ORGANIZATION
HCA Healthcare
HCA Healthcare is a publicly traded hospital company headquartered in Nashville, Tennessee. Its hospitals provide medical care and related services, and its Texas operations make it a major employer across several regions. The company’s Texas workforce includes hospital nurses and other clinical, administrative, technical, and support staff.
This employer is in our Texas coverage. Its score is being prepared.
AboveNearBelow the median (58.6) for Texas employers we rate.
Not enough data yet for a reliable total. The factor results below use the evidence we have today. We add sources regularly.
Scores updated November 7, 2026. Evidence through March 12, 2026.
Each factor is scored out of 20. The five factors add up to the total out of 100. How we score
What the public record shows
Each fact comes from a government record or the company's own materials.
- 5.86 recordable injuries per 100 full-time workers in 2025, from OSHA injury reports for its Texas sites. The national rate for the same industries is 5.19 (BLS, 2024).
- 2.03 injuries per 100 full-time workers led to days away, restricted duty, or a job transfer in 2025.
- 1 of 1 U.S. Department of Labor wage and hour case in Texas found violations, last 5 years.
- 4 unfair labor practice charges filed with the NLRB against this employer in Texas, last 5 years. A charge is an allegation, not a finding.
- 1 EEOC lawsuit or conciliation involving this employer, nationwide, last 5 years.
- The company's own materials describe 6 of 9 workplace practices Workarma looks for, including training or tuition programs, paid leave, and mental health or assistance benefits.
- CEO pay was 420 times the median employee's pay, company-wide, in its latest proxy statement.
- Median offered pay on 15 H-1B filings for Texas jobs was 1.13 times the prevailing wage, October 2024 to June 2026 (U.S. Department of Labor).
Government enforcement records are mostly complaint-driven. A short record is not proof of good conditions, and a long one can reflect a large workforce or active reporting.
Where this profile's evidence comes from
Sources marked "No records" were checked for this employer and returned nothing.
- OSHA injury reports
Reports for 1 Texas site group - OSHA inspections and citations
6 inspections since 2020 - Texas layoff notices (TWC)
No notices, last 3 years - DOL Wage and Hour cases
1 case, last 5 years - NLRB charges
4 charges, last 5 years - EEOC lawsuits and conciliations
1 action, last 5 years - H-1B wage filings (DOL)
15 Texas filings - Form 5500 benefit plan filings
No records matched - SEC filings
Disclosures found - Company website
6 practices described
See the records behind every score.
- Links to each source record behind the key facts
- Score history as new data arrives
- Watchlists and email alerts when a score changes
- Comparisons with the industry and Texas medians
Evidence behind the score
OSHA inspections in Texas
- OSHA complaint inspection at HCA HOUSTON HEALTHCARE - CONROE (Conroe): no citations.
- OSHA planned inspection at HCA HOUSTON HEALTHCARE NORTHWEST (Houston): no citations.
- OSHA planned inspection at HCA HOUSTON HEALTHCARE - CONROE (Conroe): no citations.
Wage and Hour cases in Texas
NLRB charges in Texas (allegations, not findings)
- NLRB unfair labor practice charge 16-CA-373339 against HCA Care Now (Spring), filed 09/12/2025: 8(a)(1) Concerted Activities (Retaliation, Discharge, Discipline). Outcome: Dismissal Non-adjusted.
- NLRB unfair labor practice charge 16-CA-360439 against HCA, Houston Healthcare Northwest (Houston), filed 02/14/2025: 8(a)(1) Concerted Activities (Retaliation, Discharge, Discipline). Outcome: Dismissal Non-adjusted.
- NLRB unfair labor practice charge 16-CA-347328 against HCA, Houston Healthcare Northwest (Houston), filed 07/29/2024: 8(a)(1) Coercive Rules. Outcome: Dismissal Non-adjusted.
- NLRB unfair labor practice charge 16-CA-345681 against HCA Care Now Urgent Care (Houston), filed 07/03/2024: 8(a)(1) Concerted Activities (Retaliation, Discharge, Discipline). Outcome: Dismissal Non-adjusted.
EEOC lawsuits and conciliations (nationwide)
Workplace practices the company describes
- Training or tuition programs (SEC filing)
- Paid leave (SEC filing)
- Mental health or assistance benefits (SEC filing)
- Recognition programs (company page)
- Safety programs or metrics (SEC filing)
- Employee listening programs (SEC filing)
Texas headcount
Score history
First scored on November 8, 2026.
Comparison
Workarma is independent. No one can pay to change a score. Workarma is not a job board.
COMPANY INFORMATION
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STOCK INFORMATION
Description
HCA Healthcare is a publicly traded hospital company headquartered in Nashville, Tennessee. It operates hospitals that deliver medical care and related services. Its Texas operations span several regional healthcare networks, including HCA Houston Healthcare, Medical City Healthcare, Methodist San Antonio, and St. David’s Austin.
In the greater Houston area, HCA Houston Healthcare operates 13 hospitals and reports a workforce of about 15,000 people, including about 6,900 nurses. In Dallas-Fort Worth, Medical City Healthcare includes 22 hospitals and more than 16,500 colleagues, serving the North Texas region. HCA’s Texas presence also includes operations in San Antonio and Austin. These regional systems provide hospital care across the state’s major metro areas.
Texas roles include nurses, physicians, and other clinical staff, as well as technicians, patient-services teams, administrators, and facilities and support workers. Hospitals also rely on operational and technical employees to maintain services and equipment. Workarma tracks public records such as OSHA injury filings and WARN notices for its Texas operations.
Mission
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Better work, more karma.
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