1 Exhibit 20 COLUMBIA/HCA Healthcare Corporation NEWS - -------------------------------------------------------------------------------- FOR IMMEDIATE RELEASE INVESTOR CONTACT MEDIA CONTACT Mark Kimbrough: 615-344-2688 Jeff Prescott: 615-344-5708 COLUMBIA/HCA REPORTS SECOND QUARTER 1999 EPS FROM CONTINUING OPERATIONS OF $0.31 EXCLUDING NON-RECURRING ITEMS SAME FACILITY REVENUE PER EQUIVALENT ADMISSION INCREASES 3.9% EXCLUDING HOSPITALS HELD FOR SALE NASHVILLE, TENN., JULY 27, 1999 - Columbia/HCA Healthcare Corporation (NYSE: COL) today announced operating results for the second quarter and six months ended June 30, 1999. For the second quarter of 1999, revenues totaled $4.2 billion compared to $4.8 billion in the second quarter of 1998. Net income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring of operations and investigation related costs, totaled $182 million or $0.31 per diluted share for the second quarter of 1999, compared to $191 million or $0.30 per diluted share in the second quarter of 1998. Net income for the second quarter of 1999 totaled $106 million or $0.18 per diluted share, compared to $78 million or $0.12 per diluted share in the second quarter of 1998. For the quarter ended June 30, 1999, same facility revenues, excluding hospitals sold or being held for sale, increased 4.3 percent while same facility revenue per equivalent admission increased 3.9 percent. Same facility admissions for the Company's hospitals increased by 1.1 percent during the quarter. 2 The Company recorded asset impairment charges of approximately $54 million ($51 million net of tax), or $0.09 per diluted share during the second quarter of 1999. In the second quarter of 1998, the Company incurred losses from discontinued operations and the disposal of discontinued businesses totaling $95 million after tax, or $0.15 per diluted share. During the second quarter of 1999, the Company's remaining core assets had a combined net income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring of operations and investigation related costs, of $0.33 per diluted share; assets sold or being held for sale experienced a net loss of $0.02 per diluted share during the quarter. Revenues for the six months ended June 30, 1999, totaled $8.8 billion compared to $9.7 billion in the first six months of 1998. Net income from continuing operations, before gains on sales of facilities, impairment of long-lived assets and restructuring and investigation related costs, totaled $453 million or $0.74 per diluted share in the first half of 1999, compared to $432 million or $0.67 per diluted share for the six months ended June 30, 1998. Net income totaled $428 million or $0.70 per diluted share in 1999, versus $275 million or $0.43 per diluted share in 1998. Several factors continue to affect the Company's financial results during the first half of 1999. These factors include reduced Medicare reimbursement mandated by the Balanced Budget Act of 1997; increased supply expense due to the increasing costs of new technology and pharmaceuticals; and increased bad debt expense. As of June 30, 1999, the Company operated 220 hospitals and 85 ambulatory surgery centers (including 16 hospitals and 4 ASCs owned through 50/50 equity joint ventures), compared to 335 hospitals and 144 ambulatory surgery centers (including 26 hospitals and 5 ASCs owned through equity joint ventures) at June 30, 1998. 3 On May 11, 1999, the Company completed the tax-free spin-offs to Columbia/HCA shareholders of LifePoint Hospitals, Inc. (NASD: LPNT) and Triad Hospitals, Inc. (NASD: TRIH). Columbia/HCA received approximately $900 million, tax-free from the spin-off transaction. The results of operations for LifePoint and Triad, for periods prior to the spin-offs, are included in the Company's consolidated financial results. The Company also sold its investments in 8 hospitals and certain other non-core assets during the second quarter of 1999 for approximately $160 million, net of tax. During the second quarter of 1999, the Company completed the repurchase of approximately 62 million shares of its common stock for approximately $1.5 billion. Since August 1998, the Company has repurchased approximately 85 million shares of its common stock for approximately $2 billion. As of June 30, 1999, the Company had approximately 564 million shares issued and outstanding. At June 30, 1999, the Company's balance sheet reflected total debt of approximately $6.7 billion, stockholders' equity of approximately $5.4 billion and total assets of approximately $16.7 billion. Capital expenditures for the quarter totaled approximately $389 million. The Company's total debt-to-capital ratio was 52 percent at June 30, 1999, compared to 50 percent at June 30, 1998. * * * This press release contains forward-looking statements based on current management expectations. Numerous factors, including those detailed from time-to-time in the Company's filings with the Securities and Exchange Commission, may cause results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine the Company's future results are beyond the ability of the Company to control or predict. These statements are subject to risks and uncertainties and, therefore, actual results may differ materially. Readers should not place undue reliance on forward-looking statements, which reflect management's views only as of the date hereof. The Company undertakes no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise. All references to "Company" and "Columbia/HCA" as used throughout this document refer to Columbia/HCA Healthcare Corporation and its affiliates. 4 COLUMBIA/HCA HEALTHCARE CORPORATION CONSOLIDATED OPERATING RESULTS SUMMARY (Dollars in millions, except per share amounts) FOR THE SIX MONTHS SECOND QUARTER ENDED JUNE 30, ------------------- ------------------- 1999 1998 1999 1998 ---- ---- ---- ---- Revenues ................................................... $ 4,161 $ 4,781 $ 8,816 $ 9,682 EBITDA (a) ................................................. $ 706 $ 796 $ 1,584 $ 1,697 Net income: Income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring of operations and investigation related costs ...................................... $ 182 $ 191 $ 453 $ 432 Gains on sales of facilities (net of tax) .............. -- -- 151 -- Impairment of long-lived assets (net of tax) ........... (51) -- (131) -- Restructuring of operations and investigation related costs (net of tax) ......................... (25) (18) (45) (40) Discontinued operations: Loss from operations of discontinued businesses (net of tax) .................................... -- (22) -- (44) Loss on disposal of discontinued businesses (net of tax) .................................... -- (73) -- (73) ----------------------- ---------------------- Net income ............................................ $ 106 $ 78 $ 428 $ 275 ======================= ====================== Diluted earnings per share: Income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring of operations and investigation related costs ....................................... $ 0.31 $ 0.30 $ 0.74 $ 0.67 Gains on sales of facilities ........................... -- -- 0.24 -- Impairment of long-lived assets ........................ (0.09) -- (0.21) -- Restructuring of operations and investigation related costs ...................................... (0.04) (0.03) (0.07) (0.06) Discontinued operations: Loss from operations of discontinued businesses ..... -- (0.04) -- (0.07) Loss on disposal of discontinued businesses ......... -- (0.11) -- (0.11) ----------------------- ---------------------- Net income ............................................. $ 0.18 $ 0.12 $ 0.70 $ 0.43 ======================= ====================== Shares used in computing diluted earnings per share (000) .. 583,826 647,993 614,249 646,467 - ------------------------------- (a) EBITDA is defined as income from continuing operations before depreciation and amortization, interest expense, gains on sales of facilities, impairment of long-lived assets, restructuring of operations and investigation related costs, minority interests and income taxes. 5 COLUMBIA/HCA HEALTHCARE CORPORATION CONSOLIDATED INCOME STATEMENTS SECOND QUARTER (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS) 1999 1998 ---------------------- ---------------------- Amount Ratio Amount Ratio ------ ----- ------ ----- Revenues ...................................................... $ 4,161 100.0% $ 4,781 100.0% Salaries and benefits ......................................... 1,676 40.3 1,998 41.8 Supplies ...................................................... 654 15.7 719 15.0 Other operating expenses ...................................... 826 19.8 961 20.2 Provision for doubtful accounts ............................... 329 7.9 340 7.1 Equity in earnings of affiliates .............................. (30) (0.7) (33) (0.7) ----------------------- ---------------------- 3,455 83.0 3,985 83.4 ----------------------- ---------------------- EBITDA .................................................... 706 17.0 796 16.6 Depreciation and amortization ................................. 278 6.8 311 6.4 Interest expense .............................................. 118 2.8 145 3.0 Gains on sales of facilities .................................. (8) (0.2) -- -- Impairment of long-lived assets ............................... 54 1.3 -- -- Restructuring of operations and investigation related costs ... 30 0.7 31 0.7 ----------------------- ---------------------- Income from continuing operations before minority interests and income taxes .......................................... 234 5.6 309 6.5 Minority interests in earnings of consolidated entities ....... 14 0.3 18 0.4 ----------------------- ---------------------- Income from continuing operations before income taxes ......... 220 5.3 291 6.1 Provision for income taxes .................................... 114 2.7 118 2.5 ----------------------- ---------------------- Income from continuing operations ............................. 106 2.6 173 3.6 Discontinued operations: Loss from operations of discontinued businesses (net of tax benefit) ................................ -- -- (22) (0.5) Loss on disposal of discontinued businesses (net of tax benefit) ................................ -- -- (73) (1.5) ----------------------- ---------------------- Net income ................................................ $ 106 2.6 $ 78 1.6 ======================= ====================== Diluted earnings per share: Income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring and investigation related costs ....................................... $ 0.31 $ 0.30 Impairment of long-lived assets ........................... (0.09) -- Restructuring of operations and investigation related costs ....................................... (0.04) (0.03) Discontinued operations: Loss from operations of discontinued businesses ..... -- (0.04) Loss on disposal of discontinued businesses ......... -- (0.11) --------- -------- Net income ............................................... $ 0.18 $ 0.12 --------- -------- Shares used in computing diluted earnings per share (000) ..... 583,826 647,993 6 COLUMBIA/HCA HEALTHCARE CORPORATION CONSOLIDATED INCOME STATEMENTS FOR THE SIX MONTHS ENDED JUNE 30, 1999 AND 1998 (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS) 1999 1998 ---------------------- ----------------------- Amount Ratio Amount Ratio ------ ----- ------ ----- Revenues ...................................................... $ 8,816 100.0% $ 9,682 100.0% Salaries and benefits ......................................... 3,536 40.1 4,011 41.4 Supplies ...................................................... 1,376 15.6 1,465 15.1 Other operating expenses ...................................... 1,718 19.4 1,901 19.7 Provision for doubtful accounts ............................... 667 7.6 683 7.1 Equity in earnings of affiliates .............................. (65) (0.7) (75) (0.8) ---------------------- ----------------------- 7,232 82.0 7,985 82.5 ---------------------- ----------------------- EBITDA .................................................... 1,584 18.0 1,697 17.5 Depreciation and amortization ................................. 574 6.5 620 6.4 Interest expense .............................................. 229 2.6 298 3.1 Gains on sales of facilities .................................. (257) (2.9) -- -- Impairment of long-lived assets ............................... 160 1.8 -- -- Restructuring of operations and investigation related costs ... 60 0.7 69 0.7 ---------------------- ----------------------- Income from continuing operations before minority interests and income taxes .......................................... 818 9.3 710 7.3 Minority interests in earnings of consolidated entities ....... 28 0.3 38 0.4 ---------------------- ----------------------- Income from continuing operations before income taxes ......... 790 9.0 672 6.9 Provision for income taxes .................................... 362 4.1 280 2.8 ---------------------- ----------------------- Income from continuing operations ............................. 428 4.9 392 4.1 Discontinued operations: Loss from operations of discontinued businesses (net of tax benefit) ................................ -- -- (44) (0.5) Loss on disposal of discontinued businesses (net of tax benefit) ................................ -- -- (73) (0.8) ---------------------- ----------------------- Net income ................................................ $ 428 4.9 $ 275 2.8 ====================== ======================= Diluted earnings per share: Income from continuing operations, excluding gains on sales of facilities, impairment of long-lived assets and restructuring and investigation related costs ....................................... $ 0.74 $ 0.67 Gains on sales of facilities .............................. 0.24 -- Impairment of long-lived assets ........................... (0.21) -- Restructuring of operations and investigation related costs (0.07) (0.06) Discontinued operations: Loss from operations of discontinued businesses ..... -- (0.07) Loss on disposal of discontinued businesses ......... -- (0.11) --------- --------- Net income ............................................... $ 0.70 $ 0.43 ========= ========= Shares used in computing diluted earnings per share (000) ..... 614,249 646,467 6 7 COLUMBIA/HCA HEALTHCARE CORPORATION CONSOLIDATED BALANCE SHEET (DOLLARS IN MILLIONS) JUNE 30, MARCH 31, DECEMBER 31, JUNE 30, 1999 1999 1998 1998 ------------ ----------- ------------- ----------- ASSETS Current assets: Cash and cash equivalents ........................ $ 83 $ 586 $ 297 $ 25 Accounts receivable, net ......................... 1,821 2,250 2,096 2,427 Other ............................................ 1,480 1,398 1,470 1,594 ------------- ------------- ------------- ------------- Total current assets ........................ 3,384 4,234 3,863 4,046 Property and equipment, at cost ....................... 13,764 15,410 15,644 16,814 Accumulated depreciation .............................. (5,536) (6,261) (6,195) (6,442) ------------- ------------- ------------- ------------- 8,228 9,149 9,449 10,372 Investments of insurance subsidiary ................... 1,578 1,533 1,614 1,508 Investments in and advances to affiliates ............. 793 865 1,275 1,371 Intangible assets, net ................................ 2,523 2,815 2,910 3,405 Other ................................................. 144 201 318 346 ------------- ------------- ------------- ------------- $ 16,650 $ 18,797 $ 19,429 $ 21,048 ============= ============= ============= ============= LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable ................................. $ 629 $ 748 $ 784 $ 727 Other current liabilities ........................ 1,456 1,681 1,707 1,623 Long-term debt due within one year ............... 942 763 1,068 2,669 ------------- ------------- ------------- ------------- Total current liabilities ................... 3,027 3,192 3,559 5,019 Long-term debt ........................................ 5,718 5,566 5,685 5,693 Professional liability risks, deferred taxes and other liabilities ................................ 1,703 1,788 1,839 1,926 Minority interests in equity of consolidated entities . 768 772 765 830 Stockholders' equity .................................. 5,434 7,479 7,581 7,580 ------------- ------------- ------------- ------------- $ 16,650 $ 18,797 $ 19,429 $ 21,048 ============= ============= ============= ============= Current ratio ......................................... 1.12 1.33 1.09 0.81 Ratio of debt to debt plus common and minority equity . 51.8% 43.4% 44.7% 49.9% Shares Outstanding .................................... 564,038,500 623,577,100 642,578,300 644,961,300 7 8 COLUMBIA/HCA HEALTHCARE CORPORATION OPERATING STATISTICS FOR THE SIX MONTHS SECOND QUARTER ENDED JUNE 30, ------------------------ -------------------------- 1999 1998 1999 1998 ---- ---- ---- ---- CONSOLIDATED HOSPITALS: Number of Hospitals 204 309 204 309 Weighted Average Licensed Beds 46,490 60,712 49,454 60,738 Licensed Beds at End of Period 43,969 60,418 43,969 60,418 Admissions 395,800 475,400 873,200 983,600 Equivalent Admissions 596,900 733,500 1,300,200 1,490,100 Patient Days 1,953,400 2,345,900 4,342,600 4,939,400 Equivalent Patient Days 2,947,000 3,621,600 6,466,200 7,483,300 Emergency Room Visits 1,159,800 1,415,600 2,559,200 2,827,700 Outpatient Revenues as a Percentage of Patient Revenues 39.6% 39.3% 38.5% 38.0% Surgery Cases 347,100 453,700 725,900 895,200 Average Length of Stay 4.9 4.9 5.0 5.0 Occupancy 46.2% 42.5% 48.5% 44.9% Equivalent Occupancy 69.6% 65.6% 72.2% 68.0% NUMBER OF CONSOLIDATED AND NON-CONSOLIDATED (50/50 EQUITY JOINT VENTURES) HOSPITALS: Consolidated 204 309 204 309 Non-Consolidated (50/50 Equity Joint Ventures) 16 26 16 26 --------- --------- --------- --------- Total Number of Hospitals 220 335 220 335 ========= ========= ========= ========= ================================================================================ 1999 GROUP RESULTS SECOND QUARTER (DOLLARS IN MILLIONS) ASSETS SOLD CORE OR HELD ASSETS SPIN-OFFS FOR SALE ------ --------- -------- REVENUES......................................... $3,856 $164 $ 141 EBITDA........................................... $ 685 $ 20 $ 1 % MARGIN......................................... 17.8% 12.3% 0.4% SAME FACILITY ADMISSIONS......................... 1.1% -- -14.4% 8