Executive Summary HCA holdings is a Nashville based hospital that has grown from a solitary hospital in the 1960’s to a company that is comprised of approximately 163 hospitals, 109 surgery centers, 5 psychiatric hospitals and 1 rehabilitation hospital. In this expansive corporation, it can utilize different strategies and tactics to overcome the recent recession.

Recent Economic Trends Influencing the Business During the past few years, an increasing number of patients are uninsured due to loss of jobs, the recession, and “some employers have stopped offering health insurance, while others are passing along more of the cost to their employees.... As a result, some workers are abandoning their employer's plans because the premiums have become too expensive” (Christie, 2011, para. 7). The increasing uninsured patient accounts, intense competition and cost containment measures threatens Hospital Corporation of America. With more people without insurance it gives way to increased uninsured accounts that are at risk of not being paid. Patients understand that if they go to the emergency room, they will be seen and testing will be done without the need to check insurance or get authorizations. The “percentage of young adults ages 18 to 24 who were insured increased to 72.8% in 2010 from 70.7% in 2009” (Christie, 2011, para. 15). This is the only age group that had an increase in insurance coverage and this is due to the Obama administration's health care reform that allows parents to keep children on their health care insurance until the age of 26. The pending Supreme Court decision on President Barak Obama’s Affordable Care Act will have not only an effect on patients but also the income of all health care facilities. On May 25, 2012, it was thought that the Supreme Court would make a ruling early which caused an increase in trading in the healthcare sector. This