HCA Healthcare expects to spend $4.6 billion during the year for land for new hospital development, outpatient networks and in relieving capacity constraints at existing facilities, according to information released during its Q1 2023 earnings call.

Some inflationary increases in construction costs have factored into HCA’s guidance, said CFO Bill Rutherford.

HCA has an estimated 182 hospitals in 20 states and the United Kingdom and about 2,500 outpatient facilities.