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Consolidated Balance Sheets (USD $)
In Millions, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Current assets:    
Cash and cash equivalents $ 566us-gaap_CashAndCashEquivalentsAtCarryingValue $ 414us-gaap_CashAndCashEquivalentsAtCarryingValue
Accounts receivable, less allowance for doubtful accounts of $5,011 and $5,488 5,694us-gaap_AccountsReceivableNetCurrent 5,208us-gaap_AccountsReceivableNetCurrent
Inventories 1,279us-gaap_InventoryNet 1,179us-gaap_InventoryNet
Deferred income taxes 366us-gaap_DeferredTaxAssetsNetCurrent 489us-gaap_DeferredTaxAssetsNetCurrent
Other 1,025us-gaap_OtherAssetsCurrent 747us-gaap_OtherAssetsCurrent
Total current assets 8,930us-gaap_AssetsCurrent 8,037us-gaap_AssetsCurrent
Property and equipment, at cost:    
Land 1,524us-gaap_Land 1,487us-gaap_Land
Buildings 11,941us-gaap_BuildingsAndImprovementsGross 11,211us-gaap_BuildingsAndImprovementsGross
Equipment 18,496us-gaap_MachineryAndEquipmentGross 17,519us-gaap_MachineryAndEquipmentGross
Construction in progress 1,019us-gaap_ConstructionInProgressGross 856us-gaap_ConstructionInProgressGross
Property and equipment, at cost 32,980us-gaap_PropertyPlantAndEquipmentGross 31,073us-gaap_PropertyPlantAndEquipmentGross
Accumulated depreciation (18,625)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (17,454)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Property and equipment, net 14,355us-gaap_PropertyPlantAndEquipmentNet 13,619us-gaap_PropertyPlantAndEquipmentNet
Investments of insurance subsidiaries 494us-gaap_AvailableForSaleSecuritiesNoncurrent 448us-gaap_AvailableForSaleSecuritiesNoncurrent
Investments in and advances to affiliates 165us-gaap_EquityMethodInvestments 121us-gaap_EquityMethodInvestments
Goodwill and other intangible assets 6,416us-gaap_IntangibleAssetsNetIncludingGoodwill 5,903us-gaap_IntangibleAssetsNetIncludingGoodwill
Deferred loan costs 219us-gaap_DeferredFinanceCostsNoncurrentNet 237us-gaap_DeferredFinanceCostsNoncurrentNet
Other 620us-gaap_OtherAssetsNoncurrent 466us-gaap_OtherAssetsNoncurrent
Total assets 31,199us-gaap_Assets 28,831us-gaap_Assets
Current liabilities:    
Accounts payable 2,035us-gaap_AccountsPayableCurrent 1,803us-gaap_AccountsPayableCurrent
Accrued salaries 1,370us-gaap_AccruedSalariesCurrent 1,193us-gaap_AccruedSalariesCurrent
Other accrued expenses 1,737us-gaap_OtherAccruedLiabilitiesCurrent 1,913us-gaap_OtherAccruedLiabilitiesCurrent
Long-term debt due within one year 338us-gaap_LongTermDebtCurrent 786us-gaap_LongTermDebtCurrent
Total current liabilities 5,480us-gaap_LiabilitiesCurrent 5,695us-gaap_LiabilitiesCurrent
Long-term debt 29,307us-gaap_LongTermDebtNoncurrent 27,590us-gaap_LongTermDebtNoncurrent
Professional liability risks 1,078hca_ProfessionalLiabilityRisks 949hca_ProfessionalLiabilityRisks
Income taxes and other liabilities 1,832hca_IncomeTaxesAndOtherLiabilities 1,525hca_IncomeTaxesAndOtherLiabilities
Stockholders' deficit:    
Common stock $0.01 par; authorized 1,800,000,000 shares; outstanding 420,477,900 shares - 2014 and 439,604,000 shares - 2013 4us-gaap_CommonStockValueOutstanding 4us-gaap_CommonStockValueOutstanding
Capital in excess of par value   1,386us-gaap_AdditionalPaidInCapitalCommonStock
Accumulated other comprehensive loss (323)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax (257)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax
Retained deficit (7,575)us-gaap_RetainedEarningsAccumulatedDeficit (9,403)us-gaap_RetainedEarningsAccumulatedDeficit
Stockholders' deficit attributable to HCA Holdings, Inc. (7,894)us-gaap_StockholdersEquity (8,270)us-gaap_StockholdersEquity
Noncontrolling interests 1,396us-gaap_MinorityInterest 1,342us-gaap_MinorityInterest
Total stockholders' deficit (6,498)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest (6,928)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
Total liabilities and stockholders' deficit $ 31,199us-gaap_LiabilitiesAndStockholdersEquity $ 28,831us-gaap_LiabilitiesAndStockholdersEquity