Exhibit 99.1

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

HCA Reports Second Quarter 2011 Results
Same Facility Equivalent Admissions Increase 1.9 Percent

Nashville, Tenn., July 25, 2011 — HCA Holdings, Inc. (NYSE: HCA) today announced financial and operating results for the second quarter ended June 30, 2011.

Key second quarter metrics (all percentage changes compare 2Q 2011 to 2Q 2010 unless noted):

	•		Revenues increased 4 percent to $8.063 billion; cash revenues increased 4.6 percent to $7.288 billion
	•		Net income attributable to HCA Holdings, Inc. totaled $229 million, or $0.43 per diluted share, which includes a pre-tax loss on retirement of debt of $75 million, or $0.08 per diluted share
	•		Adjusted EBITDA declined 4.7 percent to $1.420 billion
	•		Cash flows from operations increased 71.6 percent to $748 million
	•		Cash revenue per equivalent admission increased 1.1 percent
	•		Same facility equivalent admissions increased 1.9 percent while same facility admissions increased 1.8 percent

“While the Company had favorable admissions growth during the quarter, we experienced a shift in service mix from more complex surgical cases to less acute medical cases. This resulted in lower than anticipated revenue growth and earnings,” said Richard M. Bracken, Chairman of the Board and Chief Executive Officer of HCA.

Patient volume in the second quarter of 2011 primarily reflects growth in medical admissions of 3.7 percent, while surgical admissions declined 1.6 percent on a same facility basis (excluding International facilities) in the quarter. Same facility equivalent admissions increased 1.9 percent in the second quarter of 2011 compared to the prior year period, while same facility admissions increased 1.8 percent. Hospital emergency room visits increased 4.5 percent in the second quarter of 2011, on a same facility basis, compared to the prior year period.

Revenues in the second quarter increased to $8.063 billion, from $7.756 billion in the second quarter of 2010. Cash revenues totaled $7.288 billion in the second quarter of 2011, compared to $6.968 billion in the prior year’s second quarter. Cash revenues is a non-GAAP financial measure and reflects the Company’s reported revenues less the provision for doubtful accounts (bad debts). Revenue growth was driven by increased volume and revenue per equivalent admission growth. Revenues for the second quarter of 2011 included $39 million of Medicaid incentive revenues related to certain of our hospitals completing attestations to their adoption of certified electronic health record technology.

Net income attributable to HCA Holdings, Inc. totaled $229 million, or $0.43 per diluted share, compared to $293 million, or $0.67 per diluted share, in the second quarter of 2010. Results for the second quarter of 2011 include a loss on retirement of debt of $75 million, or $0.08 per diluted share. Results for the second quarter of 2010 include impairments of long-lived assets of $91 million, or $0.13 per diluted share. (All “per diluted share” disclosures are based upon amounts net of the applicable income taxes.) Shares used in computing diluted earnings per share increased to 538.6 million in the second quarter of 2011 compared to 437.1 million in the second quarter of 2010. The increase was due to the initial public offering of 87.7 million shares of our common stock in March of 2011. Adjusted EBITDA declined to $1.420 billion compared to $1.490 billion in the prior year period. Adjusted EBITDA is a non-GAAP financial measure. Tables providing supplemental information on adjusted EBITDA and cash revenues and reconciling net income attributable to HCA Holdings, Inc. to adjusted EBITDA, and reported revenues to cash revenues, are included in this release.

The Company’s provision for doubtful accounts declined to $775 million, or 9.6 percent of revenues, in the second quarter of 2011, from $788 million, or 10.2 percent of revenues, in the same period of 2010. 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 27.6 percent for the second quarter of 2011, compared to 26.1 percent for the second quarter of 2010. Same facility uninsured admissions increased 10.6 percent in the second quarter compared to the prior year period and comprised 7.4 percent of total same facility admissions compared to 6.8 percent of total same facility admissions in the second quarter of 2010.

During the second quarter of 2011, salaries and benefits, supplies and other operating expenses totaled $5.941 billion, or 73.7 percent of revenues (81.5 percent of cash revenues), compared to $5.553 billion, or 71.6 percent of revenues (79.7 percent of cash revenues), in the second quarter of 2010.

Six Months Ended June 30, 2011

Revenues for the six months ended June 30, 2011 totaled $16.118 billion compared to $15.300 billion in the same period of 2010. Net income attributable to HCA Holdings, Inc. was $469 million, or $0.94 per diluted share, compared to $681 million, or $1.56 per diluted share, for the first six months of 2010. Results for the six months ended June 30, 2011 include a loss on retirement of debt of $75 million, or $0.09 per diluted share, and a charge for the termination of a management agreement of $181 million, or $0.30 per diluted share. Results for the six months ended June 30, 2010 include impairments of long-lived assets of $109 million, or $0.16 per diluted share. Adjusted EBITDA for the six months ended June 30, 2011 totaled $3.010 billion compared to $3.064 billion in the prior year period.

Balance Sheet

As of June 30, 2011, HCA Holdings, Inc.’s balance sheet reflected cash and cash equivalents of $539 million, total debt of $25.320 billion, and total assets of $23.877 billion. During the second quarter of 2011, capital expenditures totaled $447 million, excluding acquisitions. Net cash provided by operating activities in the second quarter of 2011 totaled $748 million compared to $436 million in the prior year’s second quarter. The improvement in cash flows from operating activities was primarily due to lower tax payments during the second quarter of 2011.

As of June 30, 2011, HCA operated 164 hospitals and 111 freestanding surgery centers (including seven hospitals and 13 freestanding surgery centers operated through equity method joint ventures).

Acquisitions

During the second quarter of 2011, HCA completed the acquisition of the 473 bed Mercy Hospital in Coral Gables, Florida.

On June 15, 2011, HCA announced that it had entered into a non-binding Memorandum of Understanding with the Colorado Health Foundation for the purchase of the Foundation’s remaining ownership interest in the HCA HealthONE LLC joint venture for $1.45 billion. Subject to regulatory review and negotiation of a definitive agreement, the transaction is expected to close in the third quarter of 2011.

Initial Public Offering of Equity

During March 2011, HCA completed the initial public offering of shares of its common stock, including the issuance and sale by HCA of 87,719,300 shares at a price of $30.00 per share. Net proceeds from the offering to HCA were approximately $2.506 billion, after underwriter discounts, commissions and other related offering expenses. The Company’s common stock is now traded on the New York Stock Exchange (symbol: “HCA”).

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.talkpoint.com/viewer/starthere.asp?pres=136150

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 and are subject to finalization of the Company’s second quarter financial and accounting procedures. 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 impact of our substantial indebtedness and the ability to refinance such indebtedness on acceptable terms, (2) the effects related to the enactment and implementation of federal health care reform, the possible enactment of additional federal or state health care reform and possible changes to health care reform and other federal, state or local laws or regulations affecting the health care industry, (3) increases in the amount and risk of collectability of uninsured accounts and deductibles and copayment amounts for insured accounts, (4) the ability to achieve operating and financial targets, and attain expected levels of patient volumes and control the costs of providing services, (5) 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, (6) the highly competitive nature of the health care business, (7) changes in revenue mix, including potential declines in the population covered under managed care agreements and the ability to enter into and renew managed care provider agreements on acceptable terms, (8) the efforts of insurers, health care providers and others to contain health care costs, (9) the outcome of our continuing efforts to monitor, maintain and comply with appropriate laws, regulations, policies and procedures, (10) increases in wages and the ability to attract and retain qualified management and personnel, including affiliated physicians, nurses and medical and technical support personnel, (11) the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities, (12) changes in accounting practices, (13) changes in general economic conditions nationally and regionally in our markets, (14) future divestitures which may result in charges and possible impairments of long-lived assets, (15) changes in business strategy or development plans, (16) delays in receiving payments for services provided, (17) the outcome of pending and any future tax audits, appeals and litigation associated with our tax positions, (18) potential adverse impact of known and unknown government investigations, litigation and other claims that may be made against us, (19) our ability to demonstrate meaningful use of certified electronic health record technology and recognize revenues for the related Medicare or Medicaid incentive payments, and (20) other risk factors described in our annual report on Form 10-K for the year ended December 31, 2010 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.

All references to “Company” and “HCA” as used throughout this release refer to HCA Holdings, Inc. and its affiliates.

HCA Holdings, Inc.
Condensed Consolidated Income Statements
Second Quarter
(Dollars in millions, except per share amounts)

		2011								2010
		Amount				Ratio				Amount				Ratio
Revenues		$	8,063				100.0	%		$	7,756				100.0	%
Salaries and benefits			3,320				41.2				3,076				39.6
Supplies			1,295				16.1				1,251				16.1
Other operating expenses			1,326				16.4				1,226				15.9
Provision for doubtful accounts			775				9.6				788				10.2
Equity in earnings of affiliates			(73	)			(0.9	)			(75	)			(1.0	)
Depreciation and amortization			358				4.5				355				4.6
Interest expense			520				6.4				530				6.8
Impairments of long-lived assets			—				—				91				1.2
Loss on retirement of debt			75				0.9				—				—
			7,596				94.2				7,242				93.4
Income before income taxes			467				5.8				514				6.6
Provision for income taxes			147				1.8				136				1.7
Net income			320				4.0				378				4.9
Net income attributable to noncontrolling interests			91				1.2				85				1.1
Net income attributable to HCA Holdings, Inc.		$	229				2.8			$	293				3.8
Diluted earnings per share		$	0.43							$	0.67
Shares used in computing diluted earnings per share (000)			538,557								437,104

HCA Holdings, Inc.
Condensed Consolidated Income Statements
For the Six Months Ended June 30, 2011 and 2010
(Dollars in millions, except per share amounts)

		2011								2010
		Amount				Ratio				Amount				Ratio
Revenues		$	16,118				100.0	%		$	15,300				100.0	%
Salaries and benefits			6,615				41.0				6,148				40.2
Supplies			2,570				15.9				2,451				16.0
Other operating expenses			2,648				16.5				2,428				15.9
Provision for doubtful accounts			1,424				8.8				1,352				8.8
Equity in earnings of affiliates			(149	)			(0.9	)			(143	)			(0.9	)
Depreciation and amortization			716				4.5				710				4.7
Interest expense			1,053				6.5				1,046				6.8
Losses on sales of facilities			1				—				—				—
Impairments of long-lived assets			—				—				109				0.7
Loss on retirement of debt			75				0.5				—				—
Termination of management agreement			181				1.1				—				—
			15,134				93.9				14,101				92.2
Income before income taxes			984				6.1				1,199				7.8
Provision for income taxes			330				2.0				345				2.2
Net income			654				4.1				854				5.6
Net income attributable to noncontrolling interests			185				1.2				173				1.1
Net income attributable to HCA Holdings, Inc.		$	469				2.9			$	681				4.5
Diluted earnings per share		$	0.94							$	1.56
Shares used in computing diluted earnings per share (000)			500,463								436,392

HCA Holdings, Inc.
Supplemental Non-GAAP Disclosures
Operating Results Summary
(Dollars in millions, except per share amounts)

										For the Six Months
		Second Quarter								Ended June 30,
		2011				2010				2011				2010
Revenues		$	8,063			$	7,756			$	16,118			$	15,300
Net income attributable to HCA Holdings, Inc.		$	229			$	293			$	469			$	681
Losses on sales of facilities (net of tax)			1				—				3				—
Impairments of long-lived assets (net of tax)			—				57				—				69
Loss on retirement of debt (net of tax)			47				—				47				—
Termination of management agreement (net of tax)			—				—				149				—
Net income attributable to HCA Holdings, Inc., excluding losses on sales of facilities, impairments of long-lived assets, loss on retirement of debt and termination of management agreement (a)			277				350				668				750
Depreciation and amortization			358				355				716				710
Interest expense			520				530				1,053				1,046
Provision for income taxes			174				170				388				385
Net income attributable to noncontrolling interests			91				85				185				173
Adjusted EBITDA (a)		$	1,420			$	1,490			$	3,010			$	3,064
Diluted earnings per share:
Net income attributable to HCA Holdings, Inc.		$	0.43			$	0.67			$	0.94			$	1.56
Losses on sales of facilities			—				—				0.01				—
Impairments of long-lived assets			—				0.13				—				0.16
Loss on retirement of debt			0.08				—				0.09				—
Termination of management agreement			—				—				0.30				—
Net income attributable to HCA Holdings, Inc., excluding losses on sales of facilities, impairments of long-lived assets, loss on retirement of debt and termination of management agreement (a)		$	0.51			$	0.80			$	1.34			$	1.72
Shares used in computing diluted earnings per share (000)			538,557				437,104				500,463				436,392

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

		2011												2010
						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		$	8,063								100.0			$	7,756								100.0
Provision for doubtful accounts			775												788
Cash revenues (a)			7,288				100.0								6,968				100.0
Salaries and benefits			3,320				45.5				41.2				3,076				44.1				39.6
Supplies			1,295				17.8				16.1				1,251				17.9				16.1
Other operating expenses			1,326				18.2				16.4				1,226				17.7				15.9
% changes from prior year:
Revenues			4.0	%
Cash revenues			4.6
Revenue per equivalent admission			0.5
Cash revenue per equivalent admission			1.1

HCA Holdings, Inc.
Supplemental Non-GAAP Disclosures
Operating Measures on a Cash Revenues Basis
For the Six Months Ended June 30, 2011 and 2010
(Dollars in millions)

		2011												2010
						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		$	16,118								100.0			$	15,300								100.0
Provision for doubtful accounts			1,424												1,352
Cash revenues (a)			14,694				100.0								13,948				100.0
Salaries and benefits			6,615				45.0				41.0				6,148				44.1				40.2
Supplies			2,570				17.5				15.9				2,451				17.6				16.0
Other operating expenses			2,648				18.0				16.5				2,428				17.3				15.9
% changes from prior year:
Revenues			5.3	%
Cash revenues			5.3
Revenue per equivalent admission			1.7
Cash revenue per equivalent admission			1.7

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

		June 30,				March 31,				December 31,
		2011				2011				2010
ASSETS
Current assets:
Cash and cash equivalents		$	539			$	553			$	411
Accounts receivable, net			3,946				4,060				3,832
Inventories			887				881				897
Deferred income taxes			894				916				931
Other			625				576				848
Total current assets			6,891				6,986				6,919
Property and equipment, at cost			26,338				25,855				25,641
Accumulated depreciation			(14,754	)			(14,508	)			(14,289	)
			11,584				11,347				11,352
Investments of insurance subsidiary			515				590				642
Investments in and advances to affiliates			843				852				869
Goodwill			2,719				2,705				2,693
Deferred loan costs			332				354				374
Other			993				975				1,003
		$	23,877			$	23,809			$	23,852
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current liabilities:
Accounts payable		$	1,297			$	1,348			$	1,537
Accrued salaries			1,009				975				895
Other accrued expenses			1,283				1,398				1,245
Long-term debt due within one year			689				546				592
Total current liabilities			4,278				4,267				4,269
Long-term debt			24,631				24,820				27,633
Professional liability risks			987				1,003				995
Income taxes and other liabilities			1,515				1,507				1,608
Total liabilities			31,411				31,597				34,505
Equity securities with contingent redemption rights			—				—				141
EQUITY (DEFICIT)
HCA Holdings, Inc. stockholders’ deficit			(8,681	)			(8,930	)			(11,926	)
Noncontrolling interests			1,147				1,142				1,132
Total deficit			(7,534	)			(7,788	)			(10,794	)
		$	23,877			$	23,809			$	23,852

HCA Holdings, Inc.
Condensed Consolidated Statements of Cash Flows
For the Six Months Ended June 30, 2011 and 2010
(Dollars in millions)

		2011				2010
Cash flows from operating activities:
Net income		$	654			$	854
Adjustments to reconcile net income to net cash provided by operating activities:
Changes in operating assets and liabilities			(1,576	)			(1,698	)
Provision for doubtful accounts			1,424				1,352
Depreciation and amortization			716				710
Income taxes			317				(111	)
Losses sales of facilities			1				—
Impairments of long-lived assets			—				109
Loss on retirement of debt			75				—
Amortization of deferred loan costs			39				40
Share-based compensation			16				16
Other			—				23
Net cash provided by operating activities			1,666				1,295
Cash flows from investing activities:
Purchase of property and equipment			(776	)			(536	)
Acquisition of hospitals and health care entities			(168	)			(31	)
Disposition of hospitals and health care entities			54				25
Change in investments			76				502
Other			2				(11	)
Net cash used in investing activities			(812	)			(51	)
Cash flows from financing activities:
Issuance of long-term debt			—				1,387
Net change in revolving credit facilities			(1,524	)			1,329
Repayment of long-term debt			(1,508	)			(1,529	)
Distributions to noncontrolling interests			(185	)			(176	)
Distributions to stockholders			(30	)			(2,251	)
Payment of debt issuance costs			(12	)			(25	)
Issuance of common stock			2,506				—
Income tax benefits			49				56
Other			(22	)			3
Net cash used in financing activities			(726	)			(1,206	)
Change in cash and cash equivalents			128				38
Cash and cash equivalents at beginning of period			411				312
Cash and cash equivalents at end of period		$	539			$	350
Interest payments		$	1,043			$	973
Income tax (refunds) payments, net		$	(36	)		$	400

HCA Holdings, Inc.
Operating Statistics

		Second Quarter								For the Six Months Ended June 30,
		2011				2010				2011				2010
Consolidating Hospitals:
Number of Hospitals			157				154				157				154
Weighted Average Licensed Beds			39,356				38,607				39,209				38,647
Licensed Beds at End of Period			39,472				38,636				39,472				38,636
Reported:
Admissions			397,500				385,200				804,400				784,100
% Change			3.2	%							2.6	%
Equivalent Admissions			638,900				617,900				1,277,300				1,233,400
% Change			3.4	%							3.6	%
Revenue per Equivalent Admission		$	12,620			$	12,553			$	12,618			$	12,405
% Change			0.5	%							1.7	%
Inpatient Revenue per Admission		$	12,105			$	12,211			$	12,101			$	12,017
% Change			-0.9	%							0.7	%
Patient Days			1,889,600				1,858,100				3,869,800				3,810,700
Equivalent Patient Days			3,038,300				2,981,300				6,145,200				5,994,200
Inpatient Surgery Cases			120,200				121,800				239,900				244,300
% Change			-1.3	%							-1.8	%
Outpatient Surgery Cases			199,100				198,600				392,100				389,300
% Change			0.3	%							0.7	%
Emergency Room Visits			1,512,000				1,436,200				3,039,600				2,803,300
% Change			5.3	%							8.4	%
Outpatient Revenues as a Percentage of Patient Revenues			39.0	%			38.2	%			38.4	%			37.3	%
Average Length of Stay			4.8				4.8				4.8				4.9
Occupancy			52.8	%			52.9	%			54.5	%			54.5	%
Equivalent Occupancy			84.8	%			84.9	%			86.5	%			85.7	%
Same Facility:
Admissions			391,800				384,800				795,800				782,300
% Change			1.8	%							1.7	%
Equivalent Admissions			628,900				617,300				1,262,200				1,229,800
% Change			1.9	%							2.6	%
Revenue per Equivalent Admission		$	12,573			$	12,515			$	12,564			$	12,383
% Change			0.5	%							1.5	%
Inpatient Revenue per Admission		$	12,094			$	12,224			$	12,104			$	12,029
% Change			-1.1	%							0.6	%
Inpatient Surgery Cases			119,200				121,100				237,800				242,600
% Change			-1.5	%							-2.0	%
Outpatient Surgery Cases			195,800				197,000				386,500				386,000
% Change			-0.6	%							0.1	%
Emergency Room Visits			1,494,800				1,430,900				3,011,500				2,793,200
% Change			4.5	%							7.8	%
Number of Consolidating and Nonconsolidating (Equity Joint Ventures) Hospitals:
Consolidating			157				154				157				154
Nonconsolidating (Equity Joint Ventures)			7				8				7				8
Total Number of Hospitals			164				162				164				162