HCA Holdings 2011 Annual Report Download - page 72

HCA HOLDINGS, INC.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
AND RESULTS OF OPERATIONS — (Continued)
Results of Operations (Continued)
Revenue/Volume Trends (Continued)
revenues. We provide discounts to uninsured patients who do not qualify for Medicaid or charity care that are
similar to the discounts provided to many local managed care plans.
Revenues increased 5.9% to $29.682 billion for 2011 from $28.035 billion for 2010 and increased 4.7% for
2010 from $26.776 billion for 2009. The increase in revenues in 2011 can be primarily attributed to the combined
impact of a 0.7% increase in revenue per equivalent admission and a 5.2% increase in equivalent admissions
compared to the prior year. The increase in revenues in 2010 can be primarily attributed to the combined impact of a
3.5% increase in revenue per equivalent admission and a 1.2% increase in equivalent admissions compared to 2009.
Consolidated admissions increased 4.2% in 2011 compared to 2010 and declined 0.1% in 2010 compared to
2009. Consolidated inpatient surgeries declined 0.5% and consolidated outpatient surgeries increased 2.0%
during 2011 compared to 2010. Consolidated inpatient surgeries declined 1.5% and consolidated outpatient
surgeries declined 1.4% during 2010 compared to 2009. Consolidated emergency room visits increased 7.7%
during 2011 compared to 2010 and increased 2.0% during 2010 compared to 2009.
Same facility revenues increased 3.3% for the year ended December 31, 2011 compared to the year ended
December 31, 2010 and increased 4.6% for the year ended December 31, 2010 compared to the year ended
December 31, 2009. The 3.3% increase for 2011 can be primarily attributed to the combined impact of a 0.3%
increase in same facility revenue per equivalent admission and a 3.0% increase in same facility equivalent
admissions. The 4.6% increase for 2010 can be primarily attributed to the combined impact of a 3.2% increase in
same facility revenue per equivalent admission and a 1.4% increase in same facility equivalent admissions.
Same facility admissions increased 2.3% in 2011 compared to 2010 and increased 0.1% in 2010 compared
to 2009. Same facility inpatient surgeries declined 1.7% and same facility outpatient surgeries declined 0.6%
during 2011 compared to 2010. Same facility inpatient surgeries declined 1.4% and same facility outpatient
surgeries declined 1.2% during 2010 compared to 2009. Same facility emergency room visits increased 6.2%
during 2011 compared to 2010 and increased 2.1% during 2010 compared to 2009.
Same facility uninsured emergency room visits increased 5.8% and same facility uninsured admissions
increased 7.4% during 2011 compared to 2010. Same facility uninsured emergency room visits increased 1.2%
and same facility uninsured admissions increased 5.4% during 2010 compared to 2009.
The approximate percentages of our admissions related to Medicare, managed Medicare, Medicaid,
managed Medicaid, managed care and other insurers and the uninsured for the years ended December 31, 2011,
2010 and 2009 are set forth below.
Years Ended December 31,
2011 2010 2009
Medicare ...................................................... 34% 34% 34%
Managed Medicare .............................................. 11 10 10
Medicaid ...................................................... 999
Managed Medicaid .............................................. 887
Managed care and other insurers ................................... 31 32 34
Uninsured ..................................................... 776
100% 100% 100%
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