Attorney General Hearings

September 2011

Diverse Portfolio of Hospital Systems

2

Experienced Operators in

Sophisticated Markets

• 164 hospitals in 20 states & England

• 111 free-standing surgery centers

• 180,000 employees

• Approx. 35,000 affiliated physicians

• Approx. 39,500 licensed beds

Strong Market Position

3

Las Vegas3/25%

Denver7/32%

Kansas City8/22%

Dallas10/20%

Austin6/42%

San Antonio7/33%

Houston9/19%

Nashville10/33%

Richmond5/36%

Jacksonville3/22%

West Florida14/29%

San Jose2/20%

SW Virginia4/35%

East Florida10/19%

Hospitals/Market Share*

So. Cal3/25%

Leading Position in Large

Communities

Salt Lake6/21%

* Map data based on most recently available state data as of Q22011;Callout box data based on 2010 data; Fastest growing markets = populations = or >500,000

• Revenue: $30.6 B

• Admissions: 1.5 M

• E.R. Visits: 5.7 M

• Patient Encounters: 18 M

• Patient Days: 7.7 M

• Babies Delivered: 210,000+

• We recognize and affirm the unique and intrinsic worth

of each individual.

• We treat all those we serve with compassion and

kindness.

• We act with absolute honesty, integrity and

fairness in the way we conduct our business

and the way we live our lives.

• We trust our colleagues as valuable

members of our healthcare team and pledge

to treat one another with loyalty, respect

and dignity.

Our Mission and Values

Above all else, we are committed to the

care and improvement of human life.

“Bettering the human condition is the

greatest gift any individual can give”Dr. Thomas Frist, Sr.

Co-founder, HCA

4

Ethics &

Compliance

Community

involvement

Clinical

Quality

Decentralized

Decision-

Making &

Local Identity

Physician

Alignment

Healthy Work

Environment

Patients FirstPhilosophy

Balanced Approach

Operating Strategy

5

Leverage

Company

Size

Capital

Investment

Designed to Meet Local Needs

Organizational Structure

Richard M. BrackenChairman & CEO

Jon Foster

President

Southwest Group

Chuck Hall

President

National Group

Paul Rutledge

President

Central & International Groups

Bruce Moore

President

Service Lines

6

Clinical & Physician Services Group

Outpatient Services Group

Information Technology & Services Group

Shared Services Group

Milton JohnsonPresident & CFO

Dr. Jonathan PerlinPresident

Clinical & Physician Services

Sam HazenPresident

Operations

Clinical Services Strategic Agenda

Excellence in Quality Care

7

Industry-Leading Performance

Growth & Efficiency

Quality & Compliance

National Advocacy

• Provide National Advocacy for

HCA Clinical and Operational

Agenda

• Provide Leadership for

Foundational Quality and

Compliance

• Support HCA Growth & Efficiency

Agendas

• Achieve Industry-Leading

Performance on Clinical &

Satisfaction Measures

HCA hospitals represented nearly 1 in 5 to earn the

Joint Commission’s designation as top

performers on key measures

CMS “Core Measure” Progress

83% of HCA

hospitals in

top 10th

Percentile

91% of HCA

hospitals in

top 25th

Percentile

% o

f H

CA

ho

spit

als

wit

h h

igh

rat

ings

*Week ending 9/16/11; 2Q11 & 3Q11 data is preliminary

Week ending 4/9/10

8

17%22%

28% 29%37%

48%

62% 60%66% 65%

69%65% 67% 69% 68% 67% 67% 70%

83%

67%

67%

24%28%

29%

27%

24%24%

18% 23%21%

20%19% 16% 16% 17% 17%

16%

8%

16%11%

49%43%

35%

25%

14% 17% 16% 13% 10%15% 14% 15% 16% 15% 16% 14%

9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09 2Q 09 3Q 09 4Q 09 1Q 10 2Q 10 3Q 10 4Q 10 1Q 11 2Q 11 3Q 11

Total Measure Sets Scores - InpatientWeek Ending 09 16 11

Operational Excellence Through Shared Services

Leveraging Size of HCA

9

Ethics & Compliance

Setting the Industry Standard

10

1 of 6 Healthcare Systems to

be Listed Among the Worlds

Most Ethical Companies

The Tenets of Our Program

• Standards for compliance and ethical conduct

• Promote awareness of standards

• Ethics Line and other means to report exceptions

• Monitoring and auditing performance

*The Ethisphere Institute 2010 listing of World’s Most Ethical Companies

Serving Our Communities

“Good begets good.” – Dr. Frist, Sr.

Charity Care Policy• Patients that fall between 0–200% of the Federal Poverty Levels* receive a

100% Charity discount• HCA delivered over $1.8 B in uncompensated care in 2010• HCA facilities saw 362,372 Medicaid and uninsured patients in 2010

Community Advisory Boards• Representation from physicians, employees, and the community • Provide oversight and advise hospital leadership to affect strategic

planning, hospital policy, quality and environment of care, etc.

Jobs and Taxes• HCA payroll totaled almost $11 B in 2010• HCA paid more than $2 B in federal, state and local taxes in 2010

11

*All data based on 2010; Federal Poverty Levels based on total household income

Ethics &

Compliance

Community

involvement

Clinical

QualityDecentralized

Decision-

Making &

Local Identity

Physician

Alignment

Healthy Work

Environment

Patients FirstPhilosophy

Proven Model Delivering

Sustainable Performance

12

Leverage

Company

Size

Capital

Investment

Attorney General Hearings

September 2011