HCA Hospital Corporation of america Overview and Analysis October 22, 2015 Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.

HCA Hospital Corporation of America Company Overview Key Information: HCA is a publicly owned company that is one of the nation’s leading providers of healthcare services, comprised of locally managed facilities Ranked 79th on Fortune 500 Revenue of $37B Corporate Offices in Nashville, Tennessee Company CEO - R. Milton Johnson is the company’s Chairman and CEO. Locations - 168 hospitals and 113 freestanding surgery centers in 20 states and The United Kingdom 225,000 Employees Products and Services: General, acute care hospitals freestanding surgery centers, freestanding emergency care facilities, diagnostic centers and rehabilitation facilities provide a full range of services Psychiatric hospitals provide a full range of mental health care services through inpatient, partial hospitalization and outpatient settings.   Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

HCA Hospital Corporation of America Company Overview Mission: “Above all else, we are committed to the care and improvement of human life. In recognition of this commitment, we will strive to deliver high quality, cost-effective healthcare in the communities we serve.” Business/Growth Strategy: Strategy to grow business, increase profitability and create long-term value for stockholders by aligning efforts around the following growth agenda: grow our presence in existing markets; achieve industry-leading performance in clinical and satisfaction measures; recruit and employ physicians to meet the need for high quality health services; continue to leverage our scale and market positions to enhance profitability; and selectively pursue a disciplined development strategy. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

HCA Hospital Corporation of America Company Overview History: Founded in 1968, in Nashville, Tennessee by Dr. Thomas F. Frist, Sr., Jack C. Massey and Dr. Thomas F. Frist, Jr.. The first hospital that HCA owned was Park View Hospital, near downtown Nashville In 1969, HCA conducted its first Initial Public Offering (IPO) on the New York Stock Exchange (NYSE) In 2006, Kohlberg Kravis Roberts and Bain Capital, together with Merrill Lynch and the Frist family (which had founded the company) completed a $31.6 billion acquisition of the hospital company, making the company privately held again In 2010, HCA announced that the corporation would once again go public with an expected $4.6-billion IPO. In 2011, HCA sold 126.2 million shares for $30 each, raising about $3.79 billion, making it, at that time, the largest private-equity backed IPO in U.S. history Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

HCA Hospital Corporation of America Financial Performance Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

HCA Hospital Corporation of America 5 Key Drivers Growth is primarily inorganic, based on acquisitions In 2014, invested more than $750 million to acquire a number of surgery centers, clinics and other non-hospital points of care and three hospitals, adding to our Chattanooga, Tampa, and Salt Lake Citymarkets. Planned spend of $7.7B over 3 years for capital growth investments High quality, low cost strategy Quality: 85 percent of our eligible US hospitals reporting core measure performance data were recognized on The Joint Commission’s 2014 list of Top Performers on Key Quality Measures.   Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

HCA Hospital Corporation of America Comparison to Cigna Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2015 Cigna

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