Unsure the total amount but dozens, if not over 100 HCA IT colleagues went through Layoffs today. Developers, Identity and Access resources and more being reported.
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Read between the lines:
To alleviate policy impacts and offset about $400 million in losses to the exchange market, HCA is utilizing a multi-year resiliency program focused on cost efficiency, revenue integrity, and capacity management, leadership highlighted.
HCA CEO Sam Hazen pointed to investments in network expansion, workforce development, and clinical capabilities that helped drive margin improvement and sustained demand, providing HCA with buffers if coverage risk pressures intensify.
https://www.healthleadersmedia.com/ceo/hca-projects-resilient-2026-despite-warning-aca-medicaid-headwinds
@47w is the training of the replacements a condition of the severance? I wonder how many US HCA employees being laid off are over 40 and having to train their HCA India replacements. Are the HCA India replacements significantly younger? That's illegal if they are. The Age Discrimination in Employment Act (ADEA).
The media needs to be alerted more on this.
During COVID we were warned about America's dangerous dependence on fragile foreign supply chains for PPE, dr-gs, and medical essentials. Now HCA Healthcare, one of America’s largest hospital systems and heavily funded by Medicare & Medicaid taxpayer dollars, is offshoring its back office, including critical IT systems operations and support to Hyderabad, India… while forcing American workers to train their own replacements! This isn’t “efficiency.” This is making our hospitals more vulnerable to the next crisis.
Patient safety should never be outsourced.
@256 I work for the Nashville Business Journal. Would love to chat more about this. Send me an email nross@bizjournals.com.
Heard there might have been more layoffs in the accounting department this week. Anyone else hearing that?
Today they tried to make me move my meetings to “support” the time change for a DEV in India. I told them they knew what they signed up for and the majority rules. We cannot move the whole meeting to accommodate one person…. A mess
First they came for the call center, and I did not speak out --
because I was not in the call center.
Then they came for the accountants, and I did not speak out --
because I was not an accountant.
Then they came for the software engineers...
DBAs...
SREs...
This company has lost it's soul. You should see the sh-t show every single day we see. I'm amazed HCA is able to function on a daily basis. They have not been Healthcare for a long time. They are symptom care and money over everything. Hope they get wrecked on the employee survey vital voices they just put out. They have reorg'd everything all to meet their motto "do more with less"! I don't recognize this company nor my job anymore. It would be a stretch to call it a career at this point. We already have GCN AKA India workers on our teams, and are quite literally being asked to train our replacements. GET WRECKED!!!
@vz I heard there is going to be 6 phases for like 3000 employees to move to India.
@13j I'm thinking about it. I'm guessing he is expecting things to turn during the layoffs.
@1pm Why would they respond? There is no incentive for them to do so. The only thing that would incentivize them to respond is if major media outlets started making a big deal out of it.
Im my experience so far it has not done any good with contacting your state or federal representation or the president. Maybe if you are a major donor..and that is big maybe. Warned them all before the GCC even had a public HCA Healthcare name this was going to happen, no response. Communication attempts on email and phone calls after this happened to all offices including the governor, never a reply or a call back.
@15e would love to know more about this. Shoot me an email nross@bizjournals.com.
The thing that gets me is how quickly they changed their tone on culture and people. Sam Hazen and Mike Marks are multi-millionaires. HCA’s stock value has increased astronomically. And yet they want more. We used to claim HCA “cared like family”. Yet now all they are doing is taking food from the people who are trying to provide for their families.
I heard that they are VPs in IT that read these post and it has become a joke to them as they laugh those impacted. If that is true, that’s pretty sick if you ask me, and tells me all I need to know about how far this company has fallen.
@18s According to FEC data, Sam Hazen has donated a fair amount of money to the campaigns of Blackburn and Hagerty over the years.
https://www.blackburn.senate.gov/email-me
https://www.hagerty.senate.gov/email-me/
These are the links to both State Senators. We need to fill their mailboxes about this.
Why is HCA not being transparent? They’ve confirmed a small number of layoffs but appears to be hundreds and perhaps into the thousands. No WARN act disclosures made. And they conveniently confirmed the small number AFTER the Quarterly shareholders call and after Mr. Hazen testified before the House Ways and Means Committee last week. What is Mr. Hazen hiding? Congress should really investigate the unethical behavior of this company. Tennessee Senators and Representatives should really look into this. I’m sure HCA receives massive local, state and federal tax incentives and this is what we get in return.
@OP Don’t forget the executives making these decisions also gave themselves a massive 8% raise at the same time they sent all the jobs offshore. All while giving employees a pitiful 2% year after year. A responsible Board of Directors would fire them. Shareholders should hold the Board accountable. Hope the stock tanks to force action against these American sellouts.
https://www.bizjournals.com/nashville/news/2026/03/16/hca-healthcare-raises-executives-base-salary.html
It sounds today like all BA roles are headed offshore, guessing its part of phase 2 layoffs coming up, guessing PMs and operations roles are next. Working on my resume tonight!
Don’t be surprised that this is a new concept to HCA because it is not they did a reduction in force when they consolidated the HIM departments to their new branded Parallon. We reduced hard working HIM low paid workers down to only 5 then down to 3. And if that was not enough during training domestic coders on icd10 they brought in tons of offshore coders to take the domestic coders jobs. They do all of this in their sneaky manner until they drop the bo-b on everyone. People don’t see it coming. They let go of hundreds of domestic coders and replaced them with offshore and then purchased a product to run behind the offshore looking for potential coding errors and converted all the coders left to auditors to audit the offshore work and while there were tons of issues no one wanted to listen it was all about the bottom line with HCA. the only time they lived by a code of ethics is when they were busted by the OIG for up coding and were under an 8 year OIG agreement. When that ended so did their ethics. There is nothing nice to say about this company except that they are only interested in the bottom line and nothing else.
On February 3, 2026 Sam Hazen (CEO) sold $21,483,275 of stock just as his multi-wave plan to send thousands of American (Nashville) jobs to Hyderabad, India got rolling.
You can follow HCA executive/insider trades here: https://finance.yahoo.com/quote/HCA/insider-transactions/
If I owned shares I would sell them all.
Cchhillllleeeee……
@148 There evidence that he sold his stock.
@13j Sam Hazen just sold his stock. I'd consider that as a hefty sign of things to come.
Should I sell my stock? Would love to hear from fellow employees
I can’t shake the feeling of disgust. What a disgusting thing for HCA to do.
To recap how the GCN has been doing so far, they can't get financial accruals right, they can't pay vendor invoices correctly, credit holds have skyrocketed and facilities have thus been unable to procure supplies needed for immediate patient care. So now we can expect the same standard of work for IT. Super.
@zj Like he cares.
My HCA facility just got rid of half of its environmental services department, conveniently, right after the Joint Commission's visit. Now that nurses will be responsible for cleaning and patient care, prepare for a mass exodus of talent.
“Invest in our people” my a-s.
HCA literally posted this yesterday while people are spending their final months training their Hyderabad replacements and getting shown the door.
The gall of this company is unreal.
https://x.com/hcahealthcare/status/2051398195008151724?s=46&t=Kd6G8Y3EiNoPi_pvA2_pKQ
@yy sharing what I sent to Trump:
Dear Mr. President,
I am writing to respectfully bring attention to a matter that I believe directly conflicts with the goal of strengthening and protecting the American workforce.
HCA Healthcare has recently established a Global Capability Network (GCN) in India and, as of last week, announced that certain U.S.-based roles will be transitioned to this offshore model. It is my understanding that this is not an isolated change, but part of a broader and ongoing workforce reallocation strategy moving jobs out of the United States.
Employees whose positions are being eliminated are being told they must train their counterparts in India in order to receive severance. This places American workers in the difficult and distressing position of facilitating the outsourcing of their own jobs.
In addition to the impact on U.S. employment, there are serious concerns regarding data security and patient privacy. The rapid expansion of offshore access to sensitive healthcare systems raises valid questions about identity protection and the safeguarding of confidential information.
I respectfully request that your administration review this situation and consider appropriate actions to ensure that American workers are protected, especially in industries as critical as healthcare. Companies benefiting from operating within the United States should be encouraged—or required—to prioritize domestic employment and uphold the highest standards of data security.
Thank you for your time and attention to this important issue.
https://www.whitehouse.gov/contact/ - let Trump know what they are doing. He said something last year about blocking IT outsourcing to India.
https://www.financialexpress.com/business/investing-abroad-will-trump-block-it-outsourcing-maga-calls-it-payback-over-indias-russia-stand-3968955/
@tn HCA cannot replace institutional knowledge offshore. Some of the people replaced have years (or decades) of knowledge and taking them all out in a short period will have an impact! Also, most of the “leaders” who made this decision have only worked at HCA and do not understand the massive differences between an offshore and on shore model. The two are very different and each has its place in a business. It will be interesting to see how this plays out long term. I honestly hope patient care and information security is not negatively affected. Good luck ITG workers- you are truly the best.
@x1 Yep and I blasted it. I hope the scores for all the divisions tank. Everyone needs to and the question "will you still be here in x years" with a 0-6 or 6-12 months answer. That opens a comment box. then let it rip.
@xx Not just Nashville. This will hit the field as well. They want 3000 hired in India by the end of 2026
So how many people in IT are going to be left in nashville site when this is all over with
@wt So the next round will be notified end of July?
Did they seriously send out an employee engagement survey today?!?
@vz there 3 phases this year…July, September, and November. Phase 4 in January, and all they way through 2027.
I hope sr leadership’s millions in bonuses keep them warm at night. Fu-k them for how they approached this and what they’re doing.