Supplemental Condensed Consolidating Financial Information (Tables)

6 Months Ended

Jun. 30, 2017

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Condensed Consolidating Comprehensive Income Statement

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED JUNE 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	6,049		$	5,757		$	—		$	11,806
Provision for doubtful accounts		—			—			593			480			—			1,073
Revenues		—			—			5,456			5,277			—			10,733
Salaries and benefits		—			—			2,437			2,459			—			4,896
Supplies		—			—			931			864			—			1,795
Other operating expenses		4			—			951			1,010			—			1,965
Equity in earnings of affiliates		(658	)		—			(1	)		(12	)		658			(13	)
Depreciation and amortization		—			—			248			273			—			521
Interest expense		16			755			(291	)		(69	)		—			411
Gains on sales of facilities		—			—			(1	)		(1	)		—			(2	)
Management fees		—			—			(212	)		212			—			—
		(638	)		755			4,062			4,736			658			9,573
Income (loss) before income taxes		638			(755	)		1,394			541			(658	)		1,160
Provision (benefit) for income taxes		(19	)		(279	)		505			158			—			365
Net income (loss)		657			(476	)		889			383			(658	)		795
Net income attributable to noncontrolling interests		—			—			27			111			—			138
Net income (loss) attributable to HCA Healthcare, Inc.	$	657		$	(476	)	$	862		$	272		$	(658	)	$	657
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	684		$	(480	)	$	865		$	300		$	(685	)	$	684

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE QUARTER ENDED JUNE 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	5,693		$	5,388		$	—		$	11,081
Provision for doubtful accounts		—			—			498			264			—			762
Revenues		—			—			5,195			5,124			—			10,319
Salaries and benefits		—			—			2,347			2,344			—			4,691
Supplies		—			—			886			832			—			1,718
Other operating expenses		2			—			893			973			—			1,868
Equity in earnings of affiliates		(641	)		—			(1	)		(9	)		641			(10	)
Depreciation and amortization		—			—			238			251			—			489
Interest expense		16			670			(204	)		(55	)		—			427
Gains on sales of facilities		—			—			(2	)		(4	)		—			(6	)
Legal claim costs		—			10			—			—			—			10
Management fees		—			—			(235	)		235			—			—
		(623	)		680			3,922			4,567			641			9,187
Income (loss) before income taxes		623			(680	)		1,273			557			(641	)		1,132
Provision (benefit) for income taxes		(35	)		(251	)		462			165			—			341
Net income (loss)		658			(429	)		811			392			(641	)		791
Net income attributable to noncontrolling interests		—			—			21			112			—			133
Net income (loss) attributable to HCA Healthcare, Inc.	$	658		$	(429	)	$	790		$	280		$	(641	)	$	658
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	608		$	(431	)	$	794		$	228		$	(591	)	$	608

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE SIX MONTHS ENDED JUNE 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	11,902		$	11,287		$	—		$	23,189
Provision for doubtful accounts		—			—			1,012			821			—			1,833
Revenues		—			—			10,890			10,466			—			21,356
Salaries and benefits		—			—			4,903			4,894			—			9,797
Supplies		—			—			1,882			1,710			—			3,592
Other operating expenses		5			—			1,878			2,012			—			3,895
Equity in earnings of affiliates		(1,266	)		—			(2	)		(21	)		1,266			(23	)
Depreciation and amortization		—			—			499			543			—			1,042
Interest expense		32			1,488			(560	)		(130	)		—			830
Gains on sales of facilities		—			—			(1	)		(2	)		—			(3	)
Management fees		—			—			(422	)		422			—			—
		(1,229	)		1,488			8,177			9,428			1,266			19,130
Income (loss) before income taxes		1,229			(1,488	)		2,713			1,038			(1,266	)		2,226
Provision (benefit) for income taxes		(87	)		(549	)		983			307			—			654
Net income (loss)		1,316			(939	)		1,730			731			(1,266	)		1,572
Net income attributable to noncontrolling interests		—			—			50			206			—			256
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,316		$	(939	)	$	1,680		$	525		$	(1,266	)	$	1,316
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,361		$	(936	)	$	1,686		$	561		$	(1,311	)	$	1,361

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE SIX MONTHS ENDED JUNE 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues before provision for doubtful accounts	$	—		$	—		$	11,366		$	10,765		$	—		$	22,131
Provision for doubtful accounts		—			—			992			560			—			1,552
Revenues		—			—			10,374			10,205			—			20,579
Salaries and benefits		—			—			4,701			4,692			—			9,393
Supplies		—			—			1,784			1,648			—			3,432
Other operating expenses		4			—			1,750			1,967			—			3,721
Equity in earnings of affiliates		(1,270	)		—			(3	)		(19	)		1,270			(22	)
Depreciation and amortization		—			—			465			503			—			968
Interest expense		32			1,320			(411	)		(98	)		—			843
Gains on sales of facilities		—			—			—			(5	)		—			(5	)
Legal claim costs		—			22			—			—			—			22
Management fees		—			—			(395	)		395			—			—
		(1,234	)		1,342			7,891			9,083			1,270			18,352
Income (loss) before income taxes		1,234			(1,342	)		2,483			1,122			(1,270	)		2,227
Provision (benefit) for income taxes		(118	)		(495	)		900			338			—			625
Net income (loss)		1,352			(847	)		1,583			784			(1,270	)		1,602
Net income attributable to noncontrolling interests		—			—			43			207			—			250
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,352		$	(847	)	$	1,540		$	577		$	(1,270	)	$	1,352
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,273		$	(856	)	$	1,546		$	501		$	(1,191	)	$	1,273

Schedule of Condensed Consolidating Balance Sheet

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

JUNE 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors		Eliminations			Condensed Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	—		$	—		$	155		$	550	$	—		$	705
Accounts receivable, net		—			—			2,991			2,791		—			5,782
Inventories		—			—			923			621		—			1,544
Other		—			—			522			784		—			1,306
		—			—			4,591			4,746		—			9,337
Property and equipment, net		—			—			8,560			8,208		—			16,768
Investments of insurance subsidiaries		—			—			—			352		—			352
Investments in and advances to affiliates		28,356			—			15			182		(28,356	)		197
Goodwill and other intangible assets		—			—			1,727			5,044		—			6,771
Other		805			29			33			274		—			1,141
	$	29,161		$	29		$	14,926		$	18,806	$	(28,356	)	$	34,566
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,342		$	903	$	—		$	2,245
Accrued salaries		—			—			679			530		—			1,209
Other accrued expenses		281			383			457			983		—			2,104
Long-term debt due within one year		—			97			57			59		—			213
		281			480			2,535			2,475		—			5,771
Long-term debt, net		994			29,981			188			285		—			31,448
Intercompany balances		34,258			(9,404	)		(27,765	)		2,911		—			—
Professional liability risks		—			—			—			1,144		—			1,144
Income taxes and other liabilities		420			5			403			454		—			1,282
		35,953			21,062			(24,639)			7,269		—			39,645
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(6,792	)		(21,033	)		39,438			9,951		(28,356	)		(6,792	)
Noncontrolling interests		—			—			127			1,586		—			1,713
		(6,792	)		(21,033	)		39,565			11,537		(28,356	)		(5,079	)
	$	29,161		$	29		$	14,926		$	18,806	$	(28,356	)	$	34,566

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 2016

(Dollars in millions)

	HCA Healthcare, 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 Healthcare, 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

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2017

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,316		$	(939	)	$	1,730		$	731		$	(1,266	)	$	1,572
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Changes in operating assets and liabilities		1			(189	)		(1,189	)		(851	)		—			(2,228	)
Provision for doubtful accounts		—			—			1,012			821			—			1,833
Depreciation and amortization		—			—			499			543			—			1,042
Income taxes		267			—			—			—			—			267
Gains on sales of facilities		—			—			(1	)		(2	)		—			(3	)
Amortization of debt issuance costs		—			16			—			—			—			16
Share-based compensation		—			—			140			—			—			140
Equity in earnings of affiliates		(1,266	)		—			—			—			1,266			—
Other		39			—			—			6			—			45
Net cash provided by (used in) operating activities		357			(1,112	)		2,191			1,248			—			2,684
Cash flows from investing activities:
Purchase of property and equipment		—			—			(578	)		(726	)		—			(1,304	)
Acquisition of hospitals and health care entities		—			—			(5	)		(290	)		—			(295	)
Disposition of hospitals and health care entities		—			—			10			4			—			14
Change in investments		—			—			—			(11	)		—			(11	)
Other		—			—			2			3			—			5
Net cash used in investing activities		—			—			(571	)		(1,020	)		—			(1,591	)
Cash flows from financing activities:
Issuance of long-term debt		—			1,500			—			2			—			1,502
Net change in revolving credit facilities		—			(1,160	)		—			—			—			(1,160	)
Repayment of long-term debt		—			(42	)		(33	)		(20	)		—			(95	)
Distributions to noncontrolling interests		—			—			(79	)		(169	)		—			(248	)
Payment of debt issuance costs		—			(25	)		—			—			—			(25	)
Repurchases of common stock		(966	)		—			—			—			—			(966	)
Changes in intercompany balances with affiliates, net		671			839			(1,463	)		(47	)		—			—
Other		(62	)		—			—			20			—			(42	)
Net cash (used in) provided by financing activities		(357	)		1,112			(1,575	)		(214	)		—			(1,034	)
Change in cash and cash equivalents		—			—			45			14			—			59
Cash and cash equivalents at beginning of period		—			—			110			536			—			646
Cash and cash equivalents at end of period	$	—		$	—		$	155		$	550		$	—		$	705

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2016

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,352		$	(847	)	$	1,583		$	784		$	(1,270	)	$	1,602
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Changes in operating assets and liabilities		(23	)		66			(1,140	)		(545	)		—			(1,642	)
Provision for doubtful accounts		—			—			992			560			—			1,552
Depreciation and amortization		—			—			465			503			—			968
Income taxes		67			—			—			—			—			67
Gains on sales of facilities		—			—			—			(5	)		—			(5	)
Legal claim costs		—			22			—			—			—			22
Amortization of debt issuance costs		—			18			—			—			—			18
Share-based compensation		—			—			129			—			—			129
Equity in earnings of affiliates		(1,270	)		—			—			—			1,270			—
Other		37			—			(2	)		2			—			37
Net cash provided by (used in) operating activities		163			(741	)		2,027			1,299			—			2,748
Cash flows from investing activities:
Purchase of property and equipment		—			—			(482	)		(690	)		—			(1,172	)
Acquisition of hospitals and health care entities		—			—			(148	)		(282	)		—			(430	)
Disposition of hospitals and health care entities		—			—			9			5			—			14
Change in investments		—			—			3			15			—			18
Other		—			—			(1	)		16			—			15
Net cash used in investing activities		—			—			(619	)		(936	)		—			(1,555	)
Cash flows from financing activities:
Issuance of long-term debt		—			3,000			—			—			—			3,000
Repayment of long-term debt		—			(2,005	)		(38	)		(22	)		—			(2,065	)
Distributions to noncontrolling interests		—			—			(29	)		(176	)		—			(205	)
Payment of debt issuance costs		—			(24	)		—			—			—			(24	)
Repurchases of common stock		(1,858	)		—			—			—			—			(1,858	)
Changes in intercompany balances with affiliates, net		1,799			(230	)		(1,414	)		(155	)		—			—
Other		(104	)		—			—			13			—			(91	)
Net cash (used in) provided by financing activities		(163	)		741			(1,481	)		(340	)		—			(1,243	)
Change in cash and cash equivalents		—			—			(73	)		23			—			(50	)
Cash and cash equivalents at beginning of period		—			—			155			586			—			741
Cash and cash equivalents at end of period	$	—		$	—		$	82		$	609		$	—		$	691