Perfect persuasion┬áFor HCA, the largest for-profit healthcare company in the US, the process of designing new hospitals and upgrading older ones is an essential part of continually improving patient care and refining hospital practice. Bryan Seely explains to Gay Sutton why lean design lies at the heart of HCAÔÇÖs hospital efficiency. Managing the construction and upkeep of the properties in the HCA portfolio is a monumental feat of administrative and management ability.