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09/26/2011 12:33 PM




     Attorney General Hearings




     September, 2011




©2011 HCA, Inc.
All Rights Reserved
Confidential and Proprietary
Do Not Distribute or Copy
HealthONE was formed in 1995 and combined strong, rival facilities
     with local governance


▪   April 1995, HCA expands Denver asset-base and buys Rose
▪   $170 Million in proceeds form Rose Community Foundation
▪   Non-profit HealthONE – owner of Swedish, St. Luke’s, Aurora Presbyterian,
    Presbyterian Denver & other facilities – negotiates with HCA
▪   October 31, 1995 – hospitals come together to form HCA-HealthONE LLC
    system with equal governance
▪   All major decisions, including operating and capital budgets, CEO hiring,
    acquisitions, divestitures, capital structure issues, distributions, etc., are
    approved by the Board with block voting by each partner




                                                                        HCA-HealthONE LLC   | 1
Since 1995, HealthONE has invested nearly $1.5 Billion in Capital




                ▪ Sky Ridge Medical Center
                ▪ The Medical Center of Aurora Bed Tower
                ▪ The Medical Center of Aurora Emergency
                  Department
                ▪ Rocky Mountain Hospital for Children
                ▪ Swedish Medical Center Bed Tower
                ▪ North Suburban Medical Center Emergency
                  Department and Operating Rooms




                                                            HCA-HealthONE LLC   | 2
HealthONE has matured into a highly integrated network that
provides not only local, but also regional patient care
                                                     Hospital (1,662 beds in service)
                      ▪ 20% of HealthOne             1. North Suburban Med Center (136)
                        patients are from outside    2. Presbyterian/St. Luke’s Medical
                                                        Center (397)
                        of Denver
                                                     3. Rose Medical Center (273)
                      ▪ HealthOne invests in over    4. Sky Ridge Medical Center (185)
                        500 flights a year to send   5. Spalding Rehab Hospital (72)
                        physicians to underserved    6. Swedish Medical Center (324)
                        communities                  7. The Medical Center of Aurora (275)

                                                     Ambulatory Surgery Center (14)

                                                     Outpatient Imaging (20)

                                                     Stand-Alone Emergency Department (2)


                                                     Outpatient Radiation Oncology (2)

                                                     Occupational Medicine Clinic (7)

                                                     Various Physician Clinics (61)




                                                                     HCA-HealthONE LLC   | 3
HealthONE passionately pursues the best patient outcomes…
              ▪ Our patients are the #1 priority
              ▪ All business decisions must first pass the screen of “What is best for our patients?”

                                         Core Measures: Overall Surgical Care
                    100.00%
                                                                                  National Top 10%
                     98.00%



                     96.00%



                     94.00%



                     92.00%



                     90.00%



                     88.00%



                     86.00%




Latest Available CMS Data: Q32009 – Q22010                                                                          | 4
                                                                                                HCA-HealthONE LLC
Source: www.whynotthebest.org
…and outperforms its peer group on surgical and medical care

                                    Core Measures: Overall Recommended Care
                  100.00%


                   99.00%
                                                                              National Top 10%
                   98.00%


                   97.00%


                   96.00%


                   95.00%


                   94.00%


                   93.00%


                   92.00%


                   91.00%


                   90.00%




Latest Available CMS Data: Q32009 – Q22010                                                                | 5
                                                                                      HCA-HealthONE LLC
Source: www.whynotthebest.org
In just the last five years, HealthONE has added more than 1,000
           jobs and paid more than $160 Million in taxes to the local economy
                      HealthONE Employees
8,400



8,200



8,000



7,800



7,600


                                                    HealthONE Employees
7,400



7,200
                                                                                        HealthONE Local Taxes
                                                          $45,000,000


7,000
                                                          $40,000,000


6,800
                                                          $35,000,000


6,600
        2006   2007   2008    2009    2010   2011         $30,000,000



                                                          $25,000,000


                                                                                                                                Local Taxes
                                                          $20,000,000



                                                          $15,000,000



                                                          $10,000,000



                                                           $5,000,000



                                                                  $-
                                                                          2005   2006       2007     2008       2009   2010




                                                                                                            HCA-HealthONE LLC   | 6
HealthONE has also invested in our local community through
     Community Benefit, GME, and Education


▪   In 2010, HealthONE contributed more than $98M in uncompensated care
▪   HealthONE supports many community organizations to improve the region’s
    economy, health and culture through annual contributions to over 150 non-
    profit organizations
▪   HealthONE trains more than 90 physicians a year (or 1,300 since 1995)
    through our GME and Medical School programs: Family Medicine, Psychology,
    Internal Medicine, Pulmonary, Critical Care, Obstetrics & Gynecology, Surgery,
    Emergency Medicine, Physiatry, Podiatry, Radiology, Anesthesia, Osteopathic
    Medicine, and Occupational & Environmental Medicine
▪   In the last five years, HealthONE funded $53 Million to GME/IME
▪   HealthONE also has heavily invested in our community Nursing and Allied
    Health services: over 25 academic affiliations, faculty appointments,
    scholarships to BSN and MSN, continuing education, and tuition
    reimbursement




                                                                    HCA-HealthONE LLC   | 7
HealthONE will continue to invest in our local community



▪   This transaction is another milestone in our strong history of providing
    exceptional patient care and community benefit
▪   Amazing value has been generated as we look back to the 1995 transaction
    and compare to today’s $1.45B purchase of The Colorado Health Foundation’s
    interest
▪   We will continue with our patient-centric passion and good corporate
    citizenship
▪   We look forward to celebrating many more wins in the coming years:
      ▪   New Capital & Services Investments
      ▪   Even Better Patient Outcomes
      ▪   Expanded Regional Healthcare Access
      ▪   More Jobs & Taxes
      ▪   Strong Community Benefit, GME and Education



                                                                     HCA-HealthONE LLC   | 8

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HealthONE Attorney General Hearing Sept. 26-27, 2011

  • 1. 09/26/2011 12:33 PM Attorney General Hearings September, 2011 ©2011 HCA, Inc. All Rights Reserved Confidential and Proprietary Do Not Distribute or Copy
  • 2. HealthONE was formed in 1995 and combined strong, rival facilities with local governance ▪ April 1995, HCA expands Denver asset-base and buys Rose ▪ $170 Million in proceeds form Rose Community Foundation ▪ Non-profit HealthONE – owner of Swedish, St. Luke’s, Aurora Presbyterian, Presbyterian Denver & other facilities – negotiates with HCA ▪ October 31, 1995 – hospitals come together to form HCA-HealthONE LLC system with equal governance ▪ All major decisions, including operating and capital budgets, CEO hiring, acquisitions, divestitures, capital structure issues, distributions, etc., are approved by the Board with block voting by each partner HCA-HealthONE LLC | 1
  • 3. Since 1995, HealthONE has invested nearly $1.5 Billion in Capital ▪ Sky Ridge Medical Center ▪ The Medical Center of Aurora Bed Tower ▪ The Medical Center of Aurora Emergency Department ▪ Rocky Mountain Hospital for Children ▪ Swedish Medical Center Bed Tower ▪ North Suburban Medical Center Emergency Department and Operating Rooms HCA-HealthONE LLC | 2
  • 4. HealthONE has matured into a highly integrated network that provides not only local, but also regional patient care Hospital (1,662 beds in service) ▪ 20% of HealthOne 1. North Suburban Med Center (136) patients are from outside 2. Presbyterian/St. Luke’s Medical Center (397) of Denver 3. Rose Medical Center (273) ▪ HealthOne invests in over 4. Sky Ridge Medical Center (185) 500 flights a year to send 5. Spalding Rehab Hospital (72) physicians to underserved 6. Swedish Medical Center (324) communities 7. The Medical Center of Aurora (275) Ambulatory Surgery Center (14) Outpatient Imaging (20) Stand-Alone Emergency Department (2) Outpatient Radiation Oncology (2) Occupational Medicine Clinic (7) Various Physician Clinics (61) HCA-HealthONE LLC | 3
  • 5. HealthONE passionately pursues the best patient outcomes… ▪ Our patients are the #1 priority ▪ All business decisions must first pass the screen of “What is best for our patients?” Core Measures: Overall Surgical Care 100.00% National Top 10% 98.00% 96.00% 94.00% 92.00% 90.00% 88.00% 86.00% Latest Available CMS Data: Q32009 – Q22010 | 4 HCA-HealthONE LLC Source: www.whynotthebest.org
  • 6. …and outperforms its peer group on surgical and medical care Core Measures: Overall Recommended Care 100.00% 99.00% National Top 10% 98.00% 97.00% 96.00% 95.00% 94.00% 93.00% 92.00% 91.00% 90.00% Latest Available CMS Data: Q32009 – Q22010 | 5 HCA-HealthONE LLC Source: www.whynotthebest.org
  • 7. In just the last five years, HealthONE has added more than 1,000 jobs and paid more than $160 Million in taxes to the local economy HealthONE Employees 8,400 8,200 8,000 7,800 7,600 HealthONE Employees 7,400 7,200 HealthONE Local Taxes $45,000,000 7,000 $40,000,000 6,800 $35,000,000 6,600 2006 2007 2008 2009 2010 2011 $30,000,000 $25,000,000 Local Taxes $20,000,000 $15,000,000 $10,000,000 $5,000,000 $- 2005 2006 2007 2008 2009 2010 HCA-HealthONE LLC | 6
  • 8. HealthONE has also invested in our local community through Community Benefit, GME, and Education ▪ In 2010, HealthONE contributed more than $98M in uncompensated care ▪ HealthONE supports many community organizations to improve the region’s economy, health and culture through annual contributions to over 150 non- profit organizations ▪ HealthONE trains more than 90 physicians a year (or 1,300 since 1995) through our GME and Medical School programs: Family Medicine, Psychology, Internal Medicine, Pulmonary, Critical Care, Obstetrics & Gynecology, Surgery, Emergency Medicine, Physiatry, Podiatry, Radiology, Anesthesia, Osteopathic Medicine, and Occupational & Environmental Medicine ▪ In the last five years, HealthONE funded $53 Million to GME/IME ▪ HealthONE also has heavily invested in our community Nursing and Allied Health services: over 25 academic affiliations, faculty appointments, scholarships to BSN and MSN, continuing education, and tuition reimbursement HCA-HealthONE LLC | 7
  • 9. HealthONE will continue to invest in our local community ▪ This transaction is another milestone in our strong history of providing exceptional patient care and community benefit ▪ Amazing value has been generated as we look back to the 1995 transaction and compare to today’s $1.45B purchase of The Colorado Health Foundation’s interest ▪ We will continue with our patient-centric passion and good corporate citizenship ▪ We look forward to celebrating many more wins in the coming years: ▪ New Capital & Services Investments ▪ Even Better Patient Outcomes ▪ Expanded Regional Healthcare Access ▪ More Jobs & Taxes ▪ Strong Community Benefit, GME and Education HCA-HealthONE LLC | 8