By complying with the HRC’s controversial demands, HCA Healthcare increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children and provides specific sexual orientation and gender identity-based benefits. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. HCA Healthcare forces employees to undergo multiple ideological trainings and uses its reputation, corporate funds, and political influence to support controversial sex and gender ideologies, organizations, and legislation. The company has donated to Planned Parenthood and Black Lives Matter (BLM). HCA discriminates against some religious organizations in its charitable giving. For these reasons, HCA Healthcare receives a High Risk rating.