Early Access

10-KPeriod: FY2010

HCA Healthcare, Inc. Annual Report, Year Ended Dec 31, 2010

Filed February 17, 2011For Securities:HCA

Summary

HCA Healthcare, Inc. (HCA) operates as a leading healthcare services company with 164 hospitals and 106 freestanding surgery centers across 20 states and England as of December 31, 2010. The company's primary objective is to deliver high-quality, cost-effective healthcare. HCA's revenue streams are diversified, with managed care and other insurers representing the largest portion (53%), followed by Medicare (24%), Managed Medicare (7%), Medicaid (6%), and other sources. The company's business strategy focuses on growing its presence in existing markets, achieving industry-leading clinical and satisfaction measures, recruiting physicians, leveraging its scale for profitability, and pursuing disciplined development. A significant factor influencing HCA's operations is the "Health Reform Law" (Patient Protection and Affordable Care Act), which is expected to expand health insurance coverage, potentially increasing patient volumes, but also introduces new reimbursement models and reductions in government program spending. The company is also managing substantial debt incurred during a 2006 recapitalization and is actively seeking to improve operational efficiency and financial performance.

Financial Statements
Beta
Revenue$28.04B
Interest Expense$2.10B
Net Income$1.21B
EPS (Basic)$2.83
EPS (Diluted)$2.76
Shares Outstanding (Basic)426.42M
Shares Outstanding (Diluted)437.35M

Key Highlights

  • 1HCA operated 164 hospitals and 106 freestanding surgery centers across 20 states and England as of December 31, 2010.
  • 2Managed care and other insurers accounted for 53% of HCA's revenues in 2010, followed by Medicare at 24%.
  • 3The company's growth strategy includes expanding in existing markets, enhancing clinical quality, recruiting physicians, leveraging scale, and pursuing disciplined development.
  • 4The "Health Reform Law" (Patient Protection and Affordable Care Act) is a major factor, expected to increase insured patients but also bring reimbursement changes and program spending reductions.
  • 5HCA reported net income attributable to HCA Holdings, Inc. of $1.207 billion in 2010, an increase from $1.054 billion in 2009.
  • 6The company's substantial leverage is a key risk factor, with total indebtedness of $28.225 billion as of December 31, 2010.
  • 7HCA is actively managing its provision for doubtful accounts, which declined to 8.6% of revenues in 2010, down from 10.9% in 2009, partly due to increased uninsured discounts.

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