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Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information - Schedule of Condensed Consolidating Comprehensive Income Statement (Detail) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts $ 11,806 $ 11,081 $ 23,189 $ 22,131
Provision for doubtful accounts 1,073 762 1,833 1,552
Revenues 10,733 10,319 21,356 20,579
Salaries and benefits 4,896 4,691 9,797 9,393
Supplies 1,795 1,718 3,592 3,432
Other operating expenses 1,965 1,868 3,895 3,721
Equity in earnings of affiliates (13) (10) (23) (22)
Depreciation and amortization 521 489 1,042 968
Interest expense 411 427 830 843
Gains on sales of facilities (2) (6) (3) (5)
Legal claim costs   10   22
Total expenses including equity in earnings of affiliates 9,573 9,187 19,130 18,352
Income (loss) before income taxes 1,160 1,132 2,226 2,227
Provision (benefit) for income taxes 365 341 654 625
Net income (loss) 795 791 1,572 1,602
Net income attributable to noncontrolling interests 138 133 256 250
Net income (loss) attributable to HCA Healthcare, Inc. 657 658 1,316 1,352
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 684 608 1,361 1,273
HCA Healthcare, Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Other operating expenses 4 2 5 4
Equity in earnings of affiliates (658) (641) (1,266) (1,270)
Interest expense 16 16 32 32
Total expenses including equity in earnings of affiliates (638) (623) (1,229) (1,234)
Income (loss) before income taxes 638 623 1,229 1,234
Provision (benefit) for income taxes (19) (35) (87) (118)
Net income (loss) 657 658 1,316 1,352
Net income (loss) attributable to HCA Healthcare, Inc. 657 658 1,316 1,352
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 684 608 1,361 1,273
HCA Inc. Issuer [Member]        
Condensed Statement of Income Captions [Line Items]        
Interest expense 755 670 1,488 1,320
Legal claim costs   10   22
Total expenses including equity in earnings of affiliates 755 680 1,488 1,342
Income (loss) before income taxes (755) (680) (1,488) (1,342)
Provision (benefit) for income taxes (279) (251) (549) (495)
Net income (loss) (476) (429) (939) (847)
Net income (loss) attributable to HCA Healthcare, Inc. (476) (429) (939) (847)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. (480) (431) (936) (856)
Subsidiary Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts 6,049 5,693 11,902 11,366
Provision for doubtful accounts 593 498 1,012 992
Revenues 5,456 5,195 10,890 10,374
Salaries and benefits 2,437 2,347 4,903 4,701
Supplies 931 886 1,882 1,784
Other operating expenses 951 893 1,878 1,750
Equity in earnings of affiliates (1) (1) (2) (3)
Depreciation and amortization 248 238 499 465
Interest expense (291) (204) (560) (411)
Gains on sales of facilities (1) (2) (1)  
Management fees (212) (235) (422) (395)
Total expenses including equity in earnings of affiliates 4,062 3,922 8,177 7,891
Income (loss) before income taxes 1,394 1,273 2,713 2,483
Provision (benefit) for income taxes 505 462 983 900
Net income (loss) 889 811 1,730 1,583
Net income attributable to noncontrolling interests 27 21 50 43
Net income (loss) attributable to HCA Healthcare, Inc. 862 790 1,680 1,540
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 865 794 1,686 1,546
Subsidiary Non-Guarantors [Member]        
Condensed Statement of Income Captions [Line Items]        
Revenues before provision for doubtful accounts 5,757 5,388 11,287 10,765
Provision for doubtful accounts 480 264 821 560
Revenues 5,277 5,124 10,466 10,205
Salaries and benefits 2,459 2,344 4,894 4,692
Supplies 864 832 1,710 1,648
Other operating expenses 1,010 973 2,012 1,967
Equity in earnings of affiliates (12) (9) (21) (19)
Depreciation and amortization 273 251 543 503
Interest expense (69) (55) (130) (98)
Gains on sales of facilities (1) (4) (2) (5)
Management fees 212 235 422 395
Total expenses including equity in earnings of affiliates 4,736 4,567 9,428 9,083
Income (loss) before income taxes 541 557 1,038 1,122
Provision (benefit) for income taxes 158 165 307 338
Net income (loss) 383 392 731 784
Net income attributable to noncontrolling interests 111 112 206 207
Net income (loss) attributable to HCA Healthcare, Inc. 272 280 525 577
Comprehensive income (loss) attributable to HCA Healthcare, Inc. 300 228 561 501
Eliminations [Member]        
Condensed Statement of Income Captions [Line Items]        
Equity in earnings of affiliates 658 641 1,266 1,270
Total expenses including equity in earnings of affiliates 658 641 1,266 1,270
Income (loss) before income taxes (658) (641) (1,266) (1,270)
Net income (loss) (658) (641) (1,266) (1,270)
Net income (loss) attributable to HCA Healthcare, Inc. (658) (641) (1,266) (1,270)
Comprehensive income (loss) attributable to HCA Healthcare, Inc. $ (685) $ (591) $ (1,311) $ (1,191)