Top 50 Largest List of HCA Hospitals in US Based on Net Patient Service Revenue

Last updated on April 7th, 2026

When we talk about the most influential and largely operated healthcare system in the US, HCA is the name that floats on the top.

If you are healthcare marketers, looking for list of HCA hospitals in US by state and nationwide for marketing with decision makers contact details? Then you are in a right place to get the accurate and qualified data.

Understanding HCA Healthcare’s Scale Across the United States

When healthcare professionals, medical device vendors, pharmaceutical companies, and health-tech startups ask how many HCA hospitals are there in the US, the answer reflects one of the most extraordinary expansions in American healthcare history. As of 2026, HCA Healthcare operates approximately 190 hospitals across 20 US states, along with more than 2,500 ambulatory sites of care including freestanding emergency rooms, urgent care clinics, outpatient surgery centers, and physician group practices.

What is an HCA hospital?

HCA stands for Healthcare Corporation of America, which serves 20 states in the US, some parts of the UK, and different parts.

With 190 HCA-affiliated hospitals in the USA, 2500 sites of care, and a capacity of staffed beds, 40000 have served millions of people to date and are still counting.

The 2500 sites of care include surgery centers, freestanding ERs, urgent care centers, diagnostic and medical imaging centers, walk-in clinics, and physician clinics.

The leading healthcare service provider and one of the largest Integrated Delivery Networks (IDNs) in the US have registered 28 million patients encounters and 8.6 million emergency room visits in a year.

Before you proceed to read this blog further, we just want to clarify that this blog is for those who want to know the top 50 HCA hospitals list in US and reach out to the key decision-makers of these hospitals for business partnerships, investments, or any other commercial purpose.

This blog would probably help you explore the list of HCA hospitals nationwide, and how to reach out to their top decision-makers frictionlessly.

So, before you decide, let’s briefly understand these hospitals’ financial status.

HCA Hospitals have a Commanding Net Patient Revenue

While looking at HCA’s net patient revenue, we found the count to be $39 billion, saying how strong their financial status is. One of the main reasons behind its robust financial strength is its investment.

Blacked by a team of the big private investor groups and a few individual investors like Kohlberg Kravis Roberts and Bain Capital, together with Merrill Lynch and HCA Healthcare founder Thomas F.

Some reputed private payors like United Healthcare and Humana are also in the list of investors for HCA.

Even today, the list of top 50 HCA hospitals in USA that we are going to enlist here is based on the net patient revenue of these hospitals. The intent is to help you find the hospital that best fits your requirement.

List of HCA Hospitals Nationwide

Here, we have a list of HCA Hospitals Nationwide sorted according to the net patient revenue. Let’s look at this list and understand the financial strength of these individual hospitals to explore them better.

So what are they? Here we go.

The above top 50 hca healthcare hospitals are among the 190 but the count is still going on for HCA. Putting a focus on some recent achievements by HCA, in February 2019, it has purchased a six-hospital system named Mission Health in Asheville and Western North Carolina, worth $1.5 billion.

Then sooner, in May 2019, it released its new Sepsis Prediction and Optimization Therapy (SPOT) technology. It is an algorithm and an alert system designed for detecting sepsis quicker than ever before. So far, it has saved an estimated 8000 lives.

So how many hospitals and other health centers are currently operating under HCA?

Here’s an analyzed figure.

So are you looking forward to connecting with the top officials and key decision-makers from the list of HCA Hospitals Nationwide?

Connecting with them needs the best HC intelligence and state-of-the-art data mining techniques.

Being dedicated to bringing high productivity to your organization, this part of data mining might not be the best fit for your purpose.

Complete List of HCA Hospitals by State: A Geographic Breakdown

One of the most searched queries among healthcare marketers is a list of HCA hospitals by state and for good reason. HCA Healthcare’s footprint is deliberately concentrated in high-growth, high-population states, where patient volume and commercial insurance penetration are highest. Here is a current state-by-state geographic breakdown of HCA hospitals in the US:

Data note: Hospital counts fluctuate as HCA continues to acquire, build, and divest facilities. The figures above reflect the most recently published operational data as of Q1 2026.

Why Texas and Florida Dominate the HCA Hospitals USA List

Among all states hosting HCA hospitals, Texas stands in a class of its own. With over 60 hospital locations, Texas accounts for roughly 32% of all HCA Healthcare hospital locations in the US. Florida follows as the second-largest state in the HCA hospitals by state breakdown, contributing approximately 26% of total locations. Together, these two Sun Belt states account for well over half of all HCA hospitals nationwide a deliberate strategy by HCA leadership to concentrate resources in states with growing populations, favourable reimbursement environments, and strong commercial insurance markets.

Tennessee holds particular significance: it is HCA Healthcare’s home state (headquarters: Nashville), and despite its smaller size, it hosts 17 hospitals a testament to HCA’s deep roots there since its founding in 1968.

What Is the Largest HCA Hospital in the US?

For those asking specifically about the biggest HCA hospital in the US, the answer is clear: Methodist Hospital in San Antonio, Texas consistently ranks as the largest HCA hospital by net patient service revenue and by staffed bed capacity. With 1,548 staffed beds, it is the flagship facility of the entire HCA Healthcare system.

Methodist Hospital’s net patient revenue surpasses $2.2 billion annually — placing it within the 98th percentile of all US hospitals tracked by major healthcare analytics platforms. The hospital is a major teaching facility, a Level I trauma centre, and a centre of excellence for cardiac care, neuroscience, and oncology.

Other Top-Ranked Hospitals in the HCA Healthcare Hospitals List by Bed Size:

• HCA HealthONE Presbyterian St. Luke’s (Denver, CO) — 680 staffed beds; one of the largest hospitals in the Mountain West
• HCA Florida JFK Hospital (Atlantis, FL) — 516 staffed beds; major regional referral centre for South Florida
• HCA Florida North Florida Hospital (Gainesville, FL) — 523 staffed beds
• Mission Hospital – Asheville (NC) — 665 staffed beds; the flagship of HCA’s Mission Health acquisition
• Medical City Dallas (TX) — 723 staffed beds; a Level I trauma and high-acuity tertiary care hub
• HCA HealthONE Swedish (Englewood, CO) — 504 staffed beds
• Riverside Community Hospital (CA) — 542 staffed beds

These hospitals represent the core of HCA’s clinical and financial performance. For healthcare vendors seeking to target the highest-value accounts within the HCA network, these facilities represent the most impactful entry points for supplier engagement.

So how to connect with those mentioned above rapidly progressive hospitals?

Here’s how.

Connect with these Above-Mentioned HCA Hospitals in USA

To connect and reach out to the key decision-makers of these top hca number of hospitals and other such famed hospitals; nothing can be better than the updated and qualified contact intelligence of Ampliz.

Ampliz’s personalized business intelligence platform comes up with premium quality data intelligence of number of doctors in US, hospitals in US, key decision-makers, financial metrics, technological insights, and many more that you can leverage to connect and sell.

So what are the insights that Ampliz has for you? Let’s have a look.

What Ampliz Offers?

• C-level executives, department heads, and top decision makers’ phone numbers, email addresses, and LinkedIn profiles.
• Detailed insights on hospital financial, technological, clinical, and quality metrics.
• Insights on technology and its implementations like EHR solutions, clinical systems, ePrescribing software, and other applications.
• Real-time data on customers’ buying footprints and online purchases.

For any detailed queries, feel free to reach out to us at [email protected].

Frequently Asked Questions About HCA Hospitals in the US

Q1. How many HCA hospitals are there in the US?

As of 2026, HCA Healthcare operates approximately 190 hospitals across 20 US states. This figure can fluctuate modestly as HCA continues to acquire new facilities, build new hospitals, and occasionally divest non-core assets. Beyond hospitals, HCA also operates more than 2,500 ambulatory sites of care including surgery centres, urgent care clinics, freestanding emergency rooms, and physician group practices making its total care delivery footprint considerably larger than the hospital count alone suggests. For the most current figure, HCA Healthcare’s official annual report and investor relations page provide real-time disclosure.

Q2. Which is the biggest HCA hospital in the US?

The biggest HCA hospital in the United States, measured by both staffed bed count and net patient service revenue, is Methodist Hospital in San Antonio, Texas. With 1,548 staffed beds and a net patient revenue exceeding $2.2 billion per year, it ranks within the top 2% of all hospitals in the country by financial performance. It is a Level I trauma centre and a leading academic medical partner. Medical City Dallas (723 beds) and Mission Hospital in Asheville, NC (665 beds) also consistently rank among the largest HCA hospitals by bed count.

Q3. What states have the most HCA hospitals?

Texas has by far the most HCA hospitals of any state, with approximately 60+ locations accounting for roughly 30–32% of the entire HCA hospital network in the USA. Florida is the second-largest state by HCA hospital count, with approximately 49 facilities. Other states with a significant HCA presence include Virginia (14+), Tennessee (17), Georgia (8+), and Colorado (8). Together, Texas and Florida represent more than half of all HCA hospitals in the US, reflecting the system’s strategic focus on Sun Belt markets with high population growth and strong commercial insurance penetration.

Q4. Is HCA Healthcare the largest hospital system in the US?

Yes. HCA Healthcare is recognised as the largest health system in the United States by multiple metrics: net patient revenue (exceeding $55 billion annually), total number of hospitals, total hospital square footage, and total staffed beds (over 40,000). It consistently holds the top position in annual rankings published by Definitive Healthcare, Modern Healthcare, and Becker’s Hospital Review. The second-largest health system by hospital count is Universal Health Services, with roughly 183 hospitals a considerably smaller footprint than HCA’s national network.

Q5. How can I access a complete and verified list of HCA hospitals nationwide with contact data?

While publicly available resources provide general hospital lists, they typically lack the decision-maker contact intelligence including C-suite emails, direct dial numbers, department heads, and purchasing contacts that healthcare marketers and vendors actually need. Ampliz provides a verified, regularly updated HCA Healthcare hospitals list enriched with physician contacts, hospital administrator data, financial metrics, and technology stack insights. This enables precise, permission-compliant outreach to the right stakeholders within HCA hospitals in the US, reducing prospecting time and improving campaign ROI. You can explore Ampliz’s healthcare intelligence platform to access the most complete and current list of HCA hospitals by state and nationwide.

Subbu

V. Subramanyam
Head of Product at Ampliz | Growth-focused B2B Leader

V. Subramanyam is a Head of Product at Ampliz with a strong focus on driving growth and innovation. As the Head of Product at Ampliz, I leads the development and strategic direction of cutting-edge solutions that empower businesses to leverage high-quality healthcare data for better decision-making. With years of experience in product management and leadership, I have deep industry knowledge with a customer-centric approach to deliver value-driven products that accelerate business success. And I am passionate about using data intelligence to transform businesses and create impactful outcomes.