860730--3/4/2009--HCA

related topics

{regulation, government, change}

{condition, economic, financial}

{debt, indebtedness, cash}

{personnel, key, retain}

We May Not Be Able To Generate Sufficient Cash To Service All Of Our Indebtedness And May Not Be Able To Refinance Our Indebtedness On Favorable Terms. If We Are Unable To Do So, We May Be Forced To Take Other Actions To Satisfy Our Obligations Under Our Indebtedness, Which May Not Be Successful. Our Hospitals Face Competition For Patients From Other Hospitals And Health Care Providers. The Growth Of Uninsured And Patient Due Accounts And A Deterioration In The Collectibility Of These Accounts Could Adversely Affect Our Results Of Operations. If We Are Unable To Retain And Negotiate Favorable Contracts With Nongovernment Payers, Including Managed Care Plans, Our Revenues May Be Reduced. Our Performance Depends On Our Ability To Recruit And Retain Quality Physicians. The Industry Trend Towards Value-Based Purchasing May Negatively Impact Our Revenues. Our Facilities Are Heavily Concentrated In Florida And Texas, Which Makes Us Sensitive To Regulatory, Economic, Environmental And Competitive Conditions And Changes In Those States.

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860730--3/4/2009--HCA_INC/TN