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R. Milton Johnson Chairman of the Board and Chief Executive Officer

We have made great progress in implementing a sustainability program. We know continued success depends on the support of everyone at our hospitals and other facilities.

HCA is committed to protecting and preserving the environment. We have an active multi-disciplinary Sustainability Steering Committee that provides overall guidance for HCA’s Sustainability Program. The Committee Chair is a member of Executive Leadership. Four Task Forces work on environmental issues with company-wide application in support of our program.

Energy and Water Task Force: An Energy Operations Center monitors HCA’s building systems, identifying optimization opportunities and alerting facility managers to energy and cost-saving actions. In 2016, energy reductions of about 64.5 million kWh from 2015 were achieved. LED lighting retrofits contributed. Water-saving measures, where implemented, annually save over 3,300 gallons per patient room.

Construction and Major Renovation Task Force: We have instituted a recycling program for new construction projects. In 2015, 75% of all construction debris was recycled. We have 11 construction projects that have either received or are in pursuit of status under Leadership in Energy and Environmental Design (LEED). For construction projects where LEED certification is not pursued, frequently the LEED scorecard is used as a guide.

Environmentally Preferable Purchasing Task Force: A program exists to identify products that are environmentally preferable and to use FDA-approved reprocessed devices, reducing waste and saving costs. Over 1.2 million pounds of these devices were diverted from landfill in 2015. In addition, through available purchasing options, all facilities have significantly reduced mercury-containing devices.

Waste Stream Task Force: HCA uses environmentally-sound methods to dispose of waste such as hazardous, infectious, and pharmaceutical wastes. We also seek to decrease waste from operating rooms. Finally, we have recycling programs for items that would otherwise go to landfill. In 2015, we recycled over 49 million pounds of non-construction waste.

We have made great progress in implementing a sustainability program. We know continued success depends on the support of everyone at our hospitals and other facilities. One way we communicate sustainability efforts is each year the Sustainability Steering Committee releases an HCA Sustainability Plan with contribution from the Task Forces. In 2016, we released a video representing the collective efforts of our facilities through each of our Task Forces. The report and video have been made available to the public through HCA’s Internet postings.

HCA has hosted Environmental Defense Fund Climate Corps Fellows for summer engagements providing research support to the Task Forces.

In addition, we have sought to improve sustainability among all hospitals as a founding sponsor of the Greening the Operating Room Initiative and a founder of the Healthier Hospitals Initiative.