Exhibit 99.1

INVESTOR CONTACT:		FOR IMMEDIATE RELEASE MEDIA CONTACT:
Mark Kimbrough 615-344-2688		Ed Fishbough 615-344-2810

HCA Reports First Quarter 2010 Results
HCA Board Approves Distribution to Stockholders

Nashville, Tenn., May 7, 2010 — HCA Inc. today announced financial and operating results for its first quarter ended March 31, 2010.

First Quarter Summary:

•

Revenues increased to $7.544 billion compared to $7.431 billion in the first quarter of 2009. Charity care and uninsured discounts, which reduce our reported revenues, increased to $1.581 billion in the first quarter compared to $1.108 billion in the prior year’s first quarter.

•

Net income attributable to HCA Inc. totaled $388 million, compared to $360 million in the prior year’s first quarter.

•

Adjusted EBITDA totaled $1.574 billion, compared to $1.457 billion in the first quarter of 2009.

•

Provision for doubtful accounts declined to $564 million, from $807 million in the prior year.

•

Interest expense increased to $516 million, from $471 million in the first quarter of 2009.

•

Same facility equivalent admissions increased 1.1 percent, and same facility admissions increased 0.9 percent in the first quarter compared to the first quarter of 2009.

•

Revenue per equivalent admission increased 0.6 percent and reflects the impact of the increased charity care and uninsured discounts. Cash revenue per equivalent admission increased 4.5 percent in the quarter compared to the prior year.

•

Total surgeries, on a same facility basis, declined 1.3 percent from the previous year’s first quarter.

Revenues in the first quarter of 2010 totaled $7.544 billion, compared to $7.431 billion in the first quarter of 2009. Cash revenues increased 5.4 percent in the first quarter to $6.980 billion from $6.624 billion in the same period last year. Cash revenues is a non-GAAP measure and reflects the Company’s reported revenues less provision for doubtful accounts (bad debt). Net income attributable to HCA Inc. for the first quarter of 2010 totaled $388 million, compared to $360 million in the prior year’s first quarter. Adjusted EBITDA in the quarter totaled $1.574 billion, compared to $1.457 billion in the previous year’s first quarter. Tables describing

Adjusted EBITDA and cash revenues and reconciling net income attributable to HCA Inc. to Adjusted EBITDA, and reported revenues to cash revenues, for these periods are included in this release. Results for the first quarter of 2010 include impairments of long-lived assets of $18 million while results for the first quarter of 2009 include losses on sales of facilities of $5 million and impairments of long-lived assets of $9 million.

The Company’s provision for doubtful accounts declined to $564 million, or 7.5 percent of revenues, in the first quarter of 2010 from $807 million, or 10.9 percent of revenues, in the first quarter of 2009, primarily due to a $473 million increase in charity care and uninsured discounts in the first quarter of 2010 compared to the prior year.

The sum of the provision for doubtful accounts, uninsured discounts and charity care, as a percentage of the sum of revenues, uninsured discounts and charity care was 23.5 percent for the first quarter of 2010 compared to 22.4 percent for the first quarter of 2009. Same facility uninsured admissions increased 6.8 percent in the first quarter of 2010 compared to the prior year’s first quarter. Same facility uninsured admissions comprised 6.4 percent of total admissions in the first quarter of 2010 compared to 6.0 percent in the first quarter of 2009.

During the first quarter of 2010, salaries and benefits, supplies and other operating expenses totaled $5.474 billion compared to $5.235 billion in the first quarter of 2009, an increase of 2.1 percent as a percent of revenues.

Interest expense increased to $516 million in the first quarter of 2010, compared to $471 million in the same period of 2009, due primarily to an increase in the average effective interest rate on our outstanding debt.

Same facility admissions increased 0.9 percent and same facility equivalent admissions increased 1.1 percent in the first quarter of 2010 compared to the prior year’s first quarter. Same facility inpatient surgeries declined 0.4 percent and outpatient surgeries declined 1.8 percent in the first quarter of 2010 compared to the first quarter of 2009. Revenue per equivalent admission increased 0.6 percent in the first quarter of 2010 compared to the first quarter of 2009 and reflects the impact of the increased uninsured discounts and charity care, which reduce our reported revenues. Cash revenue per equivalent admission increased 4.5 percent in the first quarter of 2010 compared to the first quarter of 2009.

As of March 31, 2010, HCA’s balance sheet reflected cash and cash equivalents of $388 million, total debt of $26.855 billion, and total assets of $24.091 billion. During the first quarter of 2010, capital expenditures totaled $214 million. Net cash provided by operating activities totaled $901 million in the first quarter of 2010 compared to $615 million in the prior year. The $286 million increase was due primarily to a $239 million decline in net income taxes paid.

HCA’s Board of Directors has declared a distribution to the Company’s existing stockholders and holders of vested stock options. The distribution is $5.00 per share and vested stock option, or approximately $500 million in the aggregate, and will be paid on May 14, 2010 to holders of record on May 6, 2010. The distribution will be funded using funds available under our existing senior secured revolving credit facilities.

As of March 31, 2010, HCA operated 162 hospitals and 106 freestanding surgery centers (including eight hospitals and eight freestanding surgery centers operated through equity method joint ventures).

Earnings Conference Call

HCA will host a conference call for investors at 9:00 a.m. Central Daylight Time today. All interested investors are invited to access a live audio broadcast of the call via webcast. The broadcast also will be available on a replay basis beginning this afternoon. The webcast can be accessed at: http://www.videonewswire.com/event.asp?id=68867

or through the Company’s Investor Relations web page, www.hcahealthcare.com.

Cautionary Statement about Preliminary Results and Other Forward-Looking Information

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. 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 recognize the benefits of the Recapitalization, (2) the impact of the substantial indebtedness incurred to finance the Recapitalization and the ability to refinance such indebtedness on acceptable terms, (3) the effects related to the enactment of federal health care reform and other possible changes to federal, state or local laws affecting the health care industry, (4) increases, particularly in the current economic downturn, in the amount and risk of collectability of uninsured accounts and deductibles and copayment amounts for insured accounts, (5) the ability to achieve operating and financial targets, and attain expected levels of patient volumes and control the costs of providing services, (6) possible changes in the Medicare, Medicaid and other state programs, including Medicaid supplemental payments pursuant to upper payment limit (“UPL”) programs, that may impact reimbursements to health care providers and insurers, (7) the highly competitive nature of the health care business, (8) changes in revenue mix, including potential declines in the population covered under managed care agreements due to the current economic downturn and the ability to enter into and renew managed care provider agreements on acceptable terms, (9) the efforts of insurers, health care providers and others to contain health care costs, (10) the outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures, (11) increases in wages and the ability to attract and retain qualified management and personnel, including affiliated physicians, nurses and medical and technical support personnel, (12) the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities, (13) changes in accounting practices, (14) changes in general economic conditions nationally and regionally in our markets, (15) future divestitures which may result in charges, (16) changes in business strategy or development plans, (17) delays in receiving payments for services provided, (18) the outcome of pending and any future tax audits, appeals and litigation associated with our tax positions, (19) potential liabilities and other claims that may be asserted against us, and (20) other risk factors described in our annual report on Form 10-K for the year ended December 31, 2009 and 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.

HCA Inc.
Condensed Consolidated Income Statements
First Quarter
(Dollars in millions)

		2010								2009
		Amount				Ratio				Amount				Ratio
Revenues		$	7,544				100.0	%		$	7,431				100.0	%
Salaries and benefits			3,072				40.7				2,923				39.3
Supplies			1,200				15.9				1,210				16.3
Other operating expenses			1,202				15.9				1,102				14.8
Provision for doubtful accounts			564				7.5				807				10.9
Equity in earnings of affiliates			(68	)			(0.9	)			(68	)			(0.9	)
Depreciation and amortization			355				4.8				353				4.8
Interest expense			516				6.8				471				6.3
Losses on sales of facilities			—				—				5				0.1
Impairments of long-lived assets			18				0.2				9				0.1
			6,859				90.9				6,812				91.7
Income before income taxes			685				9.1				619				8.3
Provision for income taxes			209				2.8				187				2.5
Net income			476				6.3				432				5.8
Net income attributable to noncontrolling interests			88				1.1				72				1.0
Net income attributable to HCA Inc		$	388				5.2			$	360				4.8

HCA Inc.
Supplemental Non-GAAP Disclosures
Operating Results Summary
(Dollars in millions)

		First Quarter
		2010				2009
Revenues		$	7,544			$	7,431
Net income attributable to HCA Inc.		$	388			$	360
Losses on sales of facilities (net of tax)			—				3
Impairments of long-lived assets (net of tax)			12				6
Net income attributable to HCA Inc., excluding losses on sales of facilities and impairments of long-lived assets (a)			400				369
Depreciation and amortization			355				353
Interest expense			516				471
Provision for income taxes			215				192
Net income attributable to noncontrolling interests			88				72
Adjusted EBITDA (a)		$	1,574			$	1,457

HCA Inc.
Supplemental Non-GAAP Disclosures
Operating Measures on a Cash Revenues Basis
First Quarter
(Dollars in millions)

		2010												2009
						Non-GAAP												Non-GAAP
						% of Cash				GAAP % of								% of Cash				GAAP % of
						Revenues				Revenues								Revenues				Revenues
		Amount				Ratios (b)				Ratios (b)				Amount				Ratios (b)				Ratios (b)
Revenues		$	7,544								100.0			$	7,431								100.0
Provision for doubtful accounts			564												807
Cash revenues (a)			6,980				100.0								6,624				100.0
Salaries and benefits			3,072				44.0				40.7				2,923				44.1				39.3
Supplies			1,200				17.2				15.9				1,210				18.3				16.3
Other operating expenses			1,202				17.3				15.9				1,102				16.6				14.8
% changes from prior year:
Revenues			1.5	%
Cash revenues			5.4
Revenue per equivalent admission			0.6
Cash revenue per equivalent admission			4.5

HCA Inc.
Condensed Consolidated Balance Sheets
(Dollars in millions)

		March 31,				December 31,
		2010				2009
ASSETS
Current assets:
Cash and cash equivalents		$	388			$	312
Accounts receivable, net			3,878				3,692
Inventories			794				802
Deferred income taxes			1,181				1,192
Other			497				579
Total current assets			6,738				6,577
Property and equipment, at cost			24,766				24,669
Accumulated depreciation			(13,514	)			(13,242	)
			11,252				11,427
Investments of insurance subsidiary			1,146				1,166
Investments in and advances to affiliates			851				853
Goodwill			2,561				2,577
Deferred loan costs			411				418
Other			1,132				1,113
		$	24,091			$	24,131
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current liabilities:
Accounts payable		$	1,199			$	1,460
Accrued salaries			893				849
Other accrued expenses			1,498				1,158
Long-term debt due within one year			981				846
Total current liabilities			4,571				4,313
Long-term debt			25,874				24,824
Professional liability risks			1,058				1,057
Income taxes and other liabilities			1,742				1,768
Total liabilities			33,245				31,962
Equity securities with contingent redemption rights			144				147
EQUITY (DEFICIT)
HCA Inc. stockholders’ deficit			(10,313	)			(8,986	)
Noncontrolling interests			1,015				1,008
Total deficit			(9,298	)			(7,978	)
		$	24,091			$	24,131

HCA Inc.
Condensed Consolidated Statements of Cash Flow
First Quarter
(Dollars in millions)

		2010				2009
Cash flows from operating activities:
Net income		$	476			$	432
Adjustments to reconcile net income to net cash provided by operating activities:
Changes in operating assets and liabilities			(838	)			(1,111	)
Provision for doubtful accounts			564				807
Depreciation and amortization			355				353
Income taxes			280				41
Losses sales of facilities			—				5
Impairments of long-lived assets			18				9
Amortization of deferred loan costs			20				21
Share-based compensation			8				7
Pay-in-kind interest			—				39
Other			18				12
Net cash provided by operating activities			901				615
Cash flows from investing activities:
Purchase of property and equipment			(214	)			(337	)
Acquisition of hospitals and health care entities			(21	)			(38	)
Disposal of hospitals and health care entities			24				5
Change in investments			29				76
Other			1				6
Net cash used in investing activities			(181	)			(288	)
Cash flows from financing activities:
Issuance of long-term debt			1,387				300
Net change in revolving credit facilities			1,339				(335	)
Repayment of long-term debt			(1,510	)			(339	)
Distributions to noncontrolling interests			(83	)			(55	)
Payment of debt issuance costs			(25	)			(14	)
Payment of cash distribution to stockholders			(1,751	)			—
Other			(1	)			7
Net cash used in financing activities			(644	)			(436	)
Change in cash and cash equivalents			76				(109	)
Cash and cash equivalents at beginning of period			312				465
Cash and cash equivalents at end of period		$	388			$	356
Interest payments		$	374			$	344
Income tax (refunds) payments, net		$	(71	)		$	146

HCA Inc.
Operating Statistics

		First Quarter
		2010				2009
Consolidating Hospitals:
Number of Hospitals			154				155
Weighted Average Licensed Beds			38,687				38,811
Licensed Beds at End of Period			38,719				38,763
Reported:
Admissions			398,900				396,200
% Change			0.7	%
Equivalent Admissions			615,500				610,200
% Change			0.9	%
Revenue per Equivalent Admission		$	12,257			$	12,178
% Change			0.6	%
Inpatient Revenue per Admission		$	11,830			$	11,468
% Change			3.2	%
Patient Days			1,952,600				1,953,100
Equivalent Patient Days			3,012,900				3,007,700
Inpatient Surgery Cases			122,500				122,600
% Change			-0.1	%
Outpatient Surgery Cases			190,700				194,400
% Change			-1.9	%
Emergency Room Visits			1,367,100				1,359,700
% Change			0.5	%
Outpatient Revenues as a
Percentage of Patient Revenues			36.4	%			37.9	%
Average Length of Stay			4.9				4.9
Occupancy			56.1	%			55.9	%
Equivalent Occupancy			86.6	%			86.1	%
Same Facility:
Admissions			397,200				393,800
% Change			0.9	%
Equivalent Admissions			612,500				606,100
% Change			1.1	%
Revenue per Equivalent Admission		$	12,229			$	12,177
% Change			0.4	%
Inpatient Revenue per Admission		$	11,829			$	11,502
% Change			2.8	%
Inpatient Surgery Cases			121,900				122,300
% Change			-0.4	%
Outpatient Surgery Cases			189,700				193,300
% Change			-1.8	%
Emergency Room Visits			1,361,700				1,348,900
% Change			1.0	%
Number of Consolidating and Nonconsolidating (Equity Joint Ventures) Hospitals:
Consolidating			154				155
Nonconsolidating (Equity Joint Ventures)			8				8
Total Number of Hospitals			162				163