HCA Healthcare, Inc. (NYSE: HCA) today announced financial and operating
results for the second quarter ended June 30, 2017.
Key second quarter metrics (all percentage changes compare 2Q
2017 to 2Q 2016 unless noted):
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Revenues increased 4.0 percent to $10.733 billion
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Net income attributable to HCA Healthcare, Inc. totaled $657
million, or $1.75 per diluted share
-
Adjusted EBITDA totaled $2.090 billion
-
Cash flows from operations totaled $1.404 billion
-
Same facility equivalent admissions increased 1.3 percent while
same facility admissions increased 0.8 percent
-
Same facility revenue per equivalent admission increased 2.0 percent
Revenues in the second quarter increased to $10.733 billion, compared to
$10.319 billion in the second quarter of 2016. Net income attributable
to HCA Healthcare, Inc. totaled $657 million, or $1.75 per diluted
share, compared to $658 million, or $1.65 per diluted share, in the
second quarter of 2016. The Company recognized tax benefits of $9
million, or $0.02 per diluted share, and $44 million, or $0.11 per
diluted share, for the second quarters of 2017 and 2016, respectively,
related to the recording of excess tax benefits for employee equity
award settlements as a component of the provision for income taxes.
Adjusted EBITDA totaled $2.090 billion compared to $2.052 billion in the
second quarter of 2016. Adjusted EBITDA is a non-GAAP financial measure.
A table reconciling net income attributable to HCA Healthcare, Inc. to
Adjusted EBITDA is included in this release.
The second quarter 2016 results included gains on sales of facilities of
$6 million, or $0.01 per diluted share, and legal claim costs of $10
million, or $0.02 per diluted share.
Same facility admissions for the second quarter of 2017 increased 0.8
percent, while same facility equivalent admissions increased 1.3 percent
compared to the prior year period. Same facility emergency room visits
for the second quarter of 2017 increased 0.4 percent from the prior
year’s second quarter. Same facility inpatient surgeries were unchanged,
while same facility outpatient surgeries declined 1.2 percent compared
to the second quarter of 2016.
During the second quarter of 2017, salaries and benefits, supplies and
other operating expenses totaled $8.656 billion, or 80.6 percent of
revenues, compared to $8.277 billion, or 80.2 percent of revenues, in
the second quarter of 2016.
Six Months Ended June 30, 2017
Revenues for the six months ended June 30, 2017 totaled $21.356 billion
compared to $20.579 billion in the same period of 2016. Net income
attributable to HCA Healthcare, Inc. was $1.316 billion, or $3.48 per
diluted share, compared to $1.352 billion, or $3.34 per diluted share,
for the first six months of 2016. Results for the six months ended June
30, 2017 include a $76 million tax benefit, or $0.20 per diluted share,
compared to $118 million, or $0.29 per diluted share, for the same
period of 2016, related to the recording of excess tax benefits for
employee equity award settlements as a component of the provision for
income taxes. Results for the six months ended June 30, 2016 also
included legal claim costs of $22 million, or $0.03 per diluted share.
Balance Sheet and Cash Flows from Operations
As of June 30, 2017, HCA Healthcare, Inc.’s balance sheet reflected cash
and cash equivalents of $705 million, total debt of $31.661 billion, and
total assets of $34.566 billion. During the second quarter of 2017,
capital expenditures totaled $733 million, excluding acquisitions. Cash
flows provided by operating activities in the quarter totaled $1.404
billion compared to $1.349 billion in the second quarter of 2016.
As of June 30, 2017, HCA’s leverage ratio as measured by Total
Debt/Adjusted EBITDA was 3.83x, compared to 3.82x as of December 31,
2016.
During the second quarter of 2017, the Company repurchased 6.4 million
shares of its common stock at a cost of $542 million, and during the six
months ended June 30, 2017, repurchased 11.5 million shares of its
common stock at a cost of $966 million. The Company had $887 million
remaining under its existing repurchase authorization as of June 30,
2017.
As of June 30, 2017, HCA operated 172 hospitals and 119 freestanding
surgery centers.
Updated 2017 Guidance
The 2017 guidance ranges for the year have been updated from our fourth
quarter and first quarter releases and are as follows:
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2017 Updated Guidance Ranges
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Revenues
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$43.0 to $44.0 billion
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Adjusted EBITDA
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$8.35 to $8.50 billion
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EPS (diluted)
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$7.00 to $7.30 per diluted share
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Capital Expenditures
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Approximately $2.9 billion
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The Company’s 2017 updated guidance contains a number of assumptions,
including:
-
2017 guidance for EPS (diluted) now includes an estimated $100 million
income tax benefit, or $0.27 per diluted share, related to the
accounting standard which requires the recording of excess tax
benefits related to employee equity award settlements as a component
of the provision for income taxes. The timing and amounts related to
employee equity award settlements are difficult to project and may
vary from this estimate.
-
2017 guidance includes full-year earnings for the Company’s Oklahoma
facilities which are under agreement to be sold. The Company cannot at
this time estimate a closing date.
-
2017 guidance excludes the impact of items such as, but not limited
to, acquisitions completed to date in 2017, gains or losses on sales
of facilities, losses on retirement of debt, legal claim costs and
impairments of long-lived assets.
Adjusted EBITDA is a non-GAAP financial measure. A table reconciling net
income attributable to HCA Healthcare, Inc. to Adjusted EBITDA is
included in this release.
The Company’s updated guidance is based on current plans and
expectations and is subject to a number of known and unknown
uncertainties and risks, including those set forth below in the
Company’s “Forward-Looking Statements.”
Earnings Conference Call
HCA will host a conference call for investors at 9:00 a.m. Central
Daylight Time today. All interested investors are invited to access a
live audio broadcast of the call via webcast. The broadcast also will be
available on a replay basis beginning this afternoon. The webcast can be
accessed at: https://event.webcasts.com/starthere.jsp?ei=1117292
or through the Company’s Investor Relations web page, www.hcahealthcare.com.
Forward-Looking Statements
This press release contains forward-looking statements within the
meaning of the federal securities laws, which involve risks and
uncertainties. Forward-looking statements include the Company’s
financial guidance for the year ending December 31, 2017, as well as
other statements that do not relate solely to historical or current
facts. Forward-looking statements can be identified by the use of words
like “may,” “believe,” “will,” “expect,” “project,” “estimate,”
“anticipate,” “plan,” “initiative” or “continue.” These forward-looking
statements are based on our current plans and expectations and are
subject to a number of known and unknown uncertainties and risks, many
of which are beyond our control, which could significantly affect
current plans and expectations and our future financial position and
results of operations. These factors include, but are not limited to,
(1) the impact of our substantial indebtedness and the ability to
refinance such indebtedness on acceptable terms, (2) the impact of the
Patient Protection and Affordable Care Act, as amended by the Health
Care and Education Reconciliation Act (collectively, the “Health Reform
Law”), including the effects of any repeal of, or changes to, the Health
Reform Law, the possible enactment of additional federal or state health
care reforms and possible changes to other federal, state or local laws
or regulations affecting the health care industry, (3) the effects
related to the continued implementation of the sequestration spending
reductions required under the Budget Control Act of 2011 (the “BCA”),
and related legislation extending these reductions, and the potential
for future deficit reduction legislation that may alter these spending
reductions, which include cuts to Medicare payments, or create
additional spending reductions, (4) increases in the amount and risk of
collectability of uninsured accounts and deductibles and copayment
amounts for insured accounts, (5) the ability to achieve operating and
financial targets, and attain expected levels of patient volumes and
control the costs of providing services, (6) possible changes in
Medicare, Medicaid and other state programs, including Medicaid upper
payment limit programs or waiver programs, that may impact
reimbursements to health care providers and insurers, (7) the highly
competitive nature of the health care business, (8) changes in service
mix, revenue mix and surgical volumes, including potential declines in
the population covered under managed care agreements, the ability to
enter into and renew managed care provider agreements on acceptable
terms and the impact of consumer driven health plans and physician
utilization trends and practices, (9) the efforts of insurers, health
care providers and others to contain health care costs, (10) the outcome
of our continuing efforts to monitor, maintain and comply with
appropriate laws, regulations, policies and procedures, (11) increases
in wages and the ability to attract and retain qualified management and
personnel, including affiliated physicians, nurses and medical and
technical support personnel, (12) the availability and terms of capital
to fund the expansion of our business and improvements to our existing
facilities, (13) changes in accounting practices, (14) changes in
general economic conditions nationally and regionally in our markets,
(15) the emergence and effects related to infectious diseases, (16)
future divestitures which may result in charges and possible impairments
of long-lived assets, (17) changes in business strategy or development
plans, (18) delays in receiving payments for services provided, (19) the
outcome of pending and any future tax audits, disputes and litigation
associated with our tax positions, (20) potential adverse impact of
known and unknown government investigations, litigation and other claims
that may be made against us, (21) the impact of potential cybersecurity
incidents or security breaches, (22) our ongoing ability to demonstrate
meaningful use of certified electronic health record technology, and
(23) other risk factors described in our annual report on Form 10-K for
the year ended December 31, 2016 and our other filings with the
Securities and Exchange Commission. Many of the factors that will
determine our future results are beyond our ability to control or
predict. In light of the significant uncertainties inherent in the
forward-looking statements contained herein, readers should not place
undue reliance on forward-looking statements, which reflect management’s
views only as of the date hereof. We undertake no obligation to revise
or update any forward-looking statements, or to make any other
forward-looking statements, whether as a result of new information,
future events or otherwise.
All references to “Company” and “HCA” as used throughout this release
refer to HCA Healthcare, Inc. and its affiliates.
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HCA Healthcare, Inc.
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Condensed Consolidated Comprehensive Income Statements
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Second Quarter
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(Dollars in millions, except per share amounts)
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2017
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2016
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Amount
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Ratio
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Amount
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Ratio
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Revenues before provision for doubtful accounts
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$
|
11,806
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$
|
11,081
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Provision for doubtful accounts
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|
1,073
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|
|
|
|
|
|
762
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Revenues
|
|
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|
|
10,733
|
|
|
|
100.0
|
%
|
|
|
|
10,319
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|
100.0
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%
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|
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Salaries and benefits
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4,896
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45.6
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4,691
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45.5
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Supplies
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1,795
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16.7
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1,718
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16.7
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Other operating expenses
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1,965
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18.3
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1,868
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18.0
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Equity in earnings of affiliates
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(13
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)
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(0.1
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)
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(10
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)
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(0.1
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)
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Depreciation and amortization
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521
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4.9
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489
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4.8
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Interest expense
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411
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3.8
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427
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4.1
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Gains on sales of facilities
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(2
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)
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-
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(6
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)
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(0.1
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)
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Legal claim costs
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|
-
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-
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10
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0.1
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9,573
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89.2
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|
9,187
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|
89.0
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|
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|
|
|
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Income before income taxes
|
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|
1,160
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|
10.8
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|
|
|
|
1,132
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|
11.0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
Provision for income taxes
|
|
|
|
|
365
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|
|
|
3.4
|
|
|
|
|
341
|
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|
3.3
|
|
|
|
|
|
|
|
|
|
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|
|
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|
Net income
|
|
|
|
|
795
|
|
|
|
7.4
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|
|
|
|
791
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|
7.7
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|
|
|
|
|
|
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|
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|
|
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|
Net income attributable to noncontrolling interests
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|
|
138
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|
1.3
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|
133
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|
1.3
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|
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|
|
|
|
|
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|
|
|
Net income attributable to HCA Healthcare, Inc.
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|
|
|
$
|
657
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|
6.1
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|
|
|
$
|
658
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|
6.4
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share
|
|
|
|
$
|
1.75
|
|
|
|
|
|
|
$
|
1.65
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computing diluted earnings per share (millions)
|
|
|
|
|
375.338
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|
|
|
|
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|
398.659
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income attributable to HCA Healthcare, Inc.
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|
$
|
684
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|
|
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|
$
|
608
|
|
|
|
|
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Condensed Consolidated Comprehensive Income Statements
|
For the Six Months Ended June 30, 2017 and 2016
|
(Dollars in millions, except per share amounts)
|
|
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|
2017
|
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|
2016
|
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|
Amount
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Ratio
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|
Amount
|
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Ratio
|
|
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|
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|
|
|
|
|
|
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|
|
|
Revenues before provision for doubtful accounts
|
|
|
|
$
|
23,189
|
|
|
|
|
|
|
$
|
22,131
|
|
|
|
|
Provision for doubtful accounts
|
|
|
|
|
1,833
|
|
|
|
|
|
|
|
1,552
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|
|
|
|
Revenues
|
|
|
|
|
21,356
|
|
|
|
100.0
|
%
|
|
|
|
20,579
|
|
|
|
100.0
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
|
|
|
9,797
|
|
|
|
45.9
|
|
|
|
|
9,393
|
|
|
|
45.6
|
|
Supplies
|
|
|
|
|
3,592
|
|
|
|
16.8
|
|
|
|
|
3,432
|
|
|
|
16.7
|
|
Other operating expenses
|
|
|
|
|
3,895
|
|
|
|
18.2
|
|
|
|
|
3,721
|
|
|
|
18.1
|
|
Equity in earnings of affiliates
|
|
|
|
|
(23
|
)
|
|
|
(0.1
|
)
|
|
|
|
(22
|
)
|
|
|
(0.1
|
)
|
Depreciation and amortization
|
|
|
|
|
1,042
|
|
|
|
4.9
|
|
|
|
|
968
|
|
|
|
4.7
|
|
Interest expense
|
|
|
|
|
830
|
|
|
|
3.9
|
|
|
|
|
843
|
|
|
|
4.1
|
|
Gains on sales of facilities
|
|
|
|
|
(3
|
)
|
|
|
-
|
|
|
|
|
(5
|
)
|
|
|
-
|
|
Legal claim costs
|
|
|
|
|
-
|
|
|
|
-
|
|
|
|
|
22
|
|
|
|
0.1
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19,130
|
|
|
|
89.6
|
|
|
|
|
18,352
|
|
|
|
89.2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes
|
|
|
|
|
2,226
|
|
|
|
10.4
|
|
|
|
|
2,227
|
|
|
|
10.8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Provision for income taxes
|
|
|
|
|
654
|
|
|
|
3.0
|
|
|
|
|
625
|
|
|
|
3.0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
1,572
|
|
|
|
7.4
|
|
|
|
|
1,602
|
|
|
|
7.8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to noncontrolling interests
|
|
|
|
|
256
|
|
|
|
1.2
|
|
|
|
|
250
|
|
|
|
1.2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HCA Healthcare, Inc.
|
|
|
|
$
|
1,316
|
|
|
|
6.2
|
|
|
|
$
|
1,352
|
|
|
|
6.6
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share
|
|
|
|
$
|
3.48
|
|
|
|
|
|
|
$
|
3.34
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computing diluted earnings per share (millions)
|
|
|
|
|
377.647
|
|
|
|
|
|
|
|
404.617
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income attributable to HCA Healthcare, Inc.
|
|
|
|
$
|
1,361
|
|
|
|
|
|
|
$
|
1,273
|
|
|
|
|
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Condensed Consolidated Balance Sheets
|
(Dollars in millions)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30,
|
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2017
|
|
|
2017
|
|
|
2016
|
|
|
|
|
|
|
|
|
|
|
ASSETS
|
|
|
|
|
|
|
|
|
|
Current assets:
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
|
$
|
705
|
|
|
|
$
|
753
|
|
|
|
$
|
646
|
|
Accounts receivable, less allowance for doubtful accounts of
$5,050, $4,880 and $4,988
|
|
|
|
5,782
|
|
|
|
|
5,664
|
|
|
|
|
5,826
|
|
Inventories
|
|
|
|
1,544
|
|
|
|
|
1,501
|
|
|
|
|
1,503
|
|
Other
|
|
|
|
1,306
|
|
|
|
|
1,119
|
|
|
|
|
1,111
|
|
Total current assets
|
|
|
|
9,337
|
|
|
|
|
9,037
|
|
|
|
|
9,086
|
|
|
|
|
|
|
|
|
|
|
|
Property and equipment, at cost
|
|
|
|
38,306
|
|
|
|
|
37,588
|
|
|
|
|
37,055
|
|
Accumulated depreciation
|
|
|
|
(21,538
|
)
|
|
|
|
(21,126
|
)
|
|
|
|
(20,703
|
)
|
|
|
|
|
16,768
|
|
|
|
|
16,462
|
|
|
|
|
16,352
|
|
|
|
|
|
|
|
|
|
|
|
Investments of insurance subsidiaries
|
|
|
|
352
|
|
|
|
|
349
|
|
|
|
|
336
|
|
Investments in and advances to affiliates
|
|
|
|
197
|
|
|
|
|
194
|
|
|
|
|
206
|
|
Goodwill and other intangible assets
|
|
|
|
6,771
|
|
|
|
|
6,754
|
|
|
|
|
6,704
|
|
Other
|
|
|
|
1,141
|
|
|
|
|
999
|
|
|
|
|
1,074
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
34,566
|
|
|
|
$
|
33,795
|
|
|
|
$
|
33,758
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS' DEFICIT
|
|
|
|
|
|
|
|
|
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
|
$
|
2,245
|
|
|
|
$
|
2,233
|
|
|
|
$
|
2,318
|
|
Accrued salaries
|
|
|
|
1,209
|
|
|
|
|
1,150
|
|
|
|
|
1,265
|
|
Other accrued expenses
|
|
|
|
2,104
|
|
|
|
|
1,868
|
|
|
|
|
2,035
|
|
Long-term debt due within one year
|
|
|
|
213
|
|
|
|
|
212
|
|
|
|
|
216
|
|
Total current liabilities
|
|
|
|
5,771
|
|
|
|
|
5,463
|
|
|
|
|
5,834
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt, less net debt issuance costs of $179, $165 and $170
|
|
|
|
31,448
|
|
|
|
|
31,302
|
|
|
|
|
31,160
|
|
Professional liability risks
|
|
|
|
1,144
|
|
|
|
|
1,134
|
|
|
|
|
1,148
|
|
Income taxes and other liabilities
|
|
|
|
1,282
|
|
|
|
|
1,253
|
|
|
|
|
1,249
|
|
|
|
|
|
|
|
|
|
|
|
EQUITY (DEFICIT)
|
|
|
|
|
|
|
|
|
|
Stockholders' deficit attributable to HCA Healthcare, Inc.
|
|
|
|
(6,792
|
)
|
|
|
|
(7,017
|
)
|
|
|
|
(7,302
|
)
|
Noncontrolling interests
|
|
|
|
1,713
|
|
|
|
|
1,660
|
|
|
|
|
1,669
|
|
Total deficit
|
|
|
|
(5,079
|
)
|
|
|
|
(5,357
|
)
|
|
|
|
(5,633
|
)
|
|
|
|
$
|
34,566
|
|
|
|
$
|
33,795
|
|
|
|
$
|
33,758
|
|
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Consolidated Statements of Cash Flows
|
For the Six Months Ended June 30, 2017 and 2016
|
(Dollars in millions)
|
|
|
|
|
|
|
|
|
|
|
|
|
2017
|
|
|
2016
|
|
|
|
|
|
|
|
|
Cash flows from operating activities:
|
|
|
|
|
|
|
|
Net income
|
|
|
|
$
|
1,572
|
|
|
|
$
|
1,602
|
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
Increase (decrease) in cash from operating assets and liabilities:
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
|
|
(1,752
|
)
|
|
|
|
(1,364
|
)
|
Provision for doubtful accounts
|
|
|
|
|
1,833
|
|
|
|
|
1,552
|
|
Accounts receivable, net
|
|
|
|
|
81
|
|
|
|
|
188
|
|
Inventories and other assets
|
|
|
|
|
(178
|
)
|
|
|
|
(176
|
)
|
Accounts payable and accrued expenses
|
|
|
|
|
(298
|
)
|
|
|
|
(102
|
)
|
Depreciation and amortization
|
|
|
|
|
1,042
|
|
|
|
|
968
|
|
Income taxes
|
|
|
|
|
267
|
|
|
|
|
67
|
|
Gains on sales of facilities
|
|
|
|
|
(3
|
)
|
|
|
|
(5
|
)
|
Legal claim costs
|
|
|
|
|
-
|
|
|
|
|
22
|
|
Amortization of debt issuance costs
|
|
|
|
|
16
|
|
|
|
|
18
|
|
Share-based compensation
|
|
|
|
|
140
|
|
|
|
|
129
|
|
Other
|
|
|
|
|
45
|
|
|
|
|
37
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
|
|
2,684
|
|
|
|
|
2,748
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
Purchase of property and equipment
|
|
|
|
|
(1,304
|
)
|
|
|
|
(1,172
|
)
|
Acquisition of hospitals and health care entities
|
|
|
|
|
(295
|
)
|
|
|
|
(430
|
)
|
Disposition of hospitals and health care entities
|
|
|
|
|
14
|
|
|
|
|
14
|
|
Change in investments
|
|
|
|
|
(11
|
)
|
|
|
|
18
|
|
Other
|
|
|
|
|
5
|
|
|
|
|
15
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
|
|
(1,591
|
)
|
|
|
|
(1,555
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities:
|
|
|
|
|
|
|
|
Issuance of long-term debt
|
|
|
|
|
1,502
|
|
|
|
|
3,000
|
|
Net change in revolving credit facilities
|
|
|
|
|
(1,160
|
)
|
|
|
|
-
|
|
Repayment of long-term debt
|
|
|
|
|
(95
|
)
|
|
|
|
(2,065
|
)
|
Distributions to noncontrolling interests
|
|
|
|
|
(248
|
)
|
|
|
|
(205
|
)
|
Payment of debt issuance costs
|
|
|
|
|
(25
|
)
|
|
|
|
(24
|
)
|
Repurchase of common stock
|
|
|
|
|
(966
|
)
|
|
|
|
(1,858
|
)
|
Other
|
|
|
|
|
(42
|
)
|
|
|
|
(91
|
)
|
|
|
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
|
|
(1,034
|
)
|
|
|
|
(1,243
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in cash and cash equivalents
|
|
|
|
|
59
|
|
|
|
|
(50
|
)
|
Cash and cash equivalents at beginning of period
|
|
|
|
|
646
|
|
|
|
|
741
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
|
|
$
|
705
|
|
|
|
$
|
691
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest payments
|
|
|
|
$
|
834
|
|
|
|
$
|
767
|
|
Income tax payments, net
|
|
|
|
$
|
387
|
|
|
|
$
|
558
|
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Operating Statistics
|
|
|
|
|
|
|
|
|
|
|
For the Six Months
|
|
|
|
|
Second Quarter
|
|
|
Ended June 30,
|
|
|
|
|
2017
|
|
|
2016
|
|
|
2017
|
|
|
2016
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of Hospitals
|
|
|
|
|
172
|
|
|
|
|
169
|
|
|
|
|
172
|
|
|
|
|
169
|
|
Number of Freestanding Outpatient Surgery Centers
|
|
|
|
|
119
|
|
|
|
|
116
|
|
|
|
|
119
|
|
|
|
|
116
|
|
Licensed Beds at End of Period
|
|
|
|
|
44,727
|
|
|
|
|
44,127
|
|
|
|
|
44,727
|
|
|
|
|
44,127
|
|
Weighted Average Licensed Beds
|
|
|
|
|
44,605
|
|
|
|
|
44,064
|
|
|
|
|
44,484
|
|
|
|
|
43,922
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reported:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Admissions
|
|
|
|
|
473,174
|
|
|
|
|
467,218
|
|
|
|
|
958,935
|
|
|
|
|
946,786
|
|
% Change
|
|
|
|
|
1.3
|
%
|
|
|
|
|
|
|
1.3
|
%
|
|
|
|
Equivalent Admissions
|
|
|
|
|
809,367
|
|
|
|
|
792,599
|
|
|
|
|
1,621,559
|
|
|
|
|
1,590,600
|
|
% Change
|
|
|
|
|
2.1
|
%
|
|
|
|
|
|
|
1.9
|
%
|
|
|
|
Revenue per Equivalent Admission
|
|
|
|
$
|
13,262
|
|
|
|
$
|
13,020
|
|
|
|
$
|
13,170
|
|
|
|
$
|
12,938
|
|
% Change
|
|
|
|
|
1.9
|
%
|
|
|
|
|
|
|
1.8
|
%
|
|
|
|
Inpatient Revenue per Admission
|
|
|
|
$
|
13,720
|
|
|
|
$
|
13,161
|
|
|
|
$
|
13,546
|
|
|
|
$
|
13,032
|
|
% Change
|
|
|
|
|
4.2
|
%
|
|
|
|
|
|
|
3.9
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient Days
|
|
|
|
|
2,307,086
|
|
|
|
|
2,293,149
|
|
|
|
|
4,710,019
|
|
|
|
|
4,688,693
|
|
% Change
|
|
|
|
|
0.6
|
%
|
|
|
|
|
|
|
0.5
|
%
|
|
|
|
Equivalent Patient Days
|
|
|
|
|
3,946,938
|
|
|
|
|
3,890,819
|
|
|
|
|
7,964,642
|
|
|
|
|
7,877,004
|
|
% Change
|
|
|
|
|
1.4
|
%
|
|
|
|
|
|
|
1.1
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Inpatient Surgery Cases
|
|
|
|
|
134,553
|
|
|
|
|
134,068
|
|
|
|
|
267,894
|
|
|
|
|
265,908
|
|
% Change
|
|
|
|
|
0.4
|
%
|
|
|
|
|
|
|
0.7
|
%
|
|
|
|
Outpatient Surgery Cases
|
|
|
|
|
234,215
|
|
|
|
|
234,578
|
|
|
|
|
460,130
|
|
|
|
|
461,064
|
|
% Change
|
|
|
|
|
-0.2
|
%
|
|
|
|
|
|
|
-0.2
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Emergency Room Visits
|
|
|
|
|
2,116,123
|
|
|
|
|
2,093,039
|
|
|
|
|
4,279,261
|
|
|
|
|
4,226,328
|
|
% Change
|
|
|
|
|
1.1
|
%
|
|
|
|
|
|
|
1.3
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outpatient Revenues as a Percentage of Patient Revenues
|
|
|
|
|
37.5
|
%
|
|
|
|
38.3
|
%
|
|
|
|
37.2
|
%
|
|
|
|
38.0
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average Length of Stay (days)
|
|
|
|
|
4.876
|
|
|
|
|
4.908
|
|
|
|
|
4.912
|
|
|
|
|
4.952
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Occupancy
|
|
|
|
|
56.8
|
%
|
|
|
|
57.2
|
%
|
|
|
|
58.5
|
%
|
|
|
|
58.7
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same Facility:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Admissions
|
|
|
|
|
470,755
|
|
|
|
|
467,226
|
|
|
|
|
955,988
|
|
|
|
|
946,655
|
|
% Change
|
|
|
|
|
0.8
|
%
|
|
|
|
|
|
|
1.0
|
%
|
|
|
|
Equivalent Admissions
|
|
|
|
|
803,579
|
|
|
|
|
792,883
|
|
|
|
|
1,613,708
|
|
|
|
|
1,590,380
|
|
% Change
|
|
|
|
|
1.3
|
%
|
|
|
|
|
|
|
1.5
|
%
|
|
|
|
Revenue per Equivalent Admission
|
|
|
|
$
|
13,251
|
|
|
|
$
|
12,988
|
|
|
|
$
|
13,160
|
|
|
|
$
|
12,921
|
|
% Change
|
|
|
|
|
2.0
|
%
|
|
|
|
|
|
|
1.8
|
%
|
|
|
|
Inpatient Revenue per Admission
|
|
|
|
$
|
13,735
|
|
|
|
$
|
13,167
|
|
|
|
$
|
13,274
|
|
|
|
$
|
12,773
|
|
% Change
|
|
|
|
|
4.3
|
%
|
|
|
|
|
|
|
3.9
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Inpatient Surgery Cases
|
|
|
|
|
133,790
|
|
|
|
|
133,791
|
|
|
|
|
266,782
|
|
|
|
|
265,640
|
|
% Change
|
|
|
|
|
0.0
|
%
|
|
|
|
|
|
|
0.4
|
%
|
|
|
|
Outpatient Surgery Cases
|
|
|
|
|
231,004
|
|
|
|
|
233,848
|
|
|
|
|
455,676
|
|
|
|
|
459,690
|
|
% Change
|
|
|
|
|
-1.2
|
%
|
|
|
|
|
|
|
-0.9
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Emergency Room Visits
|
|
|
|
|
2,100,801
|
|
|
|
|
2,092,556
|
|
|
|
|
4,258,338
|
|
|
|
|
4,225,848
|
|
% Change
|
|
|
|
|
0.4
|
%
|
|
|
|
|
|
|
0.8
|
%
|
|
|
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Supplemental Non-GAAP Disclosures
|
Operating Results Summary
|
(Dollars in millions, except per share amounts)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Six Months
|
|
|
|
|
|
Second Quarter
|
|
Ended June 30,
|
|
|
|
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues
|
|
|
$10,733
|
|
|
$10,319
|
|
|
$21,356
|
|
|
$20,579
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HCA Healthcare, Inc.
|
|
|
$657
|
|
|
$658
|
|
|
$1,316
|
|
|
$1,352
|
|
|
Gains on sales of facilities (net of tax)
|
|
|
(1
|
)
|
|
(4
|
)
|
|
(2
|
)
|
|
(2
|
)
|
|
Legal claim costs (net of tax)
|
|
|
-
|
|
|
7
|
|
|
-
|
|
|
14
|
|
Net income attributable to HCA Healthcare, Inc., excluding gains
on sales of facilities and legal claim costs (a)
|
|
|
656
|
|
|
661
|
|
|
1,314
|
|
|
1,364
|
|
|
Depreciation and amortization
|
|
|
521
|
|
|
489
|
|
|
1,042
|
|
|
968
|
|
|
Interest expense
|
|
|
411
|
|
|
427
|
|
|
830
|
|
|
843
|
|
|
Provision for income taxes
|
|
|
364
|
|
|
342
|
|
|
653
|
|
|
630
|
|
|
Net income attributable to noncontrolling interests
|
|
|
138
|
|
|
133
|
|
|
256
|
|
|
250
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA (a)
|
|
|
$2,090
|
|
|
$2,052
|
|
|
$4,095
|
|
|
$4,055
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA margin (a)
|
|
|
19.5
|
%
|
|
19.9
|
%
|
|
19.2
|
%
|
|
19.7
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HCA Healthcare, Inc.
|
|
|
$1.75
|
|
|
$1.65
|
|
|
$3.48
|
|
|
$3.34
|
|
|
Gains on sales of facilities
|
|
|
-
|
|
|
(0.01
|
)
|
|
-
|
|
|
-
|
|
|
Legal claim costs
|
|
|
-
|
|
|
0.02
|
|
|
-
|
|
|
0.03
|
|
|
|
Net income attributable to HCA Healthcare, Inc., excluding gains
on sales of facilities and legal claim costs(a)
|
|
|
$1.75
|
|
|
$1.66
|
|
|
$3.48
|
|
|
$3.37
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computing diluted earnings per share (millions)
|
|
|
375.338
|
|
|
398.659
|
|
|
377.647
|
|
|
404.617
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a)
|
Net income attributable to HCA Healthcare, Inc., excluding gains on
sales of facilities and legal claim costs, and Adjusted EBITDA
should not be considered as measures of financial performance under
generally accepted accounting principles ("GAAP"). We believe net
income attributable to HCA Healthcare, Inc., excluding gains on
sales of facilities and legal claim costs, and Adjusted EBITDA are
important measures that supplement discussions and analysis of our
results of operations. We believe it is useful to investors to
provide disclosures of our results of operations on the same basis
used by management. Management relies upon net income attributable
to HCA Healthcare, Inc., excluding gains on sales of facilities and
legal claim costs, and Adjusted EBITDA as primary measures to review
and assess operating performance of its health care facilities and
their management teams.
|
|
|
|
Management and investors review both the overall performance
(including net income attributable to HCA Healthcare, Inc.,
excluding gains on sales of facilities and legal claim costs, and
GAAP net income attributable to HCA Healthcare, Inc.) and operating
performance (Adjusted EBITDA) of our health care facilities.
Adjusted EBITDA and the Adjusted EBITDA margin (Adjusted EBITDA
divided by revenues) are utilized by management and investors to
compare our current operating results with the corresponding periods
during the previous year and to compare our operating results with
other companies in the health care industry. It is reasonable to
expect that gains on sales of facilities and legal claim costs will
occur in future periods, but the amounts recognized can vary
significantly from period to period, do not directly relate to the
ongoing operations of our health care facilities and complicate
period comparisons of our results of operations and operations
comparisons with other health care companies.
|
|
|
|
Net income attributable to HCA Healthcare, Inc., excluding gains on
sales of facilities and legal claim costs, and Adjusted EBITDA are
not measures of financial performance under GAAP, and should not be
considered as alternatives to net income attributable to HCA
Healthcare, Inc. as a measure of operating performance or cash flows
from operating, investing and financing activities as a measure of
liquidity. Because net income attributable to HCA Healthcare, Inc.,
excluding gains on sales of facilities and legal claim costs, and
Adjusted EBITDA are not measurements determined in accordance with
GAAP and are susceptible to varying calculations, net income
attributable to HCA Healthcare, Inc., excluding gains on sales of
facilities and legal claim costs, and Adjusted EBITDA, as presented,
may not be comparable to other similarly titled measures presented
by other companies.
|
|
|
|
|
|
HCA Healthcare, Inc.
|
Supplemental Non-GAAP Disclosures
|
2017 Operating Results Forecast
|
(Dollars in millions, except per share amounts)
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ending
|
|
|
|
|
December 31, 2017
|
|
|
|
|
Low
|
|
High
|
|
|
|
|
|
|
|
Revenues
|
|
|
$
|
43,000
|
|
$
|
44,000
|
|
|
|
|
|
|
|
Net income attributable to HCA Healthcare, Inc. (a)
|
|
|
$
|
2,620
|
|
$
|
2,720
|
|
Depreciation and amortization
|
|
|
|
2,110
|
|
|
2,120
|
|
Interest expense
|
|
|
|
1,690
|
|
|
1,700
|
|
Provision for income taxes
|
|
|
|
1,380
|
|
|
1,410
|
|
Net income attributable to noncontrolling interests
|
|
|
|
550
|
|
|
550
|
|
|
|
|
|
|
|
|
Adjusted EBITDA (a) (b)
|
|
|
$
|
8,350
|
|
$
|
8,500
|
|
|
|
|
|
|
|
Diluted earnings per share:
|
|
|
|
|
|
|
Net income attributable to HCA Healthcare, Inc.
|
|
|
$
|
7.00
|
|
$
|
7.30
|
|
|
|
|
|
|
|
|
Shares used in computing diluted earnings per share (millions)
|
|
|
|
373.800
|
|
|
373.800
|
|
|
|
|
|
|
|
The Company's forecasted guidance range is based on current plans
and expectations and is subject to a number of known and unknown
uncertainties and risks.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a)
|
The Company does not forecast the impact of items such as, but not
limited to, losses (gains) on sales of facilities, losses on
retirement of debt, legal claim costs (benefits) and impairments of
long-lived assets, because the Company does not believe that it can
forecast these items with sufficient accuracy since these items are
indeterminable at the time the 2017 forecast is provided.
|
|
|
(b)
|
Adjusted EBITDA should not be considered a measure of financial
performance under generally accepted accounting principles ("GAAP").
We believe Adjusted EBITDA is an important measure that supplements
discussions and analysis of our results of operations. We believe it
is useful to investors to provide disclosures of our results of
operations on the same basis used by management. Management relies
upon Adjusted EBITDA as a primary measure to review and assess
operating performance of its health care facilities and their
management teams.
|
|
|
|
Management and investors review both the overall performance
(including net income attributable to HCA Healthcare, Inc.) and
operating performance (Adjusted EBITDA) of our health care
facilities. Adjusted EBITDA and the Adjusted EBITDA margin (Adjusted
EBITDA divided by revenues) are utilized by management and investors
to compare our current operating results with the corresponding
periods during the previous year and to compare our operating
results with other companies in the health care industry.
|
|
|
|
Adjusted EBITDA is not a measure of financial performance under GAAP
and should not be considered as an alternative to net income
attributable to HCA Healthcare, Inc. as a measure of operating
performance or cash flows from operating, investing and financing
activities as a measure of liquidity. Because Adjusted EBITDA is not
a measurement determined in accordance with GAAP and is susceptible
to varying calculations, Adjusted EBITDA, as presented, may not be
comparable to other similarly titled measures presented by other
companies.
|
|
|
|
|
|
|
|
|
HCA Healthcare, Inc.
Investor Contact:
Mark Kimbrough, 615-344-2688
or
Media Contact:
Ed Fishbough, 615-344-2810