10-KPeriod: FY2017

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

Filed February 23, 2018For Securities:HCA

Summary

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.

Financial Statements
Beta
Revenue$43.61B
Operating Expenses$39.23B
Interest Expense$1.69B
Net Income$2.22B
EPS (Basic)$6.12
EPS (Diluted)$5.95
Shares Outstanding (Basic)362.31M
Shares Outstanding (Diluted)372.22M

Key Highlights

  • 1Revenue increased by 5.1% to $43.614 billion in 2017, driven by higher patient volumes and improved revenue per equivalent admission.
  • 2Net income attributable to HCA Healthcare, Inc. decreased to $2.216 billion in 2017 from $2.890 billion in 2016, impacted by hurricane-related expenses and the Tax Cuts and Jobs Act.
  • 3The company operated 179 hospitals and 120 freestanding surgery centers, with a significant presence in Florida (45 hospitals) and Texas (46 hospitals).
  • 4Total debt stood at $33.058 billion as of December 31, 2017, indicating a highly leveraged capital structure.
  • 5Admissions increased by 2.4% and emergency room visits increased by 2.9% on a consolidated basis in 2017.
  • 6HCA initiated a quarterly cash dividend of $0.35 per share, payable in March 2018.
  • 7Managed care and other insurers represented the largest payer source, accounting for 56.9% of revenues in 2017.

Frequently Asked Questions

HCA Healthcare's revenues increased by 5.1% to $43.614 billion in 2017. This growth was primarily driven by a 3.0% increase in equivalent admissions and a 2.1% increase in revenue per equivalent admission on a consolidated basis.

Net income attributable to HCA Healthcare, Inc. was $2.216 billion in 2017, down from $2.890 billion in 2016. This decrease was largely due to approximately $140 million in expenses and lost revenue related to Hurricanes Harvey and Irma, and an increase in income taxes stemming from the Tax Cuts and Jobs Act, which required a remeasurement of deferred tax assets and liabilities.

HCA Healthcare had a substantial total debt of $33.058 billion as of December 31, 2017. The company's ability to manage this leverage is a key focus, with various credit facilities and debt management strategies in place.

HCA Healthcare's strategy centers on expanding its presence in existing markets, improving clinical and patient satisfaction outcomes, recruiting physicians, leveraging its scale to enhance profitability, and pursuing disciplined development through acquisitions and facility expansions.

In early 2018, HCA Healthcare initiated a quarterly cash dividend program, declaring its first dividend of $0.35 per share. This signals a commitment to returning capital to shareholders, subject to ongoing financial performance and board decisions.