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10-QPeriod: Q3 FY2022

HCA Healthcare, Inc. Quarterly Report for Q3 Ended Sep 30, 2022

Filed November 1, 2022For Securities:HCA

Summary

HCA Healthcare, Inc. reported revenues of $14.971 billion for the third quarter of 2022, a decrease of 2.0% compared to $15.276 billion in the third quarter of 2021. This revenue decline was primarily driven by a 3.2% decrease in revenue per equivalent admission, influenced by a significant reduction in COVID-19 patient volumes compared to the prior year. Net income attributable to HCA Healthcare, Inc. saw a substantial decrease to $1.134 billion ($3.91 per diluted share) from $2.269 billion ($7.00 per diluted share) in the prior year's third quarter. This decrease is largely due to the absence of a significant $1.047 billion gain on sales of facilities recorded in the third quarter of 2021, alongside increased operating expenses, particularly in 'other operating expenses' which rose to 19.1% of revenues from 16.6% due to higher costs for directed payment programs, professional fees, and utilities, along with increased provisions for professional liability risks. Despite the year-over-year decline in net income, operating cash flows increased by $743 million to $3.020 billion, driven by positive changes in working capital. The company also continued its share repurchase program and declared a quarterly dividend. Management anticipates that existing liquidity and access to capital markets will be sufficient to meet its needs for at least the next 12 months.

Financial Statements
Beta
Revenue$14.97B
Operating Expenses$13.27B
Interest Expense$446.00M
Net Income$1.13B
EPS (Basic)$3.97
EPS (Diluted)$3.91
Shares Outstanding (Basic)285.96M
Shares Outstanding (Diluted)289.85M

Key Highlights

  • 1Consolidated revenues for Q3 2022 were $14.971 billion, down 2.0% year-over-year, primarily due to lower COVID-19 volumes compared to Q3 2021.
  • 2Net income attributable to HCA Healthcare, Inc. decreased significantly to $1.134 billion ($3.91/share) from $2.269 billion ($7.00/share) in Q3 2021, largely due to the absence of a large gain on sale of facilities in the prior year.
  • 3Revenue per equivalent admission declined by 3.2% consolidated, reflecting the impact of reduced COVID-19 cases and potentially payer mix shifts.
  • 4Same facility equivalent admissions increased by 2.3%, while inpatient and outpatient surgeries also saw increases of 3.2% and 1.1% respectively, indicating underlying volume growth in non-COVID services.
  • 5Operating expenses, particularly 'other operating expenses,' increased as a percentage of revenue, driven by higher costs for directed payment programs, professional fees, utilities, and increased professional liability provisions.
  • 6Cash flow from operations improved significantly by $743 million to $3.020 billion in Q3 2022, demonstrating strong operational cash generation.
  • 7The company repurchased $3.36 million shares of common stock in Q3 2022 and continues to focus on capital allocation, including dividends and share buybacks.

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