Baird 2015 Healthcare Conference Sam HazenChief Operating Officer Jon FosterPresident – American Group Vic CampbellSenior Vice President Mark KimbroughVice President, Investor Relations September 9, 2015 New York

1 1 1 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 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 today’s 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 Company’s earnings releases for the year ended December 31, 2014, and quarter and six months ended June 30, 2015, located on the Company’s investor relations page at include reconciliations of the difference between certain non-GAAP financial measures with the most directly comparable financial measure calculated in accordance with GAAP. These non-GAAP financial measures should not be considered alternatives to the GAAP financial measures. References to “Company” used herein refer to HCA Holdings, Inc. and its affiliates, unless otherwise stated or indicated by context.

22 What Differentiates HCA Local Market Strategy & Execution Culture and Values Clinical Excellence Market Diversification Capital Deployment Size and Scale

33 HCA has a diversified portfolio of assets strategically selected in attractive markets…… Salt Lake City Denver Kansas City Miami/Fort Lauderdale/WPB Dallas / Fort Worth San Antonio New Hampshire Western Idaho San Jose Southern California Las Vegas Idaho Falls Myrtle Beach Trident / Charleston Jacksonville North Central Florida Orlando Treasure Coast N-VA Richmond S-VA Augusta Tallahassee Wichita Oklahoma City Central Louisiana Lafayette New Orleans Panhandle El Paso Corpus Christi McAllen Brownsville Terre Haute Frankfort Chattanooga NWGA Atlanta Middle GA Anchorage Nashville Houston Tampa Austin Central London Gold labels indicate top 10 domestic markets by 2Q 2015 Adjusted EBITDA. HCA’s top ten markets generate approximately 58% of Adjusted EBITDA

4 4 4 Industry leading quality and service Setting the Standard for Clinical Excellence in Support of HCA’s Strategic Agenda o Create Patient-Centered Care Models o Reduce Variation in Care Delivery o Deliver Industry-Leading Outcomes o Set Industry Standards for Care Delivery o Support and Engage Clinicians o Deploy Best-in-Class IT Tools o Gain External Affirmation Generating Value for: Informed consumers with high deductible health plans Informed consumers with high deductible health plans Physicians seeking high quality, efficient places to practice Physicians seeking high quality, efficient places to practice Payers desiring innovative collaboration Payers desiring innovative collaboration Employers managing benefit costs Employers managing benefit costs

% Equivalent Admissions (1) 1.4% Revenue per Equivalent Admission (1) 7.4% Revenues (1) 8.9% Adjusted EBITDA 17.3% Adjusted Net Income Attributable to HCA Holdings, Inc. (2) 23.6% Adjusted Diluted Earnings Per Share (2) (1)Same facility YTD June 30, 2015, compared to prior year period (2)Adjust net income attributable to HCA Holdings, Inc. and adjusted diluted earning per share exclude gains on sales of facilities, losses on retirement of debt, and legal claim costs. HCA Continues to Leverage Its Financial Strength All data as of June 30, 2015, compared to prior year

Baird 2015 Healthcare Conference Sam HazenChief Operating Officer Jon FosterPresident – American Group Vic CampbellSenior Vice President Mark KimbroughVice President, Investor Relations September 9, 2015 New York