JOINT FILING AGREEMENT

EXHIBIT 1

JOINT FILING AGREEMENT

In accordance with Rule 13d-1(k) of the Securities Exchange Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including any and all amendments thereto) with respect to the common stock of HCA Inc. and further agree that this Joint Filing Agreement shall be included as an Exhibit to such joint filing.  In evidence thereof, the undersigned, being duly authorized, hereby execute this Joint Filing Agreement as of February 17, 2009.

		KKR MILLENNIUM FUND L.P.
By:		KKR Associates Millennium L.P., general partner
By:		KKR Millennium GP LLC, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR ASSOCIATES MILLENNIUM L.P.
By:		KKR Millennium GP LLC, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR MILLENNIUM GP LLC
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR 2006 FUND L.P.
By:		KKR Associates 2006 L.P., general partner
By:		KKR 2006 GP LLC, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR ASSOCIATES 2006 L.P.
By:		KKR 2006 GP LLC, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR 2006 GP LLC
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member
		OPERF CO-INVESTMENT L.L.C.
By:		KKR Associates 2006 L.P., general partner
By:		KKR 2006 GP LLC, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR PEI INVESTMENTS, L.P.
By:		KKR PEI Associates L.P., general partner
By:		KKR PEI GP Limited, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Director

		KKR PEI ASSOCIATES L.P.
By:		KKR PEI GP Limited, general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Director

		KKR PEI GP LIMITED
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Director

		KOHLBERG KRAVIS XXXXXXX & CO. L.P.
By:		KKR & Co. L.L.C., general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Director

		KKR PARTNERS III, L.P.
By:		KKR III GP L.L.C., general partner
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member

		KKR III GP L.L.C.
By:		/s/ Xxxxxxx Xxxxxxxxxx
		Name: Xxxxxxx Xxxxxxxxxx
		Title: Attorney-in-fact for Xxxxx X. Xxxxxx, Managing Member