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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, 2003

OR

  o 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 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 name, 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 (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 x     NO o

      Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). YES x     NO o

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

     
Class of Common Stock Outstanding at July 15, 2003


Voting common stock, $.01 par value
  478,523,800 shares
Nonvoting common stock, $.01 par value
  21,000,000 shares




TABLE OF CONTENTS

CONDENSED CONSOLIDATED INCOME STATEMENTS
HCA INC. CONDENSED CONSOLIDATED BALANCE SHEETS
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
HCA INC. 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
ITEM 4. CONTROLS AND PROCEDURES
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
EX-10.1 ADMINISTRATIVE SETTLEMENT AGREEMENT
EX-10.2 CIVIL SETTLEMENT AGREEMENT
EX-12 COMPUTATION OF RATIO OF EARNINGS TO CHARGES
EX-31.1 302 CERTIFICATION OF THE CEO
EX-31.2 302 CERT. OF PRINCIPAL FINANCIAL OFFICER
EX-32.1 906 CERTIFICATION


Table of Contents

HCA INC.

FORM 10-Q

June 30, 2003
             
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, 2003 and 2002
    3  
   
Condensed Consolidated Balance Sheets — June 30, 2003 and December 31, 2002
    4  
   
Condensed Consolidated Statements of Cash Flows — for the six months ended June 30, 2003 and 2002
    5  
   
Notes to Condensed Consolidated Financial Statements
    6  
Item 2.
 
Management’s Discussion and Analysis of Financial Condition and Results of Operations
    17  
Item 3.
 
Quantitative and Qualitative Disclosure of Market Risk
    34  
Item 4.
 
Controls and Procedures
    34  
Part II.
 
Other Information
       
Item 1.
 
Legal Proceedings
    35  
Item 4.
 
Submission of Matters to a Vote of Security Holders
    41  
Item 6.
 
Exhibits and Reports on Form 8-K
    41  
Signatures     43  

2


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HCA INC.

CONDENSED CONSOLIDATED INCOME STATEMENTS
For the quarters and six months ended June 30, 2003 and 2002
Unaudited
(Dollars in millions, except per share amounts)
                                     
Quarter Six Months


2003 2002 2003 2002




Revenues
  $ 5,467     $ 4,903     $ 10,740     $ 9,776  
Salaries and benefits
    2,178       1,960       4,274       3,890  
Supplies
    870       778       1,715       1,556  
Other operating expenses
    926       832       1,779       1,632  
Provision for doubtful accounts
    577       371       1,005       739  
Insurance subsidiary (gains) losses on sales of investments
    1       (1 )     1       4  
Equity in earnings of affiliates
    (53 )     (55 )     (111 )     (106 )
Depreciation and amortization
    278       255       539       499  
Interest expense
    123       108       237       229  
Gains on sales of facilities
    (1 )           (75 )      
Impairment of long-lived assets
    130       19       130       19  
Investigation related costs
    1       13       5       30  
     
     
     
     
 
      5,030       4,280       9,499       8,492  
     
     
     
     
 
Income before minority interests and income taxes
    437       623       1,241       1,284  
Minority interests in earnings of consolidated entities
    47       42       86       77  
     
     
     
     
 
Income before income taxes
    390       581       1,155       1,207  
Provision for income taxes
    150       231       446       472  
     
     
     
     
 
   
Net income
  $ 240     $ 350     $ 709     $ 735  
     
     
     
     
 
Per share data:
                               
 
Basic earnings per share
  $ 0.47     $ 0.68     $ 1.39     $ 1.44  
 
Diluted earnings per share
  $ 0.47     $ 0.66     $ 1.37     $ 1.40  
 
Cash dividends per share
  $ 0.02     $ 0.02     $ 0.04     $ 0.04  
Shares used in earnings per share calculations (in thousands):
                               
 
Basic
    506,727       513,185       508,995       510,811  
 
Diluted
    514,412       528,068       518,374       524,841  

See accompanying notes.

3


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HCA INC.

CONDENSED CONSOLIDATED BALANCE SHEETS
Unaudited
(Dollars in millions)
                   
June 30, December 31,
2003 2002


ASSETS
Current assets:
               
 
Cash and cash equivalents
  $ 184     $ 161  
 
Accounts receivable, less allowance for doubtful accounts of $2,378 and $2,045
    2,873       2,788  
 
Inventories
    493       462  
 
Deferred income taxes
    640       568  
 
Other
    606       526  
     
     
 
      4,796       4,505  
Property and equipment, at cost
    17,893       16,800  
Accumulated depreciation
    (7,399 )     (7,079 )
     
     
 
      10,494       9,721  
Investments of insurance subsidiary
    1,549       1,355  
Investments in and advances to affiliates
    661       679  
Goodwill
    2,501       1,994  
Deferred loan costs
    67       67  
Other
    402       420  
     
     
 
    $ 20,470     $ 18,741  
     
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
               
 
Accounts payable
  $ 765     $ 809  
 
Accrued salaries
    461       438  
 
Other accrued expenses
    1,134       1,113  
 
Government settlement accrual
    683       933  
 
Long-term debt due within one year
    808       446  
     
     
 
      3,851       3,739  
Long-term debt
    7,568       6,497  
Professional liability risks
    1,271       1,193  
Deferred income taxes and other liabilities
    1,128       999  
Minority interests in equity of consolidated entities
    672       611  
Stockholders’ equity:
               
 
Common stock $.01 par; authorized 1,650,000,000 shares; outstanding 501,053,300 shares in 2003 and 514,176,000 shares in 2002
    5       5  
 
Capital in excess of par value
          93  
 
Other
    6       6  
 
Accumulated other comprehensive income
    112       73  
 
Retained earnings
    5,857       5,525  
     
     
 
      5,980       5,702  
     
     
 
    $ 20,470     $ 18,741  
     
     
 

See accompanying notes.

4


Table of Contents

HCA INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
For the six months ended June 30, 2003 and 2002
Unaudited
(Dollars in millions)
                       
2003 2002


Cash flows from operating activities:
               
 
Net income
  $ 709     $ 735  
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
   
Provision for doubtful accounts
    1,005       739  
   
Depreciation and amortization
    539       499  
   
Income taxes
    (17 )     117  
   
Settlement with Federal Government
    (250 )      
   
Gains on sales of facilities
    (75 )      
   
Impairment of long-lived assets
    130       19  
   
Changes in operating assets and liabilities
    (1,052 )     (937 )
   
Other
    86       52  
     
     
 
     
Net cash provided by operating activities
    1,075       1,224  
     
     
 
Cash flows from investing activities:
               
   
Purchase of property and equipment
    (920 )     (829 )
   
Acquisition of hospitals and health care entities
    (884 )     (83 )
   
Disposition of hospitals and health care entities
    121       39  
   
Change in investments
    (110 )     (4 )
   
Other
    (4 )     (5 )
     
     
 
     
Net cash used in investing activities
    (1,797 )     (882 )
     
     
 
Cash flows from financing activities:
               
   
Issuance of long-term debt
    509       505  
   
Net change in revolving bank credit facility
    805       (595 )
   
Repayment of long-term debt
    (52 )     (70 )
   
Payment of cash dividends
    (20 )     (20 )
   
Repurchases of common stock
    (542 )     (400 )
   
Issuances of common stock
    51       208  
   
Other
    (6 )     (4 )
     
     
 
     
Net cash provided by (used in) financing activities
    745       (376 )
     
     
 
Change in cash and cash equivalents
    23       (34 )
Cash and cash equivalents at beginning of period
    161       85  
     
     
 
Cash and cash equivalents at end of period
  $ 184     $ 51  
     
     
 
Interest payments
  $ 211     $ 218  
Income tax payments
  $ 463     $ 355  

See accompanying notes.

5


Table of Contents

HCA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Unaudited
 
NOTE 1 —  INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

     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, 2003, these affiliates owned and operated 184 hospitals, 76 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 four 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 consolidated financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. The majority of the Company’s expenses are “cost of revenue” items. Operating results for the quarter and six months ended June 30, 2003, are not necessarily indicative of the results that may be expected for the year ending December 31, 2003. 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, 2002.

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

     Stock-based Compensation

      HCA applies Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” and related interpretations in accounting for its employee stock benefit plans. Accordingly, no compensation cost has been recognized for HCA’s stock options granted under the plans because the exercise prices for options granted were equal to the quoted market prices on the option grant dates and all option grants were to employees or directors.

      HCA determined the pro forma net income and earnings per share as if compensation cost for HCA’s employee stock option and stock purchase plans had been determined based upon fair values at the grant dates. These pro forma amounts for the respective quarters and six months ended June 30, 2003 and 2002 are as follows (dollars in millions, except per share amounts):

                                   
Quarter Six Months


2003 2002 2003 2002




Net income:
                               
 
As reported
  $ 240     $ 350     $ 709     $ 735  
 
Stock-based employee compensation expense determined under a fair value method, net of income taxes
    27       19       53       32  
     
     
     
     
 
 
Pro forma
  $ 213     $ 331     $ 656     $ 703  
     
     
     
     
 
Basic earnings per share:
                               
 
As reported
  $ 0.47     $ 0.68     $ 1.39     $ 1.44  
 
Pro forma
  $ 0.42     $ 0.64     $ 1.29     $ 1.38  
Diluted earnings per share:
                               
 
As reported
  $ 0.47     $ 0.66     $ 1.37     $ 1.40  
 
Pro forma
  $ 0.41     $ 0.63     $ 1.26     $ 1.34  

6


Table of Contents

HCA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Unaudited
 
NOTE 1 —  INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
 
     Stock-based Compensation (continued)

      The weighted average fair values of HCA’s stock options granted for the quarters ended June 30, 2003 and 2002 were $11.24 and $15.32 per share, respectively. For the six months ended June 30, 2003 and 2002 the weighted average fair values were $13.52 and $13.30 per share, respectively. The fair values were estimated using the Black-Scholes option valuation model with the following weighted average assumptions: