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2017 Annual Report to Shareholders Company Overview HCA Healthcare, Inc. is one of the leading healthcare services companies in the United States. As of December 31, 2017, we operated 179 hospitals. In addition, Directors we operated 120 freestanding surgery centers and 195 other R. Milton Johnson Thomas F. Frist III Jay O. Light Wayne J. Riley, M.D., Chairman and Principal (Not standing for re-election) M.B.A. access centers (freestanding ERs Operational Chief Executive Officer Frist Capital Dean Emeritus President of SUNY and urgent care centers). Our Excellence HCA Harvard Business School Downstate Medical Center facilities are located in 20 states William R. Frist Robert J. Dennis Principal Geoffrey G. Meyers John W. Rowe, M.D. and the United Kingdom. Chairman, President & CEO Frist Capital Retired Executive VP & CFO Professor Genesco Inc. Manor Care, Inc. Columbia University, Charles O. Holliday, Jr. Mailman School of Coordination Access and Nancy-Ann DeParle Chairman Michael W. Michelson Public Health Across Convenience Partner Royal Dutch Shell plc Senior Advisory Partner Former Chairman & CEO, Continuum Consonance Capital KKR & Co. L.P. Aetna Local Partners Ann H. Lamont One Park Plaza Managing Partner Nashville, Tennessee 37203 Sustainable Oak Investment Partners www.hcahealthcare.com Growth Executive Officers Strong R. Milton Johnson Jane D. Englebright P. Martin Paslick John M. Steele Physician Comprehensive Chairman and Chief Senior Vice President and Senior Vice President and Senior Vice President and Relationships Service Lines Executive Officer Chief Nursing Officer Chief Information Officer Chief Human Resource Officer Samuel N. Hazen Jon M. Foster Jonathan B. Perlin, M.D. President and Chief President — American President — Clinical Kathryn A. Torres Operating Officer Group Services Group and Chief Senior Vice President — Medical Officer Payer Contracting and William B. Rutherford Charles J. Hall Alignment Executive Vice President President — National Deborah M. Reiner and Chief Financial Officer Group Senior Vice President — Robert A. Waterman Marketing and Senior Vice President and Victor L. Campbell A. Bruce Moore, Jr. Communications General Counsel Senior Vice President President — Service Line Corporate Information and Operations Integration Joseph A. Sowell, III Christopher F. Wyatt Ravi S. Chari, M.D. Senior Vice President and Senior Vice President and Senior Vice President — Sandra L. Morgan Chief Development Controller Transfer Agent and Registrar Form 10-K of record. On January 30, 2018, the Clinical Excellence Senior Vice President — Officer EQ Shareowner Services The Company has filed an annual Company’s Board of Directors initiated Provider Relations Alan R. Yuspeh P.O. Box 64874 report on Form 10-K for the year and declared a quarterly dividend of Michael S. Cuffe, M.D. Joseph N. Steakley Senior Vice President St. Paul, Minnesota 55164-0874 ended December 31, 2017 with the $0.35 per share on our common stock President — Physician J. William B. Morrow Senior Vice President — and Chief Ethics and Toll free: 800-468-9716 United States Securities and Exchange payable on March 30, 2018 to Services Group Senior Vice President — Internal Audit Services Compliance Officer Commission (SEC). Shareholders may shareholders of record on March 1, Finance and Treasurer Certified/Overnight Mail obtain a copy of this report, without 2018. Future declarations of quarterly EQ Shareowner Services charge, by writing: dividends and the establishment of 1110 Centre Pointe Curve, Suite 101 future record and payment dates are Mendota Heights, Minnesota 55120 Investor Relations, HCA Healthcare, subject to the final determination of the Community Inc., One Park Plaza, Nashville, TN Company’s Board of Directors. Diversified mix Engagement: $32,090,559 4,406 Independent Registered Public 37203 or by visiting the Company’s of facilities, HCA Healthcare enterprise giving Community agencies Accounting Firm website at www.hcahealthcare.com. Annual Meeting of Shareholders Providing Hope (HCA Foundation and company gifts) supported Ernst & Young LLP The annual meeting of shareholders will services and A sense of purpose is a key driver Nashville, Tennessee Common Stock and Dividend be held on April 26, 2018, at 2:00 pm Information local time at the HCA corporate offices settings to attracting and retaining top Corporate Headquarters The Common Stock of HCA Healthcare, located at One Park Plaza, Nashville, talent. Community Engagement $9,822,467 4,496 One Park Plaza Inc. is listed on the New York Stock Tennessee 37203. Shareholders of 179 120 123 1,200 plays a vital role in promoting Employee giving through enterprise- Employees and families Nashville, Tennessee 37203 Exchange (NYSE) under the symbol record as of March 7, 2018, are invited Hospitals ASCs Urgent Care Centers Physician Clinics HCA’s purpose and mission to wide campaigns who received relief grants 615-344-9551 “HCA”. On March 7, 2018, the Company to attend. care for and improve human from the Hope Fund as a had approximately 350 shareholders life by connecting our business result of hurricanes priorities and employee $3,700,000 Harvey and Irma 47k 16 72 38k passion with the needs of the Hope Fund grants distributed to employees and their Licensed Beds GI Centers FSERs Active Medical Staff communities we serve. families who were impacted by hurricanes Harvey and Irma 2017 Annual Report to Shareholders Company Overview HCA Healthcare, Inc. is one of the leading healthcare services companies in the United States. As of December 31, 2017, we operated 179 hospitals. In addition, Directors we operated 120 freestanding surgery centers and 195 other R. Milton Johnson Thomas F. Frist III Jay O. Light Wayne J. Riley, M.D., Chairman and Principal (Not standing for re-election) M.B.A. access centers (freestanding ERs Operational Chief Executive Officer Frist Capital Dean Emeritus President of SUNY and urgent care centers). Our Excellence HCA Harvard Business School Downstate Medical Center facilities are located in 20 states William R. Frist Robert J. Dennis Principal Geoffrey G. Meyers John W. Rowe, M.D. and the United Kingdom. Chairman, President & CEO Frist Capital Retired Executive VP & CFO Professor Genesco Inc. Manor Care, Inc. Columbia University, Charles O. Holliday, Jr. Mailman School of Coordination Access and Nancy-Ann DeParle Chairman Michael W. Michelson Public Health Across Convenience Partner Royal Dutch Shell plc Senior Advisory Partner Former Chairman & CEO, Continuum Consonance Capital KKR & Co. L.P. Aetna Local Partners Ann H. Lamont One Park Plaza Managing Partner Nashville, Tennessee 37203 Sustainable Oak Investment Partners www.hcahealthcare.com Growth Executive Officers Strong R. Milton Johnson Jane D. Englebright P. Martin Paslick John M. Steele Physician Comprehensive Chairman and Chief Senior Vice President and Senior Vice President and Senior Vice President and Relationships Service Lines Executive Officer Chief Nursing Officer Chief Information Officer Chief Human Resource Officer Samuel N. Hazen Jon M. Foster Jonathan B. Perlin, M.D. President and Chief President — American President — Clinical Kathryn A. Torres Operating Officer Group Services Group and Chief Senior Vice President — Medical Officer Payer Contracting and William B. Rutherford Charles J. Hall Alignment Executive Vice President President — National Deborah M. Reiner and Chief Financial Officer Group Senior Vice President — Robert A. Waterman Marketing and Senior Vice President and Victor L. Campbell A. Bruce Moore, Jr. Communications General Counsel Senior Vice President President — Service Line Corporate Information and Operations Integration Joseph A. Sowell, III Christopher F. Wyatt Ravi S. Chari, M.D. Senior Vice President and Senior Vice President and Senior Vice President — Sandra L. Morgan Chief Development Controller Transfer Agent and Registrar Form 10-K of record. On January 30, 2018, the Clinical Excellence Senior Vice President — Officer EQ Shareowner Services The Company has filed an annual Company’s Board of Directors initiated Provider Relations Alan R. Yuspeh P.O. Box 64874 report on Form 10-K for the year and declared a quarterly dividend of Michael S. Cuffe, M.D. Joseph N. Steakley Senior Vice President St. Paul, Minnesota 55164-0874 ended December 31, 2017 with the $0.35 per share on our common stock President — Physician J. William B. Morrow Senior Vice President — and Chief Ethics and Toll free: 800-468-9716 United States Securities and Exchange payable on March 30, 2018 to Services Group Senior Vice President — Internal Audit Services Compliance Officer Commission (SEC). Shareholders may shareholders of record on March 1, Finance and Treasurer Certified/Overnight Mail obtain a copy of this report, without 2018. Future declarations of quarterly EQ Shareowner Services charge, by writing: dividends and the establishment of 1110 Centre Pointe Curve, Suite 101 future record and payment dates are Mendota Heights, Minnesota 55120 Investor Relations, HCA Healthcare, subject to the final determination of the Community Inc., One Park Plaza, Nashville, TN Company’s Board of Directors. Diversified mix Engagement: $32,090,559 4,406 Independent Registered Public 37203 or by visiting the Company’s of facilities, HCA Healthcare enterprise giving Community agencies Accounting Firm website at www.hcahealthcare.com. Annual Meeting of Shareholders Providing Hope (HCA Foundation and company gifts) supported Ernst & Young LLP The annual meeting of shareholders will services and