Supplemental Condensed Consolidating Financial Information (Tables)

6 Months Ended

Jun. 30, 2018

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, 2018

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	6,774		$	4,755		$	—		$	11,529
Salaries and benefits		—			—			3,025			2,249			—			5,274
Supplies		—			—			1,127			790			—			1,917
Other operating expenses		4			—			1,122			992			—			2,118
Equity in earnings of affiliates		(852	)		—			(1	)		(6	)		852			(7	)
Depreciation and amortization		—			—			329			233			—			562
Interest expense		16			867			(389	)		(58	)		—			436
Losses (gains) on sales of facilities		—			—			23			(32	)		—			(9	)
Management fees		—			—			(157	)		157			—			—
		(832	)		867			5,079			4,325			852			10,291
Income (loss) before income taxes		832			(867	)		1,695			430			(852	)		1,238
Provision (benefit) for income taxes		12			(201	)		389			72			—			272
Net income (loss)		820			(666	)		1,306			358			(852	)		966
Net income attributable to noncontrolling interests		—			—			22			124			—			146
Net income (loss) attributable to HCA Healthcare, Inc.	$	820		$	(666	)	$	1,284		$	234		$	(852	)	$	820
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	756		$	(656	)	$	1,287		$	157		$	(788	)	$	756

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 (as  adjusted)			Subsidiary Non- Guarantors (as adjusted)			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	6,369		$	4,364		$	—		$	10,733
Salaries and benefits		—			—			2,870			2,026			—			4,896
Supplies		—			—			1,055			740			—			1,795
Other operating expenses		4			—			1,064			897			—			1,965
Equity in earnings of affiliates		(658	)		—			(1	)		(12	)		658			(13	)
Depreciation and amortization		—			—			302			219			—			521
Interest expense		16			755			(315	)		(45	)		—			411
Losses (gains) on sales of facilities		—			—			(4	)		2			—			(2	)
Management fees		—			—			(160	)		160			—			—
		(638	)		755			4,811			3,987			658			9,573
Income (loss) before income taxes		638			(755	)		1,558			377			(658	)		1,160
Provision (benefit) for income taxes		(19	)		(279	)		565			98			—			365
Net income (loss)		657			(476	)		993			279			(658	)		795
Net income attributable to noncontrolling interests		—			—			27			111			—			138
Net income (loss) attributable to HCA Healthcare, Inc.	$	657		$	(476	)	$	966		$	168		$	(658	)	$	657
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	684		$	(480	)	$	969		$	196		$	(685	)	$	684

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING COMPREHENSIVE INCOME STATEMENT

FOR THE SIX MONTHS ENDED JUNE 30, 2018

(Dollars in millions)

	HCA Healthcare, Inc. Issuer			HCA Inc. Issuer			Subsidiary Guarantors			Subsidiary Non- Guarantors			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	13,550		$	9,402		$	—		$	22,952
Salaries and benefits		—			—			6,094			4,469			—			10,563
Supplies		—			—			2,268			1,564			—			3,832
Other operating expenses		5			—			2,250			1,973			—			4,228
Equity in earnings of affiliates		(1,942	)		—			(3	)		(13	)		1,942			(16	)
Depreciation and amortization		—			—			652			463			—			1,115
Interest expense		32			1,704			(756	)		(113	)		—			867
Gains on sales of facilities		—			—			(372	)		(42	)		—			(414	)
Management fees		—			—			(315	)		315			—			—
		(1,905	)		1,704			9,818			8,616			1,942			20,175
Income (loss) before income taxes		1,905			(1,704	)		3,732			786			(1,942	)		2,777
Provision (benefit) for income taxes		(59	)		(396	)		856			128			—			529
Net income (loss)		1,964			(1,308	)		2,876			658			(1,942	)		2,248
Net income attributable to noncontrolling interests		—			—			50			234			—			284
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,964		$	(1,308	)	$	2,826		$	424		$	(1,942	)	$	1,964
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,981		$	(1,271	)	$	2,833		$	397		$	(1,959	)	$	1,981

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 (as  adjusted)			Subsidiary Non- Guarantors (as adjusted)			Eliminations			Condensed Consolidated
Revenues	$	—		$	—		$	12,705		$	8,651		$	—		$	21,356
Salaries and benefits		—			—			5,774			4,023			—			9,797
Supplies		—			—			2,130			1,462			—			3,592
Other operating expenses		5			—			2,114			1,776			—			3,895
Equity in earnings of affiliates		(1,266	)		—			(3	)		(20	)		1,266			(23	)
Depreciation and amortization		—			—			612			430			—			1,042
Interest expense		32			1,488			(605	)		(85	)		—			830
Gains on sales of facilities		—			—			(3	)		—			—			(3	)
Management fees		—			—			(320	)		320			—			—
		(1,229	)		1,488			9,699			7,906			1,266			19,130
Income (loss) before income taxes		1,229			(1,488	)		3,006			745			(1,266	)		2,226
Provision (benefit) for income taxes		(87	)		(549	)		1,091			199			—			654
Net income (loss)		1,316			(939	)		1,915			546			(1,266	)		1,572
Net income attributable to noncontrolling interests		—			—			50			206			—			256
Net income (loss) attributable to HCA Healthcare, Inc.	$	1,316		$	(939	)	$	1,865		$	340		$	(1,266	)	$	1,316
Comprehensive income (loss) attributable to HCA Healthcare, Inc.	$	1,361		$	(936	)	$	1,871		$	376		$	(1,311	)	$	1,361

Schedule of Condensed Consolidating Balance Sheet

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

JUNE 30, 2018

(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	$	—		$	—		$	197		$	671		$	—		$	868
Accounts receivable		—			—			3,873			2,719			—			6,592
Inventories		—			—			1,093			543			—			1,636
Other		—			—			743			555			—			1,298
		—			—			5,906			4,488			—			10,394
Property and equipment, net		—			—			11,842			6,702			—			18,544
Investments of insurance subsidiaries		—			—			—			414			—			414
Investments in and advances to affiliates		31,540			—			28			206			(31,540	)		234
Goodwill and other intangible assets		—			—			5,429			2,030			—			7,459
Other		450			98			29			120			—			697
	$	31,990		$	98		$	23,234		$	13,960		$	(31,540	)	$	37,742
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	1		$	—		$	1,683		$	773		$	—		$	2,457
Accrued salaries		—			—			836			479			—			1,315
Other accrued expenses		101			382			670			1,008			—			2,161
Long-term debt due within one year		—			1,597			61			34			—			1,692
		102			1,979			3,250			2,294			—			7,625
Long-term debt, net		995			30,048			282			175			—			31,500
Intercompany balances		36,325			(8,608	)		(26,352	)		(1,365	)		—			—
Professional liability risks		—			—			—			1,283			—			1,283
Income taxes and other liabilities		557			—			388			514			—			1,459
		37,979			23,419			(22,432)			2,901			—			41,867
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(5,989	)		(23,321	)		45,588			9,273			(31,540	)		(5,989	)
Noncontrolling interests		—			—			78			1,786			—			1,864
		(5,989	)		(23,321	)		45,666			11,059			(31,540	)		(4,125	)
	$	31,990		$	98		$	23,234		$	13,960		$	(31,540	)	$	37,742

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING BALANCE SHEET

DECEMBER 31, 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	$	1		$	—		$	112		$	619		$	—		$	732
Accounts receivable		—			—			3,693			2,808			—			6,501
Inventories		—			—			1,030			543			—			1,573
Other		—			—			663			508			—			1,171
		1			—			5,498			4,478			—			9,977
Property and equipment, net		—			—			11,110			6,785			—			17,895
Investments of insurance subsidiaries		—			—			—			418			—			418
Investments in and advances to affiliates		29,581			—			22			177			(29,581	)		199
Goodwill and other intangible assets		—			—			4,893			2,501			—			7,394
Other		510			50			47			103			—			710
	$	30,092		$	50		$	21,570		$	14,462		$	(29,581	)	$	36,593
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current liabilities:
Accounts payable	$	—		$	—		$	1,793		$	813		$	—		$	2,606
Accrued salaries		—			—			862			507			—			1,369
Other accrued expenses		29			378			536			1,040			—			1,983
Long-term debt due within one year		—			97			64			39			—			200
		29			475			3,255			2,399			—			6,158
Long-term debt, net		995			31,367			307			189			—			32,858
Intercompany balances		35,322			(9,742	)		(25,228	)		(352	)		—			—
Professional liability risks		—			—			—			1,198			—			1,198
Income taxes and other liabilities		552			—			357			465			—			1,374
		36,898			22,100			(21,309	)		3,899			—			41,588
Stockholders’ (deficit) equity attributable to HCA Healthcare, Inc.		(6,806	)		(22,050	)		42,755			8,876			(29,581	)		(6,806	)
Noncontrolling interests		—			—			124			1,687			—			1,811
		(6,806	)		(22,050	)		42,879			10,563			(29,581	)		(4,995	)
	$	30,092		$	50		$	21,570		$	14,462		$	(29,581	)	$	36,593

Schedule of Condensed Consolidating Statement of Cash Flows

HCA HEALTHCARE, INC.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30, 2018

(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)	$	1,964		$	(1,308	)	$	2,876		$	658		$	(1,942	)	$	2,248
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Changes in operating assets and liabilities		—			2			(352	)		(52	)		—			(402	)
Depreciation and amortization		—			—			652			463			—			1,115
Income taxes		118			—			—			—			—			118
Gains on sales of facilities		—			—			(372	)		(42	)		—			(414	)
Amortization of debt issuance costs		—			15			—			—			—			15
Share-based compensation		—			—			134			—			—			134
Equity in earnings of affiliates		(1,942	)		—			—			—			1,942			—
Other		43			—			—			8			—			51
Net cash provided by (used in) operating activities		183			(1,291	)		2,938			1,035			—			2,865
Cash flows from investing activities:
Purchase of property and equipment		—			—			(900	)		(674	)		—			(1,574	)
Acquisition of hospitals and health care entities		—			—			(438	)		(100	)		—			(538	)
Disposition of hospitals and health care entities		—			—			767			32			—			799
Change in investments		—			—			17			6			—			23
Other		—			—			(30	)		5			—			(25	)
Net cash used in investing activities		—			—			(584	)		(731	)		—			(1,315	)
Cash flows from financing activities:
Net change in revolving credit facilities		—			210			—			—			—			210
Repayment of long-term debt		—			(41	)		(38	)		(22	)		—			(101	)
Distributions to noncontrolling interests		—			—			(43	)		(142	)		—			(185	)
Payment of debt issuance costs		—			(2	)		—			—			—			(2	)
Payment of cash dividends		(245	)		—			—			—			—			(245	)
Repurchases of common stock		(893	)		—			—			—			—			(893	)
Changes in intercompany balances with affiliates, net		1,150			1,124			(2,188	)		(86	)		—			—
Other		(196	)		—			—			4			—			(192	)
Net cash (used in) provided by financing activities		(184	)		1,291			(2,269	)		(246	)		—			(1,408	)
Effect on exchange rate changes on cash and cash equivalents		—			—			—			(6	)		—			(6	)
Change in cash and cash equivalents		(1	)		—			85			52			—			136
Cash and cash equivalents at beginning of period		1			—			112			619			—			732
Cash and cash equivalents at end of period	$	—		$	—		$	197		$	671		$	—		$	868

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 (as  adjusted)			Subsidiary Non- Guarantors (as adjusted)			Eliminations			Condensed Consolidated
Cash flows from operating activities:
Net income (loss)	$	1,316		$	(939	)	$	1,915		$	546		$	(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	)		(196	)		(11	)		—			(395	)
Depreciation and amortization		—			—			612			430			—			1,042
Income taxes		267			—			—			—			—			267
Gains on sales of facilities		—			—			(3	)		—			—			(3	)
Amortization of debt issuance costs		—			16			—			—			—			16
Share-based compensation		—			—			140			—			—			140
Equity in earnings of affiliates		(1,266	)		—			—			—			1,266			—
Other		39			—			1			5			—			45
Net cash provided by (used in) operating activities		357			(1,112	)		2,469			970			—			2,684
Cash flows from investing activities:
Purchase of property and equipment		—			—			(729	)		(575	)		—			(1,304	)
Acquisition of hospitals and health care entities		—			—			(6	)		(289	)		—			(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		—			—			(723	)		(868	)		—			(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			(1,589	)		79			—			—
Other		(62	)		—			—			20			—			(42	)
Net cash (used in) provided by financing activities		(357	)		1,112			(1,701	)		(88	)		—			(1,034	)
Change in cash and cash equivalents		—			—			45			14			—			59
Cash and cash equivalents at beginning of period		—			—			113			533			—			646
Cash and cash equivalents at end of period	$	—		$	—		$	158		$	547		$	—		$	705

Summary of Restatement Adjustments to Financial Statements

The application of these adjustments to the consolidating information for the quarter and six months ended June 30, 2017 is summarized as follows (dollars in millions):

	As Previously Reported			Adjustment			As Adjusted
Quarter ended June 30, 2017
Net income (loss) attributable to HCA Healthcare, Inc.:
HCA Healthcare, Inc. Issuer	$	657		$	—		$	657
HCA Inc. Issuer		(476	)		—			(476	)
Subsidiary Guarantors		862			104			966
Subsidiary Non-Guarantors		272			(104	)		168
Eliminations		(658	)		—			(658	)
Condensed Consolidated	$	657		$	—		$	657

	As Previously Reported			Adjustment			As Adjusted
Six months ended June 30, 2017
Net income (loss) attributable to HCA Healthcare, Inc.:
HCA Healthcare, Inc. Issuer	$	1,316		$	—		$	1,316
HCA Inc. Issuer		(939	)		—			(939	)
Subsidiary Guarantors		1,680			185			1,865
Subsidiary Non-Guarantors		525			(185	)		340
Eliminations		(1,266	)		—			(1,266	)
Condensed Consolidated	$	1,316		$	—		$	1,316

	As Previously Reported			Adjustment			As Adjusted
Six months ended June 30, 2017
Net cash provided (used in) operating activities:
HCA Healthcare, Inc. Issuer	$	357		$	—		$	357
HCA Inc. Issuer		(1,112	)		—			(1,112	)
Subsidiary Guarantors		2,191			278			2,469
Subsidiary Non-Guarantors		1,248			(278	)		970
Eliminations		—			—			—
Condensed Consolidated	$	2,684		$	—		$	2,684