Transcript Exhibit B - Colorado Springs, Colorado

Exhibit B
Attorney General Hearings
September 2011
Diverse Portfolio of Hospital Systems
Experienced Operators in
Sophisticated Markets
• 164 hospitals in 20 states & England
• 111 free-standing surgery centers
• 180,000 employees
• Approx. 35,000 affiliated physicians
• Approx. 39,500 licensed beds
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Strong Market Position
Leading Position in Large
Communities
Salt Lake
6/21%
San Jose
2/20%
• Revenue: $30.6 B
• Admissions: 1.5 M
Denver
7/32%
• E.R. Visits: 5.7 M
Kansas City
8/22%
Nashville
10/33%
Richmond
5/36%
• Patient Encounters: 18 M
• Patient Days: 7.7 M
• Babies Delivered: 210,000+
Las Vegas
3/25%
Dallas
10/20%
SW Virginia
4/35%
So. Cal
3/25%
Jacksonville
3/22%
Austin
6/42%
Houston
9/19%
San Antonio
7/33%
West Florida
14/29%
East Florida
10/19%
Hospitals/Market Share*
* Map data based on most recently available state data as of Q22011;Callout box data based on 2010 data; Fastest growing markets = populations = or >500,000
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Our Mission and Values
Above all else, we are committed to the
care and improvement of human life.
• We recognize and affirm the unique and intrinsic worth
of each individual.
• We treat all those we serve with compassion and
kindness.
• We act with absolute honesty, integrity and
fairness in the way we conduct our business
and the way we live our lives.
• We trust our colleagues as valuable
members of our healthcare team and
to treat one another with loyalty, respect
and dignity.
pledge
“Bettering the human condition is the
greatest gift any individual can give”
Dr. Thomas Frist, Sr.
Co-founder, HCA
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Operating Strategy
Balanced Approach
Clinical
Quality
Ethics &
Compliance
Decentralized
DecisionMaking &
Local Identity
Physician
Alignment
Patients First
Philosophy
Community
involvement
Capital
Investment
Healthy Work
Environment
Leverage
Company
Size
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Organizational Structure
Designed to Meet Local Needs
Richard M. Bracken
Chairman & CEO
Dr. Jonathan Perlin
Sam Hazen
President
Clinical & Physician Services
President
Operations
Milton Johnson
President & CFO
Chuck Hall
Paul Rutledge
Jon Foster
President
President
President
President
National Group
Central & International Groups
Southwest Group
Service Lines
Bruce Moore
Clinical & Physician Services Group
Outpatient Services Group
Information Technology & Services Group
Shared Services Group
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Clinical Services Strategic Agenda
Excellence in Quality Care
Industry-Leading
Performance
Growth &
Efficiency
Quality &
Compliance
National
Advocacy
• Achieve Industry-Leading
Performance on Clinical &
Satisfaction Measures
HCA hospitals represented
nearly 1 in 5 to earn the
Joint Commission’s
designation as top
performers on key measures
• Support HCA Growth & Efficiency
Agendas
• Provide Leadership for
Foundational Quality and
Compliance
• Provide National Advocacy for
HCA Clinical and Operational
Agenda
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CMS “Core Measure” Progress
Total Measure Sets Scores - Inpatient
Week Ending 09 16 11
Week ending 4/9/10
% of HCA hospitals with high ratings
100%
90%
16%
10%
14% 17% 16% 13%
15% 14% 15% 16% 15% 16% 14%
11%
25%
8%
35%
80%
49%
9%
21%
43%
24%
70%
18% 23%
20%
24%
19% 16% 16% 17% 17% 16%
91% of HCA
hospitals in
top 25th
Percentile
27%
60%
67%
50%
29%
67%
28%
40%
83%
24%
62% 60%
30%
69% 68% 67% 67% 70%
66% 65% 69% 65% 67%
48%
20%
10%
83% of HCA
hospitals in
top 10th
Percentile
37%
17%
22%
28% 29%
0%
1Q 07
2Q 07
3Q 07
4Q 07
1Q 08
2Q 08
3Q 08
4Q 08
1Q 09
2Q 09
3Q 09
4Q 09
1Q 10
2Q 10
3Q 10
4Q 10
1Q 11
2Q 11
3Q 11
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*Week ending 9/16/11; 2Q11 & 3Q11 data is preliminary
Operational Excellence
Through Shared Services
Leveraging Size of HCA
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Ethics & Compliance
Setting the Industry Standard
1 of 6 Healthcare Systems to
be Listed Among the Worlds
Most Ethical Companies
The Tenets of Our Program
•
•
•
•
Standards for compliance and ethical conduct
Promote awareness of standards
Ethics Line and other means to report exceptions
Monitoring and auditing performance
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*The Ethisphere Institute 2010 listing of World’s Most Ethical Companies
Serving Our Communities
“Good begets good.” – Dr. Frist, Sr.
Charity Care Policy
• Patients that fall between 0–200% of the Federal Poverty Levels* receive a
100% Charity discount
• HCA delivered over $1.8 B in uncompensated care in 2010
• HCA facilities saw 362,372 Medicaid and uninsured patients in 2010
Community Advisory Boards
• Representation from physicians, employees, and the community
• Provide oversight and advise hospital leadership to affect strategic
planning, hospital policy, quality and environment of care, etc.
Jobs and Taxes
• HCA payroll totaled almost $11 B in 2010
• HCA paid more than $2 B in federal, state and local taxes in 2010
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*All data based on 2010; Federal Poverty Levels based on total household income
Proven Model Delivering
Sustainable Performance
Decentralized
DecisionMaking &
Local Identity
Clinical
Quality
Ethics &
Compliance
Physician
Alignment
Patients First
Philosophy
Community
involvement
Healthy Work
Environment
Leverage
Company
Size
Capital
Investment
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Attorney General Hearings
September 2011