Supplemental Condensed Consolidating Financial Information (Tables)

9 Months Ended

Sep. 30, 2017

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Condensed Consolidating Comprehensive Income Statement

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED SEPTEMBER 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	5,897		$	6,070		$	—		$	11,967
Provision for doubtful accounts		—			—			636			635			—			1,271
Revenues		—			—			5,261			5,435			—			10,696
Salaries and benefits		—			—			2,427			2,654			—			5,081
Supplies		—			—			889			888			—			1,777
Other operating expenses		—			—			963			1,112			—			2,075
Equity in earnings of affiliates		(436	)		—			(1	)		(12	)		436			(13	)
Depreciation and amortization		—			—			249			290			—			539
Interest expense		16			792			(318	)		(63	)		—			427
Gains on sales of facilities		—			—			(4	)		(3	)		—			(7	)
Losses on retirement of debt		—			39			—			—			—			39
Management fees		—			—			(215	)		215			—			—
		(420	)		831			3,990			5,081			436			9,918
Income (loss) before income taxes		420			(831	)		1,271			354			(436	)		778
Provision (benefit) for income taxes		(6	)		(307	)		460			101			—			248
Net income (loss)		426			(524	)		811			253			(436	)		530
Net income attributable to noncontrolling interests		—			—			24			80			—			104
Net income (loss) attributable to HCA Healthcare, Inc.	$	426		$	(524	)	$	787		$	173		$	(436	)	$	426
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	451		$	(522	)	$	790		$	193		$	(461	)	$	451

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED SEPTEMBER 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	5,591		$	5,519		$	—		$	11,110
Provision for doubtful accounts		—			—			391			449			—			840
Revenues		—			—			5,200			5,070			—			10,270
Salaries and benefits		—			—			2,373			2,367			—			4,740
Supplies		—			—			888			811			—			1,699
Other operating expenses		1			—			904			991			—			1,896
Equity in earnings of affiliates		(573	)		—			(1	)		(21	)		573			(22	)
Depreciation and amortization		—			—			242			253			—			495
Interest expense		16			711			(235	)		(60	)		—			432
Gains on sales of facilities		—			—			—			(3	)		—			(3	)
Losses on retirement of debt		—			4			—			—			—			4
Legal claim costs		—			11			—			—			—			11
Management fees		—			—			(206	)		206			—			—
		(556	)		726			3,965			4,544			573			9,252
Income (loss) before income taxes		556			(726	)		1,235			526			(573	)		1,018
Provision (benefit) for income taxes		(62	)		(268	)		447			156			—			273
Net income (loss)		618			(458	)		788			370			(573	)		745
Net income attributable to noncontrolling interests		—			—			24			103			—			127
Net income (loss) attributable to HCA Healthcare, Inc.	$	618		$	(458	)	$	764		$	267		$	(573	)	$	618
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	621		$	(432	)	$	766		$	242		$	(576	)	$	621

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	17,799			17,357		$	—		$	35,156
Provision for doubtful accounts		—			—			1,648			1,456			—			3,104
Revenues		—			—			16,151			15,901			—			32,052
Salaries and benefits		—			—			7,330			7,548			—			14,878
Supplies		—			—			2,771			2,598			—			5,369
Other operating expenses		5			—			2,841			3,124			—			5,970
Equity in earnings of affiliates		(1,702	)		—			(3	)		(33	)		1,702			(36	)
Depreciation and amortization		—			—			748			833			—			1,581
Interest expense		48			2,280			(878	)		(193	)		—			1,257
Gains on sales of facilities		—			—			(5	)		(5	)		—			(10	)
Losses on retirement of debt		—			39			—			—			—			39
Management fees		—			—			(637	)		637			—			—
		(1,649	)		2,319			12,167			14,509			1,702			29,048
Income (loss) before income taxes		1,649			(2,319	)		3,984			1,392			(1,702	)		3,004
Provision (benefit) for income taxes		(93	)		(856	)		1,443			408			—			902
Net income (loss)		1,742			(1,463	)		2,541			984			(1,702	)		2,102
Net income attributable to noncontrolling interests		—			—			74			286			—			360
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,742		$	(1,463	)	$	2,467		$	698		$	(1,702	)	$	1,742
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,812		$	(1,458	)	$	2,476		$	754		$	(1,772	)	$	1,812

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	16,957		$	16,284		$	—		$	33,241
Provision for doubtful accounts		—			—			1,383			1,009			—			2,392
Revenues		—			—			15,574			15,275			—			30,849
Salaries and benefits		—			—			7,074			7,059			—			14,133
Supplies		—			—			2,672			2,459			—			5,131
Other operating expenses		5			—			2,654			2,958			—			5,617
Equity in earnings of affiliates		(1,843	)		—			(4	)		(40	)		1,843			(44	)
Depreciation and amortization		—			—			707			756			—			1,463
Interest expense		48			2,031			(646	)		(158	)		—			1,275
Gains on sales of facilities		—			—			—			(8	)		—			(8	)
Losses on retirement of debt		—			4			—			—			—			4
Legal claim costs		—			33			—			—			—			33
Management fees		—			—			(601	)		601			—			—
		(1,790	)		2,068			11,856			13,627			1,843			27,604
Income (loss) before income taxes		1,790			(2,068	)		3,718			1,648			(1,843	)		3,245
Provision (benefit) for income taxes		(180	)		(763	)		1,347			494			—			898
Net income (loss)		1,970			(1,305	)		2,371			1,154			(1,843	)		2,347
Net income attributable to noncontrolling interests		—			—			67			310			—			377
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,970		$	(1,305	)	$	2,304		$	844		$	(1,843	)	$	1,970
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,894		$	(1,288	)	$	2,312		$	743		$	(1,767	)	$	1,894

Schedule of Condensed Consolidating Balance Sheet

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

SEPTEMBER 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors		Eliminations			Condensed Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	1		$	—		$	117		$	600	$	—		$	718
Accounts receivable, net		—			—			3,003			2,977		—			5,980
Inventories		—			—			899			647		—			1,546
Other		33			—			438			733		—			1,204
		34			—			4,457			4,957		—			9,448
Property and equipment, net		—			—			8,670			8,659		—			17,329
Investments of insurance subsidiaries		—			—			—			368		—			368
Investments in and advances to affiliates		28,817			—			15			186		(28,817	)		201
Goodwill and other intangible assets		—			—			1,728			5,629		—			7,357
Other		783			29			35			181		—			1,028
	$	29,634		$	29		$	14,905		$	19,980	$	(28,817	)	$	35,731
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,288		$	1,026	$	—		$	2,314
Accrued salaries		—			—			704			608		—			1,312
Other accrued expenses		8			279			475			1,021		—			1,783
Long-term debt due within one year		—			97			54			51		—			202
		8			376			2,521			2,706		—			5,611
Long-term debt, net		994			31,275			192			290		—			32,751
Intercompany balances		34,983			(10,069	)		(28,514	)		3,600		—			—
Professional liability risks		—			—			—			1,179		—			1,179
Income taxes and other liabilities		429			2			353			472		—			1,256
		36,414			21,584			(25,448)			8,247		—			40,797
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(6,780	)		(21,555	)		40,228			10,144		(28,817	)		(6,780	)
Noncontrolling interests		—			—			125			1,589		—			1,714
		(6,780	)		(21,555	)		40,353			11,733		(28,817	)		(5,066	)
	$	29,634		$	29		$	14,905		$	19,980	$	(28,817	)	$	35,731

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors		Eliminations			Condensed Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	—		$	—		$	110		$	536	$	—		$	646
Accounts receivable, net		—			—			3,028			2,798		—			5,826
Inventories		—			—			890			613		—			1,503
Other		—			—			445			666		—			1,111
		—			—			4,473			4,613		—			9,086
Property and equipment, net		—			—			8,463			7,889		—			16,352
Investments of insurance subsidiaries		—			—			—			336		—			336
Investments in and advances to affiliates		27,045			—			16			190		(27,045	)		206
Goodwill and other intangible assets		—			—			1,728			4,976		—			6,704
Other		877			—			34			163		—			1,074
	$	27,922		$	—		$	14,714		$	18,167	$	(27,045	)	$	33,758
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,439		$	879	$	—		$	2,318
Accrued salaries		—			—			704			561		—			1,265
Other accrued expenses		29			572			464			970		—			2,035
Long-term debt due within one year		—			97			60			59		—			216
		29			669			2,667			2,469		—			5,834
Long-term debt, net		993			29,693			199			275		—			31,160
Intercompany balances		33,784			(10,277	)		(26,447	)		2,940		—			—
Professional liability risks		—			—			—			1,148		—			1,148
Income taxes and other liabilities		418			12			387			432		—			1,249
		35,224			20,097			(23,194	)		7,264		—			39,391
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(7,302	)		(20,097	)		37,752			9,390		(27,045	)		(7,302	)
Noncontrolling interests		—			—			156			1,513		—			1,669
		(7,302	)		(20,097	)		37,908			10,903		(27,045	)		(5,633	)
	$	27,922		$	—		$	14,714		$	18,167	$	(27,045	)	$	33,758

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,742		$	(1,463	)	$	2,541		$	984		$	(1,702	)	$	2,102
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Changes in operating assets and liabilities		(15	)		(293	)		(1,785	)		(1,300	)		—			(3,393	)
Provision for doubtful accounts		—			—			1,648			1,456			—			3,104
Depreciation and amortization		—			—			748			833			—			1,581
Income taxes		(9	)		—			—			—			—			(9	)
Gains on sales of facilities		—			—			(5	)		(5	)		—			(10	)
Losses on retirement of debt		—			39			—			—			—			39
Amortization of debt issuance costs		—			23			—			—			—			23
Share-based compensation		—			—			195			—			—			195
Equity in earnings of affiliates		(1,702	)		—			—			—			1,702			—
Other		58			—			—			2			—			60
Net cash provided by (used in) operating activities		74			(1,694	)		3,342			1,970			—			3,692
Cash flows from investing activities:
Purchase of property and equipment		—			—			(912	)		(1,121	)		—			(2,033	)
Acquisition of hospitals and health care entities		—			—			(9	)		(1,133	)		—			(1,142	)
Disposition of hospitals and health care entities		—			—			12			12			—			24
Change in investments		—			—			—			(15	)		—			(15	)
Other		—			—			(2	)		(4	)		—			(6	)
Net cash used in investing activities		—			—			(911	)		(2,261	)		—			(3,172	)
Cash flows from financing activities:
Issuance of long-term debt		—			1,500			—			2			—			1,502
Net change in revolving credit facilities		—			650			—			—			—			650
Repayment of long-term debt		—			(604	)		(52	)		(44	)		—			(700	)
Distributions to noncontrolling interests		—			—			(105	)		(258	)		—			(363	)
Payment of debt issuance costs		—			(25	)		—			—			—			(25	)
Repurchases of common stock		(1,475	)		—			—			—			—			(1,475	)
Changes in intercompany balances with affiliates, net		1,468			173			(2,267	)		626			—			—
Other		(66	)		—			—			29			—			(37	)
Net cash (used in) provided by financing activities		(73	)		1,694			(2,424	)		355			—			(448	)
Change in cash and cash equivalents		1			—			7			64			—			72
Cash and cash equivalents at beginning of period		—			—			110			536			—			646
Cash and cash equivalents at end of period	$	1		$	—		$	117		$	600		$	—		$	718

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,970		$	(1,305	)	$	2,371		$	1,154		$	(1,843	)	$	2,347
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Changes in operating assets and liabilities		(40	)		(49	)		(1,628	)		(829	)		—			(2,546	)
Provision for doubtful accounts		—			—			1,383			1,009			—			2,392
Depreciation and amortization		—			—			707			756			—			1,463
Income taxes		8			—			—			—			—			8
Gains on sales of facilities		—			—			—			(8	)		—			(8	)
Losses on retirement of debt		—			4			—			—			—			4
Legal claim costs		—			33			—			—			—			33
Amortization of debt issuance costs		—			26			—			—			—			26
Share-based compensation		—			—			196			—			—			196
Equity in earnings of affiliates		(1,843	)		—			—			—			1,843			—
Other		53			—			(3	)		(11	)		—			39
Net cash provided by (used in) operating activities		148			(1,291	)		3,026			2,071			—			3,954
Cash flows from investing activities:
Purchase of property and equipment		—			—			(892	)		(992	)		—			(1,884	)
Acquisition of hospitals and health care entities		—			—			(164	)		(304	)		—			(468	)
Disposition of hospitals and health care entities		—			—			10			13			—			23
Change in investments		—			—			(2	)		80			—			78
Other		—			—			—			17			—			17
Net cash used in investing activities		—			—			(1,048	)		(1,186	)		—			(2,234	)
Cash flows from financing activities:
Issuance of long-term debt		—			5,400			—			—			—			5,400
Net change in revolving credit facilities		—			(70	)		—			—			—			(70	)
Repayment of long-term debt		—			(4,334	)		(54	)		(36	)		—			(4,424	)
Distributions to noncontrolling interests		—			—			(46	)		(296	)		—			(342	)
Payment of debt issuance costs		—			(40	)		—			—			—			(40	)
Repurchases of common stock		(2,213	)		—			—			—			—			(2,213	)
Changes in intercompany balances with affiliates, net		2,171			335			(1,895	)		(611	)		—			—
Other		(105	)		—			—			10			—			(95	)
Net cash (used in) provided by financing activities		(147	)		1,291			(1,995	)		(933	)		—			(1,784	)
Change in cash and cash equivalents		1			—			(17	)		(48	)		—			(64	)
Cash and cash equivalents at beginning of period		—			—			155			586			—			741
Cash and cash equivalents at end of period	$	1		$	—		$	138		$	538		$	—		$	677