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Supplemental Condensed Consolidating Financial Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Condensed Statement of Income Captions [Line Items]    
Revenues $ 12,517 $ 11,423
Salaries and benefits 5,647 5,289
Supplies 2,041 1,915
Other operating expenses 2,299 2,110
Equity in earnings of affiliates (11) (9)
Depreciation and amortization 619 553
Interest expense (income) 461 431
Losses (gains) on sales of facilities 1 (405)
Total expenses including equity in earnings of affiliates 11,057 9,884
Income (loss) before income taxes 1,460 1,539
Provision (benefit) for income taxes 279 257
Net income (loss) 1,181 1,282
Net income attributable to noncontrolling interests 142 138
Net income (loss) attributable to HCA Healthcare, Inc. 1,039 1,144
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 1,046 1,225
HCA Healthcare, Inc. Issuer [Member]    
Condensed Statement of Income Captions [Line Items]    
Other operating expenses 2 1
Equity in earnings of affiliates (1,026) (1,090)
Interest expense (income) 16 16
Total expenses including equity in earnings of affiliates (1,008) (1,073)
Income (loss) before income taxes 1,008 1,073
Provision (benefit) for income taxes (31) (71)
Net income (loss) 1,039 1,144
Net income (loss) attributable to HCA Healthcare, Inc. 1,039 1,144
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 1,046 1,225
HCA Inc. Issuer [Member]    
Condensed Statement of Income Captions [Line Items]    
Interest expense (income) 995 837
Total expenses including equity in earnings of affiliates 995 837
Income (loss) before income taxes (995) (837)
Provision (benefit) for income taxes (231) (195)
Net income (loss) (764) (642)
Net income (loss) attributable to HCA Healthcare, Inc. (764) (642)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. (782) (615)
Subsidiary Guarantors [Member]    
Condensed Statement of Income Captions [Line Items]    
Revenues 7,224 6,776
Salaries and benefits 3,137 3,069
Supplies 1,177 1,141
Other operating expenses 1,146 1,128
Equity in earnings of affiliates (2) (2)
Depreciation and amortization 355 323
Interest expense (income) (473) (367)
Losses (gains) on sales of facilities 1 (395)
Management fees (171) (158)
Total expenses including equity in earnings of affiliates 5,170 4,739
Income (loss) before income taxes 2,054 2,037
Provision (benefit) for income taxes 472 467
Net income (loss) 1,582 1,570
Net income attributable to noncontrolling interests 20 28
Net income (loss) attributable to HCA Healthcare, Inc. 1,562 1,542
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 1,564 1,546
Subsidiary Non-Guarantors [Member]    
Condensed Statement of Income Captions [Line Items]    
Revenues 5,293 4,647
Salaries and benefits 2,510 2,220
Supplies 864 774
Other operating expenses 1,151 981
Equity in earnings of affiliates (9) (7)
Depreciation and amortization 264 230
Interest expense (income) (77) (55)
Losses (gains) on sales of facilities   (10)
Management fees 171 158
Total expenses including equity in earnings of affiliates 4,874 4,291
Income (loss) before income taxes 419 356
Provision (benefit) for income taxes 69 56
Net income (loss) 350 300
Net income attributable to noncontrolling interests 122 110
Net income (loss) attributable to HCA Healthcare, Inc. 228 190
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 251 240
Eliminations [Member]    
Condensed Statement of Income Captions [Line Items]    
Equity in earnings of affiliates 1,026 1,090
Total expenses including equity in earnings of affiliates 1,026 1,090
Income (loss) before income taxes (1,026) (1,090)
Net income (loss) (1,026) (1,090)
Net income (loss) attributable to HCA Healthcare, Inc. (1,026) (1,090)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. $ (1,033) $ (1,171)