Consolidated Income Statements - USD ($) shares in Thousands, $ in Millions	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Statement [Abstract]
Revenues	$ 75,600	$ 70,603	$ 64,968
Salaries and benefits	32,859	31,170	29,487
Supplies	11,367	10,755	9,902
Other operating expenses	15,886	14,819	12,875
Equity in earnings of affiliates	(78)	(23)	(22)
Depreciation and amortization	3,523	3,312	3,077
Interest expense	2,248	2,061	1,938
Losses (gains) on sales of facilities	(37)	(14)	5
Total expenses including equity in earnings of affiliates	65,768	62,080	57,262
Income before income taxes	9,832	8,523	7,706
Provision for income taxes	2,050	1,866	1,615
Net income	7,782	6,657	6,091
Net income attributable to noncontrolling interests	998	897	849
Net income attributable to HCA Healthcare, Inc.	$ 6,784	$ 5,760	$ 5,242
Per share data:
Basic earnings per share	$ 28.7	$ 22.27	$ 19.25
Diluted earnings per share	$ 28.33	$ 22	$ 18.97
Shares used in earnings per share calculations (in millions):
Basic	236,413	258,603	272,404
Diluted	239,495	261,806	276,412