Name: HCA Healthcare Inc. (NYSE:HCA) | Statement of Comprehensive Income
Creator: Stock Analysis on Net

Statement of Comprehensive Income

Comprehensive income is the change in equity (net assets) of a business enterprise during a period from transactions and other events and circumstances from non-owners sources. It includes all changes in equity during a period except those resulting from investments by owners and distributions to owners.

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HCA Healthcare Inc., consolidated statement of comprehensive income

US$ in millions

12 months ended:	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019	Dec 31, 2018	Dec 31, 2017
Net income	7,721)	4,387)	4,145)	4,389)	2,743)
Foreign currency translation	(7)	12)	—)	(63)	62)
Unrealized gains (losses) on available-for-sale securities	(13)	11)	11)	(5)	1)
Realized gains included in other operating expenses	—)	—)	—)	—)	(1)
Unrealized gains (losses) on available-for-sale securities	(13)	11)	11)	(5)	—)
Defined benefit plans	67)	(55)	(49)	34)	(33)
Pension costs included in salaries and benefits	21)	22)	10)	16)	11)
Defined benefit plans	88)	(33)	(39)	50)	(22)
Change in fair value of derivative financial instruments	1)	(51)	(37)	18)	7)
Interest costs (benefits) included in interest expense	29)	19)	(14)	(8)	13)
Change in fair value of derivative financial instruments	30)	(32)	(51)	10)	20)
Other comprehensive income (loss)	98)	(42)	(79)	(8)	60)
Comprehensive income	7,819)	4,345)	4,066)	4,381)	2,803)
Comprehensive income attributable to noncontrolling interests	(765)	(633)	(640)	(602)	(527)
Comprehensive income attributable to HCA Healthcare, Inc.	7,054)	3,712)	3,426)	3,779)	2,276)

Based on: 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31).

The financial performance from 2017 to 2021 exhibits a strong upward trajectory in overall profitability, characterized by a substantial acceleration in earnings during the final year of the period. While net income remained relatively stable between 2018 and 2020, a significant surge occurred in 2021, nearly doubling the previous year's results.

Net Income and Comprehensive Income Trends: Net income grew from 2,743 million US$ in 2017 to 7,721 million US$ in 2021. This growth was steady through 2018, followed by a period of consolidation between 2019 and 2020, before the sharp increase in 2021. Comprehensive income attributable to HCA Healthcare, Inc. followed a nearly identical pattern, rising from 2,276 million US$ in 2017 to 7,054 million US$ in 2021, indicating that the primary driver of value creation was operational net income rather than other comprehensive income components.
Other Comprehensive Income (OCI) Volatility: Other comprehensive income displayed significant volatility throughout the five-year period, fluctuating between a peak of 98 million US$ in 2021 and a trough of -79 million US$ in 2019. This instability was primarily driven by fluctuations in defined benefit plans and the fair value of derivative financial instruments. Defined benefit plans shifted from a loss of 33 million US$ in 2017 to a gain of 88 million US$ in 2021. Similarly, derivative financial instruments showed a downward trend from 2017 to 2020 before recovering to a gain of 30 million US$ in 2021.
Noncontrolling Interests: Comprehensive income attributable to noncontrolling interests remained consistently negative, reflecting a steady outflow or allocation of income to minority stakeholders. The magnitude of these interests increased over time, moving from -527 million US$ in 2017 to -765 million US$ in 2021, which correlates with the overall increase in the entity's total comprehensive income.
Asset and Liability Valuation Impacts: Unrealized gains and losses on available-for-sale securities remained a marginal factor in the overall financial picture, though a notable loss of 13 million US$ was recorded in 2021. Foreign currency translation also remained volatile, with a significant negative impact of 63 million US$ in 2018, though it neutralized to a minor loss of 7 million US$ by 2021.

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