0001193125-13-322235.txt : 20130807 0001193125-13-322235.hdr.sgml : 20130807 20130806195906 ACCESSION NUMBER: 0001193125-13-322235 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 11 CONFORMED PERIOD OF REPORT: 20130630 FILED AS OF DATE: 20130807 DATE AS OF CHANGE: 20130806 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HCA Holdings, Inc. CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 273865930 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 131014843 BUSINESS ADDRESS: STREET 1: ONE PARK PLZ CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 6153449551 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 FORMER COMPANY: FORMER CONFORMED NAME: HCA INC/TN DATE OF NAME CHANGE: 20010627 FORMER COMPANY: FORMER CONFORMED NAME: HCA THE HEALTHCARE CO DATE OF NAME CHANGE: 20010419 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP DATE OF NAME CHANGE: 20000502 10-Q 1 d549487d10q.htm FORM 10-Q Form 10-Q
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

Form 10-Q

 

 

(Mark One)

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2013

Or

 

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from              to             

Commission file number 1-11239

 

 

HCA Holdings, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   27-3865930

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

One Park Plaza

Nashville, Tennessee

  37203
(Address of principal executive offices)   (Zip Code)

(615) 344-9551

(Registrant’s telephone number, including area code)

Not Applicable

(Former name, former address and former fiscal year, if changed since last report)

 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer   x    Accelerated filer   ¨
Non-accelerated filer   ¨ (Do not check if a smaller reporting company)    Smaller reporting company   ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x

Indicate the number of shares outstanding of each of the issuer’s classes of common stock as of the latest practicable date.

 

Class of Common Stock

  

Outstanding at July 31, 2013

Voting common stock, $.01 par value

   447,200,900 shares

 

 

 


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HCA HOLDINGS, INC.

Form 10-Q

June 30, 2013

 

         Page of
Form 10-Q
Part I.   Financial Information     

Item 1.

  Financial Statements (Unaudited):   
 

Condensed Consolidated Income Statements — for the quarters and six months ended June  30, 2013 and 2012

   2
 

Condensed Consolidated Comprehensive Income Statements — for the quarters and six months ended June 30, 2013 and 2012

   3
 

Condensed Consolidated Balance Sheets — June 30, 2013 and December 31, 2012

   4
 

Condensed Consolidated Statements of Cash Flows  — for the six months ended June 30, 2013 and 2012

   5
  Notes to Condensed Consolidated Financial Statements    6

Item 2.

  Management’s Discussion and Analysis of Financial Condition and Results of Operations    29

Item 3.

  Quantitative and Qualitative Disclosures About Market Risk    47

Item 4.

  Controls and Procedures    47

Part II.

  Other Information   

Item 1.

  Legal Proceedings    47

Item 1A.

  Risk Factors    49

Item 5.

  Other Information    50

Item 6.

  Exhibits    52

Signatures

   53

 

1


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HCA HOLDINGS, INC.

CONDENSED CONSOLIDATED INCOME STATEMENTS

FOR THE QUARTERS AND SIX MONTHS ENDED JUNE 30, 2013 AND 2012

Unaudited

(Dollars in millions, except per share amounts)

 

     Quarter     Six Months  
     2013     2012     2013     2012  

Revenues before provision for doubtful accounts

   $ 9,473      $ 9,153      $ 18,667      $ 18,352   

Provision for doubtful accounts

     1,023        1,041        1,777        1,835   
  

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

     8,450        8,112        16,890        16,517   

Salaries and benefits

     3,848        3,707        7,765        7,443   

Supplies

     1,470        1,422        2,949        2,841   

Other operating expenses

     1,507        1,493        3,030        2,986   

Electronic health record incentive income

     (52     (70     (91     (125

Equity in earnings of affiliates

     (12     (9     (20     (20

Depreciation and amortization

     425        420        849        837   

Interest expense

     462        448        934        890   

Losses (gains) on sales of facilities

     (4     2        12        3   

Loss on retirement of debt

                   17          
  

 

 

   

 

 

   

 

 

   

 

 

 
     7,644        7,413        15,445        14,855   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     806        699        1,445        1,662   

Provision for income taxes

     269        214        470        538   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     537        485        975        1,124   

Net income attributable to noncontrolling interests

     114        94        208        193   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to HCA Holdings, Inc.

   $ 423      $ 391      $ 767      $ 931   
  

 

 

   

 

 

   

 

 

   

 

 

 

Per share data:

        

Basic earnings per share

   $ 0.95      $ 0.89      $ 1.72      $ 2.12   

Diluted earnings per share

   $ 0.91      $ 0.85      $ 1.66      $ 2.03   

Cash dividends declared per share

   $      $      $      $ 2.00   

Shares used in earnings per share calculations (in thousands):

        

Basic

     446,612        439,473        445,513        438,705   

Diluted

     463,184        458,621        462,782        458,467   

 

See accompanying notes.

 

2


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HCA HOLDINGS, INC.

CONDENSED CONSOLIDATED COMPREHENSIVE INCOME STATEMENTS

FOR THE QUARTERS AND SIX MONTHS ENDED JUNE 30, 2013 AND 2012

Unaudited

(Dollars in millions)

 

     Quarter     Six Months  
     2013     2012     2013     2012  

Net income

   $ 537      $ 485      $ 975      $ 1,124   

Other comprehensive income (loss) before taxes:

        

Foreign currency translation

            (22     (60     7   

Unrealized (losses) gains on available-for-sale securities

     (9            (8     5   

Defined benefit plans

                            

Pension costs included in salaries and benefits

     8        7        15        14   
  

 

 

   

 

 

   

 

 

   

 

 

 
     8        7        15        14   

Change in fair value of derivative financial instruments

     47        (77     40        (102

Interest costs included in interest expense

     32        31        64        60   
  

 

 

   

 

 

   

 

 

   

 

 

 
     79        (46     104        (42
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income (loss) before taxes

     78        (61     51        (16

Income taxes (benefits) related to other comprehensive income items

     29        (23     20        (7
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income (loss)

     49        (38     31        (9
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     586        447        1,006        1,115   

Comprehensive income attributable to noncontrolling interests

     114        94        208        193   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to HCA Holdings, Inc.

   $ 472      $ 353      $ 798      $ 922   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

See accompanying notes.

 

3


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HCA HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

Unaudited

(Dollars in millions)

 

     June 30,
2013
    December 31,
2012
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 462      $ 705   

Accounts receivable, less allowance for doubtful accounts of $4,965 and $4,846

     4,915        4,672   

Inventories

     1,152        1,086   

Deferred income taxes

     401        385   

Other

     861        915   
  

 

 

   

 

 

 
     7,791        7,763   

Property and equipment, at cost

     30,077        29,527   

Accumulated depreciation

     (16,848     (16,342
  

 

 

   

 

 

 
     13,229        13,185   

Investments of insurance subsidiaries

     405        515   

Investments in and advances to affiliates

     120        104   

Goodwill and other intangible assets

     5,534        5,539   

Deferred loan costs

     264        290   

Other

     591        679   
  

 

 

   

 

 

 
   $ 27,934      $ 28,075   
  

 

 

   

 

 

 
LIABILITIES AND STOCKHOLDERS’ DEFICIT     

Current liabilities:

    

Accounts payable

   $ 1,657      $ 1,768   

Accrued salaries

     1,036        1,120   

Other accrued expenses

     1,871        1,849   

Long-term debt due within one year

     1,456        1,435   
  

 

 

   

 

 

 
     6,020        6,172   

Long-term debt

     26,744        27,495   

Professional liability risks

     960        973   

Income taxes and other liabilities

     1,695        1,776   

Stockholders’ deficit:

    

Common stock $0.01 par; authorized 1,800,000,000 shares; outstanding 447,066,900 shares in 2013 and 443,200,200 shares in 2012

     4        4   

Capital in excess of par value

     1,792        1,753   

Accumulated other comprehensive loss

     (426     (457

Retained deficit

     (10,193     (10,960
  

 

 

   

 

 

 

Stockholders’ deficit attributable to HCA Holdings, Inc.

     (8,823     (9,660

Noncontrolling interests

     1,338        1,319   
  

 

 

   

 

 

 
     (7,485     (8,341
  

 

 

   

 

 

 
   $ 27,934      $ 28,075   
  

 

 

   

 

 

 

 

See accompanying notes.

 

4


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HCA HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2013 AND 2012

Unaudited

(Dollars in millions)

 

     2013     2012  

Cash flows from operating activities:

    

Net income

   $ 975      $ 1,124   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Changes in operating assets and liabilities

     (2,335     (1,927

Provision for doubtful accounts

     1,777        1,835   

Depreciation and amortization

     849        837   

Income taxes

     183        326   

Losses on sales of facilities

     12        3   

Loss on retirement of debt

     17          

Amortization of deferred loan costs

     28        29   

Share-based compensation

     51        23   

Other

     (3     7   
  

 

 

   

 

 

 

Net cash provided by operating activities

     1,554        2,257   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Purchase of property and equipment

     (896     (784

Acquisition of hospitals and health care entities

     (23     (139

Disposition of hospitals and health care entities

     31        6   

Change in investments

     102        35   

Other

     (4     (4
  

 

 

   

 

 

 

Net cash used in investing activities

     (790     (886
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Issuance of long-term debt

            1,350   

Net change in revolving credit facilities

     (20     (820

Repayment of long-term debt

     (768     (608

Distributions to noncontrolling interests

     (196     (191

Payment of debt issuance costs

     (5     (19

Distributions to stockholders

     (10     (982

Income tax benefits

     61        71   

Other

     (69     (27
  

 

 

   

 

 

 

Net cash used in financing activities

     (1,007     (1,226
  

 

 

   

 

 

 

Change in cash and cash equivalents

     (243     145   

Cash and cash equivalents at beginning of period

     705        373   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 462      $ 518   
  

 

 

   

 

 

 

Interest payments

   $ 909      $ 854   

Income tax payments, net

   $ 226      $ 141   

 

See accompanying notes.

 

5


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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 — INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Reporting Entity

On November 17, 2006, HCA Inc. was acquired by a private investor group, including affiliates of or funds sponsored by Bain Capital Partners, LLC, Kohlberg Kravis Roberts & Co., BAML Capital Partners and HCA founder, Dr. Thomas F. Frist Jr. and by members of management and certain other investors. The transaction was accounted for as a recapitalization in our financial statements, with no adjustments to the historical basis of our assets and liabilities.

On November 22, 2010, HCA Inc. reorganized by creating a new holding company structure (the “Corporate Reorganization”). HCA Holdings, Inc. became the new parent company, and HCA Inc. became HCA Holdings, Inc.’s wholly-owned direct subsidiary. As part of the Corporate Reorganization, HCA Inc.’s outstanding shares of common stock were automatically converted, on a share for share basis, into identical shares of HCA Holdings, Inc.’s common stock. As a result of the Corporate Reorganization, HCA Holdings, Inc. was deemed the successor registrant to HCA Inc. under the Securities Exchange Act of 1934.

During March 2011, we completed the initial public offering of 87,719,300 shares of our common stock. Upon the completion of a secondary offering in February 2013, we no longer qualify as a “controlled company” under the applicable New York Stock Exchange (“NYSE”) listing standards and will be required to appoint a board of directors comprised of a majority of independent members within one year of such date. Our common stock is traded on the NYSE (symbol “HCA”).

HCA Holdings, Inc. is a holding company whose affiliates own and operate hospitals and related health care entities. The term “affiliates” includes direct and indirect subsidiaries of HCA Holdings, Inc. and partnerships and joint ventures in which such subsidiaries are partners. At June 30, 2013, these affiliates owned and operated 161 hospitals, 114 freestanding surgery centers and provided extensive outpatient and ancillary services. HCA Holdings, Inc.’s facilities are located in 20 states and England. The terms “Company,” “HCA,” “we,” “our” or “us,” as used herein and unless otherwise stated or indicated by context, refer to HCA Inc. and its affiliates prior to the Corporate Reorganization and to HCA Holdings, Inc. and its affiliates after the Corporate Reorganization. The terms “facilities” or “hospitals” refer to entities owned and operated by affiliates of HCA and the term “employees” refers to employees of affiliates of HCA.

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all the information and footnotes required by generally accepted accounting principles for complete consolidated financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included and are of a normal and recurring nature.

The majority of our expenses are “costs of revenues” items. Costs that could be classified as general and administrative would include our corporate office costs, which were $65 million and $59 million for the quarters ended June 30, 2013 and 2012, respectively, and $131 million and $112 million for the six months ended June 30, 2013 and 2012, respectively. Operating results for the quarter and the six months ended June 30, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013. For further information, refer to the consolidated financial statements and footnotes thereto included in our annual report on Form 10-K for the year ended December 31, 2012.

 

6


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 1 — INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

Basis of Presentation (continued)

 

Revenues are recorded during the period the health care services are provided, based upon the estimated amounts due from the patients and third-party payers. Third-party payers include federal and state agencies (under Medicare, Medicaid and other programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances under managed care health plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record a provision for doubtful accounts related to uninsured accounts to record the net self pay revenues at the estimated amounts we expect to collect. Our revenues from third-party payers and the uninsured for the quarters and six months ended June 30, 2013 and 2012 are summarized in the following table (dollars in millions):

 

     Quarter  
     2013     Ratio     2012     Ratio  

Medicare

   $ 1,976        23.4   $ 1,989        24.5

Managed Medicare

     804        9.5        729        9.0   

Medicaid

     365        4.3        380        4.7   

Managed Medicaid

     378        4.5        358        4.4   

Managed care and other insurers

     4,655        55.1        4,473        55.1   

International (managed care and other insurers)

     291        3.4        266        3.3   
  

 

 

   

 

 

   

 

 

   

 

 

 
     8,469        100.2        8,195        101.0   

Uninsured

     693        8.2        739        9.1   

Other

     311        3.7        219        2.7   
  

 

 

   

 

 

   

 

 

   

 

 

 

Revenues before provision for doubtful accounts

     9,473        112.1        9,153        112.8   

Provision for doubtful accounts

     (1,023     (12.1     (1,041     (12.8
  

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

   $ 8,450        100.0   $ 8,112        100.0
  

 

 

   

 

 

   

 

 

   

 

 

 

 

     Six Months  
     2013     Ratio     2012     Ratio  

Medicare

   $ 4,114        24.4   $ 4,302        26.0

Managed Medicare

     1,647        9.8        1,479        9.0   

Medicaid

     697        4.1        810        4.9   

Managed Medicaid

     779        4.6        700        4.2   

Managed care and other insurers

     9,141        54.1        8,918        54.0   

International (managed care and other insurers)

     581        3.4        526        3.2   
  

 

 

   

 

 

   

 

 

   

 

 

 
     16,959        100.4        16,735        101.3   

Uninsured

     1,092        6.5        1,181        7.2   

Other

     616        3.6        436        2.6   
  

 

 

   

 

 

   

 

 

   

 

 

 

Revenues before provision for doubtful accounts

     18,667        110.5        18,352        111.1   

Provision for doubtful accounts

     (1,777     (10.5     (1,835     (11.1
  

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

   $ 16,890        100.0   $ 16,517        100.0
  

 

 

   

 

 

   

 

 

   

 

 

 

The decline in Medicare revenues for the six months ended June 30, 2013 compared to the six months ended June 30, 2012 was primarily due to Medicare revenues for the six months ended June 30, 2012 being impacted by

 

7


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 1 — INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

Basis of Presentation (continued)

 

two adjustments to Medicare revenues (the Rural Floor Provision Settlement which increased revenues by approximately $271 million and the implementation of revised Supplemental Security Income ratios which reduced revenues by approximately $83 million). The net effect of these Medicare adjustments was an increase of $188 million to revenues. The net effect of these adjustments (and related expenses) added $170 million to income before income taxes, or $0.22 per diluted share, for the six months ended June 30, 2012.

Certain prior year amounts have been reclassified to conform to the current year presentation.

NOTE 2 — ACQUISITIONS AND DISPOSITIONS

During the six months ended June 30, 2013 and 2012, we paid $23 million and $81 million, respectively, to acquire nonhospital health care entities. During the six months ended June 30, 2012, we paid $58 million, assumed liabilities of $33 million and recorded goodwill of $53 million related to the acquisition of a hospital facility in the American Group.

During the six months ended June 30, 2013, we received proceeds of $31 million and recognized net pretax losses of $12 million related to the sale of a hospital facility and other real estate investments. During the six months ended June 30, 2012, we received proceeds of $6 million and recognized net pretax losses of $3 million related to sales of real estate investments.

NOTE 3 — INCOME TAXES

During the six months ended June 30, 2013, we finalized settlements with the IRS resolving all outstanding issues for HCA Inc.’s 2007, 2008 and 2009 tax years. We expect the IRS Examination Division will begin an audit of HCA Holdings, Inc.’s 2010 and 2011 federal income tax returns in 2013.

Our liability for unrecognized tax benefits was $408 million, including accrued interest of $18 million, as of June 30, 2013 ($426 million and $14 million, respectively, as of December 31, 2012). Unrecognized tax benefits of $134 million ($125 million as of December 31, 2012) would affect the effective rate, if recognized. The provision for income taxes reflects $3 million ($2 million, net of tax) of interest expense and $18 million ($11 million, net of tax) of reductions in interest expense related to taxing authority examinations for the quarters ended June 30, 2013 and 2012, respectively, and $15 million and $21 million ($9 million and $13 million, respectively, net of tax) of reductions in interest expense related to taxing authority examinations for the six months ended June 30, 2013 and 2012, respectively.

Depending on the completion of examinations by federal, state or international taxing authorities, the resolution of any tax disputes, or the expiration of statutes of limitation for specific taxing jurisdictions, we believe it is reasonably possible our liability for unrecognized tax benefits may significantly increase or decline within the next 12 months. However, we are currently unable to estimate the range of any possible change.

NOTE 4 — EARNINGS PER SHARE

We compute basic earnings per share using the weighted average number of common shares outstanding. We compute diluted earnings per share using the weighted average number of common shares outstanding, plus the dilutive effect of outstanding stock options, stock appreciation rights and restricted share units, computed using the treasury stock method.

 

8


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 4 — EARNINGS PER SHARE (continued)

 

The following table sets forth the computation of basic and diluted earnings per share for the quarters and six months ended June 30, 2013 and 2012 (dollars in millions, except per share amounts, and shares in thousands):

 

     Quarter      Six Months  
     2013      2012      2013      2012  

Net income attributable to HCA Holdings, Inc.

   $ 423       $ 391       $ 767       $ 931   

Weighted average common shares outstanding

     446,612         439,473         445,513         438,705   

Effect of dilutive incremental shares

     16,572         19,148         17,269         19,762   
  

 

 

    

 

 

    

 

 

    

 

 

 

Shares used for diluted earnings per share

     463,184         458,621         462,782         458,467   
  

 

 

    

 

 

    

 

 

    

 

 

 

Earnings per share:

           

Basic earnings per share

   $ 0.95       $ 0.89       $ 1.72       $ 2.12   

Diluted earnings per share

   $ 0.91       $ 0.85       $ 1.66       $ 2.03   

NOTE 5 — INVESTMENTS OF INSURANCE SUBSIDIARIES

A summary of our insurance subsidiaries’ investments at June 30, 2013 and December 31, 2012 follows (dollars in millions):

 

     June 30, 2013  
     Amortized
Cost
     Unrealized
Amounts
    Fair
Value
 
        Gains      Losses    

Debt securities:

          

States and municipalities

   $ 384       $ 12       $ (2   $ 394   

Auction rate securities

     47                 (2     45   

Asset-backed securities

     12                        12   

Money market funds

     17                        17   
  

 

 

    

 

 

    

 

 

   

 

 

 
     460         12         (4     468   

Equity securities

     2         1                3   
  

 

 

    

 

 

    

 

 

   

 

 

 
   $ 462       $ 13       $ (4     471   
  

 

 

    

 

 

    

 

 

   

Amounts classified as current assets

             (66
          

 

 

 

Investment carrying value

           $ 405   
          

 

 

 

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 5 — INVESTMENTS OF INSURANCE SUBSIDIARIES (continued)

 

     December 31, 2012  
     Amortized
Cost
     Unrealized
Amounts
    Fair
Value
 
        Gains      Losses    

Debt securities:

          

States and municipalities

   $ 395       $ 23       $  —      $ 418   

Auction rate securities

     74                 (6     68   

Asset-backed securities

     14                        14   

Money market funds

     67                        67   
  

 

 

    

 

 

    

 

 

   

 

 

 
     550         23         (6     567   

Equity securities

     2         1                3   
  

 

 

    

 

 

    

 

 

   

 

 

 
   $ 552       $ 24       $ (6     570   
  

 

 

    

 

 

    

 

 

   

Amounts classified as current assets

             (55
          

 

 

 

Investment carrying value

           $ 515   
          

 

 

 

At June 30, 2013 and December 31, 2012, the investments of our insurance subsidiaries were classified as “available-for-sale.” Changes in temporary unrealized gains and losses are recorded as adjustments to other comprehensive income. At June 30, 2013 and December 31, 2012, $1 million and $9 million, respectively, of our money market fund investments were subject to restrictions included in insurance bond collateralization and assumed reinsurance contracts.

Scheduled maturities of investments in debt securities at June 30, 2013 were as follows (dollars in millions):

 

     Amortized
Cost
     Fair
Value
 

Due in one year or less

   $ 31       $ 31   

Due after one year through five years

     174         180   

Due after five years through ten years

     103         106   

Due after ten years

     93         94   
  

 

 

    

 

 

 
     401         411   

Auction rate securities

     47         45   

Asset-backed securities

     12         12   
  

 

 

    

 

 

 
   $ 460       $ 468   
  

 

 

    

 

 

 

The average expected maturity of the investments in debt securities at June 30, 2013 was 4.4 years, compared to the average scheduled maturity of 7.7 years. Expected and scheduled maturities may differ because the issuers of certain securities have the right to call, prepay or otherwise redeem such obligations prior to the scheduled maturity date. The average expected maturities for our auction rate and asset-backed securities were derived from valuation models of expected cash flows and involved management’s judgment. At June 30, 2013, the average expected maturities for our auction rate and asset-backed securities were 3.9 years and 3.7 years, respectively, compared to average scheduled maturities of 21.5 years and 23.5 years, respectively.

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 6 — FINANCIAL INSTRUMENTS

Interest Rate Swap Agreements

We have entered into interest rate swap agreements to manage our exposure to fluctuations in interest rates. These swap agreements involve the exchange of fixed and variable rate interest payments between two parties based on common notional principal amounts and maturity dates. Pay-fixed interest rate swaps effectively convert LIBOR indexed variable rate obligations to fixed interest rate obligations. The interest payments under these agreements are settled on a net basis. The net interest payments, based on the notional amounts in these agreements, generally match the timing of the related liabilities. The notional amounts of the swap agreements represent amounts used to calculate the exchange of cash flows and are not our assets or liabilities. Our credit risk related to these agreements is considered low because the swap agreements are with creditworthy financial institutions.

The following table sets forth our interest rate swap agreements, which have been designated as cash flow hedges, at June 30, 2013 (dollars in millions):

 

     Notional
Amount
     Maturity Date      Fair
Value
 

Pay-fixed interest rate swaps

   $ 500         December 2014       $ (7

Pay-fixed interest rate swaps

     3,000         December 2016         (273

Pay-fixed interest rate swaps

     1,000         December 2017         (45

During the next 12 months, we estimate $125 million will be reclassified from other comprehensive income (“OCI”) to interest expense.

Cross Currency Swaps

The Company and certain subsidiaries have incurred obligations and entered into various intercompany transactions where such obligations are denominated in currencies, other than the functional currencies of the parties executing the trade. In order to mitigate the currency exposure risks and better match the cash flows of our obligations and intercompany transactions with cash flows from operations, we enter into cross currency swaps. Our credit risk related to these agreements is considered low because the swap agreements are with creditworthy financial institutions. Our cross currency swap is not designated as a hedge, and changes in fair value are recognized in results of operations. The following table sets forth our cross currency swap agreement at June 30, 2013 (amounts in millions):

 

     Notional
Amount
     Maturity Date      Fair
Value
 

Euro — United States dollar currency swap

     241 Euro         November 2013       $ (17

Derivatives — Results of Operations

The following tables present the effect of our interest rate and cross currency swaps on our results of operations for the six months ended June 30, 2013 (dollars in millions):

 

Derivatives in Cash Flow Hedging Relationships

   Amount of Gain
Recognized in OCI on
Derivatives, Net of  Tax
     Location of Loss
Reclassified from
Accumulated OCI
into Operations
     Amount of Loss
Reclassified from
Accumulated OCI
into Operations
 

Interest rate swaps

   $ 25         Interest expense       $ 64   

 

11


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 6 — FINANCIAL INSTRUMENTS (continued)

 

Derivatives — Results of Operations (continued)

 

Derivatives Not Designated as Hedging Instruments

   Location of Loss Recognized
in Operations on Derivatives
     Amount of Loss
Recognized in
Operations on
Derivatives
 

Cross currency swap

     Other operating expenses       $ 4   

Credit-risk-related Contingent Features

We have agreements with each of our derivative counterparties that contain a provision where we could be declared in default on our derivative obligations if repayment of the underlying indebtedness is accelerated by the lender due to our default on the indebtedness. As of June 30, 2013, we have not been required to post any collateral related to these agreements. If we had breached these provisions at June 30, 2013, we would have been required to settle our obligations under the agreements at their aggregate, estimated termination value of $358 million.

NOTE 7 — ASSETS AND LIABILITIES MEASURED AT FAIR VALUE

Accounting Standards Codification 820, Fair Value Measurements and Disclosures (“ASC 820”) defines fair value, establishes a framework for measuring fair value and expands disclosures about fair value measurements. ASC 820 applies to reported balances that are required or permitted to be measured at fair value under existing accounting pronouncements.

ASC 820 emphasizes fair value is a market-based measurement, not an entity-specific measurement. Therefore, a fair value measurement should be determined based on the assumptions market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, ASC 820 establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy).

Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs observable for the asset or liability (other than quoted prices), such as interest rates, foreign exchange rates, and yield curves observable at commonly quoted intervals. Level 3 inputs are unobservable inputs for the asset or liability, which are typically based on an entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment, and considers factors specific to the asset or liability.

Cash Traded Investments

Our cash traded investments are generally classified within Level 1 or Level 2 of the fair value hierarchy because they are valued using quoted market prices, broker or dealer quotations, or alternative pricing sources with reasonable levels of price transparency. Certain types of cash traded instruments are classified within Level 3 of the fair value hierarchy because they trade infrequently and therefore have little or no price transparency. The transaction price is initially used as the best estimate of fair value.

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 7 — ASSETS AND LIABILITIES MEASURED AT FAIR VALUE (continued)

 

Cash Traded Investments (continued)

 

Our wholly-owned insurance subsidiaries had investments in tax-exempt auction rate securities (“ARS”), which are backed by student loans substantially guaranteed by the federal government, of $45 million ($47 million par value) at June 30, 2013. We do not currently intend to attempt to sell the ARS as the liquidity needs of our insurance subsidiaries are expected to be met by other investments in their investment portfolios. During 2012 and the six months ended June 30, 2013, certain issuers and their broker/dealers redeemed or repurchased $65 million and $27 million, respectively, of our ARS at par value. The valuation of these securities involved management’s judgment, after consideration of market factors and the absence of market transparency, market liquidity and observable inputs. Our valuation models derived a fair market value compared to tax-equivalent yields of other student loan backed variable rate securities of similar credit worthiness and similar effective maturities.

Derivative Financial Instruments

We have entered into interest rate and cross currency swap agreements to manage our exposure to fluctuations in interest rates and foreign currency risks. The valuation of these instruments is determined using widely accepted valuation techniques, including discounted cash flow analysis on the expected cash flows of each derivative. This analysis reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves, foreign exchange rates and implied volatilities. We incorporate credit valuation adjustments to reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk in the fair value measurements.

Although we determined the majority of the inputs used to value our derivatives fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with our derivatives utilize Level 3 inputs, such as estimates of current credit spreads to evaluate the likelihood of default by us and our counterparties. We assessed the significance of the impact of the credit valuation adjustments on the overall valuation of our derivative positions, and at June 30, 2013 and December 31, 2012, we determined the credit valuation adjustments were not significant to the overall valuation of our derivatives.

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 7 — ASSETS AND LIABILITIES MEASURED AT FAIR VALUE (continued)

 

The following table summarizes our assets and liabilities measured at fair value on a recurring basis as of June 30, 2013 and December 31, 2012, aggregated by the level in the fair value hierarchy within which those measurements fall (dollars in millions):

 

     June 30, 2013  
           Fair Value Measurements Using  
     Fair Value     Quoted Prices in
Active Markets for
Identical Assets
and Liabilities
(Level 1)
    Significant Other
Observable Inputs
(Level 2)
    Significant
Unobservable Inputs
(Level 3)
 

Assets:

        

Investments of insurance subsidiaries:

        

Debt securities:

        

States and municipalities

   $ 394      $      $ 394      $  —   

Auction rate securities

     45                      45   

Asset-backed securities

     12               12          

Money market funds

     17        17                 
  

 

 

   

 

 

   

 

 

   

 

 

 
     468        17        406        45   

Equity securities

     3        2               1   
  

 

 

   

 

 

   

 

 

   

 

 

 

Investments of insurance subsidiaries

     471        19        406        46   

Less amounts classified as current assets

     (66     (17     (49       
  

 

 

   

 

 

   

 

 

   

 

 

 
   $ 405      $ 2      $ 357      $ 46   
  

 

 

   

 

 

   

 

 

   

 

 

 

Liabilities:

        

Cross currency swap (Income taxes and other liabilities)

   $ 17      $      $ 17      $   

Interest rate swaps (Income taxes and other liabilities)

     325               325          

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 7 — ASSETS AND LIABILITIES MEASURED AT FAIR VALUE (continued)

 

     December 31, 2012  
     Fair Value     Fair Value Measurements Using  
       Quoted Prices in
Active Markets for
Identical Assets
and Liabilities
(Level 1)
    Significant Other
Observable Inputs
(Level 2)
     Significant
Unobservable Inputs
(Level 3)
 

Assets:

         

Investments of insurance subsidiaries:

         

Debt securities:

         

States and municipalities

   $ 418      $      $ 418       $  —   

Auction rate securities

     68                       68   

Asset-backed securities

     14               14           

Money market funds

     67        67                  
  

 

 

   

 

 

   

 

 

    

 

 

 
     567        67        432         68   

Equity securities

     3        1                2   
  

 

 

   

 

 

   

 

 

    

 

 

 

Investments of insurance subsidiaries

     570        68        432         70   

Less amounts classified as current assets

     (55     (55               
  

 

 

   

 

 

   

 

 

    

 

 

 
   $ 515      $ 13      $ 432       $ 70   
  

 

 

   

 

 

   

 

 

    

 

 

 

Liabilities:

         

Cross currency swap (Income taxes and other liabilities)

   $ 13      $      $ 13       $   

Interest rate swaps (Income taxes and other liabilities)

     429               429           

The following table summarizes the activity related to the auction rate and equity securities investments of our insurance subsidiaries which have fair value measurements based on significant unobservable inputs (Level 3) during the six months ended June 30, 2013 (dollars in millions):

 

Asset balances at December 31, 2012

   $ 70   

Unrealized gains included in other comprehensive income

     3   

Settlements

     (27
  

 

 

 

Asset balances at June 30, 2013

   $ 46   
  

 

 

 

The estimated fair value of our long-term debt was $28.061 billion and $30.781 billion at June 30, 2013 and December 31, 2012, respectively, compared to carrying amounts aggregating $28.200 billion and $28.930 billion, respectively. The estimates of fair value are generally based upon the quoted market prices or quoted market prices for similar issues of long-term debt with the same maturities.

 

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Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 8 — LONG-TERM DEBT

A summary of long-term debt at June 30, 2013 and December 31, 2012, including related interest rates at June 30, 2013, follows (dollars in millions):

 

     June 30,
2013
     December 31,
2012
 

Senior secured asset-based revolving credit facility (effective interest rate of 1.7%)

   $ 1,450       $ 1,470   

Senior secured revolving credit facility

               

Senior secured term loan facilities (effective interest rate of 5.1%)

     5,939         5,958   

Senior secured first lien notes (effective interest rate of 7.1%)

     9,691         9,688   

Other senior secured debt (effective interest rate of 7.0%)

     426         423   
  

 

 

    

 

 

 

First lien debt

     17,506         17,539   

Senior secured second lien notes

             197   

Senior unsecured notes (effective interest rate of 7.2%)

     10,694         11,194   
  

 

 

    

 

 

 

Total debt (average life of 6.7 years, rates averaging 6.4%)

     28,200         28,930   

Less amounts due within one year

     1,456         1,435   
  

 

 

    

 

 

 
   $ 26,744       $ 27,495   
  

 

 

    

 

 

 

2013 Activity

During March 2013, we redeemed all $201 million aggregate principal amount of our 9 7/8% senior secured second lien notes due 2017, at a redemption price of 104.938% of the principal amount. The pretax loss on retirement of debt related to this redemption was $17 million.

NOTE 9 — CONTINGENCIES AND LEGAL CLAIM COSTS

We operate in a highly regulated and litigious industry. As a result, various lawsuits, claims and legal and regulatory proceedings have been and can be expected to be instituted or asserted against us. We are also subject to claims and suits arising in the ordinary course of business, including claims for personal injuries or wrongful restriction of, or interference with, physicians’ staff privileges. In certain of these actions the claimants may seek punitive damages against us which may not be covered by insurance. The resolution of any such lawsuits, claims or legal and regulatory proceedings could have a material, adverse effect on our results of operations or financial position.

Government Investigations, Claims and Litigation

Health care companies are subject to numerous investigations by various governmental agencies. Further, under the federal False Claims Act (“FCA”), private parties have the right to bring qui tam, or “whistleblower,” suits against companies that submit false claims for payments to, or improperly retain overpayments from, the government. Some states have adopted similar state whistleblower and false claims provisions. Certain of our individual facilities have received, and from time to time, other facilities may receive, government inquiries from, and may be subject to investigation by, federal and state agencies. Depending on whether the underlying conduct in these or future inquiries or investigations could be considered systemic, their resolution could have a material, adverse effect on our financial position, results of operations and liquidity.

 

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Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 9 — CONTINGENCIES AND LEGAL CLAIM COSTS (continued)

 

Government Investigations, Claims and Litigation (continued)

 

As initially disclosed in 2010, the Civil Division of the Department of Justice (“DOJ”) has contacted the Company in connection with its nationwide review of whether, in certain cases, hospital charges to the federal government relating to implantable cardio-defibrillators (“ICDs”) met the CMS criteria. In connection with this nationwide review, the DOJ has indicated that it will be reviewing certain ICD billing and medical records at 95 HCA hospitals; the review covers the period from October 2003 to the present. In August 2012, HCA, along with non-HCA hospitals across the country subject to the DOJ’s review, received from the DOJ a proposed framework for resolving the DOJ’s review of ICDs. The Company is cooperating in the review. The review could potentially give rise to claims against the Company under the federal FCA or other statutes, regulations or laws. At this time, we cannot predict what effect, if any, this review or any resulting claims could have on the Company.

In July 2012, the Civil Division of the U.S. Attorney’s Office in Miami requested information on reviews assessing the medical necessity of interventional cardiology services provided at any Company facility (other than peer reviews). The Company is cooperating with the government’s request and is currently producing medical records associated with particular reviews at eight hospitals, located primarily in Florida. At this time, we cannot predict what effect, if any, the request or any resulting claims, including any potential claims under the federal FCA, other statutes, regulations or laws, could have on the Company.

Securities Class Action Litigation

On October 28, 2011, a shareholder action, Schuh v. HCA Holdings, Inc. et al., was filed in the United States District Court for the Middle District of Tennessee seeking monetary relief. The case sought to include as a class all persons who acquired the Company’s stock pursuant or traceable to the Company’s Registration Statement issued in connection with the March 9, 2011 initial public offering. The lawsuit asserted a claim under Section 11 of the Securities Act of 1933 against the Company, certain members of the board of directors, and certain underwriters in the offering. It further asserted a claim under Section 15 of the Securities Act of 1933 against the same members of the board of directors. The action alleged various deficiencies in the Company’s disclosures in the Registration Statement. Subsequently, two additional class action complaints, Kishtah v. HCA Holdings, Inc. et al. and Daniels v. HCA Holdings, Inc. et al., setting forth substantially similar claims against substantially the same defendants were filed in the same federal court on November 16, 2011 and December 12, 2011, respectively. All three of the cases were consolidated. On May 3, 2012, the court appointed New England Teamsters & Trucking Industry Pension Fund as Lead Plaintiff for the consolidated action. On July 13, 2012, the lead plaintiff filed an amended complaint asserting claims under Sections 11 and 12(a)(2) of the Securities Act of 1933 against the Company, certain members of the board of directors, and certain underwriters in the offering. It further asserts a claim under Section 15 of the Securities Act of 1933 against the same members of the board of directors and Hercules Holdings II, LLC, a majority shareholder of the Company at the time of the initial public offering. The consolidated complaint alleges deficiencies in the Company’s disclosures in the Registration Statement and Prospectus relating to: (1) the accounting for the Company’s 2006 recapitalization and 2010 reorganization; (2) the Company’s failure to maintain effective internal controls relating to its accounting for such transactions; and (3) the Company’s Medicare and Medicaid revenue growth rates. The Company and other defendants moved to dismiss the amended complaint on September 11, 2012. The Court granted the motion in part on May 28, 2013. The action is proceeding to discovery on the remaining claims.

In addition to the above described shareholder class actions, on December 8, 2011, a federal shareholder derivative action, Sutton v. Bracken, et al., putatively initiated in the name of the Company, was filed in the United States District Court for the Middle District of Tennessee against certain officers and present and former directors of the Company seeking monetary relief. The action alleges breaches of fiduciary duties by the named

 

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Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 9 — CONTINGENCIES AND LEGAL CLAIM COSTS (continued)

 

Securities Class Action Litigation (continued)

 

officers and directors in connection with the accounting and earnings claims set forth in the shareholder class actions. Setting forth substantially similar claims against substantially the same defendants, an additional federal derivative action, Schroeder v. Bracken, et al., was filed in the United States District Court for the Middle District of Tennessee on December 16, 2011, and a state derivative action, Bagot v. Bracken, et al., was filed in Tennessee state court in the Davidson County Circuit Court on December 20, 2011. The federal derivative actions were consolidated in the Middle District of Tennessee and stayed pending developments in the shareholder class actions. The state derivative action has also been stayed pending developments in the shareholder class actions.

Health Midwest Litigation

In October 2009, the Health Care Foundation of Greater Kansas City, a nonprofit health foundation, filed suit against HCA Inc. in the Circuit Court of Jackson County, Missouri and alleged that HCA did not fund the level of capital expenditures and uncompensated care agreed to in connection with HCA’s purchase of hospitals from Health Midwest in 2003. The central issue in the case was whether HCA’s construction of new hospitals counted towards its $450 million five-year capital commitments. In addition, the plaintiff alleged that HCA did not make its required capital expenditures in a timely fashion. On January 24, 2013, the Court ruled in favor of the plaintiff and awarded at least $162 million. The Court also ordered a court-supervised accounting of HCA’s capital expenditures, as well as of expenditures on charity and uncompensated care during the ten years following the purchase. Should the accounting fail to satisfy the Court concerning HCA’s compliance with its capital and charity care commitments, the amount of the judgment award could substantially increase. The Court also indicated it would award plaintiff attorneys fees, which the parties have stipulated are about $12 million. HCA recorded $175 million of legal claim costs in the fourth quarter of 2012 related to this ruling. The accounting for HCA’s capital expenditures and charity and uncompensated care is ongoing and will likely not be concluded before the end of 2013. HCA plans to appeal the trial court’s ruling on the breach of contract claim and order for the accounting once the trial court rules on the accounting and enters final judgment.

NOTE 10 — CAPITAL STRUCTURE

The changes in stockholders’ deficit, including changes in stockholders’ deficit attributable to HCA Holdings, Inc. and changes in equity attributable to noncontrolling interests, are as follows (dollars in millions):

 

    Equity (Deficit) Attributable to HCA Holdings, Inc.     Equity
Attributable to
Noncontrolling
Interests
    Total  
    Common Stock     Capital in
Excess of
Par
Value
    Accumulated
Other
Comprehensive
Loss
    Retained
Deficit
     
    Shares
(000)
    Par Value            

Balances at December 31, 2012

    443,200      $ 4      $ 1,753      $ (457   $ (10,960   $ 1,319      $ (8,341

Net income

                                767        208        975   

Other comprehensive income

                         31                      31   

Distributions

                                       (196     (196

Share-based benefit plans

    3,867               41                             41   

Other

                  (2                   7        5   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balances at June 30, 2013

    447,067      $ 4      $ 1,792      $ (426   $ (10,193   $ 1,338      $ (7,485
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 10 — CAPITAL STRUCTURE (continued)

 

The components of accumulated other comprehensive loss are as follows (dollars in millions):

 

     Unrealized
Gains on
Available-
for-Sale
Securities
    Foreign
Currency
Translation
Adjustments
    Defined
Benefit
Plans
    Change
in Fair
Value of
Derivative
Instruments
    Total  

Balances at December 31, 2012

   $ 11      $ (1   $ (196   $ (271   $ (457

Unrealized losses on available-for-sale securities, net of $3 income tax benefit

     (5                          (5

Foreign currency translation adjustments, net of $21 income tax benefit

            (39                   (39

Change in fair value of derivative instruments, net of $15 of income taxes

                          25        25   

Expense reclassified into operations from other comprehensive income, net of $6 and $23, respectively, income tax benefits

                   9        41        50   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balances at June 30, 2013

   $ 6      $ (40   $ (187   $ (205   $ (426
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

NOTE 11 — SEGMENT AND GEOGRAPHIC INFORMATION

We operate in one line of business, which is operating hospitals and related health care entities. Effective January 1, 2013, we reorganized our operational groups into two geographically organized groups: the National and American Groups. The National Group includes 77 hospitals located in Alaska, California, Florida, southern Georgia, Idaho, Indiana, northern Kentucky, Nevada, New Hampshire, South Carolina, Utah and Virginia, and the American Group includes 78 hospitals located in Colorado, northern Georgia, Kansas, southern Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and Texas. We also operate six hospitals in England, and these facilities are included in the Corporate and other group.

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 11 — SEGMENT AND GEOGRAPHIC INFORMATION (continued)

 

Adjusted segment EBITDA is defined as income before depreciation and amortization, interest expense, losses (gains) on sales of facilities, loss on retirement of debt, income taxes and net income attributable to noncontrolling interests. We use adjusted segment EBITDA as an analytical indicator for purposes of allocating resources to geographic areas and assessing their performance. Adjusted segment EBITDA is commonly used as an analytical indicator within the health care industry, and also serves as a measure of leverage capacity and debt service ability. Adjusted segment EBITDA should not be considered as a measure of financial performance under generally accepted accounting principles, and the items excluded from adjusted segment EBITDA are significant components in understanding and assessing financial performance. Because adjusted segment EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, adjusted segment EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. The geographic distributions of our revenues, equity in earnings of affiliates, adjusted segment EBITDA and depreciation and amortization for the quarters and six months ended June 30, 2013 and 2012 are summarized in the following table (dollars in millions):

 

     Quarter     Six Months  
     2013     2012     2013     2012  

Revenues:

        

National Group

   $ 3,964      $ 3,806      $ 7,945      $ 7,798   

American Group

     4,065        3,966        8,099        8,051   

Corporate and other

     421        340        846        668   
  

 

 

   

 

 

   

 

 

   

 

 

 
   $ 8,450      $ 8,112      $ 16,890      $ 16,517   
  

 

 

   

 

 

   

 

 

   

 

 

 

Equity in earnings of affiliates:

        

National Group

   $ (3   $ (3   $ (5   $ (7

American Group

     (7     (7     (13     (14

Corporate and other

     (2     1        (2     1   
  

 

 

   

 

 

   

 

 

   

 

 

 
   $ (12   $ (9   $ (20   $ (20
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted segment EBITDA:

        

National Group

   $ 831      $ 789      $ 1,635      $ 1,710   

American Group

     916        841        1,744        1,814   

Corporate and other

     (58     (61     (122     (132
  

 

 

   

 

 

   

 

 

   

 

 

 
   $ 1,689      $ 1,569      $ 3,257      $ 3,392   
  

 

 

   

 

 

   

 

 

   

 

 

 

Depreciation and amortization:

        

National Group

   $ 177      $ 176      $ 351      $ 349   

American Group

     202        202        404        405   

Corporate and other

     46        42        94        83   
  

 

 

   

 

 

   

 

 

   

 

 

 
   $ 425      $ 420      $ 849      $ 837   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted segment EBITDA

   $ 1,689      $ 1,569      $ 3,257      $ 3,392   

Depreciation and amortization

     425        420        849        837   

Interest expense

     462        448        934        890   

Losses (gains) on sales of facilities

     (4     2        12        3   

Loss on retirement of debt

                   17          
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

   $ 806      $ 699      $ 1,445      $ 1,662   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

20


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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 — SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION

On November 22, 2010, HCA Inc. reorganized by creating a new holding company structure. HCA Holdings, Inc. became the parent company, and HCA Inc. became HCA Holdings, Inc.’s wholly-owned direct subsidiary. On November 23, 2010, HCA Holdings, Inc. issued $1.525 billion aggregate principal amount of 7  3/4% senior unsecured notes due 2021. On December 6, 2012, HCA Holdings, Inc. issued $1.000 billion aggregate principal amount of 6.25% senior unsecured notes due 2021. These notes are senior unsecured obligations and are not guaranteed by any of our subsidiaries.

The senior secured credit facilities and senior secured notes are fully and unconditionally guaranteed by substantially all existing and future, direct and indirect, wholly-owned material domestic subsidiaries that are “Unrestricted Subsidiaries” under our Indenture dated December 16, 1993 (except for certain special purpose subsidiaries that only guarantee and pledge their assets under our senior secured asset-based revolving credit facility).

Our summarized condensed consolidating comprehensive income statements for the quarters and six months ended June 30, 2013 and 2012, condensed consolidating balance sheets at June 30, 2013 and December 31, 2012 and condensed consolidating statements of cash flows for the six months ended June 30, 2013 and 2012, segregating HCA Holdings, Inc. issuer, HCA Inc. issuer, the subsidiary guarantors, the subsidiary non-guarantors and eliminations, follow:

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED JUNE 30, 2013

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

  $      $      $ 5,012      $ 4,461      $      $     9,473   

Provision for doubtful accounts

                  608        415               1,023   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

                  4,404        4,046               8,450   

Salaries and benefits

                  2,058        1,790               3,848   

Supplies

                  776        694               1,470   

Other operating expenses

    1               757        749               1,507   

Electronic health record incentive income

                  (33     (19            (52

Equity in earnings of affiliates

    (504            (1     (11     504        (12

Depreciation and amortization

                  211        214               425   

Interest expense

    51        544        (109     (24            462   

Losses (gains) on sales of facilities

                  3        (7            (4

Management fees

                  (181     181                 
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (452     544        3,481        3,567        504        7,644   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

    452        (544     923        479        (504     806   

Provision (benefit) for income taxes

    (20     (213     354        148               269   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

    472        (331     569        331        (504     537   

Net income attributable to noncontrolling interests

                  16        98               114   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to HCA Holdings, Inc.

  $ 472      $ (331   $ 553      $ 233      $ (504   $ 423   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss) attributable to HCA Holdings, Inc.

  $ 472      $ (283   $ 558      $ 229      $ (504   $ 472   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED JUNE 30, 2012

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

  $     —      $     —      $     4,753      $     4,400      $     —      $ 9,153   

Provision for doubtful accounts

                  558        483               1,041   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

                  4,195        3,917               8,112   

Salaries and benefits

                  1,951        1,756               3,707   

Supplies

                  738        684               1,422   

Other operating expenses

                  751        742               1,493   

Electronic health record incentive income

                  (48     (22            (70

Equity in earnings of affiliates

    (409            (1     (8     409        (9

Depreciation and amortization

                  209        211               420   

Interest expense

    30        529        (85     (26            448   

Losses on sales of facilities

                  2                      2   

Management fees

                  (168     168                 
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (379     529        3,349        3,505        409        7,413   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

    379        (529     846        412        (409     699   

Provision (benefit) for income taxes

    (12     (189     297        118               214   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

    391        (340     549        294        (409     485   

Net income attributable to noncontrolling interests

                  16        78               94   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to HCA Holdings, Inc.

  $ 391      $ (340   $ 533      $ 216      $ (409   $ 391   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss) attributable to HCA Holdings, Inc.

  $ 391      $ (369   $ 538      $ 202      $ (409   $ 353   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE SIX MONTHS ENDED JUNE 30, 2013

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

  $      $      $ 9,884      $ 8,783      $      $     18,667   

Provision for doubtful accounts

                  1,051        726               1,777   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

                  8,833        8,057               16,890   

Salaries and benefits

                  4,185        3,580               7,765   

Supplies

                  1,567        1,382               2,949   

Other operating expenses

    2               1,489        1,539               3,030   

Electronic health record incentive income

                  (62     (29            (91

Equity in earnings of affiliates

    (860            (2     (18     860        (20

Depreciation and amortization

                  420        429               849   

Interest expense

    97        1,102        (215     (50            934   

Losses (gains) on sales of facilities

                  19        (7            12   

Loss on retirement of debt

           17                             17   

Management fees

                  (364     364                 
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (761     1,119        7,037        7,190        860        15,445   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

    761        (1,119     1,796        867        (860     1,445   

Provision (benefit) for income taxes

    (37     (425     671        261               470   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

    798        (694     1,125        606        (860     975   

Net income attributable to noncontrolling interests

                  29        179               208   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to HCA Holdings, Inc.

  $ 798      $ (694   $ 1,096      $ 427      $ (860   $ 767   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss) attributable to HCA Holdings, Inc.

  $ 798      $ (630   $ 1,105      $ 385      $ (860   $ 798   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

23


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE SIX MONTHS ENDED JUNE 30, 2012

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

  $     —      $     —      $     9,656      $     8,696      $     —      $     18,352   

Provision for doubtful accounts

                  1,021        814               1,835   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

                  8,635        7,882               16,517   

Salaries and benefits

                  3,933        3,510               7,443   

Supplies

                  1,491        1,350               2,841   

Other operating expenses

           4        1,480        1,502               2,986   

Electronic health record incentive income

                  (89     (36            (125

Equity in earnings of affiliates

    (969            (3     (17     969        (20

Depreciation and amortization

                  409        428               837   

Interest expense

    60        1,058        (176     (52            890   

Losses on sales of facilities

                  3                      3   

Management fees

                  (328     328                 
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (909     1,062        6,720        7,013        969        14,855   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

    909        (1,062     1,915        869        (969     1,662   

Provision (benefit) for income taxes

    (22     (389     689        260               538   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

    931        (673     1,226        609        (969     1,124   

Net income attributable to noncontrolling interests

                  33        160               193   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to HCA Holdings, Inc.

  $ 931      $ (673   $ 1,193      $ 449      $ (969   $ 931   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss) attributable to HCA Holdings, Inc.

  $ 931      $ (698   $ 1,202      $ 456      $ (969   $ 922   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

24


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

JUNE 30, 2013

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 
ASSETS            

Current assets:

           

Cash and cash equivalents

  $      $      $ 152      $ 310      $      $ 462   

Accounts receivable, net

                  2,492        2,423               4,915   

Inventories

                  683        469               1,152   

Deferred income taxes

    401                                    401   

Other

                  309        552               861   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    401               3,636        3,754               7,791   

Property and equipment, net

                  7,432        5,797               13,229   

Investments of insurance subsidiaries

                         405               405   

Investments in and advances to affiliates

    19,341               15        105        (19,341     120   

Goodwill and other intangible assets

                  1,695        3,839               5,534   

Deferred loan costs

    31        233                             264   

Other

    362               26        203               591   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 20,135      $ 233      $ 12,804      $ 14,103      $ (19,341   $ 27,934   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY            

Current liabilities:

           

Accounts payable

  $      $      $ 1,090      $ 567      $      $ 1,657   

Accrued salaries

                  601        435               1,036   

Other accrued expenses

    261        375        460        775               1,871   

Long-term debt due within one year

           1,381        43        32               1,456   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    261        1,756        2,194        1,809               6,020   

Long-term debt

    2,525        23,555        174        490               26,744   

Intercompany balances

    25,729        (10,782     (18,290     3,343                 

Professional liability risks

                         960               960   

Income taxes and other liabilities

    443        342        674        236               1,695   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    28,958        14,871        (15,248     6,838               35,419   

Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.

    (8,823     (14,638     27,952        6,027        (19,341     (8,823

Noncontrolling interests

                  100        1,238               1,338   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (8,823     (14,638     28,052        7,265        (19,341     (7,485
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 20,135      $ 233      $ 12,804      $ 14,103      $ (19,341   $ 27,934   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

25


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2012

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 
ASSETS            

Current assets:

           

Cash and cash equivalents

  $ 22      $      $ 383      $ 300      $      $ 705   

Accounts receivable, net

                  2,448        2,224               4,672   

Inventories

                  629        457               1,086   

Deferred income taxes

    385                                    385   

Other

    122               342        451               915   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    529               3,802        3,432               7,763   

Property and equipment, net

                  7,417        5,768               13,185   

Investments of insurance subsidiaries

                         515               515   

Investments in and advances to affiliates

    18,481               16        88        (18,481     104   

Goodwill and other intangible assets

                  1,697        3,842               5,539   

Deferred loan costs

    32        258                             290   

Other

    469               31        179               679   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 19,511      $ 258      $ 12,963      $ 13,824      $ (18,481   $ 28,075   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY            

Current liabilities:

           

Accounts payable

  $      $      $ 1,203      $ 565      $      $ 1,768   

Accrued salaries

                  638        482               1,120   

Other accrued expenses

    30        567        464        788               1,849   

Long-term debt due within one year

           1,360        39        36               1,435   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    30        1,927        2,344        1,871               6,172   

Long-term debt

    2,525        24,304        173        493               27,495   

Intercompany balances

    26,131        (12,407     (17,130     3,406                 

Professional liability risks

                         973               973   

Income taxes and other liabilities

    485        442        629        220               1,776   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    29,171        14,266        (13,984     6,963               36,416   

Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.

    (9,660     (14,008     26,847        5,642        (18,481     (9,660

Noncontrolling interests

                  100        1,219               1,319   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (9,660     (14,008     26,947        6,861        (18,481     (8,341
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 19,511      $ 258      $ 12,963      $ 13,824      $ (18,481   $ 28,075   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

26


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2013

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Cash flows from operating activities:

           

Net income (loss)

  $ 798      $ (694   $ 1,125      $ 606      $ (860   $ 975   

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

           

Changes in operating assets and liabilities

    41        (18     (1,217     (1,141            (2,335

Provision for doubtful accounts

                  1,051        726               1,777   

Depreciation and amortization

                  420        429               849   

Income taxes

    183                                    183   

Losses (gains) on sales of facilities

                  19        (7            12   

Loss on retirement of debt

           17                             17   

Amortization of deferred loan costs

    2        26                             28   

Share-based compensation

    51                                    51   

Equity in earnings of affiliates

    (860                          860          

Other

           4               (7            (3
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) operating activities

    215        (665     1,398        606               1,554   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

           

Purchase of property and equipment

                  (434     (462            (896

Acquisition of hospitals and health care entities

                         (23            (23

Disposition of hospitals and health care entities

                  17        14               31   

Change in investments

                  5        97               102   

Other

                  (1     (3            (4
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

                  (413     (377            (790
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

           

Net change in revolving bank credit facilities

           (20                          (20

Repayment of long-term debt

           (726     (22     (20            (768

Distributions to noncontrolling interests

                  (29     (167            (196

Payment of debt issuance costs

           (5                          (5

Distributions to stockholders

    (10                                 (10

Changes in intercompany balances with affiliates, net

    (216     1,416        (1,165     (35              

Income tax benefits

    61                                    61   

Other

    (72                   3               (69
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

    (237     665        (1,216     (219            (1,007
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

    (22            (231     10               (243

Cash and cash equivalents at beginning of period

    22               383        300               705   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

  $      $      $ 152      $ 310      $      $ 462   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

27


Table of Contents

HCA HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

 

NOTE 12 —SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION (continued)

 

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2012

(Dollars in millions)

 

    HCA
Holdings, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors
    Subsidiary
Non-
Guarantors
    Eliminations     Condensed
Consolidated
 

Cash flows from operating activities:

           

Net income (loss)

  $ 931      $ (673   $ 1,226      $ 609      $ (969   $ 1,124   

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

           

Changes in operating assets and liabilities

           12        (995     (944            (1,927

Provision for doubtful accounts

                  1,021        814               1,835   

Depreciation and amortization

                  409        428               837   

Income taxes

    326                                    326   

Losses on sales of facilities

                  3                      3   

Amortization of deferred loan costs

    1        28                             29   

Share-based compensation

    23                                    23   

Equity in earnings of affiliates

    (969                          969          

Other

           8        (1                   7   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) operating activities

    <