EFTA01453081.pdf

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 20% 33% 51% 31% 33% 55% 15% 01% 30% •9% 33% 31% Wens: 404440304 0.1% 23% 32% 25% 21% 43% 30% 0.1% 13% 0T% -I A% 01% A*4444•041441as I 4% 30% 4 MI 30% 205 50% 11% -07% 11% 1.1% -10% 01% 3,4441twytio• -IA% .1.7% 15% -07% .22% 09% 01% .24% 02% 2.9% OK 03% Oup•04ra *sprits -1.2% -06% 27% 03% 430% 13% OK .43% 00% OA% IS% 435% Tad surotkri -1.3% -I 0% 23% -0 1% -13% 11% 05% -34% 01% 135 11% -0 2% PHs 2.I% 01% 53% 64% 2K I2t% 36% 34% OK 01" .24% 02% Ma Itavora41.44•4414Stinbre 00% 03% 03% -0 1% 07% 05% 03% 03% 21711. 34% 414% 30% •10123a sauna/ .0•53044.0wiissweuss%. 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 ..........4nwatKot worms 44.444.00074114)0I wrg ,e ^^Tall $4110110$ Sang O4.4.4.• /1414. Campinytipat Deutsche Bank Securities Inc. Pago 5 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0110490 CONFIDENTIAL SDNY_GM_00256674 EFTA01453081