s ASC division, Surgery Ventures, is eyeing a new wave of ASC growth at the company. 

2024

  • In the fourth quarter of 2024, outpatient revenue accounted for 37.9% of total patient revenue for HCA.
  • The company’s ASC strategy in 2024 was driven by “greenfield developments,” new facility constructions, along with targeted acquisitions.
  • By 2030, Sam Hazen, HCA’s CEO, said that he expects each of the company’s hospitals to have an average of 17 to 20 outpatient facilities.

2023

  • HCA reported a net income of $5.24 billion in 2023 and its ASCs completed 1,044,415 surgical cases in 2023.
  • In the first quarter of 2023, total outpatient procedures jumped 5% and outpatient cardiology procedures increased 7%, and the company continued to invest in its outpatient footprint.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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