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

12 Months Ended

Dec. 31, 2016

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Condensed Consolidating Comprehensive Income Statement

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2016

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	22,906		$	21,841		$	—		$	44,747
Provision for doubtful accounts		—			—			1,885			1,372			—			3,257
Revenues		—			—			21,021			20,469			—			41,490
Salaries and benefits		—			—			9,435			9,462			—			18,897
Supplies		—			—			3,607			3,326			—			6,933
Other operating expenses		6			—			3,474			4,028			—			7,508
Electronic health record incentive income		—			—			(6	)		(6	)		—			(12	)
Equity in earnings of affiliates		(2,738	)		—			(6	)		(48	)		2,738			(54	)
Depreciation and amortization		—			—			950			1,016			—			1,966
Interest expense		64			2,756			(891	)		(222	)		—			1,707
Losses (gains) on sales of facilities		—			—			3			(26	)		—			(23	)
Losses on retirement of debt		—			4			—			—			—			4
Legal claim benefits		—			(246	)		—			—			—			(246	)
Management fees		—			—			(763	)		763			—			—
		(2,668	)		2,514			15,803			18,293			2,738			36,680
Income (loss) before income taxes		2,668			(2,514	)		5,218			2,176			(2,738	)		4,810
Provision (benefit) for income taxes		(222	)		(928	)		1,891			637			—			1,378
Net income (loss)		2,890			(1,586	)		3,327			1,539			(2,738	)		3,432
Net income attributable to noncontrolling interests		—			—			92			450			—			542
Net income (loss) attributable to HCA Holdings, Inc.	$	2,890		$	(1,586	)	$	3,235		$	1,089		$	(2,738	)	$	2,890
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	2,817		$	(1,505	)	$	3,224		$	946		$	(2,665	)	$	2,817

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2015

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	22,272		$	21,319		$	—		$	43,591
Provision for doubtful accounts		—			—			2,099			1,814			—			3,913
Revenues		—			—			20,173			19,505			—			39,678
Salaries and benefits		—			—			9,131			8,984			—			18,115
Supplies		—			—			3,464			3,174			—			6,638
Other operating expenses		(2	)		—			3,324			3,781			—			7,103
Electronic health record incentive income		—			—			(31	)		(16	)		—			(47	)
Equity in earnings of affiliates		(2,352	)		—			(6	)		(40	)		2,352			(46	)
Depreciation and amortization		—			—			915			989			—			1,904
Interest expense		115			2,445			(766	)		(129	)		—			1,665
Losses (gains) on sales of facilities		—			—			(2	)		7			—			5
Losses on retirement of debt		122			13			—			—			—			135
Legal claim costs		120			129			—			—			—			249
Management fees		—			—			(676	)		676			—			—
		(1,997	)		2,587			15,353			17,426			2,352			35,721
Income (loss) before income taxes		1,997			(2,587	)		4,820			2,079			(2,352	)		3,957
Provision (benefit) for income taxes		(132	)		(962	)		1,758			597			—			1,261
Net income (loss)		2,129			(1,625	)		3,062			1,482			(2,352	)		2,696
Net income attributable to noncontrolling interests		—			—			92			475			—			567
Net income (loss) attributable to HCA Holdings, Inc.	$	2,129		$	(1,625	)	$	2,970		$	1,007		$	(2,352	)	$	2,129
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	2,187		$	(1,568	)	$	3,009		$	969		$	(2,410	)	$	2,187

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE YEAR ENDED DECEMBER 31, 2014

(Dollars in millions)

	HCA Holdings, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	20,533		$	19,554		$	—		$	40,087
Provision for doubtful accounts		—			—			1,777			1,392			—			3,169
Revenues		—			—			18,756			18,162			—			36,918
Salaries and benefits		—			—			8,574			8,067			—			16,641
Supplies		—			—			3,280			2,982			—			6,262
Other operating expenses		20			—			3,138			3,597			—			6,755
Electronic health record incentive income		—			—			(85	)		(40	)		—			(125	)
Equity in earnings of affiliates		(2,003	)		—			(7	)		(36	)		2,003			(43	)
Depreciation and amortization		—			—			888			932			—			1,820
Interest expense		184			2,175			(559	)		(57	)		—			1,743
Gains on sales of facilities		—			—			(25	)		(4	)		—			(29	)
Losses on retirement of debt		—			335			—			—			—			335
Legal claim costs		—			78			—			—			—			78
Management fees		—			—			(662	)		662			—			—
		(1,799	)		2,588			14,542			16,103			2,003			33,437
Income (loss) before income taxes		1,799			(2,588	)		4,214			2,059			(2,003	)		3,481
Provision (benefit) for income taxes		(76	)		(961	)		1,533			612			—			1,108
Net income (loss)		1,875			(1,627	)		2,681			1,447			(2,003	)		2,373
Net income attributable to noncontrolling interests		—			—			87			411			—			498
Net income (loss) attributable to HCA Holdings, Inc.	$	1,875		$	(1,627	)	$	2,594		$	1,036		$	(2,003	)	$	1,875
Comprehensive income (loss) attributable to HCA Holdings, Inc.	$	1,809		$	(1,566	)	$	2,508		$	995		$	(1,937	)	$	1,809

Schedule of Condensed Consolidating Balance Sheet

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2016

(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	$	—		$	—		$	110		$	536	$	—		$	646
Accounts receivable, net		—			—			3,028			2,798		—			5,826
Inventories		—			—			890			613		—			1,503
Other		—			—			445			666		—			1,111
		—			—			4,473			4,613		—			9,086
Property and equipment, net		—			—			8,463			7,889		—			16,352
Investments of insurance subsidiaries		—			—			—			336		—			336
Investments in and advances to affiliates		27,045			—			16			190		(27,045	)		206
Goodwill and other intangible assets		—			—			1,728			4,976		—			6,704
Other		877			—			34			163		—			1,074
	$	27,922		$	—		$	14,714		$	18,167	$	(27,045	)	$	33,758
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,439		$	879	$	—		$	2,318
Accrued salaries		—			—			704			561		—			1,265
Other accrued expenses		29			572			464			970		—			2,035
Long-term debt due within one year		—			97			60			59		—			216
		29			669			2,667			2,469		—			5,834
Long-term debt, net		993			29,693			199			275		—			31,160
Intercompany balances		33,784			(10,277	)		(26,447	)		2,940		—			—
Professional liability risks		—			—			—			1,148		—			1,148
Income taxes and other liabilities		418			12			387			432		—			1,249
		35,224			20,097			(23,194	)		7,264		—			39,391
Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.		(7,302	)		(20,097	)		37,752			9,390		(27,045	)		(7,302	)
Noncontrolling interests		—			—			156			1,513		—			1,669
		(7,302	)		(20,097	)		37,908			10,903		(27,045	)		(5,633	)
	$	27,922		$	—		$	14,714		$	18,167	$	(27,045	)	$	33,758

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2015

(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	$	—		$	—		$	155		$	586	$	—		$	741
Accounts receivable, net		—			—			2,982			2,907		—			5,889
Inventories		—			—			852			587		—			1,439
Other		223			—			403			537		—			1,163
		223			—			4,392			4,617		—			9,232
Property and equipment, net		—			—			8,328			6,686		—			15,014
Investments of insurance subsidiaries		—			—			—			432		—			432
Investments in and advances to affiliates		24,380			—			14			164		(24,380	)		178
Goodwill and other intangible assets		—			—			1,703			5,028		—			6,731
Other		943			—			19			195		—			1,157
	$	25,546		$	—		$	14,456		$	17,122	$	(24,380	)	$	32,744
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	2		$	—		$	1,375		$	793	$	—		$	2,170
Accrued salaries		—			—			712			521		—			1,233
Other accrued expenses		172			340			458			910		—			1,880
Long-term debt due within one year		—			114			65			54		—			233
		174			454			2,610			2,278		—			5,516
Long-term debt, net		984			28,756			226			289		—			30,255
Intercompany balances		31,432			(11,171	)		(23,435	)		3,174		—			—
Professional liability risks		—			—			—			1,115		—			1,115
Income taxes and other liabilities		555			548			417			384		—			1,904
		33,145			18,587			(20,182	)		7,240		—			38,790
Stockholders’ (deficit) equity attributable to HCA Holdings, Inc.		(7,599	)		(18,587	)		34,510			8,457		(24,380	)		(7,599	)
Noncontrolling interests		—			—			128			1,425		—			1,553
		(7,599	)		(18,587	)		34,638			9,882		(24,380	)		(6,046	)
	$	25,546		$	—		$	14,456		$	17,122	$	(24,380	)	$	32,744

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2016

(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)	$	2,890		$	(1,586	)	$	3,327		$	1,539		$	(2,738	)	$	3,432
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		(25	)		39			(1,991	)		(1,238	)		—			(3,215	)
Provision for doubtful accounts		—			—			1,885			1,372			—			3,257
Depreciation and amortization		—			—			950			1,016			—			1,966
Income taxes		123			—			—			—			—			123
Losses (gains) on sales of facilities		—			—			3			(26	)		—			(23	)
Losses on retirement of debt		—			4			—			—			—			4
Legal claim benefits		—			(246	)		—			—			—			(246	)
Amortization of debt issuance costs		1			33			—			—			—			34
Share-based compensation		—			—			251			—			—			251
Equity in earnings of affiliates		(2,738	)		—			—			—			2,738			—
Other		71			—			—			(1	)		—			70
Net cash provided by (used in) operating activities		322			(1,756	)		4,425			2,662			—			5,653
Cash flows from investing activities:
Purchase of property and equipment		—			—			(1,120	)		(1,640	)		—			(2,760	)
Acquisition of hospitals and health care entities		—			—			(195	)		(381	)		—			(576	)
Disposal of hospitals and health care entities		—			—			10			16			—			26
Change in investments		—			—			(15	)		79			—			64
Other		—			—			—			6			—			6
Net cash used in investing activities		—			—			(1,320	)		(1,920	)		—			(3,240	)
Cash flows from financing activities:
Issuance of long-term debt		—			5,400			—			—			—			5,400
Net change in revolving bank credit facilities		—			(110	)		—			—			—			(110	)
Repayment of long-term debt		—			(4,358	)		(72	)		(45	)		—			(4,475	)
Distributions to noncontrolling interests		—			—			(64	)		(370	)		—			(434	)
Payment of debt issuance costs		—			(40	)		—			—			—			(40	)
Repurchases of common stock		(2,751	)		—			—			—			—			(2,751	)
Changes in intercompany balances with affiliates, net		2,532			864			(3,014	)		(382	)		—			—
Other		(103	)		—			—			5			—			(98	)
Net cash (used in) provided by financing activities		(322	)		1,756			(3,150	)		(792	)		—			(2,508	)
Change in cash and cash equivalents		—			—			(45	)		(50	)		—			(95	)
Cash and cash equivalents at beginning of period		—			—			155			586			—			741
Cash and cash equivalents at end of period	$	—		$	—		$	110		$	536		$	—		$	646

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2015

(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)	$	2,129		$	(1,625	)	$	3,062		$	1,482		$	(2,352	)	$	2,696
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		(12	)		44			(2,537	)		(1,731	)		—			(4,236	)
Provision for doubtful accounts		—			—			2,099			1,814			—			3,913
Depreciation and amortization		—			—			915			989			—			1,904
Income taxes		(160	)		—			—			—			—			(160	)
Losses (gains) on sales of facilities		—			—			(2	)		7			—			5
Losses on retirement of debt		122			13			—			—			—			135
Legal claim costs		20			129			—			—			—			149
Amortization of debt issuance costs		3			32			—			—			—			35
Share-based compensation		—			—			239			—			—			239
Equity in earnings of affiliates		(2,352	)		—			—			—			2,352			—
Other		66			3			(4	)		(11	)		—			54
Net cash provided by (used in) operating activities		(184	)		(1,404	)		3,772			2,550			—			4,734
Cash flows from investing activities:
Purchase of property and equipment		—			—			(1,248	)		(1,127	)		—			(2,375	)
Acquisition of hospitals and health care entities		—			—			(51	)		(300	)		—			(351	)
Disposal of hospitals and health care entities		—			—			48			25			—			73
Change in investments		—			—			9			54			—			63
Other		—			—			(6	)		13			—			7
Net cash used in investing activities		—			—			(1,248	)		(1,335	)		—			(2,583	)
Cash flows from financing activities:
Issuance of long-term debt		—			5,548			—			—			—			5,548
Net change in revolving bank credit facilities		—			150			—			—			—			150
Repayment of long-term debt		(1,632	)		(3,189	)		(59	)		(40	)		—			(4,920	)
Distributions to noncontrolling interests		—			—			(85	)		(410	)		—			(495	)
Payment of debt issuance costs		—			(50	)		—			—			—			(50	)
Repurchases of common stock		(2,397	)		—			—			—			—			(2,397	)
Changes in intercompany balances with affiliates, net		4,006			(1,055	)		(2,312	)		(639	)		—			—
Other		207			—			—			(19	)		—			188
Net cash (used in) provided by financing activities		184			1,404			(2,456	)		(1,108	)		—			(1,976	)
Change in cash and cash equivalents		—			—			68			107			—			175
Cash and cash equivalents at beginning of period		—			—			87			479			—			566
Cash and cash equivalents at end of period	$	—		$	—		$	155		$	586		$	—		$	741

HCA HOLDINGS, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2014

(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)	$	1,875		$	(1,627	)	$	2,681		$	1,447		$	(2,003	)	$	2,373
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Change in operating assets and liabilities		(11	)		(12	)		(1,972	)		(1,438	)		—			(3,433	)
Provision for doubtful accounts		—			—			1,777			1,392			—			3,169
Depreciation and amortization		—			—			888			932			—			1,820
Income taxes		(83	)		—			—			—			—			(83	)
Gains on sales of facilities		—			—			(25	)		(4	)		—			(29	)
Losses on retirement of debt		—			335			—			—			—			335
Legal claim costs		—			78			—			—			—			78
Amortization of debt issuance costs		3			39			—			—			—			42
Share-based compensation		—			—			163			—			—			163
Equity in earnings of affiliates		(2,003	)		—			—			—			2,003			—
Other		—			18			—			(5	)		—			13
Net cash (used in) provided by operating activities		(219	)		(1,169	)		3,512			2,324			—			4,448
Cash flows from investing activities:
Purchase of property and equipment		—			—			(1,189	)		(987	)		—			(2,176	)
Acquisition of hospitals and health care entities		—			—			(34	)		(732	)		—			(766	)
Disposal of hospitals and health care entities		—			—			41			10			—			51
Change in investments		—			—			32			(69	)		—			(37	)
Other		—			—			—			10			—			10
Net cash used in investing activities		—			—			(1,150	)		(1,768	)		—			(2,918	)
Cash flows from financing activities:
Issuance of long-term debt		—			5,500			—			2			—			5,502
Net change in revolving bank credit facilities		—			440			—			—			—			440
Repayment of long-term debt		—			(5,086	)		(50	)		(28	)		—			(5,164	)
Distributions to noncontrolling interests		—			—			(65	)		(377	)		—			(442	)
Payment of debt issuance costs		—			(73	)		—			—			—			(73	)
Repurchases of common stock		(1,750	)		—			—			—			—			(1,750	)
Changes in intercompany balances with affiliates, net		1,841			388			(2,272	)		43			—			—
Other		128			—			—			(19	)		—			109
Net cash provided by (used in) financing activities		219			1,169			(2,387	)		(379	)		—			(1,378	)
Change in cash and cash equivalents		—			—			(25	)		177			—			152
Cash and cash equivalents at beginning of period		—			—			112			302			—			414
Cash and cash equivalents at end of period	$	—		$	—		$	87		$	479		$	—		$	566

Schedule of Consolidated Statements of Stockholder's Deficit

The Hospital Company Consolidated Statements of Stockholder’s Deficit presentation for the years ended December 31, 2016, 2015 and 2014 are as follows (dollars in millions):

	2016			2015			2014
Presentation in HCA Holdings, Inc. Consolidated Statements of Stockholders’ Deficit:
Share-based benefit plans	$	233		$	523		$	321
Other		(2	)		(18	)		(6	)
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.	$	231		$	505		$	315