Supplemental Condensed Consolidating Financial Information and Other Collateral-Related Information (Tables)

12 Months Ended

Dec. 31, 2013

Text Block [Abstract]

Schedule of Condensed Consolidating Comprehensive Income Statement

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2013

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	20,042		$	17,998		$	—		$	38,040
Provision for doubtful accounts		—			—			2,262			1,596			—			3,858
Revenues		—			—			17,780			16,402			—			34,182
Salaries and benefits		—			—			8,387			7,259			—			15,646
Supplies		—			—			3,158			2,812			—			5,970
Other operating expenses		8			(2	)		2,998			3,233			—			6,237
Electronic health record incentive income		—			—			(142	)		(74	)		—			(216	)
Equity in earnings of affiliates		(1,875	)		—			(2	)		(27	)		1,875			(29	)
Depreciation and amortization		—			—			855			898			—			1,753
Interest expense		184			2,253			(523	)		(66	)		—			1,848
Losses (gains) on sales of facilities		—			—			20			(10	)		—			10
Loss on retirement of debt		—			17			—			—			—			17
Management fees		—			—			(632	)		632			—			—
		(1,683	)		2,268			14,119			14,657			1,875			31,236
Income (loss) before income taxes		1,683			(2,268	)		3,661			1,745			(1,875	)		2,946
Provision (benefit) for income taxes		(73	)		(860	)		1,362			521			—			950
Net income (loss)		1,756			(1,408	)		2,299			1,224			(1,875	)		1,996
Net income attributable to noncontrolling interests		—			—			69			371			—			440
Net income (loss) attributable to HCA Holdings, Inc.	$	1,756		$	(1,408	)	$	2,230		$	853		$	(1,875	)	$	1,556
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	1,756		$	(1,324	)	$	2,338		$	861		$	(1,875	)	$	1,756

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2012

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	19,415		$	17,368		$	—		$	36,783
Provision for doubtful accounts		—			—			2,144			1,626			—			3,770
Revenues		—			—			17,271			15,742			—			33,013
Salaries and benefits		—			—			7,959			7,130			—			15,089
Supplies		—			—			2,995			2,722			—			5,717
Other operating expenses		3			5			3,013			3,027			—			6,048
Electronic health record incentive income		—			—			(219	)		(117	)		—			(336	)
Equity in earnings of affiliates		(1,668	)		—			(5	)		(31	)		1,668			(36	)
Depreciation and amortization		—			—			821			858			—			1,679
Interest expense		123			2,167			(468	)		(24	)		—			1,798
Losses (gains) on sales of facilities		—			—			3			(18	)		—			(15	)
Legal claim costs		—			175			—			—			—			175
Management fees		—			—			(569	)		569			—			—
		(1,542	)		2,347			13,530			14,116			1,668			30,119
Income (loss) before income taxes		1,542			(2,347	)		3,741			1,626			(1,668	)		2,894
Provision (benefit) for income taxes		(46	)		(839	)		1,313			460			—			888
Net income (loss)		1,588			(1,508	)		2,428			1,166			(1,668	)		2,006
Net income attributable to noncontrolling interests		—			—			62			339			—			401
Net income (loss) attributable to HCA Holdings, Inc.	$	1,588		$	(1,508	)	$	2,366		$	827		$	(1,668	)	$	1,605
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	1,588		$	(1,526	)	$	2,339		$	855		$	(1,668	)	$	1,588

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2011

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	18,126		$	14,380		$	—		$	32,506
Provision for doubtful accounts		—			—			1,644			1,180			—			2,824
Revenues		—			—			16,482			13,200			—			29,682
Salaries and benefits		—			—			7,584			5,856			—			13,440
Supplies		—			—			2,851			2,328			—			5,179
Other operating expenses		—			4			2,741			2,725			—			5,470
Electronic health record incentive income		—			—			(126	)		(84	)		—			(210	)
Equity in earnings of affiliates		(2,531	)		—			(86	)		(172	)		2,531			(258	)
Depreciation and amortization		—			—			777			688			—			1,465
Interest expense		120			2,390			(342	)		(131	)		—			2,037
Gains on sales of facilities		—			—			(127	)		(15	)		—			(142	)
Gain on acquisition of controlling interest in equity investment		—			—			—			(1,522	)		—			(1,522	)
Losses on retirement of debt		—			481			—			—			—			481
Termination of management agreement		—			181			—			—			—			181
Management fees		—			—			(491	)		491			—			—
		(2,411	)		3,056			12,781			10,164			2,531			26,121
Income (loss) before income taxes		2,411			(3,056	)		3,701			3,036			(2,531	)		3,561
Provision (benefit) for income taxes		(42	)		(1,068	)		1,271			558			—			719
Net income (loss)		2,453			(1,988	)		2,430			2,478			(2,531	)		2,842
Net income attributable to noncontrolling interests		—			—			63			314			—			377
Net income (loss) attributable to HCA Holdings, Inc.	$	2,453		$	(1,988	)	$	2,367		$	2,164		$	(2,531	)	$	2,465
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	2,453		$	(1,969	)	$	2,341		$	2,159		$	(2,531	)	$	2,453

Schedule of Condensed Consolidating Balance Sheet

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2013

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors		Eliminations			Condensed Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	—		$	—		$	112		$	302	$	—		$	414
Accounts receivable, net		—			—			2,565			2,643		—			5,208
Inventories		—			—			692			487		—			1,179
Deferred income taxes		489			—			—			—		—			489
Other		—			—			301			446		—			747
		489			—			3,670			3,878		—			8,037
Property and equipment, net		—			—			7,504			6,115		—			13,619
Investments of insurance subsidiaries		—			—			—			448		—			448
Investments in and advances to affiliates		20,356			—			13			108		(20,356	)		121
Goodwill and other intangible assets		—			—			1,695			4,208		—			5,903
Deferred loan costs		30			207			—			—		—			237
Other		250			—			48			168		—			466
	$	21,125		$	207		$	12,930		$	14,925	$	(20,356	)	$	28,831
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	1		$	—		$	1,169		$	633	$	—		$	1,803
Accrued salaries		—			—			694			499		—			1,193
Other accrued expenses		272			353			464			824		—			1,913
Long-term debt due within one year		—			702			45			39		—			786
		273			1,055			2,372			1,995		—			5,695
Long-term debt		2,525			24,701			181			183		—			27,590
Intercompany balances		26,107			(10,513	)		(19,428	)		3,834		—			—
Professional liability risks		—			—			—			949		—			949
Income taxes and other liabilities		490			296			521			218		—			1,525
		29,395			15,539			(16,354	)		7,179		—			35,759
Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.		(8,270	)		(15,332	)		29,185			6,503		(20,356	)		(8,270	)
Noncontrolling interests		—			—			99			1,243		—			1,342
		(8,270	)		(15,332	)		29,284			7,746		(20,356	)		(6,928	)
	$	21,125		$	207		$	12,930		$	14,925	$	(20,356	)	$	28,831

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2012

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors		Eliminations			Condensed Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	22		$	—		$	383		$	300	$	—		$	705
Accounts receivable, net		—			—			2,448			2,224		—			4,672
Inventories		—			—			629			457		—			1,086
Deferred income taxes		385			—			—			—		—			385
Other		122			—			342			451		—			915
		529			—			3,802			3,432		—			7,763
Property and equipment, net		—			—			7,417			5,768		—			13,185
Investments of insurance subsidiaries		—			—			—			515		—			515
Investments in and advances to affiliates		18,481			—			16			88		(18,481	)		104
Goodwill and other intangible assets		—			—			1,697			3,842		—			5,539
Deferred loan costs		32			258			—			—		—			290
Other		469			—			31			179		—			679
	$	19,511		$	258		$	12,963		$	13,824	$	(18,481	)	$	28,075
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,203		$	565	$	—		$	1,768
Accrued salaries		—			—			638			482		—			1,120
Other accrued expenses		30			567			464			788		—			1,849
Long-term debt due within one year		—			1,360			39			36		—			1,435
		30			1,927			2,344			1,871		—			6,172
Long-term debt		2,525			24,304			173			493		—			27,495
Intercompany balances		26,131			(12,407	)		(17,130	)		3,406		—			—
Professional liability risks		—			—			—			973		—			973
Income taxes and other liabilities		485			442			629			220		—			1,776
		29,171			14,266			(13,984	)		6,963		—			36,416
Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.		(9,660	)		(14,008	)		26,847			5,642		(18,481	)		(9,660	)
Noncontrolling interests		—			—			100			1,219		—			1,319
		(9,660	)		(14,008	)		26,947			6,861		(18,481	)		(8,341	)
	$	19,511		$	258		$	12,963		$	13,824	$	(18,481	)	$	28,075

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2013

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,756		$	(1,408	)	$	2,299		$	1,224		$	(1,875	)	$	1,996
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		(11	)		17			(2,320	)		(1,958	)		—			(4,272	)
Provision for doubtful accounts		—			—			2,262			1,596			—			3,858
Depreciation and amortization		—			—			855			898			—			1,753
Income taxes		143			—			—			—			—			143
Losses (gains) on sales of facilities		—			—			20			(10	)		—			10
Loss on retirement of debt		—			17			—			—			—			17
Amortization of deferred loan costs		3			52			—			—			—			55
Share-based compensation		113			—			—			—			—			113
Equity in earnings of affiliates		(1,875	)		—			—			—			1,875			—
Other		—			9			2			(4	)		—			7
Net cash provided by (used in) operating activities		129			(1,313	)		3,118			1,746			—			3,680
Cash flows from investing activities:
Purchase of property and equipment		—			—			(921	)		(1,022	)		—			(1,943	)
Acquisition of hospitals and health care entities		—			—			—			(481	)		—			(481	)
Disposal of hospitals and health care entities		—			—			17			16			—			33
Change in investments		—			—			(16	)		52			—			36
Other		—			—			—			9			—			9
Net cash used in investing activities		—			—			(920	)		(1,426	)		—			(2,346	)
Cash flows from financing activities:
Net change in revolving bank credit facilities		—			970			—			—			—			970
Repayment of long-term debt		—			(1,254	)		(34	)		(374	)		—			(1,662	)
Distributions to noncontrolling interests		—			—			(71	)		(364	)		—			(435	)
Payment of debt issuance costs		—			(5	)		—			—			—			(5	)
Repurchase of common stock		(500	)		—			—			—			—			(500	)
Distributions to stockholders		(16	)		—			—			—			—			(16	)
Income tax benefits		113			—			—			—			—			113
Changes in intercompany balances with affiliates, net		342			1,602			(2,364	)		420			—			—
Other		(90	)		—			—			—			—			(90	)
Net cash (used in) provided by financing activities		(151	)		1,313			(2,469	)		(318	)		—			(1,625	)
Change in cash and cash equivalents		(22	)		—			(271	)		2			—			(291	)
Cash and cash equivalents at beginning of period		22			—			383			300			—			705
Cash and cash equivalents at end of period	$	—		$	—		$	112		$	302		$	—		$	414

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2012

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,588		$	(1,508	)	$	2,428		$	1,166		$	(1,668	)	$	2,006
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		57			(28	)		(1,927	)		(1,765	)		—			(3,663	)
Provision for doubtful accounts		—			—			2,144			1,626			—			3,770
Depreciation and amortization		—			—			821			858			—			1,679
Income taxes		96			—			—			—			—			96
Losses (gains) on sales of facilities		—			—			3			(18	)		—			(15	)
Legal claim costs		—			175			—			—			—			175
Amortization of deferred loan costs		2			60			—			—			—			62
Share-based compensation		56			—			—			—			—			56
Equity in earnings of affiliates		(1,668	)		—			—			—			1,668			—
Other		—			14			(1	)		(4	)		—			9
Net cash provided by (used in) operating activities		131			(1,287	)		3,468			1,863			—			4,175
Cash flows from investing activities:
Purchase of property and equipment		—			—			(1,039	)		(823	)		—			(1,862	)
Acquisition of hospitals and health care entities		—			—			(110	)		(148	)		—			(258	)
Disposal of hospitals and health care entities		—			—			2			28			—			30
Change in investments		—			—			(11	)		27			—			16
Other		—			—			(2	)		13			—			11
Net cash used in investing activities		—			—			(1,160	)		(903	)		—			(2,063	)
Cash flows from financing activities:
Issuances of long-term debt		1,000			3,850			—			—			—			4,850
Net change in revolving bank credit facilities		—			(685	)		—			—			—			(685	)
Repayment of long-term debt		—			(2,309	)		(20	)		(112	)		—			(2,441	)
Distributions to noncontrolling interests		—			—			(60	)		(341	)		—			(401	)
Payment of debt issuance costs		(12	)		(50	)		—			—			—			(62	)
Distributions to stockholders		(3,148	)		—			—			—			—			(3,148	)
Income tax benefits		174			—			—			—			—			174
Changes in intercompany balances with affiliates, net		1,938			481			(1,960	)		(459	)		—			—
Other		(61	)		—			—			(6	)		—			(67	)
Net cash (used in) provided by financing activities		(109	)		1,287			(2,040	)		(918	)		—			(1,780	)
Change in cash and cash equivalents		22			—			268			42			—			332
Cash and cash equivalents at beginning of period		—			—			115			258			—			373
Cash and cash equivalents at end of period	$	22		$	—		$	383		$	300		$	—		$	705

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2011

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	2,453		$	(1,988	)	$	2,430		$	2,478		$	(2,531	)	$	2,842
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		6			71			(1,755	)		(1,275	)		—			(2,953	)
Provision for doubtful accounts		—			—			1,644			1,180			—			2,824
Depreciation and amortization		—			—			777			688			—			1,465
Income taxes		912			—			—			—			—			912
Gains on sales of facilities		—			—			(127	)		(15	)		—			(142	)
Gain on acquisition of controlling interest in equity investment		—			—			—			(1,522	)		—			(1,522	)
Losses on retirement of debt		—			481			—			—			—			481
Amortization of deferred loan costs		—			70			—			—			—			70
Share-based compensation		26			—			—			—			—			26
Pay-in-kind interest		—			(78	)		—			—			—			(78	)
Equity in earnings of affiliates		(2,531	)		—			—			—			2,531			—
Other		—			9			—			(1	)		—			8
Net cash provided by (used in) operating activities		866			(1,435	)		2,969			1,533			—			3,933
Cash flows from investing activities:
Purchase of property and equipment		—			—			(910	)		(769	)		—			(1,679	)
Acquisition of hospitals and health care entities		—			—			(142	)		(1,540	)		—			(1,682	)
Disposal of hospitals and health care entities		—			—			200			81			—			281
Change in investments		—			—			34			46			—			80
Other		—			—			—			5			—			5
Net cash used in investing activities		—			—			(818	)		(2,177	)		—			(2,995	)
Cash flows from financing activities:
Issuances of long-term debt		—			5,500			—			—			—			5,500
Net change in revolving bank credit facilities		—			(449	)		—			—			—			(449	)
Repayment of long-term debt		—			(6,577	)		(17	)		(46	)		—			(6,640	)
Distributions to noncontrolling interests		—			—			(77	)		(301	)		—			(378	)
Payment of debt issuance costs		—			(92	)		—			—			—			(92	)
Issuance of common stock		2,506			—			—			—			—			2,506
Repurchase of common stock		(1,503	)		—			—			—			—			(1,503	)
Distributions to stockholders		(31	)		—			—			—			—			(31	)
Income tax benefits		63			—			—			—			—			63
Changes in intercompany balances with affiliates, net		(1,918	)		3,053			(2,098	)		963			—			—
Other		11			—			—			37			—			48
Net cash provided by (used in) financing activities		(872	)		1,435			(2,192	)		653			—			(976	)
Change in cash and cash equivalents		(6	)		—			(41	)		9			—			(38	)
Cash and cash equivalents at beginning of period		6			—			156			249			—			411
Cash and cash equivalents at end of period	$	—		$	—		$	115		$	258		$	—		$	373

Schedule of Consolidated Statements of Stockholder's Deficit

The Hospital Company Consolidated Statements of Stockholder’s Deficit presentation for the years ended December 31, 2013, 2012 and 2011 are as follows (dollars in millions):

	2013			2012			2011
Presentation in HCA Holdings, Inc. Consolidated Statements of Stockholders’ Deficit:
Share-based benefit plans	$	139		$	169		$	35
Reclassification of certain equity securities with contingent redemption rights		—			—			141
Other		(6	)		(17	)		36
Presentation in Healthtrust, Inc. — The Hospital Company Consolidated Statements of Stockholder’s Deficit:
Distributions from HCA Holdings, Inc., net of contributions to HCA Holdings, Inc.	$	133		$	152		$	212

Schedule of Quarterly Consolidated Financial Information

HCA HOLDINGS, INC.

QUARTERLY CONSOLIDATED FINANCIAL INFORMATION

(UNAUDITED)

(Dollars in millions)

	2013
	First			Second			Third			Fourth
Revenues	$	8,440		$	8,450		$	8,456		$	8,836
Net income	$	438	(a)	$	537	(b)	$	467	(c)	$	554	(d)
Net income attributable to HCA Holdings, Inc.	$	344	(a)	$	423	(b)	$	365	(c)	$	424	(d)
Basic earnings per share	$	0.77		$	0.95		$	0.82		$	0.96
Diluted earnings per share	$	0.74		$	0.91		$	0.79		$	0.92

	2012
	First			Second			Third			Fourth
Revenues	$	8,405		$	8,112		$	8,062		$	8,434
Net income	$	639	(e)	$	485	(f)	$	455	(g)	$	427	(h)
Net income attributable to HCA Holdings, Inc.	$	540	(e)	$	391	(f)	$	360	(g)	$	314	(h)
Basic earnings per share	$	1.23		$	0.89		$	0.82		$	0.71
Diluted earnings per share	$	1.18		$	0.85		$	0.78		$	0.68

(a) First quarter results include $11 million of losses on sales of facilities (See NOTE 3 of the notes to consolidated financial statements) and $11 million of loss on retirement of debt (See NOTE 9 of the notes to consolidated financial statements).

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

(c) Third quarter results include $1 million of losses on sales of facilities (See NOTE 3 of the notes to consolidated financial statements).

(d) Fourth quarter results include $2 million of gains on sales of facilities (See NOTE 3 of the notes to consolidated financial statements).

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

(f) Second quarter results include $1 million of losses on sales of facilities (See NOTE 3 of the notes to consolidated financial statements).

(g) Third quarter results include $5 million of gains on sales of facilities (See NOTE 3 of the notes to consolidated financial statements).

(h) Fourth quarter results include $6 million of gains on sales of facilities (See NOTE 3 of the notes to consolidated financial statements) and $110 million of legal claim costs (See NOTE 10 of the notes to consolidated financial statements).