public for-profit hospital operator

HCA Healthcare

Industry Health

A public for-profit hospital operator with hospitals, surgery centers, emergency rooms, and physician practices. HCA provides essential care capacity, but shareholder control over emergency and inpatient care, billing power, labor pressure, and policy dependence make it a severe healthcare-power case.

Why this matters: Hospitals are not optional consumer goods, so for-profit hospital ownership belongs in the directory.

Letter grade F Malignant High confidence (AI) Rubric gcd-rubric-v1 Last reviewed May 12, 2026

Final Score -4* F - Malignant

FMALIGNANT-4 pts

* Tentative scaffolding score. Not human-checked or final.

Base Material16

Bonus+0

Cap35Ownership <= 2 and Governance <= 2

After Cap16

Penalties-20

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Evaluation Overview

F - Malignant

The score turns mainly on Scale Integrity, with the largest penalty coming from Human Harm.

Strengths

Scale Integrity4/5
Product Integrity3/5
Solidarity with the Unemployed2/7

Penalties

Human Harm-7
Policy Capture-5
Accountability Opacity-2
Surveillance Capture-2

Evidence state

ConfidenceHigh confidence (AI)
ThoroughnessDeveloped (AI)
Linked claims16
Direct axis claims16
Coverage16/16

Scoring Axes

Axis	Score	Why this score
Ownership ? Control rights: shareholder-dominated at 0, worker cooperative control at 10.	1 / 10	HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. On Ownership, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Governance ? Binding decision authority: centralized control at 0, democratic stakeholder control at 10.	1 / 10	HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. On Governance, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Extraction ? Surplus allocation, wage share, CEO pay ratio, margins, and structured extraction judgment.	1 / 10	HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. On Extraction, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Labor Sovereignty ? Worker power: coercive conditions at 0, co-determination or ownership at 7. Employee dissatisfaction matters only when source-backed evidence shows concrete limits on worker agency, such as coercive scheduling, retaliation, wage theft, harassment, unsafe conditions, suppression of worker voice, or extreme turnover.	1 / 7	HCA Healthcare's linked public materials do not show ordinary workers holding full binding democratic control over the institution. HCA Healthcare's linked public materials do not show ordinary workers holding full binding democratic control over the institution. On Labor Sovereignty, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Solidarity with the Unemployed ? Treatment of exits and nonworkers, including severance, redeployment, and non-competes.	2 / 7	HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. On Solidarity with the Unemployed, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Loss-Bearing Fidelity ? Willingness to absorb costs to preserve values, workers, users, and public obligations.	2 / 7	HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. On Loss-Bearing Fidelity, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Market Conduct ? Pricing fairness, switching costs, lock-in, and rent extraction.	1 / 5	HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. On Market Conduct, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Product Integrity ? Preservation of quality rather than degradation for monetization.	3 / 5	HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. On Product Integrity, HCA Healthcare belongs low because control and surplus are mainly held by shareholders, executives, landlords, investors, or institutional boards while users face practical dependence. In a high-contact category like Health, that asymmetry counts more heavily than it would for an optional purchase. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Scale Integrity ? Whether growth improves or degrades fairness and accountability.	4 / 5	HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. On Scale Integrity, HCA Healthcare sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]

Penalties

Penalty	Applied	Why this penalty
Human Harm ? Severity, scale, culpability, vulnerable targets, willful reoffense, reputation laundering, pattern escalation, and time decay. Range: -20 to 0.	-7	HCA Healthcare's public record makes Human Harm relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Human Harm relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Human Harm penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Human Harm relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [10]
Policy Capture ? Private-interest attempts to bend law, regulation, subsidies, taxes, enforcement, trade, labor, safety, competition, environmental, healthcare, housing, surveillance, civil-liberties, or consumer policy against workers, customers, citizens, affected communities, or ecological life. Public-interest advocacy is not penalized merely because it is lobbying. Range: -15 to 0.	-5	HCA Healthcare's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Policy Capture penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [11]
Subscription Capture ? Manipulative recurring-payment, automatic-renewal, cancellation-friction, bundling, trial-conversion, or refund designs that profit from inertia or confusion. Range: -5 to 0.	-1	HCA Healthcare's public record makes Subscription Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Subscription Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Subscription Capture penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Subscription Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [12]
Accountability Opacity ? Material opacity, reputation laundering, or hidden accountability structures that prevent public accountability. Range: -2 to 0.	-2	HCA Healthcare's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Accountability Opacity penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [13]
Identity Capture ? Customer pressure, employee pressure, and pervasive identity saturation. Range: -3 to 0.	-1	HCA Healthcare's public record makes Identity Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Identity Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Identity Capture penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Identity Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [14]
Surveillance Capture ? Invasive surveillance, unreasonably non-optional tracking, facial recognition, biometric identification, or AI behavior scanning of customers, workers, bystanders, or the public. Range: -5 to 0.	-2	HCA Healthcare's public record makes Surveillance Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Surveillance Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Surveillance Capture penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Surveillance Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [15]
Ideological Disavowal ? Concealed ideology presented as neutrality, expertise, professional necessity, public-service administration, market inevitability, or non-ideological common sense while exercising power. Range: -3 to 0.	-2	HCA Healthcare's public record makes Ideological Disavowal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. HCA Healthcare's public record makes Ideological Disavowal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Ideological Disavowal penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence HCA Healthcare's public record makes Ideological Disavowal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [16]

Bonus Credits

No bonus credits applied in this version.

Confidence Basis

Confidence is computed from the evidence trail and review state, not typed into the profile by hand.

High 81/100

16 verified linked claims 16 direct axis claims 0 disputed claims 16/16 components covered

This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.

Claim confidence 16/20

16 verified linked claims

Source quality 13/18

Best source per verified claim, weighted by institutional reliability

Direct axis-specific claims 14/18

16 direct claims across 16 active components

Dispute load 12/12

0 disputed claims on this entity

Recency 10/10

Newest accepted timestamp: May 13, 2026

Reviewer status 7/12

Human-reviewed components score higher than AI scaffolding

Component coverage 10/10

16/16 evidence-bearing components have direct support

Evidence State

Profile stateAI draft / human-pending

VerificationUnverified

ConfidenceHigh confidence (AI)

ThoroughnessDeveloped (AI)

Correction routeUse “Challenge this rating” for factual errors, missing counterevidence, source problems, or calculation mistakes.

Company responseCompany representatives can submit source-backed corrections; payment never changes scores or reviewer authority.

Claims and Sources

Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.

* Tentative scaffolding score. Not human-checked or final.

1HCA Healthcare's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category.

Ownership Verified High confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

2HCA Healthcare's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers.

Governance Verified High confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

3HCA Healthcare's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery.

Extraction Verified High confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

4HCA Healthcare's public materials do not show ordinary workers holding full binding democratic control over the institution.

Labor Sovereignty Verified Medium confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

5HCA Healthcare operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power.

Solidarity Unemployed Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

6HCA Healthcare's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise.

Loss Bearing Fidelity Verified High confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

7HCA Healthcare operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice.

Market Conduct Verified High confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

8HCA Healthcare's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability.

Product Integrity Verified High confidence Human-reviewed May 12, 2026

HCA Healthcare annual reportsPrimary institutional record · 90%

9HCA Healthcare's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities.

Scale Integrity Verified High confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

10HCA Healthcare's public record makes Human Harm relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Human Harm Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

11HCA Healthcare's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Policy Capture Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

12HCA Healthcare's public record makes Subscription Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Subscription Capture Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

13HCA Healthcare's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Accountability Opacity Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

14HCA Healthcare's public record makes Identity Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Identity Capture Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

15HCA Healthcare's public record makes Surveillance Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Surveillance Capture Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

16HCA Healthcare's public record makes Ideological Disavowal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Ideological Disavowal Verified Medium confidence Human-reviewed May 12, 2026

HCA HealthcareGeneral web source · 58%

Alternatives

Competitors

AGOOD66 Patient Advocate Foundation nonprofit patient case-management and financial-aid resource · same market AGOOD54 Federally Qualified Health Centers publicly supported community health-center system · same market AGOOD53 OpenNotes academic healthcare-transparency initiative · same market AGOOD50 CPESN USA network of independent community pharmacies · same market BQUALIFIED49 Civica Rx nonprofit generic medicine company · same market BQUALIFIED43 Planned Parenthood nonprofit reproductive and sexual healthcare federation · same market CPERFORMATIVE41 En-Vision America / ScriptAbility accessible prescription-labeling company · same market CPERFORMATIVE41 Mark Cuban Cost Plus Drug Company public-benefit online pharmacy · same market

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