HCA Healthcare Inc. (NYSE:HCA)

The data reveals an overall upward trend in the total assets of the company over the five-year period from 2017 to 2021. Total assets increased steadily each year, starting at US$36,593 million in 2017 and reaching US$50,742 million in 2021, reflecting consistent growth in the asset base.

Similarly, the adjusted total assets followed a comparable trend, rising from US$37,808 million in 2017 to US$50,347 million in 2021. Although the adjusted total assets data starts at a slightly higher base compared to the total assets, both metrics show a consistent increase over the period.

Yearly Total Assets Growth:

Between 2017 and 2018, total assets grew by approximately 7.2%, followed by a more pronounced increase of about 14.9% from 2018 to 2019. Growth continued but at a slower pace, with increases of roughly 5.4% in 2020 and 6.8% in 2021.

Yearly Adjusted Total Assets Growth:

The adjusted total assets increased by approximately 6.9% from 2017 to 2018, then saw a smaller growth of around 10.7% in 2019. Growth decelerated in 2020 and 2021, at approximately 5.2% and 6.9%, respectively.

Comparative Insights:

The parallel rising trends in both total assets and adjusted total assets suggest stable asset appreciation and possibly consistent asset revaluation practices. The narrowing gap between total assets and adjusted total assets over time may indicate adjustments becoming more aligned with reported asset values.

Overall, the company demonstrated steady asset growth throughout the period, underscoring expansion and asset accumulation, with both reported and adjusted figures corroborating this positive trend.

Total liabilities

The total liabilities showed an overall increasing trend from 2017 to 2021. Starting at $41,588 million in 2017, liabilities rose slightly to $42,125 million in 2018. A more notable increase occurred in 2019, reaching $45,623 million. There was a minor decrease in 2020 to $44,598 million, followed by a significant rise in 2021 to $49,253 million, indicating growing financial obligations over the period.

Adjusted total liabilities

The adjusted total liabilities closely followed the pattern of total liabilities, beginning higher at $43,313 million in 2017 compared to the total liabilities figure, then increasing to $43,833 million in 2018. These adjusted values remained steady through 2019 and 2020 at $45,623 million and $44,598 million respectively, before rising again to match the 2021 total liabilities figure of $49,253 million. This suggests consistent adjustments to liabilities that align with the overall upward trajectory in financial obligations.

Stockholders’ Equity (Deficit) Attributable to HCA Healthcare, Inc.

The stockholders’ equity attributable to the company shows a trend of significant improvement from 2017 through 2020. Initially, there is a substantial deficit of -6,806 million USD in 2017, which decreases consistently each year to -4,950 million USD in 2018 and further to -2,808 million USD in 2019. The data then reveals a notable positive turn in 2020, with equity rising to a positive 572 million USD. However, this improvement is not sustained, as equity declines again to a deficit of -933 million USD in 2021.

Adjusted Total Stockholders’ Equity (Deficit)

The adjusted total stockholders’ equity also demonstrates a similar pattern of progression. Starting at a negative 5,505 million USD in 2017, it improves steadily each year to -3,396 million USD in 2018 and -865 million USD in 2019. By 2020, the adjusted equity turns positive, reaching 2,507 million USD, representing a significant enhancement compared to prior years. In 2021, while still positive, the adjusted equity recedes to 1,094 million USD, indicating some decline but remaining substantially better than earlier years.

Overall Analysis

Both stockholders’ equity and adjusted total equity show a general trend of recovery from a pronounced deficit position in 2017 toward positive equity by 2020. This indicates successful efforts in improving the financial structure and net asset position during that period. However, the subsequent decline in 2021 for both metrics suggests emerging challenges or changes that negatively impacted equity, though the position remains better than the initial years. The consistent positive adjustment in the adjusted total equity compared to the reported equity figures reflects favorable reclassifications or adjustments affecting equity presentation.

The financial data exhibits several notable trends over the five-year period ending December 31, 2021. Both total reported debt and adjusted total debt display a fluctuating pattern with a slight overall upward trend towards the end of the period. Conversely, stockholders’ equity, both reported and adjusted, shows a movement from significant deficits towards modest positive or near-neutral values, indicating an improvement in equity position despite remaining fluctuations.

Total Reported Debt

The total reported debt slightly decreased from 33,058 million US$ in 2017 to 31,004 million US$ in 2020, before rising sharply to 34,579 million US$ in 2021. This suggests a relatively stable but slightly increasing reliance on debt financing towards the latest period.

Stockholders’ Equity (Deficit) Attributable to HCA Healthcare, Inc.

There is a clear trend of decreasing equity deficit, moving from -6,806 million US$ in 2017 to a positive figure of 572 million US$ in 2020, followed by a decline back into the negative of -933 million US$ in 2021. This pattern implies some volatility but an overall improvement in shareholder equity over the period, although it deteriorated again in the last year.

Total Reported Capital

Total reported capital evidenced a steady increase year-over-year, climbing from 26,252 million US$ in 2017 to 33,646 million US$ in 2021. This indicates a gradual expansion in the company's capital base, supported by changes in both debt and equity.

Adjusted Total Debt

Adjusted total debt followed a similar trajectory to reported debt, initially decreasing from 34,783 million US$ in 2017 to 33,056 million US$ in 2020, then increasing to 36,726 million US$ in 2021. This suggests the adjustments applied reinforced the observation of rising debt levels near the end of the timeframe.

Adjusted Total Stockholders’ Equity (Deficit)

Adjusted equity improves significantly from a large deficit of -5,505 million US$ in 2017 to a positive 2,507 million US$ in 2020. However, it then declines to 1,094 million US$ in 2021, indicating some erosion yet retention of a net positive equity position after adjustment.

Adjusted Total Capital

The adjusted total capital demonstrates consistent growth, advancing from 29,278 million US$ in 2017 to 37,820 million US$ in 2021. This steady increase highlights an expansion in the company’s capital structure, driven by movements in both debt and adjusted equity.

Overall, the company appears to have managed its capital structure with increasing total capital and fluctuating but elevated debt levels. The movement from equity deficits to positive adjusted equity suggests improved financial health, although the setbacks in 2021 highlight ongoing challenges in maintaining stable equity. The rise in debt in the final year may warrant closer scrutiny regarding leverage and risk.

Net Income Attributable to HCA Healthcare, Inc.

The net income demonstrates a generally upward trend over the five-year period. Starting at $2,216 million in 2017, the figure increased sharply to $3,787 million in 2018, followed by a slight decline to $3,505 million in 2019. The net income then rose again to $3,754 million in 2020 and saw a substantial increase to $6,956 million in 2021. This pattern suggests strong financial performance with a particularly notable growth in the final year.

Adjusted Net Income

Adjusted net income shows a similar increasing trend. Beginning at $3,235 million in 2017, it grew consistently to $4,396 million in 2018 and slightly decreased to $4,344 million in 2019. It dipped marginally to $4,236 million in 2020, before experiencing a significant surge to $7,836 million in 2021. This rise parallels the net income trend, indicating improvements in underlying earnings after adjustments over the period.

Overall Observations

Both net income and adjusted net income reflect substantial growth, particularly in 2021, which could be attributed to operational enhancements, cost management, or other external factors positively impacting profitability. The slight fluctuations in 2019 and 2020 indicate periods of relative stability or minor setbacks, but these did not hinder the strong upward trajectory observed by the end of the period analyzed.