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Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure        
Pay vs Performance Disclosure, Table
2023 Pay Versus Performance Table
The following table sets forth additional compensation information of our Principal Executive Officer (“PEO”) and our
non-PEO
Named Executive Officers
(“non-PEO
NEOs”) along with total shareholder return, net income attributable to HCA Healthcare, Inc. and adjusted EBITDA performance results for our fiscal years ending in 2023, 2022, 2021 and 2020. “Compensation actually paid” does not represent the value of cash and shares of the Company’s common stock received by named executive officers during the year, but rather it is an amount calculated under SEC rules and includes, among other things, year-over-year changes in the value of unvested equity based awards. As a result of the calculation methodology required by the SEC, “Compensation actually paid” amounts differ from compensation actually received by the individuals and the compensation decisions described in the “Compensation Discussion and Analysis” section above.
 
               
Year
 
Summary
Compensation
Table Total
for PEO (1)
   
Compensation
Actually Paid
to PEO (2)(3)(4)
   
Average
Summary
Compensation
Table Total
for non-PEO
NEOs (1)
   
Average
Compensation
Actually Paid
to non-PEO
NEOs (2)(3)(4)
   
Value of Initial Fixed
$100 Investment Based On:
   
Net
Income
Attributable to
HCA
Healthcare, Inc.
   
Adjusted
EBITDA (10)
 
 
Total
Shareholder
Return
   
Peer Group
Total
Shareholder
Return (9)
 
2023 (5)
 
 
$21,315,984
 
 
 
$23,591,845
 
 
 
$6,861,426
 
 
 
$ 7,050,413
 
 
 
$188.93
 
 
 
$143.18
 
 
 
$5,242,000,000
 
 
 
$12,726,000,000
 
2022 (6)
 
 
$14,637,726
 
 
 
$ 9,582,202
 
 
 
$5,166,993
 
 
 
$ 3,405,676
 
 
 
$165.99
 
 
 
$140.29
 
 
 
$5,643,000,000
 
 
 
$12,067,000,000
 
2021 (7)
 
 
$20,635,260
 
 
 
$84,568,577
 
 
 
$5,999,564
 
 
 
$19,628,647
 
 
 
$175.93
 
 
 
$143.09
 
 
 
$6,956,000,000
 
 
 
$12,644,000,000
 
2020 (8)
 
 
$30,397,771
 
 
 
$30,452,042
 
 
 
$7,041,315
 
 
 
$ 7,875,351
 
 
 
$111.64
 
 
 
$113.45
 
 
 
$3,754,000,000
 
 
 
$10,037,000,000
 
 
(1)
Named executive officers included in the above compensation columns reflect the following:
 
   
Year
  
PEO
    
Non-PEO
NEOs
   
  2023      Hazen      Rutherford, Foster, Akdamar, McManus
  2022      Hazen      Rutherford, Foster, Hall, McAlevey
  2021      Hazen      Rutherford, Foster, Hall, Cuffe
  2020      Hazen     
Rutherford, Foster, Hall, Perlin
 
(2)
Fair value or change in fair value, as applicable, of equity awards in the “Actually Paid” columns was determined by reference to (1) for PSU awards, closing price on applicable
year-end
date(s) multiplied by the probability of achievement as of each such date or, in the case of vesting dates, the actual shares earned multiplied by the vesting price, (2) for SAR awards, a Black-Scholes value as of the applicable
year-end
or vesting date(s), determined based on the same methodology as used to determine grant date fair value for the applicable grant and (3) for RSU awards, the closing price on applicable
year-end
date(s) or, in the case of vesting dates, the actual vesting price.
 
(3)
For the portion of “Actually Paid” compensation that is based on
year-end
stock prices, the following prices were used: $270.68 for 2023 (closing price as of 12/29/23), $239.96 for 2022 (closing price as of 12/30/22), $256.92 for 2021 (closing price as of 12/31/21) and $164.46 for 2020 (closing price as of 12/31/20).
 
(4)
Amounts for 2020-2022 have been revised from the prior year presentation to value certain PSU awards at the vesting date rather than the performance certification date.
 
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans
        $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,477  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total   $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
 
(9)
The Peer Group reflected in the Peer Group Total Shareholder Return is the S&P Health Care Index, as reflected in our 2023 Annual Report on Form the
10-K
pursuant to Item 201(e) of Regulation
S-K.
Each year reflects the cumulative total return assuming $100 invested on December 31, 2019 in our common stock and in the S&P Health Care Index, including the subsequent reinvestment of dividends.
 
(10)
Adjusted EBITDA was selected by the Compensation Committee as the Company-Selected Measure (“CSM”). It is a
non-Generally
Accepted Accounting Principles (“GAAP”) financial measure defined as income before depreciation and amortization, interest expense, losses and gains on sales of facilities, losses on retirement of debt, provision for income taxes and net income attributable to noncontrolling interests. Reconciliations of Adjusted EBITDA to the most directly comparable financial measure calculated in accordance with GAAP are included in Appendix A.
     
Company Selected Measure Name Adjusted EBITDA      
Named Executive Officers, Footnote
(1)
Named executive officers included in the above compensation columns reflect the following:
 
   
Year
  
PEO
    
Non-PEO
NEOs
   
  2023      Hazen      Rutherford, Foster, Akdamar, McManus
  2022      Hazen      Rutherford, Foster, Hall, McAlevey
  2021      Hazen      Rutherford, Foster, Hall, Cuffe
  2020      Hazen     
Rutherford, Foster, Hall, Perlin
     
Peer Group Issuers, Footnote The Peer Group reflected in the Peer Group Total Shareholder Return is the S&P Health Care Index, as reflected in our 2023 Annual Report on Form the
10-K
pursuant to Item 201(e) of Regulation
S-K.
Each year reflects the cumulative total return assuming $100 invested on December 31, 2019 in our common stock and in the S&P Health Care Index, including the subsequent reinvestment of dividends.
     
PEO Total Compensation Amount $ 21,315,984 $ 14,637,726 $ 20,635,260 $ 30,397,771
PEO Actually Paid Compensation Amount $ 23,591,845 9,582,202 84,568,577 30,452,042
Adjustment To PEO Compensation, Footnote
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans
        $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,477  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total   $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
     
Non-PEO NEO Average Total Compensation Amount $ 6,861,426 5,166,993 5,999,564 7,041,315
Non-PEO NEO Average Compensation Actually Paid Amount $ 7,050,413 3,405,676 19,628,647 7,875,351
Adjustment to Non-PEO NEO Compensation Footnote
(5)
2023 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2023 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2023 Summary Compensation Table Total   $ 21,315,984     $ 6,861,426  
Less: Change in Pension & Deferred Compensation Plans
        $ 264,662  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 723,544     $ 135,006  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 14,200,216     $ 3,489,375  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/23   $ 15,028,391     $ 3,692,881  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/23   $ (2,830,010   $ (482,970
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date   $ 3,842,051     $ 642,477  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 514,566     $ 85,739  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 226,667     $ 41,399  
 
 
 
   
 
 
 
2023 Compensation Actually Paid
  $ 23,591,845     $ 7,050,413  
 
 
 
   
 
 
 
 
(6)
2022 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2022 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2022 Summary Compensation Table Total   $ 14,637,726     $ 5,166,993  
Less: Change in Pension & Deferred Compensation Plans         $ 276,883  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 952,610     $ 182,990  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 12,055,290     $ 3,063,442  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/22   $ 13,374,858     $ 2,698,985  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/22 (4)   $ (3,338,709   $ (573,313
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ (3,998,784   $ (737,029
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 435,499     $ 73,188  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 445,290     $ 80,563  
 
 
 
   
 
 
 
2022 Compensation Actually Paid
  $ 9,582,202     $ 3,405,676  
 
 
 
   
 
 
 
 
(7)
2021 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2021 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2021 Summary Compensation Table Total
  $ 20,635,260     $ 5,999,564  
Less: Change in Pension & Deferred Compensation Plans   $ 451,661     $ 103,724  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 980,231     $ 207,139  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,870,607     $ 3,233,944  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/21   $ 34,793,801     $ 7,765,175  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/21 (4)   $ 33,207,890     $ 7,116,946  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 9,064,316     $ 1,834,093  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 335,908     $ 67,999  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 545,255     $ 111,397  
 
 
 
   
 
 
 
2021 Compensation Actually Paid
  $ 84,568,577     $ 19,628,647  
 
 
 
   
 
 
 
 
(8)
2020 “Compensation Actually Paid to PEO” and “Average Compensation Actually Paid to
non-PEO
NEOs” reflects the following adjustments from 2020 Total Compensation reported in the Summary Compensation Table:
 
   
PEO
   
Average
non-PEO

NEOs
 
2020 Summary Compensation Table Total
  $ 30,397,771     $ 7,041,315  
Less: Change in Pension & Deferred Compensation Plans   $ 12,266,548     $ 2,112,322  
Add: Service Cost of Pension & Deferred Compensation Plans   $ 645,000     $ 325,250  
Add: Prior Service Cost of Pension & Deferred Compensation Plans            
Add: Above-Market or Preferential Earnings on Deferred Compensation            
Less: Equity Award Amounts Reported in Summary Compensation Table
  $ 13,082,198     $ 2,617,165  
Add: FMV of Equity Awards Granted During Current Year & Outstanding/Unvested @ 12/31/20   $ 16,696,602     $ 3,335,797  
Add: Change in FMV Equity Awards Granted in Prior Years & Outstanding/Unvested @ 12/31/20 (4)   $ 8,028,998     $ 1,883,050  
Add: FMV of Equity Awards Granted and Vested in Current Year @ Vesting Date            
Add: Change in FMV of Equity Awards Granted in Prior Years @ Vesting Date (4)   $ 89,497     $ 60,407  
Less: FMV of Equity Awards @ the End of the Prior Year Failing to Meet Vesting Conditions            
Less: Dollar Value of Equivalent Payments Reported in Summary Compensation Table
  $ 166,818     $ 66,927  
Add: Dollar Value of Dividends Paid Prior to Vesting Date   $ 109,738     $ 25,946  
 
 
 
   
 
 
 
2020 Compensation Actually Paid
  $ 30,452,042     $ 7,875,351  
 
 
 
   
 
 
 
     
Compensation Actually Paid vs. Total Shareholder Return
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Compensation Actually Paid vs. Net Income
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Compensation Actually Paid vs. Company Selected Measure
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Total Shareholder Return Vs Peer Group
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Tabular List, Table
Measures that were most important to the last fiscal year.
The following performance measures reflect the Company’s most important performance measures in effect for 2023, as further described and defined in the Compensation Discussion and Analysis under “Elements of Compensation — Annual Incentive Compensation: PEP” and “Elements of Compensation — Long-Term Equity Incentive Awards — Performance Share Units.”
 
   
Adjusted EBITDA
   
Earnings Per Share
   
Quality of Care
   
Patient Experience
     
Total Shareholder Return Amount $ 188.93 165.99 175.93 111.64
Peer Group Total Shareholder Return Amount 143.18 140.29 143.09 113.45
Net Income (Loss) $ 5,242,000,000 $ 5,643,000,000 $ 6,956,000,000 $ 3,754,000,000
Company Selected Measure Amount 12,726,000,000 12,067,000,000 12,644,000,000 10,037,000,000
PEO Name Hazen      
Measure:: 1        
Pay vs Performance Disclosure        
Name Adjusted EBITDA      
Non-GAAP Measure Description It is a
non-Generally
Accepted Accounting Principles (“GAAP”) financial measure defined as income before depreciation and amortization, interest expense, losses and gains on sales of facilities, losses on retirement of debt, provision for income taxes and net income attributable to noncontrolling interests. Reconciliations of Adjusted EBITDA to the most directly comparable financial measure calculated in accordance with GAAP are included in Appendix A.
     
Measure:: 2        
Pay vs Performance Disclosure        
Name Earnings Per Share      
Measure:: 3        
Pay vs Performance Disclosure        
Name Quality of Care      
Measure:: 4        
Pay vs Performance Disclosure        
Name Patient Experience      
PEO | Change In Pension Deferred Compensation Plans [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount     $ 451,661 $ 12,266,548
PEO | Service Cost Of Pension Deferred Compensation Plans [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ 723,544 $ 952,610 980,231 645,000
PEO | Equity Award Amounts Reported In Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 14,200,216 12,055,290 13,870,607 13,082,198
PEO | Fmv Of Equity Awards Granted During Current Year Outstanding Unvested [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 15,028,391 13,374,858 34,793,801 16,696,602
PEO | Change In Fmv Equity Awards Granted In Prior Years OutstandingUnvested [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (2,830,010) (3,338,709) 33,207,890 8,028,998
PEO | Change In Fmv Of Equity Awards Granted In Prior YearS [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 3,842,051 (3,998,784) 9,064,316 89,497
PEO | Dollar Value Of Equivalent Payments Reported In Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 514,566 435,499 335,908 166,818
PEO | Dollar Value Of Dividends Paid Prior To Vesting Date [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 226,667 445,290 545,255 109,738
Non-PEO NEO | Change In Pension Deferred Compensation Plans [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 264,662 276,883 103,724 2,112,322
Non-PEO NEO | Service Cost Of Pension Deferred Compensation Plans [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 135,006 182,990 207,139 325,250
Non-PEO NEO | Equity Award Amounts Reported In Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 3,489,375 3,063,442 3,233,944 2,617,165
Non-PEO NEO | Fmv Of Equity Awards Granted During Current Year Outstanding Unvested [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 3,692,881 2,698,985 7,765,175 3,335,797
Non-PEO NEO | Change In Fmv Equity Awards Granted In Prior Years OutstandingUnvested [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (482,970) (573,313) 7,116,946 1,883,050
Non-PEO NEO | Change In Fmv Of Equity Awards Granted In Prior YearS [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 642,477 (737,029) 1,834,093 60,407
Non-PEO NEO | Dollar Value Of Equivalent Payments Reported In Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 85,739 73,188 67,999 66,927
Non-PEO NEO | Dollar Value Of Dividends Paid Prior To Vesting Date [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ 41,399 $ 80,563 $ 111,397 $ 25,946