Board Dossier

Samuel N. Hazen

CEO, HCA Healthcare · FAH Director · FAH Chair 2023

Critical
$1.7B Largest healthcare fraud settlement in U.S. history
$23.8M 2024 total compensation
391:1 CEO-to-median worker pay ratio
$75.6B FY2025 revenue
01 ORGANIZATION

Role and Organization

HCA Healthcare is the largest for-profit hospital operator in the world.

Metric Value
Hospitals190
Sites2,400+
States20 + United Kingdom
Employees313,000
Revenue FY2025$75.6B
Net Income FY2025$6.8B
Medicare Revenue %15.3%
Medicaid Revenue %6.6%
FAH Board SinceAt least 2013
FAH Chair2023
02 FRAUD HISTORY

Fraud and Legal History

In 2003, HCA paid $1.7 billion to settle the largest healthcare fraud case in U.S. history. Two subsidiaries pleaded guilty to criminal conduct.

“Billing practices included charging Medicare for Kentucky Derby tickets, double pension claims, and physician kickbacks through free rent and loans with no expectation of repayment.”

— DOJ press release, June 26, 2003

Settlement History

Year Amount Charges Outcome
2000 $840M Cost report fraud, kickbacks, upcoding Criminal pleas, CIA imposed
2003 $881M Additional civil settlements 8-year CIA concluded 2009
Total $1.7B+
Corporate Integrity Agreement: Eight-year CIA with HHS OIG signed December 2000. Concluded 2009. No active CIA as of March 2026.

Mission Hospital — Immediate Jeopardy

CMS rejected Mission Hospital's plan of correction on February 3, 2026, citing systemic and recurring patterns of harm.

Mission Hospital (Asheville, NC), an HCA facility, was placed under Immediate Jeopardy status by CMS in late 2023 and early 2024 due to systemic safety failures.

03 PRIVATE EQUITY

Private Equity History

In 2006, KKR, Bain Capital, and Merrill Lynch took HCA private in a $33 billion leveraged buyout. In 2010, before re-listing, they extracted $4.25 billion in dividends.

Year Event
2006 $33B LBO by KKR, Bain Capital, Merrill Lynch. $11.7B existing debt assumed.
2010 $4.25B dividend recapitalization extracted by PE owners
2011 Re-IPO raises $3.79 billion
04 COMPENSATION

Compensation

Hazen earned $23.8 million in 2024. His median worker earned $60,820. The ratio: 391 to 1.

Year Total Compensation CEO-to-Median Median Worker
2024 $23,799,137 391:1 $60,820
2023 $21,315,984 356:1 $59,812
2022 $14,637,726 254:1 $57,727
2021 $20,637,808 348:1 $59,303
2020 $30,398,771 556:1 $54,651
Note: 2025 stockholder proposal to limit golden parachutes was not approved by the board.
05 POLITICAL ACTIVITY

Political Activity

HCA's PAC raised over $510,000 in the 2021-2022 cycle. Hazen chairs the Nashville Health Care Council alongside two other FAH board members.

Nashville Corridor

Hazen (HCA), Dill (Lifepoint), and Bonick (Ardent) serve simultaneously on the Nashville Health Care Council. Nashville is the headquarters of the for-profit hospital industry.

Source: HCA Good Government Fund (OpenSecrets); Nashville Health Care Council

Sources