10-K Filing

HCA HEALTHCARE, INC. CIK: 860730 FY 2023

Filing Information

Form Type	10-K
Accession Number	`0000950170-24-016524`
Period End Date	20231231
Filing Date	20240216
Fiscal Year	2023
Fiscal Period	FY
XBRL Instance	hca-20231231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 83 Income Statement 57 Cash Flow Statement 101 Stockholders Equity 32 Comprehensive Income 51

Balance Sheet 83 line items

Line Item	Tag	Value	Unit	Period
Debt issuance costs	`DeferredFinanceCostsNoncurrentNet`	$333.00M	USD	Point-in-time
Debt issuance costs	`DeferredFinanceCostsNoncurrentNet`	$301.00M	USD	Point-in-time
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$908.00M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	1.80B	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$935.00M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	1.80B	shares	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	277.38M	shares	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	265.54M	shares	Point-in-time
Accounts receivable	`AccountsReceivableNetCurrent`	$8.89B	USD	Point-in-time
Accounts receivable	`AccountsReceivableNetCurrent`	$9.96B	USD	Point-in-time
Inventories	`InventoryNet`	$2.07B	USD	Point-in-time
Inventories	`InventoryNet`	$2.02B	USD	Point-in-time
Other	`OtherAssetsCurrent`	$2.01B	USD	Point-in-time
Other	`OtherAssetsCurrent`	$1.78B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$13.64B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$14.93B	USD	Point-in-time
Land	`Land`	$3.12B	USD	Point-in-time
Land	`Land`	$2.80B	USD	Point-in-time
Buildings	`BuildingsAndImprovementsGross`	$20.22B	USD	Point-in-time
Buildings	`BuildingsAndImprovementsGross`	$21.56B	USD	Point-in-time
Equipment	`MachineryAndEquipmentGross`	$32.00B	USD	Point-in-time
Equipment	`MachineryAndEquipmentGross`	$29.98B	USD	Point-in-time
Construction in progress	`ConstructionInProgressGross`	$1.87B	USD	Point-in-time
Construction in progress	`ConstructionInProgressGross`	$1.76B	USD	Point-in-time
Property and equipment, at cost	`PropertyPlantAndEquipmentGross`	$54.76B	USD	Point-in-time
Property and equipment, at cost	`PropertyPlantAndEquipmentGross`	$58.55B	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$30.83B	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$29.18B	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$27.71B	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$25.57B	USD	Point-in-time
Investments of insurance subsidiaries	`AvailableForSaleSecuritiesDebtSecuritiesNoncurrent`	$477.00M	USD	Point-in-time
Investments of insurance subsidiaries	`AvailableForSaleSecuritiesDebtSecuritiesNoncurrent`	$381.00M	USD	Point-in-time
Investments in and advances to affiliates	`EquityMethodInvestments`	$823.00M	USD	Point-in-time
Investments in and advances to affiliates	`EquityMethodInvestments`	$756.00M	USD	Point-in-time
Goodwill and other intangible assets	`IntangibleAssetsNetIncludingGoodwill`	$9.95B	USD	Point-in-time
Goodwill and other intangible assets	`IntangibleAssetsNetIncludingGoodwill`	$8.58B	USD	Point-in-time
Goodwill and other intangible assets	`IntangibleAssetsNetIncludingGoodwill`	$9.54B	USD	Point-in-time
Goodwill and other intangible assets	`IntangibleAssetsNetIncludingGoodwill`	$9.65B	USD	Point-in-time
Right-of-use operating lease assets	`OperatingLeaseRightOfUseAsset`	$2.06B	USD	Point-in-time
Right-of-use operating lease assets	`OperatingLeaseRightOfUseAsset`	$2.21B	USD	Point-in-time
Other	`OtherAssetsNoncurrent`	$184.00M	USD	Point-in-time
Other	`OtherAssetsNoncurrent`	$298.00M	USD	Point-in-time
Total assets	`Assets`	$52.44B	USD	Point-in-time
Total assets	`Assets`	$50.74B	USD	Point-in-time
Total assets	`Assets`	$56.21B	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$4.23B	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$4.24B	USD	Point-in-time
Accrued salaries	`AccruedSalariesCurrent`	$1.71B	USD	Point-in-time
Accrued salaries	`AccruedSalariesCurrent`	$2.13B	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$3.58B	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$3.87B	USD	Point-in-time
Long-term debt due within one year	`LongTermDebtCurrent`	$2.42B	USD	Point-in-time
Long-term debt due within one year	`LongTermDebtCurrent`	$370.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$9.90B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$12.65B	USD	Point-in-time
Long-term debt, less debt issuance costs and discounts of $333 and $301	`LongTermDebtNoncurrent`	$37.17B	USD	Point-in-time
Long-term debt, less debt issuance costs and discounts of $333 and $301	`LongTermDebtNoncurrent`	$37.71B	USD	Point-in-time
Professional liability risks	`ProfessionalLiabilityRisks`	$1.56B	USD	Point-in-time
Professional liability risks	`ProfessionalLiabilityRisks`	$1.53B	USD	Point-in-time
Right-of-use operating lease obligations	`OperatingLeaseLiabilityNoncurrent`	$1.90B	USD	Point-in-time
Right-of-use operating lease obligations	`OperatingLeaseLiabilityNoncurrent`	$1.75B	USD	Point-in-time
Income taxes and other liabilities	`IncomeTaxesAndOtherLiabilities`	$1.61B	USD	Point-in-time
Income taxes and other liabilities	`IncomeTaxesAndOtherLiabilities`	$1.87B	USD	Point-in-time
Common stock $0.01 par; authorized 1,800,000,000 shares; outstanding 265,537,300 shares - 2023 and 277,378,300 shares - 2022	`CommonStockValueOutstanding`	$3.00M	USD	Point-in-time
Common stock $0.01 par; authorized 1,800,000,000 shares; outstanding 265,537,300 shares - 2023 and 277,378,300 shares - 2022	`CommonStockValueOutstanding`	$3.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-425.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-490.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-404.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-502.00M	USD	Point-in-time
Retained deficit	`RetainedEarningsAccumulatedDeficit`	$-2.28B	USD	Point-in-time
Retained deficit	`RetainedEarningsAccumulatedDeficit`	$-1.35B	USD	Point-in-time
Stockholders' deficit attributable to HCA Healthcare, Inc.	`StockholdersEquity`	$-2.77B	USD	Point-in-time
Stockholders' deficit attributable to HCA Healthcare, Inc.	`StockholdersEquity`	$-1.77B	USD	Point-in-time
Noncontrolling interests	`MinorityInterest`	$2.69B	USD	Point-in-time
Noncontrolling interests	`MinorityInterest`	$2.83B	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-73.00M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.06B	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.89B	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.49B	USD	Point-in-time
Total liabilities and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$52.44B	USD	Point-in-time
Total liabilities and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$56.21B	USD	Point-in-time

Income Statement 57 line items

Line Item	Tag	Value	Unit	Period
Revenues	`Revenues`	$58.75B	USD	Annual
Revenues	`Revenues`	$60.23B	USD	Annual
Revenues	`Revenues`	$64.97B	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$26.78B	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$29.49B	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$27.68B	USD	Annual
Supplies	`SuppliesExpense`	$9.90B	USD	Annual
Supplies	`SuppliesExpense`	$9.48B	USD	Annual
Supplies	`SuppliesExpense`	$9.37B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$9.96B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$11.15B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$12.88B	USD	Annual
Equity in earnings of affiliates	`IncomeLossFromEquityMethodInvestments`	$113.00M	USD	Annual
Equity in earnings of affiliates	`IncomeLossFromEquityMethodInvestments`	$22.00M	USD	Annual
Equity in earnings of affiliates	`IncomeLossFromEquityMethodInvestments`	$45.00M	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$2.97B	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$2.85B	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$3.08B	USD	Annual
Interest expense	`InterestExpense`	$1.94B	USD	Annual
Interest expense	`InterestExpense`	$1.74B	USD	Annual
Interest expense	`InterestExpense`	$1.57B	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$-5.00M	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$1.62B	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$1.30B	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	$-78.00M	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	$-12.00M	USD	Annual
Total expenses including equity in earnings of affiliates	`CostsAndExpenses`	$51.65B	USD	Annual
Total expenses including equity in earnings of affiliates	`CostsAndExpenses`	$57.26B	USD	Annual
Total expenses including equity in earnings of affiliates	`CostsAndExpenses`	$48.92B	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$8.58B	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$7.71B	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$9.83B	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$1.75B	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$2.11B	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$1.61B	USD	Annual
Net income	`ProfitLoss`	$6.83B	USD	Annual
Net income	`ProfitLoss`	$7.72B	USD	Annual
Net income	`ProfitLoss`	$6.09B	USD	Annual
Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$1.19B	USD	Annual
Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$849.00M	USD	Annual
Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$765.00M	USD	Annual
Net income attributable to HCA Healthcare, Inc.	`NetIncomeLoss`	$5.24B	USD	Annual
Net income attributable to HCA Healthcare, Inc.	`NetIncomeLoss`	$6.96B	USD	Annual
Net income attributable to HCA Healthcare, Inc.	`NetIncomeLoss`	$5.64B	USD	Annual
Basic earnings per share	`EarningsPerShareBasic`	$19.43	USD	Annual
Basic earnings per share	`EarningsPerShareBasic`	$19.25	USD	Annual
Basic earnings per share	`EarningsPerShareBasic`	$21.52	USD	Annual
Diluted earnings per share	`EarningsPerShareDiluted`	$19.15	USD	Annual
Diluted earnings per share	`EarningsPerShareDiluted`	$18.97	USD	Annual
Diluted earnings per share	`EarningsPerShareDiluted`	$21.16	USD	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	272.40M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	290.35M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	323.31M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	294.67M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	276.41M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	328.75M	shares	Annual

Cash Flow Statement 101 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$6.83B	USD	Annual
Net income	`ProfitLoss`	$7.72B	USD	Annual
Net income	`ProfitLoss`	$6.09B	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$935.00M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$797.00M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$962.00M	USD	Annual
Inventories and other assets	`IncreaseDecreaseInInventoriesAndOtherOperatingAssets`	$540.00M	USD	Annual
Inventories and other assets	`IncreaseDecreaseInInventoriesAndOtherOperatingAssets`	$59.00M	USD	Annual
Inventories and other assets	`IncreaseDecreaseInInventoriesAndOtherOperatingAssets`	$126.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-296.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$604.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$999.00M	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$2.97B	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$2.85B	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$3.08B	USD	Annual
Income taxes	`DeferredIncomeTaxesAndTaxCredits`	$571.00M	USD	Annual
Income taxes	`DeferredIncomeTaxesAndTaxCredits`	$-70.00M	USD	Annual
Income taxes	`DeferredIncomeTaxesAndTaxCredits`	$229.00M	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$-5.00M	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$1.62B	USD	Annual
Losses (gains) on sales of facilities	`GainLossOnDispositionOfAssets`	$1.30B	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	$-78.00M	USD	Annual
Losses on retirement of debt	`GainsLossesOnExtinguishmentOfDebt`	$-12.00M	USD	Annual
Amortization of debt issuance costs and discounts	`AmortizationOfFinancingCostsAndDiscounts`	$29.00M	USD	Annual
Amortization of debt issuance costs and discounts	`AmortizationOfFinancingCostsAndDiscounts`	$27.00M	USD	Annual
Amortization of debt issuance costs and discounts	`AmortizationOfFinancingCostsAndDiscounts`	$35.00M	USD	Annual
Share-based compensation	`ShareBasedCompensation`	$341.00M	USD	Annual
Share-based compensation	`ShareBasedCompensation`	$440.00M	USD	Annual
Share-based compensation	`ShareBasedCompensation`	$262.00M	USD	Annual
Other	`OtherNoncashIncomeExpense`	$-99.00M	USD	Annual
Other	`OtherNoncashIncomeExpense`	$-153.00M	USD	Annual
Other	`OtherNoncashIncomeExpense`	$-189.00M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$9.43B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$8.96B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$8.52B	USD	Annual
Purchase of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$4.74B	USD	Annual
Purchase of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$4.39B	USD	Annual
Purchase of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$3.58B	USD	Annual
Acquisition of hospitals and health care entities	`PaymentsToAcquireInterestInSubsidiariesAndAffiliates`	$1.10B	USD	Annual
Acquisition of hospitals and health care entities	`PaymentsToAcquireInterestInSubsidiariesAndAffiliates`	$224.00M	USD	Annual
Acquisition of hospitals and health care entities	`PaymentsToAcquireInterestInSubsidiariesAndAffiliates`	$635.00M	USD	Annual
Sales of hospitals and health care entities	`ProceedsFromDivestitureOfBusinesses`	$193.00M	USD	Annual
Sales of hospitals and health care entities	`ProceedsFromDivestitureOfBusinesses`	$2.16B	USD	Annual
Sales of hospitals and health care entities	`ProceedsFromDivestitureOfBusinesses`	$1.24B	USD	Annual
Change in investments	`PaymentsForProceedsFromInvestments`	$117.00M	USD	Annual
Change in investments	`PaymentsForProceedsFromInvestments`	$-14.00M	USD	Annual
Change in investments	`PaymentsForProceedsFromInvestments`	$112.00M	USD	Annual
Other	`PaymentsForProceedsFromOtherInvestingActivities`	$4.00M	USD	Annual
Other	`PaymentsForProceedsFromOtherInvestingActivities`	$19.00M	USD	Annual
Other	`PaymentsForProceedsFromOtherInvestingActivities`	$21.00M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.64B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-5.32B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-3.39B	USD	Annual
Issuances of long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$3.22B	USD	Annual
Issuances of long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$4.34B	USD	Annual
Issuances of long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$6.00B	USD	Annual
Net change in revolving credit facilities	`ProceedsFromRepaymentsOfLinesOfCredit`	$120.00M	USD	Annual
Net change in revolving credit facilities	`ProceedsFromRepaymentsOfLinesOfCredit`	$2.78B	USD	Annual
Net change in revolving credit facilities	`ProceedsFromRepaymentsOfLinesOfCredit`	$-1.02B	USD	Annual
Repayment of long-term debt	`RepaymentsOfLongTermDebt`	$2.83B	USD	Annual
Repayment of long-term debt	`RepaymentsOfLongTermDebt`	$3.87B	USD	Annual
Repayment of long-term debt	`RepaymentsOfLongTermDebt`	$909.00M	USD	Annual
Distributions to noncontrolling interests	`PaymentsToMinorityShareholders`	$749.00M	USD	Annual
Distributions to noncontrolling interests	`PaymentsToMinorityShareholders`	$1.02B	USD	Annual
Distributions to noncontrolling interests	`PaymentsToMinorityShareholders`	$640.00M	USD	Annual
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$53.00M	USD	Annual
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$31.00M	USD	Annual
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$38.00M	USD	Annual
Payment of dividends	`PaymentsOfDividends`	$661.00M	USD	Annual
Payment of dividends	`PaymentsOfDividends`	$624.00M	USD	Annual
Payment of dividends	`PaymentsOfDividends`	$653.00M	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$3.81B	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$7.00B	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$8.21B	USD	Annual
Other	`ProceedsFromPaymentsForOtherFinancingActivities`	$-212.00M	USD	Annual
Other	`ProceedsFromPaymentsForOtherFinancingActivities`	$-246.00M	USD	Annual
Other	`ProceedsFromPaymentsForOtherFinancingActivities`	$-284.00M	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-5.66B	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-4.09B	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-6.66B	USD	Annual
Effect of exchange rate changes on cash and cash equivalents	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$7.00M	USD	Annual
Effect of exchange rate changes on cash and cash equivalents	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-20.00M	USD	Annual
Effect of exchange rate changes on cash and cash equivalents	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-3.00M	USD	Annual
Change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$27.00M	USD	Annual
Change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-342.00M	USD	Annual
Change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-543.00M	USD	Annual
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$908.00M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$935.00M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.45B	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.79B	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$908.00M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$935.00M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.45B	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.79B	USD	Point-in-time
Interest payments	`InterestPaidNet`	$1.50B	USD	Annual
Interest payments	`InterestPaidNet`	$1.66B	USD	Annual
Interest payments	`InterestPaidNet`	$1.89B	USD	Annual
Income tax payments, net	`IncomeTaxesPaidNet`	$1.18B	USD	Annual
Income tax payments, net	`IncomeTaxesPaidNet`	$1.39B	USD	Annual
Income tax payments, net	`IncomeTaxesPaidNet`	$2.18B	USD	Annual

Stockholders Equity 32 line items

Line Item	Tag	Value	Unit	Period
Cash dividends declared, per share	`CommonStockDividendsPerShareDeclared`	$2.24	USD	Annual
Cash dividends declared, per share	`CommonStockDividendsPerShareDeclared`	$2.40	USD	Annual
Cash dividends declared, per share	`CommonStockDividendsPerShareDeclared`	$1.92	USD	Annual
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-73.00M	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.06B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.89B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.49B	USD	Point-in-time
Comprehensive income (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$7.82B	USD	Annual
Comprehensive income (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$6.16B	USD	Annual
Comprehensive income (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$6.75B	USD	Annual
Repurchase of common stock	`StockRepurchasedDuringPeriodValue`	$8.21B	USD	Annual
Repurchase of common stock	`StockRepurchasedDuringPeriodValue`	$7.00B	USD	Annual
Repurchase of common stock	`StockRepurchasedDuringPeriodValue`	$3.84B	USD	Annual
Repurchase of common stock, shares	`StockRepurchasedDuringPeriodShares`	14.46M	shares	Annual
Repurchase of common stock, shares	`StockRepurchasedDuringPeriodShares`	30.75M	shares	Annual
Repurchase of common stock, shares	`StockRepurchasedDuringPeriodShares`	37.81M	shares	Annual
Share-based benefit plans	`StockGrantedDuringPeriodValueSharebasedCompensation`	$282.00M	USD	Annual
Share-based benefit plans	`StockGrantedDuringPeriodValueSharebasedCompensation`	$172.00M	USD	Annual
Share-based benefit plans	`StockGrantedDuringPeriodValueSharebasedCompensation`	$280.00M	USD	Annual
Cash dividends declared	`DividendsCommonStockCash`	$628.00M	USD	Annual
Cash dividends declared	`DividendsCommonStockCash`	$658.00M	USD	Annual
Cash dividends declared	`DividendsCommonStockCash`	$655.00M	USD	Annual
Distributions	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$640.00M	USD	Annual
Distributions	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$1.02B	USD	Annual
Distributions	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$749.00M	USD	Annual
Other	`StockholdersEquityOther`	$-90.00M	USD	Annual
Other	`StockholdersEquityOther`	$55.00M	USD	Annual
Other	`StockholdersEquityOther`	$-88.00M	USD	Annual
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-73.00M	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.06B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.89B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.49B	USD	Point-in-time

Comprehensive Income 51 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$6.83B	USD	Annual
Net income	`ProfitLoss`	$7.72B	USD	Annual
Net income	`ProfitLoss`	$6.09B	USD	Annual
Foreign currency translation	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax`	$-111.00M	USD	Annual
Foreign currency translation	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax`	$-9.00M	USD	Annual
Foreign currency translation	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax`	$41.00M	USD	Annual
Unrealized gains (losses) on available-for-sale securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$11.00M	USD	Annual
Unrealized gains (losses) on available-for-sale securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$-16.00M	USD	Annual
Unrealized gains (losses) on available-for-sale securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$-55.00M	USD	Annual
Losses (gains) included in other operating expenses	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax`	$-1.00M	USD	Annual
Losses (gains) included in other operating expenses	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax`	$1.00M	USD	Annual
Losses (gains) included in other operating expenses	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax`	-	USD	Annual
Total Unrealized losses on available-for-sale securities	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentBeforeTax`	$-54.00M	USD	Annual
Total Unrealized losses on available-for-sale securities	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentBeforeTax`	$10.00M	USD	Annual
Total Unrealized losses on available-for-sale securities	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentBeforeTax`	$-16.00M	USD	Annual
Defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansNetUnamortizedGainLossArisingDuringPeriodBeforeTax`	$49.00M	USD	Annual
Defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansNetUnamortizedGainLossArisingDuringPeriodBeforeTax`	$87.00M	USD	Annual
Defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansNetUnamortizedGainLossArisingDuringPeriodBeforeTax`	$27.00M	USD	Annual
Pension costs included in salaries and benefits	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossBeforeTax`	$-9.00M	USD	Annual
Pension costs included in salaries and benefits	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossBeforeTax`	$-28.00M	USD	Annual
Pension costs included in salaries and benefits	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossBeforeTax`	$-3.00M	USD	Annual
Total defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeTax`	$-58.00M	USD	Annual
Total defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeTax`	$-115.00M	USD	Annual
Total defined benefit plans	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeTax`	$-30.00M	USD	Annual
Change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseBeforeAdjustmentsAndTax`	$1.00M	USD	Annual
Change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseBeforeAdjustmentsAndTax`	-	USD	Annual
Change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseBeforeAdjustmentsAndTax`	$6.00M	USD	Annual
Interest costs included in interest expense	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromInterestCostsIncludedInInterestExpense`	$-37.00M	USD	Annual
Interest costs included in interest expense	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromInterestCostsIncludedInInterestExpense`	$-2.00M	USD	Annual
Interest costs included in interest expense	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromInterestCostsIncludedInInterestExpense`	-	USD	Annual
Total change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseAfterAdjustmentsBeforeTax`	-	USD	Annual
Total change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseAfterAdjustmentsBeforeTax`	$8.00M	USD	Annual
Total change in fair value of derivative financial instruments	`OtherComprehensiveIncomeLossDerivativeExcludedComponentIncreaseDecreaseAfterAdjustmentsBeforeTax`	$38.00M	USD	Annual
Other comprehensive income (loss) before taxes	`OtherComprehensiveIncomeLossBeforeTax`	$81.00M	USD	Annual
Other comprehensive income (loss) before taxes	`OtherComprehensiveIncomeLossBeforeTax`	$128.00M	USD	Annual
Other comprehensive income (loss) before taxes	`OtherComprehensiveIncomeLossBeforeTax`	$-99.00M	USD	Annual
Income taxes (benefits) related to other comprehensive income items	`OtherComprehensiveIncomeLossTax`	$30.00M	USD	Annual
Income taxes (benefits) related to other comprehensive income items	`OtherComprehensiveIncomeLossTax`	$-13.00M	USD	Annual
Income taxes (benefits) related to other comprehensive income items	`OtherComprehensiveIncomeLossTax`	$16.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$98.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-86.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$65.00M	USD	Annual
Comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$7.82B	USD	Annual
Comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$6.16B	USD	Annual
Comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$6.75B	USD	Annual
Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$849.00M	USD	Annual
Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$765.00M	USD	Annual
Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$1.19B	USD	Annual
Comprehensive income attributable to HCA Healthcare, Inc.	`ComprehensiveIncomeNetOfTax`	$5.56B	USD	Annual
Comprehensive income attributable to HCA Healthcare, Inc.	`ComprehensiveIncomeNetOfTax`	$5.31B	USD	Annual
Comprehensive income attributable to HCA Healthcare, Inc.	`ComprehensiveIncomeNetOfTax`	$7.05B	USD	Annual

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.