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Condensed Consolidated Comprehensive Income Statements - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017
Statement of Comprehensive Income [Abstract] |  |  |  |
Net income | $ 896 | $ 530 | $ 3,144 | $ 2,102
Other comprehensive income (loss) before taxes: |  |  |  |
Foreign currency translation | (13) | 32 | (35) | 87
Unrealized (losses) gains on available-for-sale securities | (2) |  | (8) | 5
Defined benefit plans | 0 | 0 | 0 | 0
Pension costs included in salaries and benefits | 5 | 5 | 15 | 14
Total defined benefit plans | 5 | 5 | 15 | 14
Change in fair value of derivative financial instruments | 10 | (1) | 60 | (9)
Interest (benefits) costs included in interest expense | (3) | 4 | (5) | 17
Total change in fair value of derivative financial instruments | 7 | 3 | 55 | 8
Other comprehensive (loss) income before taxes | (3) | 40 | 27 | 114
Income taxes related to other comprehensive income items | 2 | 15 | 15 | 44
Other comprehensive (loss) income | (5) | 25 | 12 | 70
Comprehensive income | 891 | 555 | 3,156 | 2,172
Comprehensive income attributable to noncontrolling interests | 137 | 104 | 421 | 360
Comprehensive income attributable to HCA Healthcare, Inc. | $ 754 | $ 451 | $ 2,735 | $ 1,812

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