Common-Size Income Statement
Quarterly Data
Based on: 10-Q (reporting date: 2022-03-31), 10-K (reporting date: 2021-12-31), 10-Q (reporting date: 2021-09-30), 10-Q (reporting date: 2021-06-30), 10-Q (reporting date: 2021-03-31), 10-K (reporting date: 2020-12-31), 10-Q (reporting date: 2020-09-30), 10-Q (reporting date: 2020-06-30), 10-Q (reporting date: 2020-03-31), 10-K (reporting date: 2019-12-31), 10-Q (reporting date: 2019-09-30), 10-Q (reporting date: 2019-06-30), 10-Q (reporting date: 2019-03-31), 10-K (reporting date: 2018-12-31), 10-Q (reporting date: 2018-09-30), 10-Q (reporting date: 2018-06-30), 10-Q (reporting date: 2018-03-31), 10-K (reporting date: 2017-12-31), 10-Q (reporting date: 2017-09-30), 10-Q (reporting date: 2017-06-30), 10-Q (reporting date: 2017-03-31).
The financial performance from March 2017 through March 2022 demonstrates a period of relative stability in gross margins, punctuated by significant volatility in operating income driven by non-recurring events and labor cost fluctuations.
- Cost Structure and Gross Margin
- Gross profit margins remained remarkably consistent, generally fluctuating between 83% and 84.5% of revenues. Supply costs exhibited a slight downward trend over the five-year period, moving from a peak of 16.92% in March 2017 to 15.53% by March 2022, indicating a marginal improvement in direct procurement efficiency.
- Operating Expenses and Labor Trends
- Salaries and benefits represent the most significant operational expenditure, typically ranging between 44% and 48% of revenues. A notable peak in labor costs occurred in the first half of 2020, coinciding with the onset of the global pandemic, before stabilizing. Other operating expenses showed more variance, dipping to a low of 16.56% in September 2021 before returning to 18.41% in March 2022.
- Non-Recurring Items and Operating Income
- Operating income exhibited substantial volatility, ranging from a low of 10.01% in June 2020 to a peak of 23.04% in September 2021. This peak was primarily driven by significant gains on the sale of facilities, which contributed 6.85% and 3.74% to revenues in the third and fourth quarters of 2021, respectively. Additionally, government stimulus income in June 2020 (7.43%) and its subsequent reversal in September 2020 (-6.18%) created temporary fluctuations in operating results.
- Financial Leverage and Net Profitability
- Interest expense as a percentage of revenue showed a consistent decline, decreasing from approximately 3.9% in early 2017 to roughly 2.7% by March 2022, suggesting an improvement in debt servicing relative to total revenue. Net income attributable to HCA Healthcare, Inc. mirrored the volatility of operating income, with a marked increase in profitability throughout 2021, reaching a high of 14.85% in September 2021 before normalizing to 8.52% by March 2022.
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