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Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information
12 Months Ended
Dec. 31, 2017
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information

NOTE 17 — SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION AND OTHER COLLATERAL-RELATED INFORMATION

HCA Inc. is a 100% owned direct subsidiary of HCA Healthcare, Inc. On December 6, 2012, HCA Healthcare, 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 described in Note 9 are jointly and severally, and fully and unconditionally guaranteed by substantially all existing and future, direct and indirect, 100% 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 ABL credit facility).

Our condensed consolidating balance sheets at December 31, 2017 and 2016 and condensed consolidating statements of comprehensive income and cash flows for each of the three years in the period ended December 31, 2017, segregating HCA Healthcare, Inc. issuer, HCA Inc. issuer, the subsidiary guarantors, the subsidiary non-guarantors and eliminations, follow.

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2017

(Dollars in millions)

 

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

Revenues before provision for doubtful accounts

   $ —       $ —       $ 27,992     $ 19,661     $ —       $ 47,653  

Provision for doubtful accounts

     —         —         2,218       1,821       —         4,039  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

     —         —         25,774       17,840       —         43,614  

Salaries and benefits

     —         —         11,619       8,440       —         20,059  

Supplies

     —         —         4,286       3,030       —         7,316  

Other operating expenses

     6       —         4,249       3,796       —         8,051  

Equity in earnings of affiliates

     (2,476     —         (6     (39     2,476       (45

Depreciation and amortization

     —         —         1,237       894       —         2,131  

Interest expense

     64       3,088       (1,309     (153     —         1,690  

Gains on sales of facilities

     —         —         (2     (6     —         (8

Losses on retirement of debt

     —         39       —         —         —         39  

Management fees

     —         —         (621     621       —         —    
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (2,406     3,127       19,453       16,583       2,476       39,233  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     2,406       (3,127     6,321       1,257       (2,476     4,381  

Provision (benefit) for income taxes

     190       (1,154     2,293       309       —         1,638  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     2,216       (1,973     4,028       948       (2,476     2,743  

Net income attributable to noncontrolling interests

     —         —         108       419       —         527  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,216     $ (1,973   $ 3,920     $ 529     $ (2,476   $ 2,216  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,276     $ (1,953   $ 3,898     $ 591     $ (2,536   $ 2,276  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2016

(Dollars in millions)

 

     HCA
Healthcare, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors

(as adjusted)
    Subsidiary
Non-
Guarantors

(as adjusted)
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

   $ —       $ —       $ 26,468     $ 18,279     $ —       $ 44,747  

Provision for doubtful accounts

     —         —         2,041       1,216       —         3,257  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

     —         —         24,427       17,063       —         41,490  

Salaries and benefits

     —         —         10,971       7,926       —         18,897  

Supplies

     —         —         4,090       2,843       —         6,933  

Other operating expenses

     6       —         3,912       3,578       —         7,496  

Equity in earnings of affiliates

     (2,738     —         (7     (47     2,738       (54

Depreciation and amortization

     —         —         1,141       825       —         1,966  

Interest expense

     64       2,756       (970     (143     —         1,707  

Losses (gains) on sales of facilities

     —         —         4       (27     —         (23

Losses on retirement of debt

     —         4       —         —         —         4  

Legal claim benefits

     —         (246     —         —         —         (246

Management fees

     —         —         (588     588       —         —    
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (2,668     2,514       18,553       15,543       2,738       36,680  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     2,668       (2,514     5,874       1,520       (2,738     4,810  

Provision (benefit) for income taxes

     (222     (928     2,133       395       —         1,378  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     2,890       (1,586     3,741       1,125       (2,738     3,432  

Net income attributable to noncontrolling interests

     —         —         93       449       —         542  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,890     $ (1,586   $ 3,648     $ 676     $ (2,738   $ 2,890  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,817     $ (1,505   $ 3,637     $ 533     $ (2,665   $ 2,817  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2015

(Dollars in millions)

 

     HCA
Healthcare, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors

(as adjusted)
    Subsidiary
Non-
Guarantors

(as adjusted)
    Eliminations     Condensed
Consolidated
 

Revenues before provision for doubtful accounts

   $ —       $ —       $ 25,711     $ 17,880     $ —       $ 43,591  

Provision for doubtful accounts

     —         —         2,329       1,584       —         3,913  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenues

     —         —         23,382       16,296       —         39,678  

Salaries and benefits

     —         —         10,593       7,522       —         18,115  

Supplies

     —         —         3,933       2,705       —         6,638  

Other operating expenses

     (2     —         3,685       3,373       —         7,056  

Equity in earnings of affiliates

     (2,352     —         (8     (38     2,352       (46

Depreciation and amortization

     —         —         1,085       819       —         1,904  

Interest expense

     115       2,445       (816     (79     —         1,665  

Losses on sales of facilities

     —         —         —         5       —         5  

Losses on retirement of debt

     122       13       —         —         —         135  

Legal claim costs

     120       129       —         —         —         249  

Management fees

     —         —         (515     515       —         —    
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (1,997     2,587       17,957       14,822       2,352       35,721  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     1,997       (2,587     5,425       1,474       (2,352     3,957  

Provision (benefit) for income taxes

     (132     (962     1,983       372       —         1,261  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     2,129       (1,625     3,442       1,102       (2,352     2,696  

Net income attributable to noncontrolling interests

     —         —         92       475       —         567  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,129     $ (1,625   $ 3,350     $ 627     $ (2,352   $ 2,129  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 2,187     $ (1,568   $ 3,389     $ 589     $ (2,410   $ 2,187  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2017

(Dollars in millions)

 

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

Current assets:

           

Cash and cash equivalents

  $ 1     $ —       $ 112     $ 619     $ —       $ 732  

Accounts receivable, net

    —         —         3,693       2,808       —         6,501  

Inventories

    —         —         1,030       543       —         1,573  

Other

    —         —         663       508       —         1,171  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    1       —         5,498       4,478       —         9,977  

Property and equipment, net

    —         —         11,110       6,785       —         17,895  

Investments of insurance subsidiaries

    —         —         —         418       —         418  

Investments in and advances to affiliates

    29,581       —         22       177       (29,581     199  

Goodwill and other intangible assets

    —         —         4,893       2,501       —         7,394  

Other

    510       50       47       103       —         710  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 30,092     $ 50     $ 21,570     $ 14,462     $ (29,581   $ 36,593  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

LIABILITIES AND STOCKHOLDERS’

                         (DEFICIT)
                          EQUITY

           

Current liabilities:

           

Accounts payable

  $ —       $ —       $ 1,793     $ 813     $ —       $ 2,606  

Accrued salaries

    —         —         862       507       —         1,369  

Other accrued expenses

    29       378       536       1,040       —         1,983  

Long-term debt due within one year

    —         97       64       39       —         200  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    29       475       3,255       2,399       —         6,158  

Long-term debt, net

    995       31,367       307       189       —         32,858  

Intercompany balances

    35,322       (9,742     (25,228     (352     —         —    

Professional liability risks

    —         —         —         1,198       —         1,198  

Income taxes and other liabilities

    552       —         357       465       —         1,374  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    36,898       22,100       (21,309     3,899       —         41,588  

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

    (6,806     (22,050     42,755       8,876       (29,581     (6,806

Noncontrolling interests

    —         —         124       1,687       —         1,811  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (6,806     (22,050     42,879       10,563       (29,581     (4,995
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 30,092     $ 50     $ 21,570     $ 14,462     $ (29,581   $ 36,593  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2016

(Dollars in millions)

 

    HCA
Healthcare, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors

(as adjusted)
    Subsidiary
Non-
Guarantors

(as adjusted)
    Eliminations     Condensed
Consolidated
 
                            ASSETS            

Current assets:

           

Cash and cash equivalents

  $ —       $ —       $ 113     $ 533     $ —       $ 646  

Accounts receivable, net

    —         —         3,388       2,438       —         5,826  

Inventories

    —         —         1,001       502       —         1,503  

Other

    —         —         592       519       —         1,111  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    —         —         5,094       3,992       —         9,086  

Property and equipment, net

    —         —         10,464       5,888       —         16,352  

Investments of insurance subsidiaries

    —         —         —         336       —         336  

Investments in and advances to affiliates

    27,045       —         24       182       (27,045     206  

Goodwill and other intangible assets

    —         —         4,612       2,092       —         6,704  

Other

    877       —         43       154       —         1,074  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 27,922     $ —       $ 20,237     $ 12,644     $ (27,045   $ 33,758  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

LIABILITIES AND STOCKHOLDERS’

                         (DEFICIT)
                          EQUITY

           

Current liabilities:

           

Accounts payable

  $ —       $ —       $ 1,607     $ 711     $ —       $ 2,318  

Accrued salaries

    —         —         811       454       —         1,265  

Other accrued expenses

    29       572       528       906       —         2,035  

Long-term debt due within one year

    —         97       72       47       —         216  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    29       669       3,018       2,118       —         5,834  

Long-term debt, net

    993       29,693       304       170       —         31,160  

Intercompany balances

    33,784       (10,277     (22,495     (1,012     —         —    

Professional liability risks

    —         —         —         1,148       —         1,148  

Income taxes and other liabilities

    418       12       397       422       —         1,249  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    35,224       20,097       (18,776     2,846       —         39,391  

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

    (7,302     (20,097     38,857       8,285       (27,045     (7,302

Noncontrolling interests

    —         —         156       1,513       —         1,669  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (7,302     (20,097     39,013       9,798       (27,045     (5,633
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 27,922     $ —       $ 20,237     $ 12,644     $ (27,045   $ 33,758  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2017

(Dollars in millions)

 

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

Cash flows from operating activities:

           

Net income (loss)

  $ 2,216     $ (1,973   $ 4,028     $ 948     $ (2,476   $ 2,743  

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

           

Change in operating assets and liabilities

    —         (193     (2,437     (1,705     —         (4,335

Provision for doubtful accounts

    —         —         2,218       1,821       —         4,039  

Depreciation and amortization

    —         —         1,237       894       —         2,131  

Income taxes

    433       —         —         —         —         433  

Gains on sales of facilities

    —         —         (2     (6     —         (8

Losses on retirement of debt

    —         39       —         —         —         39  

Amortization of debt issuance costs

    —         31       —         —         —         31  

Share-based compensation

    —         —         270       —         —         270  

Equity in earnings of affiliates

    (2,476     —         —         —         2,476       —    

Other

    78       —         —         5       —         83  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) operating activities

    251       (2,096     5,314       1,957       —         5,426  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

           

Purchase of property and equipment

    —         —         (1,681     (1,334     —         (3,015

Acquisition of hospitals and health care entities

    —         —         (26     (1,186     —         (1,212

Disposal of hospitals and health care entities

    —         —         14       11       —         25  

Change in investments

    —         —         (1     (72     —         (73

Other

    —         —         —         (4     —         (4
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

    —         —         (1,694     (2,585     —         (4,279
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

           

Issuance of long-term debt

    —         1,500       —         2       —         1,502  

Net change in revolving bank credit facilities

    —         760       —         —         —         760  

Repayment of long-term debt

    —         (628     (77     (48     —         (753

Distributions to noncontrolling interests

    —         —         (140     (308     —         (448

Payment of debt issuance costs

    —         (26     —         —         —         (26

Repurchases of common stock

    (2,051     —         —         —         —         (2,051

Changes in intercompany balances with affiliates, net

    1,867       490       (3,404     1,047       —         —    

Other

    (66     —         —         21       —         (45
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

    (250     2,096       (3,621     714       —         (1,061
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

    1       —         (1     86       —         86  

Cash and cash equivalents at beginning of period

    —         —         113       533       —         646  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

  $ 1     $ —       $ 112     $ 619     $ —       $ 732  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2016

(Dollars in millions)

 

    HCA
Healthcare, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors

(as adjusted)
    Subsidiary
Non-
Guarantors

(as adjusted)
    Eliminations     Condensed
Consolidated
 

Cash flows from operating activities:

           

Net income (loss)

  $ 2,890     $ (1,586   $ 3,741     $ 1,125     $ (2,738   $ 3,432  

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

           

Change in operating assets and liabilities

    (25     39       (2,180     (1,049     —         (3,215

Provision for doubtful accounts

    —         —         2,041       1,216       —         3,257  

Depreciation and amortization

    —         —         1,141       825       —         1,966  

Income taxes

    123       —         —         —         —         123  

Losses (gains) on sales of facilities

    —         —         4       (27     —         (23

Losses on retirement of debt

    —         4       —         —         —         4  

Legal claim benefits

    —         (246     —         —         —         (246

Amortization of debt issuance costs

    1       33       —         —         —         34  

Share-based compensation

    —         —         251       —         —         251  

Equity in earnings of affiliates

    (2,738     —         —         —         2,738       —    

Other

    71       —         —         (1     —         70  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) operating activities

    322       (1,756     4,998       2,089       —         5,653  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

           

Purchase of property and equipment

    —         —         (1,554     (1,206     —         (2,760

Acquisition of hospitals and health care entities

    —         —         (199     (377     —         (576

Disposal of hospitals and health care entities

    —         —         10       16       —         26  

Change in investments

    —         —         (15     79       —         64  

Other

    —         —         —         6       —         6  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

    —         —         (1,758     (1,482     —         (3,240
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

           

Issuance of long-term debt

    —         5,400       —         —         —         5,400  

Net change in revolving bank credit facilities

    —         (110     —         —         —         (110

Repayment of long-term debt

    —         (4,358     (74     (43     —         (4,475

Distributions to noncontrolling interests

    —         —         (64     (370     —         (434

Payment of debt issuance costs

    —         (40     —         —         —         (40

Repurchases of common stock

    (2,751     —         —         —         —         (2,751

Changes in intercompany balances with affiliates, net

    2,532       864       (3,149     (247     —         —    

Other

    (103     —         —         5       —         (98
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

    (322     1,756       (3,287     (655     —         (2,508
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

    —         —         (47     (48     —         (95

Cash and cash equivalents at beginning of period

    —         —         160       581       —         741  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

  $ —       $ —       $ 113     $ 533     $ —       $ 646  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2015

(Dollars in millions)

 

    HCA
Healthcare, Inc.
Issuer
    HCA Inc.
Issuer
    Subsidiary
Guarantors

(as adjusted)
    Subsidiary
Non-
Guarantors

(as adjusted)
    Eliminations     Condensed
Consolidated
 

Cash flows from operating activities:

           

Net income (loss)

  $ 2,129     $ (1,625   $ 3,442     $ 1,102     $ (2,352   $ 2,696  

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

           

Change in operating assets and liabilities

    (12     44       (2,786     (1,482     —         (4,236

Provision for doubtful accounts

    —         —         2,329       1,584       —         3,913  

Depreciation and amortization

    —         —         1,085       819       —         1,904  

Income taxes

    (160     —         —         —         —         (160

Losses on sales of facilities

    —         —         —         5       —         5  

Losses on retirement of debt

    122       13       —         —         —         135  

Legal claim costs

    20       129       —         —         —         149  

Amortization of debt issuance costs

    3       32       —         —         —         35  

Share-based compensation

    —         —         239       —         —         239  

Equity in earnings of affiliates

    (2,352     —         —         —         2,352       —    

Other

    66       3       (5     (10     —         54  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by operating activities

    (184     (1,404     4,304       2,018       —         4,734  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

           

Purchase of property and equipment

    —         —         (1,560     (815     —         (2,375

Acquisition of hospitals and health care entities

    —         —         (51     (300     —         (351

Disposal of hospitals and health care entities

    —         —         48       25       —         73  

Change in investments

    —         —         7       56       —         63  

Other

    —         —         (6     13       —         7  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

    —         —         (1,562     (1,021     —         (2,583
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

           

Issuance of long-term debt

    —         5,548       —         —         —         5,548  

Net change in revolving bank credit facilities

    —         150       —         —         —         150  

Repayment of long-term debt

    (1,632     (3,189     (60     (39     —         (4,920

Distributions to noncontrolling interests

    —         —         (85     (410     —         (495

Payment of debt issuance costs

    —         (50     —         —         —         (50

Repurchases of common stock

    (2,397     —         —         —         —         (2,397

Changes in intercompany balances with affiliates, net

    4,006       (1,055     (2,526     (425     —         —    

Other

    207       —         —         (19     —         188  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

    184       1,404       (2,671     (893     —         (1,976
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

    —         —         71       104       —         175  

Cash and cash equivalents at beginning of period

    —         —         89       477       —         566  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

  $ —       $ —       $ 160     $ 581     $ —       $ 741  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

The above supplemental condensed consolidating financial information as of December 31, 2016, and for the years ended December 31, 2016 and 2015, has been adjusted to properly record the impact of certain subsidiaries that were non-guarantors becoming guarantors, primarily related to the Company acquiring previous noncontrolling interests of non-guarantor subsidiaries that then became guarantor subsidiaries. We believe the impact of these adjustments was immaterial as they had no impact to our consolidated income statements, balance sheets or statements of cash flows, had no impact on any liquidity measures of the Company, nor did they impact any financial ratios based on our consolidated balance sheets or income statements. There was also no impact to our loan covenant reporting or compliance. The impact of the adjustments was limited to reclassifications between the Subsidiary Guarantors and Subsidiary Non-Guarantors columns of the condensed consolidating financial statements. The application of these adjustments to the consolidating information for 2016 and 2015 is summarized as follows (dollars in millions):

 

     As
Previously
Reported
     Adjustment      As Adjusted  

Year ended December 31, 2016

        

Net income (loss) attributable to HCA Healthcare, Inc.:

        

HCA Healthcare, Inc. Issuer

   $ 2,890      $ —        $ 2,890  

HCA Inc. Issuer

     (1,586      —          (1,586

Subsidiary Guarantors

     3,235        413        3,648  

Subsidiary Non-Guarantors

     1,089        (413      676  

Eliminations

     (2,738      —          (2,738
  

 

 

    

 

 

    

 

 

 

Condensed Consolidated

   $ 2,890      $ —        $ 2,890  
  

 

 

    

 

 

    

 

 

 

 

     As
Previously
Reported
     Adjustment     As Adjusted  

December 31, 2016

       

Total assets:

       

HCA Healthcare, Inc. Issuer

   $ 27,922      $ —       $ 27,922  

HCA Inc. Issuer

     —          —         —    

Subsidiary Guarantors

     14,714        5,523  (a)      20,237  

Subsidiary Non-Guarantors

     18,167        (5,523 )(a)      12,644  

Eliminations

     (27,045      —         (27,045
  

 

 

    

 

 

   

 

 

 

Condensed Consolidated

   $ 33,758      $ —       $ 33,758  
  

 

 

    

 

 

   

 

 

 

 

(a) Amounts include $2,884 of goodwill and other intangible assets and $2,001 of property and equipment, net.

 

     As
Previously
Reported
     Adjustment     As Adjusted  

December 31, 2016

       

Total liabilities:

       

HCA Healthcare, Inc. Issuer

   $ 35,224      $ —       $ 35,224  

HCA Inc. Issuer

     20,097        —         20,097  

Subsidiary Guarantors

     (23,194      4,418  (b)      (18,776

Subsidiary Non-Guarantors

     7,264        (4,418 )(b)      2,846  

Eliminations

     —          —         —    
  

 

 

    

 

 

   

 

 

 

Condensed Consolidated

   $ 39,391      $ —       $ 39,391  
  

 

 

    

 

 

   

 

 

 

 

(b) Amounts include $3,952 of intercompany balances.

 

     As
Previously
Reported
     Adjustment      As Adjusted  

Year ended December 31, 2016

        

Net cash provided (used in) operating activities:

        

HCA Healthcare, Inc. Issuer

   $ 322      $ —        $ 322  

HCA Inc. Issuer

     (1,756      —          (1,756

Subsidiary Guarantors

     4,425        573        4,998  

Subsidiary Non-Guarantors

     2,662        (573      2,089  

Eliminations

     —          —          —    
  

 

 

    

 

 

    

 

 

 

Condensed Consolidated

   $ 5,653      $ —        $ 5,653  
  

 

 

    

 

 

    

 

 

 

 

     As
Previously
Reported
     Adjustment      As Adjusted  

Year ended December 31, 2015

        

Net income (loss) attributable to HCA Healthcare, Inc.:

        

HCA Healthcare, Inc. Issuer

   $ 2,129      $ —        $ 2,129  

HCA Inc. Issuer

     (1,625      —          (1,625

Subsidiary Guarantors

     2,970        380        3,350  

Subsidiary Non-Guarantors

     1,007        (380      627  

Eliminations

     (2,352      —          (2,352
  

 

 

    

 

 

    

 

 

 

Condensed Consolidated

   $ 2,129      $ —        $ 2,129  
  

 

 

    

 

 

    

 

 

 
     As
Previously
Reported
     Adjustment      As Adjusted  

Year ended December 31, 2015

        

Net cash provided (used in) operating activities:

        

HCA Healthcare, Inc. Issuer

   $ (184    $ —        $ (184

HCA Inc. Issuer

     (1,404      —          (1,404

Subsidiary Guarantors

     3,772        532        4,304  

Subsidiary Non-Guarantors

     2,550        (532      2,018  

Eliminations

     —          —          —    
  

 

 

    

 

 

    

 

 

 

Condensed Consolidated

   $ 4,734      $ —        $ 4,734  
  

 

 

    

 

 

    

 

 

 

Healthtrust, Inc. — The Hospital Company (“Healthtrust”) is the first-tier subsidiary of HCA Inc. The common stock of Healthtrust has been pledged as collateral for the senior secured credit facilities and senior secured notes described in Note 9. Rule 3-16 of Regulation S-X under the Securities Act requires the filing of separate financial statements for any affiliate of the registrant whose securities constitute a substantial portion of the collateral for any class of securities registered or being registered. We believe the separate financial statements requirement applies to Healthtrust due to the pledge of its common stock as collateral for the senior secured notes. Due to the corporate structure relationship of HCA and Healthtrust, HCA’s operating subsidiaries are also the operating subsidiaries of Healthtrust. The corporate structure relationship, combined with the application of push-down accounting in Healthtrust’s consolidated financial statements related to HCA’s debt and financial instruments, results in the consolidated financial statements of Healthtrust being substantially identical to the consolidated financial statements of HCA. The consolidated financial statements of HCA and Healthtrust present the identical amounts for revenues, expenses, net income, assets, liabilities, total stockholders’ deficit, net cash provided by operating activities, net cash used in investing activities and net cash used in financing activities. Certain individual line items in the HCA consolidated statements of stockholders’ deficit are combined into one line item in the Healthtrust consolidated statements of stockholder’s deficit.

Reconciliations of the HCA Healthcare, Inc. Consolidated Statements of Stockholders’ Deficit presentation to the Healthtrust, Inc. — The Hospital Company Consolidated Statements of Stockholder’s Deficit presentation for the years ended December 31, 2017, 2016 and 2015 are as follows (dollars in millions):

 

     2017     2016     2015  

Presentation in HCA Healthcare, Inc. Consolidated Statements of Stockholders’ Deficit:

      

Share-based benefit plans

   $ 281     $ 233     $ 523  

Other

     (10     (2     (18
  

 

 

   

 

 

   

 

 

 

Presentation in Healthtrust, Inc. — The Hospital Company Consolidated Statements of Stockholder’s Deficit:

      

Distributions from HCA Healthcare, Inc., net of contributions to HCA Healthcare, Inc.

   $ 271     $ 231     $ 505  
  

 

 

   

 

 

   

 

 

 

Due to the consolidated financial statements of Healthtrust being substantially identical to the consolidated financial statements of HCA, except for the items presented in the table above, the separate consolidated financial statements of Healthtrust are not presented.