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Supplemental Condensed Consolidating Financial Information
6 Months Ended
Jun. 30, 2019
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Supplemental Condensed Consolidating Financial Information And Other Collateral-related Information
NOTE 13 — SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION
HCA Healthcare, Inc. has $1.000 billion aggregate principal amount of 6.250% senior unsecured notes due 2021 outstanding. These notes are senior unsecured obligations and are not guaranteed by any of our subsidiaries.
HCA Inc., a direct wholly-owned subsidiary of HCA Healthcare, Inc., is the obligor under a significant portion of our other indebtedness, including our senior secured credit facilities, senior secured notes and senior unsecured notes (other than the senior unsecured notes issued by HCA Healthcare, Inc.). The senior secured notes and senior unsecured notes issued by HCA Inc. are fully and unconditionally guaranteed by HCA Healthcare, Inc. The senior secured credit facilities and senior secured notes are 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 senior secured asset-based revolving credit facility).
Our summarized condensed consolidating comprehensive income statements for the quarters and six months ended June 30, 2019 and 2018, condensed consolidating balance sheets at June 30, 2019 and December 31, 2018 and condensed consolidating statements of cash flows for the six months ended June 30, 2019 and 2018, 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 QUARTER ENDED JUNE 30, 2019
(Dollars in millions)
 
HCA
Healthcare, Inc.
Issuer
   
HCA Inc.
Issuer
   
Subsidiary
Guarantors
   
Subsidiary
Non-
Guarantors
   
Eliminations
   
Condensed
Consolidated
 
Revenues
  $
    $
    $
7,129
    $
5,473
    $
    $
12,602
 
                                                 
Salaries and benefits
   
     
     
3,199
     
2,638
     
     
5,837
 
Supplies
   
     
     
1,189
     
929
     
     
2,118
 
Other operating expenses
   
1
     
     
1,157
     
1,204
     
     
2,362
 
Equity in earnings of affiliates
   
(822
)    
     
(1
)    
(7
)    
822
     
(8
)
Depreciation and amortization
   
     
     
354
     
282
     
     
636
 
Interest expense (income)
   
16
     
1,010
     
(511
)    
(38
)    
     
477
 
Gains on sales of facilities
   
     
     
(8
)    
(10
)    
     
(18
)
Management fees
   
     
     
(205
)    
205
     
     
 
                                                 
   
(805
)    
1,010
     
5,174
     
5,203
     
822
     
11,404
 
                                                 
Income (loss) before income taxes
   
805
     
(1,010
)    
1,955
     
270
     
(822
)    
1,198
 
Provision (benefit) for income taxes
   
22
     
(235
)    
450
     
34
     
     
271
 
                                                 
Net income (loss)
   
783
     
(775
)    
1,505
     
236
     
(822
)    
927
 
Net income attributable to noncontrolling interests
   
     
     
21
     
123
     
     
144
 
                                                 
Net income (loss) attributable to HCA Healthcare, Inc.
  $
783
    $
(775
)   $
1,484
    $
113
    $
(822
)   $
783
 
                                                 
Comprehensive income (loss) attributable to HCA Healthcare, Inc.
  $
726
    $
(806
)   $
1,487
    $
84
    $
(765
)   $
726
 
                                                 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT
FOR THE QUARTER ENDED JUNE 30, 2018
(Dollars in millions)
                                                 
 
HCA
Healthcare, Inc.
Issuer
   
HCA Inc.
Issuer
   
Subsidiary
Guarantors
   
Subsidiary
Non-
Guarantors
   
Eliminations
   
Condensed
Consolidated
 
Revenues
  $
    $
    $
6,774
    $
4,755
    $
    $
11,529
 
                                                 
Salaries and benefits
   
     
     
3,025
     
2,249
     
     
5,274
 
Supplies
   
     
     
1,127
     
790
     
     
1,917
 
Other operating expenses
   
4
     
     
1,122
     
992
     
     
2,118
 
Equity in earnings of affiliates
   
(852
)    
     
(1
)    
(6
)    
852
     
(7
)
Depreciation and amortization
   
     
     
329
     
233
     
     
562
 
Interest expense (income)
   
16
     
867
     
(389
)    
(58
)    
     
436
 
Losses (gains) on sales of facilities
   
     
     
23
     
(32
)    
     
(9
)
Management fees
   
     
     
(157
)    
157
     
     
 
                                                 
   
(832
)    
867
     
5,079
     
4,325
     
852
     
10,291
 
                                                 
                                                 
Income (loss) before income taxes
   
832
     
(867
)    
1,695
     
430
     
(852
)    
1,238
 
Provision (benefit) for income taxes
   
12
     
(201
)    
389
     
72
     
     
272
 
                                                 
Net income (loss)
   
820
     
(666
)    
1,306
     
358
     
(852
)    
966
 
Net income attributable to noncontrolling interests
   
     
     
22
     
124
     
     
146
 
                                                 
Net income (loss) attributable to HCA Healthcare, Inc.
  $
820
    $
(666
)   $
1,284
    $
234
    $
(852
)   $
820
 
                                                 
Comprehensive income (loss) attributable to HCA Healthcare, Inc.
  $
756
    $
(656
)   $
1,287
    $
157
    $
(788
)   $
756
 
                                                 
 
 
 
 
 
 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT
FOR THE SIX MONTHS ENDED JUNE 30, 2019
(Dollars in millions)
                                                 
 
HCA
Healthcare, Inc.
Issuer
   
HCA Inc.
Issuer
   
Subsidiary
Guarantors
   
Subsidiary
Non-
Guarantors
   
Eliminations
   
Condensed
Consolidated
 
Revenues
  $
    $
    $
14,353
    $
10,766
    $
    $
25,119
 
                                                 
Salaries and benefits
   
     
     
6,336
     
5,148
     
     
11,484
 
Supplies
   
     
     
2,366
     
1,793
     
     
4,159
 
Other operating expenses
   
3
     
     
2,303
     
2,355
     
     
4,661
 
Equity in earnings of affiliates
   
(1,848
)    
     
(3
)    
(16
)    
1,848
     
(19
)
Depreciation and amortization
   
     
     
709
     
546
     
     
1,255
 
Interest expense (income)
   
32
     
2,005
     
(984
)    
(115
)    
     
938
 
Gains on sales of facilities
   
     
     
(7
)    
(10
)    
     
(17
)
Management fees
   
     
     
(376
)    
376
     
     
 
                                                 
   
(1,813
)    
2,005
     
10,344
     
10,077
     
1,848
     
22,461
 
                                                 
                                                 
Income (loss) before income taxes
   
1,813
     
(2,005
)    
4,009
     
689
     
(1,848
)    
2,658
 
Provision (benefit) for income taxes
   
(9
)    
(466
)    
922
     
103
     
     
550
 
                                                 
Net income (loss)
   
1,822
     
(1,539
)    
3,087
     
586
     
(1,848
)    
2,108
 
Net income attributable to noncontrolling interests
   
     
     
41
     
245
     
     
286
 
                                                 
Net income (loss) attributable to HCA    Healthcare, Inc.
  $
1,822
    $
(1,539
)   $
3,046
    $
341
    $
(1,848
)   $
1,822
 
                                                 
Comprehensive income (loss) attributable to HCA Healthcare, Inc.
  $
1,772
    $
(1,588
)   $
3,051
    $
335
    $
(1,798
)   $
1,772
 
                                                 
 
 
 
 
 
 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT
FOR THE SIX MONTHS ENDED JUNE 30, 2018
(Dollars in millions)
 
HCA
Healthcare, Inc.
Issuer
   
HCA Inc.
Issuer
   
Subsidiary
Guarantors
   
Subsidiary
Non-
Guarantors
   
Eliminations
   
Condensed
Consolidated
 
Revenues
  $
    $
    $
13,550
    $
9,402
    $
    $
22,952
 
                                                 
Salaries and benefits
   
     
     
6,094
     
4,469
     
     
10,563
 
Supplies
   
     
     
2,268
     
1,564
     
     
3,832
 
Other operating expenses
   
5
     
     
2,250
     
1,973
     
     
4,228
 
Equity in earnings of affiliates
   
(1,942
)    
     
(3
)    
(13
)    
1,942
     
(16
)
Depreciation and amortization
   
     
     
652
     
463
     
     
1,115
 
Interest expense (income)
   
32
     
1,704
     
(756
)    
(113
)    
     
867
 
Gains on sales of facilities
   
     
     
(372
)    
(42
)    
     
(414
)
Management fees
   
     
     
(315
)    
315
     
     
 
                                                 
   
(1,905
)    
1,704
     
9,818
     
8,616
     
1,942
     
20,175
 
                                                 
                                                 
Income (loss) before income taxes
   
1,905
     
(1,704
)    
3,732
     
786
     
(1,942
)    
2,777
 
Provision (benefit) for income taxes
   
(59
)    
(396
)    
856
     
128
     
     
529
 
                                                 
Net income (loss)
   
1,964
     
(1,308
)    
2,876
     
658
     
(1,942
)    
2,248
 
Net income attributable to noncontrolling interests
   
     
     
50
     
234
     
     
284
 
                                                 
Net income (loss) attributable to HCA Healthcare, Inc.
  $
1,964
    $
(1,308
)   $
2,826
    $
424
    $
(1,942
)   $
1,964
 
                                                 
Comprehensive income (loss) attributable to HCA Healthcare, Inc.
  $
1,981
    $
(1,271
)   $
2,833
    $
397
    $
(1,959
)   $
1,981
 
                                                 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING BALANCE SHEET
JUNE 30, 2019
(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
  $
300
    $
    $
1,700
    $
430
    $
    $
2,430
 
Accounts receivable
   
     
     
4,004
     
3,215
     
     
7,219
 
Inventories
   
     
     
1,194
     
632
     
     
1,826
 
Other
   
     
     
756
     
638
     
     
1,394
 
                                                 
   
300 
     
     
7,654
     
4,915
     
     
12,869
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Property and equipment, net
   
     
     
12,749
     
8,718
     
     
21,467
 
Investments of insurance subsidiaries
   
     
     
     
342
     
     
342
 
Investments in and advances to affiliates
   
34,964
     
     
29
     
218
     
(34,964
)    
247
 
Goodwill and other intangible assets
   
     
     
5,725
     
2,415
     
     
8,140
 
Right-of-use
operating lease assets
   
     
     
436
     
1,351
     
     
1,787
 
Other
   
462
     
     
21
     
114
     
     
597
 
                                                 
  $
35,726
    $
    $
26,614
    $
18,073
    $
(34,964
)   $
45,449
 
                                                 
LIABILITIES AND
STOCKHOLDERS’ (DEFICIT)
EQUITY
   
     
     
     
     
     
 
Current liabilities:
   
     
     
     
     
     
 
Accounts payable
  $
    $
    $
1,754
    $
855
    $
    $
2,609
 
Accrued salaries
   
     
     
908
     
589
     
     
1,497
 
Other accrued expenses
   
67
     
441
     
896
     
1,378
     
     
2,782
 
Long-term debt due within one year
   
     
1,976
     
53
     
44
     
     
2,073
 
                                                 
   
67
     
2,417
     
3,611
     
2,866
     
     
8,961
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-term debt, net
   
997
     
32,579
     
224
     
320
     
     
34,120
 
Intercompany balances
   
37,985
     
(8,618
)    
(29,356
)    
(11
)    
     
 
Professional liability risks
   
     
     
     
1,354
     
     
1,354
 
Right-of-use
operating lease obligations
   
     
     
331
     
1,129
     
     
1,460
 
Income taxes and other liabilities
   
579
     
     
232
     
513
     
     
1,324
 
                                                 
   
39,628
     
26,378
     
(24,958
)    
6,171
     
     
47,219
 
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.
   
(3,902
)    
(26,378
)    
51,488
     
9,854
     
(34,964
)    
(3,902
)
Noncontrolling interests
   
     
     
84
     
2,048
     
     
2,132
 
                                                 
   
(3,902
)    
(26,378
)    
51,572
     
11,902
     
(34,964
)    
(1,770
)
                                                 
  $
35,726
    $
    $
26,614
    $
18,073
    $
(34,964
)   $
45,449
 
                                                 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING BALANCE SHEET
DECEMBER 31, 2018
(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
  $
    $
    $
174
    $
328
    $
    $
502
 
Accounts receivable
   
     
     
3,964
     
2,825
     
     
6,789
 
Inventories
   
     
     
1,178
     
554
     
     
1,732
 
Other
   
     
     
669
     
521
     
     
1,190
 
                                                 
   
     
     
5,985
     
4,228
     
     
10,213
 
Property and equipment, net
   
     
     
12,450
     
7,307
     
     
19,757
 
Investments of insurance subsidiaries
   
     
     
     
362
     
     
362
 
Investments in and advances to affiliates
   
33,166
     
     
29
     
203
     
(33,166
)    
232
 
Goodwill and other intangible assets
   
     
     
5,724
     
2,229
     
     
7,953
 
Other
   
478
     
64
     
35
     
113
     
     
690
 
                                                 
  $
33,644
    $
64
    $
24,223
    $
14,442
    $
(33,166
)   $
39,207
 
                                                 
LIABILITIES AND
STOCKHOLDERS’ (DEFICIT)
EQUITY
   
     
     
     
     
     
 
Current liabilities:
   
     
     
     
     
     
 
Accounts payable
  $
    $
    $
1,721
    $
856
    $
    $
2,577
 
Accrued salaries
   
     
     
998
     
582
     
     
1,580
 
Other accrued expenses
   
142
     
403
     
905
     
1,174
     
     
2,624
 
Long-term debt due within one year
   
     
696
     
55
     
37
     
     
788
 
                                                 
   
142
     
1,099
     
3,679
     
2,649
     
     
7,569
 
Long-term debt, net
   
996
     
30,544
     
212
     
281
     
     
32,033
 
Intercompany balances
   
36,951
     
(6,789
)    
(28,415
)    
(1,747
)    
     
 
Professional liability risks
   
     
     
     
1,275
     
     
1,275
 
Income taxes and other liabilities
   
505
     
     
223
     
520
     
     
1,248
 
                                                 
   
38,594
     
24,854
     
(24,301
)    
2,978
     
     
42,125
 
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.
   
(4,950
)    
(24,790
)    
48,437
     
9,519
     
(33,166
)    
(4,950
)
Noncontrolling interests
   
     
     
87
     
1,945
     
     
2,032
 
                                                 
   
(4,950
)    
(24,790
)    
48,524
     
11,464
     
(33,166
)    
(2,918
)
                                                 
  $
33,644
    $
64
    $
24,223
    $
14,442
    $
(33,166
)   $
39,207
 
                                                 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
FOR THE SIX MONTHS ENDED JUNE 30, 2019
(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)
  $
1,822
    $
(1,539
)   $
3,087
    $
586
    $
(1,848
)   $
2,108
 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
   
     
     
     
     
     
 
Changes in operating assets and liabilities
   
     
40
     
(305
)    
(378
)    
     
(643
)
Depreciation and amortization
   
     
     
709
     
546
     
     
1,255
 
Income taxes
   
27
     
     
     
     
     
27
 
Gains on sales of facilities
   
     
     
(7
)    
(10
)    
     
(17
)
Amortization of debt issuance costs and discounts
   
     
16
     
     
     
     
16
 
Share-based compensation
   
     
     
158
     
     
     
158
 
Equity in earnings of affiliates
   
(1,848
)    
     
     
     
1,848
     
 
Other
   
54
     
     
14
     
(1
)    
     
67
 
                                                 
Net cash provided by (used in) operating activities
   
55
     
(1,483
)    
3,656
     
743
     
     
2,971
 
                                                 
Cash flows from investing activities:
   
     
     
     
     
     
 
Purchase of property and equipment
   
     
     
(953
)    
(792
)    
     
(1,745
)
Acquisition of hospitals and health care entities
   
     
     
(35
)    
(1,469
)    
     
(1,504
)
Disposition of hospitals and health care entities
   
     
     
30
     
11
     
     
41
 
Change in investments
   
     
     
14
     
45
     
     
59
 
Other
   
     
     
(9
)    
45
     
     
36
 
                                                 
Net cash used in investing activities
   
     
     
(953
)    
(2,160
)    
     
(3,113
)
                                                 
Cash flows from financing activities:
   
     
     
     
     
     
 
Issuance of long-term debt
   
     
6,451
     
     
     
     
6,451
 
Net change in revolving credit facilities
   
     
(3,040
)    
     
     
     
(3,040
)
Repayment of long-term debt
   
     
(47
)    
(31
)    
(20
)    
     
(98
)
Distributions to noncontrolling interests
   
     
     
(44
)    
(203
)    
     
(247
)
Payment of debt issuance costs
   
     
(63
)    
     
     
     
(63
)
Payment of cash dividends
   
(278
)    
     
     
     
     
(278
)
Repurchases of common stock
   
(520
)    
     
     
     
     
(520
)
Changes in intercompany balances with affiliates, net
   
1,165
     
(1,818
)    
(1,102
)    
1,755
     
     
 
Other
   
(122
)    
     
     
(13
)    
     
(135
)
                                                 
Net cash provided by (used in) financing activities
   
245
     
1,483
     
(1,177
)    
1,519
     
     
2,070
 
                                                 
Change in cash and cash equivalents
   
300
     
     
1,526
     
102
     
     
1,928
 
Cash and cash equivalents at beginning of period
   
     
     
174
     
328
     
     
502
 
                                                 
Cash and cash equivalents at end of period
  $
300
    $
    $
1,700
    $
430
    $
    $
2,430
 
                                                 
HCA HEALTHCARE, INC.
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
FOR THE SIX MONTHS ENDED JUNE 30, 2018
(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)
  $
1,964
    $
(1,308
)   $
2,876
    $
658
    $
(1,942
)   $
2,248
 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
   
     
     
     
     
     
 
Changes in operating assets and liabilities
   
     
2
     
(352
)    
(52
)    
     
(402
)
Depreciation and amortization
   
     
     
652
     
463
     
     
1,115
 
Income taxes
   
118
     
     
     
     
     
118
 
Gains on sales of facilities
   
     
     
(372
)    
(42
)    
     
(414
)
Amortization of debt issuance costs and discounts
   
     
15
     
     
     
     
15
 
Share-based compensation
   
     
     
134
     
     
     
134
 
Equity in earnings of affiliates
   
(1,942
)    
     
     
     
1,942
     
 
Other
   
43
     
     
     
8
     
     
51
 
                                                 
Net cash provided by (used in) operating activities
   
183
     
(1,291
)    
2,938
     
1,035
     
     
2,865
 
                                                 
Cash flows from investing activities:
   
     
     
     
     
     
 
Purchase of property and equipment
   
     
     
(900
)    
(674
)    
     
(1,574
)
Acquisition of hospitals and health care entities
   
     
     
(438
)    
(100
)    
     
(538
)
Disposition of hospitals and health care entities
   
     
     
767
     
32
     
     
799
 
Change in investments
   
     
     
17
     
6
     
     
23
 
Other
   
     
     
(30
)    
5
     
     
(25
)
                                                 
Net cash used in investing activities
   
     
     
(584
)    
(731
)    
     
(1,315
)
                                                 
Cash flows from financing activities:
   
     
     
     
     
     
 
Net change in revolving credit facilities
   
     
210
     
     
     
     
210
 
Repayment of long-term debt
   
     
(41
)    
(38
)    
(22
)    
     
(101
)
Distributions to noncontrolling interests
   
     
     
(43
)    
(142
)    
     
(185
)
Payment of debt issuance costs
   
     
(2
)    
     
     
     
(2
)
Payment of cash dividends
   
(245
)    
     
     
     
     
(245
)
Repurchases of common stock
   
(893
)    
     
     
     
     
(893
)
Changes in intercompany balances with affiliates, net
   
1,150
     
1,124
     
(2,188
)    
(86
)    
     
 
Other
   
(196
)    
     
     
4
     
     
(192
)
                                                 
Net cash (used in) provided by financing activities
   
(184
)    
1,291
     
(2,269
)    
(246
)    
     
(1,408
)
                                                 
Effect on exchange rate changes on cash and cash equivalents
   
     
     
     
(6
)    
     
(6
)
                                                 
Change in cash and cash equivalents
   
(1
)    
     
85
     
52
     
     
136
 
Cash and cash equivalents at beginning of period
   
1
     
     
112
     
619
     
     
732
 
                                                 
Cash and cash equivalents at end of period
  $
    $
    $
197
    $
671
    $
    $
868