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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
--- | ---
Mar. 31, 2018 | Mar. 31, 2017
Condensed Statement of Income Captions [Line Items] |  |
Revenues | $ 11,423 | $ 10,623
Salaries and benefits | 5,289 | 4,901
Supplies | 1,915 | 1,797
Other operating expenses | 2,110 | 1,930
Equity in earnings of affiliates | (9) | (10)
Depreciation and amortization | 553 | 521
Interest expense | 431 | 419
Losses (gains) on sales of facilities | (405) | (1)
Total expenses including equity in earnings of affiliates | 9,884 | 9,557
Income (loss) before income taxes | 1,539 | 1,066
Provision (benefit) for income taxes | 257 | 289
Net income (loss) | 1,282 | 777
Net income attributable to noncontrolling interests | 138 | 118
Net income (loss) attributable to HCA Healthcare, Inc. | 1,144 | 659
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | 1,225 | 677
HCA Healthcare, Inc. Issuer [Member] |  |
Condensed Statement of Income Captions [Line Items] |  |
Other operating expenses | 1 | 1
Equity in earnings of affiliates | (1,090) | (608)
Interest expense | 16 | 16
Total expenses including equity in earnings of affiliates | (1,073) | (591)
Income (loss) before income taxes | 1,073 | 591
Provision (benefit) for income taxes | (71) | (68)
Net income (loss) | 1,144 | 659
Net income (loss) attributable to HCA Healthcare, Inc. | 1,144 | 659
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | 1,225 | 677
HCA Inc. Issuer [Member] |  |
Condensed Statement of Income Captions [Line Items] |  |
Interest expense | 837 | 733
Total expenses including equity in earnings of affiliates | 837 | 733
Income (loss) before income taxes | (837) | (733)
Provision (benefit) for income taxes | (195) | (270)
Net income (loss) | (642) | (463)
Net income (loss) attributable to HCA Healthcare, Inc. | (642) | (463)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | (615) | (456)
Subsidiary Guarantors [Member] |  |
Condensed Statement of Income Captions [Line Items] |  |
Revenues | 6,776 | 6,336
Salaries and benefits | 3,069 | 2,904
Supplies | 1,141 | 1,075
Other operating expenses | 1,128 | 1,050
Equity in earnings of affiliates | (2) | (2)
Depreciation and amortization | 323 | 310
Interest expense | (367) | (290)
Losses (gains) on sales of facilities | (395) | 1
Management fees | (158) | (160)
Total expenses including equity in earnings of affiliates | 4,739 | 4,888
Income (loss) before income taxes | 2,037 | 1,448
Provision (benefit) for income taxes | 467 | 526
Net income (loss) | 1,570 | 922
Net income attributable to noncontrolling interests | 28 | 23
Net income (loss) attributable to HCA Healthcare, Inc. | 1,542 | 899
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | 1,546 | 902
Subsidiary Non-Guarantors [Member] |  |
Condensed Statement of Income Captions [Line Items] |  |
Revenues | 4,647 | 4,287
Salaries and benefits | 2,220 | 1,997
Supplies | 774 | 722
Other operating expenses | 981 | 879
Equity in earnings of affiliates | (7) | (8)
Depreciation and amortization | 230 | 211
Interest expense | (55) | (40)
Losses (gains) on sales of facilities | (10) | (2)
Management fees | 158 | 160
Total expenses including equity in earnings of affiliates | 4,291 | 3,919
Income (loss) before income taxes | 356 | 368
Provision (benefit) for income taxes | 56 | 101
Net income (loss) | 300 | 267
Net income attributable to noncontrolling interests | 110 | 95
Net income (loss) attributable to HCA Healthcare, Inc. | 190 | 172
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | 240 | 180
Eliminations [Member] |  |
Condensed Statement of Income Captions [Line Items] |  |
Equity in earnings of affiliates | 1,090 | 608
Total expenses including equity in earnings of affiliates | 1,090 | 608
Income (loss) before income taxes | (1,090) | (608)
Net income (loss) | (1,090) | (608)
Net income (loss) attributable to HCA Healthcare, Inc. | (1,090) | (608)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. | $ (1,171) | $ (626)

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