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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2016
Income Tax Disclosure [Abstract]  
Schedule of Provision for Income Taxes

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

 

     2016      2015      2014  

Current:

        

Federal

   $ 1,129      $ 1,259      $ 916  

State

     125        119        102  

Foreign

     37        40        52  

Deferred:

        

Federal

     75        (163      3  

State

     (5      (27      (5

Foreign

     17        33        40  
  

 

 

    

 

 

    

 

 

 
   $ 1,378      $ 1,261      $ 1,108  
  

 

 

    

 

 

    

 

 

 

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:

 

       2016      2015      2014  

Federal statutory rate

       35.0      35.0      35.0

State income taxes, net of federal tax benefit

       2.1        1.6        2.3  

Change in liability for uncertain tax positions

       (1.0      0.2        0.5  

Tax benefit from settlements of employee equity awards

       (3.6              

Other items, net

       (0.2      0.4        (0.6
    

 

 

    

 

 

    

 

 

 

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

       32.3        37.2        37.2  

Income attributable to noncontrolling interests from consolidated partnerships

       (3.6      (5.3      (5.4
    

 

 

    

 

 

    

 

 

 

Effective income tax rate on income before income taxes

       28.7      31.9      31.8
    

 

 

    

 

 

    

 

 

 

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):

 

     2016      2015  
     Assets      Liabilities      Assets      Liabilities  

Depreciation and fixed asset basis differences

   $       $ 235       $       $ 222   

Allowances for professional liability and other risks

     495                 443           

Accounts receivable

     351                 363           

Compensation

     359                 334           

Other

     794         918         845         820   
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 1,999       $ 1,153       $ 1,985       $ 1,042   
  

 

 

    

 

 

    

 

 

    

 

 

 
Schedule of Activity Related to Unrecognized Tax Benefits

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

 

     2016      2015  

Balance at January 1

   $ 487       $ 503   

Additions based on tax positions related to the current year

     11         13   

Additions for tax positions of prior years

     8         22   

Reductions for tax positions of prior years

     (18      (45

Settlements

     (101        

Lapse of applicable statutes of limitations

     (10      (6
  

 

 

    

 

 

 

Balance at December 31

   $ 377       $ 487