HCA Announces Intention to Declare Special Cash Dividend of $2.00 per Share

  HCA Announces Intention to Declare Special Cash Dividend of $2.00 per Share

Business Wire

NASHVILLE, Tenn. -- December 03, 2012

HCA Holdings, Inc. (NYSE: HCA) today announced that it intends, subject to
applicable legal and contractual restrictions, to declare and pay a special
cash dividend of $2.00 per share to stockholders and certain optionholders on
or prior to December 31, 2012. The dividend is expected to be funded through
the net proceeds from the Company’s offering of $1.0 billion aggregate
principal amount of senior notes due 2021. HCA’s ratio of debt-to-Adjusted
EBITDA at September30, 2012 was approximately 4.1x compared to 4.5x at
December 31, 2011. The Company’s ratio of debt-to-Adjusted EBITDA is estimated
to have been approximately 4.5x on September 30, 2012 adjusted for financing
transactions completed in the fourth quarter of 2012 and the anticipated
impact of the special dividend and incremental financing. There can be no
assurance that the special dividend will be declared and paid.


This press release contains forward-looking statements based on current
management expectations. Those forward-looking statements include all
statements other than those made solely with respect to historical fact,
including statements with respect to the proposed special dividend and related
debt financing. Numerous risks, uncertainties and other factors may cause
actual results to differ materially from those expressed in any
forward-looking statements. These factors include, but are not limited to,
(1)the ability to fund and the determination to declare and pay the special
dividend, (2)the impact of our substantial indebtedness and the ability to
refinance such indebtedness on acceptable terms, (3)the effects related to
the enactment and implementation of the Budget Control Act of 2011 and the
outcome of pending government negotiations related to avoiding the “fiscal
cliff” which would result from the BCA’s automatic spending reductions that
include cuts to Medicare payments and tax increases beginning in federal
fiscal year 2013, and the effects related to cuts to physicians’ Medicare
reimbursement if Congress does not override the scheduled reductions related
to the Medicare Sustainable Growth Rate, (4) the effects related to the
enactment and implementation of the Patient Protection and Affordable Care
Act, as amended by the Health Care and Education Reconciliation Act
(collectively, the “Health Reform Law”), the possible enactment of additional
federal or state health care reforms and possible changes to the Health Reform
Law and other federal, state or local laws or regulations affecting the health
care industry, (5)increases in the amount and risk of collectability of
uninsured accounts and deductibles and copayment amounts for insured accounts,
(6)the ability to achieve operating and financial targets, and attain
expected levels of patient volumes and control the costs of providing
services, (7)possible changes in the Medicare, Medicaid and other state
programs, including Medicaid upper payment limit programs or Waiver Programs,
that may impact reimbursements to health care providers and insurers, (8)the
highly competitive nature of the health care business, (9)changes in service
mix, revenue mix and surgical volumes, including potential declines in the
population covered under managed care agreements, the ability to enter into
and renew managed care provider agreements on acceptable terms and the impact
of consumer driven health plans and physician utilization trends and
practices, (10)the efforts of insurers, health care providers and others to
contain health care costs, (11)the outcome of our continuing efforts to
monitor, maintain and comply with appropriate laws, regulations, policies and
procedures, (12)increases in wages and the ability to attract and retain
qualified management and personnel, including affiliated physicians, nurses
and medical and technical support personnel, (13)the availability and terms
of capital to fund the expansion of our business and improvements to our
existing facilities, (14)changes in accounting practices, (15)changes in
general economic conditions nationally and regionally in our markets,
(16)future divestitures which may result in charges and possible impairments
of long-lived assets, (17)changes in business strategy or development plans,
(18)delays in receiving payments for services provided, (19)the outcome of
pending and any future tax audits, appeals and litigation associated with our
tax positions, (20)potential adverse impact of known and unknown government
investigations, litigation and other claims that may be made against us,
(21)our ongoing ability to demonstrate meaningful use of certified electronic
health record technology and recognize income for the related Medicare or
Medicaid incentive payments, and (22)other risk factors described in our
annual report on Form 10-K for the year ended December31, 2011 and our other
filings with the Securities and Exchange Commission. Many of the factors that
will determine our future results are beyond our ability to control or
predict. In light of the significant uncertainties inherent in the
forward-looking statements contained herein, readers should not place undue
reliance on forward-looking statements, which reflect management’s views only
as of the date hereof. We undertake no obligation to revise or update any
forward-looking statements, or to make any other forward-looking statements,
whether as a result of new information, future events or otherwise.

All references to “Company” and “HCA” as used throughout this release refer to
HCA Holdings, Inc. and its affiliates.


HCA Holdings, Inc.
Investor Contact:
Mark Kimbrough, 615-344-2688
Media Contact:
Ed Fishbough, 615-344-2810
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