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HCA Reports Fourth Quarter - Year End 2007 Results
Date:2/7/2008

djusted EBITDA as the primary measures to review and assess

operating performance of its hospital facilities and their management

teams.

Management and investors review both the overall performance

(including; net income, excluding gains on sales of facilities,

impairment of long-lived assets and transaction costs, and GAAP net

income) and operating performance (adjusted EBITDA) of our health

care facilities. Adjusted EBITDA and the adjusted EBITDA margin

(adjusted EBITDA divided by revenues) are utilized by management and

investors to compare our current operating results with the

corresponding periods during the previous year and to compare our

operating results with other companies in the health care industry.

It is reasonable to expect that gains on sales of facilities and

impairments of long-lived assets will occur in future periods, but

the amounts recognized can vary significantly from quarter to

quarter, do not directly relate to the ongoing operations of our

health care facilities and complicate quarterly comparisons of our

results of operations and operations comparisons with other health

care companies.

Net income, excluding gains on sales of facilities, impairment of

long-lived assets and transaction costs, and adjusted EBITDA are not

measures of financial performance under accounting principles

generally accepted in the United States, and should not be considered

as alternatives to net income as measures of operating performance or

alternatives to cash flows from operating, investing and financing

activities as measures of liquidity. Because net income, excluding

gains on sales of facilities, impairment of long-lived assets and

transaction costs, and adjust
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SOURCE HCA
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