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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2013
Income Tax Disclosure [Abstract]  
Schedule of Provision for Income Taxes

The provision for income taxes consists of the following (dollars in millions):

 

     2013     2012     2011  

Current:

      

Federal

   $ 827      $ 604      $ (119

State

     86        58        (12

Foreign

     44        43        44   

Deferred:

      

Federal

     (53     167        714   

State

     20        (8     71   

Foreign

     26        24        21   
  

 

 

   

 

 

   

 

 

 
   $     950      $ 888      $     719   
  

 

 

   

 

 

   

 

 

 
Schedule of Reconciliation of Federal Statutory Rate to Effective Income Tax Rate

A reconciliation of the federal statutory rate to the effective income tax rate follows:

 

     2013     2012     2011  

Federal statutory rate

     35.0     35.0     35.0

State income taxes, net of federal tax benefit

     2.3        2.2        2.0   

Change in liability for uncertain tax positions

     0.5               1.0   

Nontaxable gain on acquisition of controlling interest in equity investment

                   (13.8

Tax exempt interest income

     (0.2     (0.2     (0.2

Other items, net

     0.3        (1.4     (1.4
  

 

 

   

 

 

   

 

 

 

Effective income tax rate on income applicable to HCA Holdings, Inc.

     37.9        35.6        22.6   

Income attributable to noncontrolling interests from consolidated partnerships

     (5.7     (4.9     (2.4
  

 

 

   

 

 

   

 

 

 

Effective income tax rate on income before income taxes

     32.2     30.7     20.2
  

 

 

   

 

 

   

 

 

 
Schedule of Deferred Tax Assets and Liabilities

A summary of the items comprising the deferred tax assets and liabilities at December 31 follows (dollars in millions):

 

     2013      2012  
     Assets      Liabilities      Assets      Liabilities  

Depreciation and fixed asset basis differences

   $       $ 229       $       $ 292   

Allowances for professional liability and other risks

     365                 355           

Accounts receivable

     423                 405           

Compensation

     240                 237           

Other

     638         698         744         595   
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 1,666       $ 927       $ 1,741       $ 887   
  

 

 

    

 

 

    

 

 

    

 

 

 
Schedule of Activity Related to Unrecognized Tax Benefits

The following table summarizes the activity related to our unrecognized tax benefits (dollars in millions):

 

     2013     2012  

Balance at January 1

   $ 425      $ 445   

Additions based on tax positions related to the current year

     21        16   

Additions for tax positions of prior years

     25        92   

Reductions for tax positions of prior years

     (18     (19

Settlements

     (5     (103

Lapse of applicable statutes of limitations

     (3     (6
  

 

 

   

 

 

 

Balance at December 31

   $ 445      $ 425