HCA Healthcare has confirmed it has laid off a small share of employees from its U.S. workforce, according to a report from the Nashville Business Journal.
An HCA spokesperson told NBJ the roles impacted do not provide direct patient care and represent “a small portion” of the company’s workforce.
While the actual number of affected employees is unknown, according to the report, the cuts were described as “significant in scale,” by two NBJ sources. It is unknown if any cuts were made in Nashville.
According to the company’s annual report, HCA had approximately 320,000 employees, including approximately 90,000 part-time and PRN (on call) employees, in its workforce as of December 31.
Close to 28,000 of those workers are estimated to be in the Nashville area.
The company reported revenues in the first quarter of 2026 of $19.1 billion, compared to $18.3 billion in the first quarter of 2025.
Net income attributable to HCA Healthcare, Inc. totaled $1.6 billion, or $7.15 per diluted share, compared to $1.6 billion, or $6.45 per diluted share, in the first quarter of 2025.
Nashville-based HCA Healthcare is one of the nation’s largest providers of health care services with 189 hospitals and approximately 2,600 ambulatory sites of care in 19 states and the United Kingdom.