4 February 2014 Health Care Facilities and Services HCA Holdings, Inc. Figure 2: Same-store t ends (yoy % change) ICA. Inc. 48010440% 40104•14/4% 4040114 2010 200 1012 2012 3012 400 2012 1013 2011 2043 4013 2013 11•044.4 Nu Waturle Wens: 20% 33% 51% 31% 33% 55% 45% 01% 30% •9% 33% 31% 404440304 A*4444•041441as 0.1% I 4% 23% 30% 32% 25% 21% 43% 4K 30% 205 50% 30% 41% 0.1% 13% 0T% -I A% -07% 11% 1.1% -10% 01% 01% 3,4441 twytio• Oup•04ra *sprits -IA% -1.2% .1.7% -06% 15% -07% .22% 09% 27% 03% 430% 13% 01% OK .24% 02% 2.9% OK .43% 00% OA% IS% 03% 435% Tad surotkri PHs Ma Itavora41.44•4414Stinbre -1.3% 2.I% 00% -I 0% 01% 03% 23% -0 1% -13% 14% 53% 64% 2K I2t% 03% -0 1% 07% 05% 05% 36% 03% -34% 01% 135 14% 34% OK 01" .24% 03% 21711. 34% 414% -02% 02% 30% •10123a sauna/ .0•53044.0wi issweuss%. Sitt%10%005.10.5.00.0.0•00.1•000...00.% 0‘4•00550/0/0”20%••Thst.- 5•10150ons Sant DatioWIMN4 C3,04744444rts Surgical trends. 04 surgical trends were solid, with total SS surgeries up + 1.4% split between SS inpatient surgeries +0.9% and SS outpatient surgeries +1.6%. These trends led to a greater ratio SS inpatient surgeries to total SS inpatient admissions at 29.8% (vs. 29% in the prior yr period), an important driver of the increased pricing (+4.8%) and acuity (+3%) in the qtr. Prior to the downturn this ratio had been running closer to 32%-33%. and it has picked up in recent quarters after reaching a low of -28%. On the CC, mgt attributed these trends to (I) recent investments in the surgical departments (e.g. "0.R. of Choice" initiative), offset by (2) a slow-down in ER volumes vs. historical trends. HCA remains optimistic about the surgical front in 2014. [Figure 3: Surgical trends (yoy % change) 4.0% 3.0% 2.0% 1.0% 0.0% -1.0% -2.0% 30% 4.0% -3.0% 1Q10 2Q10 3Q10 4Q20 1Q11 2011 3Q11 4Q11 1Q12 2Q1Z 3Q12 4Q12 1Q13 2Q13 3Q13 4Q13 ..........4nwatKo