8-K

FORM 8-K
CURRENT REPORT

Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934.

Date of Report (Date of earliest event reported) July 15, 2003

HCA INC.
(Exact name of registrant as specified in its charter)

DELAWARE
(State of Incorporation)

001-11239 (Commission File Number)	75-2497104 (IRS Employer Identification Number)
One Park Plaza, Nashville, Tennessee (Address of principal executive offices)	37203 (Zip Code)

(615) 344-9551
(Registrant’s telephone number, including area code)

TABLE OF CONTENTS

Ex-99.1 Press Release

Ex-99.2 Slide Presentation

ITEM 9.  REGULATION FD DISCLOSURE

     The following information is being furnished pursuant to Item 12 “Results of Operations and Financial Conditions.” On July 15, 2003, HCA Inc. issued a press release announcing expectations relating to second quarter earnings results, the text of which is set forth in Exhibit 99.1, with slides posted on the Company’s website complementary to Company’s press release attached as Exhibit 99.2.

2

SIGNATURE

     Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.

HCA Inc.

By: /s/ R. MILTON JOHNSON

R. Milton Johnson
Senior Vice President and Controller

DATED: July 15, 2003

3 EX-99.1 3 g83821exv99w1.htm EX-99.1 PRESS RELEASE

HCA	news
	FOR IMMEDIATE RELEASE
INVESTOR CONTACT: Mark Kimbrough 615-344-2688	MEDIA CONTACT: Jeff Prescott 615-344-5708

HCA PREVIEWS SECOND QUARTER RESULTS

Nashville, TN, July 15, 2003 -— HCA (NYSE: HCA) today reported that it expects its financial results for the second quarter ended June 30, 2003 to include an increase to the estimated allowance for doubtful accounts of $106 million pretax, or $0.13 per diluted share. This change in estimate was based upon the results of the Company’s customary “hindsight analysis”, in which the Company’s accounts receivable during a previous twelve-month period are analyzed. The historical “look back” results, along with considerations of current economic trends and collection indicators, are used as the basis for the Company’s estimate of the appropriate amount of allowance for doubtful accounts for its current accounts receivable.

“We continue to see an increasing percentage of the Company’s receivables being comprised of uninsured accounts while the collectibility associated with this specific category of our receivables is deteriorating,” stated Jack O. Bovender, Jr., HCA’s Chairman and CEO. “In addition, co-pays and deductibles have continued to grow, thereby increasing the percentage of our receivables which are at risk of collection. At the same time, the Company has been very effective in accelerating the payment of insurance claims from virtually all payers as evidenced by the

continued strength of the Company’s cash flows from operations and continued decline in net days in accounts receivables. This has had the effect of increasing the percentage of uninsured accounts in its total pool of receivables. Given the increased volatility in the self-pay environment, we are now implementing a refinement to the methodology of estimating our allowance. We will perform a quarterly rolling twelve-month hindsight review which should allow us to react more quickly to trends affecting our receivables.”

The Company plans to report financial results for its second quarter on July 22, 2003, and expects to report net income per diluted share of approximately $0.46 to $0.48, which includes the $106 million pretax adjustment to the provision for doubtful accounts ($0.13 per diluted share) and the previously announced charge for impairment of long-lived assets ($130 million pretax, $0.15 per diluted share) compared to $0.66 per diluted share in last year’s second quarter. Excluding these items, adjusted net income per diluted share would have been approximately $0.74 to $0.76 for the second quarter of 2003 (see note 1).

On May 22, 2003, HCA announced its intention to discontinue development of a new patient accounting information system (millennium accounts receivable system – MARS). As a result of the termination of the MARS initiative, the Company recorded an impairment charge in the amount of $130 million pretax ($79 million net of tax) during the second quarter of 2003.

As previously announced, the Company expects to implement before the end of the fiscal year, a charity care policy which will provide financial relief to more of its charity patients and needs-based discounts to uninsured patients who receive non-elective care at HCA hospitals. The Company has received conceptual approval from the Centers for Medicare and Medicaid Services (CMS) pending final

approvals by the Company’s Medicare fiscal intermediaries. When implemented, the policy is expected to reduce earnings before taxes by approximately $25 million on an annual basis.

For the quarter ended June 30, 2003, the Company expects to report an increase in consolidated revenues of approximately 11.5 percent to $5.5 billion. Revenue per equivalent admission increased approximately 7.6 percent for the second quarter. Consolidated admissions are estimated to increase 4.5 percent in the quarter, which includes several Kansas City hospitals acquired on April 1, 2003.

Same facility revenues rose approximately 7.1 percent in the second quarter while same facility admissions rose approximately 0.6 percent. Adjusting for closed skilled nursing and obstetric units within the Company’s same facility hospitals, same facility admissions increased approximately 1.5 percent. During the second quarter, monthly same-facility admissions were as follows: April declined 0.9 percent (increased 0.1 percent, excluding SNF/OB); May declined 0.5 percent (increased 0.3 percent, excluding SNF/OB); June increased 3.5 percent (increased 4.4 percent, excluding SNF/OB). HCA expects to report same facility outpatient surgical procedures declined by approximately 3.6 percent during the second quarter. Management believes its overall hospital volumes and, in particular, outpatient volumes are being impacted by several factors, including general economic softness, higher unemployment levels in several key markets, increased co-pays and deductibles, non-renewal of a managed care contract in Tennessee, and various competitive pressures in certain markets.

HCA will be hosting a conference call today, July 15, at 8:30 a.m. CDT to discuss the Company’s allowance for doubtful accounts analysis at (913) 981-4910 or via webcast at http://www.firstcallevents.com/service/ajwz385162865gf12.html. A

replay of the conference call will be available after 11:30 a.m. CDT. To access the replay, dial (719) 457-0820; confirmation code – 477385. Additionally, information regarding the Company’s allowance for doubtful accounts analysis will be posted on the Company’s website at www.hcahealthcare.com.

The Company plans to release its second quarter financial results on July 22, 2003 and will host a conference call at 9:00 a.m. CDT to discuss the Company’s second quarter.

Note: 1. Adjusted net income is a non-GAAP financial measure. The Company uses adjusted net income as an analytical indicator for purposes of assessing operational performance. Adjusted net income should not be considered as a measure of financial performance under generally accepted accounting principles (GAAP), and the items excluded from adjusted net income are significant components in understanding and assessing financial performance. Because adjusted net income is not a measurement determined in accordance with and is thus susceptible to varying calculations, adjusted net income as presented may not be comparable to other similarly titled measures of other companies

* * * * * *

This press release contains forward-looking statements based on current management expectations. Those forward-looking statements include all statements other than those made solely with respect to historical fact. Numerous risks, uncertainties and other factors may cause actual results to differ materially from those expressed in any forward-looking statements. These factors include, but are not limited to (i) the finalization of the financial statements for the second quarter, including the change to the estimated allowance for doubtful accounts, (ii) the obtaining of the necessary approvals to implement the Company’s charity care policy and the impact of that policy on its financial statements, and (iii) other risk factors detailed from time to time in the Company’s filings with the SEC. Many of the factors that will determine the Company’s future results are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. The Company undertakes no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

All references to “Company” and “HCA” as used throughout this document refer to HCA Inc. and its affiliates.

EX-99.2 4 g83821exv99w2.htm EX-99.2 SLIDE PRESENTATION

Exhibit 99.2

HCA's Hindsight Methodology for Estimating the Allowance for Bad Debt and Charity Calculation of Hindsight Allowance of 4/30/02 A/R: Total bad debt and charity write-offs of 4/30/02 A/R recorded between 5/1/02 and 4/30/03 Less: Estimated recoveries of write-offs Plus: Estimated future write-offs of 4/30/02 A/R now aged greater than one year at 4/30/03 Equals: Computed allowance of 4/30/02 A/R with the benefit of "hindsight" Conversion of Hindsight Allowance to a Day Metric Based on the 4/30/02 Agings (e.g., all A/R > 120 days) Roll Forward of the Day Metric to the 4/30/03 Agings to Determine the Recommended Allowance Recommended Allowance Less Recorded Allowance equals Bad Debt Adjustment 7/15/03 - HCA Receivables Analysis, Slide 1

HCA - Total Self Pay and Insurance A/R in Dollars and as a Percent of Total A/R April 2000 - April 2003 "Same Facility" Hospitals April 30, 2000 April 30, 2001 April 30, 2002 April 30, 2003 Self Pay A/R 1.4338 1.5467 1.8886 2.1719 Insurance A/R 2.33 2.5375 2.627 2.6212 7/15/03, HCA - Receivables Analysis, slide 2 Hindsight Test Date 4/30/02 38% 38% 42% 45% 62% 62% 58% 55%

HCA - Increase in Self Pay and Insurance A/R April 2000 - 2001, April 2001 - 2002 and April 2002 - 2003 "Same Facility" Hospitals April 00 - 01 April 01 - 02 April 02 - 03 Increase in Self Pay A/R 112.9 341.9 295.3 Increase in Insurance A/R 207.4 89.5 11.2 7/15/03, HCA - Receivables Analysis, slide 3 Hindsight Test Date 4/30/02

HCA - Percent Increase in Self Pay and Insurance A/R April 2000 - 2001, April 2001 - 2002 and April 2002 - 2003 "Same Facility" Hospitals April 00 - 01 April 01 - 02 April 02 - 03 % Increase in Self Pay A/R 0.079 0.221 0.157 % Increase in Insurance A/R 0.089 0.035 0.004 7/15/03, HCA - Receivables Analysis, slide 4 Hindsight Test Date 4/30/02

HCA's Proforma Retrospective Impact of June 30, 2003 Bad Debt Adjustment on Cash Collection as a % of Adjusted Average Daily Net Revenue (ADNR)* for the Twelve Months Ended April 30, 2003 12 Month Average YE 4/30/2003 Average Daily Cash $75,000,000 Divided by: Adjusted ADNR $73,300,000 Equals: Cash as % of Adjusted ADNR 102.3% June 30, 2003 Bad Debt Adjustment 106,000,000 Revised for Bad Debt Adjustment Per Day Impact (prorated over 365 days) $290,000 Revised Adjusted ADNR 73,010,000 Revised Cash as % of Adjusted ADNR 102.7% Percent Variance 0.4% 7/15/03, HCA - Receivables Analysis, slide 5 *Adjusted ADNR = [(net revenues less bad debt expense)/(number of days in period)]

EX-99.1

Ex-99.1 Press Release

EX-99.2

Ex-99.2 Slide Presentation