Exhibit 99.1
     
(HCA LOGO)
  news
 
 
  FOR IMMEDIATE RELEASE
INVESTOR CONTACT:
  MEDIA CONTACT:
Mark Kimbrough
  Ed Fishbough
615-344-2688
  615-344-2810
HCA Reports Fourth Quarter and Year End 2008 Results
Nashville, Tenn., February 3, 2009
— HCA today announced financial and operating results for its fourth quarter ended December 31, 2008.
Fourth Quarter Summary:
    Revenues increased 5.6 percent to $7.265 billion.
 
    Net income totaled $276 million, compared to $278 million in the fourth quarter of 2007.
 
    Adjusted EBITDA totaled $1.237 billion, compared to $1.153 billion in the fourth quarter of 2007.
 
    Interest expense decreased to $500 million, from $541 million in the fourth quarter of 2007.
 
    Same facility admissions increased 0.5 percent, and same facility equivalent admissions increased 1.8 percent.
 
    Same facility revenue per equivalent admission increased 4.8 percent.
 
    Same facility total surgeries increased 0.4 percent.
Revenues during the fourth quarter of 2008 totaled $7.265 billion, compared to $6.883 billion in the fourth quarter of 2007. On a same facility basis, revenues in the fourth quarter of 2008 increased 6.8 percent compared to the fourth quarter of 2007. Adjusted EBITDA in the fourth quarter of 2008 totaled $1.237 billion, compared to $1.153 billion in the fourth quarter of 2007. Net income for the fourth quarter of 2008 totaled $276 million, compared to $278 million in the fourth quarter of 2007. Results for the fourth quarter of 2008 include gains on sales of facilities of $7 million compared to $139 million in the fourth quarter of 2007. Fourth quarter 2008 results also include an $11 million charge for impairment of long-lived assets.
The provision for doubtful accounts decreased to $889 million, or 12.2 percent of revenues, in the fourth quarter of 2008 from $912 million, or 13.2 percent of revenues, in the fourth quarter of 2007. Same facility uninsured admissions decreased 0.4 percent in the fourth quarter of 2008 compared to the fourth quarter of 2007.
Interest expense decreased to $500 million in the fourth quarter of 2008, compared to $541 million in the fourth quarter of 2007, due primarily to a reduction in the average effective interest rate on total debt.
The provision for income taxes resulted in low effective tax rates for the fourth quarters of both 2008 (11 percent effective tax rate) and 2007 (20 percent effective tax rate). The provision for income taxes for the fourth quarter of 2008 was reduced, primarily due to a favorable revision to the proposed disallowance of a portion of prior period expense and related interest. The provision for income taxes for the fourth quarter of 2007 was reduced, primarily due to the recognition of certain state tax benefits.

1


The following information was filed by Hca Healthcare, Inc. (HCA) on Tuesday, February 3, 2009 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-K Annual Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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