HCA Healthcare, Inc., through its subsidiaries, provides health care services in the United States and England. The company operates general, acute care hospitals that offer medical and surgical services, including inpatient care, intensive care, cardiac care, diagnostic, and emergency services; and outpatient services, such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology, and physical therapy services. It also operates psychiatric hospitals, which provide therapeutic programs comprising child, adolescent and adult psychiatric care, and adolescent and adult alcohol and drug abuse treatment and counseling. In addition, the company operates outpatient health care facilities consisting of freestanding ambulatory surgery centers, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, rehabilitation and physical therapy centers, radiation and oncology therapy centers, physician practices, and various other facilities. As of December 31, 2016, it operated 166 general, acute care hospitals with 43,778 licensed beds; 3 psychiatric hospitals with 412 licensed beds; and 1 rehabilitation hospital, as well as 118 freestanding surgery centers. The company was formerly known as HCA Holdings, Inc. HCA Healthcare, Inc. was founded in 1968 and is headquartered in Nashville, Tennessee.
Business Analysis of HCA Holdings
The Healthcare Services Sector is witnessing a major shakeup, new age business models in the industry are transforming both customers and businesses. Faced with this uncertainity, companies are investing resources to transform their business. An in-depth business analysis is a valuable resource to identify and articulate the need for a business model change. At R&P Research we believe, the starting point for a business analysis is Benchmarking. Business benchmarking can be done at various levels: 1) Industry Benchmarking 2) Peer Benchmarking 3) Disruptors Benchmarking. In this report, we share the snapshot of how HCA Holdings compares against the industry on the major performance indicators. This analysis, along with peer group/disruptors benchmarking and revenue model understanding can help identify growth and cost optimization opportunities to maximize the value delivered by HCA Holdings to its stakeholders. R&P Research Industry Intelligence Platform provides historical data for last 15 years with an easy to use benchmarking interface for an in-depth comparative business analysis.
Here is the performance snapshot of HCA Holdings with an interactive chart.
- Revenue Growth: HCA Holdings reported a revenue growth of 4.6% year-on-year during 2016. Healthcare Providers Industry grew at 6.7% in the same period
- COGS share of Revenues: As a percentage of revenue, HCA Holdings spent 16.7% of its total revenues on COGS. Healthcare Providers industry average (COGS share of revenue) in the same period was 26.8%
- R&D share of Revenues: HCA Holdings R&D share of Revenues details are not available because either company does not share the data or we do not have it
- SG&A share of Revenues: As a percentage of revenue, HCA Holdings spent 45.5% of its total revenues on Sales, Marketing, and General Administration (SG&A). Healthcare Providers industry average SG&A spending in the same period was 42.9%
- Inventory share of Revenues: As a percentage of revenue, HCA Holdings spent 3.6% of its total revenues on Inventories. Healthcare Providers industry average Inventory spending in the same period was 1.8%
- Accounts Payable share of Revenues: As a percentage of revenue, HCA Holdings invested 5.6% of its total revenues on Accounts Payable (A/P) Healthcare Providers industry average Accounts Payable investment in the same period was 5.3%
- Accounts Receivable share of Revenues: As a percentage of revenue, HCA Holdings invested 14.0% of its total revenues on Accounts Receivable (A/R). Healthcare Providers industry average Accounts Receivable investment in the same period was 15.3%
- PP&E share of Revenues: As a percentage of revenue, HCA Holdings invested 39.4% of its total revenues on Property, Plants, and Equipments (PP&E). Healthcare Providers industry average PPE investment in the same period was 39.5%
- Intangibles share of Revenues: As a percentage of revenue, HCA Holdings invested 16.2% of its total revenues on Intangibles. Healthcare Providers industry average Intangibles investment in the same period was 46.7%
- Net Margins: HCA Holdings Net Margins in the year 2016 were 7.0%. Healthcare Providers industry average Net Margins in the same period were 1.6%
Sector and Industry Association of HCA Holdings
For the purpose of performance benchmarking of a company with a sector or industry average, R&P Research associates every company with one sector and one industry. An industry consists of companies with related/similar business models. A sector comprises of a group of related/similar industries. For high-level analysis purposes, related/similar sectors are grouped into sector groups.
HCA Holdings is associated with Healthcare Sector Group, Healthcare Services Sector, and Healthcare Providers Industry.
Healthcare Services sector is comprised of the following industries: Drug Stores, PBM and Distributors; Healthcare Payers; Healthcare Providers; Medical Software; Healthcare Research Services. The definitions for each of the industries is as follows:
- Drug Stores, PBM and Distributors industry includes nationwide drugstore chains, pharmacy benefit management (PBM) companies, and drug distributors. Drug stores also offer walk-in clinics and related pharmacy services. Distributors distribute branded and generic pharmaceutical and other healthcare products to hospitals, pharmacies and other healthcare providers. PBMs are primarily responsible for developing and maintaining the formulary, contracting with pharmacies, negotiating discounts and rebates with drug manufacturers, and processing and paying prescription drug claims.
- Healthcare Payers industry includes healthcare insurance companies that finance or reimburse the cost of health services. These companies also offer collaborative care, population health management, healthcare technology, Pharmacy Benefit Management, analytics, consulting and administrative services.
- Healthcare Providers industry consist primarily of hospitals but recent changes in the health services industry have contributed to both increasing numbers of other types of facility providers. Companies in this industry include traditional healthcare providers and emerging healthcare facility providers like ambulatory surgery centers, behavioral healthcare facilities, dialysis clinics, home health care companies and others.
- Medical Software industry includes companies that offer any software item or system used within a healthcare context. These companies offer standalone software used for diagnostic, therapeutic purposes, clinical financial and operational purposes.
- Healthcare Research Services industry includes companies that offer biopharmaceutical development services, commercial outsourcing services; commercial pharmaceutical sales and service organizations, consulting, health information analytics and technology consulting.
Industry Ranking of HCA Holdings
With $41.5 billion revenues, HCA Holdings ranked number 1 of all the companies in the US Healthcare Providers industry. There were a total of 35 public companies in the US Healthcare Providers industry that had revenues greater than $50 million during 2016.
The top-10 companies in the US Healthcare Providers industry by revenues during 2016 were:
- HCA Holdings ($41.5 billion)
- Tenet Healthcare ($19.6 billion)
- Community Health Systems ($18.4 billion)
- DaVita ($14.7 billion)
- Universal Health Services ($9.8 billion)
- Kindred Healthcare ($7.2 billion)
- LifePoint Health ($6.4 billion)
- Genesis HealthCare ($5.7 billion)
- Brookdale Senior Living ($5 billion)
- Select Medical ($4.3 billion)
Business Model Analysis (BMA) Framework
We use the following framework to assess the business model of a company. Business Model Analysis framework can be used by organizations to articulate growth strategies and identify cost optimization opportunities. Technology and consulting companies can use this framework to identify the value drivers and pain points of their targeted customers. Entrepreneurs can use this framework to understand the language of business and identify promising business opportunities. This framework can be used by any professional aspiring to take up a leadership role to better understand the businesses challenges, articulate growth strategy, and monitor the business improvement requirements for the organization.