Hospital Industry The news in health care this year was mergers and acquisitions ...dominated by Rick Scott, the founder of Columbia-HCA. That group is the largest hospital chain in the country. Scott's business tactics earned him the nickname "Darth Vader," and it's been said that hospital administrators tremble when he comes to town. Health journalist and critic Robert Kuttner says Rick Scott has changed the mission of hospitals from caring for the sick to making money. Joanne Silberner profiles Scott, who says he just wants to make Columbia-HCA a household name that relies on good business sense to improve the quality and cost-effectiveness of health care.