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 |
|
|
|
|
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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.
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