HCA Healthcare, Inc. Annual Report, Year Ended Dec 31, 2017

HCA Healthcare, Inc. reported revenues of $43.614 billion for the year ended December 31, 2017, an increase of 5.1% from the previous year, driven by higher patient volumes and increased revenue per equivalent admission. The company operated 179 hospitals and 120 freestanding surgery centers across 20 states and England, serving a broad base of patients primarily covered by managed care and other insurers (56.9% of revenue). Net income attributable to HCA Healthcare, Inc. was $2.216 billion, a decrease from $2.890 billion in 2016, impacted by an approximate $140 million expense related to Hurricanes Harvey and Irma and a significant increase in provision for income taxes due to the Tax Cuts and Jobs Act. Despite these headwinds, the company demonstrated continued operational growth, with admissions and emergency room visits increasing. HCA Healthcare's 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. The company's substantial debt of $33.058 billion remains a key consideration for investors, though managed through various credit facilities and debt management activities. The company also initiated a quarterly cash dividend in early 2018, signaling a commitment to returning capital to shareholders.