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Supplemental Condensed Consolidating Financial Information (Tables) | 9 Months Ended
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Sep. 30, 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 SEPTEMBER 30, 2018 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 6,747 |  |  | $ | 4,704 |  |  | $ | — |  |  | $ | 11,451 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 3,090 |  |  |  | 2,287 |  |  |  | — |  |  |  | 5,377 |
Supplies |  |  | — |  |  |  | — |  |  |  | 1,115 |  |  |  | 775 |  |  |  | — |  |  |  | 1,890 |
Other operating expenses |  |  | 2 |  |  |  | — |  |  |  | 1,137 |  |  |  | 958 |  |  |  | — |  |  |  | 2,097 |
Equity in earnings of affiliates |  |  | (728 | ) |  |  | — |  |  |  | (2 | ) |  |  | (7 | ) |  |  | 728 |  |  |  | (9 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 340 |  |  |  | 242 |  |  |  | — |  |  |  | 582 |
Interest expense (income) |  |  | 16 |  |  |  | 913 |  |  |  | (423 | ) |  |  | (64 | ) |  |  | — |  |  |  | 442 |
Losses (gains) on sales of facilities |  |  | — |  |  |  | — |  |  |  | (6 | ) |  |  | — |  |  |  | — |  |  |  | (6 | )
Losses on retirement of debt |  |  | — |  |  |  | 9 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 9 |
Management fees |  |  | — |  |  |  | — |  |  |  | (158 | ) |  |  | 158 |  |  |  | — |  |  |  | — |
|  |  | (710 | ) |  |  | 922 |  |  |  | 5,093 |  |  |  | 4,349 |  |  |  | 728 |  |  |  | 10,382 |
Income (loss) before income taxes |  |  | 710 |  |  |  | (922 | ) |  |  | 1,654 |  |  |  | 355 |  |  |  | (728 | ) |  |  | 1,069 |
Provision (benefit) for income taxes |  |  | (49 | ) |  |  | (214 | ) |  |  | 379 |  |  |  | 57 |  |  |  | — |  |  |  | 173 |
Net income (loss) |  |  | 759 |  |  |  | (708 | ) |  |  | 1,275 |  |  |  | 298 |  |  |  | (728 | ) |  |  | 896 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 22 |  |  |  | 115 |  |  |  | — |  |  |  | 137 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 759 |  |  | $ | (708 | ) |  | $ | 1,253 |  |  | $ | 183 |  |  | $ | (728 | ) |  | $ | 759 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 754 |  |  | $ | (703 | ) |  | $ | 1,258 |  |  | $ | 168 |  |  | $ | (723 | ) |  | $ | 754 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT FOR THE QUARTER ENDED SEPTEMBER 30, 2017 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors (as adjusted) |  |  | Subsidiary Non- Guarantors (as adjusted) |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 6,303 |  |  | $ | 4,393 |  |  | $ | — |  |  | $ | 10,696 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 2,915 |  |  |  | 2,166 |  |  |  | — |  |  |  | 5,081 |
Supplies |  |  | — |  |  |  | — |  |  |  | 1,033 |  |  |  | 744 |  |  |  | — |  |  |  | 1,777 |
Other operating expenses |  |  | — |  |  |  | — |  |  |  | 1,093 |  |  |  | 982 |  |  |  | — |  |  |  | 2,075 |
Equity in earnings of affiliates |  |  | (436 | ) |  |  | — |  |  |  | (1 | ) |  |  | (12 | ) |  |  | 436 |  |  |  | (13 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 311 |  |  |  | 228 |  |  |  | — |  |  |  | 539 |
Interest expense (income) |  |  | 16 |  |  |  | 792 |  |  |  | (342 | ) |  |  | (39 | ) |  |  | — |  |  |  | 427 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (3 | ) |  |  | (4 | ) |  |  | — |  |  |  | (7 | )
Losses on retirement of debt |  |  | — |  |  |  | 39 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 39 |
Management fees |  |  | — |  |  |  | — |  |  |  | (159 | ) |  |  | 159 |  |  |  | — |  |  |  | — |
|  |  | (420 | ) |  |  | 831 |  |  |  | 4,847 |  |  |  | 4,224 |  |  |  | 436 |  |  |  | 9,918 |
Income (loss) before income taxes |  |  | 420 |  |  |  | (831 | ) |  |  | 1,456 |  |  |  | 169 |  |  |  | (436 | ) |  |  | 778 |
Provision (benefit) for income taxes |  |  | (6 | ) |  |  | (307 | ) |  |  | 528 |  |  |  | 33 |  |  |  | — |  |  |  | 248 |
Net income (loss) |  |  | 426 |  |  |  | (524 | ) |  |  | 928 |  |  |  | 136 |  |  |  | (436 | ) |  |  | 530 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 24 |  |  |  | 80 |  |  |  | — |  |  |  | 104 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 426 |  |  | $ | (524 | ) |  | $ | 904 |  |  | $ | 56 |  |  | $ | (436 | ) |  | $ | 426 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 451 |  |  | $ | (522 | ) |  | $ | 907 |  |  | $ | 76 |  |  | $ | (461 | ) |  | $ | 451 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors |  |  | Subsidiary Non- Guarantors |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 20,297 |  |  | $ | 14,106 |  |  | $ | — |  |  | $ | 34,403 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 9,184 |  |  |  | 6,756 |  |  |  | — |  |  |  | 15,940 |
Supplies |  |  | — |  |  |  | — |  |  |  | 3,383 |  |  |  | 2,339 |  |  |  | — |  |  |  | 5,722 |
Other operating expenses |  |  | 7 |  |  |  | — |  |  |  | 3,387 |  |  |  | 2,931 |  |  |  | — |  |  |  | 6,325 |
Equity in earnings of affiliates |  |  | (2,670 | ) |  |  | — |  |  |  | (5 | ) |  |  | (20 | ) |  |  | 2,670 |  |  |  | (25 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 992 |  |  |  | 705 |  |  |  | — |  |  |  | 1,697 |
Interest expense (income) |  |  | 48 |  |  |  | 2,617 |  |  |  | (1,179 | ) |  |  | (177 | ) |  |  | — |  |  |  | 1,309 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (378 | ) |  |  | (42 | ) |  |  | — |  |  |  | (420 | )
Losses on retirement of debt |  |  | — |  |  |  | 9 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 9 |
Management fees |  |  | — |  |  |  | — |  |  |  | (473 | ) |  |  | 473 |  |  |  | — |  |  |  | — |
|  |  | (2,615 | ) |  |  | 2,626 |  |  |  | 14,911 |  |  |  | 12,965 |  |  |  | 2,670 |  |  |  | 30,557 |
Income (loss) before income taxes |  |  | 2,615 |  |  |  | (2,626 | ) |  |  | 5,386 |  |  |  | 1,141 |  |  |  | (2,670 | ) |  |  | 3,846 |
Provision (benefit) for income taxes |  |  | (108 | ) |  |  | (610 | ) |  |  | 1,235 |  |  |  | 185 |  |  |  | — |  |  |  | 702 |
Net income (loss) |  |  | 2,723 |  |  |  | (2,016 | ) |  |  | 4,151 |  |  |  | 956 |  |  |  | (2,670 | ) |  |  | 3,144 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 72 |  |  |  | 349 |  |  |  | — |  |  |  | 421 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 2,723 |  |  | $ | (2,016 | ) |  | $ | 4,079 |  |  | $ | 607 |  |  | $ | (2,670 | ) |  | $ | 2,723 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 2,735 |  |  | $ | (1,974 | ) |  | $ | 4,091 |  |  | $ | 565 |  |  | $ | (2,682 | ) |  | $ | 2,735 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017 (Dollars in millions)
|  | HCA Healthcare, Inc. Issuer |  |  | HCA Inc. Issuer |  |  | Subsidiary Guarantors (as adjusted) |  |  | Subsidiary Non- Guarantors (as adjusted) |  |  | Eliminations |  |  | Condensed Consolidated |
Revenues |  | $ | — |  |  | $ | — |  |  | $ | 19,008 |  |  | $ | 13,044 |  |  | $ | — |  |  | $ | 32,052 |
Salaries and benefits |  |  | — |  |  |  | — |  |  |  | 8,689 |  |  |  | 6,189 |  |  |  | — |  |  |  | 14,878 |
Supplies |  |  | — |  |  |  | — |  |  |  | 3,163 |  |  |  | 2,206 |  |  |  | — |  |  |  | 5,369 |
Other operating expenses |  |  | 5 |  |  |  | — |  |  |  | 3,207 |  |  |  | 2,758 |  |  |  | — |  |  |  | 5,970 |
Equity in earnings of affiliates |  |  | (1,702 | ) |  |  | — |  |  |  | (4 | ) |  |  | (32 | ) |  |  | 1,702 |  |  |  | (36 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 923 |  |  |  | 658 |  |  |  | — |  |  |  | 1,581 |
Interest expense (income) |  |  | 48 |  |  |  | 2,280 |  |  |  | (947 | ) |  |  | (124 | ) |  |  | — |  |  |  | 1,257 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (6 | ) |  |  | (4 | ) |  |  | — |  |  |  | (10 | )
Losses on retirement of debt |  |  | — |  |  |  | 39 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 39 |
Management fees |  |  | — |  |  |  | — |  |  |  | (479 | ) |  |  | 479 |  |  |  | — |  |  |  | — |
|  |  | (1,649 | ) |  |  | 2,319 |  |  |  | 14,546 |  |  |  | 12,130 |  |  |  | 1,702 |  |  |  | 29,048 |
Income (loss) before income taxes |  |  | 1,649 |  |  |  | (2,319 | ) |  |  | 4,462 |  |  |  | 914 |  |  |  | (1,702 | ) |  |  | 3,004 |
Provision (benefit) for income taxes |  |  | (93 | ) |  |  | (856 | ) |  |  | 1,619 |  |  |  | 232 |  |  |  | — |  |  |  | 902 |
Net income (loss) |  |  | 1,742 |  |  |  | (1,463 | ) |  |  | 2,843 |  |  |  | 682 |  |  |  | (1,702 | ) |  |  | 2,102 |
Net income attributable to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 74 |  |  |  | 286 |  |  |  | — |  |  |  | 360 |
Net income (loss) attributable to HCA Healthcare, Inc. |  | $ | 1,742 |  |  | $ | (1,463 | ) |  | $ | 2,769 |  |  | $ | 396 |  |  | $ | (1,702 | ) |  | $ | 1,742 |
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  | $ | 1,812 |  |  | $ | (1,458 | ) |  | $ | 2,778 |  |  | $ | 452 |  |  | $ | (1,772 | ) |  | $ | 1,812 |
Schedule of Condensed Consolidating Balance Sheet | HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING BALANCE SHEET SEPTEMBER 30, 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 |  | $ | — |  |  | $ | — |  |  | $ | 105 |  |  | $ | 473 |  |  | $ | — |  |  | $ | 578 |
Accounts receivable |  |  | — |  |  |  | — |  |  |  | 3,854 |  |  |  | 2,678 |  |  |  | — |  |  |  | 6,532 |
Inventories |  |  | — |  |  |  | — |  |  |  | 1,088 |  |  |  | 546 |  |  |  | — |  |  |  | 1,634 |
Other |  |  | 47 |  |  |  | — |  |  |  | 667 |  |  |  | 552 |  |  |  | — |  |  |  | 1,266 |
|  |  | 47 |  |  |  | — |  |  |  | 5,714 |  |  |  | 4,249 |  |  |  | — |  |  |  | 10,010 |
Property and equipment, net |  |  | — |  |  |  | — |  |  |  | 12,192 |  |  |  | 6,849 |  |  |  | — |  |  |  | 19,041 |
Investments of insurance subsidiaries |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 367 |  |  |  | — |  |  |  | 367 |
Investments in and advances to affiliates |  |  | 32,263 |  |  |  | — |  |  |  | 29 |  |  |  | 209 |  |  |  | (32,263 | ) |  |  | 238 |
Goodwill and other intangible assets |  |  | — |  |  |  | — |  |  |  | 5,736 |  |  |  | 2,023 |  |  |  | — |  |  |  | 7,759 |
Other |  |  | 389 |  |  |  | 106 |  |  |  | 29 |  |  |  | 105 |  |  |  | — |  |  |  | 629 |
|  | $ | 32,699 |  |  | $ | 106 |  |  | $ | 23,700 |  |  | $ | 13,802 |  |  | $ | (32,263 | ) |  | $ | 38,044 |
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts payable |  | $ | — |  |  | $ | — |  |  | $ | 1,627 |  |  | $ | 787 |  |  | $ | — |  |  | $ | 2,414 |
Accrued salaries |  |  | — |  |  |  | — |  |  |  | 914 |  |  |  | 542 |  |  |  | — |  |  |  | 1,456 |
Other accrued expenses |  |  | 10 |  |  |  | 296 |  |  |  | 790 |  |  |  | 1,074 |  |  |  | — |  |  |  | 2,170 |
Long-term debt due within one year |  |  | — |  |  |  | 97 |  |  |  | 61 |  |  |  | 33 |  |  |  | — |  |  |  | 191 |
|  |  | 10 |  |  |  | 393 |  |  |  | 3,392 |  |  |  | 2,436 |  |  |  | — |  |  |  | 6,231 |
Long-term debt, net |  |  | 996 |  |  |  | 31,471 |  |  |  | 281 |  |  |  | 168 |  |  |  | — |  |  |  | 32,916 |
Intercompany balances |  |  | 36,790 |  |  |  | (7,734 | ) |  |  | (27,263 | ) |  |  | (1,793 | ) |  |  | — |  |  |  | — |
Professional liability risks |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1,239 |  |  |  | — |  |  |  | 1,239 |
Income taxes and other liabilities |  |  | 508 |  |  |  | — |  |  |  | 364 |  |  |  | 516 |  |  |  | — |  |  |  | 1,388 |
|  |  | 38,304 |  |  |  | 24,130 |  |  |  | (23,226 | ) |  |  | 2,566 |  |  |  | — |  |  |  | 41,774 |
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc. |  |  | (5,605 | ) |  |  | (24,024 | ) |  |  | 46,846 |  |  |  | 9,441 |  |  |  | (32,263 | ) |  |  | (5,605 | )
Noncontrolling interests |  |  | — |  |  |  | — |  |  |  | 80 |  |  |  | 1,795 |  |  |  | — |  |  |  | 1,875 |
|  |  | (5,605 | ) |  |  | (24,024 | ) |  |  | 46,926 |  |  |  | 11,236 |  |  |  | (32,263 | ) |  |  | (3,730 | )
|  | $ | 32,699 |  |  | $ | 106 |  |  | $ | 23,700 |  |  | $ | 13,802 |  |  | $ | (32,263 | ) |  | $ | 38,044 |
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 NINE MONTHS ENDED SEPTEMBER 30, 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) |  | $ | 2,723 |  |  | $ | (2,016 | ) |  | $ | 4,151 |  |  | $ | 956 |  |  | $ | (2,670 | ) |  | $ | 3,144 |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Changes in operating assets and liabilities |  |  | (15 | ) |  |  | (83 | ) |  |  | (154 | ) |  |  | 105 |  |  |  | — |  |  |  | (147 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 992 |  |  |  | 705 |  |  |  | — |  |  |  | 1,697 |
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (378 | ) |  |  | (42 | ) |  |  | — |  |  |  | (420 | )
Losses on retirement of debt |  |  | — |  |  |  | 9 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 9 |
Amortization of debt issuance costs |  |  | — |  |  |  | 23 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 23 |
Share-based compensation |  |  | — |  |  |  | — |  |  |  | 204 |  |  |  | — |  |  |  | — |  |  |  | 204 |
Equity in earnings of affiliates |  |  | (2,670 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 2,670 |  |  |  | — |
Other |  |  | 67 |  |  |  | — |  |  |  | — |  |  |  | 9 |  |  |  | — |  |  |  | 76 |
Net cash provided by (used in) operating activities |  |  | 105 |  |  |  | (2,067 | ) |  |  | 4,815 |  |  |  | 1,733 |  |  |  | — |  |  |  | 4,586 |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Purchase of property and equipment |  |  | — |  |  |  | — |  |  |  | (1,425 | ) |  |  | (995 | ) |  |  | — |  |  |  | (2,420 | )
Acquisition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | (894 | ) |  |  | (162 | ) |  |  | — |  |  |  | (1,056 | )
Disposition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | 770 |  |  |  | 32 |  |  |  | — |  |  |  | 802 |
Change in investments |  |  | — |  |  |  | — |  |  |  | 19 |  |  |  | 46 |  |  |  | — |  |  |  | 65 |
Other |  |  | — |  |  |  | — |  |  |  | (18 | ) |  |  | 12 |  |  |  | — |  |  |  | (6 | )
Net cash used in investing activities |  |  | — |  |  |  | — |  |  |  | (1,548 | ) |  |  | (1,067 | ) |  |  | — |  |  |  | (2,615 | )
Cash flows from financing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of long-term debt |  |  | — |  |  |  | 2,000 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 2,000 |
Net change in revolving credit facilities |  |  | — |  |  |  | (330 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (330 | )
Repayment of long-term debt |  |  | — |  |  |  | (1,566 | ) |  |  | (44 | ) |  |  | (42 | ) |  |  | — |  |  |  | (1,652 | )
Distributions to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | (63 | ) |  |  | (252 | ) |  |  | — |  |  |  | (315 | )
Payment of debt issuance costs |  |  | — |  |  |  | (24 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (24 | )
Payment of cash dividends |  |  | (366 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (366 | )
Repurchases of common stock |  |  | (1,195 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (1,195 | )
Changes in intercompany balances with affiliates, net |  |  | 1,697 |  |  |  | 1,987 |  |  |  | (3,167 | ) |  |  | (517 | ) |  |  | — |  |  |  | — |
Other |  |  | (242 | ) |  |  | — |  |  |  | — |  |  |  | 10 |  |  |  | — |  |  |  | (232 | )
Net cash (used in) provided by financing activities |  |  | (106 | ) |  |  | 2,067 |  |  |  | (3,274 | ) |  |  | (801 | ) |  |  | — |  |  |  | (2,114 | )
Effect on exchange rate changes on cash and cash equivalents |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (11 | ) |  |  | — |  |  |  | (11 | )
Change in cash and cash equivalents |  |  | (1 | ) |  |  | — |  |  |  | (7 | ) |  |  | (146 | ) |  |  | — |  |  |  | (154 | )
Cash and cash equivalents at beginning of period |  |  | 1 |  |  |  | — |  |  |  | 112 |  |  |  | 619 |  |  |  | — |  |  |  | 732 |
Cash and cash equivalents at end of period |  | $ | — |  |  | $ | — |  |  | $ | 105 |  |  | $ | 473 |  |  | $ | — |  |  | $ | 578 |
HCA HEALTHCARE, INC. CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS FOR THE NINE MONTHS ENDED SEPTEMBER 30, 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) |  | $ | 1,742 |  |  | $ | (1,463 | ) |  | $ | 2,843 |  |  | $ | 682 |  |  | $ | (1,702 | ) |  | $ | 2,102 |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Changes in operating assets and liabilities |  |  | (15 | ) |  |  | (293 | ) |  |  | (191 | ) |  |  | 210 |  |  |  | — |  |  |  | (289 | )
Depreciation and amortization |  |  | — |  |  |  | — |  |  |  | 923 |  |  |  | 658 |  |  |  | — |  |  |  | 1,581 |
Income taxes |  |  | (9 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (9 | )
Gains on sales of facilities |  |  | — |  |  |  | — |  |  |  | (6 | ) |  |  | (4 | ) |  |  | — |  |  |  | (10 | )
Losses on retirement of debt |  |  | — |  |  |  | 39 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 39 |
Amortization of debt issuance costs |  |  | — |  |  |  | 23 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 23 |
Share-based compensation |  |  | — |  |  |  | — |  |  |  | 195 |  |  |  | — |  |  |  | — |  |  |  | 195 |
Equity in earnings of affiliates |  |  | (1,702 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1,702 |  |  |  | — |
Other |  |  | 58 |  |  |  | — |  |  |  | 2 |  |  |  | — |  |  |  | — |  |  |  | 60 |
Net cash provided by (used in) operating activities |  |  | 74 |  |  |  | (1,694 | ) |  |  | 3,766 |  |  |  | 1,546 |  |  |  | — |  |  |  | 3,692 |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Purchase of property and equipment |  |  | — |  |  |  | — |  |  |  | (1,161 | ) |  |  | (872 | ) |  |  | — |  |  |  | (2,033 | )
Acquisition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | (9 | ) |  |  | (1,133 | ) |  |  | — |  |  |  | (1,142 | )
Disposition of hospitals and health care entities |  |  | — |  |  |  | — |  |  |  | 12 |  |  |  | 12 |  |  |  | — |  |  |  | 24 |
Change in investments |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | (16 | ) |  |  | — |  |  |  | (15 | )
Other |  |  | — |  |  |  | — |  |  |  | (7 | ) |  |  | 1 |  |  |  | — |  |  |  | (6 | )
Net cash used in investing activities |  |  | — |  |  |  | — |  |  |  | (1,164 | ) |  |  | (2,008 | ) |  |  | — |  |  |  | (3,172 | )
Cash flows from financing activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of long-term debt |  |  | — |  |  |  | 1,500 |  |  |  | — |  |  |  | 2 |  |  |  | — |  |  |  | 1,502 |
Net change in revolving credit facilities |  |  | — |  |  |  | 650 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 650 |
Repayment of long-term debt |  |  | — |  |  |  | (604 | ) |  |  | (54 | ) |  |  | (42 | ) |  |  | — |  |  |  | (700 | )
Distributions to noncontrolling interests |  |  | — |  |  |  | — |  |  |  | (105 | ) |  |  | (258 | ) |  |  | — |  |  |  | (363 | )
Payment of debt issuance costs |  |  | — |  |  |  | (25 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (25 | )
Repurchases of common stock |  |  | (1,475 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (1,475 | )
Changes in intercompany balances with affiliates, net |  |  | 1,468 |  |  |  | 173 |  |  |  | (2,439 | ) |  |  | 798 |  |  |  | — |  |  |  | — |
Other |  |  | (66 | ) |  |  | — |  |  |  | 1 |  |  |  | 28 |  |  |  | — |  |  |  | (37 | )
Net cash (used in) provided by financing activities |  |  | (73 | ) |  |  | 1,694 |  |  |  | (2,597 | ) |  |  | 528 |  |  |  | — |  |  |  | (448 | )
Change in cash and cash equivalents |  |  | 1 |  |  |  | — |  |  |  | 5 |  |  |  | 66 |  |  |  | — |  |  |  | 72 |
Cash and cash equivalents at beginning of period |  |  | — |  |  |  | — |  |  |  | 114 |  |  |  | 532 |  |  |  | — |  |  |  | 646 |
Cash and cash equivalents at end of period |  | $ | 1 |  |  | $ | — |  |  | $ | 119 |  |  | $ | 598 |  |  | $ | — |  |  | $ | 718 |
Summary of Restatement Adjustments to Financial Statements | The application of these adjustments to the consolidating information for the quarter and nine months ended September 30, 2017 is summarized as follows (dollars in millions):
|  | As Previously Reported |  |  | Adjustment |  |  | As Adjusted |
Quarter ended September 30, 2017 |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) attributable to HCA Healthcare, Inc.: |  |  |  |  |  |  |  |  |  |  |  |
HCA Healthcare, Inc. Issuer |  | $ | 426 |  |  | $ | — |  |  | $ | 426 |
HCA Inc. Issuer |  |  | (524 | ) |  |  | — |  |  |  | (524 | )
Subsidiary Guarantors |  |  | 787 |  |  |  | 117 |  |  |  | 904 |
Subsidiary Non-Guarantors |  |  | 173 |  |  |  | (117 | ) |  |  | 56 |
Eliminations |  |  | (436 | ) |  |  | — |  |  |  | (436 | )
Condensed Consolidated |  | $ | 426 |  |  | $ | — |  |  | $ | 426 |
|  | As Previously Reported |  |  | Adjustment |  |  | As Adjusted |
Nine months ended September 30, 2017 |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) attributable to HCA Healthcare, Inc.: |  |  |  |  |  |  |  |  |  |  |  |
HCA Healthcare, Inc. Issuer |  | $ | 1,742 |  |  | $ | — |  |  | $ | 1,742 |
HCA Inc. Issuer |  |  | (1,463 | ) |  |  | — |  |  |  | (1,463 | )
Subsidiary Guarantors |  |  | 2,467 |  |  |  | 302 |  |  |  | 2,769 |
Subsidiary Non-Guarantors |  |  | 698 |  |  |  | (302 | ) |  |  | 396 |
Eliminations |  |  | (1,702 | ) |  |  | — |  |  |  | (1,702 | )
Condensed Consolidated |  | $ | 1,742 |  |  | $ | — |  |  | $ | 1,742 |
|  | As Previously Reported |  |  | Adjustment |  |  | As Adjusted |
Nine months ended September 30, 2017 |  |  |  |  |  |  |  |  |  |  |  |
Net cash provided (used in) operating activities: |  |  |  |  |  |  |  |  |  |  |  |
HCA Healthcare, Inc. Issuer |  | $ | 74 |  |  | $ | — |  |  | $ | 74 |
HCA Inc. Issuer |  |  | (1,694 | ) |  |  | — |  |  |  | (1,694 | )
Subsidiary Guarantors |  |  | 3,342 |  |  |  | 424 |  |  |  | 3,766 |
Subsidiary Non-Guarantors |  |  | 1,970 |  |  |  | (424 | ) |  |  | 1,546 |
Eliminations |  |  | — |  |  |  | — |  |  |  | — |
Condensed Consolidated |  | $ | 3,692 |  |  | $ | — |  |  | $ | 3,692 |

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