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Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues | $ 13,523 | $ 12,694 | $ 12,602 | $ 12,517 | $ 12,274 | $ 11,451 | $ 11,529 | $ 11,423 | $ 51,336 | $ 46,677 | $ 43,614
Salaries and benefits |  |  |  |  |  |  |  |  | 23,560 | 21,425 | 20,059
Supplies |  |  |  |  |  |  |  |  | 8,481 | 7,724 | 7,316
Other operating expenses |  |  |  |  |  |  |  |  | 9,481 | 8,608 | 8,051
Equity in earnings of affiliates |  |  |  |  |  |  |  |  | (43) | (29) | (45)
Depreciation and amortization |  |  |  |  |  |  |  |  | 2,596 | 2,278 | 2,131
Interest expense (income) |  |  |  |  |  |  |  |  | 1,824 | 1,755 | 1,690
Losses (gains) on sales of facilities |  |  |  |  |  |  |  |  | (18) | (428) | (8)
Losses on retirement of debt |  |  |  |  |  |  |  |  | 211 | 9 | 39
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | 46,092 | 41,342 | 39,233
Income (loss) before income taxes |  |  |  |  |  |  |  |  | 5,244 | 5,335 | 4,381
Provision (benefit) for income taxes |  |  |  |  |  |  |  |  | 1,099 | 946 | 1,638
Net income (loss) | 1,273 | 764 | 927 | 1,181 | 1,245 | 896 | 966 | 1,282 | 4,145 | 4,389 | 2,743
Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 640 | 602 | 527
Net income (loss) attributable to HCA Healthcare, Inc. | $ 1,071 | $ 612 | $ 783 | $ 1,039 | $ 1,064 | $ 759 | $ 820 | $ 1,144 | 3,505 | 3,787 | 2,216
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 3,426 | 3,779 | 2,276
HCA Healthcare, Inc. Issuer [Member] |  |  |  |  |  |  |  |  |  |  |
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Other operating expenses |  |  |  |  |  |  |  |  | 7 | 8 | 6
Equity in earnings of affiliates |  |  |  |  |  |  |  |  | (3,597) | (3,688) | (2,476)
Interest expense (income) |  |  |  |  |  |  |  |  | 64 | 64 | 64
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | (3,526) | (3,616) | (2,406)
Income (loss) before income taxes |  |  |  |  |  |  |  |  | 3,526 | 3,616 | 2,406
Provision (benefit) for income taxes |  |  |  |  |  |  |  |  | 21 | (171) | 190
Net income (loss) |  |  |  |  |  |  |  |  | 3,505 | 3,787 | 2,216
Net income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 3,505 | 3,787 | 2,216
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 3,426 | 3,779 | 2,276
HCA Inc. Issuer [Member] |  |  |  |  |  |  |  |  |  |  |
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Interest expense (income) |  |  |  |  |  |  |  |  | 4,025 | 3,580 | 3,088
Losses on retirement of debt |  |  |  |  |  |  |  |  | 211 | 9 | 39
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | 4,236 | 3,589 | 3,127
Income (loss) before income taxes |  |  |  |  |  |  |  |  | (4,236) | (3,589) | (3,127)
Provision (benefit) for income taxes |  |  |  |  |  |  |  |  | (976) | (834) | (1,154)
Net income (loss) |  |  |  |  |  |  |  |  | (3,260) | (2,755) | (1,973)
Net income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | (3,260) | (2,755) | (1,973)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | (3,311) | (2,745) | (1,953)
Subsidiary Guarantors [Member] |  |  |  |  |  |  |  |  |  |  |
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 29,220 | 27,482 | 25,774
Salaries and benefits |  |  |  |  |  |  |  |  | 12,898 | 12,287 | 11,619
Supplies |  |  |  |  |  |  |  |  | 4,802 | 4,560 | 4,286
Other operating expenses |  |  |  |  |  |  |  |  | 4,643 | 4,463 | 4,249
Equity in earnings of affiliates |  |  |  |  |  |  |  |  | (6) | (7) | (6)
Depreciation and amortization |  |  |  |  |  |  |  |  | 1,447 | 1,335 | 1,237
Interest expense (income) |  |  |  |  |  |  |  |  | (2,001) | (1,635) | (1,309)
Losses (gains) on sales of facilities |  |  |  |  |  |  |  |  | (14) | (357) | (2)
Management fees |  |  |  |  |  |  |  |  | (768) | (639) | (621)
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | 21,001 | 20,007 | 19,453
Income (loss) before income taxes |  |  |  |  |  |  |  |  | 8,219 | 7,475 | 6,321
Provision (benefit) for income taxes |  |  |  |  |  |  |  |  | 1,874 | 1,714 | 2,293
Net income (loss) |  |  |  |  |  |  |  |  | 6,345 | 5,761 | 4,028
Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 91 | 99 | 108
Net income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 6,254 | 5,662 | 3,920
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 6,215 | 5,712 | 3,898
Subsidiary Non-Guarantors [Member] |  |  |  |  |  |  |  |  |  |  |
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 22,116 | 19,195 | 17,840
Salaries and benefits |  |  |  |  |  |  |  |  | 10,662 | 9,138 | 8,440
Supplies |  |  |  |  |  |  |  |  | 3,679 | 3,164 | 3,030
Other operating expenses |  |  |  |  |  |  |  |  | 4,831 | 4,137 | 3,796
Equity in earnings of affiliates |  |  |  |  |  |  |  |  | (37) | (22) | (39)
Depreciation and amortization |  |  |  |  |  |  |  |  | 1,149 | 943 | 894
Interest expense (income) |  |  |  |  |  |  |  |  | (264) | (254) | (153)
Losses (gains) on sales of facilities |  |  |  |  |  |  |  |  | (4) | (71) | (6)
Management fees |  |  |  |  |  |  |  |  | 768 | 639 | 621
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | 20,784 | 17,674 | 16,583
Income (loss) before income taxes |  |  |  |  |  |  |  |  | 1,332 | 1,521 | 1,257
Provision (benefit) for income taxes |  |  |  |  |  |  |  |  | 180 | 237 | 309
Net income (loss) |  |  |  |  |  |  |  |  | 1,152 | 1,284 | 948
Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 549 | 503 | 419
Net income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 603 | 781 | 529
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | 614 | 713 | 591
Eliminations [Member] |  |  |  |  |  |  |  |  |  |  |
Condensed Statement of Income Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Equity in earnings of affiliates |  |  |  |  |  |  |  |  | 3,597 | 3,688 | 2,476
Total expenses including equity in earnings of affiliates |  |  |  |  |  |  |  |  | 3,597 | 3,688 | 2,476
Income (loss) before income taxes |  |  |  |  |  |  |  |  | (3,597) | (3,688) | (2,476)
Net income (loss) |  |  |  |  |  |  |  |  | (3,597) | (3,688) | (2,476)
Net income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | (3,597) | (3,688) | (2,476)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. |  |  |  |  |  |  |  |  | $ (3,518) | $ (3,680) | $ (2,536)

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