HCA Holdings 2011 Annual Report Download - page 89

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2. Internal Control Over Financial Reporting
(a) Management’s Report on Internal Control Over Financial Reporting
Our management is responsible for establishing and maintaining effective internal control over financial
reporting, as such term is defined in Exchange Act Rule 13a-15(f). Because of its inherent limitations, internal
control over financial reporting may not prevent or detect misstatements. Therefore, even those systems
determined to be effective, can provide only reasonable assurance with respect to financial statement preparation
and presentation.
Under the supervision and with the participation of our management, including our principal executive
officer and principal financial officer, we conducted an assessment of the effectiveness of our internal control
over financial reporting based on the framework in Internal Control — Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission. Based on our assessment under the
framework in Internal Control — Integrated Framework, our management concluded that our internal control
over financial reporting was effective as of December 31, 2011.
Ernst & Young, LLP, the independent registered public accounting firm that audited our consolidated
financial statements included in this Form 10-K, has issued a report on our internal control over financial
reporting, which is included herein.
(b) Attestation Report of the Independent Registered Public Accounting Firm
86