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8-K - FORM 8-K - HCA Healthcare, Inc.d765324d8k.htm

Exhibit 99.1

 

LOGO       LOGO

 

 

 

      FOR IMMEDIATE RELEASE
INVESTOR CONTACT:       MEDIA CONTACT:
Mark Kimbrough       Ed Fishbough
615-344-2688       615-344-2810

HCA Reports Second Quarter 2014 Results

Earnings In Line with Preview

Nashville, Tenn., July 29, 2014 – HCA Holdings, Inc. (NYSE: HCA) today announced financial and operating results for the second quarter ended June 30, 2014.

Key second quarter metrics (all percentage changes compare 2Q 2014 to 2Q 2013 unless noted):

 

    Revenues increased 9.2 percent to $9.230 billion

 

    Net income attributable to HCA Holdings, Inc. totaled $483 million, or $1.07 per diluted share

 

    Adjusted EBITDA increased 18.5 percent to $2.0 billion

 

    Cash flows from operations increased 53.6 percent to $1.250 billion

 

    Same facility equivalent admissions increased 2.2 percent while same facility admissions increased 1.2 percent

 

    Same facility revenue per equivalent admission increased 5.4 percent

Revenues in the second quarter increased to $9.230 billion, compared to $8.450 billion in the second quarter of 2013. Net income attributable to HCA Holdings, Inc. totaled $483 million, or $1.07 per diluted share, compared to $423 million, or $0.91 per diluted share, in the second quarter of 2013. Adjusted EBITDA totaled $2.0 billion compared to $1.689 billion in the second quarter of 2013. Adjusted EBITDA is a non-GAAP financial measure. A table reconciling net income attributable to HCA Holdings, Inc. to Adjusted EBITDA is included in this release.

During the second quarter the Company recorded a $142 million adjustment to increase Medicaid revenues related to the receipt of reimbursements in excess of our estimates for the indigent care component of the Texas Medicaid Waiver Program for the program year ended September 30, 2013. Second quarter 2014 results include losses on retirement of debt of $226 million, or $0.32 per diluted share, and gains on sales of facilities of $11 million, or $0.02 per diluted share. Results for the second quarter of 2013 include gains on sales of facilities of $4 million.

 

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Same facility revenue per equivalent admission increased 5.4 percent in the second quarter of 2014 compared to the second quarter of 2013, reflecting the increase in Medicaid revenues, improved payor mix and growth in case mix, or acuity, of 1.7 percent on a same facility basis in the quarter.

Same facility equivalent admissions increased 2.2 percent in the second quarter of 2014 compared to the prior year period. Same facility admissions increased 1.2 percent compared to the prior year period. Same facility emergency room visits increased 5.7 percent in the second quarter of 2014, compared to the prior year period. Same facility inpatient surgeries increased 1.0 percent while same facility outpatient surgeries declined 0.3 percent in the second quarter of 2014 compared to the same period of 2013.

During the second quarter of 2014, salaries and benefits, supplies and other operating expenses totaled $7.274 billion, or 78.8 percent of revenues, compared to $6.825 billion, or 80.7 percent of revenues, in the second quarter of 2013.

During the second quarter of 2014, the Company repurchased $750 million, or 14.5 million shares of its common stock from certain of its stockholders, consisting primarily of affiliates or funds sponsored by, Bain Capital Partners, LLC and Kohlberg Kravis Roberts & Co.

Six Months Ended June 30, 2014

Revenues for the six months ended June 30, 2014 totaled $18.062 billion compared to $16.890 billion in the same period of 2013. Net income attributable to HCA Holdings, Inc. was $830 million, or $1.82 per diluted share, compared to $767 million, or $1.66 per diluted share, for the first six months of 2013. Results for the six months ended June 30, 2014 include losses on retirement of debt of $226 million, or $0.31 per diluted share, gains on sales of facilities of $32 million, or $0.04 per diluted share, and legal claim costs of $78 million, or $0.11 per diluted share. Results for the six months ended June 30, 2013 include losses on sales of facilities of $12 million, or $0.02 per diluted share, and losses on retirement of debt of $17 million, or $0.02 per diluted share.

Balance Sheet and Cash Flows from Operations

As of June 30, 2014, HCA Holdings, Inc.’s balance sheet reflected cash and cash equivalents of $658 million, total debt of $28.988 billion, and total assets of $29.822 billion. During the second quarter of 2014, capital expenditures totaled $513 million, excluding acquisitions. Cash flows provided by operating activities in the quarter totaled $1.250 billion compared to $814 million in the second quarter of 2013. The $436 million increase in cash flows from operating activities related primarily to the combined impact of a $199 million increase in net income attributable to HCA Holdings, Inc., excluding gains on sales of facilities and losses on retirement of debt, and a $156 million increase from changes in working capital items in the second quarter of 2014 compared to the second quarter of 2013.

 

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As of June 30, 2014, HCA’s leverage ratio as measured by Total Debt/Adjusted EBITDA was 4.16x, compared to 4.32x as of December 31, 2013. As of June 30, 2014, HCA operated 165 hospitals and 115 freestanding surgery centers.

2014 Guidance

The Company on July 16, 2014 updated its previously issued financial guidance ranges for 2014.

 

     Original 2014 Guidance    Revised 2014 Guidance

Revenues

   $35.50 - $36.50 billion    $36.00 - $36.50 billion

Adjusted EBITDA

   $6.60 - $6.85 billion    $7.00 - $7.15 billion

Adjusted EPS (diluted)

   $3.45 - $3.75    $4.00 - $4.25

Capital Expenditures

   Approximately $2.2 billion    no change

The revised guidance assumes a benefit to Adjusted EBITDA from the Patient Protection and Affordable Care Act (Health Reform Law) in 2014 of approximately 2 to 3 percent of Adjusted EBITDA (original guidance was 1 to 2 percent), and the second quarter Medicaid revenues from the indigent care component of the Texas Medicaid Waiver Program. Both the original and revised guidance also include estimated electronic health record incentive income assumptions in a range of $110-$130 million and EHR expenses in a range of $110-$130 million. The guidance reflects estimated increases in share-based compensation expense to approximately $160 million (original guidance was $168 million), from $113 million in 2013. Guidance excludes the impact of items, if applicable, that are non-operational in nature including items such as, but not limited to, gains or losses on sales of facilities and businesses, gains or losses on early debt retirement and impairments of long-lived assets. This guidance is also subject to certain risks including those as set forth below in the Company’s “Forward-Looking Statements”.

Earnings Conference Call

HCA will host a conference call for investors at 9:00 a.m. Central Daylight Time today. All interested investors are invited to access a live audio broadcast of the call via webcast. The broadcast also will be available on a replay basis beginning this afternoon. The webcast can be accessed at: https://event.webcasts.com/starthere.jsp?ei=1038329 or through the Company’s Investor Relations web page, www.hcahealthcare.com.

 

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Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the federal securities laws, which involve risks and uncertainties. Forward-looking statements include statements that do not relate solely to historical facts. Forward-looking statements can be identified by the use of words like “may,” “believe,” “will,” “expect,” “project,” “estimate,” “anticipate,” “plan,” “initiative” or “continue.” These forward-looking statements are based on our current plans and expectations and are subject to a number of known and unknown uncertainties and risks, many of which are beyond our control, which could significantly affect current plans and expectations and our future financial position and results of operations. These factors include, but are not limited to, (1) the impact of our substantial indebtedness and the ability to refinance such indebtedness on acceptable terms, (2) the effects related to the implementation of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act (collectively, the “Health Reform Law”), possible delays in or complications related to implementation of the Health Reform Law, the possible enactment of additional federal or state health care reforms and possible changes to the Health Reform Law and other federal, state or local laws or regulations affecting the health care industry, (3) the effects related to the continued implementation of the sequestration spending reductions required under the Budget Control Act of 2011 (the “BCA”), and related legislation extending these reductions, and the potential for future deficit reduction legislation that may alter these spending reductions, which include cuts to Medicare payments, or create additional spending reductions, (4) increases in the amount and risk of collectability of uninsured accounts and deductibles and copayment amounts for insured accounts, (5) the ability to achieve operating and financial targets, and attain expected levels of patient volumes and control the costs of providing services, (6) possible changes in the Medicare, Medicaid and other state programs, including Medicaid upper payment limit programs or waiver programs, that may impact reimbursements to health care providers and insurers, (7) the highly competitive nature of the health care business, (8) changes in service mix, revenue mix and surgical volumes, including potential declines in the population covered under managed care agreements, the ability to enter into and renew managed care provider agreements on acceptable terms and the impact of consumer driven health plans and physician utilization trends and practices, (9) the efforts of insurers, health care providers and others to contain health care costs, (10) the outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures, (11) increases in wages and the ability to attract and retain qualified management and personnel, including affiliated physicians, nurses and medical and technical support personnel, (12) the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities, (13) changes in accounting practices, (14) changes in general economic conditions nationally and regionally in our markets, (15) future divestitures which may result in charges and possible impairments of long-lived assets, (16) changes in business strategy or development plans, (17) delays in receiving payments for services provided, (18) the outcome of pending and

 

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any future tax audits, appeals and litigation associated with our tax positions, (19) potential adverse impact of known and unknown government investigations, litigation and other claims that may be made against us, (20) our ongoing ability to demonstrate meaningful use of certified electronic health record technology and recognize income for the related Medicare or Medicaid incentive payments, and (21) other risk factors described in our annual report on Form 10-K for the year ended December 31, 2013 and our other filings with the Securities and Exchange Commission. Many of the factors that will determine our future results are beyond our ability to control or predict. In light of the significant uncertainties inherent in the forward-looking statements contained herein, readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

All references to “Company” and “HCA” as used throughout this release refer to HCA Holdings, Inc. and its affiliates.

 

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HCA Holdings, Inc.

Condensed Consolidated Comprehensive Income Statements

Second Quarter

(Dollars in millions, except per share amounts)

 

     2014     2013  
     Amount     Ratio     Amount     Ratio  

Revenues before provision for doubtful accounts

   $ 9,958        $ 9,473     

Provision for doubtful accounts

     728          1,023     
  

 

 

     

 

 

   

Revenues

     9,230        100.0     8,450        100.0   

Salaries and benefits

     4,098        44.4        3,848        45.5   

Supplies

     1,532        16.6        1,470        17.4   

Other operating expenses

     1,644        17.8        1,507        17.8   

Electronic health record incentive income

     (35     (0.4     (52     (0.6

Equity in earnings of affiliates

     (9     (0.1     (12     (0.1

Depreciation and amortization

     454        4.9        425        5.1   

Interest expense

     427        4.6        462        5.5   

Gains on sales of facilities

     (11     (0.1     (4     (0.1

Losses on retirement of debt

     226        2.5        —          —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     8,326        90.2        7,644        90.5   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     904        9.8        806        9.5   

Provision for income taxes

     272        3.0        269        3.2   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     632        6.8        537        6.3   

Net income attributable to noncontrolling interests

     149        1.6        114        1.3   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to HCA Holdings, Inc.

   $ 483        5.2      $ 423        5.0   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share

   $ 1.07        $ 0.91     

Shares used in computing diluted earnings per share (000)

     453,009          463,184     

Comprehensive income attributable to HCA Holdings, Inc.

   $ 516        $ 472     
  

 

 

     

 

 

   

 

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HCA Holdings, Inc.

Condensed Consolidated Comprehensive Income Statements

For the Six Months Ended June 30, 2014 and 2013

(Dollars in millions, except per share amounts)

 

     2014     2013  
     Amount     Ratio     Amount     Ratio  

Revenues before provision for doubtful accounts

   $ 19,641        $ 18,667     

Provision for doubtful accounts

     1,579          1,777     
  

 

 

     

 

 

   

Revenues

     18,062        100.0     16,890        100.0

Salaries and benefits

     8,148        45.1        7,765        46.0   

Supplies

     3,064        17.0        2,949        17.5   

Other operating expenses

     3,289        18.2        3,030        17.8   

Electronic health record incentive income

     (65     (0.4     (91     (0.5

Equity in earnings of affiliates

     (18     (0.1     (20     (0.1

Depreciation and amortization

     901        5.0        849        5.0   

Interest expense

     887        4.9        934        5.5   

Losses (gains) on sales of facilities

     (32     (0.2     12        0.1   

Losses on retirement of debt

     226        1.3        17        0.1   

Legal claim costs

     78        0.4        —          —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     16,478        91.2        15,445        91.4   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     1,584        8.8        1,445        8.6   

Provision for income taxes

     498        2.8        470        2.8   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     1,086        6.0        975        5.8   

Net income attributable to noncontrolling interests

     256        1.4        208        1.3   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to HCA Holdings, Inc.

   $ 830        4.6      $ 767        4.5   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share

   $ 1.82        $ 1.66     

Shares used in computing diluted earnings per share (000)

     455,220          462,782     

Comprehensive income attributable to HCA Holdings, Inc.

   $ 888        $ 798     
  

 

 

     

 

 

   

 

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HCA Holdings, Inc.

Supplemental Non-GAAP Disclosures

Operating Results Summary

(Dollars in millions, except per share amounts)

 

                 For the Six Months  
     Second Quarter     Ended June 30,  
     2014     2013     2014     2013  

Revenues

   $ 9,230      $ 8,450      $ 18,062      $ 16,890   

Net income attributable to HCA Holdings, Inc.

   $ 483      $ 423      $ 830      $ 767   

Losses (gains) on sales of facilities (net of tax)

     (7     (3     (20     8   

Losses on retirement of debt (net of tax)

     143        —          143        11   

Legal claim costs (net of tax)

     —          —          49        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs (a)

     619        420        1,002        786   

Depreciation and amortization

     454        425        901        849   

Interest expense

     427        462        887        934   

Provision for income taxes

     351        268        598        480   

Net income attributable to noncontrolling interests

     149        114        256        208   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted EBITDA (a)

   $ 2,000      $ 1,689      $ 3,644      $ 3,257   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share:

        

Net income attributable to HCA Holdings, Inc.

   $ 1.07      $ 0.91      $ 1.82      $ 1.66   

Losses (gains) on sales of facilities

     (0.02     —          (0.04     0.02   

Losses on retirement of debt

     0.32        —          0.31        0.02   

Legal claim costs

     —          —          0.11        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs(a)

   $ 1.37      $ 0.91      $ 2.20      $ 1.70   
  

 

 

   

 

 

   

 

 

   

 

 

 

Shares used in computing diluted earnings per share (000)

     453,009        463,184        455,220        462,782   

 

(a) Net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA should not be considered as measures of financial performance under generally accepted accounting principles (“GAAP”). We believe net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA are important measures that supplement discussions and analysis of our results of operations. We believe it is useful to investors to provide disclosures of our results of operations on the same basis used by management. Management relies upon net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA as the primary measures to review and assess operating performance of its hospital facilities and their management teams.

Management and investors review both the overall performance (including net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and GAAP net income attributable to HCA Holdings, Inc.) and operating performance (Adjusted EBITDA) of our health care facilities. Adjusted EBITDA and the Adjusted EBITDA margin (Adjusted EBITDA divided by revenues) are utilized by management and investors to compare our current operating results with the corresponding periods during the previous year and to compare our operating results with other companies in the health care industry. It is reasonable to expect that losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs will occur in future periods, but the amounts recognized can vary significantly from period to period, do not directly relate to the ongoing operations of our health care facilities and complicate period comparisons of our results of operations and operations comparisons with other health care companies.

Net income attributable to HCA Holdings, Inc., excluding losses on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA are not measures of financial performance under GAAP, and should not be considered as alternatives to net income attributable to HCA Holdings, Inc. as a measure of operating performance or cash flows from operating, investing and financing activities as a measure of liquidity. Because net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA are not measurements determined in accordance with GAAP and are susceptible to varying calculations, net income attributable to HCA Holdings, Inc., excluding losses (gains) on sales of facilities, losses on retirement of debt and legal claim costs, and Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures presented by other companies.

 

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HCA Holdings, Inc.

Condensed Consolidated Balance Sheets

(Dollars in millions)

 

     June 30,     March 31,     December 31  
     2014     2014     2013  

ASSETS

      

Current assets:

      

Cash and cash equivalents

   $ 658      $ 850      $ 414   

Accounts receivable, net

     5,472        5,489        5,208   

Inventories

     1,211        1,187        1,179   

Deferred income taxes

     500        492        489   

Other

     931        859        747   
  

 

 

   

 

 

   

 

 

 

Total current assets

     8,772        8,877        8,037   

Property and equipment, at cost

     31,841        31,369        31,073   

Accumulated depreciation

     (18,120     (17,757     (17,454
  

 

 

   

 

 

   

 

 

 
     13,721        13,612        13,619   

Investments of insurance subsidiaries

     426        453        448   

Investments in and advances to affiliates

     150        142        121   

Goodwill and other intangible assets

     5,909        5,910        5,903   

Deferred loan costs

     230        271        237   

Other

     614        544        466   
  

 

 

   

 

 

   

 

 

 
   $ 29,822      $ 29,809      $ 28,831   
  

 

 

   

 

 

   

 

 

 

LIABILITIES AND STOCKHOLDERS’ DEFICIT

      

Current liabilities:

      

Accounts payable

   $ 1,717      $ 1,735      $ 1,803   

Accrued salaries

     1,140        1,052        1,193   

Other accrued expenses

     1,992        2,063        1,913   

Long-term debt due within one year

     1,046        1,041        786   
  

 

 

   

 

 

   

 

 

 

Total current liabilities

     5,895        5,891        5,695   

Long-term debt

     27,942        27,883        27,590   

Professional liability risks

     1,019        978        949   

Income taxes and other liabilities

     1,554        1,524        1,525   

EQUITY (DEFICIT)

      

Stockholders’ deficit attributable to HCA Holdings, Inc.

     (7,990     (7,828     (8,270

Noncontrolling interests

     1,402        1,361        1,342   
  

 

 

   

 

 

   

 

 

 

Total deficit

     (6,588     (6,467     (6,928
  

 

 

   

 

 

   

 

 

 
   $ 29,822      $ 29,809      $ 28,831   
  

 

 

   

 

 

   

 

 

 

 

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HCA Holdings, Inc.

Condensed Consolidated Statements of Cash Flows

For the Six Months Ended June 30, 2014 and 2013

(Dollars in millions)

 

     2014     2013  

Cash flows from operating activities:

    

Net income

   $ 1,086      $ 975   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Changes in operating assets and liabilities

     (2,151     (2,335

Provision for doubtful accounts

     1,579        1,777   

Depreciation and amortization

     901        849   

Income taxes

     (94     183   

Losses (gains) sales of facilities

     (32     12   

Loss on retirement of debt

     226        17   

Legal claim costs

     78        —     

Amortization of deferred loan costs

     23        28   

Share-based compensation

     77        51   

Other

     —          (3
  

 

 

   

 

 

 

Net cash provided by operating activities

     1,693        1,554   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Purchase of property and equipment

     (913     (896

Acquisition of hospitals and health care entities

     (27     (23

Disposition of hospitals and health care entities

     32        31   

Change in investments

     43        102   

Other

     1        (4
  

 

 

   

 

 

 

Net cash used in investing activities

     (864     (790
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Issuance of long-term debt

     3,502        —     

Net change in revolving credit facilities

     340        (20

Repayment of long-term debt

     (3,482     (768

Distributions to noncontrolling interests

     (197     (196

Payment of debt issuance costs

     (49     (5

Repurchase of common stock

     (750     —     

Distributions to stockholders

     (7     (10

Income tax benefits

     75        61   

Other

     (17     (69
  

 

 

   

 

 

 

Net cash used in financing activities

     (585     (1,007
  

 

 

   

 

 

 

Change in cash and cash equivalents

     244        (243

Cash and cash equivalents at beginning of period

     414        705   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 658      $ 462   
  

 

 

   

 

 

 

Interest payments

   $ 899      $ 909   

Income tax payments, net

   $ 517      $ 226   

 

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HCA Holdings, Inc.

Operating Statistics

 

                 For the Six Months  
     Second Quarter     Ended June 30,  
     2014     2013     2014     2013  

Operations:

        

Number of Hospitals

     165        161        165        161   

Number of Freestanding Outpatient Surgery Centers

     115        114        115        114   

Licensed Beds at End of Period

     43,025        41,792        43,025        41,792   

Weighted Average Licensed Beds

     43,020        41,842        42,989        41,855   

Reported:

        

Admissions

     442,800        433,000        887,900        877,200   

% Change

     2.3       1.2  

Equivalent Admissions

     734,200        708,700        1,447,200        1,416,700   

% Change

     3.6       2.2  

Revenue per Equivalent Admission

   $ 12,570      $ 11,924      $ 12,480      $ 11,922   

% Change

     5.4       4.7  

Inpatient Revenue per Admission

   $ 12,529      $ 11,811      $ 12,308      $ 11,765   

% Change

     6.1       4.6  

Patient Days

     2,135,600        2,049,600        4,332,800        4,222,800   

% Change

     4.2       2.6  

Equivalent Patient Days

     3,542,500        3,355,700        7,062,500        6,819,900   

% Change

     5.6       3.6  

Inpatient Surgery Cases

     128,700        126,500        255,000        251,200   

% Change

     1.7       1.5  

Outpatient Surgery Cases

     225,000        222,200        435,500        433,300   

% Change

     1.3       0.5  

Emergency Room Visits

     1,849,800        1,726,400        3,614,800        3,475,700   

% Change

     7.1       4.0  

Outpatient Revenues as a Percentage of Patient Revenues

     38.0     37.7     37.5     37.1

Average Length of Stay

     4.8        4.7        4.9        4.8   

Occupancy

     54.6     53.8     55.7     55.7

Equivalent Occupancy

     90.5     88.1     90.8     90.0

Same Facility:

        

Admissions

     437,900        432,700        878,300        876,000   

% Change

     1.2       0.3  

Equivalent Admissions

     723,800        708,300        1,427,200        1,413,800   

% Change

     2.2       0.9  

Revenue per Equivalent Admission

   $ 12,556      $ 11,910      $ 12,465      $ 11,921   

% Change

     5.4       4.6  

Inpatient Revenue per Admission

   $ 12,608      $ 11,807      $ 12,381      $ 11,769   

% Change

     6.8       5.2  

Inpatient Surgery Cases

     127,900        126,600        253,100        251,000   

% Change

     1.0       0.9  

Outpatient Surgery Cases

     221,000        221,700        427,900        432,400   

% Change

     -0.3       -1.0  

Emergency Room Visits

     1,820,400        1,722,900        3,559,300        3,464,300   

% Change

     5.7       2.7  

 

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