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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

(Mark One)

  x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

                For the quarterly period ended June 30, 2002

OR

  o QUARTERLY 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 Inc.

(Exact name of registrant as specified in its charter)
     
Delaware
(State or other jurisdiction
of incorporation or organization)
  75-2497104
(I.R.S. Employer
Identification No.)
 
One Park Plaza
Nashville, Tennessee
(Address of principal executive offices)
  37203
(Zip Code)

(615) 344-9551

(Registrant’s telephone number, including area code)

Not Applicable

(Former address and former fiscal year, if changed since last report)

     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, and (2) has been subject to such filing requirements for the past 90 days.  YES x  NO o

      Indicate the number of shares outstanding of each of the issuer’s classes of common stock of the latest practical date.

     
Class of Common Stock Outstanding at July 31, 2002


Voting common stock, $.01 par value
  497,385,900 shares
Nonvoting common stock, $.01 par value
  21,000,000 share



TABLE OF CONTENTS

CONDENSED CONSOLIDATED INCOME STATEMENTS
CONDENSED CONSOLIDATED BALANCE SHEETS
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Item 3. Quantitative and Qualitative Disclosure of Market Risk
Part II: Other Information
Item 1: Legal Proceedings
Item 4: Submission of Matters to a Vote of Security Holders
Item 6: Exhibits and Reports on Form 8-K
SIGNATURES
COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES
SECTION 906 CERTIFICATION OF THE CEO
SECTION 906 CERTIFICATION OF THE SR VICE PRESIDENT


Table of Contents

HCA INC.

FORM 10-Q

June 30, 2002
             
Page of
Form 10-Q

Part I.
 
Financial Information
       
Item 1.
 
Financial Statements (Unaudited):
       
   
Condensed Consolidated Income Statements — for the quarters and six months ended June 30, 2002 and 2001
    3  
   
Condensed Consolidated Balance Sheets — June 30, 2002 and December 31, 2001
    4  
   
Condensed Consolidated Statements of Cash Flows — for the six months ended June 30, 2002 and 2001
    5  
   
Notes to Condensed Consolidated Financial Statements
    6  
 
Item 2.
 
Management’s Discussion and Analysis of Financial Condition and Results of Operations
    15  
 
Item 3.
 
Quantitative and Qualitative Disclosure of Market Risk
    29  
 
Part II.
 
Other Information
       
Item 1.
 
Legal Proceedings
    30  
Item 4.
 
Submission of Matters to a Vote of Security Holders
    42  
Item 6.
 
Exhibits and Reports on Form 8-K
    42  

2


Table of Contents

HCA INC.

CONDENSED CONSOLIDATED INCOME STATEMENTS
For the quarters and six months ended June 30, 2002 and 2001
Unaudited
(Dollars in millions, except per share amounts)
                                     
Quarter Six Months


2002 2001 2002 2001




Revenues
  $ 4,903     $ 4,476     $ 9,776     $ 8,977  
 
Salaries and benefits
    1,960       1,822       3,890       3,604  
Supplies
    778       713       1,556       1,424  
Other operating expenses
    832       809       1,632       1,596  
Provision for doubtful accounts
    371       301       739       626  
Depreciation and amortization
    255       262       499       519  
Interest expense
    108       139       229       281  
Insurance subsidiary (gains) losses on sales of investments
    (1 )     (9 )     4       (39 )
Equity in earnings of affiliates
    (55 )     (36 )     (106 )     (82 )
Settlement with Federal government
          2             2  
Gains on sales of facilities
                      (13 )
Impairment of long-lived assets
    19             19        
Investigation related costs
    13       13       30       27  
     
     
     
     
 
      4,280       4,016       8,492       7,945  
     
     
     
     
 
Income before minority interests and income taxes
    623       460       1,284       1,032  
Minority interests in earnings of consolidated entities
    42       29       77       59  
     
     
     
     
 
Income before income taxes
    581       431       1,207       973  
Provision for income taxes
    231       168       472       384  
     
     
     
     
 
Reported net income
    350       263       735       589  
Goodwill amortization, net of tax
          18             35  
     
     
     
     
 
   
Adjusted net income
  $ 350     $ 281     $ 735     $ 624  
     
     
     
     
 
Basic earnings per share:
                               
 
Reported net income
  $ 0.68     $ 0.49     $ 1.44     $ 1.10  
 
Goodwill amortization, net of tax
          0.04             0.06  
     
     
     
     
 
   
Adjusted net income
  $ 0.68     $ 0.53     $ 1.44     $ 1.16  
     
     
     
     
 
Diluted earnings per share:
                               
 
Reported net income
  $ 0.66     $ 0.48     $ 1.40     $ 1.07  
 
Goodwill amortization, net of tax
          0.04             0.06  
     
     
     
     
 
   
Adjusted net income
  $ 0.66     $ 0.52     $ 1.40     $ 1.13  
     
     
     
     
 
 
Cash dividends
  $ 0.02     $ 0.02     $ 0.04     $ 0.04  
 
Shares used in earnings per share calculations (in thousands):
                               
 
Basic
    513,185       531,617       510,811       536,472  
 
Diluted
    528,068       545,815       524,841       550,290  

See accompanying notes.

3


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HCA INC.

CONDENSED CONSOLIDATED BALANCE SHEETS
Unaudited
(Dollars in millions, except per share amounts)
                   
June 30, December 31,
2002 2001


ASSETS
Current assets:
               
 
Cash and cash equivalents
  $ 51     $ 85  
 
Accounts receivable, less allowance for doubtful accounts of $1,925 and $1,812
    2,639       2,420  
 
Inventories
    434       423  
 
Income taxes receivable
          93  
 
Other
    1,234       1,120  
     
     
 
      4,358       4,141  
Property and equipment, at cost
    16,056       15,222  
Accumulated depreciation
    (6,728 )     (6,303 )
     
     
 
      9,328       8,919  
Investments of insurance subsidiary
    1,410       1,453  
Investments in and advances to affiliates
    669       680  
Goodwill
    2,004       1,984  
Deferred loan costs
    65       67  
Other
    428       486  
     
     
 
    $ 18,262     $ 17,730  
     
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
               
 
Accounts payable
  $ 721     $ 755  
 
Accrued salaries
    388       386  
 
Other accrued expenses
    966       986  
 
Government settlement accrual
    250       250  
 
Long-term debt due within one year
    789       807  
     
     
 
      3,114       3,184  
Long-term debt
    6,445       6,553  
Professional liability risks, deferred taxes and other liabilities
    2,370       2,268  
Minority interests in equity of consolidated entities
    578       563  
Company-obligated mandatorily redeemable securities of affiliate holding solely Company securities
          400  
 
Stockholders’ equity:
               
 
Common stock $.01 par; authorized 1,650,000,000 shares; outstanding 518,186,400 shares in 2002 and 509,297,200 shares in 2001
    5       5  
 
Capital in excess of par value
    301        
 
Other
    6       7  
 
Accumulated other comprehensive income (loss)
    (4 )     18  
 
Retained earnings
    5,447       4,732  
     
     
 
      5,755       4,762  
     
     
 
    $ 18,262     $ 17,730  
     
     
 

See accompanying notes.

4


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HCA INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
For the six months ended June 30, 2002 and 2001
Unaudited
(Dollars in millions)
                       
2002 2001


Cash flows from operating activities:
               
 
Net income
  $ 735     $ 589  
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
   
Provision for doubtful accounts
    739       626  
   
Depreciation and amortization
    499       519  
   
Income taxes
    117       173  
   
Gains on sales of facilities
          (13 )
   
Impairment of long-lived assets
    19        
   
Changes in operating assets and liabilities
    (937 )     (811 )
   
Payment to Federal government
          (95 )
   
Other
    52       (4 )
     
     
 
     
Net cash provided by operating activities
    1,224       984  
     
     
 
Cash flows from investing activities:
               
   
Purchase of property and equipment
    (829 )     (591 )
   
Acquisition of hospitals and other health care entities
    (83 )     (94 )
   
Investment in and advances to affiliates
          (24 )
   
Disposition of property and equipment
    39       92  
   
Change in investments
    (4 )     (198 )
   
Other
    (5 )     (19 )
     
     
 
     
Net cash used in investing activities
    (882 )     (834 )
     
     
 
Cash flows from financing activities:
               
   
Issuance of long-term debt
    505       1,750  
   
Net change in revolving bank credit
    (595 )     (200 )
   
Repayment of long-term debt
    (70 )     (1,220 )
   
Payment of cash dividends
    (20 )     (22 )
   
Repurchases of common stock
    (400 )     (745 )
   
Issuances of common stock
    208       134  
   
Other
    (4 )     (37 )
     
     
 
     
Net cash used in financing activities
    (376 )     (340 )
     
     
 
Change in cash and cash equivalents
    (34 )     (190 )
Cash and cash equivalents at beginning of period
    85       314  
     
     
 
Cash and cash equivalents at end of period
  $ 51     $ 124  
     
     
 
Interest payments
  $ 218     $ 240  
Income tax payments
  $ 355     $ 211  

See accompanying notes.

5


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HCA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

NOTE 1 — BASIS OF PRESENTATION

      HCA Inc. is a holding company whose affiliates own and operate hospitals and related health care entities. The term “affiliates” includes direct and indirect subsidiaries of HCA Inc. and partnerships and joint ventures in which such subsidiaries are partners. At June 30, 2002, these affiliates owned and operated 175 hospitals, 75 freestanding surgery centers and provided extensive outpatient and ancillary services. Affiliates of HCA Inc. are also partners in 50/50 joint ventures that own and operate six hospitals and five freestanding surgery centers which are accounted for using the equity method. The Company’s facilities are located in 23 states, England and Switzerland. The terms “HCA” or the “Company” as used in this Quarterly Report on Form 10-Q refer to HCA Inc. and its affiliates unless otherwise stated or indicated by context.

      The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. Operating results for the quarter and six months ended June 30, 2002, are not necessarily indicative of the results that may be expected for the year ending December 31, 2002. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2001.

      Certain prior year amounts have been reclassified to conform to the current year presentation.

 
NOTE 2 —  INVESTIGATIONS AND SETTLEMENT OF CERTAIN GOVERNMENT CLAIMS

      HCA continues to be the subject of governmental investigations and litigation relating to its business practices. Additionally, HCA is a defendant in several qui tam actions brought by private parties on behalf of the United States of America.

      In December 2000, HCA entered into a Plea Agreement with the Criminal Division of the Department of Justice and various U.S. Attorneys’ Offices (the “Plea Agreement”) and a Civil and Administrative Settlement Agreement with the Civil Division of the Department of Justice (the “Civil Agreement”). The agreements resolved all Federal criminal issues outstanding against HCA and certain issues involving Federal civil claims by or on behalf of the government against HCA relating to DRG coding, outpatient laboratory billing and home health issues. The civil issues that are not covered by the Civil Agreement and remain outstanding include claims related to cost reports and physician relations issues. The Civil Agreement was approved by the Federal District Court of the District of Columbia in August 2001. HCA paid the government $95 million, as provided by the Plea Agreement, during the first quarter of 2001 and paid $745 million (plus $60 million of accrued interest), as provided by the Civil Agreement, during the third quarter of 2001. HCA also entered into a Corporate Integrity Agreement (“CIA”) with the Office of Inspector General of the Department of Health and Human Services.

      Under the Civil Agreement, HCA’s existing Letter of Credit Agreement with the Department of Justice was reduced from $1 billion to $250 million at the time of the settlement payment. Any future civil settlement or court ordered payments related to cost report or physician relations issues will reduce the remaining amount of the letter of credit dollar for dollar. The amount of any such future settlement or court ordered payments is not related to the remaining amount of the letter of credit.

      HCA remains the subject of a formal order of investigation by the Securities and Exchange Commission (the “SEC”). HCA understands that the investigation includes the anti-fraud, insider trading, periodic reporting and internal accounting control provisions of the Federal securities laws.

6


Table of Contents

HCA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Unaudited
 
NOTE 2 —  INVESTIGATIONS AND SETTLEMENT OF CERTAIN GOVERNMENT CLAIMS (continued)

      HCA continues to cooperate in the governmental investigations. Given the scope of the investigations and current litigation, HCA anticipates continued investigative activity to occur in these and other jurisdictions in the future.