Earnings Per Share - Schedule of Computations of Basic and Diluted Earnings Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions	3 Months Ended	9 Months Ended
Sep. 30, 2026	Sep. 30, 2025	Sep. 30, 2026	Sep. 30, 2025
Earnings Per Share [Abstract]
Net income attributable to HCA Healthcare, Inc.	$ 1,579	$ 1,643	$ 4,898	$ 4,906
Weighted average common shares outstanding	214,592	232,891	219,540	239,615
Effect of dilutive incremental shares	2,620	3,290	2,657	2,844
Shares used for diluted earnings per share	217,212	236,181	222,197	242,459
Basic earnings	$ 7.36	$ 7.05	$ 22.31	$ 20.47
Diluted earnings	$ 7.27	$ 6.96	$ 22.05	$ 20.23

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details