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Supplemental Condensed Consolidating Financial Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Condensed Statement of Income Captions [Line Items]        
Revenues $ 12,602 $ 11,529 $ 25,119 $ 22,952
Salaries and benefits 5,837 5,274 11,484 10,563
Supplies 2,118 1,917 4,159 3,832
Other operating expenses 2,362 2,118 4,661 4,228
Equity in earnings of affiliates (8) (7) (19) (16)
Depreciation and amortization 636 562 1,255 1,115
Interest expense (income) 477 436 938 867
Gains on sales of facilities (18) (9) (17) (414)
Total expenses including equity in earnings of affiliates 11,404 10,291 22,461 20,175
Income (loss) before income taxes 1,198 1,238 2,658 2,777
Provision (benefit) for income taxes 271 272 550 529
Net income (loss) 927 966 2,108 2,248
Net income attributable to noncontrolling interests 144 146 286 284
Net income (loss) attributable to HCA Healthcare, Inc. 783 820 1,822 1,964
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 726 756 1,772 1,981
HCA Healthcare, Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Other operating expenses 1 4 3 5
Equity in earnings of affiliates (822) (852) (1,848) (1,942)
Interest expense (income) 16 16 32 32
Total expenses including equity in earnings of affiliates (805) (832) (1,813) (1,905)
Income (loss) before income taxes 805 832 1,813 1,905
Provision (benefit) for income taxes 22 12 (9) (59)
Net income (loss) 783 820 1,822 1,964
Net income (loss) attributable to HCA Healthcare, Inc. 783 820 1,822 1,964
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 726 756 1,772 1,981
HCA Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Interest expense (income) 1,010 867 2,005 1,704
Total expenses including equity in earnings of affiliates 1,010 867 2,005 1,704
Income (loss) before income taxes (1,010) (867) (2,005) (1,704)
Provision (benefit) for income taxes (235) (201) (466) (396)
Net income (loss) (775) (666) (1,539) (1,308)
Net income (loss) attributable to HCA Healthcare, Inc. (775) (666) (1,539) (1,308)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. (806) (656) (1,588) (1,271)
Subsidiary Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues 7,129 6,774 14,353 13,550
Salaries and benefits 3,199 3,025 6,336 6,094
Supplies 1,189 1,127 2,366 2,268
Other operating expenses 1,157 1,122 2,303 2,250
Equity in earnings of affiliates (1) (1) (3) (3)
Depreciation and amortization 354 329 709 652
Interest expense (income) (511) (389) (984) (756)
Gains on sales of facilities (8) 23 (7) (372)
Management fees (205) (157) (376) (315)
Total expenses including equity in earnings of affiliates 5,174 5,079 10,344 9,818
Income (loss) before income taxes 1,955 1,695 4,009 3,732
Provision (benefit) for income taxes 450 389 922 856
Net income (loss) 1,505 1,306 3,087 2,876
Net income attributable to noncontrolling interests 21 22 41 50
Net income (loss) attributable to HCA Healthcare, Inc. 1,484 1,284 3,046 2,826
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 1,487 1,287 3,051 2,833
Subsidiary Non-Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues 5,473 4,755 10,766 9,402
Salaries and benefits 2,638 2,249 5,148 4,469
Supplies 929 790 1,793 1,564
Other operating expenses 1,204 992 2,355 1,973
Equity in earnings of affiliates (7) (6) (16) (13)
Depreciation and amortization 282 233 546 463
Interest expense (income) (38) (58) (115) (113)
Gains on sales of facilities (10) (32) (10) (42)
Management fees 205 157 376 315
Total expenses including equity in earnings of affiliates 5,203 4,325 10,077 8,616
Income (loss) before income taxes 270 430 689 786
Provision (benefit) for income taxes 34 72 103 128
Net income (loss) 236 358 586 658
Net income attributable to noncontrolling interests 123 124 245 234
Net income (loss) attributable to HCA Healthcare, Inc. 113 234 341 424
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 84 157 335 397
Eliminations [Member]        
Condensed Statement of Income Captions [Line Items]        
Equity in earnings of affiliates 822 852 1,848 1,942
Total expenses including equity in earnings of affiliates 822 852 1,848 1,942
Income (loss) before income taxes (822) (852) (1,848) (1,942)
Net income (loss) (822) (852) (1,848) (1,942)
Net income (loss) attributable to HCA Healthcare, Inc. (822) (852) (1,848) (1,942)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. $ (765) $ (788) $ (1,798) $ (1,959)