HCA HEALTHCARE INC
HCA
Health Care
4
exclusion reasons
2 themes
This page is part of our public exclusion list — a transparency tool that shows which companies we screen out and why. It is not investment advice, and it is not an accusation. But it is subject to change as our understanding of the facts evolves.
HCA Healthcare agreed to pay $4.6 million to resolve an EEOC disability discrimination lawsuit alleging it failed to accommodate employees with disabilities, as documented by ViolationTracker. That disability settlement is part of a broader pattern: in July 2023, the EEOC filed a separate lawsuit against HCA Healthcare, Inc. and two of its divisions — Tennessee Healthcare Management, Inc. and GME Overhead — for race, national origin, and age discrimination and retaliation, alleging the company refused to promote an employee because of his age, race, and national origin. HCA Healthcare, the largest for-profit hospital operator in the United States with over 2,300 healthcare facilities, has thus faced EEOC enforcement actions spanning disability, race, national origin, and age discrimination — multiple independent actions across different protected classes, indicating systemic employment practices issues rather than isolated incidents.
Serial healthcare fraud: HCA paid $1.7B total -- the largest healthcare fraud recovery in U.S. history. Includes $840M in criminal fines (2000) for up-coding, false billing, and billing medically unnecessary procedures; $631M civil settlement (2003) for cost-report fraud and physician kickbacks; and a separate $16.5M False Claims Act settlement (2007) for paying financial incentives to a Chattanooga physician group to induce patient referrals to HCA facilities. Whistleblowers received $151.6M combined.
HCA Healthcare (formerly Columbia/HCA) paid $1.7 billion to resolve the largest healthcare fraud investigation in U.S. history. The Department of Justice announced the final settlement in June 2003, concluding a multi-year investigation into false claims submitted to Medicare, Medicaid, and TRICARE. The fraud involved cost report manipulation, kickbacks to physicians for patient referrals, and billing for unnecessary services. In December 2000, HCA subsidiaries paid $840 million in criminal fines and civil damages. A subsequent June 2003 settlement added $631 million in civil penalties. An additional $250 million was paid to the Centers for Medicare & Medicaid Services for overpayment claims. Whistleblowers received $151.6 million in combined qui tam awards. HCA's then-CEO Rick Scott resigned during the investigation.
In NLRB Case No. 12-CA-263656, HCA Healthcare Inc. was accused of unlawfully interrogating employees about their union activities and creating the impression of surveillance at its Riverside Community Hospital facility in 2020.
Research Sources
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Related Exclusions
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Companies appear on our exclusion list based on our investment judgment — not because they've done anything illegal. This is a difference of values and opinion, not an accusation of wrongdoing. Exclusion does not constitute a recommendation against investing in any company, and absence from the list does not constitute a recommendation to invest.
This information is provided for educational and transparency purposes only and should not be relied upon as investment advice. Data is drawn from independent watchdogs, NGOs, government registries, and Ethical Capital's ongoing research — see Research Sources for the full list.
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