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Supplemental Condensed Consolidating Financial Information (Schedule Of Condensed Consolidating Statement Of Cash Flows) (Detail) (USD $)
In Millions, unless otherwise specified
9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Cash flows from operating activities:    
Net income (loss) $ 1,579 $ 800
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Changes in operating assets and liabilities (2,923) (2,336)
Provision for doubtful accounts 2,666 2,164
Depreciation and amortization 1,254 1,078
Income taxes 250 348
Losses (gains) on sales of facilities (4) 3
Losses on retirement of debt    481
Amortization of deferred loan costs 44 56
Share-based compensation 39 24
Pay-in-kind interest   (78)
Equity in earnings of affiliates (26) (217)
Other 7 6
Net cash provided by (used in) operating activities 2,912 2,546
Cash flows from investing activities:    
Purchase of property and equipment (1,268) (1,170)
Acquisition of hospitals and health care entities (167) (209)
Disposition of hospitals and health care entities 17 55
Change in investments 73 80
Other 5 4
Net cash used in investing activities (1,340) (1,240)
Cash flows from financing activities:    
Issuance of long-term debt 1,350 5,000
Net change in revolving bank credit facilities (875) (414)
Repayment of long-term debt (689) (6,583)
Distributions to noncontrolling interests (303) (281)
Payment of debt issuance costs (20) (84)
Issuances of common stock   2,506
Repurchase of common stock   (1,503)
Distributions to stockholders (983) (31)
Income tax benefits 82 54
Other (35) (22)
Net cash (used in) provided by financing activities (1,473) (1,358)
Change in cash and cash equivalents 99 (52)
Cash and cash equivalents at beginning of period 373 411
Cash and cash equivalents at end of period 472 359
HCA Holdings, Inc. Issuer [Member]
   
Cash flows from operating activities:    
Net income (loss) 1,291 530
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Changes in operating assets and liabilities 30 34
Income taxes 250 348
Amortization of deferred loan costs 1  
Share-based compensation 39 24
Equity in earnings of affiliates (1,348) (581)
Net cash provided by (used in) operating activities 263 355
Cash flows from financing activities:    
Changes in intercompany balances with affiliates, net 675 (1,358)
Issuances of common stock   2,506
Repurchase of common stock   (1,503)
Distributions to stockholders (983) (31)
Income tax benefits 82 54
Other (37) (29)
Net cash (used in) provided by financing activities (263) (361)
Change in cash and cash equivalents   (6)
Cash and cash equivalents at beginning of period   6
HCA Inc. Issuer [Member]
   
Cash flows from operating activities:    
Net income (loss) (1,013) (1,820)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Changes in operating assets and liabilities (131) (61)
Losses on retirement of debt   481
Amortization of deferred loan costs 43 56
Pay-in-kind interest   (78)
Other 11 7
Net cash provided by (used in) operating activities (1,090) (1,415)
Cash flows from financing activities:    
Issuance of long-term debt 1,350 5,000
Net change in revolving bank credit facilities (875) (414)
Repayment of long-term debt (604) (6,529)
Changes in intercompany balances with affiliates, net 1,239 3,442
Payment of debt issuance costs (20) (84)
Net cash (used in) provided by financing activities 1,090 1,415
Guarantor Subsidiaries [Member]
   
Cash flows from operating activities:    
Net income (loss) 1,771 1,869
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Changes in operating assets and liabilities (1,475) (1,442)
Provision for doubtful accounts 1,505 1,298
Depreciation and amortization 614 582
Losses (gains) on sales of facilities 3 18
Equity in earnings of affiliates (4) 84
Net cash provided by (used in) operating activities 2,418 2,325
Cash flows from investing activities:    
Purchase of property and equipment (685) (594)
Acquisition of hospitals and health care entities (72) (136)
Disposition of hospitals and health care entities 1 1
Change in investments (9) 31
Other (1)  
Net cash used in investing activities (766) (698)
Cash flows from financing activities:    
Repayment of long-term debt (16) (8)
Distributions to noncontrolling interests (46) (55)
Changes in intercompany balances with affiliates, net (1,556) (1,625)
Net cash (used in) provided by financing activities (1,618) (1,688)
Change in cash and cash equivalents 34 (61)
Cash and cash equivalents at beginning of period 115 156
Cash and cash equivalents at end of period 149 95
Subsidiary Non-Guarantors [Member]
   
Cash flows from operating activities:    
Net income (loss) 878 802
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Changes in operating assets and liabilities (1,347) (867)
Provision for doubtful accounts 1,161 866
Depreciation and amortization 640 496
Losses (gains) on sales of facilities (7) (15)
Equity in earnings of affiliates (22) 133
Other (4) (1)
Net cash provided by (used in) operating activities 1,321 1,281
Cash flows from investing activities:    
Purchase of property and equipment (583) (576)
Acquisition of hospitals and health care entities (95) (73)
Disposition of hospitals and health care entities 16 54
Change in investments 82 49
Other 6 4
Net cash used in investing activities (574) (542)
Cash flows from financing activities:    
Repayment of long-term debt (69) (46)
Distributions to noncontrolling interests (257) (226)
Changes in intercompany balances with affiliates, net (358) (459)
Other 2 7
Net cash (used in) provided by financing activities (682) (724)
Change in cash and cash equivalents 65 15
Cash and cash equivalents at beginning of period 258 249
Cash and cash equivalents at end of period 323 264
Eliminations [Member]
   
Cash flows from operating activities:    
Net income (loss) (1,348) (581)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Equity in earnings of affiliates $ 1,348 $ 581