Sustainability
Sustainability at
HCA Healthcare
HCA Healthcare’s dedication to improving more lives in more ways is directly connected to our sustainability efforts. We recognize the relationship between environmental health and human well-being, and we strive to address critical health issues while considering the broader environmental impact of our operations.

At HCA Florida Pasadena Hospital, flood control barriers were established around the facility before the storm even began, ensuring rising waters were kept from critical areas of the hospital.

Above: Katy Lange, Director of Regulatory Accreditation, HCA Healthcare
Our environmental strategy centers on incorporating the following four key pillars into our operations:
- Managing energy and water responsibly;
- Preparing for weather impacts;
- Sourcing and consuming efficiently;
- Managing the environmental impact of our capital programs.
Planting seeds of sustainability through nonprofit board service
HCA Healthcare’s commitment to sustainability extends beyond our own operations, as evidenced by the leadership roles many of our colleagues take in environmental organizations.
Katy Lange, director of Regulatory Accreditation, is a dedicated environmental advocate, serving on the board of the Tennessee Environmental Council (TEC). TEC focuses on creating the conditions for better health through environmental stewardship. Initiatives include pollinator gardens, water quality protection, tree planting and engaging communities in environmental education.
Katy’s involvement with TEC aligns with HCA Healthcare’s mission, as both organizations play pivotal roles in enhancing the well-being of individuals and communities in Tennessee. “TEC is a voice for environmental policies that promote public health,” she says. “By advocating for these policies at the local and state levels, TEC helps ensure that community development is aligned with sustainable practices, which can result in healthier, more resilient communities.”

Above: Nikki Smith, Senior Recruiter, HCA Healthcare
Nikki Smith is a senior recruiter at HCA Healthcare and serves on the board of Green Interchange. Inspired by her father’s work as an environmental engineer, she deeply understands the interconnectedness of environmental and human health. Green Interchange, an organization dedicated to planting trees and restoring natural systems, contributes to building healthier communities through its efforts to improve air and water quality, mitigate heat islands and create green spaces.
“Environmental health is integral to public health,” Nikki stated, emphasizing how the organization supports both immediate environmental needs and long-term health outcomes, aligning with HCA Healthcare’s mission to improve human life. Nikki’s commitment to Green Interchange reflects her belief that by nurturing our planet, we nurture ourselves and cultivate a healthier future.
544K+
pounds of devices diverted from landfills for reprocessing
6.4M+
pounds of construction waste recycled
39.2M+
pounds of shredded paper diverted from landfills for recycling
38.2M+
pounds of waste diverted from landfills for recycling
Annual GHG emissions (approximate) 2020-2023
Narrative:
As a part of our environmental strategy, we continue to implement initiatives designed to reduce energy consumption, including capital investments where we deem necessary, new technology pilots, energy contracting and investments and medical gas initiatives.
Our Scope 1 and 2 greenhouse gas (GHG) emissions* declined 3.1%, and emission intensity declined 23%, for the period 2020 (baseline year) through 2023.
Note: The company’s environmental strategy is subject to various risks and uncertainties, including those set forth in the company’s Annual Report on Form 10-K and other filings with the U.S. Securities and Exchange Commission.

Footnotes:
* Scope 1 and location- and market-based Scope 2 GHG emissions were calculated following the standards of the GHG Protocol. The Scope 1 and 2 GHG emissions have undergone a limited assurance review by a third party.
EY – Independent Accountants’ Review Report
** The company’s revenue emission intensity is calculated by dividing the total annual Scope 1 and 2 GHG emissions (in kilotons) by its consolidated revenue (in million USD).