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One Bankrupt Hospital, Eleven Freestanding Emergency Departments And Three Texas Hospitals: HCA’s Spending Spree

Nashville, Tenn.-based HCA Healthcare, one of the country’s largest operators of ASCs, is on a spending spree – inking three deals in the last week.

Most recently, HCA Houston Healthcare purchased 11 freestanding emergency departments from SignatureCare Emergency Center. The deal brings HCA Houston’s freestanding ED portfolio to 26.

HCA Healthcare’s Medical City Healthcare in Dallas acquired Decatur, Texas-based Wise Health System, a formerly locally owned, nonprofit system, and its three inpatient hospitals.

Additionally, HCA will acquire Trinity Regional Hospital Sachse in Texas in a $41 million deal which is expected to close at the end of January. The 32-bed hospital, which opened two years ago, filed for bankruptcy in August after defaulting on around $70 million of municipal bonds.

In 2023, HCA has been focusing on outpatient care, ramping up its urgent care acquisitions. The health system operates about 2,300 ambulatory care facilities, including more than 150 ASCs, and continues to double down on developing outpatient facilities and increasing outpatient procedure migration.

In the third quarter of 2023, HCA reported a 37.4% jump in outpatient revenue, while its operating income was down 4.1% from the previous year.

 

Source: Becker’s ASC Review

Five Hospitals Buying Land For Expansions

Below are five hospitals or health systems that purchased or announced plans to buy land for expansions in the last three months.

1. HCA buys land, plans freestanding ED
Nashville, Tenn.-based HCA Healthcare has purchased a plot of land in Tennessee to build a freestanding emergency department.

4. Ascension St. Vincent’s buys 33 acres for Florida hospital
Jacksonville, Fla.-based Ascension St. Vincent’s purchased a parcel of land in Florida’s St. Johns County for nearly $18 million.

5. Encompass Health buys land for rehab hospital in Florida
Birmingham, Ala.-based Encompass Health bought a plot of land in St. Augustine, Fla., to build a new hospital, the company said July 10.

2. South Carolina hospital buys land for expansion
The board of Orangeburg, S.C.-based Regional Medical Center agreed to buy a 6.5-acre plot of land for an expansion.

3. University Health System to buy land in San Antonio for new hospital
San Antonio-based University Health System plans to buy an 80-acre parcel of land to build a second hospital.

Source: Becker’s Hospital Review