HCA currently has nine hospitals in Georgia, and is attempting to purchase one more. Their hospitals in Georgia lagged the state average in staffing by 25% in 2019 and four out of six of their hospitals in southeast Georgia had patient injury and infection rates so high they were penalized by Medicare in the past two years. In 2019, HCA hospitals in Georgia (excluding recent acquisitions) had total charges about 9.9 times the cost of care provided. Compared to the Georgia statewide average that year, HCA's rate was about 90% higher. Frontline HCA workers from three states packed a hearing last Thursday held by the Georgia Attorney General Carr regarding HCA's pending purchase of a regional hospital, which would impact tens of thousands of rural patients.