-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IK1h6jF39McNUOWMqigin6EA0yCPLZ7pNhES6dfdT2GRFCV8G5ymfEJTOiZStTQp pTGR7BvSQ96D41JInN1iBA== 0000950144-07-000853.txt : 20070206 0000950144-07-000853.hdr.sgml : 20070206 20070206094003 ACCESSION NUMBER: 0000950144-07-000853 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20070206 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Regulation FD Disclosure ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20070206 DATE AS OF CHANGE: 20070206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HCA INC/TN CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752497104 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 07582699 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 THE HEALTHCARE CO DATE OF NAME CHANGE: 20010419 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP DATE OF NAME CHANGE: 20000502 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP/ DATE OF NAME CHANGE: 19940314 8-K 1 g05371e8vk.htm HCA INC. HCA Inc.
Table of Contents

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

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): February 6, 2007 (February 6, 2007)

HCA INC.


(Exact name of registrant as specified in its charter)
         
Delaware   001-11239   75-2497104

 
 
 
 
 
(State or other jurisdiction of incorporation)   (Commission File Number)   (I.R.S. Employer
      Identification No.)
     
One Park Plaza, Nashville, Tennessee   37203

 
 
 
(Address of principal executive offices)   (Zip Code)

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

Not Applicable


(Former name or former address, if changed since last report)

     Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

     o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

     o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

     o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

     o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 


TABLE OF CONTENTS

Item 2.02. Results of Operations and Financial Condition
Item 7.01. Regulation FD Disclosure
Item 9.01. Financial Statements and Exhibits
SIGNATURES
EXHIBIT INDEX
Ex-99.1 February 6, 2007 Press Release


Table of Contents

Item 2.02. Results of Operations and Financial Condition

     On February 6, 2007, HCA Inc. (the “Company”) issued a press release announcing, among other matters, its results of operations for the fourth quarter and fiscal year ended December 31, 2006, the text of which is set forth as Exhibit 99.1.

Item 7.01. Regulation FD Disclosure

     On February 6, 2007, the Company issued a press release announcing, among other matters, its results of operations for the fourth quarter and fiscal year ended December 31, 2006, the text of which is set forth as Exhibit 99.1.

Item 9.01. Financial Statements and Exhibits

(c)

     
Exhibit    
Number
  Exhibit Title
99.1
  Press Release dated February 6, 2007

 


Table of Contents

     
SIGNATURES

     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   
    Executive Vice President and Chief Financial Officer   
 

Date: February 6, 2007

 


Table of Contents

     
EXHIBIT INDEX
     
Exhibit    
Number
  Exhibit Title
99.1
  Press Release dated February 6, 2007

 

EX-99.1 2 g05371exv99w1.htm EX-99.1 FEBRUARY 6, 2007 PRESS RELEASE Ex-99.1 February 6, 2007 Press Release
 

Exhibit 99.1
     
HCA
  news
 
     
 
  FOR IMMEDIATE RELEASE
INVESTOR CONTACT:
  MEDIA CONTACT:
Mark Kimbrough
  Jeff Prescott
615-344-2688
  615-344-5708
HCA Reports Fourth Quarter and Year-End 2006 Results
Nashville, Tenn., February 6, 2007 — HCA today announced financial and operating results for the fourth quarter and fiscal year ended December 31, 2006.
Revenues for the fourth quarter totaled $6.5 billion compared to $6.2 billion in the fourth quarter of 2005. Adjusted EBITDA for the quarter totaled $1.3 billion, compared to $1.0 billion in the previous year’s fourth quarter. A table describing adjusted EBITDA and reconciling net income to adjusted EBITDA is included in this release. Net income for the fourth quarter totaled $122 million, compared to $325 million in the prior year fourth quarter.
Fourth quarter 2006 results include gains on investments of $103 million, gains on sales of facilities of $159 million, transaction costs related to the completed recapitalization of $433 million and an impairment of long-lived assets of $24 million. In the 2005 fourth quarter, HCA results included gains on investments of $1 million and gains on sales of facilities of $49 million. Due primarily to the recapitalization transactions, interest expense increased to $373 million in the fourth quarter of 2006 compared to $166 million in same period of 2005.
Same facility admissions increased 0.3 percent and same facility equivalent admissions increased 0.2 percent in the fourth quarter of 2006 compared to the prior year fourth quarter. Same facility revenue per equivalent admission increased 7.5 percent (8.3 percent increase when adjusted for uninsured discounts) in the fourth quarter of 2006 compared to the fourth quarter of 2005. Same facility uninsured discounts, which reduce revenues and the provision for doubtful accounts by generally equal amounts, totaled $296 million in the fourth quarter of 2006 compared to $226 million in the same quarter of 2005.
As of December 31, 2006, HCA’s balance sheet reflected cash and cash equivalents of $634 million, total debt of $28.4 billion, stockholders’ deficit (including common and minority equity) of $10.3 billion and total assets of $23.6 billion.
Revenues for the year ended December 31, 2006 increased 4.2 percent to $25.5 billion, compared to $24.5 billion in 2005. Adjusted EBITDA for 2006 totaled $4.5 billion compared to $4.3 billion in the prior year. Net income totaled $1.0 billion in 2006 compared to $1.4 billion in 2005.

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Financial results for 2006 include gains on investments of $243 million, gains on sales of facilities of $205 million, transaction costs related to the recapitalization of $442 million, an impairment of long-lived assets of $24 million and a reduction in our professional liability reserves of $136 million. Financial results for 2005 include gains on sales of facilities of $78 million and a reduction in the Company’s professional liability reserves of $83 million.
On November 16, 2006, the Company’s shareholders approved a merger with an acquiring consortium led by Bain Capital, Kohlberg Kravis Roberts & Co. and Merrill Lynch Global Private Equity, along with HCA founder, Dr. Thomas F. Frist, Jr. and certain members of his family and HCA management for $51.00 per share in cash for each share of HCA common stock held. The transaction closed on November 17, 2006.
At December 31, 2006, HCA operated 173 hospitals and 107 freestanding surgery centers (including seven hospitals and nine freestanding surgery centers operated through equity method joint ventures) located in 20 states, London, England and Geneva, Switzerland.
Earnings Conference Call
HCA will host a conference call for investors at 9:00 a.m. Central Standard Time today. All interested investors are invited to access a live audio broadcast of the call via webcast. The broadcast also will be available on a replay basis beginning this afternoon. The webcast can be accessed at: http://www.videonewswire.com/event.asp?id=37414 or through the Company’s Investor Relations web page, www.hcahealthcare.com.
###
FORWARD LOOKING STATEMENTS
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, (1) the ability to recognize the benefits of the recapitalization; (2) the impact of the substantial indebtedness incurred to finance the consummation of the recapitalization; (3) increases in the amount and risk of collectability of uninsured accounts, and deductibles and copayment amounts for insured accounts; (4) the ability to achieve operating and financial targets, attain expected levels of patient volumes and control the costs of providing services; (5) possible changes in the Medicare, Medicaid and other state programs that may impact reimbursements to health care providers and insurers; (6) the highly competitive nature of the health care business; (7) changes in revenue mix and the ability to enter into and renew managed care provider agreements on acceptable terms; (8) the efforts of insurers, health care providers and others to contain health care costs; (9) the impact of our charity care and uninsured discounting policies; (10) the outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures and

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our corporate integrity agreement with the government; (11) changes in federal, state or local regulations affecting the health care industry; (12) delays in receiving payments for services provided; (13) the ability to attract and retain qualified management and personnel, including affiliated physicians, nurses and medical support personnel; (14) the outcome of governmental investigations by the United States Attorney for the Southern District of New York and the Securities and Exchange Commission (the “SEC”); (15) the outcome of certain class action and derivative litigation filed with respect to us; (16) the possible enactment of federal or state health care reform; (17) the availability and terms of capital to fund the expansion of our business; (18) the continuing impact of hurricanes on our facilities and the ability to obtain recoveries under our insurance policies; (19) changes in accounting practices; (20) changes in general economic conditions; (21) future divestitures which may result in charges; (22) changes in business strategy or development plans; (23) the outcome of pending and any future tax audits, appeals and litigation associated with our tax positions; (24) potential liabilities and other claims that may be asserted against us, (25) the ability to amend our credit agreement in order to reduce interest rates, and (26) other risk factors described in our Annual Report on Form 10-K and other filings with the SEC. Many of the factors that will determine our future results are beyond our ability to control or predict. In light of the significant uncertainties inherent in the forward-looking statements contained herein, readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. We undertake 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.

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HCA Inc.
Consolidated Income Statements
Fourth Quarter
(Dollars in millions)
                                 
    2006     2005  
    Amount     Ratio     Amount     Ratio  
Revenues
  $ 6,489       100.0 %   $ 6,178       100.0 %
 
                               
Salaries and benefits
    2,593       40.0       2,538       41.1  
Supplies
    1,071       16.5       1,024       16.6  
Other operating expenses
    988       15.2       1,056       17.1  
Provision for doubtful accounts
    710       10.9       625       10.1  
Gains on investments
    (103 )     (1.6 )     (1 )     -  
Equity in earnings of affiliates
    (46 )     (0.7 )     (71 )     (1.2 )
Depreciation and amortization
    346       5.4       336       5.4  
Interest expense
    373       5.7       166       2.7  
Gains on sales of facilities
    (159 )     (2.5 )     (49 )     (0.8 )
LBO transaction costs
    433       6.7              
Impairment of long-lived assets
    24       0.4              
 
                       
 
    6,230       96.0       5,624       91.0  
 
                       
 
                               
Income before minority interests and income taxes
    259       4.0       554       9.0  
 
                               
Minority interests in earnings of consolidated entities
    56       0.9       46       0.8  
 
                       
 
                               
Income before income taxes
    203       3.1       508       8.2  
 
                               
Provision for income taxes
    81       1.2       183       2.9  
 
                       
 
                               
Net income
  $ 122       1.9     $ 325       5.3  
 
                       

4


 

HCA Inc.
Consolidated Income Statements
For the Years Ended December 31, 2006 and 2005
(Dollars in millions)
                                 
    2006     2005  
    Amount     Ratio     Amount     Ratio  
Revenues
  $ 25,477       100.0 %   $ 24,455       100.0 %
 
                               
Salaries and benefits
    10,409       40.9       9,928       40.6  
Supplies
    4,322       17.0       4,126       16.9  
Other operating expenses
    4,057       16.0       4,039       16.5  
Provision for doubtful accounts
    2,660       10.4       2,358       9.6  
Gains on investments
    (243 )     (1.0 )     (53 )     (0.2 )
Equity in earnings of affiliates
    (197 )     (0.8 )     (221 )     (0.9 )
Depreciation and amortization
    1,391       5.5       1,374       5.6  
Interest expense
    955       3.7       655       2.7  
Gains on sales of facilities
    (205 )     (0.8 )     (78 )     (0.3 )
LBO transaction costs
    442       1.7              
Impairment of long-lived assets
    24       0.1              
 
                       
 
    23,615       92.7       22,128       90.5  
 
                       
 
                               
Income before minority interests and income taxes
    1,862       7.3       2,327       9.5  
 
                               
Minority interests in earnings of consolidated entities
    201       0.8       178       0.7  
 
                       
 
                               
Income before income taxes
    1,661       6.5       2,149       8.8  
 
                               
Provision for income taxes
    625       2.4       725       3.0  
 
                       
 
                               
Net income
  $ 1,036       4.1     $ 1,424       5.8  
 
                       

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HCA Inc.
Supplemental Operating Results Summary
(Dollars in millions)
                                 
                    For the Years  
    Fourth Quarter     Ended December 31,  
    2006     2005     2006     2005  
Revenues
  $ 6,489     $ 6,178     $ 25,477     $ 24,455  
 
                               
Net income
  $ 122     $ 325     $ 1,036     $ 1,424  
Gains on sales of facilities (net of tax)
    (74 )     (19 )     (103 )     (37 )
LBO transaction costs (net of tax)
    303             309        
Impairment of long-lived assets (net of tax)
    15             15        
Tax settlement and repatriation
          (2 )           (72 )
 
                       
Net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation
    366       304       1,257       1,315  
Depreciation and amortization
    346       336       1,391       1,374  
Interest expense
    373       166       955       655  
Minority interests in earnings of consolidated entities
    56       46       201       178  
Provision for income taxes
    135       155       665       756  
 
                       
 
                               
Adjusted EBITDA (a)
  $ 1,276     $ 1,007     $ 4,469     $ 4,278  
 
                       
 
(a)   Net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA are non-GAAP financial measures. We believe that net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA are important measures that supplement discussions and analysis of our results of operations. We believe that it is useful to investors to provide disclosures of our results of operations on the same basis as that used by management. Management relies upon net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA as the primary measures to review and assess operating performance of its hospital facilities and their management teams.
 
    Management and investors review both the overall performance (including; net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and GAAP net income) and operating performance (adjusted EBITDA) of our health care facilities. Adjusted EBITDA and the adjusted EBITDA margin (adjusted EBITDA divided by revenues) are utilized by management and investors to compare our current operating results with the corresponding periods during the previous year and to compare our operating results with other companies in the health care industry. It is reasonable to expect that gains on sales of facilities will occur in future periods, but the amounts recognized can vary significantly from quarter to quarter, do not directly relate to the ongoing operations of our health care facilities and complicate quarterly comparisons of our results of operations and operations comparisons with other health care companies.
 
    Net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA are not measures of financial performance under accounting principles generally accepted in the United States, and should not be considered as alternatives to net income as a measure of operating performance or cash flows from operating, investing and financing activities as a measure of liquidity. Because net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA are not measurements determined in accordance with generally accepted accounting principles and are susceptible to varying calculations, net income, excluding gains on sales of facilities, LBO transaction costs, impairment of long-lived assets and tax settlement and repatriation and adjusted EBITDA, as presented, may not be comparable to other similarly titled measures presented by other companies.

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HCA Inc.
Supplemental Non-GAAP Disclosures
Operating Measures Adjusted for the Impact of Discounts for the Uninsured
Fourth Quarter 2006
(Dollars in millions, except revenue per equivalent admission)
                                                         
                                            Non-  
            Uninsured     Non-GAAP     GAAP %     GAAP %  
    GAAP     Discounts     Adjusted     of     Adjusted  
    Amounts     Adjustment(a)     Amounts(b)     Revenues     Revenues  
                            2006     2005     2006     2005  
Consolidated:
                                                       
Revenues
  $ 6,489     $ 304     $ 6,793       100.0 %     100.0 %     100.0 %     100.0 %
 
                                                       
Salaries and benefits
    2,593             2,593       40.0 %     41.1 %     38.2 %     39.6 %
Supplies
    1,071             1,071       16.5 %     16.6 %     15.8 %     16.0 %
Other operating expenses
    988             988       15.2 %     17.1 %     14.5 %     16.4 %
Provision for doubtful accounts
    710       304       1,014       10.9 %     10.1 %     14.9 %     13.4 %
 
                                                       
Admissions
    391,500               391,500                                  
Equivalent admissions
    586,300               586,300                                  
Revenue per equivalent admission
  $ 11,066             $ 11,584                                  
% change from prior year
    8.4 %             9.3 %                                
 
                                                       
Same Facility:
                                                       
Revenues
  $ 6,317     $ 296     $ 6,613                                  
Admissions
    385,400               385,400                                  
Equivalent admissions
    573,500               573,500                                  
Revenue per equivalent admission
  $ 11,016             $ 11,532                                  
% change from prior year
    7.5 %             8.3 %                                
(a)   Represents the impact of the discounts for the uninsured for the period. On January 1, 2005, we modified our policies to provide discounts to uninsured patients who do not qualify for Medicaid or charity care. These discounts are similar to those provided to many local managed care plans. In implementing the discount policy, we first attempt to qualify uninsured patients for Medicaid, other federal or state assistance or charity care. If an uninsured patient does not qualify for these programs, the uninsured discount is applied. On a consolidated basis, we recorded $304 million and $235 million of uninsured discounts during the fourth quarters of 2006 and 2005, respectively.
(b)   Revenues, the provision for doubtful accounts, certain operating expense categories as a percentage of revenues and revenue per equivalent admission have been adjusted to exclude the discounts under our uninsured discount policy (non-GAAP financial measures). We believe these non-GAAP financial measures are useful to investors to provide disclosures of our results of operations on the same basis as that used by management. Management uses this information to compare revenues, the provision for doubtful accounts, certain operating expense categories as a percentage of revenues and revenue per equivalent admission, adjusted for the impact of the uninsured discount policy. Management finds this information to be useful to enable the evaluation of revenue and certain expense category trends that are influenced by patient volumes and are generally analyzed as a percentage of net revenues. These non-GAAP financial measures should not be considered an alternative to GAAP financial measures. We believe this supplemental information provides management and the users of its financial statements with useful information for period-to-period comparisons. Investors are encouraged to use GAAP measures when evaluating our overall financial performance.

7


 

HCA Inc.
Supplemental Non-GAAP Disclosures
Operating Measures Adjusted for the Impact of Discounts for the Uninsured
Year Ended December 31, 2006
(Dollars in millions, except revenue per equivalent admission)
                                                         
                                            Non-  
            Uninsured     Non-GAAP     GAAP %     GAAP %  
    GAAP     Discounts     Adjusted     of     Adjusted  
    Amounts     Adjustment(a)     Amounts(b)     Revenues     Revenues  
                            2006     2005     2006     2005  
Consolidated:
                                                       
Revenues
  $ 25,477     $ 1,095     $ 26,572       100.0 %     100.0 %     100.0 %     100.0 %
 
                                                       
Salaries and benefits
    10,409             10,409       40.9 %     40.6 %     39.2 %     39.4 %
Supplies
    4,322             4,322       17.0 %     16.9 %     16.3 %     16.4 %
Other operating expenses
    4,057             4,057       16.0 %     16.5 %     15.2 %     15.9 %
Provision for doubtful accounts
    2,660       1,095       3,755       10.4 %     9.6 %     14.1 %     12.4 %
 
                                                       
Admissions
    1,610,100               1,610,100                                  
Equivalent admissions
    2,416,700               2,416,700                                  
Revenue per equivalent admission
  $ 10,542             $ 10,995                                  
% change from prior year
    6.8 %             8.0 %                                
 
                                                       
Same Facility:
                                                       
Revenues
  $ 24,448     $ 1,063     $ 25,511                                  
Admissions
    1,557,700               1,557,700                                  
Equivalent admissions
    2,322,500               2,322,500                                  
Revenue per equivalent admission
  $ 10,527             $ 10,984                                  
% change from prior year
    6.2 %             7.3 %                                
(a)   Represents the impact of the discounts for the uninsured for the period. On January 1, 2005, we modified our policies to provide discounts to uninsured patients who do not qualify for Medicaid or charity care. These discounts are similar to those provided to many local managed care plans. In implementing the discount policy, we first attempt to qualify uninsured patients for Medicaid, other federal or state assistance or charity care. If an uninsured patient does not qualify for these programs, the uninsured discount is applied. On a consolidated basis, we recorded $1,095 million and $769 million of uninsured discounts during the twelve months ended December 31, 2006 and 2005, respectively.
(b)   Revenues, the provision for doubtful accounts, certain operating expense categories as a percentage of revenues and revenue per equivalent admission have been adjusted to exclude the discounts under our uninsured discount policy (non-GAAP financial measures). We believe these non-GAAP financial measures are useful to investors to provide disclosures of our results of operations on the same basis as that used by management. Management uses this information to compare revenues, the provision for doubtful accounts, certain operating expense categories as a percentage of revenues and revenue per equivalent admission, adjusted for the impact of the uninsured discount policy. Management finds this information to be useful to enable the evaluation of revenue and certain expense category trends that are influenced by patient volumes and are generally analyzed as a percentage of net revenues. These non-GAAP financial measures should not be considered an alternative to GAAP financial measures. We believe this supplemental information provides management and the users of its financial statements with useful information for period-to-period comparisons. Investors are encouraged to use GAAP measures when evaluating our overall financial performance.

8


 

HCA Inc.
Condensed Consolidated Balance Sheets
(Dollars in millions)
                         
    December 31,     September 30,     December 31,  
    2006     2006     2005  
ASSETS
                       
Current assets:
                       
Cash and cash equivalents
  $ 634     $ 541     $ 336  
Accounts receivable, net
    3,705       3,567       3,332  
Inventories
    669       659       616  
Deferred income taxes
    476       588       372  
Other
    594       462       559  
 
                 
Total current assets
    6,078       5,817       5,215  
 
                       
Property and equipment, at cost
    21,907       21,957       20,818  
Accumulated depreciation
    (10,238 )     (10,248 )     (9,439 )
 
                 
 
    11,669       11,709       11,379  
 
                       
Investments of insurance subsidiary
    1,886       2,105       2,134  
Investments in and advances to affiliates
    679       680       627  
Goodwill
    2,601       2,663       2,626  
Deferred loan costs
    614       72       85  
Other
    84       79       159  
 
                 
 
  $ 23,611     $ 23,125     $ 22,225  
 
                 
LIABILITIES AND STOCKHOLDERS’ EQUITY
                       
Current liabilities:
                       
Accounts payable
  $ 1,415     $ 1,268     $ 1,484  
Accrued salaries
    675       638       561  
Other accrued expenses
    1,193       1,345       1,264  
Long-term debt due within one year
    293       831       586  
 
                 
Total current liabilities
    3,576       4,082       3,895  
 
                       
Long-term debt
    28,115       10,512       9,889  
Professional liability risks
    1,309       1,351       1,336  
Deferred taxes and other liabilities
    943       1,135       1,414  
Minority interests in equity of consolidated entities
    907       919       828  
 
                       
Stockholders’ (deficit) equity
    (11,239 )     5,126       4,863  
 
                 
 
  $ 23,611     $ 23,125     $ 22,225  
 
                 
 
                       

9


 

HCA Inc.
Consolidated Statements of Cash Flows
For the Years Ended December 31, 2006 and 2005
(Dollars in millions)
                 
    2006     2005  
Cash flows from operating activities:
               
Net income
  $ 1,036     $ 1,424  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Provision for doubtful accounts
    2,660       2,358  
Depreciation and amortization
    1,391       1,374  
Income taxes
    (552 )     162  
Gains on sales of facilities
    (205 )     (78 )
Impairment of long-lived assets
    24        
Change in operating assets and liabilities
    (2,940 )     (2,278 )
Change in minority interest
    58       (13 )
Share-based compensation
    324       30  
Other
    49       (8 )
 
           
Net cash provided by operating activities
    1,845       2,971  
 
           
 
               
Cash flows from investing activities:
               
Purchase of property and equipment
    (1,865 )     (1,592 )
Acquisition of hospitals and health care entities
    (112 )     (126 )
Disposal of hospitals and health care entities
    651       320  
Change in investments
    26       (311 )
Other
    (7 )     28  
 
           
Net cash used in investing activities
    (1,307 )     (1,681 )
 
           
 
               
Cash flows from financing activities:
               
Issuance of long-term debt
    21,758       858  
Net change in revolving bank credit facility
    (435 )     (225 )
Repayment of long-term debt
    (3,728 )     (739 )
Repurchase of common stock
    (653 )     (1,856 )
Recapitalization — repurchase of common stock
    (20,364 )      
Recapitalization — equity contributions
    3,782        
Payment of debt issuance costs
    (586 )      
Issuance of common stock
    108       1,009  
Payment of cash dividends
    (201 )     (258 )
 
           
Other
    79       (1 )
 
           
Net cash used in financing activities
    (240 )     (1,212 )
 
           
 
               
Change in cash and cash equivalents
    298       78  
Cash and cash equivalents at beginning of period
    336       258  
 
           
Cash and cash equivalents at end of period
  $ 634     $ 336  
 
           
 
               
Interest payments
  $ 856     $ 624  
Income tax payments, net of refunds
  $ 1,087     $ 563  

10


 

HCA Inc.
Operating Statistics
                                 
                    For the Years  
    Fourth Quarter     Ended December 31,  
    2006     2005     2006     2005  
Consolidated Hospitals:
                               
Number of Hospitals
    166       175       166       175  
Weighted Average Licensed Beds
    39,762       41,713       40,653       41,902  
Licensed Beds at End of Period
    39,354       41,265       39,354       41,265  
 
                               
Reported:
                               
Admissions
    391,500       402,500       1,610,100       1,647,800  
% Change
    -2.8 %             -2.3 %        
Equivalent Admissions
    586,300       605,000       2,416,700       2,476,600  
% Change
    -3.1 %             -2.4 %        
Revenue per Equivalent Admission
  $ 11,066     $ 10,212     $ 10,542     $ 9,874  
% Change
    8.4 %             6.8 %        
Inpatient Revenue per Admission
  $ 10,355     $ 9,572     $ 9,876     $ 9,274  
% Change
    8.2 %             6.5 %        
Patient Days
    1,921,200       1,980,300       7,916,100       8,112,200  
Equivalent Patient Days
    2,877,800       2,976,400       11,882,100       12,192,600  
Inpatient Surgery Cases
    130,000       133,200       533,100       541,400  
% Change
    -2.4 %             -1.5 %        
Outpatient Surgery Cases
    200,600       203,100       820,900       836,600  
% Change
    -1.2 %             -1.9 %        
Emergency Room Visits
    1,265,800       1,320,100       5,213,500       5,415,200  
% Change
    -4.1 %             -3.7 %        
Outpatient Revenues as a Percentage of Patient Revenues
    36.4 %     36.3 %     36.4 %     36.4 %
Average Length of Stay
    4.9       4.9       4.9       4.9  
Occupancy
    52.5 %     51.6 %     53.3 %     53.0 %
Equivalent Occupancy
    78.7 %     77.5 %     80.0 %     79.7 %
 
                               
Same Facility:
                               
Admissions
    385,400       384,400       1,557,700       1,555,000  
% Change
    0.3 %             0.2 %        
Equivalent Admissions
    573,500       572,300       2,322,500       2,321,700  
% Change
    0.2 %             0.0 %        
Revenue per Equivalent Admission
  $ 11,016     $ 10,250     $ 10,527     $ 9,917  
% Change
    7.5 %             6.2 %        
Inpatient Revenue per Admission
  $ 10,346     $ 9,683     $ 9,910     $ 9,355  
% Change
    6.8 %             5.9 %        
Inpatient Surgery Cases
    127,000       128,000       516,300       512,700  
% Change
    -0.7 %             0.7 %        
Outpatient Surgery Cases
    190,800       192,000       772,900       782,300  
% Change
    -0.7 %             -1.2 %        
Emergency Room Visits
    1,242,300       1,248,500       5,023,400       5,061,600  
% Change
    -0.5 %             -0.8 %        
 
                               
Number of Consolidated and Non-Consolidated (50/50 Equity Joint Ventures) Hospitals:
                               
Consolidated
    166       175       166       175  
Non-Consolidated (50/50 Equity Joint Ventures)
    7       7       7       7  
 
                       
Total Number of Hospitals
    173       182       173       182  
 
                       

11

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