Our Commitment To Excellence

H C A W e s t F l o r i d a HCA West Florida Our Commitment To Excellence REGIONAL MEDICAL CENTER OF BAYONET TRINITY POINT OAK HILL HOSPITAL MEDICAL CENTER OF TRINITY When the car he was riding in crashed into a tree, Austin was shaken but felt fine. After some coaxing by paramedics, he was transported to the Trauma Center at RMCBP. He needed two separate surgeries and spent a week in the ICU. Thanks to the skilled trauma surgeons and his healthy lifestyle and fighting spirit, he made a full recovery and is back training in gymnastics, competitive cheerleading and modeling. Austin Sievers I Trauma Patient 2013 2013 COMMUNITY REPORT COMMUNITY REPORT

Our Commitment To Excellence When the car he was riding in crashed into a tree, Austin was shaken but felt fine. After some coaxing by paramedics, he was transported to the Trauma Center at RMCBP. He needed two separate surgeries and spent a week in the ICU. Thanks to the skilled trauma surgeons and his healthy lifestyle and fighting spirit, he made a full recovery and is back training in gymnastics, competitive cheerleading and modeling. Austin Sievers I Trauma Patient The ribbon is cut to open Phase 1 of the $52 Million North Tower OR & Bed Tower expansion. Currently two stories high, the North Tower can accommodate expansion to six stories. The second floor contains 36 private Intensive Care Unit (ICU) rooms. Other features include six surgical suites, new robotic assisted surgical capabilities, and an additional 18 beds in its Post-Anesthesia Recovery Unit. Additionally, a new parking lot for patients, guests and families opened. HCA WEST FLORIDA

H C A W e s t F l o r i d a A Message From Our CEOs As leading providers of healthcare services in Citrus, Hernando, Hillsborough, Pasco and Pinellas Counties, we are proud of the impact we make on the communities we serve. Last year 3,627 employees, 1,115 volunteers, and over 766 physicians touched the lives of 244,416 patients. Several exciting initiatives occurred at our hospitals including: Medical Center of Trinity Leigh Massengill, CEO Medical Center of Trinity Oak Hill Hospital Mickey Smith, CEO Oak Hill Hospital Medical Center of Trinity, a new, 100% private room hospital opened providing healthcare services to residents of Pasco, Pinellas and Hillsborough Counties. The hospital has experienced overwhelming support from the community and significant volume increases in all programs and services including Emergency Services, Surgical, Cardiac and Obstetrics. Renovations began at our West Pasco Campus located in New Port Richey for our Behavioral Health Program. Costing close to $2 million, construction includes exterior and interior upgrades, creation of a new admitting area and upgrades to ancillary support departments. R Oak Hill Hospital has completed the first phase of its new $52 million, 100,000 sq. ft. OR and Bed Tower expansion project. Completion of the entire project is scheduled for the Fall of 2013. The new north tower features a welcoming family waiting area, four totally private registration rooms, 18 recovery bays, six state of the art surgical suites, a new robotic assisted surgical system and 36 private ICU rooms. Oak Hill also provides the area first and only dedicated pediatric emergency care center with board certified pediatricians and pediatric nurses caring for the children of our community, supported by a pediatric inpatient unit. Regional Medical Center Bayonet Point Shayne George, CEO Regional Medical Center Bayonet Point Regional Medical Center Bayonet Point continues to grow our regional coverage including our state of the art Level II Trauma Center. This trauma designation was awarded by The Florida Department of Health as the only Trauma Center in Pasco, Hernando, and Citrus counties covering over 2000 square miles. Our nationally recognized Heart Institute is proud to offer The Arrhythmia Center of Florida for advanced diagnoses and treatment to patients who suffer from cardiac arrhythmias. The ACOF incorporates a state of the art electrophysiology lab and 6 Board Certified Electrophysiology Cardiologists. We are proud of our commitment to the healthcare needs of our communities and look forward to continuing to provide advanced technology and quality care. 2013 COMMUNITY REPORT 1

Our Commitment To Excellence SERVING THE CITRUS, HERNANDO, PASCO, PINELLAS AND HILLSBOROUGH COMMUNITIES 3 4 5 6 MARINE PARKWAY 8 9 7 Together, Performing at a Higher Standard SM 1 Oak Hill Hospital 11375 Cortez Boulevard, State Road 50, Spring Hill, FL 34613 Hernando (352) 596-6632 / Citrus (352) 628-6441 2 Oak Hill Hospital - Outpatient Imaging 11375 Cortez Boulevard, State Road 50, Spring Hill, FL 34613 Hernando HCA (352) 596-6632 WEST / Citrus FLORIDA (352) 628-6441 2 3 Regional Medical Center Bayonet Point 14000 Fivay Road, Hudson, FL 34667 Telephone: (727) 819-2929 4 Regional Wound Care 7525 Medical Center Drive, Hudson, FL 34667 Telephone: (727) 869-5551 5 Company Care 14100 Fivay Road Suite 140 Hudson, FL 34667 Telephone: (727) 819-2941 6 Bayonet Point Surgery & Endoscopy Center 14104 Yosemite Drive, Hudson, FL 34667 Telephone: (727) 869-5040 7 New Port Richey Surgery Center at Trinity 9332 State Rd. 54, Suite 100, Trinity, FL 34655 Telephone: (727) 848-0446 8 Medical Center of Trinity - West Pasco Campus Behavioral Health Services 5637 Marine Parkway, New Port Richey, FL 34652 Telephone: (727) 834-4000 9 Medical Center of Trinity 9330 State Road 54, Trinity, FL 34655 Telephone: (727) 834-4000

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities 2013 Community Impact Summary Statistics MEDICAL CENTER OF TRINITY & REGIONAL MEDICAL CENTER BAYONET POINT (PASCO COUNTY) Total Patients Treated Annual Hospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated 1 Uninsured Market Share OAK HILL HOSPITAL (HERNANDO COUNTY) Total Patients Treated Annual Hospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated 1 Uninsured Market Share (1) excludes Medicaid patients treated Our Hospitals Total Employees Total Physicians Total Volunteers Total Employees Total Physicians Total Volunteers 156,877 29,461 85,629 24,793 26.16% 19,340 38.19% 87,539 13,666 38,104 8,572 20.01% 5,798 35.55% MEDICAL CENTER OF TRINITY & REGIONAL MEDICAL CENTER BAYONET POINT (PASCO COUNTY) OAK HILL HOSPITAL (HERNANDO COUNTY) 2,522 436 903 1,105 330 212 Our Leadership MEDICAL CENTER OF TRINITY Leigh Massengill Chief Executive Officer Michael Wyers Chief Financial Officer Thibaut van Marcke Chief Operating Officer Nancy Maysilles Chief Nursing Officer OAK HILL HOSPITAL Mickey Smith Chief Executive Officer Matt Romeo Chief Financial Officer Sonia Gonzalez Chief Operating Officer Melissa Bennett Chief Nursing Officer REGIONAL MEDICAL CENTER BAYONET POINT Shayne George Chief Executive Officer Tom Lawhorne Chief Financial Officer Shalin Shah Chief Operating Officer 2013 COMMUNITY REPORT 3

Our Commitment To Excellence Economic Impact MEDICAL CENTER OF TRINITY & REGIONAL MEDICAL CENTER BAYONET POINT (PASCO COUNTY) Total Salaries & Benefits $ 163,161,427 Cost of Charity & Uncompensated Care $ 35,101,043 Taxes Paid: Federal Income Tax $ 4,765,435 State Income Tax $ 1,086,341 Indigent Care Tax $ 4,562,957 Property Tax $ 3,424,308 Sales Tax $ 2,669,993 Other Local Tax $ 33,439 Total Taxes $ 16,542,473 Capital Investment 1 $ 41,567,391 Total Local Vendor Support $ 26,969,905 Minority & Women Owned Business Support $ 87,162 Physician Specialty Coverage for Emergency Care $ 6,816,896 TOTAL Economic Impact $ 290,159,135 (1) 5 year annual average FY 2012 statistics Total Cost of Charity & Uncompensated Care 12.1% Local Vendor Support 9.3% Total Taxes 5.7% Total Salaries & Benefits 56.2% Capital Investment 14.3% Physician Specialty Coverage for Emergency Care 2.3% 4 HCA WEST FLORIDA

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities Economic Impact OAK HILL HOSPITAL (HERNANDO COUNTY) Total Salaries & Benefits $ 69,453,163 Cost of Charity & Uncompensated Care $ 7,957,338 Taxes Paid: Federal Income Tax $ 3,584,325 State Income Tax $ 817,092 Indigent Care Tax $ 2,201,915 Property Tax $ 1,002,023 Sales Tax $ 639,141 Other Local Tax --- Total Taxes $ 8,244,496 Capital Investment 1 $ 10,964,908 Total Local Vendor Support $ 7,038,530 Minority & Women Owned Business Support $ 29,390 Physician Specialty Coverage for Emergency Care $ 874,257 TOTAL Economic Impact $ 104,532,692 (1) 5 year annual average FY 2012 statistics Total Cost of Charity & Uncompensated Care 7.6% Local Vendor Support 6.8% Total Taxes 7.9% Total Salaries & Benefits 66.4% Capital Investment 10.5% Physician Specialty Coverage for Emergency Care 0.8% 2013 COMMUNITY REPORT 5

Our Commitment To Excellence Giving Back To Our Community Medical Center of Trinity, Oak Hill Hospital and Regional Medical Center Bayonet Point provide financial and volunteer support to countless civic organizations, schools, colleges, community projects and charitable organizations in their communities. Our hospitals also sponsor a wide range of community health information programs, screenings and seminars, which are posted on hospital websites, on the Classes and Events calendar. Going Green HCA hospitals are involved with green initiatives at the facility level and in many cases in the greater community. HCA is an active member of Practice Greenhealth, an industry leader in sustainable, eco-friendly practices. It is part of our commitment to have a comprehensive environmental strategy in concert with our mission of the care and improvement of human life. Consult a Nurse Free physician referral and health information are available around-the-clock by calling 1-877-4-HCA-DOCS (1-877-442-2362). Registered nurses are available for consultation through this bilingual community service, which also registers people for the numerous community education classes and programs sponsored by the HCA hospitals in central and west Florida. Health Partners We partner with a wide range of resources, including HealthGrades and itriage, to bring our communities the latest health information, quickly and conveniently. For information on downloading the itriage mobile application, visit our hospital websites or www.hcawestflorida.com. Hurricane Preparedness We offer one of the most comprehensive hurricane preparedness plans to ensure our patients and our staff who care for them are safe before, during and after a storm. HCA West Florida has contracts with vendors from around the state and nation to provide support from on-site security, to generators, to food. Transfer processes and plans with our network of hospitals across the country also exist should patients need to be relocated. Benefit Enrollment Assistance We are committed to helping uninsured patients qualify for local and state health benefits programs. Each hospital offers on-site benefit education and Medicaid enrollment assistance. Social Media HCA West Florida and many of our hospitals now have a social media presence to engage our patients and the communities we serve as fully as possible. Links to Facebook, Twitter, and other channels can be found on our hospital websites. 6 HCA WEST FLORIDA

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities Volunteering Countless hours of volunteering were performed by members of our hospitals last year. Our staff, volunteers and physicians give back to our communities, both in and outside of our facilities. A Partial Listing of Organizations Benefiting From Our Involvement: African American Club Alzheimer s Family Organization American Cancer Society American Heart Association American Red Cross Arc of the Nature Coast Back-to-School Backpack Program CARES Chambers of Commerce Citrus County Harvest Concourse Council County Schools CARES Elfers Center Florida Blood Services Girl Scouts of America Good Samaritan Health Clinic Great American Teach In HCA Hope Fund H2U/Partners Club Hernando Community Health Fair Holy Ground Shelter Jericho Ministries/Mary s House Junior Achievement Kiwanis Clubs LifeLink LifeSouth Community Blood Centers Lighthouse for the Blind & Visually Impaired Leadership Pasco, Hernando and Citrus Local Youth Sports Meals on Wheels Ministerial Associations Pasco County Government Mobile Medical Van Pasco Economic Development Council Pasco Education Foundation Pasco-Hernando Community College Foundation People Helping People in Citrus Rao Musunuru, M.D. CARES Senior Enrichment Center Rolling Thunder Rotary Clubs Salvation Army Sheriff s Youth Education Special Olympics United Way USO Women of Sugarmill Woods Year of the Child YMCA 2013 COMMUNITY REPORT 7

Our Commitment To Excellence Quality And Patient Safety Putting Patients First is the foundation of our culture and passion for providing quality healthcare. Many of our initiatives serve as national models today, as we lead the way in adopting best practices to eliminate clinical variations. Clinical Excellence HCA West Florida hospitals achieve industry leading performance on public clinical measures, including CMS Core Measures. We completed 2012 with a preliminary fourth quarter Core Measures composite inpatient score of 99.78%, and 12 of our 15 hospitals earned national recognition as Top Performers in Key Quality Measures from The Joint Commission in the areas of Heart Attack, Heart Failure, Pneumonia and Surgical Care. We earned 10 A Hospital Safety Score ratings in 2012, which uses national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid (CMS) to produce a single score representing a hospital s overall performance in keeping patients safe from preventable harm and medical errors. Our hospitals are saving lives, reducing complication rates and eliminating unnecessary costs through a strong focus on quality. We are achieving and exceeding national clinical goals and benchmarks. These efforts are strongly supported by HCA s Clinical Services Group, an industry leader in bringing evidenced based medicine to the bedside in community hospitals nationwide. AIM for Zero The goal is to eliminate Central Line- Associated Blood Stream Infections (CLABSI) through the consistent application of proven techniques to protect patients from preventable blood stream infections during their hospital stay. Flu Season Preparation We are making our hospitals safer for our patients and visitors through our flu vaccine initiative. This includes providing free vaccines to staff and requiring vaccinations of health workers with direct patient contact. When a vaccine is not possible, the caregiver wears a mask. Broselow System for Acute Pediatric Administration of Drugs All of our hospital emergency departments, nurseries and pediatric programs are equipped with this sophisticated medication safety system to ensure the proper dosing and administration of drugs to infants and children. Maternal/Fetal Safety Initiatives HCA took a leadership role with the March of Dimes and other national organizations by participating in initial research studies to minimize or eliminate elective deliveries before 39 weeks gestation. Study results showed a positive impact on the health of babies. Today this is a standard practice in our hospitals. We were the first US healthcare system to perform a blood test to screen newborns for kernicterus, which can cause permanent brain damage and physical impairment. If identified immediately, it is easily treatable. Today, this screening is a standard of care in hospital newborn nurseries across the county and as a result the incidence of kernicterus has been dramatically reduced. Airstrip OB & Cardiology This technology that allows physicians to remotely access and view patient monitors from their smartphones. 8 HCA WEST FLORIDA

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities Medical Education We are helping educate future healthcare workers through partnerships with local colleges and on-site mentoring and training in the fields of nursing, radiology, phlebotomy, information systems, physical therapy, social work, anesthesia assistants and emergency medical services. Medical Research We work with our physician partners and other organizations who engage in research and clinical trial initiatives in multiple specialty areas. These studies have included cardiac, orthopaedics, cancer and infection control. HCA also announced a formal affiliation with USF Health for Trauma Care, to include the development of a trauma research program to improve trauma care statewide. Radiation Right Radiation Right applies patient safety principles and actions to medical imaging and radiation therapy with the goal of protecting patients from the harmful effects of radiation overexposure. Radiation Right focuses on providing each patient with the Right Exam, of the Right Site, in the Right Dose. Initially developed by the HCA Clinical Services Group, this program has been adopted by all HCA West Florida hospitals and imaging centers. Sepsis Program Severe sepsis is now one the most common causes of death in ICUs nationally. We are aggressively working to reduce this patient safety threat through hospital and community-wide focus on early recognition and management. STEMI Initiative A STEMI (ST-Elevation Myocardial Infarction) is a deadly type of heart attack, which is identified on an EKG. Early treatment to the blocked coronary artery minimizes the extent of the heart muscle damage and preserves the pumping function of the heart, thereby increasing survival and reducing or eliminating complications. HCA West Florida hospitals are saving lives through an aggressive focus on treating STEMI patients quickly. Partnering with EMS has allowed medical treatment to begin immediately on the scene, before the patient arrives in our emergency departments. STEMI times are defined as the time it takes to reestablish blood flow and the American College of Cardiology, the American Heart Association and the Joint Commission have established that this should occur in 90 minutes or less. Our hospitals are averaging times well below this and, in most cases, are posting STEMI times on their hospital websites. HCA West Florida hospitals have made great strides, reducing STEMI times and PCI complication rates, with 14 of our hospitals Chest Pain Center accredited and 11 offering Percutaneous Coronary Intervention (PCI) services. Vitals Now We piloted this technology to enable the automatic capture of patient vitals from the bedside into our clinical system, making them immediately available for review by clinicians. 2013 COMMUNITY REPORT 9

Our Commitment To Excellence Specialized Care Emergency Excellence Our excellence in Emergency Care offers state-of-the-art technology for the communities we serve. n As a part of our long-term commitment to producing high quality results for our patients, our highly skilled emergency healthcare teams include board certified physicians, physician assistants, and nurses. By employing protocol driven care that can begin in the field through direct communications with local EMS teams and meeting stringent standards, combined with best practices, we have earned the title of Accredited Chest Pain Center with PCI* by The Society of Chest Pain Centers and Certified Primary Stroke Center by the Joint Commission (*Oak Hill Hospital and Regional Medical Center Bayonet Point). n Oak Hill Hospital s Emergency Care Center is the only Florida recipient of the first Lantern Award by the Emergency Nurses Association for exemplifying exceptional and innovative performance in the core areas of leadership, practice, education and research. n Our focus on improving ER programs by working tirelessly to earn accreditations and reducing the time patients spend waiting to see a qualified medical provider has resulted in dramatically reduced wait times, which are below national averages. You can find our average ER wait times on billboards, by logging on to all hospital web sites, or by texting ER to 23000. Trauma Care Regional Medical Center Bayonet Point Has Received Full Designation as a Level II Trauma Center The Florida Department of Health has awarded Regional Medical Center Bayonet Point full Level II Trauma Center designation, marking the end of a year-long provisional period and commitment to trauma care that began in 2009. Regional Medical Center Bayonet Point is the only trauma center in Pasco, Hernando, and Citrus Counties. The development of a trauma program was a natural step in the evolution of Regional Medical Center Bayonet Point and is a very proud milestone for the hospital. It is a part of the HCA Florida and USF Health agreement for trauma care which supports local needs for trauma services through an affiliation with a major academic university and medical school. Trauma is the leading cause of death among Floridians ages one through 44. Florida s death rate from accidental drowning among children ages one through four is the highest in the nation and falls are the leading cause of death among Florida residents age 65 and older. When serious trauma injuries occur, rapid transport, prompt treatment, and early rehabilitation of the trauma victim reduces mortality, physical injury, and financial cost. Florida s trauma centers have reduced the statewide trauma mortality rate from 6.8% in 2004 to 4.9% in 2010 and provide faster treatment to improve patient outcomes and keep patients close to home and their loved ones. 10 HCA WEST FLORIDA

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities Heart & Vascular Care Our cardiovascular network ensures life-saving technology and the very latest minimally invasive techniques: n The Heart Institutes at Oak Hill Hospital and Regional Medical Center Bayonet Point offer the latest surgical techniques for shorter stays and better outcomes n Chest Pain Centers accredited by the Society for Chest Pain Centers with PCI at Oak Hill Hospital and Regional Medical Center Bayonet Point n Our hospitals consistently beat the national STEMI benchmark of 90 minutes from patient arrival to the reestablishment of blood flow to the heart n We offer Cardiac Catheterization and Electrophysiology (Cardiac Arrhythmia) labs with state-of-the-art technology and treatment for invasive and non-invasive cardiac procedures n Procedures to treat specialized minimally invasive mitral valve disease and atrial fibrillation provide a safer alternative for patients with chronic heart conditions n New Cardiac CryoAblation Catheter System added at Regional Medical Center Bayonet Point. Cather abalation is a minimally invasive procedure procedure that can be used when medication fails to control atrial fibrillation (AF), an irregular quivering or rapid heart rhythm in the upper chambers (atria) of the heart The Arrhythmia Center of Florida (ACOF) The Arrhythmia Center of Florida (ACOF) is open to diagnose and treat patients who suffer from cardiac arrhythmias. The ACOF is part of the nationally recognized Heart Institute at Regional Medical Center Bayonet Point. With a state-of-the-art electrophysiology lab and full-service facility, the ACOF is able to diagnose and treat all types of arrhythmias. Arrhythmia Center of Florida is dedicated to providing quality and timely care. They are fully staffed with expert physicians and healthcare professionals who are committed to giving their patients the care they need while experiencing a cardiac arrhythmia. They possess a state-of-the-art lab that is fully equipped with the latest technology used to diagnose and effectively treat cardiac patients. Along with making high-quality cardiac care available to the community, this center works toward promoting awareness and education about arrhythmias, atrial fibrillation, and other cardiac complications. The ACOF s physicians and healthcare professionals have served patients in West Central Florida since 1995 and perform over 1,000 electrophysiology procedures annually. Comprehensive Cancer Care Cancer continues to be the second leading cause of death in this country. Our hospitals are Accredited Cancer Programs and are committed to meeting and exceeding the numerous standards required for the American College of Surgeon s Commission on Cancer (ACoS CoC). The essential elements our hospitals offer as fully accredited cancer programs: n State-of-the-art pretreatment evaluation, staging, treatment and clinical follow-up for cancer patients seen at the facility for primary, secondary or tertiary care n Active cancer committee that leads the program through setting goals, monitoring activity, evaluating patient outcomes, implementing community outreach programs and improving care n Cancer conferences that provide a forum for patient consultation and contribute to physician education n Quality improvement programs that are the mechanism for evaluating and improving patient outcomes n Cancer registry and database that is the basis for monitoring the quality of care Behavioral Health Medical Center of Trinity West Pasco Campus offers behavioral health services where patients can receive the specialized care they need in a dedicated setting. Our commitment is to provide a safe, calm environment for people experiencing mental and/or emotional difficulties that are interfering with their daily functioning. 2013 COMMUNITY REPORT 11

Our Commitment To Excellence Diagnostic Imaging Services We provide a comprehensive array of outpatient diagnostic imaging services including the Women s Imaging Center at Oak Hill Hospital and Medical Center of Trinity and the 64-slice CT at Regional Medical Center Bayonet Point. Our facilities are equipped with a very broad range of leading-edge technology and most offer weekend and extended hours to meet the needs of busy patients. Diagnostic Imaging Services available at our hospitals include: n Bone Density/Dexa n CT* n 64-slice CT n Digital Mammography w/ CAD* n Echocardiogram n EKG n Fluoroscopy n Magnetic Resonance Angiography (MRA) n Stereotactic MRI & Breast MRI* n Nuclear Medicine* n PET/CT Scan n Ultrasound including 3D/4D* n X-Ray *American College of Radiology (ACR) Accredited Modalities Minimally Invasive Surgical Services Well equipped operating rooms, specialized healthcare teams, patient safety standards and quality along with some of the most advanced minimally invasive procedures available ensure our patients receive the care they need. Advanced technology including Laparoscopy, Single Incision Laparoscopy, da Vinci Robotic Assisted Surgical System and hanatm hip and knee arthroplasty table are available for a variety of procedures and can result in less pain, less scarring, quicker recovery and return to daily activities. Orthopaedic and Spine Care Patients needing advanced treatments for orthopaedic and spine issues can find high quality care at our hospitals. A partial list of treatment options available include: n Hip and knee replacement and resurfacing n Rehabilitation programs including partial n Minimally invasive spine surgery n Arthroscopy procedures n Epidural steroid injections n Carpal tunnel Release n Meniscectomy treatment for a tear of the meniscus Our surgeons are committed to performing the latest innovations in their field, and patients benefit from the experience of a panel of orthopaedic experts, individualized treatment plans and a high caliber of care. Rehabilitation Services Our staffs consist of highly educated, skilled, licensed and experienced therapists ready to treat dysfunctions and return individuals to their daily routine. n Speech Language Pathologists who help those with communication and swallowing challenges n Occupational Therapists who work with patients with daily living activities (dressing, bathing, hygiene, etc.) n Physical Therapists who help patients get back to work and/or function at their highest level physically Cardiac & Pulmonary Rehabilitation Our Cardiac & Pulmonary Rehabilitation program at Regional Medical Center Bayonet Point continues care after a cardiac event or for those living with pulmonary disease. Registered Nurses and Exercise Physiologists make your rehab experience fun and effective. n Education/exercise classes to get you feeling like yourself again n Monitored exercise sessions consisting of EKG, blood pressure and heart rate monitoring n Education on behavior changes to alter lifestyle choices n Goals are created at the beginning of the program to get individuals back to the activities they love 12 HCA WEST FLORIDA

Proudly Serving the Citrus, H C A Hernando, W e spasco, t Pinellas F l o and r ihillsborough d a Communities Laboratory Services Full-service Outpatient Labs with a wide range of clinical testing and Anatomical Pathology services combined with an online information management system provide accurate and timely test results. Women s Services Our goal is to keep women of all ages healthy and well informed. From childbirth to digital mammography to innovative surgical services, our commitment is unsurpassed. n 935 babies were welcomed in at Medical Center of Trinity last year n Women s Imaging Center (Oak Hill) and Medical Center of Trinity offer comprehensive outpatient diagnostics including bone density, digital mammography, 3D/4D Ultrasound, Breast MRI and surgical procedures n Heart Institutes at Oak Hill and Regional Medical Center Bayonet Point provide life saving technology and the very latest minimally invasive techniques n Laparoscopic and Single Incision Laparoscopy for pelvic health n Accredited cancer programs through the American College of Surgeon s Commission on Cancer n Spine and Joint Care Centers providing neck, back, hip and knee procedures n Robotic-assisted surgery at Medical Center of Trinity and Oak Hill Hospital Infusion Center Our Infusion Centers are designed to provide fast, convenient and cost-effective infusion services for patients in a comfortable, home-like setting. Our highly skilled nurses, with experience in infusion therapy modalities, are always available to meet your medical needs. Our many services include: n Transfusions of blood/blood products n Chemotherapy administration n Immunoglobulin therapy n IV antibiotic administration n Maintenance of central lines/ports n Weekend appointments available n Hydration therapy n Subcutaneous injections Wound Care and Hyperbaric Center Our Wound Care & Hyperbaric Center at Regional Medical Center Bayonet Point is designed to provide a specialized, comprehensive course of treatment to assist in healing your problem wound. Our goal is to utilize the most up-to-date approaches to wound healing and remain current in new scientific advances in wound care. Thorough diagnostic examinations identify the type of wound and the underlying problems causing the wound. After this, a program will be initiated based on the most effective treatment options and may include: n Infectious disease management n Pain management n Hyperbaric Oxygen Treatment quickly delivers high concentrations n Physical therapy n Diabetic Education of oxygen to the bloodstream, n Vascular evaluation n Nuclear medicine assists in the healing process of n Laboratory evaluation n Radiology wounds and is effective in fighting n Nutritional management n Debridement certain types of infections Primary Care Physicians With a medical staff comprised of over 200 Primary Care Physicians, finding the right doctor is only a phone call away. Through our Physician Referral Line (1-877-4-HCA-DOCS/1-877-442-2362) our communities have access to a real person providing details about physicians including education, office locations, board certifications and special interests. Company Care Regional Medical Center Bayonet Point s Company Care program is a comprehensive, integrated health and wellness delivery system offered through a network of local healthcare providers. It provides a full range of Occupational Health Services that include drug and alcohol testing and workers compensation services to employers in both the private and public sectors. 2013 COMMUNITY REPORT 13

FIVAY RD. Our Commitment To Excellence REGIONAL MEDICAL CENTER BAYONET POINT 14000 Fivay Road I Hudson, Florida 34667 I (727) 819-2929 RMCHealth.com Regional Medical Center Bayonet Point has a history of providing the highest level of critical medical care for our community and the Pasco County region. The surrounding counties of Hernando and Citrus are in need of a trauma program to ensure that critically injured patients have access to treatment within the golden hour that period of time immediately after a serious injury during which there is the highest likelihood that prompt medical treatment will prevent death. For the citizens of these counties, IT IS ABOUT TIME: that is, reducing the time it takes to gain access to expert trauma care within their own community. The development of a trauma program is a natural next step in the evolution of Regional Medical Center Bayonet Point and we are proud to announce that Regional Medical Center Bayonet Point has been designated as a Level II Trauma Center the first and only in the Pasco, Hernando and Citrus County area. This designation means we are staffed and equipped around the clock to provide comprehensive life-saving trauma care, quickly and close to home. 55 BEACON WOODS DR # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid 290 14,927 40,803 79,438 310 S U G ARMILL W OODS 1,264 19 $83,250,721 98 CIT RUS $9,142,763 589 41 BROOKSVILLE * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits. 2012 numbers unless otherwise noted. 50 REGIONAL MEDICAL CENTER BAYONET POINT 19 19 H CLOCK TOWER PKWY HUDSON AVE HUDSON AVE. FIVAY RD FIVAY RD MEDICAL DR. FIVAY RD. H MAJESTIC BLVD YOSEMITE DR. CLAYTON BLVD 52 CLAYTON BLVD GLACIER DR. 1 HUDSON AVE LITTLE RD H 19 H ERNA N H U D S O N 52 S P R I N G H I L L SUNCOAST PKWY 589 41 D O P A S C O 75 301 Accreditations and Certifications: Accredited Hospital (Joint Commission) ACCREDITED Chest Pain Center with pci (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACoS CoC) CertifiCATIONS JOINT COMMISSION: Acute Myocardial Infarction, Advanced Primary Stroke Center, COPD, Coronary Artery Bypass Graft, heart failure, Joint Replacement Hip, Joint Replacement Knee, Lung Cancer, Pneumonia, Wound Care CT Accreditation (American College of Radiology - ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Verified Level II Trauma Center (FL Dept. of Health) A Hospital Safety Score (Leapfrog Group) Top Performer in Key Quality Measures for Heart Attack, Heart Failure, Pneumonia and Surgical Care 2nd Consecutive Year (Joint Commission) Additional Services: 24-HOUR EMERGENCY CARE Arrythmia Center of Florida Cardiopulmonary Rehabilitation Center COMPANY CARE & OCCUPATIONAL HEALTH CONSULT-A-NURSE ELECTROPHYSIOLOGY LAB The Heart Institute (WITH CARDIAC SURGERY) MINIMALLY INVASIVE SURGERY NeuroScience Center of Excellence ORTHOPEDICS SLEEP DISORDERS CENTER Spine Care Centers of West Florida Trauma Center Level II VASCULAR Wound & Hyperbaric Medicine H O L I D A Y T A R P O N S P R I N G S P A L M H A R B O R 19 SEVEN SPRINGS BLVS T R I N ITY EAST LAKE RD GUNN HWY LAND O LAKES VETERANS EXPSWY 54 DALE MABRY HWY LUTZ 275 75 54 Shayne George, MBA, MHA, FACHE Chief Executive Officer 14 HCA WEST FLORIDA 13 301

SUNCOAST PKWY OAK HILL HOSPITAL H C A W e s t F l o r i d a 11375 Cortez Blvd /SR 50 I Spring Hill, FL 34613 I OakHillHospital.com Citrus: (352) 628-6441/Hernando: (352) 596-6632 # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid 262 13,666 38,104 87,539 330 1,105 $69,453,163 $8,244,496 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits. 2012 numbers unless otherwise noted. Accreditations and Certifications: Accredited Hospital (Joint Commission) ACCREDITED Chest Pain Center with pci (SCPC) ACCREDITED HEART FAILURE CENTER (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACo S Co C) Certified Advanced Primary Stroke Center (Joint Commission) Certified Joint Replacement Hip (Joint Commission) Certified Joint Replacement Knee (Joint Commission) Certified Spinal Fusion (Joint Commission) CT Accreditation (American College of Radiology - ACR) Mammography Accreditation (ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Additional Services: TO CITRUS COUNTY and Sugarmill Woods 50 WEEKI WACHEE SPRINGS 19 OAK HILL HOSPITAL H COMMERCIAL WAY DELTONA BLVD 19 CORTEZ BLVD 572 NORTHCLIFFE BLVD Mickey Smith Chief Executive Officer HEXAM RD 50 587 MARINER BLVD 38TH AVE N 493 CORTEZ BLVD 589 19 H SPRING HILL SUGARMILL WOODS 589 41 98 50 CITRUS BROOKSVILLE 75 HERNANDO 301 24 Hour Emergency Care CENTER CONSULT-A-NURSE/PHYSICIAN REFERRAL Diagnostic IMAGING Services Heart Institute (with CARDIAC SURGERY) HOSPITALIST SERVICES Medical Digital Imaging with 24/7 in-house coverage MINIMALLY INVASIVE SPINE SURGERY Orthopaedic & SPINE INSTITUTE PEDIATRIC EMERGENCY CARE CENTER PEDIATRIC CARE ROBOTIC ASSISTED SURGICAL SYSTEM VASCULAR SURGERY WOMEN S IMAGING CENTER 589 2013 COMMUNITY REPORT 15

Our Commitment To Excellence MEDICAL CENTER OF TRINITY 9330 State Road 54 I Trinity, Florida 34655 I (727) 834-4000 MedicalCenterTrinity.com LITTLE RD H # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid 282 14,534 44,826 77,439 391 1,257 $79,910,706 $7,399,710 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits. 2012 numbers unless otherwise noted. GULF HARBOURS 19 54 19 MARINE PKWY GULF DR HIGH ST Leigh Massengill Chief Executive Officer 19 N E W P O R T R I C H E Y FRANCES AVENUE PARK GRAND BLVD CECELIA DR GRAND BLVD MEDICAL CENTER OF TRINITY WEST PASCO CAMPUS STARKEY BLVD BLVD MARINE PKWY GEORGE ST SCHOOL RD TROUBLE CREEK RD MEDICAL CENTER OF TRINITY TRINITY BLVD MADISON ST MADISON ST HIGH ST CECELIA DR H O L I D A Y T A R P O N S P R I N G S 19 P A L M H A R B O R 19 589 P A S CO 41 98 589 OAK HILL HOSPITAL 50 H U D S O N ROWAN RD SEVEN SPRINGS BLVD EAST LAKE RD LITTLE RD S P R I N G H I L L 52 52 T R INITY H TRINITY BLVD TARPON AVE GUNN HWY SUNCOAST PKWY LAND O LAKES VETERANS EXPSWY H 54 DALE MABRY HWY S U G ARMILL W OODS 275 C IT R U S 75 54 41 41 H E RNAN D O LUTZ BROOKSVILLE 301 Accreditations and Certifications: Accredited Hospital (Joint Commission) ACCREDITED COMMUNITY COMPREHENSIVE CANCER PROGRAM (ACo S Co C) Certified Advanced Primary Stroke Center (Joint Commission) A Hospital Safety Score (Leapfrog Group) CT Accreditation (American College of Radiology - ACR) Mammography Accreditation (ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) State Approved PERCUTANEOUS Coronary Intervention Program (PCI) Ultrasound Accreditation (ACR) Top Performer in Key Quality Measures for Heart Attack, Heart Failure, Pneumonia and Surgical Care 2nd Consecutive Year (Joint Commission) Additional Services: 24-HOUR EMERGENCY SERVICES (MAIN CAMPUS/TRINITY) BEHAVIORAL HEALTH (WEST PASCO CAMPUS) CANCER CARE DIAGNOSTIC IMAGING HEART AND VASCULAR MEN S HEALTH SPINE AND ORTHOPEDICS SURGICAL SPECIALTIES WOMEN S HEALTH AND OBSTETRICS Women s Imaging Center 15 HCA WEST FLORIDA Future Site: Medical Center of Trinity 13

H C A W e s t F l o r i d a My stay was so wonderful. The staff, the doctors, nurses and everyone involved with my surgery and my stay were friendly and very competent. They did not mind me asking a million questions and easing my mind of all that was going to happen to me before anything was done. The technology was state of the art and it was great to have my prolapsed bladder taken care of with minimal invasion and minimal pain. I only spent one night in the hospital and was home the next day. I really used no pain meds when I got home and had to be reminded I just had major surgery. Lynne Boismier I Robotic Assisted Surgery 2013 COMMUNITY REPORT

Our Commitment To Excellence Accredited Chest Pain Center Accredited Chest Pain Center with PCI Accredited Heart Failure Primary Stroke Center Certification Awards and Recognition Many awards and recognitions are bestowed on our facilities and management teams, acknowledging not only the outstanding medical care and services we provide but also the leadership role we play in our communities. Our facilities are Joint Commission Accredited, Accredited Primary Stroke Centers and Certified Cancer Programs by the American College of Surgeons Commission on Cancer. In addition: Medical Center of Trinity n Top Performing Hospital, the Joint Commission - recognized as one of the nation s top performing hospitals in quality measurements for heart attack, heart failure, pneumonia, and surgical care. n Pasco Economic Development Council, 2012 Service Industry of the Year n Mammography, MRI, CT, Ultrasound, and Nuclear Medicine Accredited - American College of Radiology n Blue Distinction Center Hip and Knee Replacement and Spine Surgery n UnitedHealth Premium Surgical Spine specialty center n UnitedHealth Premium Total Joint Replacement specialty center Oak Hill Hospital n The only Open Heart Surgery Hospital in Hernando County n Certified Chest Pain Center with PCI by the Society for Chest Pain Centers n Certified Heart Failure Center by the Society for Chest Pain Centers n Joint Commission Disease-Specific Certification: hip and knee surgery, spinal fusion n Best Hospital in Hernando by readers of Hernando Today for 2011 and 2012 n Emergency Care Center at Oak Hill Hospital is the only Florida recipient of the first Lantern Award by the Emergency Nurses Association for exemplifying exceptional and innovative performance in the core areas of leadership, practice, education and research. Regional Medical Center Bayonet Point n Top Performing Hospital, the Joint Commission - recognized as one of the nation s top performing hospitals in quality measurements for heart attack, heart failure, pneumonia, and surgical care. n Certified Chest Pain Center with PCI by the Society for Chest Pain Centers n Joint Commission Disease-Specific Certification: acute myocardial infarction, chronic obstructive pulmonary disease (COPD), coronary artery bypass graft, heart failure, joint replacement hip, joint replacement knee, lung cancer, pneumonia, wound care n Recipient of the AHA s Mission: Lifeline Bronze Quality Performance Achievement Award for implementing a higher standard of heart attack care that improves the survival and outcomes for STEMI (ST Elevation Myocardial Infarction) patients n MRI, CT, Ultrasound, and Nuclear Medicine Accredited - American College of Radiology n Blue Distinction Center Hip and Knee Replacement and Spine Surgery MEDICAL CENTER OF TRINITY 9330 State Road 54 Trinity, FL 34655 (727) 834-4000 MedicalCenterTrinity.com OAK HILL HOSPITAL 11375 Cortez Boulevard/SR 50 Spring Hill, FL 34613 (352) 596-6632 OakHillHospital.com REGIONAL MEDICAL CENTER BAYONET POINT 14000 Fivay Road Hudson, FL 34667 (727) 819-2929 RMChealth.com HCA WEST FLORIDA www.hcawestflorida.com 1-8 7 7-4 - H C A - D O C S ( 1-8 7 7-4 4 2-2 3 6 2 t o l l f r e e )