HCA Healthcare, Inc. (HCA) 2024年CSR报告「NYSE」.pdf

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1、 Annual AnnualImpact ReportMarch 2024 AnnualImpact ReportHCA Healthcare is a collaborative and innovative healthcare network made tip of more than 309,000 colleagues united by a singular mission:Above all else,we are committed to the care and improvement of human life.Above:Travis Gutierrez,Rehabili

2、tation Services Supervisor,Medical City Dallas 2|HCA Healthcare Annual Impact ReportI often speak about the power of HCA Healthcare the power of our purpose,the power of our plan,and the power of our people.At HCA Healthcare,our purpose is clear:We exist to give people a healthier tomorrow.We recogn

3、ize the sacred responsibility we have as a large healthcare provider system.To deliver on this commitment,we focus our strategy,resources,and systems on ensuring we deliver the quality care patients deserve.We develop comprehensive healthcare networks that offer greater access to care,attract except

4、ional clinicians,and deliver operational excellence.We then develop enterprise capabilities that leverage our scale to support these networks,creating value for our patients,physicians,and colleagues.In 2023,we invested heavily in our facilities,digital capabilities,and workforce to strengthen our o

5、rganization and care delivery.For example,our work to advance technology,highlighted in this report,aims to provide better insights,tools,and efficiency for our teams,which we believe will help improve patient safety and outcomes.This work,and all our accomplishments this year,would not be possible

6、without our dedicated colleagues.Im continually impressed by the depth of talent and knowledge we have as an organization.Thank you to our physicians,nurses,and all colleagues who show up every day for our patients and communities.I look forward to building on our work this year together.Samuel N.Ha

7、zenChief Executive OfficerHCA Healthcare Annual Impact Report|3ContentsEnhancing care experiences Delivering safe,high-quality care to our patients is our top priority at HCA Healthcare.In 2023,we continued to integrate healthcare technology and leverage strategic collaborations with other organizat

8、ions to advance our ability to deliver high-quality patient care.This annual Impact Report presents the various ways HCA Healthcare and our colleagues delivered for our many stakeholders in 2023 and positively impacted the communities we serve.Our more than 309,000 colleagues show up every day,drive

9、n by our mission to care for and improve human life.Our integrated network of careAll references to“HCA Healthcare”as used throughout this report refer to HCA Healthcare,Inc.and its affiliates.4|HCA Healthcare Annual Impact Report612ContentsCaring for our colleagues At HCA Healthcare,we believe exce

10、llent people make excellence happen.Thats why we provide our colleagues with programs,benefits and resources that are designed to support their overall well-being and strive to foster a culture of inclusion that allows colleagues to thrive.Giving back where we serve HCA Healthcare embraces our respo

11、nsibility to help support a significant portion of the local economies where our colleagues live and serve.Whether through partnerships with nonprofits,or by investing in programs that support well-being and promote equity of care,we are committed every day to creating healthier tomorrows.4824HCA He

12、althcare Annual Impact Report|51,646physician practices157freestanding emergency roomsWe are focused on continuing to develop comprehensive,local healthcare networks that deliver high-quality,convenient care to our patients.Across these networks,we leverage data and insights to share best practices

13、that help improve patient care for our communities and beyond.Our integrated network of careOur 186 hospitals are supported by approximately 2,400 ambulatory sites of care in 20 states and the U.K.,including:51behavioral health sites of care124surgery centers 6|HCA Healthcare Annual Impact Report*Ho

14、spital locations as of Dec.31,2023 325urgent care clinics38home health and hospice agencies*Data and hospital locations as of Dec.31,2023 43M+patient encounters 2M+admissions 9M+emergency room visits 212K+babies delivered$29.5B in payroll and benefits$3.7B estimated cost for the delivery of charity

15、care,uninsured discounts and other uncompensated care$43M+in enterprise giving to community organizations$5.9B federal,state and local taxes incurred in 2023$4.7B in capital investment2023 servicesby the numbers Economic impactin our communities HCA Healthcare Annual Impact Report|7Awards and Awards

16、 and U.S.News and World Reports Best Regional HospitalsU.S.News and World Report ranked 11 HCA Healthcare hospitals as top hospitals in their region.Magnet and Pathway to Excellence DesignationHCA Healthcares network included 17 Magnet-designated facilities and 19 Pathways to Excellence-designated f

17、acilities.Americas Best HospitalsHealthgrades 250 Best Hospitals Award recognizes the top 5%of hospitals nationwide for clinical excellence.In early 2024,54 HCA Healthcare hospitals were included on the list.Of those,10 hospitals made the Top 100.Mission Hospital in Asheville,North Carolina,was reco

18、gnized in the Top 50.2023 Disability Equality IndexFor the second year in a row,HCA Healthcare was named a“Best Place to Work for Disability Inclusion”by the American Association of People with Disabilities(AAPD)and Disability:IN.HCA Healthcare earned a top score of 100 on the 2023 Disability Equali

19、ty Index for our commitment to workplace inclusion.Worlds Most Admired CompaniesHCA Healthcare was ranked first in our industry by Fortune on their 2023 list of Worlds Most Admired Companies.The annual global survey identifies organizations that excel in a variety of corporate reputation measures in

20、cluding innovation,ability to attract and retain talent,quality of management,and social responsibility to the community and the environment.2024 Worlds Most Ethical CompaniesIn early 2024,Ethisphere recognized HCA Healthcare as one of the 2024 Worlds Most Ethical Companies.This is the 14th time we

21、have been recognized on this list,which honors companies for their commitment to business integrity.Honorees undergo a rigorous assessment across five categories Governance,Culture of Ethics,Environmental and Social Impact,Ethics and Compliance,and Third-party Management and are judged against organ

22、izations of similar size,structure and operations.142024Awards and “Worlds Most Ethical Companies”and“Ethisphere”names and marks are registered trademarks of Ethisphere LLC.8|HCA Healthcare Annual Impact ReportrecognitionrecognitionHealthgrades 2024 Specialty Excellence AwardsHealthgrades recognized

23、 105 HCA Healthcare hospitals with at least one Specialty Excellence Award for delivering superior patient outcomes in a specific area.Enterprise-wise,nearly 600 awards were received with 17 hospitals being recognized for the first time.HCA Healthcare facilities received recognition in the top categ

24、ory for cardiac surgery,vascular surgery and surgical care.Facilities were also frequently recognized for orthopedic surgery and critical care.Corporate Equality Index by Human Rights CampaignThe Human Rights Campaigns(HRC)annual Corporate Equality Index(CEI)is a national benchmarking tool measuring

25、 policies,practices and benefits pertinent to lesbian,gay,bisexual,transgender and queer(LGBTQ+)employees.In 2023,we scored an 85 with a perfect score in the Workforce Protections and Corporate Social Responsibility categories.Fortune/PINC AI Top HospitalsFortune and PINC AI recognized 32 HCA Health

26、care hospitals on their 100 Top Hospitals list for 2023 and 19 HCA Healthcare hospitals on their 2024 50 Top Cardiovascular Hospitals list.The 100 Top Hospitals list is based on data about patient outcomes and experience,operational efficiency,financial health and community impact.Two HCA Healthcare

27、 health systems,the Continental Division and the Mountain Division,were recognized among the Top 15 Health Systems.Best for Vets award by Military Times and VIQTORYMilitary Times recognized us for the fourth consecutive year as a Best for Vets Employer.Since 2012,HCA Healthcare has hired more than 6

28、0,000 veterans,active-duty and reserve personnel and military spouses.We have been recognized as a military-friendly employer for 13 consecutive years by VIQTORY.In 2023,we received a Military Friendly Employer Gold designation from VIQTORY.Awards and recognitionrecognitionHCA Healthcare Annual Impa

29、ct Report|9Galen College of Nursing joined HCA Healthcare in 2020,bringing together two leading nursing organizations and creating the countrys largest academic practice partnership.This partnership has increased access to education and provided nursing career development opportunities that we belie

30、ve will positively impact patient care.Through this partnership,we have opened 14 nursing school locations since 2020,bringing Galens total number of campuses to 19.In 2022,McKesson Corporation and HCA Healthcare formed a joint venture combining McKessons US Oncology Research(USOR)and HCA Healthcare

31、s Sarah Cannon Research Institute(SCRI)to expand clinical trial access across the country.SCRI is a global leader in oncology research,conducting clinical trials in the community for more than 30 years.Through this joint venture,our contributions to pivotal research have helped advance the majority

32、of new cancer therapies approved by the Food and Drug Administration(FDA)today.Affiliated lines of businessHealthTrust Performance Group is a leading healthcare performance improvement organization committed to strengthening operational and clinical excellence by leveraging scale,innovation and oper

33、ator expertise.Since 1999,HealthTrust has been the supply chain engine supporting HCA Healthcare.HealthTrust is anchored by the only national provider-owned and operated group purchasing organization(GPO),with procurement and advisory capabilities in supply chain,pharmacy,purchased services,workforc

34、e,medical device management and clinical integration.Surgery Ventures,powered by HCA Healthcare,together with more than 3,400 physician partners,operates and jointly owns approximately 150 surgery and endoscopy centers in 16 states across the U.S.Backed by the clinical,operational and financial expe

35、rtise of a Fortune 100 healthcare leader,Surgery Ventures delivered high-quality outpatient care to more than 800,000 patients throughout our network during 2023.10|HCA Healthcare Annual Impact ReportBelow:Elda Rojas,Patient Care Tech PRN,Med/Surg,Medical City PlanoParallon,HCA Healthcares full-serv

36、ice revenue cycle management provider,is an industry leader for healthcare revenue cycle management and shared services.In addition,Parallon provides specialized shared services for HCA Healthcare including physician credentialing,payroll administration,contact center,project services and clinical d

37、ata registry abstraction.With a long track record of operational excellence,Parallon supports HCA Healthcares mission by facilitating our robust patient financial assistance program.A key part of this process involves connecting patients to the coverage programs they may qualify for,such as plans th

38、rough the health insurance exchange or governmental assistance such as Medicaid and Social Security Disability Insurance.Parallon brings extensive knowledge and a broad portfolio of custom solutions to every collaboration.HCA Healthcare Annual Impact Report|11Delivering safe,high-quality care to our

39、 patients is our top priority at HCA Healthcare.In 2023,we continued to integrate healthcare technology and leverage our strategic collaborations with other organizations to advance our ability to deliver high-quality patient care.Enhancing care experiences 12|HCA Healthcare Annual Impact ReportEric

40、 Pak,RN,Virtual Care Nurse,HealthONEHCA Healthcare Annual Impact Report|13Care Transformation and InnovationHCA Healthcares department of Care Transformation and Innovation(CT&I)is working to improve healthcare delivery through the clinically led integration of technology into care.CT&I is distincti

41、ve because the team works directly with clinicians to identify opportunities and innovative ideas while testing,measuring and sharing solutions across the enterprise.Using generative AI to improve workflowsIn partnership with Augmedix,a healthcare technology company that specializes in ambient medic

42、al documentation,HCA Healthcare and Google Cloud began a pilot program with approximately 75 emergency room physicians at four of our hospitals.Participating physicians use an Augmedix app on a hands-free device to document medical information while speaking with a patient.Augmedixs proprietary plat

43、form then leverages natural language processing,along with Google Clouds generative AI technology,Automatic Speech Recognition(ASR)technology and multi-party medical speech-to-text processing,to convert the information into medical notes.Physicians review and edit the notes before they are signed in

44、 the electronic health record(EHR).Teams from CT&I,Google Cloud and Augmedix continue to work closely with highly engaged clinicians to refine this tool,and HCA Healthcare is working to expand its use to additional hospitals.In August 2023,HCA Healthcare and Google Cloud announced a collaboration to

45、 use generative artificial intelligence(AI)technology to assist care teams with time-consuming tasks like documentation.This work is part of a strategic partnership announced in 2021 that includes safeguards to protect patient privacy and the security of data.14|HCA Healthcare Annual Impact ReportHC

46、A Healthcares department of Care Transformation and Innovation(CT&I)is working to improve healthcare delivery through the clinically led integration of technology into care.CT&I is distinctive because the team works directly with clinicians to identify opportunities and innovative ideas while testin

47、g,measuring and sharing solutions across the enterprise.Care Transformation and InnovationHCA Healthcares department of Care Transformation and Innovation(CT&I)is working to improve healthcare delivery through the clinically led integration of technology into care.CT&I is distinctive because the tea

48、m works directly with clinicians to identify opportunities and innovative ideas while testing,measuring and sharing solutions across the enterprise.Using generative AI to improve workflowsIn partnership with Augmedix,a healthcare technology company that specializes in ambient medical documentation,H

49、CA Healthcare and Google Cloud began a pilot program with approximately 75 emergency room physicians at four of our hospitals.Participating physicians use an Augmedix app on a hands-free device to document medical information while speaking with a patient.Augmedixs proprietary platform then leverage

50、s natural language processing,along with Google Clouds generative AI technology,Automatic Speech Recognition(ASR)technology and multi-party medical speech-to-text processing,to convert the information into medical notes.Physicians review and edit the notes before they are signed in the electronic he

51、alth record(EHR).Teams from CT&I,Google Cloud and Augmedix continue to work closely with highly engaged clinicians to refine this tool,and HCA Healthcare is working to expand its use to additional hospitals.In August 2023,HCA Healthcare and Google Cloud announced a collaboration to use generative ar

52、tificial intelligence(AI)technology to assist care teams with time-consuming tasks like documentation.This work is part of a strategic partnership announced in 2021 that includes safeguards to protect patient privacy and the security of data.Michelle Sharber,a physician assistant at TriStar Henderso

53、nville Medical Center,uses a device with ambient technology to create medical notes without a keyboard.The goal of the HCA Healthcare Responsible AI Program is to fully realize the value of this exciting technology in a safe and responsible manner,and to improve the lives of our patients and colleag

54、ues.This comprehensive program focuses on several areas:Address ethical concerns through established policies focused on data privacy,safety,transparency and algorithm fairness;Establish,test and monitor safety and security standards for AI solutions;Develop AI algorithms that are accountable,explai

55、nable and transparent;Provide human review and validation of all AI-generated information;andMake data used for AI representative,impartial and protected.HCA Healthcare Annual Impact Report|15HCA Healthcare has established a Responsible AI Program to provide guidance,standards and governance regardi

56、ng the appropriate use of AI throughout our organization.The program is designed to:HCA Healthcares Responsible AI Program We believe that recent advancements in AI present great possibilities in healthcare.Flip to learn how HCA Healthcare is working to use AI technology responsibly and ethically.14

57、|HCA Healthcare Annual Impact ReportHCA Healthcares Responsible AI Program We believe that recent advancements in AI present great possibilities in healthcare.Flip to learn how HCA Healthcare is working to use AI technology responsibly and ethically.Michelle Sharber,a physician assistant at TriStar

58、Hendersonville Medical Center,uses a device with ambient technology to create medical notes without a keyboard.The goal of the HCA Healthcare Responsible AI Program is to fully realize the value of this exciting technology in a safe and responsible manner,and to improve the lives of our patients and

59、 colleagues.This comprehensive program focuses on several areas:Address ethical concerns through established policies focused on data privacy,safety,transparency and algorithm fairness;Establish,test and monitor safety and security standards for AI solutions;Develop AI algorithms that are accountabl

60、e,explainable and transparent;Provide human review and validation of all AI-generated information;andMake data used for AI representative,impartial and protected.HCA Healthcare Annual Impact Report|15HCA Healthcare has established a Responsible AI Program to provide guidance,standards and governance

61、 regarding the appropriate use of AI throughout our organization.The program is designed to:Timpani is currently in operation at 9 21HCA Healthcare facilities hospitals scheduled for deployment in early 2024with an additional Automating schedule creationAfter speaking with HCA Healthcare nurses,CT&I

62、 recognized the need for an automated scheduling and staffing solution that better supports our nursing teams and helps us schedule the right people in the right place at the right time.With the clinicians voice as its guide,CT&I led the development of Timpani,HCA Healthcares scheduling and staffing

63、 solution.Historically,nurse leaders have manually created staff schedules,a time-consuming process with no data trail.Timpani is designed to reduce this burden by using AI and machine-learning algorithms to help anticipate staffing needs and optimize scheduling.“Timpani helps ensure each shift has

64、the right and different skill mixture while it instills confidence in our nurses with the work that theyre doing and the care that theyre providing.It helps our nurses feel safe and supported.”Leslie McClendon,RNC,Neonatal Intensive Care Unit Manager,TriStar Hendersonville Medical CenterRight:HCA He

65、althcares Center for Clinical Advancement in Frisco,TX.Learn more about these centers on page 28.16|HCA Healthcare Annual Impact ReportDeploying Expanse,HCA Healthcares new EHR systemAs part of HCA Healthcares work to advance technology that elevates care delivery for our patients,we are implementin

66、g a modernized electronic health record(EHR)system Expanse across the enterprise that is expected to create efficiencies for our care teams,improve the coordination of care for our patients and power innovation.Learn more at HCAhealthcareI.HCA Healthcare Annual Impact Report|17At HCA Healthcare,we a

67、ctively look for ways to improve patient care by providing more support and resources to our care teams.In 2023,we continued to optimize care team models to help care teams spend more time practicing.We added a dedicated Nursing Operations team to focus on researching,evaluating and scaling innovati

68、ve models of care to maximize efficiencies,support care teams and improve work environments.Our virtual nurse program supplements administrative tasks and provides additional support to bedside nurses.Learn more about how we implement care models and integrate technology to support our care teams on

69、 page 28.Left:Abena Owusu,RN,Manager of Case Management,Medical City Heart&Spine HospitalsExpanding care models to meet patients needs 18|HCA Healthcare Annual Impact ReportWe launched a pilot program in 2022 to help address the disparity in early diagnosis of lung cancer and better identify high-ri

70、sk patients in the Nashville,Tennessee,and Richmond,Virginia,communities.By filtering multiple data points through data integration from electronic health records,we are helping to identify high-risk patients.We are looking to expand the lung health program to more communities in 2024.In our local c

71、ommunities,HCA Healthcare is strategic and intentional about partnering with organizations to advance better health for all patients.Together,we work to improve access and overall health outcomes for our patients,communities and the healthcare industry at large.Learn more about our partnerships on p

72、age 52.Below:Bree Bradley,RN,Clinical Nurse Coordinator,Medical City PlanoHCA Healthcare Annual Impact Report|19Leveraging data to improve cancer carePatient safetyAcross our organization,our care teams collaborate to integrate best practices,processes and technology to help provide high-quality car

73、e and a safe environment for our patients and colleagues.HCA Healthcares Patient Safety Organization(PSO)works to improve patient safety and the quality of healthcare delivery by partnering with clinicians and facility leaders from our patient safety,quality and service line teams.Together,they deve

74、lop systems and refine processes with the goal of improving the safety of patient care and fostering a culture of safety.At each of our facilities,we conduct safety huddles for leaders and care teams to convene and discuss needs,report concerns and share learnings related to patient safety.Our Safe

75、Table discussions provide an opportunity for care teams to come together and openly discuss ways to improve care.Facility teams can customize safety huddles and Safe Table discussions based on their needs.Above:Aaron Holden,RN,Neurovascular,ICU;Angelica Garcia,Manager,Critical Care,Neurovascular,ICU

76、;Medical City Dallas 20|HCA Healthcare Annual Impact ReportEvery day,our colleagues help implement our ethical and legal standards through their interactions with our patients,affiliated physicians,payers,vendors,contractors and each other.HCA Healthcares required Code of Conduct training provides c

77、olleagues with guidance each year on the appropriate ethical and legal standards.Our Ethics and Compliance program also promotes reporting ethics or compliance concerns through several mechanisms including our Ethics Line,which is available 24/7 for colleagues to ask questions and report concerns wi

78、thout fear of retaliation.HCA Healthcares ethics and compliance standards are rooted in our mission and values;and they guide how we care for our patients and treat each other.There are two vital components to our award-winning Ethics and Compliance program:1)our commitment to ethical conduct and 2)

79、compliance with laws and regulations that apply to the work we do.Ethical business practices Above:Genesis Ramos,Accountant,Medical City DallasHCA Healthcare Annual Impact Report|21Clinical research and partnershipsWe continued our joint venture with McKesson Corporation,combining the resources and

80、expertise of McKessons US Oncology Research(USOR)and the Sarah Cannon Research Institute(SCRI).Additionally,HCA Healthcare continues to collaborate with the Centers for Disease Control and Prevention(CDC),Harvard Pilgrim Health Care Institute and the University of California,Irvine,and recently publ

81、ished the results of a multi-state clinical trial designed to identify the best strategy for preventing life-threatening healthcare-associated intensive care unit(ICU)infections.The results from the study found that a nasal antibiotic ointment,mupirocin,is highly effective at preventing Staphylococc

82、us aureus infections in critically ill patients,outperforming an antiseptic solution containing iodine.Having collaborated with these same organizations in the past on previous clinical trials such as REDUCE MRSA and ABATE,both of which were also published in high-profile medical journals,HCA Health

83、care is proud to continue to pursue research to resolve clinical questions and advance patient care.At HCA Healthcare,research helps unlock insights to real-world data and treatments to advance patient care.The HCA Healthcare Research Institute is the multispecialty clinical research arm of our orga

84、nization focused on advancing therapies for patients through our affiliated network of providers and care sites.Colleagues and clinicians across HCA Healthcare work to leverage our size and scale to support clinical research needs and collaborate with industry Also in 2023,HCA Healthcare and Sarah C

85、annon Cancer Institute announced a partnership with GRAIL,LLC,a healthcare company focused on pioneering new technologies to advance early cancer detection.Through this partnership,GRAILs Galleri multi-cancer early detection(MCED)test is now available at select HCA Healthcare physician practices to

86、patients who meet screening criteria.22|HCA Healthcare Annual Impact Report*Corrected statistic that appeared in the published print versionpartners to advance medicine.In 2023,the Research Institute expanded support to 36 HCA Healthcare hospitals and participated in more than 300 industry-sponsored

87、 studies.*36+30years of conducting clinical trials through SCRI Above:Noely Urbina,Medical Technologist,Medical City DallasHCA Healthcare Annual Impact Report|23Above:Noely Urbina,Medical Technologist,Medical City Dallashospitals with Research Institute support300industry-sponsored studies Caring fo

88、r our colleaguesAt HCA Healthcare,we believe excellent people make excellence happen.Thats why we provide our more than 309,000 colleagues with programs,benefits and resources that are designed to support their overall well-being and strive to foster a culture of inclusion that allows colleagues to

89、thrive.24|HCA Healthcare Annual Impact ReportAbove:Veronica Adams,Pediatric Liaison;Mark Clay,MD,Medical Director,Pediatric CCU/ICU;Medical City Childrens HospitalHCA Healthcare Annual Impact Report|25Gender53%White18%Hispanic or Latino17%Black or African American8%Asian2%Two or more races2%Chose to

90、 not disclose 0.4%American Indian or Alaska Native0.3%Native Hawaiian or Pacific IslanderAge8%25 years5%65+years28%25-34 years25%35-44 years20%45-54 years15%55-64 yearsEthnicity78%Female22%MaleOur peoplepeople*As of Dec.31,2023.Data is approximate and represents U.S.-based colleagues who provided de

91、mographic information.26|HCA Healthcare Annual Impact ReportAbove:Jinali Patel,EHR Support Analyst;Micah Brigmon,EHR Support Analyst;Adrian Carmona,Project Manager;Medical City DallasHCA Healthcare Annual Impact Report|27Our 14 Centers for Clinical Advancement are designed to help nurses advance the

92、ir skills and careers.New nursing graduates use the centers to complete their Nurse Residency program while veteran nurses can earn advanced certifications.The centers specialized manikins simulate real-life scenarios nurses may experience at the bedside,and leading technology allows students to lea

93、rn from clinical experts across the country,record their simulations to play back scenarios and debrief with colleagues and facilitators to further advance their learning.In addition,HCA Healthcares partnership with Galen College of Nursing aims to increase access to nursing education,enhance the nu

94、rsing pipeline and provide additional nursing career development opportunities for our colleagues.Galen has opened 14 new campuses nationwide since joining HCA Healthcare in 2020.In 2023,Galen was named one of the National League for Nursings Centers of Excellence.HCA Healthcare and the HCA Healthca

95、re Foundation have made other significant investments to support nurses and educate the next generation of nursing leaders.In January 2023,the foundation announced$300,000 in grants for community colleges and universities to provide high school students early access to careers in healthcare.Learn mo

96、re about the foundations work on page 51.Nurses are the heart of HCA Healthcare.We are actively implementing and offering resources,development and education to support nurses in their day-to-day work.We are making strides in our nurse recruitment and retention efforts.This commitment helps more tha

97、n 99,000 HCA Healthcare nurses today while contributing to shaping the future of the profession.Nursing at HCA HealthcareIn 2023,HCA Healthcare announced more than$300 million in investments to support the education and training of nurses through the opening of new HCA Healthcare Centers for Clinica

98、l Advancement and the expansion of Galen College of Nursing.Investing in clinical education and training for nurses 28|HCA Healthcare Annual Impact ReportAbove:Braylee Burch,BSN,RN,Resident II,Womens Services,Medical City FriscoHCA Healthcare Annual Impact Report|29Recruitment and retention In 2023,

99、HCA Healthcare recruited more than 116,500 colleagues,including 37,500 bedside nurses.We also made significant progress with employee retention and reduced turnover through training,issue resolution and targeted investments intended to help colleagues do their best work.*Unit of Distinction HCA Heal

100、thcare nurses share an unwavering commitment to caring for their patients and supporting each other.Each year,HCA Healthcare celebrates exemplary nursing units across our organization at our Unit of Distinction Awards.The Unit of Distinction is achieved through measurable,exemplary performance in th

101、e strategic areas of advocacy and leadership,consistency in nursing practice and operations and leveraging scale to improve patient care.Learn more about these annual awards at HCAhealthcareI.License renewalContinuing education is a critical part of nursing practice,and thats why HCA Healthcare has

102、invested in the Continuing Education Unlimited library.Our nurses have access to more than 1,800 courses on an expansive range of topics to help them stay current in practice.HCA Healthcare clinicians leveraged the CE Unlimited library to earn more than 1.7 million CE credits in 2023.37,500bedside n

103、urses recruited in 2023Above:Tradjen Purkeypile-Wilson,RN,Resident II,Medical City Denton*Corrected paragraph that appeared in the published print version 30|HCA Healthcare Annual Impact ReportDynamic care teamsWe introduced new roles to help support nursing workload including licensed practical nur

104、ses(LPNs)/licensed vocational nurses(LVNs),nurse externs,paramedics and patient care technicians(PCTs).The goal is to support our nurses by allowing care teams to assume appropriate tasks.Our nursing workforce has grown to include over 3,600 LPNs/LVNs,5,750 nurse externs and 11,700 PCTs.Our departme

105、nt of Care Transformation and Innovation(CT&I)developed a scheduling and staffing solution to better support HCA Healthcare nurses and optimize scheduling.Learn more on page 16.“Care models have helped us to increase our census and availability for the community.Several of the LPNs which have starte

106、d with us have enrolled in RN school and are advancing their degrees with the support of HCA Healthcare.”Damanda Marshall,Med/Surg Director,Wesley Medical CenterHCA Healthcare Annual Impact Report|31Partnering with physiciansHCA Healthcare was founded by physicians with the intent of creating an env

107、ironment where healthcare can flourish.By prioritizing physician input,clinical capabilities,growth and innovation,we strive to enable our more than 45,000 active and affiliated physicians to focus more on what they do best:caring for our patients.Our physicians are supported by HCA Healthcares comp

108、rehensive care network that includes 325 urgent care clinics and 157 freestanding emergency rooms.Our urgent care clinics,which are primarily physician-led,leverage HCA Healthcares resources so physicians can provide patients with the latest evidence-based care and connect them to a higher level of

109、care across our broader healthcare network when needed.Learn more about how we partner with physicians at HCAhealthcareI.32|HCA Healthcare Annual Impact ReportEducating tomorrows physiciansOn July 1,2023,HCA Healthcare continued the tradition of celebrating new physicians on their next step in their

110、 medical careers by welcoming 2,006 new residents and fellows to our Graduate Medical Education(GME)program.As a leading sponsor of GME programs in the United States,HCA Healthcare onboarded one of the largest incoming classes of residents among U.S.teaching hospitals in 2023.By joining HCA Healthca

111、res GME program,the newly minted physicians have the opportunity to work with exceptional faculty focused on teaching them to provide high-quality,compassionate care.The new class of residents and fellows spend time within their GME program treating patients in a real-world environment and will gain

112、 access to fulfilling career opportunities across HCA Healthcares top-performing hospitals,surgery centers,practices,urgent care clinics and research centers.“I am confident that the more than 2,000 physicians that joined our organization this summer will be encouraged,challenged and prepared to go

113、fulfill HCA Healthcares mission to care for and improve human life.”Dr.Michael Cuffe,Executive Vice President and Chief Clinical Officer,HCA HealthcareLeft:Amalia Rastogi,MD,Internal Medicine;Sangita Rayamajhi,Clinical Nurse Coordinator,Neurology;Medical City Dallas304 GME programs 4,911 residents 7

114、2 hospitals with GME programs274 fellows16 states with GME programs HCA Healthcare Annual Impact Report|33Just as we are committed to providing high-quality care for our patients,we are also committed to supporting the health and well-being of our colleagues.To do this,we offer a variety of programs

115、,resources and opportunities,including:Free counseling sessions and webinars through Optum The Nurse Care helpline Vital Voices engagement pulses Student loan and tuition assistance programs Fertility and family-building benefits Financial perks through preferred banking partners Our Colleague Recog

116、nition Program Learn more about these offerings at HCAhealthcareI.Strengthening and supporting our workforceRight:Rudy Gomez,Environmental Services,Medical City Dallas2.5M+recognitions shared through our Colleague Recognition Program in 2023$37.5Mprovided through our tuition assistance program in 20

117、23 34|HCA Healthcare Annual Impact ReportThe Patricia Frist Memorial Scholarship named in honor of the late Patricia Frist,a longtime philanthropist in Nashville,Tennessee,and wife of HCA Healthcare co-founder Dr.Thomas Frist Jr.provides eligible dependents of HCA Healthcare colleagues with merit-ba

118、sed higher education scholarships of up to$6,000 a year(as of Jan.1,2024).Learn more about how we support the educational goals of our colleagues and their families at HCAhealthcareI.$11 million+Patricia Frist Memorial Scholarships awarded since 2019HCA Healthcare Annual Impact Report|35Developing i

119、ndustry leadersHCA Healthcares award-winning Leadership Institute is designed to build leaders who embrace our culture,grow the business and lead the industry.Since its inception in 2014,the Leadership Institute has graduated more than 21,275 colleagues.The Leadership Institute offers 12 leadership

120、development programs,including:The Executive Residency Program for recent graduates of masters programs in healthcare administration(MHA)and business administration(MBA)The Advanced Leadership Program for assistant chief nursing officersLeadership Essentials for supervisors and managersThe Nursing L

121、eadership Certificate for clinical nurse coordinators4,300+graduates201,300+hours of trainingLeadership Institute in 2023:4.7out of 5.0overall value score by participants 36|HCA Healthcare Annual Impact Report21,275+colleagues have graduated from the Leadership Institute since its inception in 2014C

122、linical leadershipAt HCA Healthcare,our clinicians lead the way in delivering high-quality,compassionate care,and we are committed to supporting their career goals.The Leadership Institutes Chief Leadership Program for chief nursing officers,which launched in 2023,is one of the many ways our nursing

123、 leaders can hone their leadership and business management skills.Notably,internal research shows a direct correlation between participation in Leadership Institute programs and colleague engagement,with graduates scoring 11 points higher on our engagement index compared to non-graduates.Even more i

124、mpactful,colleagues whose leaders graduated from Leadership Institute programs score,on average,six points higher in engagement than those whose leaders have not participated.Left:Stephanie Rosalez,RN,Emergency Nurse,Medical City Dallas/Medical City PlanoHCA Healthcare Annual Impact Report|37 38|HCA

125、 Healthcare Annual Impact ReportFostering an engaged workplaceCreating an environment where everyone has a chance to succeed and grow is embedded in who we are as an organization and guides how we care for our patients,support our colleagues and serve the community.Across the HCA Healthcare enterpri

126、se,we are strategic and intentional in our actions to advance our commitment to fostering a fair and equitable environment for our colleagues by leveraging our educational programs,strengthening our partnerships with community organizations and implementing new initiatives.Our culture supports the d

127、elivery of competent care to all patients.In our approximately 2,400 ambulatory sites of care,over 240 languages and dialects are spoken.Left:Elise Savant,RN,Med/Surg Resident II,Medical City DallasHCA Healthcare Annual Impact Report|39Colleague NetworksSince launching the Colleague Networks program

128、 in 2021,our nine colleague-led,self-directed voluntary networks have helped strengthen our culture of belonging by facilitating connection,collaboration and celebration among colleagues.We have established over 130 local Colleague Network chapters since April 2022 that are engaged in meaningful pro

129、gramming across the enterprise.Colleague Networks have seen a considerable amount of growth in recent months,with a 115%increase in membership since January 2023.We believe Colleague Networks are having a tangible impact on colleagues sense of belonging.115%increase in membership since January 2023l

130、ocal Colleague Network chapters since April 2022130+Black Colleague NetworkAsian and Pacific Islander Colleague NetworkDiversability Colleague NetworkHispanic Colleague NetworkLGBTQ+Colleague NetworkMental Health and Wellness Colleague NetworkYoung Professionals Colleague NetworkWomens Colleague Net

131、workVeterans Colleague Network 40|HCA Healthcare Annual Impact ReportOur October 2023 employee engagement survey showed that colleagues who were engaged with a Colleague Network reported having a higher sense of belonging at HCA Healthcare compared to the general colleague population.Below(left to r

132、ight):Melissa Blaise,Manager of Rehab Services,HCA Florida Woodmont Hospital;Anginique Alexander,Director of Patient Safety,HCA Florida Northwest Hospital;Kieyona Davis,Director of Medical Staff Services,HCA Florida University Hospital;and the East Florida Division Black Colleague Network participat

133、ed in a volunteer event for Martin Luther King Jr.Day at C.Robert Markham Elementary School by providing grounds maintenance and beautification at the school.HCA Healthcare Annual Impact Report|41In partnership with The Precisionists,Inc.(TPI),an organization that supports employment for adults with

134、 disabilities,we engage neurodiverse adults to work alongside HCA Healthcares Information Technology Group(ITG)on a variety of support functions including data analysis and data entry.In partnership with TPI and other community organizations,we plan to create more than 500 local jobs for adults with

135、 autism and neurodiversities within the next three to five years in Nashville,Tennessee.We continue to support Project SEARCH,an adult internship program developed to help individuals with physical and developmental disabilities secure competitive paying jobs.In 2023,HCA Healthcares West Florida,Cap

136、ital and North Carolina divisions partnered with Project SEARCH and helped participants learn new skills and receive valuable support with the goal of attaining a permanent career in healthcare.500+local jobs expected to be created for adults with autism and neurodiversities To support our strategic

137、 efforts of ensuring equitable care and creating a work environment for colleagues of all abilities,we expanded our partnerships with organizations to better understand the diverse needs of our colleagues and patients.Embracing diverse abilities 42|HCA Healthcare Annual Impact ReportHCA Healthcare w

138、as recognized for the second year in a row as a “Best Place to Work for Disability Inclusion”by the American Association of People with Disabilities(AAPD)and Disability:IN,receiving a perfect score on the 2023 Disability Equality Index.This honor underscores our colleagues commitment to deliver on o

139、ur mission to care for and improve human life.100Visit HCAhealthcareI to learn more about how we promote an inclusive culture for our colleagues,including those with disabilities and their caregivers.HCA Healthcare Annual Impact Report|4311,500+veterans work at HCA Healthcare and use their distinct

140、talents and strengths to serve and create a positive impact for our patients and their local community.Above:Dave Owen,Divisional Director,Simulation&Technology,HCA Healthcare Center for Clinical Advancement,Frisco,TX 44|HCA Healthcare Annual Impact ReportBeing there for our military community We ar

141、e proud to be a nationally recognized military-friendly employer.We work to offer a supportive environment for our military community through our inclusive workplace programs,partnerships with other organizations,employment practices and recruitment.Since 2012,HCA Healthcare has hired more than 60,0

142、00 veterans,active-duty and reserve personnel and military spouses.One of our veteran colleagues,Alex Kell,a senior director with our Information Technology Group,was honored with a 2023 Employee Veteran Leadership Award(EVLA)by VIQTORYs Military Friendly program.The prestigious award program select

143、s veterans for having a positive impact on the organizations they work for,as well as the military and veteran community.“HCA Healthcares culture is similar to the military in that it prioritizes caring like family and supporting one another,”Alex said.“HCA Healthcare seeks to connect colleagues wit

144、h a higher purpose and people from the military are looking for that again after separation.”Visit HCAhealthcareI to learn more about Alex,as well as how we support our veterans,active-duty personnel and military spouses.Left(left to right):Sam Hazen,CEO;Jennifer Berres,Senior Vice President and Chi

145、ef Human Resources Officer;Sherri Neal,Chief Diversity Officer;Alex Kell,Senior Director,Information Technology Group;Bill Rutherford,Executive Vice President and Chief Financial Officer;Marty Paslick,Senior Vice President and Chief Information Officer;HCA HealthcareHCA Healthcare Annual Impact Repo

146、rt|45The HCA Healthcare Hope Fund is a 501(c)(3)nonprofit run by colleagues,for colleagues.Those who give to the Hope Fund support their fellow colleagues who face financial hardship due to natural disaster,illness or injury,domestic violence,death of a loved one or other unexpected situations.Over$

147、11.4 million in assistance was distributed in 2023 to help more than 3,800 HCA Healthcare colleagues and families.Denise Morris,a nursing director at HCA Florida Aventura Hospital,is not a stranger to Floridas severe weather.She was used to the warnings and preparations that accompanied Fort Lauderd

148、ales hurricane season.However,she and her neighbors had no warning when a historical flash flood occurred,resulting from over two dozen inches of rain in a single day.Despite the rising water in the streets,Denise didnt hesitate to return to her home.As the water continued to pour in,she was unsure

149、of how to ensure the safety of her and her dog.With the water outside higher than the wheels of her car and streets flooded for miles around,she didnt know where to go.By that night,the floodwater was reaching the top of her bed,and she was evacuated by rescue personnel.One of Denises HCA Healthcare

150、 colleagues offered her a place to stay while waiting for her home to be repaired and made livable again a process that took two months.“The only things that werent damaged were mounted to the wall like my TV and cabinets,”Denise said.“All my furniture,drywall,everything had to be taken out.”Even wi

151、th insurance,she found the process of sorting out claims challenging and frustrating.Her HR department reminded her about the Hope Fund,and she got assistance to help offset the cost of deductibles,repairs and other expenses.Despite it all,Denise considers herself lucky.She said material items can b

152、e replaced,but the care her colleagues showed for her makes her proud to be a part of HCA Healthcare.Left:Denise Morris turned to her colleagues for help when flash flooding destroyed her home.In 2023,the Hope Fund also reached$100 million in grants helping more than 52,000 families since its incept

153、ion in 2005.HCA Healthcare Hope Fund 46|HCA Healthcare Annual Impact ReportI am very grateful to my organization and the people I work with.I have a good support system,and I am so glad the Hope Fund is there for our colleagues.Denise Morris,Nursing Director,HCA Florida Aventura Hospital“HCA Healthc

154、are Annual Impact Report|47Giving back where we serveHCA Healthcare embraces our responsibility to help support a significant portion of the local economies where our colleagues live and serve.Whether through partnerships with nonprofits,or by investing in programs that support well-being and promot

155、e equity of care,we are committed every day to creating healthier tomorrows.Together,we work to build healthier communities for our colleagues and help connect patients in our communities with the care they need.48|HCA Healthcare Annual Impact ReportBelow:Adrienne Reed,Director of Staffing Efficienc

156、y,Parallon;Brent Clark,VP of Capital Planning and Analytics,HCA HealthcareHCA Healthcare Annual Impact Report|49$16.9MColleague community community engagement In 2023,HCA Healthcare colleagues made an impact in our communities through giving and volunteering.Our colleagues are the best example of ou

157、r mission to care for and improve human life.$16.9M in colleague giving with HCA Healthcare matchingVolunteered 182,198 hoursSupported 7,334 charitiesthrough donations and volunteering*$43M+in enterprise giving to community organizations773 colleaguesserved on a nonprofit board*Corrected statistic t

158、hat appeared in the published print version 50|HCA Healthcare Annual Impact Report$16.9MColleague community community engagement The HCA Healthcare Foundation was established in 1998 to promote health and well-being in the communities we serve.To accomplish this,the foundation provides leadership,se

159、rvice and financial support to effective nonprofit organizations working individually and collectively.Originally intended to serve Middle Tennessee,the foundation has since expanded its now more than$200 million to support all of HCA Healthcares communities.Since inception,the HCA Healthcare Founda

160、tion has contributed over$294 million in grants and matching gifts to more than 500 agencies and organizations,focusing on those that promote health and well-being,education and quality of life.In 2023,the HCA Healthcare Foundation invested over$12.2 million through grants to 234 agencies and nonpro

161、fit organizations through its Middle Tennessee and Healthier Tomorrow Funds.Middle Tennessee FundIn 2023,the HCA Healthcare Foundation awarded over$6.3 million in grants to 201 nonprofit agencies across Middle Tennessee.The fund also partnered with The Frist Foundation to provide$1 million in fundin

162、g for the assessments and trainings necessary to ensure the safety and security of clients,families and staff at 24 childcare centers and place-based youth-serving organizations in Middle Tennessee.Healthier Tomorrow FundIn 2023,the HCA Healthcare Foundation invested over$5.9 million to nonprofit ag

163、encies in more than 15 communities where we have a presence from the Healthier Tomorrow Fund.Established in 2020 as an$80 million community impact fund,this fund aims to address high-priority community needs and advance health equity.Through innovative initiatives,we replicate and scale meaningful,m

164、easurable efforts across the enterprise related to improving access to care,access to healthcare careers,positive mental wellness and community need.In 2023,the HCA Healthcare Foundation through its Healthier Tomorrow Fund gave$375,000 to nonprofits across 16 markets as part of its new Health Equity

165、 Catalyst Grant Program.These grants are intended to provide operational support to organizations addressing health inequities in a defined focus area to fight food insecurity.Healthy Food for Healthier TomorrowsHealthy Food for Healthier Tomorrows is HCA Healthcares enterprise-wide annual give back

166、 campaign aimed at helping communities address food insecurity by providing nutritious meals to families in communities we serve.In 2023,HCA Healthcare and our colleagues provided more than 1 million nutritious meals including$170,000 in funds provided by the HCA Healthcare Foundation to support the

167、 nonprofits involved.$12.2M+in grants to agencies and nonprofit organizations in 2023HCA Healthcare Annual Impact Report|51HCA Healthcare FoundationCorrected statistic that appeared in the published print versionIncreasing opportunity and access to healthcare careersWe serve a diverse patient popula

168、tion through our 186 hospitals and sites of care across 20 states.To help develop a workforce that reflects the diversity of our patients,we leverage our strategic partnerships with colleges and universities to help create opportunities for future healthcare leaders to learn and serve in their commu

169、nities.Our commitment to invest$10 million in partnerships with Historically Black Colleges and Universities(HBCUs)and Hispanic Serving Institutions(HSIs)is intended to create opportunities for future healthcare leaders to learn and serve in their communities and will hopefully create a stronger,mor

170、e inclusive health system and a higher quality of care for our patients.As part of this commitment,in 2023,we announced a gift of$620,000 to the University of California,Riverside(UCR)to support five scholarships for students enrolled in the UCR School of Medicine.This gift is part of our larger com

171、mitment to give$10 million over three years to HBCUs and HSIs.Beyond our financial investment,the HCA Healthcare Scholars 365 program provides career planning support,mentorship and internship opportunities for high-achieving undergraduates at HBCUs and HSIs.Community partnerships We strive to activ

172、ely engage and serve as anchor institutions in our communities through our strategic partnerships and community-based relationships.52|HCA Healthcare Annual Impact Report$10M Left(left to right):HCA Healthcare Information Technology Groups Paul Currie,vice president and chief technology officer;Gabr

173、iel Perez,vice president of software development;and Sheila Gibson,assistant vice president of acquisitions and new constructions;shared their career journeys,advice and career opportunities with 50 Fisk University and Tennessee State University(TSU)students at an HCA Healthcare Scholars 365 Smarter

174、 Tech for a Healthier Future program in September 2023.investments in HBCUs and HSIs Learn more about our pledge to invest in HBCUs and HSIs,how were expanding strategic partnerships and how the HCA Healthcare Foundation is supporting the next generation of healthcare leaders at HCAhealthcareI.Throu

175、gh on-site events,virtual workshops and more,we are impacting approximately 100,000 students with exposure and access to careers in healthcare.In 2023,HCA Healthcare was recognized with an Innovations in Diversity award from Profiles in Diversity Journal for our expanded partnerships with HBCUs and

176、HSIs.HCA Healthcare Annual Impact Report|53Girl Scouts of the USA The HCA Healthcare Foundation helped Girl Scouts of the USA launch a new series of Mental Wellness Patch Programs in August 2023 to help address mental wellness among girls in 4th through 12th grade.Left:Girl Scouts from across the co

177、untry enjoyed making friendship bracelets at HCA Healthcares booth at the PHENOM convention.7,000+girls have earned their Mental Wellness patch since the programs launchChampioning positive mental wellnessWe support mental health and wellness in our local communities through strong partnerships with

178、 numerous organizations,including:54|HCA Healthcare Annual Impact ReportRight(left to right):Michelle Klinger,Musicians On Call board member and volunteer;Pete Griffin,President and CEO,Musicians On Call;Enid Weisman,Immediate Past Board Chairman,Board of Trustees,HCA Florida Aventura Hospital;Trish

179、 Stephans,MD,Chief Medical Officer,Aventura Hospital;David LeMonte,CEO,Aventura Hospital;Jeffrey Scheck,Chairman,Board of Trustees,Aventura Hospital;Carolyn Hunter,Chief Operating Officer,Aventura Hospital;Jesse Gabuat,Chief Nursing Officer,Aventura Hospital;Vianca Larice,Director of Communications

180、and Community Engagement,Aventura Hospital;and Ellice Martinez,Assistant Vice President of Community Engagement,HCA Healthcares East Florida DivisionEVERFI from BlackbaudIn partnership with EVERFI from Blackbaud,an international technology company driving social change through education,we continued

181、 providing our Understanding Mental Wellness course to middle and high school students.Musicians On CallHCA Healthcare and the HCA Healthcare Foundation continued supporting Musicians On Call,a program that brings musical performances to the bedside to uplift patients spirits.Volunteers of America(V

182、OA)Supported by the HCA Healthcare Foundation and Healthier Tomorrow Funds two-year$600,000 grant,Volunteers of America(VOA)hosted over 500 first responders through four national webinars about moral resiliency.Learn more about our community partnerships at HCAhealthcareI.199,000+students and 2,700

183、teachers reached at 1,100+schools across all 15 of HCA Healthcares U.S.divisions in 2023187,000+patients,family members and caregivers experienced live music programs in 2023HCA Healthcare Annual Impact Report|55Above:Brianna Porter,RN,Womens Services,Medical City Plano 56|HCA Healthcare Annual Impa

184、ct ReportImproving health and access to careAmerican Heart AssociationThe American Heart Associations Getting to the Heart of Stroke initiative,developed in conjunction with HCA Healthcare and the HCA Healthcare Foundation,focuses on preventing,treating and beating stroke by providing nationwide edu

185、cation about stroke risk and equitably empowering communities to improve health outcomes.Getting to the Heart of Stroke 2023 milestones:Established a learning collaborative with the 10 facilities participating in quality improvement.Delivered the first installment of six professional education podca

186、sts and webinar resources for clinical and medical professionals.Launched community health impact initiatives with more than 38 local nonprofit partners across 15 HCA Healthcare communities.Implemented over 90 policy systems and environmental changes to help improve health equity.Above:At the Tampa

187、Bay Heart Walk in 2023,the West Florida Division was the top fundraising healthcare system with 48 teams and 270 participants,raising over$275,000.March of Dimes Since 2019,our partnership with March of Dimes has focused on improving maternal mortality and morbidity outcomes through postpartum disch

188、arge education and by lowering hospital cesarean rates among low-risk,first-time mothers,headfirst position or NTSV(Nulliparous,Term,Singleton,Vertex)pregnancies.For over a decade,we have seen a rich history of support from our colleagues who are dedicated to the meaningful mission of this organizat

189、ion.In 2023,six divisions supported March for Babies walks across 10 markets through leadership roles and fundraising,providing over$610,000 to ensure that all moms and babies have a healthy beginning.HCA Healthcare has contributed over$3.9 million to March of Dimes since 2019 through a combination

190、of sponsorships and support,colleague fundraising and matching funds.More than 212,000 babies are delivered annually across our network of hospitals,and we use data from these births to look for insights that will help improve prenatal,natal and postnatal care.HCA Healthcare Annual Impact Report|57$

191、29.5Bpayroll and benefits$3.7Bestimated cost for the delivery of charity care,uninsured discounts and other uncompensated careEconomic impact in our communities$5.9Bfederal,state and local taxes incurred in 2023;including$2.3B of income,property,sales and use taxes$4.7Bcapital investmentLearn more a

192、bout our economic impact and how we are strengthening our communities at HCAhealthcareI.*As of Dec.31,2023 58|HCA Healthcare Annual Impact ReportAmerican Red CrossFor the fifth year,HCA Healthcare continued to support and proudly partner with the American Red Cross.Through annual contributions to th

193、eir Annual Disaster Giving Program(ADGP)or Disaster Responder Program,the Red Cross is able to provide a strong infrastructure,trained volunteers,innovative technology and critical resources when responding to disasters.During many disasters,HCA Healthcare works alongside the Red Cross in real-time

194、to coordinate supplies and resources,support shelters and match patients with community shelters when discharged from the hospital.Below:A volunteer from the American Red Cross provided comfort to a member of the community in the aftermath of Hurricane Ian in 2022.Responding to crisis and community

195、needsHCA Healthcare Annual Impact Report|59HCA Healthcare stands ready to care for patients and colleagues through a variety of emergency scenarios.Our Enterprise Emergency Operations Center(EEOC)is comprised of leaders from 30 enterprise functional areas with expertise in clinical care,logistics an

196、d supply chain,risk management,transportation and local communities who are supported by cutting-edge technology and knowledge of the entire HCA Healthcare enterprise.Preparation efforts begin long before an event occurs.For example,in May 2023,our hospital,division and corporate leaders met to revi

197、ew HCA Healthcares 2023 Hurricane Playbook and discuss the seasons weather outlook.When the EEOC does identify a potential severe weather event,our organization begins to provide impacted hospitals with additional resources to help them continue providing care.Pictured:HCA Healthcares Enterprise Eme

198、rgency Operations Center(EEOC)supported hospitals impacted by Hurricane Idalia.60|HCA Healthcare Annual Impact ReportEmergency preparation and responseResponding to Hurricane IdaliaOn Aug.24,2023,the EEOC received alerts from our contracted partner StormGeo about a possible storm to impact the Flori

199、da Peninsula.After an initial enterprise briefing call the following day,the EEOC and Division Emergency Operations Centers(DEOC)for our West Florida,South Atlantic and North Florida divisions were activated and our Incident Support Team was deployed.The Incident Support Team is comprised of clinici

200、ans,leaders and executives from across our enterprise who are cross-trained as incident response personnel.As our teams prepared for what would eventually become Hurricane Idalia,75 patients were transferred over two days to facilities outside of the expected impact zone and HCA Healthcares new Tige

201、r Dam Flood Barrier was set up at HCA Florida Pasadena Hospital in St.Petersburg.This barrier was deployed to protect vulnerable areas of the facility,including the emergency room and electrical infrastructure.The emergency room reopened less than 10 hours after Hurricane Idalia made landfall on Aug

202、.30 as a Category 3 storm.Two colleague support centers were also established at HCA Florida Lake City Hospital and Memorial Satilla Health in Georgia to provide personal items,cleaning supplies,food and ice for colleagues,and the HCA Healthcare Hope Fund provided 43 grants totaling more than$101,00

203、0 to impacted colleagues and their families.Learn more about the Hope Fund on page 46.EEOC support during Hurricane Idalia1.2K+staff hours of deployed Incident Support Teams 18K+gallons of diesel fuel 2K+hours of support provided by 64 additional security officers sent to 26 facilities16trailer-moun

204、ted electrical generators HCA Healthcare Annual Impact Report|61Crush the CrisisIn 2023,HCA Healthcare collected 13,136 pounds of unused or expired medications during our fifth annual Crush the Crisis prescription drug take back day.All 15 of our U.S.divisions hosted events,collecting an estimated 9

205、 million doses at 132 collection sites.HCA Healthcare has now collected over 67,500 pounds of medication since launching Crush the Crisis as an enterprise initiative in 2019.Through Crush the Crisis,HCA Healthcare demonstrates the importance of proper and safe disposal of unused or expired medicatio

206、ns and raises awareness about the dangers of prescription drug misuse.Crush the Crisis aligns with the Drug Enforcement Administrations(DEA)National Prescription Drug Take Back Day,providing a convenient opportunity for the community to safely dispose of medications.13,136 pounds of unused or expire

207、d medication collected in 2023132collection sites67,500+pounds of medication collected since 2019Below:Dr.Sherrie Somers,Chief Medical Officer,HCA Florida North Florida Hospital 62|HCA Healthcare Annual Impact Report 1Managing energy and water responsibly by striving to reduce use of energy and wate

208、r,decarbonize energy and manage water quality.2Enhancing climate resilience by working to ensure HCA Healthcares operations and the communities we serve are more resilient to climate risks.3Sourcing and consuming efficiently by focusing on decreasing emissions from purchased goods,sourcing responsib

209、ly,reducing consumption and reusing where possible.4Managing the environmental impact of our capital programs by trying to reduce carbon emissions,waste and other adverse environmental impacts from new construction,retrofits and expansions.Environmental sustainabilityHCA Healthcares dedication to im

210、proving more lives in more ways is directly connected to the impact we have on the environment,as well as our understanding of how the environment impacts overall health and well-being.Our environmental strategy includes short-and long-term sustainability plans,and centers on incorporating the follo

211、wing four key pillars into our operations:Visit HCAhealthcareI to view our Sustainability Report.HCA Healthcare Annual Impact Report|63Their goal:to identify ways HealthONE hospitals could do more to reduce their carbon emissions,better manage electricity usage and contribute to a healthier environm

212、ent for Rocky Mountain region residents.One of their first steps was to call their local electricity vendor,Xcel Energy.“We called our local electricity vendor and engaged with them on a strategic energy management program for the Denver market,”said Andy Draper,chief information officer(CIO).Health

213、ONE and Xcel Energy partnered to launch a pilot of the Strategic Energy Management(SEM)program in 2020.Funded by Xcel Energy,the SEM program is a holistic approach to managing industrial and commercial energy use.By integrating energy management into business practices,the program provides businesse

214、s with a clear pathway to improving energy performance and operational efficiency.Managing and reducing the energy use of facilities with 24/7 operations requires a different approach than standard office buildings.Through the SEM program,HealthONE is taking the lead in creating hospital-based group

215、s,benchmarks and goals to establish an approach for other divisions and teams to follow.After some of the largest wildfires ever recorded in Colorado occurred in 2020 and the effects of heavy smoke lingered in Denvers atmosphere,the Facility Operations team at HealthONE in HCA Healthcares Continenta

216、l Division took action to find more sustainable solutions.$800,000in electricity costs saved by HealthONE in 2022Establishing the blueprint for improving energy efficiency through utility partnership 64|HCA Healthcare Annual Impact ReportTheir goal:to identify ways HealthONE hospitals could do more

217、to reduce their carbon emissions,better manage electricity usage and contribute to a healthier environment for Rocky Mountain region residents.One of their first steps was to call their local electricity vendor,Xcel Energy.“We called our local electricity vendor and engaged with them on a strategic

218、energy management program for the Denver market,”said Andy Draper,chief information officer(CIO).HealthONE and Xcel Energy partnered to launch a pilot of the Strategic Energy Management(SEM)program in 2020.Funded by Xcel Energy,the SEM program is a holistic approach to managing industrial and commer

219、cial energy use.By integrating energy management into business practices,the program provides businesses with a clear pathway to improving energy performance and operational efficiency.Managing and reducing the energy use of facilities with 24/7 operations requires a different approach than standard

220、 office buildings.Through the SEM program,HealthONE is taking the lead in creating hospital-based groups,benchmarks and goals to establish an approach for other divisions and teams to follow.After some of the largest wildfires ever recorded in Colorado occurred in 2020 and the effects of heavy smoke

221、 lingered in Denvers atmosphere,the Facility Operations team at HealthONE in HCA Healthcares Continental Division took action to find more sustainable solutions.$800,000in electricity costs saved by HealthONE in 2022“Part of the success has been the communication between our groups within HCA Health

222、care,”said Dennis.“Weve been able to really come together and work together to try and save energy and money at the same time.”Moving forward,the team will strive to share learnings with other HCA Healthcare divisions so they can also achieve savings by engaging local utilities and learning what ste

223、ps they can take to reduce energy and ultimately create a better environment for their communities.Establishing the blueprint for improving energy efficiency through utility partnership Pictured:Andy Draper,Chief Information Officer;Dennis Clair,Director of Facility Management;Continental DivisionWo

224、rking with SEMs dedicated consulting team,HealthONEs Facility Management teams continuously look for ways to help reduce energy usage at all HealthONE facilities.SEM consultants also provide guidance for how to apply for rebates,so our engineers can focus on energy-efficiency improvements.“Were all

225、in this collaborative mode where were learning alongside the utility and theyre learning from us,”said Chris Talbert,AVP of capital project delivery at HCA Healthcare.Led by Continental Divisions Kevin Kucera,AVP of real estate,and Dennis Clair,director of facility management,the Facilities Manageme

226、nt teams approach at HealthONE has ranged from replacing boilers,reducing the energy use of chillers and managing electricity usage to adjusting variable frequency drives(VFD)to help optimize the HVAC systems at hospitals.“Our teams work together to stay informed and provide the SEM consultants with

227、 the information they need,”said Kevin.The team credits deep collaboration across HCA Healthcare and with Xcel Energy as one of the main contributing factors for the progress in energy reductions,which is timely as the City of Denver and Colorado have established energy performance targets and legis

228、lation.In 2022,the City of Denver approved an ordinance,called Energize Denver,requiring all commercial and multifamily buildings to reduce greenhouse gas emissions(GHG)by improving energy efficiency,utilizing renewable energy and electrifying buildings.Left:John Labonte,RN,Electrophysiology Lab,Med

229、ical City Heart&Spine HospitalsHCA Healthcare Annual Impact Report|65Part of the success has been the communication between our groups within HCA Healthcare.Dennis Clair,Director of Facility Management,HealthTrust Performance Group“64|HCA Healthcare Annual Impact Report“Part of the success has been

230、the communication between our groups within HCA Healthcare.“Dennis Clair,Director of Facility Management,HealthTrust Performance Group“Part of the success has been the communication between our groups within HCA Healthcare,”said Dennis.“Weve been able to really come together and work together to try

231、 and save energy and money at the same time.”Moving forward,the team will strive to share learnings with other HCA Healthcare divisions so they can also achieve savings by engaging local utilities and learning what steps they can take to reduce energy and ultimately create a better environment for t

232、heir communities.Pictured:Andy Draper,Chief Information Officer;Dennis Clair,Director of Facility Management;Continental DivisionWorking with SEMs dedicated consulting team,HealthONEs Facility Management teams continuously look for ways to help reduce energy usage at all HealthONE facilities.SEM con

233、sultants also provide guidance for how to apply for rebates,so our engineers can focus on energy-efficiency improvements.“Were all in this collaborative mode where were learning alongside the utility and theyre learning from us,”said Chris Talbert,AVP of capital project delivery at HCA Healthcare.Le

234、d by Continental Divisions Kevin Kucera,AVP of real estate,and Dennis Clair,director of facility management,the Facilities Management teams approach at HealthONE has ranged from replacing boilers,reducing the energy use of chillers and managing electricity usage to adjusting variable frequency drive

235、s(VFD)to help optimize the HVAC systems at hospitals.“Our teams work together to stay informed and provide the SEM consultants with the information they need,”said Kevin.The team credits deep collaboration across HCA Healthcare and with Xcel Energy as one of the main contributing factors for the pro

236、gress in energy reductions,which is timely as the City of Denver and Colorado have established energy performance targets and legislation.In 2022,the City of Denver approved an ordinance,called Energize Denver,requiring all commercial and multifamily buildings to reduce greenhouse gas emissions(GHG)

237、by improving energy efficiency,utilizing renewable energy and electrifying buildings.Left:John Labonte,RN,Electrophysiology Lab,Medical City Heart&Spine HospitalsHCA Healthcare Annual Impact Report|65Reaching new heightsRight:Vincent Segura,Manager,Cellular Therapeutics,Presbyterian/St.Lukes Medical

238、 CenterLooking ahead,we are working to build on the momentum gained from 2023 by enhancing our capabilities to care for our patients,colleagues and the communities we serve.We remain focused on programs and benefits to support our colleagues.Through research,advanced technology,data and innovative t

239、ools,we are working to improve care models and expand our network of care to meet the needs of our patients.We are also striving to strengthen our partnerships,and to collaborate with community leaders and invest in programs that will enhance our communities.Thank you to our colleagues,physicians and partners for everything weve accomplished together this year.Learn more about our collective impact and the many ways we create healthier tomorrows at HCAhealthcareI.66|HCA Healthcare Annual Impact ReportInside BACK COVERHCA Healthcare Annual Impact Report|67