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Supplemental Condensed Consolidating Financial Information - Schedule of Condensed Consolidating Statement of Cash Flows (Detail) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Cash flows from operating activities:        
Net income (loss) $ 745 $ 573 $ 2,347 $ 1,958
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (2,546) (3,333)
Provision for doubtful accounts 840 1,158 2,392 2,839
Depreciation and amortization 495 482 1,463 1,424
Income taxes     8 (148)
Losses (gains) on sales of facilities (3) 2 (8) (2)
Losses on retirement of debt 4   4 125
Legal claim costs     33 77
Amortization of debt issuance costs     26 27
Share-based compensation     196 171
Other     39 38
Net cash provided by operating activities     3,954 3,176
Cash flows from investing activities:        
Purchase of property and equipment     (1,884) (1,571)
Acquisition of hospitals and health care entities     (468) (184)
Disposition of hospitals and health care entities     23 27
Change in investments     78 94
Other     17 3
Net cash used in investing activities     (2,234) (1,631)
Cash flows from financing activities:        
Issuance of long-term debt     5,400 4,048
Net change in revolving credit facilities     (70) (270)
Repayment of long-term debt     (4,424) (3,702)
Distributions to noncontrolling interests     (342) (367)
Payment of debt issuance costs     (40) (34)
Repurchases of common stock     (2,213) (1,386)
Other     (95) 188
Net cash (used in) provided by financing activities     (1,784) (1,523)
Change in cash and cash equivalents     (64) 22
Cash and cash equivalents at beginning of period     741 566
Cash and cash equivalents at end of period 677 588 677 588
Eliminations [Member]        
Cash flows from operating activities:        
Net income (loss) (573) (464) (1,843) (1,690)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Equity in earnings of affiliates     1,843 1,690
HCA Holdings, Inc. Issuer [Member]        
Cash flows from operating activities:        
Net income (loss) 618 449 1,970 1,547
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (40) (22)
Income taxes     8 (148)
Losses on retirement of debt       122
Amortization of debt issuance costs       3
Equity in earnings of affiliates     (1,843) (1,690)
Other     53 49
Net cash provided by operating activities     148 (139)
Cash flows from financing activities:        
Repayment of long-term debt       (1,632)
Repurchases of common stock     (2,213) (1,386)
Changes in intercompany balances with affiliates, net     2,171 2,955
Other     (105) 202
Net cash (used in) provided by financing activities     (147) 139
Change in cash and cash equivalents     1  
Cash and cash equivalents at end of period 1   1  
HCA Inc. Issuer [Member]        
Cash flows from operating activities:        
Net income (loss) (458) (427) (1,305) (1,171)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (49) (56)
Losses on retirement of debt 4   4 3
Legal claim costs     33 77
Amortization of debt issuance costs     26 24
Other       3
Net cash provided by operating activities     (1,291) (1,120)
Cash flows from financing activities:        
Issuance of long-term debt     5,400 4,048
Net change in revolving credit facilities     (70) (270)
Repayment of long-term debt     (4,334) (2,001)
Payment of debt issuance costs     (40) (34)
Changes in intercompany balances with affiliates, net     335 (623)
Net cash (used in) provided by financing activities     1,291 1,120
Subsidiary Guarantors [Member]        
Cash flows from operating activities:        
Net income (loss) 788 675 2,371 2,166
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (1,628) (1,959)
Provision for doubtful accounts 391 689 1,383 1,535
Depreciation and amortization 242 230 707 683
Losses (gains) on sales of facilities   (1)   (5)
Share-based compensation     196 171
Other     (3)  
Net cash provided by operating activities     3,026 2,591
Cash flows from investing activities:        
Purchase of property and equipment     (892) (764)
Acquisition of hospitals and health care entities     (164) (51)
Disposition of hospitals and health care entities     10 19
Change in investments     (2) 2
Other       (6)
Net cash used in investing activities     (1,048) (800)
Cash flows from financing activities:        
Repayment of long-term debt     (54) (45)
Distributions to noncontrolling interests     (46) (70)
Changes in intercompany balances with affiliates, net     (1,895) (1,654)
Net cash (used in) provided by financing activities     (1,995) (1,769)
Change in cash and cash equivalents     (17) 22
Cash and cash equivalents at beginning of period     155 87
Cash and cash equivalents at end of period 138 109 138 109
Subsidiary Non-Guarantors [Member]        
Cash flows from operating activities:        
Net income (loss) 370 340 1,154 1,106
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (829) (1,296)
Provision for doubtful accounts 449 469 1,009 1,304
Depreciation and amortization 253 252 756 741
Losses (gains) on sales of facilities (3) 3 (8) 3
Other     (11) (14)
Net cash provided by operating activities     2,071 1,844
Cash flows from investing activities:        
Purchase of property and equipment     (992) (807)
Acquisition of hospitals and health care entities     (304) (133)
Disposition of hospitals and health care entities     13 8
Change in investments     80 92
Other     17 9
Net cash used in investing activities     (1,186) (831)
Cash flows from financing activities:        
Repayment of long-term debt     (36) (24)
Distributions to noncontrolling interests     (296) (297)
Changes in intercompany balances with affiliates, net     (611) (678)
Other     10 (14)
Net cash (used in) provided by financing activities     (933) (1,013)
Change in cash and cash equivalents     (48)  
Cash and cash equivalents at beginning of period     586 479
Cash and cash equivalents at end of period $ 538 $ 479 $ 538 $ 479