The document is a series of maps showing the rise in obesity rates among US adults from 1985 to 2006 based on data from the CDC's Behavioral Risk Factor Surveillance System. The maps show obesity, defined as a BMI of 30 or higher, increasing from below 10% in most states in 1985 to over 30% in many states by 2006, indicating a significant nationwide rise in obesity over the past few decades.

1. Milton Johnson
Executive Vice President & Chief Financial Officer
David Anderson
Senior Vice President, Finance & Treasurer
Vic Campbell
Senior Vice President
Mark Kimbrough
Vice President, Investor Relations
0

2. Introduction to HCA Today
Leading investor-owned provider
Western Group International
Anchorage
Central Group Central of acute care services, primarily
London
Eastern Group
focused in urban and suburban
settings (~2.4x next largest
investor-owned provider)
Western W
Western C Northeast
Idaho
Idaho W Idaho Falls
Idaho Falls Accounted for approximately 5%
of inpatient admissions in U.S. last
Kansas City
No. VA
W Terre Haute
C
Utah
Utah year
Terre
W Denver
Wichita C C Richmond
Haute
Kansas City
San Jose
San Jose C SWSW VA
VA
Frankfort
Frankfort
W Wichita
W
Company operates 170
Chattanooga
Las Vegas C
W
W W Nashville Augusta Grand Strand
Oklahoma City
Southern hospitals(1) and 107 freestanding
Oklahoma City NW GANW GA
California Central Atlanta Trident/Charleston
Louisiana Atlanta E
El Paso Dallas/FtW W Columbus surgery centers(1) in 20 states, and
Dallas/FW Middle GA
Columbus Palmyra
E
Austin
W Jacksonville
Panhandle**
Austin
England
Antonio W Houston
San San AntonioHouston North Central Florida
Panhandle
W
W Treasure Coast
Tallahassee
Lafayette
Palm Beach
W Corpus Christi EBITDA in 2006 was $4.5B and
Tampa
McAllen W Broward
New Orleans
Brownsville September 2007 YTD is $3.4B
Dade
REVENUE BY REVENUE BY
GEOGRAPHY PATIENT MIX ~ 183,000 employees
International and
Other
5%
~ 35,000 affiliated physicians
Central
23% Outpatient
Eastern
37%
30%
More than 40,000 licensed beds
Inpatient
Western
63%
42%
(1) Includes 8 nonconsolidated hospitals and 9 nonconsolidated surgery centers managed under joint ventures
1

3. Local Market Leadership with Extensive Geographic Diversity
HCA maintains the #1 or #2 inpatient market position with 25% to 40% market share in most
geographies, which provides additional negotiating leverage
Geographically diverse portfolio of markets insulates the company from market-level fluctuations
Dallas/Ft.
Dallas/Ft.
Dallas/Ft.
Worth
Worth
Worth 18.0% 1,4
20.4%1,4
20.4%1,4
International
El Paso
El Paso
El Paso
32.0%2,5
32.0%2,5
34.2% 1,4
Austin
Austin
Austin
39.8% 1,4
47.2%2,5
47.2%2,5
Western W C
San
Idaho Houston
San Houston
San Houston
W Idaho Falls
Denver 20.0%1,5
Antonio
Denver 20.0%1,5
Antonio 18.2% 1,4
Antonio
Denver
32.2% 2,4 Kansas City
Kansas City
Kansas City
32.5%1,9 34.6%1,5
32.5%1,9 34.6%1,5
29.1% 1,4
24.7%1,6
Utah 22.9%
24.7%1,6 3,4
Utah
Utah W Terre Haute
19.6% 2,6
20.1% 3,4
20.1%2,6 C
Utah
W
Richmond
Richmond
Richmond
C C
Kansas City
San Jose
44.0%3,6
C 39.4% 2,4
44.0%3,6
SW VA
Frankfort
W Wichita W
Jacksonville
Jacksonville
Jacksonville
Nashville
Nashville
Las Vegas Nashville
Las Vegas C
Las Vegas 20.7% 2,3
W
W 23.0% 1,4
23.0%2,3
32.5%
30.1%1,6
W
30.1%1,6 2,4
32.2%1,7 Panhandle
31.5% Panhandle
32.2%1,71,4 Panhandle
Oklahoma City 30.2% 2,4
34.7%2,3
34.7%2,3
Oklahoma CityCity
Oklahoma2,6
Oklahoma City
Southern E
Southern
Southern 19.7%
19.7%2,6
15.3% 3,4 Ft. Pierce
Ft Pierce
California Ft. Pierce
California NC Florida
Californi NC Florida
E NC Florida
19.1%2,5,8 54.1%2,3
19.1%2,5,8 49.5% 2,3
Charleston 34.9%2,3 54.1% 2,4
Charleston
a 13.6% 34.3% 2,4
34.9%2,3
Charleston
29.1% 2,10
3,4 28.0% 3,4
28.0%2,10
Tampa Bay
Tampa Bay
Western Group Tampa 2,3
27.7%2,3
27.7% 2,4
26.4%
Central Group Broward
Broward
Broward
22.6% 2,3
23.1% 2,4
23.1%2,3
Eastern Group
Source:
Notes:
1. 2006 1st Quarter data Dade
4. Medstat Dade
15.6%2,3
2. 2006 3rd Quarter data 15.6%2,3
5. South Carolina Office of research & Statistics 13.9%
3. 2005 2,4
2

4. Inpatient and Outpatient Service Demand
3

5. Obesity is catching up to tobacco as the leading cause of death in America
Number of Deaths in 2000
(in 000s)
440
400
435
33%
8%
220 15% 5%
25% 17% 5%
33%
95
85 29 20 17
55
0 Firearms
Alcohol Pneumonia/ Toxic Illicit Drug
Tobacco Sexual
Obesity
Consumption influenza Agents Use
Behavior
4
Source: CDC, Trends in the Health of Americans, 2006; Washington Post

6. Where Are They?
5

7. Obesity Trends* Among U.S. Adults
1985
BMI*- Adult’s
weight in relation
in height
BMI ≥ 30, or ~ 30
lbs. overweight for
5’4” person
No Data <10% 10%–14%
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
*Body Mass Index (BMI): A measure of an adult’s weight in relation to his or her
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
height, specifically the adult’s weight in kilograms divided by the square of his
6
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
or her height in meters.
data through a series of monthly telephone interviews with U.S. adults.

8. Obesity Trends* Among U.S. Adults
1986
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
7
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

9. Obesity Trends* Among U.S. Adults
1987
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
8
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

10. Obesity Trends* Among U.S. Adults
1988
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
9
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

11. Obesity Trends* Among U.S. Adults
1989
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
10
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

12. Obesity Trends* Among U.S. Adults
1990
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
11
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

13. Obesity Trends* Among U.S. Adults
1991
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
12
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

14. Obesity Trends* Among U.S. Adults
1992
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
13
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

15. Obesity Trends* Among U.S. Adults
1993
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
14
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

16. Obesity Trends* Among U.S. Adults
1994
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
15
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

17. Obesity Trends* Among U.S. Adults
1995
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
16
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

18. Obesity Trends* Among U.S. Adults
1996
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
17
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

19. Obesity Trends* Among U.S. Adults
1997
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% ≥20% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
18
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

20. Obesity Trends* Among U.S. Adults
1998
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% ≥20% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
19
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

21. Obesity Trends* Among U.S. Adults
1999
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% ≥20% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
20
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

22. Obesity Trends* Among U.S. Adults
2000
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% ≥20% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
21
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

23. Obesity Trends* Among U.S. Adults
2001
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% ≥25% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
22
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

24. Obesity Trends* Among U.S. Adults
2002
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% ≥25% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
23
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

25. Obesity Trends* Among U.S. Adults
2003
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% ≥25% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
24
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

26. Obesity Trends* Among U.S. Adults
2004
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% ≥25% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
25
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

27. Obesity Trends* Among U.S. Adults
2005
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
26
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect
data through a series of monthly telephone interviews with U.S. adults.

28. Obesity Trends* Among U.S. Adults
2006
22 US states experienced an
increase for the 2nd year in a
row
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: Trust for America’s Health August 2007
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
27
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect report
data through a series of monthly telephone interviews with U.S. adults.

29. Obesity Trends* Among U.S. Adults
2006
Southern states
experience higher
rates than the rest
of the nation
(*BMI ≥ 30, or ~ 30
lbs. overweight for
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 5’ 4” person)
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: Trust for America’s Health August 2007
Source: The data shown in these maps were collected through CDC’s Behavioral Risk Factor
28
Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect report
data through a series of monthly telephone interviews with U.S. adults.

30. Key Initiatives
29

31. Leading Provider of Outpatient Services
Integrated delivery model created through establishing leading outpatient services in local markets
Among the largest
outpatient surgery
businesses in the
industry with 107
freestanding ambulatory
surgery centers (1)
Other outpatient facilities
include 53 freestanding
diagnostic treatment
facilities, 79 provider
based imaging facilities
and 6 oncology centers
HCA Surgery Centers
30

32. Denton Regional Medical Center
Medical City Dallas Hospital
North Hills Hospital
Medical Center of Plano
Plaza Medical Center of Ft. Worth Medical Center of McKinney

33. Rose Medical Center North Suburban Medical Center
Sky Ridge Medical Center
Presbyterian/St. Luke’s Medical Center
Medical Center of Aurora
Swedish Medical Center

34. Capex Discipline and Flexibility
Portfolio of hospitals is well-capitalized
Portions of both “routine capital” as well as “new” and “expansion / renovation” capital could be delayed to
increase cash flow if needed
CAPITAL EXPENDITURES
($ in billions)
$1.9B
$1.6B
$1.5B $1.5B*
33
* Preliminary estimate

35. As Reported
EBITDA
($ in millions)
September 2007
Ratio Prior Year
YTD Ratio
Revenues $19,975 100.0% $18,988 100.0%
Salaries & Benefits 8,002 7,816
40.1% 41.2%
Supplies 3,284 3,251
16.4% 17.1%
Provision for Doubtful Accounts 2,218 1,950
11.1% 10.3%
Gains on Investments (6) (140)
0.0% -0.7%
All Other Operating Expenses 3,038 2,912
15.2% 15.3%
Total Operating Expenses 16,536 15,789
82.8% 83.2%
3,439 3,199
EBITDA 17.2% 16.8%
Depreciation & Amortization 1,072 1,045
5.4% 5.4%
Interest 1,674 582
8.4% 3.1%
Gains on Sales of Facilities (332) (46)
-1.7% -0.2%
Impairment of Long-Lived Assets 24 -
0.1% 0.0%
Transaction Costs - 9
0.0% 0.0%
Minority Interest 160 145
0.8% 0.8%
Income Before Taxes 841 1,464
4.2% 7.7%
Net Income $596 $914
3.0% 4.8%
34
Certain prior year amounts have been reclassified to conform to current year presentation.

36. Same Facility
Volume Highlights
Admissions by Payer
2nd Quarter
1st Quarter 3rd Quarter
Mix % Change
Sept YTD
Admissions
-1.6%
-2.7%
Medicare
41.5%
-0.2%
Medicaid
15.4%
Sept YTD
Admissions
Adjusted
-2.2%
-1.0% Managed/
Discounted
36.4%
+5.2%
Uninsured
6.7%
3rd Quarter 2007
Source: QMIRS
Excl Las Vegas Market
Mix % Change
Sept YTD
Admissions
-1.1%
-2.4%
Medicare
42.8%
-0.9%
Medicaid
15.0%
Sept YTD
Admissions
-2.6%
Managed/
-0.7%
Adjusted
Discounted
36.0%
+8.9%
Uninsured
6.2%
35
September 2007 YTD
Source: QMIRS

37. Same Facility
Outpatient Services
ER Visits by Payer
2nd Quarter
1st Quarter 3rd Quarter
same store to include “new” ASCs which cannibalized existing hospital
*Restating
Mix % Change
based outpatient surgeries
Sept YTD
Outpatient
Surgeries
-1.2%
+2.4%
+0.1%*
Medicare
20.5%
-0.8%
Medicaid
20.1% -1.6%
Excl Las Vegas Mrkt
Sept YTD
Managed/
+0.3%
Discounted
34.8% -2.2%
ASC Based
Outpatient
Surgeries
+1.2%
Uninsured
24.6% +6.6%
3rd Quarter 2007
Source: QMIRS
Excl Las Vegas Mrkt
Mix % Change
Hospital Based
+1.3%
Outpatient
Surgeries
Medicare
20.8%
20.7%
Sept YTD Medicaid -4.1%
-2.2%
Managed/
Discounted
35.1%
ER Visits
-2.7%
Uninsured
23.4% +7.0%
Sept YTD
-0.1%
September 2007 YTD
36
Source: QMIRS

38. Same Facility
Net Revenue
1st Quarter 2nd Quarter 3rd Quarter Sept YTD
+7.4%
NR/AA
+6.1%
Cash
Excluding UPL
Revenue Mix - QTD Revenue Mix - YTD
Same Facility
Same Facility
NR Mix
NR Mix NR/AA % change NR/AA % change
8.9% +12.9%
9.5% Uninsured Uninsured
+10.9%
28.8%
29.5%
Medicare
28.8% Medicare +4.5%
+4.6%
8.1%
8.1% 8.1%
Medicaid Medicaid +25.2%
+22.3%
Managed/ Managed/
47.7%
47.7% 47.6% +7.4%
Discounted Discounted
+6.2%
Other 3rd Quarter 2007 Other Sept 2007 YTD
5.9%
5.9%
Source: QMIRS Source: QMIRS
37

39. Same Facility
Expense Management
Supply Cost by Category
2nd Quarter
1st Quarter 3rd Quarter
Sept YTD
Op.Exp./AA
% Total Per AA % change
+6.3%
+5.0%
Cash
Medical
+5.3%
Devices
34.7%
Pharmacy
Excluding UPL +1.0%
20.1%
Sept YTD
+5.4% Commodity
Wage
+8.2%
Rate
39.7%
Blood +20.8%
5.5%
East, West & Central Hospital Operations –
3rd Quarter 2007
Including rebates
Sept YTD
-0.7%
EEOB
Medical
+6.1%
Devices
34.9%
Pharmacy +1.4%
As Reported 20.4%
Sept YTD
Supplies
Commodity
+4.5% +5.8%
/AA
39.3%
Blood +14.3%
5.4%
38
East, West & Central Hospital Operations –
September 2007 YTD
Including rebates

40. As Reported
($ in millions)
Other Operating Expenses
Marketing and Advertising Travel and Entertainment
57%
28%
September YTD September YTD
Malpractice Expense
Legal
21%
15%
September YTD
September YTD
39

41. Corporate Office and IT&S
( $ in millions)
September 2007 YTD Prior Year
Actual Prior Year Variance
Total Administrative $122 $133 ($11)
Total IT&S $253 $282 ($29)
Total Shared Services $592 $590 $2
*Excludes Gains on Sale of Investments, 123R, Malpractice Reserves and Sponsor Fees
40

42. Leverage the Scale of the Company
Currently serves over 4,000 members, including more than 1,200 acute care hospitals
Over $13 billion in annual purchasing volume with expected 58% growth over prior year
Group
Purchasing Generates significant annual profits from administrative fees from suppliers for performing GPO services;
Organization significantly lowered the Company's supply costs
Per-unit cost advantage over competitors
Invested $100 million to build regional service centers
Revenue
Creates efficiencies in billing and collection process, particularly re payment disputes with managed care
Cycle
Management Results: incremental cash collections annually, compared to baseline, as well as a reduction in operating costs
OVERALL SETTLED CLAIMS – PER 1,000 OCCUPIED BED
Intense focus on patient safety and tort EQUIVALENTS
16
reform have significantly reduced settled
Captive 14.5
claims 15
14.5
Insurance 14.1 13.6
14
13.2
Subsidiary 13
12.1
11.9
12
11.6
11
10.0
9.7
9.6
10
9
8
41
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

43. Debt Repayment
$ in millions
Decrease/
12/31/2006 9/30/2007 Increase
Bank Revolver $ 40 $ - $ 40
Asset-Based Revolver 1,830 1,500 330
Term Loan A 2,750 2,666 84
Term Loan B 8,800 8,734 66
European Term Loan 1,320 1,003 317
Total Bank Debt 14,740 13,903 837
Other First Lien Debt 445 419 26
Second Lien Cash Pay Notes 4,200 4,200 -
Second Lien Toggle Notes 1,500 1,500 -
Total Senior Secured Debt 20,885 20,022 863
Rollover Debt - Unsecured Notes, net 7,523 7,523 -
Total Debt $ 28,408 $ 27,545 $ 863
Debt/EBITDA 6.36x 5.85x
42

44. Debt Rollforward
$ in millions
Total Debt as of 12/31/06 $28,408
2007 Activity
Adjusted EBITDA, less Minority Interest (3,279)
Interest Paid 1,522
Taxes Paid 348
Capital Expenditures 997
Asset Sales, net of Acquisitions (463)
Sponsor/Employee Equity Contribution (100)
All other, including Working Capital 112
Net change (863)
Total Debt as of 9/30/07 $27,545
43

45. Capitalization Table & Credit Statistics
Sep 30, Dec 31,
2007 2006
Senior Secured Debt
Cash Flow Revolver ($2.0 billion) - $40
ABL Facility ($2.0 billion) 1,500 1,830
Term Loan A 2,666 2,750
Term Loan B 8,734 8,800
European Term Loan 1,003 1,320
Total Senior Secured Bank Debt 13,903 14,740
Other First Lien Debt 419 445
Second Lien Cash Pay Notes 4,200 4,200
Second Lien Toggle Notes 1,500 1,500
Total Senior Secured Debt 20,022 20,885
Unsecured Notes 7,540 7,542
Unamortized Discounts (17) (19)
Total Debt $27,545 $28,408
Floating Rate Debt % 21.5% 23.7%
Total Debt/Adjusted EBITDA 5.85x 6.36x
Adjusted EBITDA/Interest 2.27x 2.16x
44

46. Financial Policies & Objectives
Operations – Focus on core operations
Physician recruitment and service line expansion
Maintain target managed care mid- to high-single digit rate increase
Manage operating expenses by leveraging scale and systems
Consider divesting non-core assets, where appropriate
HCI malpractice funding cash flow benefits
Leverage
Goal to reduce debt and improve credit quality over time
Manage floating rate interest exposure ($8 billion in 5-yr interest rate hedges)
Capital Expenditures – Maintain disciplined approach to deploying capital
Only target high ROIC investments
Deploy capital to enhance operations, competitive position and market share
Manage discretionary capex based on strength of cash flows
45

47. Conclusion
Favorable Industry Fundamentals
Well-Capitalized Assets With Leading Market Positions in High Growth Markets
Management Team’s Experience, Discipline and Industry Leadership
Financial Structure that Provides Significant Liquidity and Flexibility
Disciplined Approach to Capital Deployment
Significant Cash Flow From Operations
Significant Equity Commitment by Sponsors and Management
46

48. Milton Johnson
Executive Vice President & Chief Financial Officer
David Anderson
Senior Vice President, Finance & Treasurer
Vic Campbell
Senior Vice President
Mark Kimbrough
Vice President, Investor Relations
47