Supplemental Condensed Consolidating Financial Information And Other Collateral-related Information (Tables)

12 Months Ended

Dec. 31, 2019

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 YEAR ENDED DECEMBER 31, 2019

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	29,220		$	22,116		$	—		$	51,336
Salaries and benefits		—			—			12,898			10,662			—			23,560
Supplies		—			—			4,802			3,679			—			8,481
Other operating expenses		7			—			4,643			4,831			—			9,481
Equity in earnings of affiliates		(3,597	)		—			(6	)		(37	)		3,597			(43	)
Depreciation and amortization		—			—			1,447			1,149			—			2,596
Interest expense (income)		64			4,025			(2,001	)		(264	)		—			1,824
Gains on sales of facilities		—			—			(14	)		(4	)		—			(18	)
Losses on retirement of debt		—			211			—			—			—			211
Management fees		—			—			(768	)		768			—			—
		(3,526	)		4,236			21,001			20,784			3,597			46,092
Income (loss) before income taxes		3,526			(4,236	)		8,219			1,332			(3,597	)		5,244
Provision (benefit) for income taxes		21			(976	)		1,874			180			—			1,099
Net income (loss)		3,505			(3,260	)		6,345			1,152			(3,597	)		4,145
Net income attributable to noncontrolling interests		—			—			91			549			—			640
Net income (loss) attributable to HCA Healthcare, Inc.	$	3,505		$	(3,260	)	$	6,254		$	603		$	(3,597	)	$	3,505
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	3,426		$	(3,311	)	$	6,215		$	614		$	(3,518	)	$	3,426

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2018

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	27,482		$	19,195		$	—		$	46,677
Salaries and benefits		—			—			12,287			9,138			—			21,425
Supplies		—			—			4,560			3,164			—			7,724
Other operating expenses		8			—			4,463			4,137			—			8,608
Equity in earnings of affiliates		(3,688	)		—			(7	)		(22	)		3,688			(29	)
Depreciation and amortization		—			—			1,335			943			—			2,278
Interest expense (income)		64			3,580			(1,635	)		(254	)		—			1,755
Gains on sales of facilities		—			—			(357	)		(71	)		—			(428	)
Losses on retirement of debt		—			9			—			—			—			9
Management fees		—			—			(639	)		639			—			—
		(3,616	)		3,589			20,007			17,674			3,688			41,342
Income (loss) before income taxes		3,616			(3,589	)		7,475			1,521			(3,688	)		5,335
Provision (benefit) for income taxes		(171	)		(834	)		1,714			237			—			946
Net income (loss)		3,787			(2,755	)		5,761			1,284			(3,688	)		4,389
Net income attributable to noncontrolling interests		—			—			99			503			—			602
Net income (loss) attributable to HCA Healthcare, Inc.	$	3,787		$	(2,755	)	$	5,662		$	781		$	(3,688	)	$	3,787
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	3,779		$	(2,745	)	$	5,712		$	713		$	(3,680	)	$	3,779

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	25,774		$	17,840		$	—		$	43,614
Salaries and benefits		—			—			11,619			8,440			—			20,059
Supplies		—			—			4,286			3,030			—			7,316
Other operating expenses		6			—			4,249			3,796			—			8,051
Equity in earnings of affiliates		(2,476	)		—			(6	)		(39	)		2,476			(45	)
Depreciation and amortization		—			—			1,237			894			—			2,131
Interest expense (income)		64			3,088			(1,309	)		(153	)		—			1,690
Gains on sales of facilities		—			—			(2	)		(6	)		—			(8	)
Losses on retirement of debt		—			39			—			—			—			39
Management fees		—			—			(621	)		621			—			—
		(2,406	)		3,127			19,453			16,583			2,476			39,233
Income (loss) before income taxes		2,406			(3,127	)		6,321			1,257			(2,476	)		4,381
Provision (benefit) for income taxes		190			(1,154	)		2,293			309			—			1,638
Net income (loss)		2,216			(1,973	)		4,028			948			(2,476	)		2,743
Net income attributable to noncontrolling interests		—			—			108			419			—			527
Net income (loss) attributable to HCA Healthcare, Inc.	$	2,216		$	(1,973	)	$	3,920		$	529		$	(2,476	)	$	2,216
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	2,276		$	(1,953	)	$	3,898		$	591		$	(2,536	)	$	2,276

Schedule of Condensed Consolidating Balance Sheet

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2019

(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	$	—		$	—		$	118		$	503	$	—		$	621
Accounts receivable, net		—			—			4,037			3,343		—			7,380
Inventories		—			—			1,208			641		—			1,849
Other		—			—			727			619		—			1,346
		—			—			6,090			5,106		—			11,196
Property and equipment, net		—			—			13,418			9,297		—			22,715
Investments of insurance subsidiaries		—			—			—			315		—			315
Investments in and advances to affiliates		36,684			—			29			220		(36,684	)		249
Goodwill and other intangible assets		—			—			5,743			2,526		—			8,269
Right-of-use operating lease assets		—			—			455			1,379		—			1,834
Other		300			3			29			148		—			480
	$	36,984		$	3		$	25,764		$	18,991	$	(36,684	)	$	45,058
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,903		$	1,002	$	—		$	2,905
Accrued salaries		—			—			1,070			705		—			1,775
Other accrued expenses		85			341			1,001			1,505		—			2,932
Long-term debt due within one year		—			54			50			41		—			145
		85			395			4,024			3,253		—			7,757
Long-term debt, net		998			32,016			213			350		—			33,577
Intercompany balances		38,089			(4,314	)		(33,828	)		53		—			—
Professional liability risks		—			—			—			1,370		—			1,370
Right-of-use operating lease obligations		—			—			345			1,154		—			1,499
Income taxes and other liabilities		620			7			252			541		—			1,420
		39,792			28,104			(28,994	)		6,721		—			45,623
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(2,808	)		(28,101	)		54,652			10,133		(36,684	)		(2,808	)
Noncontrolling interests		—			—			106			2,137		—			2,243
		(2,808	)		(28,101	)		54,758			12,270		(36,684	)		(565	)
	$	36,984		$	3		$	25,764		$	18,991	$	(36,684	)	$	45,058

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2018

(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	$	—		$	—		$	174		$	328		$	—		$	502
Accounts receivable, net		—			—			3,964			2,825			—			6,789
Inventories		—			—			1,178			554			—			1,732
Other		—			—			669			521			—			1,190
		—			—			5,985			4,228			—			10,213
Property and equipment, net		—			—			12,450			7,307			—			19,757
Investments of insurance subsidiaries		—			—			—			362			—			362
Investments in and advances to affiliates		33,166			—			29			203			(33,166	)		232
Goodwill and other intangible assets		—			—			5,724			2,229			—			7,953
Other		478			64			35			113			—			690
	$	33,644		$	64		$	24,223		$	14,442		$	(33,166	)	$	39,207
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,721		$	856		$	—		$	2,577
Accrued salaries		—			—			998			582			—			1,580
Other accrued expenses		142			403			905			1,174			—			2,624
Long-term debt due within one year		—			696			55			37			—			788
		142			1,099			3,679			2,649			—			7,569
Long-term debt, net		996			30,544			212			281			—			32,033
Intercompany balances		36,951			(6,789	)		(28,415	)		(1,747	)		—			—
Professional liability risks		—			—			—			1,275			—			1,275
Income taxes and other liabilities		505			—			223			520			—			1,248
		38,594			24,854			(24,301	)		2,978			—			42,125
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(4,950	)		(24,790	)		48,437			9,519			(33,166	)		(4,950	)
Noncontrolling interests		—			—			87			1,945			—			2,032
		(4,950	)		(24,790	)		48,524			11,464			(33,166	)		(2,918	)
	$	33,644		$	64		$	24,223		$	14,442		$	(33,166	)	$	39,207

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2019

(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)	$	3,505		$	(3,260	)	$	6,345		$	1,152		$	(3,597	)	$	4,145
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		—			(62	)		17			(43	)		—			(88	)
Depreciation and amortization		—			—			1,447			1,149			—			2,596
Income taxes		250			—			—			—			—			250
Gains on sales of facilities		—			—			(14	)		(4	)		—			(18	)
Losses on retirement of debt		—			211			—			—			—			211
Amortization of debt issuance costs		—			30			—			—			—			30
Share-based compensation		—			—			347			—			—			347
Equity in earnings of affiliates		(3,597	)		—			—			—			3,597			—
Other		109			—			23			(3	)		—			129
Net cash provided by (used in) operating activities		267			(3,081	)		8,165			2,251			—			7,602
Cash flows from investing activities:
Purchase of property and equipment		—			—			(2,342	)		(1,816	)		—			(4,158	)
Acquisition of hospitals and health care entities		—			—			(43	)		(1,639	)		—			(1,682	)
Sales of hospitals and health care entities		—			—			42			19			—			61
Change in investments		—			—			6			19			—			25
Other		—			—			(7	)		41			—			34
Net cash used in investing activities		—			—			(2,344	)		(3,376	)		—			(5,720	)
Cash flows from financing activities:
Issuance of long-term debt		—			6,451			—			—			—			6,451
Net change in revolving bank credit facilities		—			(560	)		—			—			—			(560	)
Repayment of long-term debt		—			(5,227	)		(59	)		(38	)		—			(5,324	)
Distributions to noncontrolling interests		—			—			(104	)		(438	)		—			(542	)
Payment of debt issuance costs		—			(73	)		—			—			—			(73	)
Payment of dividends		(550	)		—			—			—			—			(550	)
Repurchases of common stock		(1,031	)		—			—			—			—			(1,031	)
Changes in intercompany balances with affiliates, net		1,457			2,490			(5,714	)		1,767			—			—
Other		(143	)		—			—			1			—			(142	)
Net cash (used in) provided by financing activities		(267	)		3,081			(5,877	)		1,292			—			(1,771	)
Effect of exchange rate changes on cash and cash equivalents		—			—			—			8			—			8
Change in cash and cash equivalents		—			—			(56	)		175			—			119
Cash and cash equivalents at beginning of period		—			—			174			328			—			502
Cash and cash equivalents at end of period	$	—		$	—		$	118		$	503		$	—		$	621

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2018

(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)	$	3,787		$	(2,755	)	$	5,761		$	1,284		$	(3,688	)	$	4,389
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		—			23			(178	)		188			—			33
Depreciation and amortization		—			—			1,335			943			—			2,278
Income taxes		74			—			—			—			—			74
Gains on sales of facilities		—			—			(357	)		(71	)		—			(428	)
Losses on retirement of debt		—			9			—			—			—			9
Amortization of debt issuance costs		—			31			—			—			—			31
Share-based compensation		—			—			268			—			—			268
Equity in earnings of affiliates		(3,688	)		—			—			—			3,688			—
Other		91			—			25			(9	)		—			107
Net cash provided by (used in) operating activities		264			(2,692	)		6,854			2,335			—			6,761
Cash flows from investing activities:
Purchase of property and equipment		—			—			(2,008	)		(1,565	)		—			(3,573	)
Acquisition of hospitals and health care entities		—			—			(897	)		(356	)		—			(1,253	)
Sales of hospitals and health care entities		—			—			770			38			—			808
Change in investments		—			—			12			45			—			57
Other		—			—			(9	)		69			—			60
Net cash used in investing activities		—			—			(2,132	)		(1,769	)		—			(3,901	)
Cash flows from financing activities:
Issuance of long-term debt		—			2,000			—			—			—			2,000
Net change in revolving bank credit facilities		—			(640	)		—			—			—			(640	)
Repayment of long-term debt		—			(1,590	)		(72	)		(42	)		—			(1,704	)
Distributions to noncontrolling interests		—			—			(83	)		(358	)		—			(441	)
Payment of debt issuance costs		—			(25	)		—			—			—			(25	)
Payment of dividends		(487	)		—			—			—			—			(487	)
Repurchases of common stock		(1,530	)		—			—			—			—			(1,530	)
Changes in intercompany balances with affiliates, net		2,004			2,947			(4,505	)		(446	)		—			—
Other		(252	)		—			—			4			—			(248	)
Net cash (used in) provided by financing activities		(265	)		2,692			(4,660	)		(842	)		—			(3,075	)
Effect of exchange rate changes on cash and cash equivalents		—			—			—			(15	)		—			(15	)
Change in cash and cash equivalents		(1	)		—			62			(291	)		—			(230	)
Cash and cash equivalents at beginning of period		1			—			112			619			—			732
Cash and cash equivalents at end of period	$	—		$	—		$	174		$	328		$	—		$	502

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 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)	$	2,216		$	(1,973	)	$	4,028		$	948		$	(2,476	)	$	2,743
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		—			(193	)		(219	)		116			—			(296	)
Depreciation and amortization		—			—			1,237			894			—			2,131
Income taxes		433			—			—			—			—			433
Gains on sales of facilities		—			—			(2	)		(6	)		—			(8	)
Losses on retirement of debt		—			39			—			—			—			39
Amortization of debt issuance costs		—			31			—			—			—			31
Share-based compensation		—			—			270			—			—			270
Equity in earnings of affiliates		(2,476	)		—			—			—			2,476			—
Other		78			—			—			5			—			83
Net cash provided by (used in) operating activities		251			(2,096	)		5,314			1,957			—			5,426
Cash flows from investing activities:
Purchase of property and equipment		—			—			(1,681	)		(1,334	)		—			(3,015	)
Acquisition of hospitals and health care entities		—			—			(26	)		(1,186	)		—			(1,212	)
Sales of hospitals and health care entities		—			—			14			11			—			25
Change in investments		—			—			(1	)		(72	)		—			(73	)
Other		—			—			—			(4	)		—			(4	)
Net cash used in investing activities		—			—			(1,694	)		(2,585	)		—			(4,279	)
Cash flows from financing activities:
Issuance of long-term debt		—			1,500			—			2			—			1,502
Net change in revolving bank credit facilities		—			760			—			—			—			760
Repayment of long-term debt		—			(628	)		(77	)		(48	)		—			(753	)
Distributions to noncontrolling interests		—			—			(140	)		(308	)		—			(448	)
Payment of debt issuance costs		—			(26	)		—			—			—			(26	)
Repurchases of common stock		(2,051	)		—			—			—			—			(2,051	)
Changes in intercompany balances with affiliates, net		1,867			490			(3,404	)		1,047			—			—
Other		(66	)		—			—			21			—			(45	)
Net cash (used in) provided by financing activities		(250	)		2,096			(3,621	)		714			—			(1,061	)
Change in cash and cash equivalents		1			—			(1	)		86			—			86
Cash and cash equivalents at beginning of period		—			—			113			533			—			646
Cash and cash equivalents at end of period	$	1		$	—		$	112		$	619		$	—		$	732

Reconciliations of Consolidated Statements of Stockholder's Deficit and Consolidated Statement of Cash Flows

The Hospital Company Consolidated Statements of Stockholder’s Deficitpresentations for the years ended December 31, are as follows (dollars in millions):

	2019			2018			2017
Presentation in HCA Healthcare, Inc. Consolidated Statements of Stockholders’ Deficit:
Repurchases of common stock	$	(1,031	)	$	(1,530	)	$	(2,051	)
Share-based benefit plans		313			115			281
Cash dividends declared ($1.60 per share — 2019 and $1.40 per share — 2018)		(555	)		(496	)		—
Other		(11	)		(12	)		(10	)
Presentation in Healthtrust, Inc. — The Hospital Company Consolidated Statements of Stockholder’s Deficit:
Distributions to HCA Healthcare, Inc., net of contributions from HCA Healthcare, Inc.	$	(1,284	)	$	(1,923	)	$	(1,780	)
Presentation in HCA Healthcare, Inc. Consolidated Statements of Cash Flows (cash flows from financing activities):
Repurchases of common stock	$	(1,031	)	$	(1,530	)	$	(2,051	)
Payment of dividends		(550	)		(487	)		—
Presentation in Healthtrust, Inc. — The Hospital Company Consolidated Statements of Cash Flows (cash flows from financing activities):
Cash distributions to HCA Healthcare, Inc.	$	(1,581	)	$	(2,017	)	$	(2,051	)

Schedule of Quarterly Consolidated Financial Information

	2019
	First			Second			Third			Fourth
Revenues	$	12,517		$	12,602		$	12,694		$	13,523
Net income	$	1,181	(a)	$	927	(b)	$	764	(c)	$	1,273
Net income attributable to HCA Healthcare, Inc.	$	1,039	(a)	$	783	(b)	$	612	(c)	$	1,071
Basic earnings per share	$	3.03		$	2.29		$	1.80		$	3.16
Diluted earnings per share	$	2.97		$	2.25		$	1.76		$	3.09

	2018
	First			Second			Third			Fourth
Revenues	$	11,423		$	11,529		$	11,451		$	12,274
Net income	$	1,282	(d)	$	966	(e)	$	896	(f)	$	1,245	(g)
Net income attributable to HCA Healthcare, Inc.	$	1,144	(d)	$	820	(e)	$	759	(f)	$	1,064	(g)
Basic earnings per share	$	3.26		$	2.35		$	2.20		$	3.09
Diluted earnings per share	$	3.18		$	2.31		$	2.15		$	3.01

(a) First quarter results include $1 million of losses on sales of facilities (See Note 3 of the notes to consolidated financial statements).

(b) Second quarter results include $14 million of gains on sales of facilities (See Note 3 of the notes to consolidated financial statements).

(c) Third quarter results include $162 million of losses on retirement of debt (See Note 9 of the notes to consolidated financial statements).

(d) First quarter results include $305 million of gains on sales of facilities (See Note 3 of the notes to consolidated financial statements).

(e) Second quarter results include $8 million of gains on sales of facilities (See Note 3 of the notes to consolidated financial statements).

(f) Third quarter results include $5 million of gains on sales of facilities (See Note 3 of the notes to consolidated financial statements) and $7 million of losses on retirement of debt (See Note 9 of the notes to consolidated financial statements).

(g) Fourth quarter results include $6 million of gains on sales of facilities (See Note 3 of the notes to consolidated financial statements).