XML 30 R20.htm IDEA: XBRL DOCUMENT
v3.22.2

Basis of Presentation and Significant Accounting Policies (Tables) | 6 Months Ended
--- | ---
Jun. 30, 2022
Accounting Policies [Abstract] |
Schedule of Revenues from Third Party Payers, Uninsured and Other Payers | Our revenues by primary third-party payer classification and other (including uninsured patients) for the quarters and six months ended June 30, 2022 and 2021 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2022 |  |  | Ratio |  |  | 2021 |  |  | Ratio |
Medicare |  | $ | 2,495 |  |  |  | 16.8 | % |  | $ | 2,612 |  |  |  | 18.1 | %
Managed Medicare |  |  | 2,260 |  |  |  | 15.2 |  |  |  | 2,104 |  |  |  | 14.6 |
Medicaid |  |  | 611 |  |  |  | 4.1 |  |  |  | 503 |  |  |  | 3.5 |
Managed Medicaid |  |  | 954 |  |  |  | 6.4 |  |  |  | 831 |  |  |  | 5.8 |
Managed care and insurers |  |  | 7,144 |  |  |  | 48.4 |  |  |  | 7,417 |  |  |  | 51.3 |
International (managed care and insurers) |  |  | 325 |  |  |  | 2.2 |  |  |  | 338 |  |  |  | 2.3 |
Other |  |  | 1,031 |  |  |  | 6.9 |  |  |  | 630 |  |  |  | 4.4 |
Revenues |  | $ | 14,820 |  |  |  | 100.0 | % |  | $ | 14,435 |  |  |  | 100.0 | %
|  | Six Months |
|  | 2022 |  |  | Ratio |  |  | 2021 |  |  | Ratio |
Medicare |  | $ | 5,221 |  |  |  | 17.5 | % |  | $ | 5,171 |  |  |  | 18.2 | %
Managed Medicare |  |  | 4,584 |  |  |  | 15.4 |  |  |  | 4,157 |  |  |  | 14.6 |
Medicaid |  |  | 1,190 |  |  |  | 4.0 |  |  |  | 1,030 |  |  |  | 3.6 |
Managed Medicaid |  |  | 2,064 |  |  |  | 6.9 |  |  |  | 1,556 |  |  |  | 5.5 |
Managed care and insurers |  |  | 14,296 |  |  |  | 48.1 |  |  |  | 14,302 |  |  |  | 50.4 |
International (managed care and insurers) |  |  | 681 |  |  |  | 2.3 |  |  |  | 671 |  |  |  | 2.4 |
Other |  |  | 1,729 |  |  |  | 5.8 |  |  |  | 1,525 |  |  |  | 5.3 |
Revenues |  | $ | 29,765 |  |  |  | 100.0 | % |  | $ | 28,412 |  |  |  | 100.0 | %
Schedule of Estimated Cost of Uncompensated Care | A summary of the estimated cost of total uncompensated care for the quarters and six months ended June 30, 2022 and 2021 follows (dollars in millions):
|  | Quarter |  |  | Six Months |
|  | 2022 |  |  | 2021 |  |  | 2022 |  |  | 2021 |
Patient care costs (salaries and benefits, supplies, other operating expense and depreciation and amortization) |  | $ | 12,524 |  |  | $ | 11,950 |  |  | $ | 25,268 |  |  | $ | 23,593 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 11.0 | % |  |  | 11.1 | % |  |  | 11.2 | % |  |  | 11.2 | %
Total uncompensated care |  | $ | 8,457 |  |  | $ | 7,696 |  |  | $ | 15,462 |  |  | $ | 14,517 |
Multiply by the cost-to-charges ratio |  |  | 11.0 | % |  |  | 11.1 | % |  |  | 11.2 | % |  |  | 11.2 | %
Estimated cost of total uncompensated care |  | $ | 940 |  |  | $ | 848 |  |  | $ | 1,732 |  |  | $ | 1,626 |

X
- Definition Schedule of estimated costs of uncompensated care. + References No definition available. + Details
Name: | hca_ScheduleOfEstimatedCostsOfUncompensatedCareTableTextBlock
Namespace Prefix: | hca_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition Schedule of revenues from third party payers and uninsured. + References No definition available. + Details
Name: | hca_ScheduleOfRevenuesFromThirdPartyPayersAndUninsuredTableTextBlock
Namespace Prefix: | hca_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_AccountingPoliciesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration