The College of Health Care Professions
2026
Why
HCA acquired CHCP, a Texas allied health college with more than 8,000 students, to add training capacity for allied health workers.
HCA Healthcare, Inc.
Hospital and Health Care ServicesFounded 1968- HQ today: Nashville, Tennessee
Reviewed by Swet Parvadiya
Company data updated: October 2026
Acquisitions
HCA Healthcare Acquisitions
6
Major Deals Covered
$1.5B
Disclosed Deal Value
What are HCA Healthcare's biggest acquisitions?
HCA Healthcare's largest disclosed acquisition here is Mission Health for $1.5B in 2019. This page covers 6 major deals from 2018 to 2026, each with its price where disclosed and the reason behind it.
- Major deals covered
- 6
- Largest deal
- Mission Health ($1.5B)
- First deal
- 2018
- Most recent
- 2026
| Company | Year | Price | Purpose |
|---|---|---|---|
| Mission Health | 2019 | $1.5B | HCA bought Mission Health, a six-hospital nonprofit system based in Asheville, North Carolina, for about $1.5 billion, adding a regional network in western North Carolina. Sale proceeds funded the Dogwood Health Trust. |
| MD Now Urgent Care | 2022 | Undisclosed | HCA acquired MD Now Urgent Care, a Florida urgent care network of roughly 59 clinics, to expand lower-cost access points around its HCA Florida Healthcare hospitals. |
| Memorial Health (Savannah) | 2018 | Undisclosed | HCA acquired Memorial Health, including Memorial University Medical Center in Savannah, Georgia, adding a regional trauma and teaching hospital. |
| Valify | 2020 | Undisclosed | HCA acquired Valify, a purchased-services analytics company, and folded it into its HealthTrust group purchasing business. |
| Galen College of Nursing (majority stake) | 2020 | Undisclosed | HCA bought a majority interest in Galen College of Nursing to expand its nursing pipeline. |
| The College of Health Care Professions | 2026 | Undisclosed | HCA acquired CHCP, a Texas allied health college with more than 8,000 students, to add training capacity for allied health workers. |
- What companies has HCA Healthcare bought?
- Major acquisitions by HCA Healthcare documented here include Mission Health (2019), The College of Health Care Professions (2026), MD Now Urgent Care (2022), Valify (2020) and Galen College of Nursing (majority stake) (2020).
- What is HCA Healthcare's most recent acquisition?
- The most recent HCA Healthcare acquisition documented here is The College of Health Care Professions, in 2026.
MD Now Urgent Care
2022
Why
HCA acquired MD Now Urgent Care, a Florida urgent care network of roughly 59 clinics, to expand lower-cost access points around its HCA Florida Healthcare hospitals.
Impact
The purchase reflects HCA's push to own more of the outpatient front door in its largest state.
Outcome
The clinics were added to HCA's Florida outpatient network and refer patients needing specialist or inpatient care to HCA facilities.
Valify
2020
Why
HCA acquired Valify, a purchased-services analytics company, and folded it into its HealthTrust group purchasing business.
Galen College of Nursing (majority stake)
2020
Why
HCA bought a majority interest in Galen College of Nursing to expand its nursing pipeline.
Mission Health
2019
$1.5B
Why
HCA bought Mission Health, a six-hospital nonprofit system based in Asheville, North Carolina, for about $1.5 billion, adding a regional network in western North Carolina. Sale proceeds funded the Dogwood Health Trust.
Impact
The deal drew sustained criticism from local physicians and residents over staffing and service changes, and North Carolina's attorney general sued HCA in 2023 alleging it broke commitments made in the purchase agreement.
Outcome
Mission became HCA's North Carolina Division and was integrated into HCA's operating and purchasing systems.
Memorial Health (Savannah)
2018
Why
HCA acquired Memorial Health, including Memorial University Medical Center in Savannah, Georgia, adding a regional trauma and teaching hospital.
HCA Healthcare, Inc.'s Growth & Acquisition Strategy
HCA grows by adding capacity inside its existing markets rather than entering many new ones. It builds hospital beds, freestanding ERs, surgery centers and urgent care clinics around its hospitals, and in August 2026 it set up a separate Ambulatory Operations Group led by Charles Gressle. It also buys selectively, including Mission Health in 2019, Galen College of Nursing in 2020, MD Now Urgent Care in 2022 and The College of Health Care Professions in 2026, and it returns cash to shareholders through dividends and buybacks.
How HCA Healthcare, Inc. Makes Money
HCA earns money by billing for patient care delivered in its hospitals and outpatient facilities. In 2025, managed care and other insurers accounted for 48.9% of revenue, Medicare and managed Medicare 32.7%, Medicaid and managed Medicaid 12.7%, and international and other payers 5.7%. Commercial contracts pay the highest rates, so payer mix drives margins as much as volume does. Hospitals provide emergency, surgical, cardiac, oncology, maternity and other acute services, while surgery centers, freestanding ERs, CareNow urgent care clinics and physician practices widen the network and refer patients into it. Outpatient revenue was 38% of patient revenue in 2025. HCA also runs HealthTrust, a group purchasing organization that buys supplies for HCA and for outside hospitals.
HCA Healthcare Acquisitions FAQ
What are the most historically significant acquisitions completed by HCA Healthcare?
Notable deals include the 1994 merger with Columbia Hospital Corporation, Mission Health in North Carolina (2019, about $1.5 billion), a majority stake in Galen College of Nursing (2020), MD Now Urgent Care in Florida (2022) and The College of Health Care Professions (2026).
Why was the 2019 acquisition of Mission Health in North Carolina a major milestone?
In 2019, HCA acquired non-profit Mission Health System in Asheville, North Carolina, for $1.5 billion, adding six acute-care hospitals, expanding HCA's regional network in western North Carolina, and funding the creation of the $1.5B Dogwood Health Trust community endowment.
What was the strategic rationale behind HCA acquiring Galen College of Nursing in 2020?
HCA acquired a majority stake in Galen College of Nursing to solve the national nursing shortage, creating an internal educational pipeline that graduates thousands of registered nurses annually who transition directly into HCA clinical hospital teams.
How did the acquisition of MD Now Urgent Care in 2022 expand HCA Florida Healthcare?
In 2022, HCA acquired MD Now Urgent Care, the largest urgent care provider in Florida with 59 clinic locations, smoothly integrating walk-in outpatient care into the statewide HCA Florida Healthcare network.
How did the 1994 merger with Columbia Hospital Corporation reshape HCA's national scale?
The 1994 merger between HCA and Rick Scott's Columbia Hospital Corporation created Columbia/HCA, a large healthcare conglomerate managing over 300 hospitals across the nation before later divesting non-core assets and refocusing under the HCA banner.
How does HCA evaluate potential hospital and health system acquisition targets?
HCA evaluates targets based on demographic population growth in the service area, opportunity to build an integrated network of care, potential for clinical service line expansion (cardiac, trauma, oncology), and accretive return on invested capital.
What did HCA acquire in 2026?
HCA completed its acquisition of The College of Health Care Professions (CHCP) in 2026. CHCP serves more than 8,000 students at 10 Texas campuses and online and offers over 20 accredited allied health programs.
How does HCA integrate acquired community hospitals onto its standardized clinical IT platforms?
HCA moves acquired facilities onto its standard clinical, supply chain and administrative systems, including HealthTrust purchasing, to bring costs and processes in line with the rest of the network.
What hospitals has HCA acquired?
HCA essentially grows by buying struggling local non-profit hospitals and ruthlessly converting them to the for-profit model. In 2019, they executed a massive, highly controversial $1.5 billion acquisition of Mission Health in North Carolina. Local residents and doctors subsequently filed massive antitrust lawsuits, claiming HCA aggressively cut staff and raised prices.
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