HCA Holdings, Inc. | 2013 | FY | 3


NOTE 14 — SEGMENT AND GEOGRAPHIC INFORMATION

We operate in one line of business, which is operating hospitals and related health care entities. Effective January 1, 2013, we reorganized our operational groups into two geographically organized groups: the National and American Groups. The acquired HealthONE operating results have been included in the American Group operating results for periods subsequent to November 1, 2011. Prior to November 1, 2011, the American Group recorded its share of the HealthONE operating results in equity in earnings of affiliates.

At December 31, 2013, the National Group included 82 hospitals located in Alaska, California, Florida, southern Georgia, Idaho, Indiana, northern Kentucky, Nevada, New Hampshire, South Carolina, Utah and Virginia, and the American Group included 77 hospitals located in Colorado, northern Georgia, Kansas, southern Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and Texas. We also operate six hospitals in England, and these facilities are included in the Corporate and other group.

Adjusted segment EBITDA is defined as income before depreciation and amortization, interest expense, losses (gains) on sales of facilities, losses on retirement of debt, legal claim costs, gain on acquisition of controlling interest in equity investment, termination of management agreement, income taxes and net income attributable to noncontrolling interests. We use adjusted segment EBITDA as an analytical indicator for purposes of allocating resources to geographic areas and assessing their performance. Adjusted segment EBITDA is commonly used as an analytical indicator within the health care industry, and also serves as a measure of leverage capacity and debt service ability. Adjusted segment EBITDA should not be considered as a measure of financial performance under generally accepted accounting principles, and the items excluded from adjusted segment EBITDA are significant components in understanding and assessing financial performance. Because adjusted segment EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, adjusted segment EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. The geographic distributions of our revenues, equity in earnings of affiliates, adjusted segment EBITDA, depreciation and amortization, assets and goodwill and other intangible assets are summarized in the following table (dollars in millions):

 

     For the Years Ended December 31,  
     2013     2012     2011  

Revenues:

      

National Group

   $ 15,968      $ 15,505      $ 14,741   

American Group

     16,487        16,115        13,714   

Corporate and other

     1,727        1,393        1,227   
  

 

 

   

 

 

   

 

 

 
   $ 34,182      $ 33,013      $ 29,682   
  

 

 

   

 

 

   

 

 

 

Equity in earnings of affiliates:

      

National Group

   $ (9   $ (9   $ (7

American Group

     (24     (28     (251

Corporate and other

     4        1          
  

 

 

   

 

 

   

 

 

 
   $ (29   $ (36   $ (258
  

 

 

   

 

 

   

 

 

 

Adjusted segment EBITDA:

      

National Group

   $ 3,301      $ 3,325      $ 3,052   

American Group

     3,662        3,575        3,141   

Corporate and other

     (389     (369     (132
  

 

 

   

 

 

   

 

 

 
   $ 6,574      $ 6,531      $ 6,061   
  

 

 

   

 

 

   

 

 

 

Depreciation and amortization:

      

National Group

   $ 718      $ 694      $ 639   

American Group

     835        816        680   

Corporate and other

     200        169        146   
  

 

 

   

 

 

   

 

 

 
   $ 1,753      $ 1,679      $ 1,465   
  

 

 

   

 

 

   

 

 

 

 

     For the Years Ended December 31,  
         2013              2012             2011      

Adjusted segment EBITDA

   $ 6,574       $ 6,531      $ 6,061   

Depreciation and amortization

     1,753         1,679        1,465   

Interest expense

     1,848         1,798        2,037   

Losses (gains) on sales of facilities

     10         (15     (142

Losses on retirement of debt

     17                481   

Legal claim costs

             175          

Gain on acquisition of controlling interest in equity investment

                    (1,522

Termination of management agreement

                    181   
  

 

 

    

 

 

   

 

 

 

Income before income taxes

   $ 2,946       $ 2,894      $ 3,561   
  

 

 

    

 

 

   

 

 

 

 

     As of December 31,  
     2013      2012  

Assets:

     

National Group

   $ 10,206       $ 9,451   

American Group

     13,911         13,744   

Corporate and other

     4,714         4,880   
  

 

 

    

 

 

 
   $ 28,831       $ 28,075   
  

 

 

    

 

 

 

 

     National
Group
     American
Group
    Corporate
and Other
    Total  

Goodwill and other intangible assets:

         

Balance at December 31, 2012

   $ 1,035       $ 4,189      $ 315      $ 5,539   

Acquisitions

     68         13        297        378   

Dispositions

             (1            (1

Foreign currency translation and other

     1         (11     (3     (13
  

 

 

    

 

 

   

 

 

   

 

 

 

Balance at December 31, 2013

   $ 1,104       $ 4,190      $ 609      $ 5,903   
  

 

 

    

 

 

   

 

 

   

 

 

 

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