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Condensed Consolidated Income Statements (Unaudited) - USD ($)
shares in Thousands, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Income Statement [Abstract]        
Revenues $ 19,161 $ 17,487 $ 56,087 $ 52,318
Salaries and benefits 8,364 7,861 24,499 23,253
Supplies 2,782 2,657 8,390 7,962
Other operating expenses 4,161 3,717 11,799 10,946
Equity in earnings of affiliates (16) (15) (53) (13)
Depreciation and amortization 889 842 2,612 2,456
Interest expense 561 515 1,676 1,533
Losses (gains) on sales of facilities 2 4 4 (209)
Total expenses including equity in earnings of affiliates 16,743 15,581 48,927 45,928
Income before income taxes 2,418 1,906 7,160 6,390
Provision for income taxes 515 424 1,541 1,419
Net income 1,903 1,482 5,619 4,971
Net income attributable to noncontrolling interests 260 212 713 649
Net income attributable to HCA Healthcare, Inc. $ 1,643 $ 1,270 $ 4,906 $ 4,322
Per share data:        
Basic earnings $ 7.05 $ 4.94 $ 20.47 $ 16.57
Diluted earnings $ 6.96 $ 4.88 $ 20.23 $ 16.37
Shares used in earnings per share calculations (in millions):        
Basic 232,891 256,763 239,615 260,770
Diluted 236,181 259,917 242,459 263,987