Title

Credit Suisse 24th Annual Healthcare Conference Milton Johnson Chairman of the Board and Chief Executive Officer Bill Rutherford Chief Financial Officer and Executive Vice President Vic Campbell Senior Vice President Mark Kimbrough Vice President, Investor Relations FORWARD-LOOKING STATEMENTS AND NON-GAAP FINANCIAL MEASURES This presentation may contain certain forward-looking statements provided by Company management. These statements are intended to be covered by the safe-harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that do not relate solely to historical or current facts, including statements regarding future operations, financial results, cash flows, costs and cost management initiatives, capital structure management, growth rates, and operational and strategic initiatives, and can also be identified by the use of words like may, believe, will, expect, project, estimate, anticipate, intend, plan, initiative, continue or words or phrases of similar meaning. These forward-looking statements speak only as of the date hereof and are based on our current plans and expectations and are subject to a number of known and unknown uncertainties and risks, many of which are beyond our control. These risks and uncertainties are described in headings such as Risk Factors in our annual report on Form 10-K for the year ended December 31, 2014 and other reports filed with the Securities and Exchange Commission. As a consequence, current plans, anticipated actions and future financial position and results of operations may differ significantly from those expressed in any forward-looking statements in todays presentation. You are cautioned not to unduly rely on such forward-looking statements when evaluating the information presented and we do not intend to update any of these forward-looking statements. The presentation may contain certain non-GAAP measures, including Adjusted EBITDA. The Companys earnings releases for the year ended December 31, 2014, and for the quarter and nine months ended September 30, 2015, located on the Companys investor relations page at www.hcahealthcare.com, include reconciliations of certain non-GAAP financial measures and the most directly comparable financial measures calculated in accordance with GAAP. These non-GAAP financial measures should not be considered alternatives to the GAAP financial measures. We have filed a Registration Statement (including a prospectus supplement and related prospectus) with the SEC for the offering to which this communication relates. Before you invest, you should read the prospectus supplement in that Registration Statement, the accompanying prospectus, the documents incorporated by reference therein and other documents the Company has filed with the SEC for more complete information about the Company and this offering. You may get these documents for free by visiting EDGAR on the SEC web site at www.sec.gov. References to Company used herein refer to HCA Holdings, Inc. and its affiliates, unless otherwise stated or indicated by context.

2 2 HCA has a diversified portfolio of assets strategically selected in attractive markets HCAs top ten markets generate approximately 63% of Adjusted EBITDA Anchorage Western Idaho New Hampshire Idaho Falls Central London Salt Lake City Denver San Jose Las Vegas Wichita Kansas City Richmond Nashville Chattanooga Augusta

NWGA Atlanta Middle GA Dallas / Fort Worth El Paso Austin S-VA Frankfort Oklahoma City Southern California N-VA Terre Haute Central Louisiana Lafayette San Antonio New Orleans Corpus Christi McAllen Myrtle Beach Trident / Charleston

Houston Tallahassee Panhandle Tampa Jacksonville North Central Florida Orlando Treasure Coast Miami/Fort Lauderdale/WPB Brownsville Gold labels indicate top 10 domestic markets by 3Q 2015 Adjusted EBITDA. 3 Dallas Market 10 Acute Hospitals 1 Childrens Hospital 1 Behavioral Health Hospital ~3,000 Beds (Occupancy 71%) ~7,000 Physicians on

Med Staff 5 Trauma Centers 12 Surgery Centers 31 Urgent Care Centers 6 Free Standing ERs 4 4 HCAs Sustainable Growth Agenda Industry leading quality and service Profitable growth through distinctive MD and patient relationships and value Efficiency levels that continue to lead the industry A well-informed response to evolving market environment Unparalleled development of future leaders

Be the Preferred Provider System in the Market 5 HCA Continues to Leverage Its Financial Strength (YTD 9/30/15 compared to prior year) Equi vale nt Admi ssion s(1) 1.4% Revenue per Equivalent Admission(1) 7.9% Revenues 5.7% Adjusted EBITDA 9.5% Adjusted Net Income Attributable to HCA Holdings, Inc.(2) 15.1% Adjusted Diluted Earnings Per Share(2) 6

(1) (2) Same facility Net income attributable to HCA Holdings, Inc. and diluted earning per share exclude losses (gains) on sales of facilities, losses on debt retirement, and legal claim costs. 6 What Differentiates HCA Clinical Excellence me nt Capital Deployment loy ep Co n D al pit Ca

Local Market Strategy & Execution t n e t s i ns o ti u c e Ex Size and Scale Market Diversification Culture and Values 7 Credit Suisse 24th Annual Healthcare Conference Milton Johnson Chairman of the Board and Chief Executive Officer Bill Rutherford Chief Financial Officer and Executive Vice President Vic Campbell Senior Vice President Mark Kimbrough Vice President, Investor Relations

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