HCA Holdings 2011 Annual Report Download - page 107

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
The Board of Directors and Stockholders
HCA Holdings, Inc.
We have audited the accompanying consolidated balance sheets of HCA Holdings, Inc. as of December 31,
2011 and 2010, and the related consolidated statements of income, comprehensive income, stockholders’ deficit,
and cash flows for each of the three years in the period ended December 31, 2011. These financial statements are
the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial
statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight
Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance
about whether the financial statements are free of material misstatement. An audit includes examining, on a test
basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that our audits provide a reasonable basis for our
opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the
consolidated financial position of HCA Holdings, Inc. at December 31, 2011 and 2010, and the consolidated
results of its operations and its cash flows for each of the three years in the period ended December 31, 2011, in
conformity with U.S. generally accepted accounting principles.
As discussed in Note 1 to the consolidated financial statements, the Company changed its presentation of
revenues and provision for doubtful accounts as a result of the adoption of the amendments to the FASB
Accounting Standards Codification resulting from Accounting Standards Update No. 2011-07, Presentation and
Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for
Certain Healthcare Entities.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board
(United States), HCA Holdings, Inc.’s internal control over financial reporting as of December 31, 2011, based
on criteria established in Internal Control — Integrated Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission and our report dated February 23, 2012 expressed an unqualified
opinion thereon.
/s/ Ernst & Young LLP
Nashville, Tennessee
February 23, 2012
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