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Condensed Consolidated Comprehensive Income Statements - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Statement of Comprehensive Income [Abstract]
Net income	$ 1,181	$ 1,282
Other comprehensive income (loss) before taxes:
Foreign currency translation	20	54
Unrealized gains (losses) on available-for-salesecurities	8	(5)
Defined benefit plans	0
Pension costs included in salaries and benefits	3	5
Total defined benefit plans	3	5
Change in fair value of derivative financial instruments	(18)	35
Interest benefits included in interest expense	(5)	0
Total change in fair value of derivative financial instruments	(23)	35
Other comprehensive income before taxes	8	89
Income taxes related to other comprehensive income items	1	8
Other comprehensive income	7	81
Comprehensive income	1,188	1,363
Comprehensive income attributable to noncontrolling interests	142	138
Comprehensive income attributable to HCA Healthcare, Inc.	$ 1,046	$ 1,225

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