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Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts $ 11,967 $ 11,110 $ 35,156 $ 33,241
Provision for doubtful accounts 1,271 840 3,104 2,392
Revenues 10,696 10,270 32,052 30,849
Salaries and benefits 5,081 4,740 14,878 14,133
Supplies 1,777 1,699 5,369 5,131
Other operating expenses 2,075 1,896 5,970 5,617
Equity in earnings of affiliates (13) (22) (36) (44)
Depreciation and amortization 539 495 1,581 1,463
Interest expense 427 432 1,257 1,275
Gains on sales of facilities (7) (3) (10) (8)
Losses on retirement of debt 39 4 39 4
Legal claim costs   11   33
Total expenses including equity in earnings of affiliates 9,918 9,252 29,048 27,604
Income (loss) before income taxes 778 1,018 3,004 3,245
Provision (benefit) for income taxes 248 273 902 898
Net income (loss) 530 745 2,102 2,347
Net income attributable to noncontrolling interests 104 127 360 377
Net income (loss) attributable to HCA Healthcare, Inc. 426 618 1,742 1,970
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 451 621 1,812 1,894
HCA Healthcare, Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Other operating expenses   1 5 5
Equity in earnings of affiliates (436) (573) (1,702) (1,843)
Interest expense 16 16 48 48
Total expenses including equity in earnings of affiliates (420) (556) (1,649) (1,790)
Income (loss) before income taxes 420 556 1,649 1,790
Provision (benefit) for income taxes (6) (62) (93) (180)
Net income (loss) 426 618 1,742 1,970
Net income (loss) attributable to HCA Healthcare, Inc. 426 618 1,742 1,970
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 451 621 1,812 1,894
HCA Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Interest expense 792 711 2,280 2,031
Losses on retirement of debt 39 4 39 4
Legal claim costs   11   33
Total expenses including equity in earnings of affiliates 831 726 2,319 2,068
Income (loss) before income taxes (831) (726) (2,319) (2,068)
Provision (benefit) for income taxes (307) (268) (856) (763)
Net income (loss) (524) (458) (1,463) (1,305)
Net income (loss) attributable to HCA Healthcare, Inc. (524) (458) (1,463) (1,305)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. (522) (432) (1,458) (1,288)
Subsidiary Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts 5,897 5,591 17,799 16,957
Provision for doubtful accounts 636 391 1,648 1,383
Revenues 5,261 5,200 16,151 15,574
Salaries and benefits 2,427 2,373 7,330 7,074
Supplies 889 888 2,771 2,672
Other operating expenses 963 904 2,841 2,654
Equity in earnings of affiliates (1) (1) (3) (4)
Depreciation and amortization 249 242 748 707
Interest expense (318) (235) (878) (646)
Gains on sales of facilities (4)   (5)  
Management fees (215) (206) (637) (601)
Total expenses including equity in earnings of affiliates 3,990 3,965 12,167 11,856
Income (loss) before income taxes 1,271 1,235 3,984 3,718
Provision (benefit) for income taxes 460 447 1,443 1,347
Net income (loss) 811 788 2,541 2,371
Net income attributable to noncontrolling interests 24 24 74 67
Net income (loss) attributable to HCA Healthcare, Inc. 787 764 2,467 2,304
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 790 766 2,476 2,312
Subsidiary Non-Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts 6,070 5,519 17,357 16,284
Provision for doubtful accounts 635 449 1,456 1,009
Revenues 5,435 5,070 15,901 15,275
Salaries and benefits 2,654 2,367 7,548 7,059
Supplies 888 811 2,598 2,459
Other operating expenses 1,112 991 3,124 2,958
Equity in earnings of affiliates (12) (21) (33) (40)
Depreciation and amortization 290 253 833 756
Interest expense (63) (60) (193) (158)
Gains on sales of facilities (3) (3) (5) (8)
Management fees 215 206 637 601
Total expenses including equity in earnings of affiliates 5,081 4,544 14,509 13,627
Income (loss) before income taxes 354 526 1,392 1,648
Provision (benefit) for income taxes 101 156 408 494
Net income (loss) 253 370 984 1,154
Net income attributable to noncontrolling interests 80 103 286 310
Net income (loss) attributable to HCA Healthcare, Inc. 173 267 698 844
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 193 242 754 743
Eliminations [Member]        
Condensed Statement of Income Captions [Line Items]        
Equity in earnings of affiliates 436 573 1,702 1,843
Total expenses including equity in earnings of affiliates 436 573 1,702 1,843
Income (loss) before income taxes (436) (573) (1,702) (1,843)
Net income (loss) (436) (573) (1,702) (1,843)
Net income (loss) attributable to HCA Healthcare, Inc. (436) (573) (1,702) (1,843)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. $ (461) $ (576) $ (1,772) $ (1,767)