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Supplemental Condensed Consolidating Financial Information (Tables) | 3 Months Ended
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Mar. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract] |
Schedule of Condensed Consolidating Comprehensive Income Statement | HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT FOR THE QUARTER ENDED MARCH 31, 2018 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 6,776 |  |  | $ | 4,647 |  |  | $ | — |  |  | $ | 11,423 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 3,069 |  |  |  | 2,220 |  |  |  | — |  |  |  | 5,289 |
Supplies |  |  | — |  |  |  | — |  |  |  | 1,141 |  |  |  | 774 |  |  |  | — |  |  |  | 1,915 |
Other operating expenses |  |  | 1 |  |  |  | — |  |  |  | 1,128 |  |  |  | 981 |  |  |  | — |  |  |  | 2,110 |
Equity in earnings of affiliates |  |  | (1,090 | ) |  |  | — |  |  |  | (2 | ) |  |  | (7 | ) |  |  | 1,090 |  |  |  | (9 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 323 |  |  |  | 230 |  |  |  | — |  |  |  | 553 |
Interest expense |  |  | 16 |  |  |  | 837 |  |  |  | (367 | ) |  |  | (55 | ) |  |  | — |  |  |  | 431 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (395 | ) |  |  | (10 | ) |  |  | — |  |  |  | (405 | )
Management fees |  |  | — |  |  |  | — |  |  |  | (158 | ) |  |  | 158 |  |  |  | — |  |  |  | — |
|  |  | (1,073 | ) |  |  | 837 |  |  |  | 4,739 |  |  |  | 4,291 |  |  |  | 1,090 |  |  |  | 9,884 |
Income (loss) before income taxes |  |  | 1,073 |  |  |  | (837 | ) |  |  | 2,037 |  |  |  | 356 |  |  |  | (1,090 | ) |  |  | 1,539 |
Provision (benefit) for income taxes |  |  | (71 | ) |  |  | (195 | ) |  |  | 467 |  |  |  | 56 |  |  |  | — |  |  |  | 257 |
Net income (loss) |  |  | 1,144 |  |  |  | (642 | ) |  |  | 1,570 |  |  |  | 300 |  |  |  | (1,090 | ) |  |  | 1,282 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 28 |  |  |  | 110 |  |  |  | — |  |  |  | 138 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 1,144 |  |  | $ | (642 | ) |  | $ | 1,542 |  |  | $ | 190 |  |  | $ | (1,090 | ) |  | $ | 1,144 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 1,225 |  |  | $ | (615 | ) |  | $ | 1,546 |  |  | $ | 240 |  |  | $ | (1,171 | ) |  | $ | 1,225 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT FOR THE QUARTER ENDED MARCH 31, 2017 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors (as adjusted) |  |  | Subsidiary Non- Guarantors (as adjusted) |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 6,336 |  |  | $ | 4,287 |  |  | $ | — |  |  | $ | 10,623 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 2,904 |  |  |  | 1,997 |  |  |  | — |  |  |  | 4,901 |
Supplies |  |  | — |  |  |  | — |  |  |  | 1,075 |  |  |  | 722 |  |  |  | — |  |  |  | 1,797 |
Other operating expenses |  |  | 1 |  |  |  | — |  |  |  | 1,050 |  |  |  | 879 |  |  |  | — |  |  |  | 1,930 |
Equity in earnings of affiliates |  |  | (608 | ) |  |  | — |  |  |  | (2 | ) |  |  | (8 | ) |  |  | 608 |  |  |  | (10 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 310 |  |  |  | 211 |  |  |  | — |  |  |  | 521 |
Interest expense |  |  | 16 |  |  |  | 733 |  |  |  | (290 | ) |  |  | (40 | ) |  |  | — |  |  |  | 419 |
Losses (gains) on sales of facilities |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | (2 | ) |  |  | — |  |  |  | (1 | )
Management fees |  |  | — |  |  |  | — |  |  |  | (160 | ) |  |  | 160 |  |  |  | — |  |  |  | — |
|  |  | (591 | ) |  |  | 733 |  |  |  | 4,888 |  |  |  | 3,919 |  |  |  | 608 |  |  |  | 9,557 |
Income (loss) before income taxes |  |  | 591 |  |  |  | (733 | ) |  |  | 1,448 |  |  |  | 368 |  |  |  | (608 | ) |  |  | 1,066 |
Provision (benefit) for income taxes |  |  | (68 | ) |  |  | (270 | ) |  |  | 526 |  |  |  | 101 |  |  |  | — |  |  |  | 289 |
Net income (loss) |  |  | 659 |  |  |  | (463 | ) |  |  | 922 |  |  |  | 267 |  |  |  | (608 | ) |  |  | 777 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 23 |  |  |  | 95 |  |  |  | — |  |  |  | 118 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 659 |  |  | $ | (463 | ) |  | $ | 899 |  |  | $ | 172 |  |  | $ | (608 | ) |  | $ | 659 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 677 |  |  | $ | (456 | ) |  | $ | 902 |  |  | $ | 180 |  |  | $ | (626 | ) |  | $ | 677 |
Schedule of Condensed Consolidating Balance Sheet | HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING BALANCE SHEET MARCH 31, 2018 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
ASSETS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  | $ | — |  |  | $ | — |  |  | $ | 304 |  |  | $ | 782 |  |  | $ | — |  |  | $ | 1,086 |
Accounts receivable |  |  | — |  |  |  | — |  |  |  | 3,747 |  |  |  | 2,585 |  |  |  | — |  |  |  | 6,332 |
Inventories |  |  | — |  |  |  | — |  |  |  | 1,143 |  |  |  | 534 |  |  |  | — |  |  |  | 1,677 |
Other |  |  | — |  |  |  | — |  |  |  | 728 |  |  |  | 568 |  |  |  | — |  |  |  | 1,296 |
|  |  | — |  |  |  | — |  |  |  | 5,922 |  |  |  | 4,469 |  |  |  | — |  |  |  | 10,391 |
Property and equipment, net |  |  | — |  |  |  | — |  |  |  | 11,632 |  |  |  | 6,492 |  |  |  | — |  |  |  | 18,124 |
Investments of insurance subsidiaries |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 417 |  |  |  | — |  |  |  | 417 |
Investments in and advances to affiliates |  |  | 30,752 |  |  |  | — |  |  |  | 31 |  |  |  | 200 |  |  |  | (30,752 | ) |  |  | 231 |
Goodwill and other intangible assets |  |  | — |  |  |  | — |  |  |  | 5,438 |  |  |  | 2,033 |  |  |  | — |  |  |  | 7,471 |
Other |  |  | 437 |  |  |  | 85 |  |  |  | 30 |  |  |  | 113 |  |  |  | — |  |  |  | 665 |
|  | $ | 31,189 |  |  | $ | 85 |  |  | $ | 23,053 |  |  | $ | 13,724 |  |  | $ | (30,752 | ) |  | $ | 37,299 |
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts payable |  | $ | — |  |  | $ | — |  |  | $ | 1,776 |  |  | $ | 762 |  |  | $ | — |  |  | $ | 2,538 |
Accrued salaries |  |  | — |  |  |  | — |  |  |  | 779 |  |  |  | 459 |  |  |  | — |  |  |  | 1,238 |
Other accrued expenses |  |  | 190 |  |  |  | 281 |  |  |  | 545 |  |  |  | 989 |  |  |  | — |  |  |  | 2,005 |
Long-term debt due within one year |  |  | — |  |  |  | 1,597 |  |  |  | 63 |  |  |  | 37 |  |  |  | — |  |  |  | 1,697 |
|  |  | 190 |  |  |  | 1,878 |  |  |  | 3,163 |  |  |  | 2,247 |  |  |  | — |  |  |  | 7,478 |
Long-term debt, net |  |  | 995 |  |  |  | 30,125 |  |  |  | 293 |  |  |  | 181 |  |  |  | — |  |  |  | 31,594 |
Intercompany balances |  |  | 35,687 |  |  |  | (9,253 | ) |  |  | (25,158 | ) |  |  | (1,276 | ) |  |  | — |  |  |  | — |
Professional liability risks |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1,244 |  |  |  | — |  |  |  | 1,244 |
Income taxes and other liabilities |  |  | 561 |  |  |  | — |  |  |  | 379 |  |  |  | 477 |  |  |  | — |  |  |  | 1,417 |
|  |  | 37,433 |  |  |  | 22,750 |  |  |  | (21,323) |  |  |  | 2,873 |  |  |  | — |  |  |  | 41,733 |
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc. |  |  | (6,244 | ) |  |  | (22,665 | ) |  |  | 44,301 |  |  |  | 9,116 |  |  |  | (30,752 | ) |  |  | (6,244 | )
Noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 75 |  |  |  | 1,735 |  |  |  | — |  |  |  | 1,810 |
|  |  | (6,244 | ) |  |  | (22,665 | ) |  |  | 44,376 |  |  |  | 10,851 |  |  |  | (30,752 | ) |  |  | (4,434 | )
|  | $ | 31,189 |  |  | $ | 85 |  |  | $ | 23,053 |  |  | $ | 13,724 |  |  | $ | (30,752 | ) |  | $ | 37,299 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING BALANCE SHEET DECEMBER 31, 2017 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
ASSETS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  | $ | 1 |  |  | $ | — |  |  | $ | 112 |  |  | $ | 619 |  |  | $ | — |  |  | $ | 732 |
Accounts receivable |  |  | — |  |  |  | — |  |  |  | 3,693 |  |  |  | 2,808 |  |  |  | — |  |  |  | 6,501 |
Inventories |  |  | — |  |  |  | — |  |  |  | 1,030 |  |  |  | 543 |  |  |  | — |  |  |  | 1,573 |
Other |  |  | — |  |  |  | — |  |  |  | 663 |  |  |  | 508 |  |  |  | — |  |  |  | 1,171 |
|  |  | 1 |  |  |  | — |  |  |  | 5,498 |  |  |  | 4,478 |  |  |  | — |  |  |  | 9,977 |
Property and equipment, net |  |  | — |  |  |  | — |  |  |  | 11,110 |  |  |  | 6,785 |  |  |  | — |  |  |  | 17,895 |
Investments of insurance subsidiaries |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 418 |  |  |  | — |  |  |  | 418 |
Investments in and advances to affiliates |  |  | 29,581 |  |  |  | — |  |  |  | 22 |  |  |  | 177 |  |  |  | (29,581 | ) |  |  | 199 |
Goodwill and other intangible assets |  |  | — |  |  |  | — |  |  |  | 4,893 |  |  |  | 2,501 |  |  |  | — |  |  |  | 7,394 |
Other |  |  | 510 |  |  |  | 50 |  |  |  | 47 |  |  |  | 103 |  |  |  | — |  |  |  | 710 |
|  | $ | 30,092 |  |  | $ | 50 |  |  | $ | 21,570 |  |  | $ | 14,462 |  |  | $ | (29,581 | ) |  | $ | 36,593 |
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts payable |  | $ | — |  |  | $ | — |  |  | $ | 1,793 |  |  | $ | 813 |  |  | $ | — |  |  | $ | 2,606 |
Accrued salaries |  |  | — |  |  |  | — |  |  |  | 862 |  |  |  | 507 |  |  |  | — |  |  |  | 1,369 |
Other accrued expenses |  |  | 29 |  |  |  | 378 |  |  |  | 536 |  |  |  | 1,040 |  |  |  | — |  |  |  | 1,983 |
Long-term debt due within one year |  |  | — |  |  |  | 97 |  |  |  | 64 |  |  |  | 39 |  |  |  | — |  |  |  | 200 |
|  |  | 29 |  |  |  | 475 |  |  |  | 3,255 |  |  |  | 2,399 |  |  |  | — |  |  |  | 6,158 |
Long-term debt, net |  |  | 995 |  |  |  | 31,367 |  |  |  | 307 |  |  |  | 189 |  |  |  | — |  |  |  | 32,858 |
Intercompany balances |  |  | 35,322 |  |  |  | (9,742 | ) |  |  | (25,228 | ) |  |  | (352 | ) |  |  | — |  |  |  | — |
Professional liability risks |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1,198 |  |  |  | — |  |  |  | 1,198 |
Income taxes and other liabilities |  |  | 552 |  |  |  | — |  |  |  | 357 |  |  |  | 465 |  |  |  | — |  |  |  | 1,374 |
|  |  | 36,898 |  |  |  | 22,100 |  |  |  | (21,309 | ) |  |  | 3,899 |  |  |  | — |  |  |  | 41,588 |
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc. |  |  | (6,806 | ) |  |  | (22,050 | ) |  |  | 42,755 |  |  |  | 8,876 |  |  |  | (29,581 | ) |  |  | (6,806 | )
Noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 124 |  |  |  | 1,687 |  |  |  | — |  |  |  | 1,811 |
|  |  | (6,806 | ) |  |  | (22,050 | ) |  |  | 42,879 |  |  |  | 10,563 |  |  |  | (29,581 | ) |  |  | (4,995 | )
|  | $ | 30,092 |  |  | $ | 50 |  |  | $ | 21,570 |  |  | $ | 14,462 |  |  | $ | (29,581 | ) |  | $ | 36,593 |
Schedule of Condensed Consolidating Statement of Cash Flows | HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS FOR THE QUARTER ENDED MARCH 31, 2018 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
Cash flows from operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  | $ | 1,144 |  |  | $ | (642 | ) |  | $ | 1,570 |  |  | $ | 300 |  |  | $ | (1,090 | ) |  | $ | 1,282 |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Changes in operating assets and liabilities |  |  | (15 | ) |  |  | (99 | ) |  |  | (347 | ) |  |  | (7 | ) |  |  | — |  |  |  | (468 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 323 |  |  |  | 230 |  |  |  | — |  |  |  | 553 |
Income taxes |  |  | 246 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 246 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (395 | ) |  |  | (10 | ) |  |  | — |  |  |  | (405 | )
Amortization of debt issuance costs |  |  | — |  |  |  | 8 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 8 |
Share-based compensation |  |  | — |  |  |  | — |  |  |  | 60 |  |  |  | — |  |  |  | — |  |  |  | 60 |
Equity in earnings of affiliates |  |  | (1,090 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1,090 |  |  |  | — |
Other |  |  | 21 |  |  |  | — |  |  |  | — |  |  |  | 3 |  |  |  | — |  |  |  | 24 |
Net cash provided by (used in) operating activities |  |  | 306 |  |  |  | (733 | ) |  |  | 1,211 |  |  |  | 516 |  |  |  | — |  |  |  | 1,300 |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Purchase of property and equipment |  |  | — |  |  |  | — |  |  |  | (413 | ) |  |  | (281 | ) |  |  | — |  |  |  | (694 | )
Acquisition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | (373 | ) |  |  | (6 | ) |  |  | — |  |  |  | (379 | )
Disposition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | 767 |  |  |  | — |  |  |  | — |  |  |  | 767 |
Change in investments |  |  | — |  |  |  | — |  |  |  | 13 |  |  |  | (2 | ) |  |  | — |  |  |  | 11 |
Other |  |  | — |  |  |  | — |  |  |  | (48 | ) |  |  | 8 |  |  |  | — |  |  |  | (40 | )
Net cash used in investing activities |  |  | — |  |  |  | — |  |  |  | (54 | ) |  |  | (281 | ) |  |  | — |  |  |  | (335 | )
Cash flows from financing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net change in revolving credit facilities |  |  | — |  |  |  | 270 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 270 |
Repayment of long-term debt |  |  | — |  |  |  | (18 | ) |  |  | (22 | ) |  |  | (10 | ) |  |  | — |  |  |  | (50 | )
Distributions to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | (24 | ) |  |  | (68 | ) |  |  | — |  |  |  | (92 | )
Payment of debt issuance costs |  |  | — |  |  |  | (2) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (2 | )
Payment of cash dividends |  |  | (123 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (123 | )
Repurchases of common stock |  |  | (423 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (423 | )
Changes in intercompany balances with affiliates, net |  |  | 434 |  |  |  | 483 |  |  |  | (919 | ) |  |  | 2 |  |  |  | — |  |  |  | — |
Other |  |  | (195 | ) |  |  | — |  |  |  | — |  |  |  | 4 |  |  |  | — |  |  |  | (191 | )
Net cash (used in) provided by financing activities |  |  | (307 | ) |  |  | 733 |  |  |  | (965 | ) |  |  | (72 | ) |  |  | — |  |  |  | (611 | )
Change in cash and cash equivalents |  |  | (1 | ) |  |  | — |  |  |  | 192 |  |  |  | 163 |  |  |  | — |  |  |  | 354 |
Cash and cash equivalents at beginning of period |  |  | 1 |  |  |  | — |  |  |  | 112 |  |  |  | 619 |  |  |  | — |  |  |  | 732 |
Cash and cash equivalents at end of period |  | $ | — |  |  | $ | — |  |  | $ | 304 |  |  | $ | 782 |  |  | $ | — |  |  | $ | 1,086 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS FOR THE QUARTER ENDED MARCH 31, 2017 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors (as adjusted) |  |  | Subsidiary Non- Guarantors (as adjusted) |  |  | Eliminations |  |  | Condensed Consolidated |
Cash flows from operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  | $ | 659 |  |  | $ | (463 | ) |  | $ | 922 |  |  | $ | 267 |  |  | $ | (608 | ) |  | $ | 777 |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Changes in operating assets and liabilities |  |  | (15 | ) |  |  | (295 | ) |  |  | (199 | ) |  |  | 89 |  |  |  | — |  |  |  | (420 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 310 |  |  |  | 211 |  |  |  | — |  |  |  | 521 |
Income taxes |  |  | 292 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 292 |
Losses (gains) on sales of facilities |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | (2 | ) |  |  | — |  |  |  | (1 | )
Amortization of debt issuance costs |  |  | — |  |  |  | 8 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 8 |
Share-based compensation |  |  | — |  |  |  | — |  |  |  | 73 |  |  |  | — |  |  |  | — |  |  |  | 73 |
Equity in earnings of affiliates |  |  | (608 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 608 |  |  |  | — |
Other |  |  | 19 |  |  |  | — |  |  |  | 1 |  |  |  | 10 |  |  |  | — |  |  |  | 30 |
Net cash provided by (used in) operating activities |  |  | 347 |  |  |  | (750 | ) |  |  | 1,108 |  |  |  | 575 |  |  |  | — |  |  |  | 1,280 |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Purchase of property and equipment |  |  | — |  |  |  | — |  |  |  | (312 | ) |  |  | (259 | ) |  |  | — |  |  |  | (571 | )
Acquisition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | (5 | ) |  |  | (85 | ) |  |  | — |  |  |  | (90 | )
Disposition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | 4 |  |  |  | — |  |  |  | — |  |  |  | 4 |
Change in investments |  |  | — |  |  |  | — |  |  |  | 2 |  |  |  | (21 | ) |  |  | — |  |  |  | (19 | )
Other |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | 6 |  |  |  | — |  |  |  | 7 |
Net cash used in investing activities |  |  | — |  |  |  | — |  |  |  | (310 | ) |  |  | (359 | ) |  |  | — |  |  |  | (669 | )
Cash flows from financing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net change in revolving credit facilities |  |  | — |  |  |  | 160 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 160 |
Repayment of long-term debt |  |  | — |  |  |  | (18 | ) |  |  | (13 | ) |  |  | (12 | ) |  |  | — |  |  |  | (43 | )
Distributions to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | (57 | ) |  |  | (88 | ) |  |  | — |  |  |  | (145 | )
Payment of debt issuance costs |  |  | — |  |  |  | (2 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (2 | )
Repurchases of common stock |  |  | (424 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (424 | )
Changes in intercompany balances with affiliates, net |  |  | 134 |  |  |  | 610 |  |  |  | (656 | ) |  |  | (88 | ) |  |  | — |  |  |  | — |
Other |  |  | (57 | ) |  |  | — |  |  |  | — |  |  |  | 7 |  |  |  | — |  |  |  | (50 | )
Net cash (used in) provided by financing activities |  |  | (347 | ) |  |  | 750 |  |  |  | (726 | ) |  |  | (181 | ) |  |  | — |  |  |  | (504 | )
Change in cash and cash equivalents |  |  | — |  |  |  | — |  |  |  | 72 |  |  |  | 35 |  |  |  | — |  |  |  | 107 |
Cash and cash equivalents at beginning of period |  |  | — |  |  |  | — |  |  |  | 113 |  |  |  | 533 |  |  |  | — |  |  |  | 646 |
Cash and cash equivalents at end of period |  | $ | — |  |  | $ | — |  |  | $ | 185 |  |  | $ | 568 |  |  | $ | — |  |  | $ | 753 |
Summary of Restatement Adjustments to Financial Statements | The application of these adjustments to the consolidating information for the quarter ended March 31, 2017 is summarized as follows (dollars in millions):
|  | As Previously Reported |  |  | Adjustment |  |  | As Adjusted |
Quarter ended March 31, 2017 |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) attributable to HCA Healthcare, Inc.: |  |  |  |  |  |  |  |  |  |  |  |
HCA Healthcare, Inc. Issuer |  | $ | 659 |  |  | $ | — |  |  | $ | 659 |
HCA Inc. Issuer |  |  | (463 | ) |  |  | — |  |  |  | (463 | )
Subsidiary Guarantors |  |  | 818 |  |  |  | 81 |  |  |  | 899 |
Subsidiary Non-Guarantors |  |  | 253 |  |  |  | (81 | ) |  |  | 172 |
Eliminations |  |  | (608 | ) |  |  | — |  |  |  | (608 | )
Condensed Consolidated |  | $ | 659 |  |  | $ | — |  |  | $ | 659 |
|  | As Previously Reported |  |  | Adjustment |  |  | As Adjusted |
Quarter ended March 31, 2017 |  |  |  |  |  |  |  |  |  |  |  |
Net cash provided (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |
HCA Healthcare, Inc. Issuer |  | $ | 347 |  |  | $ | — |  |  | $ | 347 |
HCA Inc. Issuer |  |  | (750 | ) |  |  | — |  |  |  | (750 | )
Subsidiary Guarantors |  |  | 983 |  |  |  | 125 |  |  |  | 1,108 |
Subsidiary Non-Guarantors |  |  | 700 |  |  |  | (125 | ) |  |  | 575 |
Eliminations |  |  | — |  |  |  | — |  |  |  | — |
Condensed Consolidated |  | $ | 1,280 |  |  | $ | — |  |  | $ | 1,280 |

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