XML 64 R54.htm IDEA: XBRL DOCUMENT v3.8.0.1
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