Hca Healthcare, Inc. · NYSE:HCA
Hca Healthcare — Q4 2022 Earnings Presentation
34 slides from Hca Healthcare's earnings presentation, Mar 7, 2023
Slide 1: HCA Healthcare Investor Update Q4 2022
HCA Healthcare* Investor Update Q4 2022
Slide 2: Forward looking statements and non-GAAP financial measures
Forward looking statements and non-GAAP financial measures This presentation contains certain forward-looking statements provided by Company management. These statements are intended to be covered by the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking
Slide 3: About HCA Healthcare
out HCA Healthcare
Slide 4: Our mission and our vision
Ww & Our mission Our vision Above all else, Be the healthcare we are committed network of choice to the care and in the communities improvement of we serve. human life.
Slide 5: HCA Healthcare
HCA Healthcare HCA Healthcare is one of the nation’s leading Our Network * providers of healthcare services, comprised of 182 hospitals and approximately 2,300 ambulatory sites of care in 20 states and the 182 130 126 270 United Kingdom. Hospitals FSERs ASCs UCCs Our Patients * Mountain ay f. jo Pat
Slide 6: Strong presence in attractive high growth markets
Strong presence in attractive high growth markets 2 HCA Healthcare’s Enterprise Market Share Represent HCA Healthcare’s = major markets y + Statistics are derived by analyzing inpatient data supplied by relevant state agencies. State agencies supplying inpatient data specifically disclaim the statis
Slide 7: HCA Healthcare enterprise capabilities and services
The Cancer Institute of HCA Healthcare offers One of the largest revenue cycle integrated cancer treatments with convenient organizations in the country access to cutting-edge therapies for those facing cancer. HCA’s medical liability insurance company One of the largest private nursing schools in E
Slide 8: Strategy
r Strategy
Slide 9: HCA Healthcare Strategy Framework
HCA Healthcare Strategy Framework sesso Aor, cect es oe Cin p Our Mission Our Vision eo "4, %, Above all else, we are Be the healthcare % committed to the care system of choice in the and improvement of communities we serve. Deliver human life. operational N excellence a Coordinate Attract 9 & bette
Slide 10: r Investor Update
• • • • • • • • • • • r • • • • • 10 Investor Update
Slide 11: Investor Update
• • • • • • • • • • • • • • • • • 11 Investor Update
Slide 12: Figures as of December 2022
Figures as of December 2022 12 Investor Update
Slide 13: Strategic focus
ia Financial Strength Diversified Portfolio HCA Healthcare’s $ strategic Teterne focus @) Strong Operating Culture Scale 13 | Investor Update Improve our business Drive growth Speed to market Support execution and efficiency HCA: Healthcare’
Slide 14: Market network map
* Figures as of December 2022 * The map is for illustrative purposes only, highlighting representative sites within the market **Figures as of December 2021 14 Investor Update
Slide 15: Access Point Map
Access Point Map * Figures as of December 2022 * The map is for illustrative purposes only, highlighting representative sites within the market 15 Investor Update
Slide 16: Partnering with physicians
Partnering with physicians VOICE PHYSICIAN ENGAGEMENT, TIME GROWTH CLINICAL CAPABILITIES * As of December 31, 2022 **For the academic year 2022-2023 16 | Investor Update Current Provider Workforce* A a 45,000 5,400 3,900 Active/Affiliated Employed Advanced Practice Medical Staff Physicians Providers
Slide 17: HCA Healthcare's high quality care
HCA Healthcare’s high quality care Dedication to our patients #h 2.1M annual hospital admissions* G 45K active and affiliated physicians* 93K registered nurses* *Full year 2022 **Feb 2020 - Dec 2022 17 | Investor Update ih 14.6M physician and clinic visits* 3.4M urgent care visits* 377,000+ COVID in
Slide 18: Investor Update
• • • • • • • • • • • • • • • • • • 18 Investor Update
Slide 19: ESG
* As of December 31, 2022 19 Investor Update
Slide 20: Our approach to ESG
Our approach to ESG Our People: HCA Healthcare is committed to strengthening the diversity of our workforce and investing in the well-being of our colleagues and their families. Our Patients: As one of the nation’s leading healthcare providers, HCA Healthcare’s approach to delivering high-quality ca
Slide 21: Investor Update
• • • • • • • • • • • • • • • • • • • 21 Investor Update
Slide 22: o o o
• • • • • • • • • • • • o • o o • 22 Investor Update
Slide 23: HCA Healthcare's Consistent Long-Term Growth
Healthcare’s Consistent g-Term Growth
Slide 24: Our strategy has produced consistent long-term growth
Our strategy has produced consistent long-term growth 5 S CA Admissions Surgeries 5 year CAGR' 1.4% 5 year CAGR' 0.8% 20222 2.08M 20222 1.55M 1 Percentages represent 5 year CAGR: 2017 ~ 2022 2 Values represent year ended 2022 24 | Investor Update © Equivalent Admissions 5 year CAGR' 1.9% 20222 3.61M
Slide 25: Adjusted EBITDA & EPS Growth
Adjusted EBITDA & EPS Growth Adjusted EBITDA Adjusted EPS in Billions $13.0 $20 $12.0 $18 : $16 9 $11.0 7.9% 14 $10.0 Adjusted $i2 $9.0 EBITDA $10 $8.0 $6 $7.0 $4 2017 2018 2019 2020 2021 2022 2017 2018 2019 2020 2021 2022 Adjusted EBITDA and Adjusted EPS are non-GAAP financial measures. Please refe
Slide 26: Cash flows from operations and primary uses of cash
Cash Flows provided by Operations and primary uses of Cash Flows from March 2011 IPO through December 2022 *HCA began paying a regular, quarterly dividend during the 1st quarter of 2018, with a temporary suspension in its cash dividend program in 2020 in response to the COVID-19 pandemic 26 Investor
Slide 27: Capital investment and projected pipeline
* Projected pipeline as of December 31, 2022; does not include acquisition-related capacity ** 2011 includes $351M in Capital Investment incurred prior to the March 2011 IPO 27 Investor Update
Slide 28: HCA Healthcare Financial Results
A Healthcare Financial Results
Slide 29: Fourth Quarter and Full Year Income Statement
Fourth Quarter For the Years Ended December 31, 2022 2021 2022 2021 Amount Ratio Amount Ratio Amount Ratio Amount Ratio Revenues $15,497 100.0% $15,064 100.0% $60,233 100.0% $58,752 100.0% Salaries and benefits 7,055 45.5 6,999 46.5 27,685 46.0 26,779 45.6 Supplies 2,429 15.7 2,414 16.0 9,371 15.6 9
Slide 30: Balance Sheet
December 31, September 30, December 31, December 31, September 30, December 31, 2022 2022 2021 2022 2022 2021 Assets Liabilities and stockholders' (deficit) equity Cash and cash equivalents $908 $999 $1,451 Accounts payable $4,239 $4,161 $4,111 Accounts receivable 8,891 8,552 8,095 Accrued salaries
Slide 31: Cash Flow Statement
2022 2021 2022 2021 Cash flows from operating activities: Cash flows from financing activities: Net income $6,834 $7,721 Issuances of long-term debt 5,997 4,344 Adjustments to reconcile net income to net cash provided by Net change in revolving credit facilities 120 2,780 operating activities: Repay
Slide 32: Operating statistics
For the Years For the Years Fourth Quarter Ended December 31, Fourth Quarter Ended December 31, 2022 2021 2022 2021 2022 2021 2022 2021 Operations: Number of Hospitals 182 182 182 182 Emergency Room Visits 2,412,781 2,166,959 8,971,951 8,475,345 Number of Freestanding Outpatient Surgery Centers* 126
Slide 33: Non-GAAP reconciliation
For the Years Fourth Quarter Ended December 31, 2022 2021 2022 2021 2020 2019 2018 2017 (a) Net income attributable to HCA Healthcare, Inc., excluding losses (gains) on sales of facilities and losses on retirement of debt, and Adjusted EBITDA should not be considered as measures of financial perform
Slide 34: HCA Healthcare
HCA Healthcare* Above all else, we are committed to the care and improvement of human life.