The SEIU recommends that self-funded employers review HCA claims data and scrutinize reimbursement contracts to determine whether significant numbers of patients might have been admitted unnecessarily.

HCA Healthcare currently operates more than 1,800 health care facilities in 21 states and is continuing to expand, acquiring both smaller and larger health systems. Its focus is on expanding its roster of physicians as well as outpatient network.

HCA Healthcare maximized profits at the expense of patient care and obtained more than $1 billion in fraudulent payments from Medicare, the Service Employees International Union alleged this week. HCA denied the charges.

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