XML 29 R22.htm IDEA: XBRL DOCUMENT
v3.25.2

Basis of Presentation and Significant Accounting Policies (Tables) | 6 Months Ended
--- | ---
Jun. 30, 2025
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, 2025 and 2024 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2025 |  |  | Ratio |  |  | 2024 |  |  | Ratio |
Medicare |  | $ | 2,803 |  |  |  | 15.1 | % |  | $ | 2,621 |  |  |  | 15.0 | %
Managed Medicare |  |  | 3,352 |  |  |  | 18.0 |  |  |  | 2,913 |  |  |  | 16.7 |
Medicaid |  |  | 1,440 |  |  |  | 7.7 |  |  |  | 1,166 |  |  |  | 6.7 |
Managed Medicaid |  |  | 899 |  |  |  | 4.8 |  |  |  | 1,033 |  |  |  | 5.9 |
Managed care and insurers |  |  | 9,124 |  |  |  | 49.1 |  |  |  | 8,549 |  |  |  | 48.7 |
International (managed care and insurers) |  |  | 461 |  |  |  | 2.5 |  |  |  | 416 |  |  |  | 2.4 |
Other |  |  | 526 |  |  |  | 2.8 |  |  |  | 794 |  |  |  | 4.6 |
Revenues |  | $ | 18,605 |  |  |  | 100.0 | % |  | $ | 17,492 |  |  |  | 100.0 | %
|  | Six Months |
|  | 2025 |  |  | Ratio |  |  | 2024 |  |  | Ratio |
Medicare |  | $ | 5,698 |  |  |  | 15.4 | % |  | $ | 5,459 |  |  |  | 15.7 | %
Managed Medicare |  |  | 6,651 |  |  |  | 18.0 |  |  |  | 5,939 |  |  |  | 17.0 |
Medicaid |  |  | 2,630 |  |  |  | 7.1 |  |  |  | 2,189 |  |  |  | 6.3 |
Managed Medicaid |  |  | 1,778 |  |  |  | 4.8 |  |  |  | 2,011 |  |  |  | 5.8 |
Managed care and insurers |  |  | 18,165 |  |  |  | 49.2 |  |  |  | 17,094 |  |  |  | 49.0 |
International (managed care and insurers) |  |  | 906 |  |  |  | 2.5 |  |  |  | 828 |  |  |  | 2.4 |
Other |  |  | 1,098 |  |  |  | 3.0 |  |  |  | 1,311 |  |  |  | 3.8 |
Revenues |  | $ | 36,926 |  |  |  | 100.0 | % |  | $ | 34,831 |  |  |  | 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, 2025 and 2024 follows (dollars in millions):
|  | Quarter |  |  | Six Months |
|  | 2025 |  |  | 2024 |  |  | 2025 |  |  | 2024 |
Patient care costs (salaries and benefits, supplies, other operating expense and depreciation and amortization) |  | $ | 15,638 |  |  | $ | 14,761 |  |  | $ | 31,104 |  |  | $ | 29,540 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 9.7 | % |  |  | 10.1 | % |  |  | 9.6 | % |  |  | 10.1 | %
Total uncompensated care |  | $ | 11,625 |  |  | $ | 10,611 |  |  | $ | 22,618 |  |  | $ | 20,613 |
Multiply by the cost-to-charges ratio |  |  | 9.7 | % |  |  | 10.1 | % |  |  | 9.6 | % |  |  | 10.1 | %
Estimated cost of total uncompensated care |  | $ | 1,116 |  |  | $ | 1,072 |  |  | $ | 2,171 |  |  | $ | 2,082 |

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