A strategic assessment of HCA was conducted to examine its current business strategies. A strengths, weakness, threats, and opportunities (SWOT) analysis indicated that HCA’s internal strengths outweighed its weaknesses and the external threats outweighed the opportunities. HCA’s current mission and values statements are sufficient to support its success, but improvements can be made in each. Primary strategic emphasis is through an application of expansion and maintenance of scope adaptive strategies. Secondary efforts include a limited application of market entry and competitive strategies. Applying a threat, opportunity, weakness, and strength (TOWS) matrix to analyze their strategies indicates that HCA should be focusing their efforts in the future quadrant, or more specifically on related diversification, vertical integration, and penetration strategies. Application of these strategies will allow HCA to better meet the needs of its communities and maintain a competitive advantage over its competition.