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Supplemental Condensed Consolidating Financial Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Condensed Statement of Income Captions [Line Items]        
Revenues $ 12,694 $ 11,451 $ 37,813 $ 34,403
Salaries and benefits 5,971 5,377 17,455 15,940
Supplies 2,090 1,890 6,249 5,722
Other operating expenses 2,352 2,097 7,013 6,325
Equity in earnings of affiliates (4) (9) (23) (25)
Depreciation and amortization 647 582 1,902 1,697
Interest expense (income) 448 442 1,386 1,309
Losses (gains) on sales of facilities   (6) (17) (420)
Losses on retirement of debt 211 9 211 9
Total expenses including equity in earnings of affiliates 11,715 10,382 34,176 30,557
Income (loss) before income taxes 979 1,069 3,637 3,846
Provision (benefit) for income taxes 215 173 765 702
Net income (loss) 764 896 2,872 3,144
Net income attributable to noncontrolling interests 152 137 438 421
Net income (loss) attributable to HCA Healthcare, Inc. 612 759 2,434 2,723
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 582 754 2,354 2,735
HCA Healthcare, Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Other operating expenses 4 2 7 7
Equity in earnings of affiliates (656) (728) (2,504) (2,670)
Interest expense (income) 16 16 48 48
Total expenses including equity in earnings of affiliates (636) (710) (2,449) (2,615)
Income (loss) before income taxes 636 710 2,449 2,615
Provision (benefit) for income taxes 24 (49) 15 (108)
Net income (loss) 612 759 2,434 2,723
Net income (loss) attributable to HCA Healthcare, Inc. 612 759 2,434 2,723
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 582 754 2,354 2,735
HCA Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Interest expense (income) 1,014 913 3,019 2,617
Losses on retirement of debt 211 9 211 9
Total expenses including equity in earnings of affiliates 1,225 922 3,230 2,626
Income (loss) before income taxes (1,225) (922) (3,230) (2,626)
Provision (benefit) for income taxes (279) (214) (745) (610)
Net income (loss) (946) (708) (2,485) (2,016)
Net income (loss) attributable to HCA Healthcare, Inc. (946) (708) (2,485) (2,016)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. (954) (703) (2,542) (1,974)
Subsidiary Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues 7,196 6,747 21,549 20,297
Salaries and benefits 3,272 3,090 9,608 9,184
Supplies 1,174 1,115 3,540 3,383
Other operating expenses 1,178 1,137 3,481 3,387
Equity in earnings of affiliates (2) (2) (5) (5)
Depreciation and amortization 362 340 1,071 992
Interest expense (income) (505) (423) (1,489) (1,179)
Losses (gains) on sales of facilities (2) (6) (9) (378)
Management fees (197) (158) (573) (473)
Total expenses including equity in earnings of affiliates 5,280 5,093 15,624 14,911
Income (loss) before income taxes 1,916 1,654 5,925 5,386
Provision (benefit) for income taxes 429 379 1,351 1,235
Net income (loss) 1,487 1,275 4,574 4,151
Net income attributable to noncontrolling interests 23 22 64 72
Net income (loss) attributable to HCA Healthcare, Inc. 1,464 1,253 4,510 4,079
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 1,467 1,258 4,518 4,091
Subsidiary Non-Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues 5,498 4,704 16,264 14,106
Salaries and benefits 2,699 2,287 7,847 6,756
Supplies 916 775 2,709 2,339
Other operating expenses 1,170 958 3,525 2,931
Equity in earnings of affiliates (2) (7) (18) (20)
Depreciation and amortization 285 242 831 705
Interest expense (income) (77) (64) (192) (177)
Losses (gains) on sales of facilities 2 0 (8) (42)
Management fees 197 158 573 473
Total expenses including equity in earnings of affiliates 5,190 4,349 15,267 12,965
Income (loss) before income taxes 308 355 997 1,141
Provision (benefit) for income taxes 41 57 144 185
Net income (loss) 267 298 853 956
Net income attributable to noncontrolling interests 129 115 374 349
Net income (loss) attributable to HCA Healthcare, Inc. 138 183 479 607
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 113 168 448 565
Eliminations [Member]        
Condensed Statement of Income Captions [Line Items]        
Equity in earnings of affiliates 656 728 2,504 2,670
Total expenses including equity in earnings of affiliates 656 728 2,504 2,670
Income (loss) before income taxes (656) (728) (2,504) (2,670)
Net income (loss) (656) (728) (2,504) (2,670)
Net income (loss) attributable to HCA Healthcare, Inc. (656) (728) (2,504) (2,670)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. $ (626) $ (723) $ (2,424) $ (2,682)