EX-99.1 2 g10389exv99w1.htm EX-99.1 PRESS RELEASE Ex-99.1
 

Exhibit 99.1
     
(HCA LOGO)   news
     
 
  FOR IMMEDIATE RELEASE
INVESTOR CONTACT:
  MEDIA CONTACT:
Mark Kimbrough
  Ed Fishbough
615-344-2688
  615-344-2810
HCA Reports Third Quarter 2007 Results
Nashville, Tenn., November 7, 2007 — HCA today announced financial and operating results for the third quarter ended September 30, 2007.
Third Quarter Summary:
    Revenues increased 5.7 percent to $6.569 billion.
 
    Adjusted EBITDA totaled $983 million, an increase of 6.9 percent over the prior year.
 
    Net income totaled $300 million, compared to $240 million in the prior year.
 
    Interest expense increased to $560 million, up from $200 million in the prior year.
 
    Same facility admissions decreased 1.6 percent and same facility equivalent admissions decreased 0.5 percent.
 
    Same facility revenue per equivalent admission increased 7.5 percent.
Revenues for the third quarter totaled $6.569 billion, compared to $6.213 billion in the third quarter of 2006. Adjusted EBITDA in the quarter totaled $983 million, compared to $919 million in the previous year’s third quarter. A table describing adjusted EBITDA and reconciling net income to adjusted EBITDA is included in this release. Net income for the third quarter of 2007 totaled $300 million, compared to $240 million in the prior year’s third quarter. Results for the third quarter of 2007 include gains on sales of facilities of $316 million, compared to gains on sales of facilities of $41 million in the third quarter of 2006. The tax provision for the third quarter of 2007 includes an $85 million benefit based on new information received during the third quarter of 2007 related primarily to tax positions taken in prior taxable periods.
HCA’s adjusted EBITDA margin improved to 15.0 percent of revenues in the third quarter of 2007 compared to 14.8 percent of revenues in the same period of 2006, primarily due to improvements in salaries and benefits and other operating expenses offsetting an increase in the provision for doubtful accounts. Provisions for losses related to professional liability risks, which are included as a component of other operating expenses, were $44 million and $81 million for the third quarters of 2007 and 2006, respectively.

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Due primarily to the transactions related to the recapitalization of the Company in November 2006, interest expense increased to $560 million in the third quarter of 2007, compared to $200 million in the same period of 2006.
Same facility admissions and same facility equivalent admissions decreased 1.6 percent and 0.5 percent, respectively, in the third quarter of 2007 compared to the prior year’s third quarter. Same facility uninsured and charity admissions increased 5.2 percent in the quarter compared to the prior year period. Same facility revenue per equivalent admission increased 7.5 percent in the third quarter of 2007 compared to the third quarter of 2006. Same facility charity and uninsured discounts totaled $793 million in the third quarter of 2007 compared to $590 million in the third quarter of 2006.
Revenues for the nine months ended September 30, 2007 were $19.975 billion compared to $18.988 billion for the same nine months of 2006. Adjusted EBITDA for the nine months ended September 30, 2007 totaled $3.439 billion compared to $3.199 billion for the same nine months of 2006. HCA’s net income was $596 million for the nine month period of 2007 compared to $914 million for the same nine months of 2006.
As of September 2007, HCA’s balance sheet reflected cash and cash equivalents of $347 million, total debt of $27.545 billion, and total assets of $23.777 billion. The Company’s total debt decreased by $551 million during the quarter ended September 30, 2007 while, year-to-date, total debt decreased by $863 million.
On July 20, 2007, HCA completed the sale of its two Geneva, Switzerland hospitals for approximately $399 million. Proceeds were used to reduce the Company’s European Term Loan.
As of September 30, 2007, HCA operated 170 hospitals and 107 freestanding surgery centers (including eight hospitals and nine freestanding surgery centers operated through equity method joint ventures).
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=42119 or through the Company’s Investor Relations web page, www.hcahealthcare.com.
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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 recapitalization and the effect of the recapitalization on our customer, employee and other relationships; (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, including Medicaid supplemental payments pursuant to upper payment limit 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 outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures and our corporate integrity agreement with the government; (10) changes in federal, state or local regulations affecting the health care industry; (11) the ability to attract and retain qualified management and personnel, including affiliated physicians, nurses and medical support personnel; (12) the outcome of certain class action and derivative litigation filed with respect to us; (13) the possible enactment of federal or state health care reform; (14) the availability and terms of capital to fund the expansion of our business; (15) the continuing impact of hurricane damage in certain markets and the ability to obtain recoveries under our insurance policies; (16) changes in accounting practices; (17) changes in general economic conditions; (18) future divestitures which may result in charges; (19) changes in business strategy or development plans; (20) the outcome of pending and any future tax audits, appeals and litigation associated with our tax positions; (21) delays in receiving payment for services provided; (22) potential liabilities and other claims that may be asserted against us, and (23) other risk factors described in our Annual Report on Form 10-K and other filings with the Securities and Exchange Commission. 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
Third Quarter
(Dollars in millions)
                                 
    2007     2006  
    Amount     Ratio     Amount     Ratio  
Revenues
  $ 6,569       100.0 %   $ 6,213       100.0 %
 
                               
Salaries and benefits
    2,701       41.1       2,600       41.8  
Supplies
    1,085       16.5       1,046       16.8  
Other operating expenses
    1,076       16.4       1,054       17.1  
Provision for doubtful accounts
    774       11.8       677       10.9  
Losses (gains) on investments
    1             (40 )     (0.7 )
Equity in earnings of affiliates
    (51 )     (0.8 )     (43 )     (0.7 )
Depreciation and amortization
    356       5.5       348       5.6  
Interest expense
    560       8.5       200       3.2  
Gains on sales of facilities
    (316 )     (4.8 )     (41 )     (0.7 )
Transaction costs
                9       0.2  
 
                       
 
    6,186       94.2       5,810       93.5  
 
                       
Income before minority interests and income taxes
    383       5.8       403       6.5  
Minority interests in earnings of consolidated entities
    44       0.6       44       0.7  
 
                       
Income before income taxes
    339       5.2       359       5.8  
Provision for income taxes
    39       0.6       119       1.9  
 
                       
Net income
  $ 300       4.6     $ 240       3.9  
 
                       

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HCA Inc.
Consolidated Income Statements
For the Nine Months Ended September 30, 2007 and 2006
(Dollars in millions)
                                 
    2007     2006  
    Amount     Ratio     Amount     Ratio  
Revenues
  $ 19,975       100.0 %   $ 18,988       100.0 %
Salaries and benefits
    8,002       40.1       7,816       41.2  
 
                               
Supplies
    3,284       16.4       3,251       17.1  
Other operating expenses
    3,194       16.0       3,063       16.1  
Provision for doubtful accounts
    2,218       11.1       1,950       10.3  
Gains on investments
    (6 )           (140 )     (0.7 )
Equity in earnings of affiliates
    (156 )     (0.8 )     (151 )     (0.8 )
Depreciation and amortization
    1,072       5.4       1,045       5.4  
Interest expense
    1,674       8.4       582       3.1  
Gains on sales of facilities
    (332 )     (1.7 )     (46 )     (0.2 )
Impairment of long-lived assets
    24       0.1              
Transaction costs
                9        
 
                       
 
    18,974       95.0       17,379       91.5  
 
                       
Income before minority interests and income taxes
    1,001       5.0       1,609       8.5  
Minority interests in earnings of consolidated entities
    160       0.8       145       0.8  
 
                       
Income before income taxes
    841       4.2       1,464       7.7  
Provision for income taxes
    245       1.2       550       2.9  
 
                       
Net income
  $ 596       3.0     $ 914       4.8  
 
                       

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HCA Inc.
Supplemental Operating Results Summary
(Dollars in millions)
                                 
                    For the Nine Months  
    Third Quarter     Ended September 30,  
    2007     2006     2007     2006  
Revenues
  $ 6,569     $ 6,213     $ 19,975     $ 18,988  
Net income
  $ 300     $ 240     $ 596     $ 914  
Gains on sales of facilities (net of tax)
    (193 )     (25 )     (203 )     (29 )
Impairment of long-lived assets (net of tax)
                15        
Transaction costs (net of tax)
          6             6  
 
                       
Net income, excluding gains on sales of facilities, impairment of long-lived assets, and transaction costs
    107       221       408       891  
Depreciation and amortization
    356       348       1,072       1,045  
Interest expense
    560       200       1,674       582  
Minority interests in earnings of consolidated entities
    44       44       160       145  
Provision for income taxes
    (84 )     106       125       536  
 
                       
Adjusted EBITDA (a)
  $ 983     $ 919     $ 3,439     $ 3,199  
 
                       
 
(a)   Net income, excluding gains on sales of facilities, impairment of long-lived assets and transaction costs, and adjusted EBITDA are non-GAAP financial measures. We believe that net income, excluding gains on sales of facilities, impairment of long-lived assets and transaction costs, 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, impairment of long-lived assets and transaction costs, 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, impairment of long-lived assets and transaction costs, 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 and impairments of long-lived assets 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, impairment of long-lived assets and transaction costs, 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, impairment of long-lived assets and transaction costs, 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, impairment of long-lived assets and transaction costs, and adjusted EBITDA, as presented, may not be comparable to other similarly titled measures presented by other companies.

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HCA Inc.
Condensed Consolidated Balance Sheets
(Dollars in millions)
                         
    September 30,     June 30,     December 31,  
    2007     2007     2006  
ASSETS
                       
Current assets:
                       
Cash and cash equivalents
  $ 347     $ 354     $ 634  
Accounts receivable, net
    3,857       3,798       3,705  
Inventories
    689       689       669  
Deferred income taxes
    487       466       476  
Other
    649       639       594  
 
                 
Total current assets
    6,029       5,946       6,078  
Property and equipment, at cost
    22,449       22,345       21,907  
Accumulated depreciation
    (10,999 )     (10,801 )     (10,238 )
 
                 
 
    11,450       11,544       11,669  
Investments of insurance subsidiary
    1,737       1,693       1,886  
Investments in and advances to affiliates
    683       672       679  
Goodwill
    2,652       2,631       2,601  
Deferred loan costs
    559       584       614  
Other
    667       634       148  
 
                 
 
  $ 23,777     $ 23,704     $ 23,675  
 
                 
LIABILITIES AND STOCKHOLDERS’ DEFICIT
                       
Current liabilities:
                       
Accounts payable
  $ 1,290     $ 1,204     $ 1,415  
Accrued salaries
    731       674       675  
Other accrued expenses
    1,389       1,171       1,193  
Long-term debt due within one year
    299       304       293  
 
                 
Total current liabilities
    3,709       3,353       3,576  
Long-term debt
    27,246       27,792       28,115  
Professional liability risks
    1,276       1,276       1,309  
Income taxes and other liabilities
    1,189       1,132       1,017  
Minority interests in equity of consolidated entities
    915       891       907  
Equity securities with contingent redemption rights
    164       165       125  
Stockholders’ deficit
    (10,722 )     (10,905 )     (11,374 )
 
                 
 
  $ 23,777     $ 23,704     $ 23,675  
 
                 

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HCA Inc.
Consolidated Statements of Cash Flows
For the Nine Months Ended September 30, 2007 and 2006
(Dollars in millions)
                 
    2007     2006  
Cash flows from operating activities:
               
Net income
  $ 596     $ 914  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Provision for doubtful accounts
    2,218       1,950  
Depreciation and amortization
    1,072       1,045  
Income taxes
    (103 )     (399 )
Gains on sales of facilities
    (332 )     (46 )
Impairment of long-lived assets
    24        
Change in operating assets and liabilities
    (2,598 )     (2,250 )
Change in minority interests
    33       79  
Share-based compensation
    17       69  
Other
    58       (9 )
 
           
Net cash provided by operating activities
    985       1,353  
 
           
Cash flows from investing activities:
               
Purchase of property and equipment
    (997 )     (1,330 )
Acquisition of hospitals and health care entities
    (21 )     (103 )
Disposal of hospitals and health care entities
    484       328  
Change in investments
    156       (122 )
Other
    13       1  
 
           
Net cash used in investing activities
    (365 )     (1,226 )
 
           
Cash flows from financing activities:
               
Issuance of long-term debt
    2       1,400  
Net change in revolving bank credit facility
    (370 )     665  
Repayment of long-term debt
    (623 )     (1,222 )
Repurchase of common stock
    (1 )     (653 )
Issuance of common stock
    100       97  
Payment of cash dividends
          (201 )
Other
    (15 )     (8 )
 
           
Net cash (used in) provided by financing activities
    (907 )     78  
 
           
Change in cash and cash equivalents
    (287 )     205  
Cash and cash equivalents at beginning of period
    634       336  
 
           
Cash and cash equivalents at end of period
  $ 347     $ 541  
 
           
Interest payments
  $ 1,522     $ 554  
Income tax payments, net of refunds
  $ 348     $ 935  

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HCA Inc.
Operating Statistics
                                 
                    For the Nine Months  
    Third Quarter     Ended September 30,  
    2007     2006     2007     2006  
Consolidating Hospitals:
                               
Number of Hospitals
    162       172       162       172  
Weighted Average Licensed Beds
    38,990       40,352       39,159       40,954  
Licensed Beds at End of Period
    38,939       40,382       38,939       40,382  
 
                               
Reported:
                               
Admissions
    381,700       394,700       1,168,700       1,218,600  
% Change
    -3.3 %             -4.1 %        
Equivalent Admissions
    583,400       594,500       1,767,100       1,830,400  
% Change
    -1.9 %             -3.5 %        
Revenue per Equivalent Admission
  $ 11,260     $ 10,453     $ 11,304     $ 10,374  
% Change
    7.7 %             9.0 %        
Inpatient Revenue per Admission
  $ 10,476     $ 9,815     $ 10,585     $ 9,723  
% Change
    6.7 %             8.9 %        
Patient Days
    1,880,800       1,931,400       5,801,800       5,994,900  
Equivalent Patient Days
    2,875,200       2,909,000       8,772,300       9,004,300  
Inpatient Surgery Cases
    128,300       133,800       390,000       403,100  
% Change
    -4.1 %             -3.3 %        
Outpatient Surgery Cases
    196,400       196,700       604,800       620,300  
% Change
    -0.2 %             -2.5 %        
Emergency Room Visits
    1,273,900       1,289,600       3,827,800       3,947,700  
% Change
    -1.2 %             -3.0 %        
Outpatient Revenues as a Percentage of Patient Revenues
    38.0 %     36.4 %     36.9 %     36.3 %
Average Length of Stay
    4.9       4.9       5.0       4.9  
Occupancy
    52.4 %     52.0 %     54.3 %     53.6 %
Equivalent Occupancy
    80.1 %     78.3 %     82.1 %     80.5 %
 
                               
Same Facility:
                               
Admissions
    375,900       382,200       1,148,900       1,167,200  
% Change
    -1.6 %             -1.6 %        
Equivalent Admissions
    572,100       574,800       1,730,300       1,748,500  
% Change
    -0.5 %             -1.0 %        
Revenue per Equivalent Admission
  $ 11,197     $ 10,413     $ 11,241     $ 10,362  
% Change
    7.5 %             8.5 %        
Inpatient Revenue per Admission
  $ 10,448     $ 9,789     $ 10,560     $ 9,755  
% Change
    6.7 %             8.3 %        
Inpatient Surgery Cases
    126,800       128,100       383,200       386,700  
% Change
    -1.1 %             -0.9 %        
Outpatient Surgery Cases
    190,900       192,300       587,200       594,300  
% Change
    -0.7 %             -1.2 %        
Emergency Room Visits
    1,254,000       1,243,000       3,756,700       3,758,900  
% Change
    0.9 %             -0.1 %        
 
                               
Number of Consolidating and Nonconsolidating
                               
(50/50 Equity Joint Ventures) Hospitals:
                               
Consolidating
    162       172       162       172  
Nonconsolidating (50/50 Equity Joint Ventures)
    8       7       8       7  
 
                       
Total Number of Hospitals
    170       179       170       179  
 
                       

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