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Quarterly Consolidated Financial Information - Schedule of Quarterly Consolidated Financial Information (Detail) - USD ($) $ / shares in Units, $ 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
Quarterly Financial Information Disclosure [Abstract] |  |  |  |  |  |  |  |  |  |  |
Revenues | $ 13,523 | $ 12,694 | $ 12,602 | $ 12,517 | $ 12,274 | $ 11,451 | $ 11,529 | $ 11,423 | $ 51,336 | $ 46,677 | $ 43,614
Net income | 1,273 | 764 | 927 | 1,181 | 1,245 | 896 | 966 | 1,282 | 4,145 | 4,389 | 2,743
Net income attributable to HCA Healthcare, Inc. | $ 1,071 | $ 612 | $ 783 | $ 1,039 | $ 1,064 | $ 759 | $ 820 | $ 1,144 | $ 3,505 | $ 3,787 | $ 2,216
Basic earnings per share | $ 3.16 | $ 1.80 | $ 2.29 | $ 3.03 | $ 3.09 | $ 2.20 | $ 2.35 | $ 3.26 | $ 10.27 | $ 10.90 | $ 6.12
Diluted earnings per share | $ 3.09 | $ 1.76 | $ 2.25 | $ 2.97 | $ 3.01 | $ 2.15 | $ 2.31 | $ 3.18 | $ 10.07 | $ 10.66 | $ 5.95

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