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Capital Structure (Tables)
3 Months Ended
Mar. 31, 2018
Text Block [Abstract]  
Schedule of Changes in Stockholders' Deficit and Equity

The changes in stockholders’ deficit, including changes in stockholders’ deficit attributable to HCA Healthcare, Inc. and changes in equity attributable to noncontrolling interests, are as follows (dollars and shares in millions):

 

    Equity (Deficit) Attributable to HCA Healthcare, Inc.     Equity
Attributable to
Noncontrolling
Interests
    Total  
    Common Stock     Capital in
Excess of
Par
Value
    Accumulated
Other
Comprehensive
Loss
    Retained
Deficit
     
    Shares     Par Value            

Balances at December 31, 2017

    350.092     $ 4     $     $ (278   $ (6,532   $ 1,811     $ (4,995

Comprehensive income

                      81       1,144       138       1,363  

Repurchase of common stock

    (4.370                       (423           (423

Dividends and distributions

                            (126     (92     (218

Share-based benefit plans

    5.265                         (114           (114

Dispositions of entities with noncontrolling interests

                                  (53     (53

Other

                                  6       6  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balances at March 31, 2018

    350.987     $ 4     $  —     $ (197   $ (6,051   $  1,810     $ (4,434
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
Components of Accumulated Other Comprehensive Loss

The components of accumulated other comprehensive loss are as follows (dollars in millions):

 

     Unrealized
Gains on
Available-
for-Sale
Securities
    Foreign
Currency
Translation
Adjustments
    Defined
Benefit
Plans
    Change
in Fair
Value of
Derivative
Instruments
     Total  

Balances at December 31, 2017

   $ 7     $ (149   $ (168   $ 32      $ (278

Unrealized losses on available-for-sale securities, net of $1 income tax benefit

     (4                        (4

Foreign currency translation adjustments

           54                    54  

Change in fair value of derivative instruments, net of $8 of income taxes

                       27        27  

Expense reclassified into operations from other comprehensive income, net of $1 income tax benefit

                 4              4  
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Balances at March 31, 2018

   $ 3     $ (95   $ (164   $ 59      $ (197