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Consolidated Comprehensive Income Statements - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Statement of Comprehensive Income [Abstract] |  |  |
Net income | $ 4,145 | $ 4,389 | $ 2,743
Other comprehensive income (loss) before taxes: |  |  |
Foreign currency translation | 5 | (71) | 97
Unrealized gains (losses) on available-for-sale securities | 15 | (7) | 1
Realized gains included in other operating expenses | 0 | 0 | (2)
Total unrealized gains (losses) on available-for-sale securities | 15 | (7) | (1)
Defined benefit plans | (63) | 44 | (43)
Pension costs included in salaries and benefits | 13 | 21 | 18
Total defined benefit plans | (50) | 65 | (25)
Change in fair value of derivative financial instruments | (50) | 23 | 11
Interest (benefits) costs included in interest expense | (17) | (10) | 20
Total change in fair value of derivative financial instruments | (67) | 13 | 31
Other comprehensive (loss) income before taxes | (97) | 0 | 102
Income taxes (benefits) related to other comprehensive income items | (18) | 8 | 42
Other comprehensive (loss) income | (79) | (8) | 60
Comprehensive income | 4,066 | 4,381 | 2,803
Comprehensive income attributable to noncontrolling interests | 640 | 602 | 527
Comprehensive income attributable to HCA Healthcare, Inc. | $ 3,426 | $ 3,779 | $ 2,276

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