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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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.
@OP over 800 in accounting were laid off for GCN counterparts last may - December
@qm you should totally send this to all media outlets, published anonymously
There will definitely be a phase 2 later this year, likely in the October/November time frame. Probably a phase 3 early next year. I expect the largest cuts to be in phase 2.
@v5 he has to lie in order to get his golden parachute! He’s an empty suit, and feckless “leader”. Just another shining example of a certain demographic “failing upwards”!
@vh they pushing for 70% of ITG positions in the GCN. Yeah, good luck with that. Ego and greed are at the helm of HCA!
@qp Signal?
@vd Dr. Frist might not have another $14B year if they don't send American jobs to India.
It isn't just IT. They have quietly replaced a large section of their accounting team too.
@v5 This is capitalism at its finest!
Even more insulting is the CIO Chad Wasserman and his crew said in their last open all hands call that HCA India was set up to enhance not replace people.
Roughly half of HCA’s revenue comes straight from American taxpayers through Medicare and Medicaid. We are literally paying this company to replace American IT jobs that protect patient data and hospital operations with cheap labor in India. Categorically UN-American behavior by HCA.
@tn Absolutely. ITG used to run a highly encouraged program called IT Healthcare Connection. IT employees would spend a full week at a local Nashville hospital facility, shadowing operations to see firsthand how their work directly impacts providers and patients. The whole point was to build real ownership and a deeper appreciation for the importance of what we do.
It’s highly doubtful the new ITG team in Hyderabad will ever get that same immersive experience. The disconnect, literally half a world away, couldn’t be more glaring.
There’s been a lot of conversation around the recent events at HCA Healthcare, and honestly, much of what people are saying resonates.
It’s not just what was communicated it’s how it was communicated. The delivery felt cold, disconnected, and out of alignment with what this company has historically stood for.
HCA was built on the idea of being more than just a business. It was built as a people-first organization, a family, rooted in values established by leaders like Thomas F. Frist Sr.. There was a belief that investing in people created something stronger, more resilient. “Good people beget good people” wasn’t just a saying, it was a standard.
Lately, it feels like that foundation is shifting.
Yes, this is a for-profit organization. Yes, there are real pressures regulatory changes, reimbursement models, and the realities of operating in healthcare today. No one is blind to that. But somewhere along the way, the balance feels off.
We’re seeing record performance metrics on one side, while on the other, decisions are being made that directly impact the people who built, supported, and sustained the organization over time. That contrast is hard to ignore.
There’s also a growing concern around how decisions are being made.
Financial optimization appears to be outweighing long-term operational health. Cost is being prioritized over continuity. And in some cases, decisions feel disconnected from the realities of the environments they affect.
We’re seeing increased reliance on external consulting strategies and vendor mandates that don’t always align with the institutional knowledge and proven practices already in place. Long-standing relationships and internal expertise are being sidelined in favor of approaches that may look efficient on paper but struggle in execution.
That “connective tissue” the deep understanding of how systems, teams, and patient care intersect is being undervalued
.
It’s the difference between working a problem and understanding a problem.
Many of the toughest issues don’t live in a single system or process they live in the gray space between them. And it’s often the people with deep experience who can bridge that gap quickly and effectively.
There’s also something to be said about proximity and connection. Healthcare isn’t just another industry. The outcomes here are personal. The decisions we make don’t just impact systems they impact patients, families, and communities.
That perspective matters.
None of this is about dismissing talent from anywhere in the world there are incredibly skilled individuals everywhere. But replacing experience, context, and connection with cost alone is a risky trade-off.
HCA didn’t become what it is today by chasing the lowest cost option. It became what it is by building something meaningful, with people who understood the mission.
That’s the part that feels like it’s slipping.
This isn’t about resisting change change is necessary. But not all change is progress. And if we’re not careful, we risk optimizing ourselves away from the very values that made this organization strong in the first place.
At some point, we have to ask:
Are we still building something we believe in or just something that looks good on a spreadsheet?
Hospital Corporation of "America" run from India. lol
@pr Hi! Im the journalist who wrote this story. I'm looking for more information from people who work at HCA or who were part of the layoffs. My email is open to anyone who wants to talk (Happy to keep people anonymous if they need to be). nross@bizjournals.com
@qm This isn't just cost optimization. It's a deliberate choice to discard American talent that built the systems now being handed to Indians. Stay strong!
HCA Healthcare’s offshoring of American IT jobs to India is a gut-wrenching betrayal that should outrage every American who values fairness, loyalty, and the integrity of our healthcare system. When CTO Sai Adivi announced the end of many American IT careers in an impromptu, secretive, BCC’d Webex call, citing a "successful pilot" and the move to "Phase 2" while referencing other Fortune 100 companies, the message was already cold. But the kn--e twists deeper with the detailed plans for affected employees to spend their final months in left-seat/right-seat training and job shadowing, meticulously documenting every skill and technology in SOPs so their Hyderabad replacements can take over. All of this while managers in large group chats including the affected employees post cheerful "happy work anniversary" congratulations.
This is not business as usual. This is a company founded by American physicians on American soil, built by generations of dedicated American workers, and kept afloat by nearly 47 million mostly American patient encounters every year, with tens of billions pouring in from American taxpayers through Medicare and Medicaid. HCA’s stock languished in the low-to-mid $20s until the 2012 Obamacare ruling dramatically boosted its insured-patient volume and share price. Yet today, at well over $400 per share, HCA looks its own people in the eye and offers veteran employees with 20+ years of service a severance package well below Fortune 100 averages, saying their knowledge, sacrifice, and loyalty are worth less than the savings from shipping jobs to Hyderabad.
The "train your replacement" mandate is cruel and humiliating. Forcing dedicated Americans to dismantle their own careers, hand over hard-earned institutional knowledge that keeps hospitals safe and patients protected, and then sit idle answering questions until the India team can stand alone, while the company pretends everything is normal and business as usual, is an insult that adds financial hardship, emotional devastation, and profound disrespect on top of job loss. It risks patient-care disruptions, erodes decades of U.S.-based expertise, and treats people who helped build HCA into a powerhouse as disposable.
HCA’s founders spoke of putting patients first. Today’s leadership, under the continuing influence of the Frist family, who still hold massive ownership and board power, has utterly abandoned that vision. Patients, American workers, and the taxpayers who subsidize this empire are no longer the priority. Cheap foreign labor and swollen profits are piloting the ship.
Politicians who accept campaign support, lobbying influence, or oversee the massive Medicare and Medicaid dollars flowing to HCA must be held accountable. Demand they investigate these practices, protect American jobs in critical healthcare infrastructure, and ensure taxpayer money doesn’t fund the offshoring of American livelihoods.
Shareholders and the board (including Frist family representatives) should also face pressure to replace leadership that has so clearly failed the original intent of the founders. The mission was patient care and human life, not maximizing margins by discarding the American workers who made it all possible.
American patients deserve a healthcare giant that actually protects their data and delivers reliable care with professionals who understand them. American workers deserve employers who honor their service instead of treating them as disposable after decades on the job, especially while forcing them to train their own replacements and pretending everything is normal in the company chat.
HCA should be beyond ashamed. It should immediately halt this offshoring, retain and invest in its American workforce, and rediscover the patient-first values its founders claimed to champion. Anything less confirms that for this company, loyalty, country, basic human decency, and the American dream mean absolutely nothing when profits are on the line.
This cannot stand. Not for HCA Healthcare. Not for any other American company that relies on the American taxpayer for its survival.
@pr Downplayed indeed.
Official acknowledgement, but pretty downplayed imo. https://www.bizjournals.com/nashville/news/2026/04/30/hca-healthcare-confirms-layoffs.html
Nothing like listening to an indian explain to a bunch of Americans that their jobs are being sent to india.
I can confirm this.. there were projects spun up to get Indian positions set up. AI positions are coming too for software engineers and other IT positions.
@a8 that’s right. I can confirm that they’ve outsourced a great number of roles to India. Let’s just cut a lot of positions and then take a few more out to contribute to the economy of India
I will be training my replacement until my last day in a few weeks.
It's apparently over 200. Phase 2. That's less than 10% of the 3000 people they planned to hire in Hyderabad. There will likely be more, larger phases as they refine the process and nibble at the least disruptive parts of the business first.
It’s said really everyone is a number
There are going to be waves of layoffs as they continue to offshore multiple projects India. ITG will be a shell of itself by years end.
Outsourced to India.