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HCA Healthcare, Inc. (Exact Name of Registrant As Specified in Its Charter)

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HCA Healthcare, Inc. (Exact Name of Registrant As Specified in Its Charter) Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2021 Or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 1-11239 HCA Healthcare, Inc. (Exact name of registrant as specified in its charter) Delaware 27-3865930 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) One Park Plaza Nashville, Tennessee 37203 (Address of principal executive offices) (Zip Code) (615) 344-9551 (Registrant’s telephone number, including area code) Not Applicable (Former name, former address and former fiscal year, if changed since last report) Securities registered pursuant to Section 12(b) of the Act: Title of each class Trading Symbol(s) Name of each exchange on which registered Voting common stock, $.01 par value HCA New York Stock Exchange Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐ Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐ Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. Large accelerated filer ☒ Accelerated filer ☐ Non-accelerated filer ☐ Smaller reporting company ☐ Emerging growth company ☐ If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐ Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒ Indicate the number of shares outstanding of each of the issuer’s classes of common stock as of the latest practicable date . Class of Common Stock Outstanding at April 26, 2021 Voting common stock, $.01 par value 330,655,500 shares Table of Contents HCA HEALTHCARE, INC. Form 10-Q March 31, 2021 Page of Form 10-Q Part I. Financial Information Item 1. Financial Statements (Unaudited): Condensed Consolidated Income Statements — for the quarters ended March 31, 2021 and 2020 2 Condensed Consolidated Comprehensive Income Statements — for the quarters ended March 31, 2021 and 2020 3 Condensed Consolidated Balance Sheets — March 31, 2021 and December 31, 2020 4 Condensed Consolidated Statements of Stockholders’ Equity (Deficit) — for the quarters ended March 31, 2021 and 2020 5 Condensed Consolidated Statements of Cash Flows — for the quarters ended March 31, 2021 and 2020 6 Notes to Condensed Consolidated Financial Statements 7 Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 18 Item 3. Quantitative and Qualitative Disclosures About Market Risk 33 Item 4. Controls and Procedures 33 Part II. Other Information Item 1. Legal Proceedings 33 Item 1A. Risk Factors 33 Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 33 Item 6. Exhibits 35 Signatures 36 1 Table of Contents HCA HEALTHCARE, INC. CONDENSED CONSOLIDATED INCOME STATEMENTS FOR THE QUARTERS ENDED MARCH 31, 2021 AND 2020 Unaudited (Dollars in millions, except per share amounts) 2021 2020 Revenues $ 13,977 $ 12,861 Salaries and benefits 6,301 6,118 Supplies 2,224 2,123 Other operating expenses 2,421 2,427 Equity in earnings of affiliates (21) (7) Depreciation and amortization 697 674 Interest expense 384 428 Gains on sales of facilities (2) (7) Losses on retirement of debt — 295 12,004 12,051 Income before income taxes 1,973 810 Provision for income taxes 393 112 Net income 1,580 698 Net income attributable to noncontrolling interests 157 117 Net income attributable to HCA Healthcare, Inc. $ 1,423 $ 581 Per share data: Basic earnings $ 4.21 $ 1.72 Diluted earnings $ 4.14 $ 1.69 Shares used in earnings per share calculations (in millions): Basic 338.123 338.242 Diluted 343.321 344.096 The accompanying notes are an integral part of the condensed consolidated financial statements. 2 Table of Contents HCA HEALTHCARE, INC. CONDENSED CONSOLIDATED COMPREHENSIVE INCOME STATEMENTS FOR THE QUARTERS ENDED MARCH 31, 2021 AND 2020 Unaudited (Dollars in millions) 2021 2020 Net income $1,580 $ 698 Other comprehensive income (loss) before taxes: Foreign currency translation 8 (73) Unrealized losses on available-for-sale securities (11) (5) Defined benefit plans — — Pension costs included in salaries and benefits 7 4 7 4 Change in fair value of derivative financial instruments 1 (60) Interest expense (benefits) included in interest expense 9 (1) 10 (61) Other comprehensive income (loss) before taxes 14 (135) Income taxes (benefits) related to other comprehensive income items 3 (24) Other comprehensive income (loss) 11 (111) Comprehensive income 1,591 587 Comprehensive income attributable to noncontrolling interests 157 117 Comprehensive income attributable to HCA Healthcare, Inc. $1,434 $ 470 The accompanying notes are an integral part of the condensed consolidated financial statements. 3 Table of Contents HCA HEALTHCARE, INC. CONDENSED CONSOLIDATED BALANCE SHEETS Unaudited (Dollars in millions) March 31, December 31, 2021 2020 ASSETS Current assets: Cash and cash equivalents $ 1,030 $ 1,793 Accounts receivable 7,424 7,051 Inventories 2,068 2,025 Other 1,514 1,464 12,036 12,333 Property and equipment, at cost 49,877 49,317 Accumulated depreciation (26,689) (26,118) 23,188 23,199 Investments of insurance subsidiaries 393 388 Investments in and advances to affiliates 427 422 Goodwill and other intangible assets 8,575 8,578 Right-of-use operating lease assets 2,083 2,024 Other 575 546 $ 47,277 $ 47,490 LIABILITIES AND STOCKHOLDERS’ EQUITY Current liabilities: Accounts payable $ 3,524 $ 3,535 Accrued salaries 1,767 1,720 Other accrued expenses 3,117 3,240 Long-term debt due within one year 234 209 8,642 8,704 Long-term debt, less debt issuance costs and discounts of $229 and $236 30,838 30,795 Professional liability risks 1,553 1,486 Right-of-use operating lease obligations 1,730 1,673 Income taxes and other liabilities 2,032 1,940 Stockholders’ equity: Common stock $0.01 par; authorized 1,800,000,000 shares; outstanding 333,714,500 shares — 2021 and 339,425,600 shares — 2020 3 3 Capital in excess of par value — 294 Accumulated other comprehensive loss (491) (502) Retained earnings 735 777 Stockholders’ equity attributable to HCA Healthcare, Inc. 247 572 Noncontrolling interests 2,235 2,320 2,482 2,892 $ 47,277 $ 47,490 The accompanying notes are an integral part of the condensed consolidated financial statements. 4 Table of Contents HCA HEALTHCARE, INC. CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT) FOR THE QUARTERS ENDED MARCH 31, 2021 AND 2020 Unaudited (Dollars in millions) Equity (Deficit) Attributable to HCA Healthcare, Inc. Common Stock Capital in Accumulated Equity Excess of Other Retained Attributable to Shares Par Par Comprehensive Earnings Noncontrolling (in millions) Value Value Loss (Deficit ) Interests Total Balances, December 31 , 2019 338.446 $ 3 $ — $ (460) $ (2,351) $ 2,243 $ (565) Comprehensive income (111) 581 117 587 Repurchase of common stock (3.287 ) (441) (441) Share-based benefit plans 2.449 2 (35) (33) Cash dividends declared ($0.43 per share) (148) (148) Distributions (154) (154) Other (2) 53 51 Balances, March 31, 2020 337.608 3 — (571) (2,394) 2,259 (703) Comprehensive income 9 1,079 137 1,225 Share-based benefit plans 0.352 93 93 Distributions (45) (45) Other (5) 3 (2) Balances, June 30, 2020 337.960 3 88 (562) (1,315) 2,354 568 Comprehensive income 47 668 111 826 Share-based benefit plans 0.410 97 97 Distributions (194) (194) Other 2 2 Balances, September 30, 2020 338.370 3 185 (515) (647) 2,273 1,299 Comprehensive income 13 1,426 268 1,707 Share-based benefit plans 1.056 108 108 Cash dividends declared ($ 0.43 per share) (2) (2) Distributions (233) (233) Other 1 12 13 Balances, December 31, 2020 339.426 3 294 (502) 777 2,320 2,892 Comprehensive income 11 1,423 157 1,591 Repurchase of common stock (8.477 ) (225) (1,302) (1,527) Share-based benefit plans 2.765 (75) (75) Cash dividends declared ($0.48 per share) (163) (163) Distributions (234) (234) Other 6 (8) (2) Balances, March 31 , 2021 333.714 $ 3 $ — $ (491) $ 735 $ 2,235 $ 2,482 The accompanying notes are an integral part of the condensed consolidated financial statements. 5 Table of Contents HCA HEALTHCARE, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE QUARTERS ENDED MARCH 31, 2021 AND 2020 Unaudited (Dollars in millions) 2021 2020 Cash flows from operating activities: Net income $ 1,580 $ 698 Adjustments to reconcile net income to net cash provided by operating activities: Increase (decrease) in cash
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