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HCA Healthcare Reports Third Quarter 2024 Results

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HCA Healthcare reported strong Q3 2024 financial results with revenues of $17.487 billion, up from $16.213 billion in Q3 2023. Net income reached $1.270 billion ($4.88 per diluted share), including a $0.15 per share impact from Hurricane Helene. Same facility admissions and equivalent admissions both increased 4.5%. Emergency room visits rose 4.6%, while inpatient surgeries grew 1.6%. The company maintained its 2024 guidance but expects results in the lower half of the range due to hurricane impacts, with anticipated Q4 hurricane-related costs of $200-300 million.

HCA Healthcare ha riportato risultati finanziari solidi per il terzo trimestre del 2024, con ricavi di 17,487 miliardi di dollari, in crescita rispetto a 16,213 miliardi di dollari nel terzo trimestre del 2023. Il reddito netto ha raggiunto 1,270 miliardi di dollari (4,88 dollari per azione diluita), incluso un impatto di 0,15 dollari per azione a causa dell'uragano Helene. Le ammissioni nelle stesse strutture e le ammissioni equivalenti sono aumentate del 4,5%. Le visite al pronto soccorso sono aumentate del 4,6%, mentre le chirurgie ospedaliere sono cresciute dell'1,6%. L'azienda ha mantenuto le previsioni per il 2024, ma si aspetta risultati nella parte bassa dell'intervallo a causa degli impatti dell'uragano, con costi previsti legati all'uragano per il quarto trimestre compresi tra 200 e 300 milioni di dollari.

HCA Healthcare informó resultados financieros sólidos para el tercer trimestre de 2024, con ingresos de 17.487 millones de dólares, un aumento respecto a 16.213 millones de dólares en el tercer trimestre de 2023. El ingreso neto alcanzó 1.270 millones de dólares (4.88 dólares por acción diluida), incluyendo un impacto de 0.15 dólares por acción debido al huracán Helene. Las admisiones en las mismas instalaciones y las admisiones equivalentes aumentaron un 4.5%. Las visitas a la sala de emergencias crecieron un 4.6%, mientras que las cirugías hospitalarias aumentaron un 1.6%. La empresa mantuvo su guía para 2024, pero espera resultados en la parte inferior del rango debido a los impactos del huracán, con costos relacionados con el huracán anticipados para el cuarto trimestre de 200 a 300 millones de dólares.

HCA Healthcare는 2024년 3분기 재무 실적이 강력하다고 보고했으며, 수익은 174.87억 달러로, 2023년 3분기의 162.13억 달러에서 증가했습니다. 순이익은 12.70억 달러에 도달했으며(희석 후 주당 4.88달러), 허리케인 헬렌의 영향으로 주당 0.15달러가 포함되어 있습니다. 같은 시설에서의 입원환자 수와 동등 입원환자 수는 각각 4.5% 증가했습니다. 응급실 방문은 4.6% 증가했으며, 입원 수술은 1.6% 증가했습니다. 회사는 2024년 전망을 유지했지만, 허리케인 피해로 인해 범위의 하단에서 결과를 기대하고 있으며, 4분기 허리케인 관련 비용을 2억에서 3억 달러로 예상하고 있습니다.

HCA Healthcare a annoncé de solides résultats financiers pour le troisième trimestre de 2024, avec des revenus de 17,487 milliards de dollars, en hausse par rapport à 16,213 milliards de dollars au troisième trimestre de 2023. Le revenu net a atteint 1,270 milliard de dollars (4,88 dollars par action diluée), incluant un impact de 0,15 dollar par action dû à l'ouragan Helene. Les admissions dans les mêmes établissements et les admissions équivalentes ont toutes deux augmenté de 4,5%. Les visites aux urgences ont augmenté de 4,6%, tandis que les opérations en milieu hospitalier ont crû de 1,6%. L'entreprise a maintenu ses prévisions pour 2024, mais s'attend à des résultats dans la moitié inférieure de la fourchette en raison des impacts de l'ouragan, avec des coûts liés à l'ouragan anticipés pour le quatrième trimestre allant de 200 à 300 millions de dollars.

HCA Healthcare hat im dritten Quartal 2024 starke Finanzergebnisse vermeldet, mit Umsätzen von 17,487 Milliarden US-Dollar, einem Anstieg von 16,213 Milliarden US-Dollar im dritten Quartal 2023. Der Nettogewinn betrug 1,270 Milliarden US-Dollar (4,88 US-Dollar pro verwässerter Aktie), einschließlich eines Einflusses von 0,15 US-Dollar pro Aktie durch den Hurrikan Helene. Die Aufnahmen in denselben Einrichtungen und die entsprechenden Aufnahmen stiegen um 4,5%. Die Notaufnahmebesuche stiegen um 4,6%, während die stationären Operationen um 1,6% zunahmen. Das Unternehmen hat seine Prognose für 2024 beibehalten, erwartet jedoch Ergebnisse im unteren Bereich der Spanne aufgrund der Auswirkungen des Hurrikans, mit geschätzten Kosten für das vierte Quartal im Zusammenhang mit dem Hurrikan von 200 bis 300 Millionen US-Dollar.

Positive
  • Revenue increased to $17.487 billion from $16.213 billion YoY
  • Net income grew to $1.270 billion from $1.079 billion YoY
  • Same facility admissions and equivalent admissions both up 4.5%
  • Emergency room visits increased 4.6%
  • Same facility revenue per equivalent admission up 2.5%
Negative
  • Same facility outpatient surgeries declined 2.0%
  • Hurricane Helene impact of $50 million ($0.15 per share) in Q3
  • Expected Q4 hurricane impact of $200-300 million ($0.60-0.90 per share)
  • Company expects results in lower half of guidance range due to hurricane impacts

Insights

HCA Healthcare delivered a strong Q3 2024 performance with revenues reaching $17.487 billion, up from $16.213 billion in Q3 2023. Net income grew to $1.270 billion ($4.88 per share) despite a $0.15 per share impact from Hurricane Helene. The 4.5% increase in same-facility admissions and equivalent admissions shows robust operational momentum.

Key positives include improved operational metrics with same-facility ER visits up 4.6% and inpatient surgeries growing 1.6%. The 2.5% increase in revenue per equivalent admission indicates strong pricing power. However, investors should note the expected $200-300 million impact from hurricanes in Q4, potentially pushing full-year results toward the lower end of guidance ranges.

The operational resilience during natural disasters demonstrates HCA's robust emergency management capabilities. The enterprise-wide response to two major hurricanes while maintaining growth in key metrics showcases operational excellence. The increase in same-facility metrics across multiple categories indicates strong market demand and effective capacity management.

The planned $5 billion capital expenditure signals continued investment in infrastructure and growth. However, the 2% decline in outpatient surgeries warrants attention, as this could reflect shifting patient preferences or competitive pressures in the ambulatory setting.

NASHVILLE, Tenn.--(BUSINESS WIRE)-- HCA Healthcare, Inc. (NYSE: HCA) today announced financial and operating results for the third quarter ended September 30, 2024.

Key third quarter metrics (all percentage changes compare 3Q 2024 to 3Q 2023 unless otherwise noted):

  • Revenues totaled $17.487 billion
  • Net income attributable to HCA Healthcare, Inc. totaled $1.270 billion, or $4.88 per diluted share (which includes an estimated $0.15 per diluted share unfavorable impact from Hurricane Helene)
  • Adjusted EBITDA totaled $3.267 billion
  • Cash flows from operating activities totaled $3.515 billion
  • Same facility admissions increased 4.5 percent and same facility equivalent admissions increased 4.5 percent

“Our people recently, and heroically, responded to two major hurricanes in less than two weeks. The teamwork and enterprise capabilities of HCA Healthcare were on full display before, during and after these storms. I am grateful for, and humbled by, the unwavering dedication, remarkable bravery and outstanding leadership demonstrated by our people throughout these storms. They truly demonstrated that above all else, they are committed to the care and improvement of human life," said Sam Hazen, Chief Executive Officer of HCA Healthcare.

Revenues in the third quarter of 2024 totaled $17.487 billion, compared to $16.213 billion in the third quarter of 2023. Net income attributable to HCA Healthcare, Inc. totaled $1.270 billion, or $4.88 per diluted share, compared to $1.079 billion, or $3.91 per diluted share, in the third quarter of 2023. Results for the third quarter of 2024 include losses on sales of facilities of $4 million, or $0.02 per diluted share.

For the third quarter of 2024, Adjusted EBITDA totaled $3.267 billion, compared to $2.880 billion in the third quarter of 2023. Adjusted EBITDA is a non-GAAP financial measure. A table providing supplemental information on Adjusted EBITDA and reconciling net income attributable to HCA Healthcare, Inc. to Adjusted EBITDA is included in this release.

The third quarter of 2023 included revenues of $397 million and other operating expenses of $195 million related to the Florida directed payment program year that ended September 30, 2023.

Same facility admissions increased 4.5 percent and same facility equivalent admissions increased 4.5 percent in the third quarter of 2024, compared to the prior year period. Same facility emergency room visits increased 4.6 percent in the third quarter of 2024, compared to the prior year period. Same facility inpatient surgeries increased 1.6 percent, and same facility outpatient surgeries declined 2.0 percent in the third quarter of 2024, compared to the same period of 2023. Same facility revenue per equivalent admission increased 2.5 percent in the third quarter of 2024, compared to the third quarter of 2023.

Nine Months Ended September 30, 2024

Revenues for the nine months ended September 30, 2024 totaled $52.318 billion, compared to $47.665 billion in the same period of 2023. Net income attributable to HCA Healthcare, Inc. was $4.322 billion, or $16.37 per diluted share, compared to $3.635 billion, or $13.07 per diluted share, for the first nine months of 2023. Results for the nine months ended September 30, 2024 include gains on sales of facilities of $209 million, or $0.61 per diluted share. Results for the nine months ended September 30, 2023 included losses on sales of facilities of $12 million, or $0.07 per diluted share.

Impact of Hurricanes

During the third quarter of 2024, the Company incurred additional expenses and experienced loss of revenues estimated at $50 million, or $0.15 per diluted share, associated with Hurricane Helene’s impact on certain facilities located in Florida, Georgia and North Carolina.

During the fourth quarter of 2024, the Company anticipates ongoing additional expenses and loss of revenues due to Hurricane Helene’s impact on its North Carolina facilities, as well as from Hurricane Milton, which impacted certain facilities in Florida during October, of approximately $200 to $300 million, or $0.60 to $0.90 per diluted share. These estimates do not include any insurance recoveries the Company may receive.

2024 Guidance

Today, the Company reaffirmed its 2024 estimated guidance ranges. Given the ongoing impact of the two major hurricanes on the remainder of the year, the Company estimates that results are likely to be in the lower half of the ranges provided.

Capital expenditures for 2024, excluding acquisitions, are now estimated to be approximately $5 billion.

The Company’s guidance contains a number of assumptions, including, among others, the Company’s current expectations regarding volume growth coupled with an anticipated mostly stable operating environment, payor mix, and the ongoing impacts of the two major hurricanes, as well as general economic conditions, including inflation, and excludes the impact of items such as, but not limited to, gains or losses on sales of facilities, losses on retirement of debt, legal claims costs and impairment of long-lived assets.

Adjusted EBITDA is a non-GAAP financial measure. A table reconciling forecasted net income attributable to HCA Healthcare, Inc. to forecasted Adjusted EBITDA is included in this release.

The Company’s 2024 guidance and initial 2025 outlook that follows are based on current plans and expectations and are subject to a number of known and unknown uncertainties and risks, including those set forth below in the Company’s “Forward-Looking Statements.”

Initial 2025 Outlook

While the Company anticipates some ongoing impact in 2025 from Hurricane Helene on its North Carolina facilities, the Company believes these ongoing effects will be manageable and currently expects 2025 diluted earnings per share and Adjusted EBITDA growth to be near, or slightly above, the upper end of its long-term growth ranges. This initial 2025 outlook is subject to completion of the Company’s 2025 planning process and may change. Additional early commentary related to 2025 will be provided on today’s earnings conference call.

Balance Sheet and Cash Flows from Operations

As of September 30, 2024, HCA Healthcare, Inc.’s balance sheet reflected cash and cash equivalents of $2.888 billion, total debt of $42.965 billion, and total assets of $59.459 billion. During the third quarter of 2024, capital expenditures totaled $1.191 billion, excluding acquisitions. Cash flows provided by operating activities in the third quarter of 2024 totaled $3.515 billion, compared to $2.479 billion in the third quarter of 2023.

During the third quarter of 2024, the Company repurchased 4.948 million shares of its common stock at a cost of $1.795 billion. The Company had $2.433 billion remaining under its repurchase authorization as of September 30, 2024. As of September 30, 2024, the Company had $7.986 billion of availability under its credit facilities.

Dividend

HCA today announced that its Board of Directors declared a quarterly cash dividend of $0.66 per share on the Company’s common stock. The dividend will be paid on December 27, 2024 to stockholders of record at the close of business on December 13, 2024.

The declaration and payment of any future dividend will be subject to the discretion of the Board of Directors and will depend on a variety of factors, including the Company’s financial condition, results of operations, and contractual restrictions. Future dividends are expected to be funded by cash balances and future cash flows from operations.

Earnings Conference Call

HCA Healthcare will host a conference call for investors at 9:00 a.m. Central 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 through the Company’s Investor Relations web page at https://investor.hcahealthcare.com/events-and-presentations/default.aspx.

About the Company

As of September 30, 2024, HCA operated 187 hospitals and approximately 2,400 ambulatory sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics, in 20 states and the United Kingdom.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the federal securities laws, which involve risks and uncertainties. Forward-looking statements include the Company’s financial guidance for the year ending December 31, 2024 and initial perspectives on the outlook for 2025, as well as other statements that do not relate solely to historical or current facts. Forward-looking statements can be identified by the use of words like “may,” “believe,” “will,” “expect,” “project,” “estimate,” “anticipate,” “plan,” “initiative” or “continue.” These forward-looking statements are based on our current plans and expectations and are subject to a number of known and unknown uncertainties and risks, many of which are beyond our control, which could significantly affect current plans and expectations and our future financial position and results of operations. These factors include, but are not limited to, (1) changes in or related to general economic conditions nationally and regionally in our markets, including inflation and economic and business conditions (and the impact thereof on the economy, financial markets and banking industry); changes in revenues due to declining patient volumes; changes in payer mix (including increases in uninsured and underinsured patients); potential increased expenses related to labor, supply chain or other expenditures; workforce disruptions; supply shortages and disruptions (including as a result of geopolitical disruptions); and the impact of potential federal government shutdowns, (2) the impact of our significant indebtedness and the ability to refinance such indebtedness on acceptable terms, (3) the impact of current and future federal and state health reform initiatives and possible changes to other federal, state or local laws and regulations affecting the health care industry, including, but not limited to, proposals to expand coverage of federally-funded insurance programs as an alternative to private insurance or establish a single-payer system (such reforms often referred to as “Medicare for All”), and the expiration of enhanced subsidies for individuals eligible to purchase insurance coverage through federal and state-based health insurance marketplaces, (4) the effects related to the implementation of sequestration spending reductions required under the Budget Control Act of 2011, related legislation extending these reductions and those required under the Pay-As-You-Go Act of 2010 as a result of the federal budget deficit impact of the American Rescue Plan Act of 2021, and the potential for future deficit reduction legislation that may alter these spending reductions, which include cuts to Medicare payments, or create additional spending reductions, (5) increases in the amount and risk of collectability of uninsured accounts and deductibles and copayment amounts for insured accounts, (6) the ability to achieve operating and financial targets, attain expected levels of patient volumes and revenues, and control the costs of providing services, (7) possible changes in Medicare, Medicaid and other state programs, including Medicaid supplemental payment programs, Medicaid waiver programs or state directed payments, that may impact reimbursements to health care providers and insurers and the size of the uninsured or underinsured population, (8) personnel-related capacity constraints, increases in wages and the ability to attract, utilize and retain qualified management and other personnel, including affiliated physicians, nurses and medical and technical support personnel, (9) the highly competitive nature of the health care business, (10) changes in service mix, revenue mix and surgical volumes, including potential declines in the population covered under third-party payer agreements, the ability to enter into and renew third-party payer provider agreements on acceptable terms and the impact of consumer-driven health plans and physician utilization trends and practices, (11) the efforts of health insurers, health care providers, large employer groups and others to contain health care costs, (12) the outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures, (13) the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities, (14) changes in accounting practices, (15) the emergence of and effects related to pandemics, epidemics and outbreaks of infectious diseases or other public health crises, including but not limited to developments related to COVID-19, (16) future divestitures which may result in charges and possible impairments of long-lived assets, (17) changes in business strategy or development plans, (18) delays in receiving payments for services provided, (19) the outcome of pending and any future tax audits, disputes and litigation associated with our tax positions, (20) the impact of known and unknown government investigations, litigation and other claims that may be made against us, (21) the impact of actual and potential cybersecurity incidents or security breaches involving us or our vendors and other third parties, including the data security incident disclosed in July 2023, (22) our ongoing ability to demonstrate meaningful use of certified electronic health record technology and the impact of interoperability requirements, (23) the impact of natural disasters, such as hurricanes and floods, physical risks from climate change or similar events beyond our control, including Hurricanes Helene and Milton, (24) changes in U.S. federal, state, or foreign tax laws including interpretive guidance that may be issued by taxing authorities or other standard setting bodies, (25) the results of our efforts to use technology and resilience initiatives, including artificial intelligence and machine learning, to drive efficiencies, better outcomes and an enhanced patient experience, (26) the impact of recent decisions of the U.S. Supreme Court regarding the actions of federal agencies, and (27) other risk factors described in our annual report on Form 10-K for the year ended December 31, 2023 and our 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. All references to “Company,” “HCA” and “HCA Healthcare” as used throughout this release refer to HCA Healthcare, Inc. and its affiliates.

HCA Healthcare, Inc.

Condensed Consolidated Comprehensive Income Statements

Third Quarter

Unaudited

(Dollars in millions, except per share amounts)

 

 

 

 

2024

 

 

 

2023

 

 

 

 

 

Amount

 

 

Ratio

 

 

 

Amount

 

 

Ratio

 

 

Revenues

 

 

$

17,487

 

 

 

100.0

 

%

 

$

16,213

 

 

 

100.0

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 

 

7,861

 

 

 

45.0

 

 

 

 

7,556

 

 

 

46.6

 

 

Supplies

 

 

 

2,657

 

 

 

15.2

 

 

 

 

2,417

 

 

 

14.9

 

 

Other operating expenses

 

 

 

3,717

 

 

 

21.2

 

 

 

 

3,379

 

 

 

20.8

 

 

Equity in earnings of affiliates

 

 

 

(15

)

 

 

(0.1

)

 

 

 

(19

)

 

 

(0.1

)

 

Depreciation and amortization

 

 

 

842

 

 

 

4.9

 

 

 

 

769

 

 

 

4.7

 

 

Interest expense

 

 

 

515

 

 

 

2.9

 

 

 

 

483

 

 

 

3.0

 

 

Losses (gains) on sales of facilities

 

 

 

4

 

 

 

 

 

 

 

(2

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15,581

 

 

 

89.1

 

 

 

 

14,583

 

 

 

89.9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

 

1,906

 

 

 

10.9

 

 

 

 

1,630

 

 

 

10.1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for income taxes

 

 

 

424

 

 

 

2.4

 

 

 

 

355

 

 

 

2.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

 

 

1,482

 

 

 

8.5

 

 

 

 

1,275

 

 

 

7.9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to noncontrolling interests

 

 

 

212

 

 

 

1.2

 

 

 

 

196

 

 

 

1.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to HCA Healthcare, Inc.

 

 

$

1,270

 

 

 

7.3

 

 

 

$

1,079

 

 

 

6.7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share

 

 

$

4.88

 

 

 

 

 

 

$

3.91

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share (millions)

 

 

 

259.917

 

 

 

 

 

 

 

275.424

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comprehensive income attributable to HCA Healthcare, Inc.

$

1,325

$

1,044

HCA Healthcare, Inc.

Condensed Consolidated Comprehensive Income Statements

For the Nine Months Ended September 30, 2024 and 2023

Unaudited

(Dollars in millions, except per share amounts)

 

 

 

2024

 

 

 

2023

 

 

 

 

Amount

 

 

Ratio

 

 

 

Amount

 

 

Ratio

 

 

Revenues

 

$

52,318

 

 

 

100.0

 

%

 

$

47,665

 

 

 

100.0

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 

23,253

 

 

 

44.4

 

 

 

 

21,917

 

 

 

46.0

 

 

Supplies

 

 

7,962

 

 

 

15.2

 

 

 

 

7,318

 

 

 

15.4

 

 

Other operating expenses

 

 

10,946

 

 

 

21.0

 

 

 

 

9,316

 

 

 

19.5

 

 

Equity in (earnings) losses of affiliates

 

 

(13

)

 

 

 

 

 

 

6

 

 

 

 

 

Depreciation and amortization

 

 

2,456

 

 

 

4.7

 

 

 

 

2,288

 

 

 

4.9

 

 

Interest expense

 

 

1,533

 

 

 

2.9

 

 

 

 

1,447

 

 

 

3.0

 

 

Losses (gains) on sales of facilities

 

 

(209

)

 

 

(0.4

)

 

 

 

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45,928

 

 

 

87.8

 

 

 

 

42,304

 

 

 

88.8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

6,390

 

 

 

12.2

 

 

 

 

5,361

 

 

 

11.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for income taxes

 

 

1,419

 

 

 

2.7

 

 

 

 

1,131

 

 

 

2.3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

 

4,971

 

 

 

9.5

 

 

 

 

4,230

 

 

 

8.9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to noncontrolling interests

 

 

649

 

 

 

1.2

 

 

 

 

595

 

 

 

1.3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to HCA Healthcare, Inc.

 

$

4,322

 

 

 

8.3

 

 

 

$

3,635

 

 

 

7.6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share

 

$

16.37

 

 

 

 

 

 

$

13.07

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share (millions)

 

 

263.987

 

 

 

 

 

 

 

278.173

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comprehensive income attributable to HCA Healthcare, Inc.

$

4,369

$

3,634

HCA Healthcare, Inc.

Condensed Consolidated Balance Sheets

Unaudited

(Dollars in millions)

 

 

 

September 30,

 

 

June 30,

 

 

December 31,

 

 

 

2024

 

 

2024

 

 

2023

 

ASSETS

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

2,888

 

 

$

831

 

 

$

935

 

Accounts receivable

 

 

9,915

 

 

 

10,239

 

 

 

9,958

 

Inventories

 

 

1,776

 

 

 

1,800

 

 

 

2,021

 

Other

 

 

2,083

 

 

 

2,303

 

 

 

2,013

 

 

 

 

16,662

 

 

 

15,173

 

 

 

14,927

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, at cost

 

 

61,750

 

 

 

60,625

 

 

 

58,548

 

Accumulated depreciation

 

 

(32,703

)

 

 

(31,986

)

 

 

(30,833

)

 

 

 

29,047

 

 

 

28,639

 

 

 

27,715

 

 

 

 

 

 

 

 

 

 

 

Investments of insurance subsidiaries

 

 

553

 

 

 

483

 

 

 

477

 

Investments in and advances to affiliates

 

 

705

 

 

 

702

 

 

 

756

 

Goodwill and other intangible assets

 

 

9,982

 

 

 

9,963

 

 

 

9,945

 

Right-of-use operating lease assets

 

 

2,201

 

 

 

2,179

 

 

 

2,207

 

Other

 

 

309

 

 

 

240

 

 

 

184

 

 

 

 

 

 

 

 

 

 

 

 

 

$

59,459

 

 

$

57,379

 

 

$

56,211

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

4,235

 

 

$

4,029

 

 

$

4,233

 

Accrued salaries

 

 

2,164

 

 

 

1,993

 

 

 

2,127

 

Other accrued expenses

 

 

3,819

 

 

 

3,705

 

 

 

3,871

 

Long-term debt due within one year

 

 

4,682

 

 

 

4,574

 

 

 

2,424

 

 

 

 

14,900

 

 

 

14,301

 

 

 

12,655

 

 

 

 

 

 

 

 

 

 

 

Long-term debt, less debt issuance costs and discounts of $378, $371 and $333

 

 

38,283

 

 

 

36,306

 

 

 

37,169

 

Professional liability risks

 

 

1,584

 

 

 

1,573

 

 

 

1,557

 

Right-of-use operating lease obligations

 

 

1,924

 

 

 

1,894

 

 

 

1,903

 

Income taxes and other liabilities

 

 

1,982

 

 

 

1,966

 

 

 

1,867

 

 

 

 

 

 

 

 

 

 

 

Stockholders' equity:

 

 

 

 

 

 

 

 

 

Stockholders' deficit attributable to HCA Healthcare, Inc.

 

 

(2,182

)

 

 

(1,600

)

 

 

(1,774

)

Noncontrolling interests

 

 

2,968

 

 

 

2,939

 

 

 

2,834

 

 

 

 

786

 

 

 

1,339

 

 

 

1,060

 

 

 

$

59,459

 

$

57,379

$

56,211

HCA Healthcare, Inc.

Condensed Consolidated Statements of Cash Flows

For the Nine Months Ended September 30, 2024 and 2023

Unaudited

(Dollars in millions)

 

 

 

2024

 

 

2023

 

Cash flows from operating activities:

 

 

 

 

 

 

Net income

 

$

4,971

 

 

$

4,230

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

 

Increase (decrease) in cash from operating assets and liabilities:

 

 

 

 

 

 

Accounts receivable

 

 

55

 

 

 

(168

)

Inventories and other assets

 

 

184

 

 

 

(274

)

Accounts payable and accrued expenses

 

 

77

 

 

 

211

 

Depreciation and amortization

 

 

2,456

 

 

 

2,288

 

Income taxes

 

 

(67

)

 

 

61

 

Losses (gains) on sales of facilities

 

 

(209

)

 

 

12

 

Amortization of debt issuance costs and discounts

 

 

26

 

 

 

26

 

Share-based compensation

 

 

275

 

 

 

205

 

Other

 

 

187

 

 

 

166

 

 

 

 

 

 

 

 

Net cash provided by operating activities

 

 

7,955

 

 

 

6,757

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

Purchase of property and equipment

 

 

(3,590

)

 

 

(3,585

)

Acquisition of hospitals and health care entities

 

 

(224

)

 

 

(281

)

Sales of hospitals and health care entities

 

 

312

 

 

 

183

 

Change in investments

 

 

(85

)

 

 

(30

)

Other

 

 

-

 

 

 

(7

)

 

 

 

 

 

 

 

Net cash used in investing activities

 

 

(3,587

)

 

 

(3,720

)

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

Issuances of long-term debt

 

 

7,495

 

 

 

3,220

 

Net change in revolving credit facilities

 

 

(1,880

)

 

 

(1,420

)

Repayment of long-term debt

 

 

(2,346

)

 

 

(691

)

Distributions to noncontrolling interests

 

 

(530

)

 

 

(497

)

Payment of debt issuance costs

 

 

(67

)

 

 

(31

)

Payment of dividends

 

 

(525

)

 

 

(501

)

Repurchase of common stock

 

 

(4,342

)

 

 

(2,901

)

Other

 

 

(224

)

 

 

(234

)

 

 

 

 

 

 

 

Net cash used in financing activities

 

 

(2,419

)

 

 

(3,055

)

 

 

 

 

 

 

 

Effect of exchange rate changes on cash and cash equivalents

 

 

4

 

 

 

1

 

 

 

 

 

 

 

 

Change in cash and cash equivalents

 

 

1,953

 

 

 

(17

)

Cash and cash equivalents at beginning of period

 

 

935

 

 

 

908

 

 

 

 

 

 

 

 

Cash and cash equivalents at end of period

 

$

2,888

 

 

$

891

 

 

 

 

 

 

 

 

Interest payments

 

$

1,405

 

 

$

1,460

 

Income tax payments, net

 

$

1,486

 

 

$

1,070

 

HCA Healthcare, Inc.

Operating Statistics

 

 

 

Third Quarter

 

 

For the Nine Months
Ended September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Operations:

 

 

 

 

 

 

 

 

 

 

 

 

Number of Hospitals

 

 

187

 

 

 

183

 

 

 

187

 

 

 

183

 

Number of Freestanding Outpatient Surgery Centers*

 

 

125

 

 

 

126

 

 

 

125

 

 

 

126

 

Licensed Beds at End of Period

 

 

49,890

 

 

 

49,279

 

 

 

49,890

 

 

 

49,279

 

Weighted Average Beds in Service

 

 

42,640

 

 

 

41,927

 

 

 

42,609

 

 

 

41,805

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reported:

 

 

 

 

 

 

 

 

 

 

 

 

Admissions

 

 

562,100

 

 

 

537,943

 

 

 

1,677,425

 

 

 

1,586,174

 

% Change

 

 

4.5

%

 

 

 

 

 

5.8

%

 

 

 

Equivalent Admissions

 

 

1,006,106

 

 

 

958,504

 

 

 

2,982,462

 

 

 

2,813,873

 

% Change

 

 

5.0

%

 

 

 

 

 

6.0

%

 

 

 

Revenue per Equivalent Admission

 

$

17,381

 

 

$

16,915

 

 

$

17,542

 

 

$

16,939

 

% Change

 

 

2.8

%

 

 

 

 

 

3.6

%

 

 

 

Inpatient Revenue per Admission

 

$

18,728

 

 

$

18,262

 

 

$

18,822

 

 

$

17,930

 

% Change

 

 

2.6

%

 

 

 

 

 

5.0

%

 

 

 

Patient Days

 

 

2,690,718

 

 

 

2,612,439

 

 

 

8,134,864

 

 

 

7,808,905

 

% Change

 

 

3.0

%

 

 

 

 

 

4.2

%

 

 

 

Equivalent Patient Days

 

 

4,816,761

 

 

 

4,655,252

 

 

 

14,463,788

 

 

 

13,852,997

 

% Change

 

 

3.5

%

 

 

 

 

 

4.4

%

 

 

 

Inpatient Surgery Cases

 

 

135,803

 

 

 

133,521

 

 

 

405,061

 

 

 

396,428

 

% Change

 

 

1.7

%

 

 

 

 

 

2.2

%

 

 

 

Outpatient Surgery Cases

 

 

249,364

 

 

 

254,557

 

 

 

761,166

 

 

 

774,129

 

% Change

 

 

-2.0

%

 

 

 

 

 

-1.7

%

 

 

 

Emergency Room Visits

 

 

2,446,962

 

 

 

2,343,514

 

 

 

7,290,836

 

 

 

6,890,388

 

% Change

 

 

4.4

%

 

 

 

 

 

5.8

%

 

 

 

Outpatient Revenues as a Percentage of Patient Revenues

 

 

38.2

%

 

 

37.4

%

 

 

37.8

%

 

 

38.3

%

Average Length of Stay (days)

 

 

4.787

 

 

 

4.856

 

 

 

4.850

 

 

 

4.923

 

Occupancy**

 

 

71.9

%

 

 

71.4

%

 

 

73.0

%

 

 

72.2

%

 

 

 

 

 

 

 

 

 

 

 

 

 

Same Facility:

 

 

 

 

 

 

 

 

 

 

 

 

Admissions

 

 

558,105

 

 

 

534,323

 

 

 

1,663,509

 

 

 

1,577,063

 

% Change

 

 

4.5

%

 

 

 

 

 

5.5

%

 

 

 

Equivalent Admissions

 

 

985,613

 

 

 

943,614

 

 

 

2,919,458

 

 

 

2,781,939

 

% Change

 

 

4.5

%

 

 

 

 

 

4.9

%

 

 

 

Revenue per Equivalent Admission

 

$

17,311

 

 

$

16,887

 

 

$

17,468

 

 

$

16,882

 

% Change

 

 

2.5

%

 

 

 

 

 

3.5

%

 

 

 

Inpatient Revenue per Admission

 

$

18,793

 

 

$

18,214

 

 

$

18,873

 

 

$

17,917

 

% Change

 

 

3.2

%

 

 

 

 

 

5.3

%

 

 

 

Inpatient Surgery Cases

 

 

134,913

 

 

 

132,793

 

 

 

402,150

 

 

 

394,377

 

% Change

 

 

1.6

%

 

 

 

 

 

2.0

%

 

 

 

Outpatient Surgery Cases

 

 

244,733

 

 

 

249,753

 

 

 

746,717

 

 

 

762,328

 

% Change

 

 

-2.0

%

 

 

 

 

 

-2.0

%

 

 

 

Emergency Room Visits

 

 

2,433,887

 

 

 

2,325,946

 

 

 

7,232,588

 

 

 

6,839,030

 

% Change

 

 

4.6

%

 

 

 

 

 

5.8

%

 

 

 

 

* Excludes freestanding endoscopy centers (23 centers at September 30, 2024 and 22 centers at September 30, 2023).

** Reflects the rate of occupancy (patient days and observations) based on weighted average beds in service.

HCA Healthcare, Inc.

Supplemental Non-GAAP Disclosures

Operating Results Summary

(Dollars in millions, except per share amounts)

 

 

 

Third Quarter

 

 

For the Nine Months
Ended September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenues

 

$

17,487

 

 

$

16,213

 

 

$

52,318

 

 

$

47,665

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to HCA Healthcare, Inc.

 

$

1,270

 

 

$

1,079

 

 

$

4,322

 

 

$

3,635

 

Losses (gains) on sales of facilities (net of tax)

 

 

3

 

 

 

(1

)

 

 

(160

)

 

 

21

 

Net income attributable to HCA Healthcare, Inc., as adjusted (a)

 

 

1,273

 

 

 

1,078

 

 

 

4,162

 

 

 

3,656

 

Depreciation and amortization

 

 

842

 

 

 

769

 

 

 

2,456

 

 

 

2,288

 

Interest expense

 

 

515

 

 

 

483

 

 

 

1,533

 

 

 

1,447

 

Provision for income taxes

 

 

425

 

 

 

354

 

 

 

1,370

 

 

 

1,122

 

Net income attributable to noncontrolling interests

 

 

212

 

 

 

196

 

 

 

649

 

 

 

595

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA (a)

 

 

3,267

 

 

$

2,880

 

 

$

10,170

 

 

$

9,108

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA margin (a)

 

 

18.7

%

 

 

17.8

%

 

 

19.4

%

 

 

19.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share:

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to HCA Healthcare, Inc.

 

$

4.88

 

 

$

3.91

 

 

$

16.37

 

 

$

13.07

 

Losses (gains) on sales of facilities

 

 

0.02

 

 

 

-

 

 

 

(0.61

)

 

 

0.07

 

Net income attributable to HCA Healthcare, Inc., as adjusted (a)

 

$

4.90

 

 

$

3.91

 

 

$

15.76

 

 

$

13.14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share (millions)

 

 

259.917

 

 

 

275.424

 

 

 

263.987

 

 

 

278.173

 

_____________________
(a)

Net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA should not be considered as measures of financial performance under generally accepted accounting principles ("GAAP"). These non-GAAP financial measures are adjusted to exclude losses (gains) on sales of facilities and losses on retirement of debt. We believe net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA are important measures that supplement discussions and analysis of our results of operations. We believe it is useful to investors to provide disclosures of our results of operations on the same basis used by management. Management relies upon net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA as the primary measures to review and assess operating performance of its health care facilities and their management teams.

 
Management and investors review both the overall performance (including net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and GAAP net income attributable to HCA Healthcare, Inc.) 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 adjustments, including losses (gains) on sales of facilities and losses on retirement of debt will occur in future periods, but the amounts recognized can vary significantly from period to period, do not directly relate to the ongoing operations of our health care facilities and complicate period comparisons of our results of operations and operations comparisons with other health care companies.
 

Net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA are not measures of financial performance under GAAP, and should not be considered as alternatives to net income attributable to HCA Healthcare, Inc. as a measure of operating performance or cash flows from operating, investing and financing activities as a measure of liquidity. Because net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA are not measurements determined in accordance with GAAP and are susceptible to varying calculations, net income attributable to HCA Healthcare, Inc., as adjusted, diluted earnings per share, as adjusted, and Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures presented by other companies.

HCA Healthcare, Inc.

Supplemental Non-GAAP Disclosures

2024 Operating Results Forecast

(Dollars in millions, except per share amounts)

 

 

 

For the Year Ending

 

 

 

December 31, 2024

 

 

 

Low

 

 

High

 

Revenues

 

$

69,750

 

 

$

71,750

 

 

 

 

 

 

 

 

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

 

$

5,675

 

 

$

5,975

 

Depreciation and amortization

 

 

3,245

 

 

 

3,295

 

Interest expense

 

 

2,065

 

 

 

2,095

 

Provision for income taxes

 

 

1,860

 

 

 

1,950

 

Net income attributable to noncontrolling interests

 

 

905

 

 

 

935

 

 

 

 

 

 

 

 

Adjusted EBITDA (a) (b)

 

$

13,750

 

 

$

14,250

 

 

 

 

 

 

 

 

Diluted earnings per share:

 

 

 

 

 

 

Net income attributable to HCA Healthcare, Inc.

 

$

21.60

 

 

$

22.80

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share (millions)

 

 

262.000

 

 

 

262.000

 

The Company's forecasted guidance is based on current plans and expectations and is subject to a number of known and unknown uncertainties and risks.
_________________________
(a) The Company does not forecast the impact of items such as, but not limited to, losses (gains) on sales of facilities, losses on retirement of debt, legal claim costs (benefits) and impairments of long-lived assets because the Company does not believe that it can forecast these items with sufficient accuracy.
 
(b)

Adjusted EBITDA should not be considered a measure of financial performance under generally accepted accounting principles ("GAAP"). We believe Adjusted EBITDA is an important measure that supplements discussions and analysis of our results of operations. We believe it is useful to investors to provide disclosures of our results of operations on the same basis used by management. Management relies upon Adjusted EBITDA as a primary measure to review and assess operating performance of its health care facilities and their management teams.

 

Management and investors review both the overall performance (including net income attributable to HCA Healthcare, Inc.) and operating performance (Adjusted EBITDA) of our healthcare facilities. Adjusted EBITDA is 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.

 

Adjusted EBITDA is not a measure of financial performance under GAAP and should not be considered as an alternative to net income attributable to HCA Healthcare, Inc. as a measure of operating performance or cash flows from operating, investing and financing activities as a measure of liquidity. Because Adjusted EBITDA is not a measurement determined in accordance with GAAP and is susceptible to varying calculations, Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures presented by other companies.

 

INVESTOR CONTACT:

Frank Morgan

615-344-2688



MEDIA CONTACT:

Harlow Sumerford

615-344-1851

Source: HCA Healthcare

FAQ

What was HCA Healthcare's revenue in Q3 2024?

HCA Healthcare (HCA) reported revenues of $17.487 billion in Q3 2024, compared to $16.213 billion in Q3 2023.

How did Hurricane Helene impact HCA's Q3 2024 earnings?

Hurricane Helene impacted HCA's Q3 2024 earnings by approximately $50 million, or $0.15 per diluted share, affecting facilities in Florida, Georgia and North Carolina.

What was HCA's same facility admission growth in Q3 2024?

HCA's same facility admissions increased 4.5% in Q3 2024 compared to the prior year period.

How much did HCA earn per share in Q3 2024?

HCA earned $4.88 per diluted share in Q3 2024, compared to $3.91 per diluted share in Q3 2023.

HCA Healthcare, Inc.

NYSE:HCA

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