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Segment and Geographic Information - Additional Information (Detail) | 12 Months Ended
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Dec. 31, 2020 Hospital
Segment Reporting Information [Line Items] |
Number of geographically organized groups | 2
Number of owned and operated hospitals | 185
Reorganization Group [Member] | National Group [Member] |
Segment Reporting Information [Line Items] |
Number of owned and operated hospitals | 96
Reorganization Group [Member] | American Group [Member] |
Segment Reporting Information [Line Items] |
Number of owned and operated hospitals | 82
Reorganization Group [Member] | Corporate and Other [Member] |
Segment Reporting Information [Line Items] |
Number of owned and operated hospitals | 7

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- Definition Number of owned and operated hospitals. + References No definition available. + Details
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Namespace Prefix: | hca_
Data Type: | xbrli:positiveIntegerItemType
Balance Type: | na
Period Type: | instant

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- Definition Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 18 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8672-108599 + Details
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

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- Details
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Namespace Prefix: |
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Balance Type: |
Period Type: |

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- Details
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Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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- Details
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Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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- Details
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Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |