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Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information - Schedule of Condensed Consolidating Statement of Cash Flows (Detail) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2018 | Mar. 31, 2017
Cash flows from operating activities: |  |
Net income (loss) | $ 1,282 | $ 777
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Changes in operating assets and liabilities | (468) | (420)
Depreciation and amortization | 553 | 521
Income taxes | 246 | 292
Losses (gains) on sales of facilities | (405) | (1)
Amortization of debt issuance costs | 8 | 8
Share-based compensation | 60 | 73
Other | 24 | 30
Net cash provided by operating activities | 1,300 | 1,280
Cash flows from investing activities: |  |
Purchase of property and equipment | (694) | (571)
Acquisition of hospitals and health care entities | (379) | (90)
Disposition of hospitals and health care entities | 767 | 4
Change in investments | 11 | (19)
Other | (40) | 7
Net cash used in investing activities | (335) | (669)
Cash flows from financing activities: |  |
Net change in revolving bank credit facilities | 270 | 160
Repayment of long-term debt | (50) | (43)
Distributions to noncontrolling interests | (92) | (145)
Payment of debt issuance costs | (2) | (2)
Payment of cash dividends | (123) |
Repurchases of common stock | (423) | (424)
Other | (191) | (50)
Net cash used in financing activities | (611) | (504)
Change in cash and cash equivalents | 354 | 107
Cash and cash equivalents at beginning of period | 732 | 646
Cash and cash equivalents at end of period | 1,086 | 753
Eliminations [Member] |  |
Cash flows from operating activities: |  |
Net income (loss) | (1,090) | (608)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Equity in earnings of affiliates | 1,090 | 608
HCA Healthcare, Inc. Issuer [Member] |  |
Cash flows from operating activities: |  |
Net income (loss) | 1,144 | 659
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Changes in operating assets and liabilities | (15) | (15)
Income taxes | 246 | 292
Equity in earnings of affiliates | (1,090) | (608)
Other | 21 | 19
Net cash provided by operating activities | 306 | 347
Cash flows from financing activities: |  |
Payment of cash dividends | (123) |
Repurchases of common stock | (423) | (424)
Changes in intercompany balances with affiliates, net | 434 | 134
Other | (195) | (57)
Net cash used in financing activities | (307) | (347)
Change in cash and cash equivalents | (1) |
Cash and cash equivalents at beginning of period | 1 |
HCA Inc. Issuer [Member] |  |
Cash flows from operating activities: |  |
Net income (loss) | (642) | (463)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Changes in operating assets and liabilities | (99) | (295)
Amortization of debt issuance costs | 8 | 8
Net cash provided by operating activities | (733) | (750)
Cash flows from financing activities: |  |
Net change in revolving bank credit facilities | 270 | 160
Repayment of long-term debt | (18) | (18)
Payment of debt issuance costs | (2) | (2)
Changes in intercompany balances with affiliates, net | 483 | 610
Net cash used in financing activities | 733 | 750
Subsidiary Guarantors [Member] |  |
Cash flows from operating activities: |  |
Net income (loss) | 1,570 | 922
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Changes in operating assets and liabilities | (347) | (199)
Depreciation and amortization | 323 | 310
Losses (gains) on sales of facilities | (395) | 1
Share-based compensation | 60 | 73
Other |  | 1
Net cash provided by operating activities | 1,211 | 1,108
Cash flows from investing activities: |  |
Purchase of property and equipment | (413) | (312)
Acquisition of hospitals and health care entities | (373) | (5)
Disposition of hospitals and health care entities | 767 | 4
Change in investments | 13 | 2
Other | (48) | 1
Net cash used in investing activities | (54) | (310)
Cash flows from financing activities: |  |
Repayment of long-term debt | (22) | (13)
Distributions to noncontrolling interests | (24) | (57)
Changes in intercompany balances with affiliates, net | (919) | (656)
Net cash used in financing activities | (965) | (726)
Change in cash and cash equivalents | 192 | 72
Cash and cash equivalents at beginning of period | 112 | 113
Cash and cash equivalents at end of period | 304 | 185
Subsidiary Non-Guarantors [Member] |  |
Cash flows from operating activities: |  |
Net income (loss) | 300 | 267
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Changes in operating assets and liabilities | (7) | 89
Depreciation and amortization | 230 | 211
Losses (gains) on sales of facilities | (10) | (2)
Other | 3 | 10
Net cash provided by operating activities | 516 | 575
Cash flows from investing activities: |  |
Purchase of property and equipment | (281) | (259)
Acquisition of hospitals and health care entities | (6) | (85)
Change in investments | (2) | (21)
Other | 8 | 6
Net cash used in investing activities | (281) | (359)
Cash flows from financing activities: |  |
Repayment of long-term debt | (10) | (12)
Distributions to noncontrolling interests | (68) | (88)
Changes in intercompany balances with affiliates, net | 2 | (88)
Other | 4 | 7
Net cash used in financing activities | (72) | (181)
Change in cash and cash equivalents | 163 | 35
Cash and cash equivalents at beginning of period | 619 | 533
Cash and cash equivalents at end of period | $ 782 | $ 568

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