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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)