HCA Healthcare Inc 2024年度报告

Form 10-K HCA Healthcare, Inc. Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitionsof “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growthcompany” in Rule 12b-2 of the Exchange Act. Large accelerated filer☐Accelerated filerNon-accelerated filer☐Smaller reporting companyEmerging growth company If an emerging growth company, indicate by check mark if the Registrant has elected not to use theextended transition period for complying with any new or revised financial accounting standardsprovided pursuant to Section 13(a) of the Exchange Act.☐ Indicateby check mark whether the Registrant has filed a report on and attestation to itsmanagement’s assessment of the effectiveness of its internal control over financial reporting underSection 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accountingfirm that prepared or issued its audit report.☐ If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether thefinancial statements of the registrant included in the filing reflect the correction of an error topreviously issued financial statements.☐ Indicate by check mark whether any of those error corrections are restatements that required arecovery analysis of incentive-based compensation received by any of the registrant’s executiveofficers during the relevant recovery period pursuant to §240.10D-1(b).☐ Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of theAct).Yes☐No☐ Auditor PCAOB IDNumber: 42Auditor Name: Ernst &Young LLPAuditor Location: Nashville, Tennessee, United Statesof America As of January 31, 2025, there were 248,341,900 outstanding shares of the Registrant’s commonstock. As of June 30, 2024, the aggregate market value of the common stock held by nonaffiliateswas approximately $60.369 billion. For purposes of the foregoing calculation only, Hercules HoldingII and the Registrant’s directors and executive officers have been deemed to be affiliates. DOCUMENTS INCORPORATED BY REFERENCEPortions of the Registrant’s definitive proxy materials for its 2025 Annual Meeting of Stockholders are incorporated by reference into Part III hereof. INDEX Part IItem 1. Business3Item 1A.Risk Factors32Item 1B.Unresolved Staff Comments50Item 1C.Cybersecurity50Item 2.Properties52Item 3.Legal Proceedings52Item 4.Mine Safety Disclosures52 Part IIItem 5.Market for Registrant’s Common Equity, Related Stockholder Matters andIssuer Purchases of Equity Securities53Item 6.[Reserved]54Item 7.Management’s Discussion and Analysis of Financial Condition and Resultsof Operations55Item 7A.Quantitative and Qualitative Disclosures about Market Risk69Item 8.Financial Statements and Supplementary Data70 Item 9.Changes in and Disagreements with Accountants on Accounting andFinancial Disclosure70Item 9A.Controls and Procedures70Item 9B.Other Information72Item 9C.Disclosure Regarding Foreign Jurisdictions that Prevent Inspections72 Part III Item 10.Directors, Executive Officers and Corporate Governance73Item 11.Executive Compensation73Item 12.Security Ownership of Certain Beneficial Owners and Management andRelated Stockholder Matters73Item 13.Certain Relationships and Related Transactions, and Director Independence74Item 14.Principal Accountant Fees and Services74 Part IVItem 15. Exhibits and Financial Statement Schedules75Item 16.Form 10-K Summary87Signatures88 PART I Item 1.Business General HCA Healthcare, Inc. is one of the leading health care services companies in theUnited States. At December 31, 2024, we operated 190 hospitals, comprised of180 general, acute care hospitals; six behavioral hospitals; and four rehabilitationhospitals. In addition, we operated 124 freestanding ambulatory surgery centers("ASCs") and 26 freestanding endoscopy centers. Our facilities are located in 20states and England. The terms “Company,” “HCA,” “HCA Healthcare,” “we,” “our” or “us,” as usedherein and unless otherwise stated or indicated by context, refer to HCAHealthcare, Inc. and its affiliates. The term “affiliates” means direct and indirectsubsidiaries of HCA Healthcare, Inc. and partnerships and joint ventures inwhich such subsidiaries are partners. The terms “facilities” or “hospitals” refer toentities owned and operated by affiliates of HCA, and the term “employees”refers to employees of affiliates of HCA. Our primary objective is to provide a comprehensive array of quality health careservices in the most cost-effective manner possible. Our general, acute carehospitals typically provide a full range of services to accommodate such medicalspecialtiesas internal medicine,general surgery,cardiology,oncology,neurosurgery, orthopedics and obstetrics, as well as diagnostic and emergency services. Outpatient and ancillary health care servic