2017 Q4 Form 10-K Financial Statement

#000007031819000017 Filed on February 25, 2019

View on sec.gov

Income Statement

Concept 2017 Q4 2017 Q3 2017 Q2
Revenue $4.978B $4.586B $4.802B
YoY Change 2.43% -12.08% -8.01%
Cost Of Revenue $800.0M $740.0M $780.0M
YoY Change 3.49% -3.52% 0.91%
Gross Profit $4.178B $3.846B $4.022B
YoY Change 2.23% -5.78% -1.78%
Gross Profit Margin 83.93% 83.86% 83.76%
Selling, General & Admin $2.284B $2.264B $2.346B
YoY Change -1.72% -1.91% 1.6%
% of Gross Profit 54.67% 58.87% 58.33%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $208.0M $219.0M $222.0M
YoY Change -4.59% 6.83% 3.26%
% of Gross Profit 4.98% 5.69% 5.52%
Operating Expenses $3.595B $3.602B $3.721B
YoY Change -3.83% -3.74% 0.13%
Operating Profit $583.0M $51.00M $310.0M
YoY Change 67.05% -84.96% 13.14%
Interest Expense -$204.0M $257.0M $260.0M
YoY Change 3.55% 5.76% 6.56%
% of Operating Profit -34.99% 503.92% 83.87%
Other Income/Expense, Net -$8.000M -$4.000M -$5.000M
YoY Change -42.86% 0.0%
Pretax Income $224.0M -$348.0M $19.00M
YoY Change 672.41% -491.01% -24.0%
Income Tax $78.00M -$60.00M -$12.00M
% Of Pretax Income 34.82% -63.16%
Net Earnings -$99.00M -$289.0M $32.00M
YoY Change 25.32% -461.25% -17.95%
Net Earnings / Revenue -1.99% -6.3% 0.67%
Basic Earnings Per Share -$2.27 -$3.64 -$0.55
Diluted Earnings Per Share -$2.27 -$3.64 -$0.55
COMMON SHARES
Basic Shares Outstanding 100.9M shares 100.8M shares 100.6M shares
Diluted Shares Outstanding 100.8M shares 100.6M shares

Balance Sheet

Concept 2017 Q4 2017 Q3 2017 Q2
SHORT-TERM ASSETS
Cash & Short-Term Investments $611.0M $429.0M $475.0M
YoY Change -14.66% -33.9% -27.59%
Cash & Equivalents $611.0M $429.0M $475.0M
Short-Term Investments
Other Short-Term Assets $1.035B $1.160B $1.173B
YoY Change -19.46% -13.95% -8.64%
Inventory $289.0M $297.0M $316.0M
Prepaid Expenses
Receivables $2.616B $2.567B $2.706B
Other Receivables $5.000M $14.00M $7.000M
Total Short-Term Assets $5.573B $5.309B $5.382B
YoY Change 6.01% 3.77% 7.79%
LONG-TERM ASSETS
Property, Plant & Equipment $7.030B $7.077B $7.738B
YoY Change -12.7% -11.15% -3.0%
Goodwill $7.018B $7.022B $7.157B
YoY Change -5.48%
Intangibles $1.766B $1.764B $1.806B
YoY Change -4.28%
Long-Term Investments $958.0M $1.253B $1.238B
YoY Change 2.46% -5.36% -6.0%
Other Assets $455.0M $783.0M $1.020B
YoY Change -47.76% -6.79% 27.98%
Total Long-Term Assets $17.81B $17.90B $18.96B
YoY Change -8.39% -7.54% -1.5%
TOTAL ASSETS
Total Short-Term Assets $5.573B $5.309B $5.382B
Total Long-Term Assets $17.81B $17.90B $18.96B
Total Assets $23.39B $23.21B $24.34B
YoY Change -5.33% -5.17% 0.42%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $1.175B $1.100B $1.086B
YoY Change -11.59% -10.42% -14.62%
Accrued Expenses $1.104B $1.136B $988.0M
YoY Change 1.28% -30.9% -37.19%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $146.0M $140.0M $143.0M
YoY Change -23.56% -23.91% -20.99%
Total Short-Term Liabilities $4.332B $4.139B $4.337B
YoY Change 7.39% -8.97% -2.1%
LONG-TERM LIABILITIES
Long-Term Debt $14.79B $14.74B $15.01B
YoY Change -1.81% 2.92% 4.83%
Other Long-Term Liabilities $631.0M $604.0M $598.0M
YoY Change 3.44% -66.67% -66.57%
Total Long-Term Liabilities $631.0M $604.0M $598.0M
YoY Change 3.44% -96.26% -96.29%
TOTAL LIABILITIES
Total Short-Term Liabilities $4.332B $4.139B $4.337B
Total Long-Term Liabilities $631.0M $604.0M $598.0M
Total Liabilities $20.98B $20.70B $21.51B
YoY Change -1.16% -13.57% -9.33%
SHAREHOLDERS EQUITY
Retained Earnings -$2.390B -$2.161B -$1.794B
YoY Change 37.2%
Common Stock $7.000M $7.000M $7.000M
YoY Change 0.0%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity -$147.0M $24.00M $373.0M
YoY Change
Total Liabilities & Shareholders Equity $23.39B $23.21B $24.34B
YoY Change -5.33% -5.17% 0.42%

Cashflow Statement

Concept 2017 Q4 2017 Q3 2017 Q2
OPERATING ACTIVITIES
Net Income -$99.00M -$289.0M $32.00M
YoY Change 25.32% -461.25% -17.95%
Depreciation, Depletion And Amortization $208.0M $219.0M $222.0M
YoY Change -4.59% 6.83% 3.26%
Cash From Operating Activities $491.0M $308.0M $215.0M
YoY Change -267.58% 14.5% -50.57%
INVESTING ACTIVITIES
Capital Expenditures -$215.0M -$144.0M -$150.0M
YoY Change -17.62% -28.36% -26.83%
Acquisitions
YoY Change
Other Investing Activities $9.000M $679.0M $31.00M
YoY Change -147.37% -22733.33% -150.82%
Cash From Investing Activities -$206.0M $535.0M -$119.0M
YoY Change -26.43% -362.25% -55.26%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -103.0M -889.0M -193.0M
YoY Change -116.09% 1134.72% -19.92%
NET CHANGE
Cash From Operating Activities 491.0M 308.0M 215.0M
Cash From Investing Activities -206.0M 535.0M -119.0M
Cash From Financing Activities -103.0M -889.0M -193.0M
Net Change In Cash 182.0M -46.00M -97.00M
YoY Change 171.64% 557.14% 34.72%
FREE CASH FLOW
Cash From Operating Activities $491.0M $308.0M $215.0M
Capital Expenditures -$215.0M -$144.0M -$150.0M
Free Cash Flow $706.0M $452.0M $365.0M
YoY Change -2306.25% -3.83% -42.97%

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14000000 USD
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14000000 USD
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12000000 USD
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6000000 USD
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0 USD
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2000000 USD
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15000000 USD
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23000000 USD
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24000000 USD
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54000000 USD
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490000000 USD
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33000000 USD
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870000000 USD
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850000000 USD
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150000000 USD
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209000000 USD
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202000000 USD
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127000000 USD
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144000000 USD
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151000000 USD
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18000000 USD
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13000000 USD
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26000000 USD
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163000000 USD
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50000000 USD
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199000000 USD
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36000000 USD
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62000000 USD
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950000000 USD
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970000000 USD
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950000000 USD
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970000000 USD
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1895000000 USD
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154000000 USD
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23000000 USD
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3795000000 USD
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760000000 USD
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12000000 USD
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288000000 USD
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258000000 USD
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218000000 USD
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20000000 USD
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31000000 USD
CY2016 us-gaap Proceeds From Sale Of Interest In Corporate Unit
ProceedsFromSaleOfInterestInCorporateUnit
22000000 USD
CY2018 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
647000000 USD
CY2017 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
729000000 USD
CY2016 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
186000000 USD
CY2018 us-gaap Proceeds From Issuance Of Shares Under Incentive And Share Based Compensation Plans Including Stock Options
ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
16000000 USD
CY2017 us-gaap Proceeds From Issuance Of Shares Under Incentive And Share Based Compensation Plans Including Stock Options
ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
7000000 USD
CY2016 us-gaap Proceeds From Issuance Of Shares Under Incentive And Share Based Compensation Plans Including Stock Options
ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
4000000 USD
CY2018 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
54000000 USD
CY2017 us-gaap Net Cash Provided By Used In Financing Activities
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-1326000000 USD
CY2016 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
232000000 USD
CY2018 us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
-200000000 USD
CY2017 us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
-105000000 USD
CY2016 us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
360000000 USD
CY2017Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
611000000 USD
CY2016Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
716000000 USD
CY2017 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
29000000 USD
CY2016 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
16000000 USD
CY2018 us-gaap Net Cash Provided By Used In Financing Activities
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-1134000000 USD
CY2015Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
356000000 USD
CY2018Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
411000000 USD
CY2017Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
611000000 USD
CY2016Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
716000000 USD
CY2018 us-gaap Interest Paid Net
InterestPaidNet
976000000 USD
CY2017 us-gaap Interest Paid Net
InterestPaidNet
939000000 USD
CY2016 us-gaap Interest Paid Net
InterestPaidNet
932000000 USD
CY2018 us-gaap Income Taxes Paid Net
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25000000 USD
CY2017 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
56000000 USD
CY2016 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
33000000 USD
CY2018 thc Number Of Hospitals Operated By Subsidiaries
NumberOfHospitalsOperatedBySubsidiaries
68 hospital
CY2018 thc Number Of Surgical Hospitals
NumberOfSurgicalHospitals
23 hospital
CY2018Q4 thc Number Of Outpatient Centers
NumberOfOutpatientCenters
475 center
CY2018 thc Number Of Facilities Owned By Subsidiaries
NumberOfFacilitiesOwnedBySubsidiaries
111 hospital
CY2018 us-gaap Use Of Estimates
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Use of Estimates<div style="line-height:120%;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;"><br/></span></div>The preparation of financial statements, in conformity with accounting principles generally accepted in the United States of America (“GAAP”), requires us to make estimates and assumptions that affect the amounts reported in our Consolidated Financial Statements and these accompanying notes. We regularly evaluate the accounting policies and estimates we use. In general, we base the estimates on historical experience and on assumptions that we believe to be reasonable given the particular circumstances in which we operate. Although we believe all adjustments considered necessary for a fair presentation have been included, actual results may vary from those estimates. Financial and statistical information we report to other regulatory agencies may be prepared on a basis other than GAAP or using different assumptions or reporting periods and, therefore, may vary from amounts presented herein. Although we make every effort to ensure that the information we report to those agencies is accurate, complete and consistent with applicable reporting guidelines, we cannot be responsible for the accuracy of the information they make available to the public.
CY2018 thc Incentive Payments For Technology Certification
IncentivePaymentsForTechnologyCertification
3000000 USD
CY2017 thc Incentive Payments For Technology Certification
IncentivePaymentsForTechnologyCertification
9000000 USD
CY2016 thc Incentive Payments For Technology Certification
IncentivePaymentsForTechnologyCertification
32000000 USD
CY2018Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
411000000 USD
CY2017Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
611000000 USD
CY2018 us-gaap Capital Expenditures Incurred But Not Yet Paid
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135000000 USD
CY2017 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
117000000 USD
CY2018 us-gaap Capital Lease Obligations Incurred
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149000000 USD
CY2017 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
162000000 USD
CY2018 thc Percentage Investee Results Reflected
PercentageInvesteeResultsReflected
1
CY2018Q4 us-gaap Equity Method Investment Summarized Financial Information Current Assets
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842000000 USD
CY2017Q4 us-gaap Equity Method Investment Summarized Financial Information Current Assets
EquityMethodInvestmentSummarizedFinancialInformationCurrentAssets
805000000 USD
CY2016Q4 us-gaap Equity Method Investment Summarized Financial Information Current Assets
EquityMethodInvestmentSummarizedFinancialInformationCurrentAssets
943000000 USD
CY2018Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Assets
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentAssets
662000000 USD
CY2017Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Assets
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentAssets
1223000000 USD
CY2016Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Assets
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentAssets
991000000 USD
CY2018Q4 us-gaap Equity Method Investment Summarized Financial Information Current Liabilities
EquityMethodInvestmentSummarizedFinancialInformationCurrentLiabilities
313000000 USD
CY2017Q4 us-gaap Equity Method Investment Summarized Financial Information Current Liabilities
EquityMethodInvestmentSummarizedFinancialInformationCurrentLiabilities
354000000 USD
CY2016Q4 us-gaap Equity Method Investment Summarized Financial Information Current Liabilities
EquityMethodInvestmentSummarizedFinancialInformationCurrentLiabilities
320000000 USD
CY2018Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Liabilities
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentLiabilities
430000000 USD
CY2017Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Liabilities
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentLiabilities
389000000 USD
CY2016Q4 us-gaap Equity Method Investment Summarized Financial Information Noncurrent Liabilities
EquityMethodInvestmentSummarizedFinancialInformationNoncurrentLiabilities
345000000 USD
CY2018Q4 us-gaap Equity Method Investment Summarized Financial Information Minority Interest
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530000000 USD
CY2017Q4 us-gaap Equity Method Investment Summarized Financial Information Minority Interest
EquityMethodInvestmentSummarizedFinancialInformationMinorityInterest
490000000 USD
CY2016Q4 us-gaap Equity Method Investment Summarized Financial Information Minority Interest
EquityMethodInvestmentSummarizedFinancialInformationMinorityInterest
494000000 USD
CY2018 us-gaap Equity Method Investment Summarized Financial Information Revenue
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2469000000 USD
CY2017 us-gaap Equity Method Investment Summarized Financial Information Revenue
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2907000000 USD
CY2016 us-gaap Equity Method Investment Summarized Financial Information Revenue
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2823000000 USD
CY2018 us-gaap Equity Method Investment Summarized Financial Information Net Income Loss
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599000000 USD
CY2017 us-gaap Equity Method Investment Summarized Financial Information Net Income Loss
EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss
558000000 USD
CY2016 us-gaap Equity Method Investment Summarized Financial Information Net Income Loss
EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss
573000000 USD
CY2018 thc Equity Method Investment Summarized Financial Information Net Income Loss Attributable To Investee
EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLossAttributableToInvestee
372000000 USD
CY2017 thc Equity Method Investment Summarized Financial Information Net Income Loss Attributable To Investee
EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLossAttributableToInvestee
363000000 USD
CY2016 thc Equity Method Investment Summarized Financial Information Net Income Loss Attributable To Investee
EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLossAttributableToInvestee
343000000 USD
CY2018 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
150000000 USD
CY2017 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
144000000 USD
CY2016 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
131000000 USD
CY2018 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.0259
CY2017 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.0233
CY2018Q4 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.80
CY2017Q4 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.82
CY2016Q4 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.83
CY2018Q4 thc Allowance For Doubtful Accounts As Percent Of Accounts Receivable
AllowanceForDoubtfulAccountsAsPercentOfAccountsReceivable
0.266
CY2018Q4 us-gaap Accounts Receivable Net Current
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2595000000 USD
CY2017Q4 us-gaap Accounts Receivable Net Current
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2616000000 USD
CY2018 us-gaap Health Care Organization Health Care Costs Gross
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764000000 USD
CY2017 us-gaap Health Care Organization Health Care Costs Gross
HealthCareOrganizationHealthCareCostsGross
769000000 USD
CY2016 us-gaap Health Care Organization Health Care Costs Gross
HealthCareOrganizationHealthCareCostsGross
747000000 USD
CY2018Q4 thc Contract With Customer Asset Percentage To Be Reclassified To Receivable Within90 Days
ContractWithCustomerAssetPercentageToBeReclassifiedToReceivableWithin90Days
0.89
CY2018 us-gaap Contract With Customer Liability Revenue Recognized
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72000000 USD
CY2017 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
73000000 USD
CY2018 us-gaap Capitalized Contract Cost Amortization
CapitalizedContractCostAmortization
11000000 USD
CY2017 us-gaap Capitalized Contract Cost Amortization
CapitalizedContractCostAmortization
10000000 USD
CY2016 us-gaap Capitalized Contract Cost Amortization
CapitalizedContractCostAmortization
7000000 USD
CY2018Q4 us-gaap Capitalized Contract Cost Gross
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28000000 USD
CY2017Q4 us-gaap Capitalized Contract Cost Gross
CapitalizedContractCostGross
35000000 USD
CY2018 us-gaap Number Of Operating Segments
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3 segment
CY2018 us-gaap Restructuring Settlement And Impairment Provisions
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209000000 USD
CY2018 us-gaap Asset Impairment Charges
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77000000 USD
CY2018 us-gaap Restructuring Costs
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115000000 USD
CY2018 us-gaap Business Combination Acquisition Related Costs
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17000000 USD
CY2018 us-gaap Disposal Group Not Discontinued Operation Loss Gain On Write Down
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40000000 USD
CY2018 thc Number Of Hospitals With Impairment Charges
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2 hospital
CY2018Q4 us-gaap Disposal Group Including Discontinued Operation Assets Noncurrent
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130000000 USD
CY2018 us-gaap Other Asset Impairment Charges
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4000000 USD
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68000000 USD
CY2018 us-gaap Business Exit Costs1
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17000000 USD
CY2018 us-gaap Other Restructuring Costs
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30000000 USD
CY2018 thc Business Combination Acquisition Related Transaction Costs
BusinessCombinationAcquisitionRelatedTransactionCosts
10000000 USD
CY2018 us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
7000000 USD
CY2017 us-gaap Restructuring Settlement And Impairment Provisions
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541000000 USD
CY2017 us-gaap Asset Impairment Charges
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402000000 USD
CY2017 us-gaap Restructuring Costs
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117000000 USD
CY2017 us-gaap Business Combination Acquisition Related Costs
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22000000 USD
CY2017 us-gaap Disposal Group Not Discontinued Operation Loss Gain On Write Down
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364000000 USD
CY2017 us-gaap Equity Method Investment Other Than Temporary Impairment
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31000000 USD
CY2017 thc Number Of Equity Method Investments With Impairment Charges
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2 investment
CY2017 us-gaap Other Asset Impairment Charges
OtherAssetImpairmentCharges
7000000 USD
CY2017 us-gaap Severance Costs1
SeveranceCosts1
82000000 USD
CY2017 us-gaap Business Exit Costs1
BusinessExitCosts1
15000000 USD
CY2017 us-gaap Other Restructuring Costs
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20000000 USD
CY2017 thc Business Combination Acquisition Related Transaction Costs
BusinessCombinationAcquisitionRelatedTransactionCosts
6000000 USD
CY2017 us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
16000000 USD
CY2016 us-gaap Restructuring Settlement And Impairment Provisions
RestructuringSettlementAndImpairmentProvisions
202000000 USD
CY2016 us-gaap Disposal Group Not Discontinued Operation Loss Gain On Write Down
DisposalGroupNotDiscontinuedOperationLossGainOnWriteDown
54000000 USD
CY2016 thc Number Of Hospitals With Impairment Charges
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4 hospital
CY2016Q4 us-gaap Disposal Group Including Discontinued Operation Assets Noncurrent
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163000000 USD
CY2016 us-gaap Equity Method Investment Other Than Temporary Impairment
EquityMethodInvestmentOtherThanTemporaryImpairment
19000000 USD
CY2016 us-gaap Other Asset Impairment Charges
OtherAssetImpairmentCharges
14000000 USD
CY2016 us-gaap Severance Costs1
SeveranceCosts1
35000000 USD
CY2016 us-gaap Other Restructuring Costs
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14000000 USD
CY2016 us-gaap Business Exit Costs1
BusinessExitCosts1
14000000 USD
CY2016 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
52000000 USD
CY2016 thc Business Combination Acquisition Related Transaction Costs
BusinessCombinationAcquisitionRelatedTransactionCosts
20000000 USD
CY2016 us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
32000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
15010000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Repayments Of Principal In Next Twelve Months
LongTermDebtAndCapitalLeaseObligationsRepaymentsOfPrincipalInNextTwelveMonths
182000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Maturities Repayments Of Principal In Year Two
LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearTwo
2697000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Maturities Repayments Of Principal In Year Three
LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearThree
1958000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Maturities Repayments Of Principal In Year Four
LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearFour
3588000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Maturities Repayments Of Principal In Year Five
LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearFive
1894000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Maturities Repayments Of Principal After Year Five
LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalAfterYearFive
4691000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due
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932000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
171000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
151000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
133000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
113000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
92000000 USD
CY2018Q4 us-gaap Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
272000000 USD
CY2018 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
326000000 USD
CY2017 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
340000000 USD
CY2016 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
335000000 USD
CY2018 us-gaap Operating Leases Rent Expense Sublease Rentals1
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11000000 USD
CY2017 us-gaap Operating Leases Rent Expense Sublease Rentals1
OperatingLeasesRentExpenseSubleaseRentals1
14000000 USD
CY2016 us-gaap Operating Leases Rent Expense Sublease Rentals1
OperatingLeasesRentExpenseSubleaseRentals1
13000000 USD
CY2018 us-gaap Allocated Share Based Compensation Expense
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46000000 USD
CY2017 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
59000000 USD
CY2016 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
60000000 USD
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
9.16
CY2017 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
7.64
CY2018Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.46
CY2017Q3 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.46
CY2017Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.49
CY2018Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
0
CY2017Q3 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
0
CY2017Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
0
CY2018Q1 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P6Y2M12D
CY2017Q3 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P3Y
CY2017Q1 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P6Y2M12D
CY2018Q1 thc Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Forfeiture Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedForfeitureRate
0
CY2017Q3 thc Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Forfeiture Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedForfeitureRate
0
CY2017Q1 thc Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Forfeiture Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedForfeitureRate
0
CY2018Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.0272
CY2017Q3 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.0192
CY2017Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.0215
CY2018 thc Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Percentage
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingPercentage
1.000
CY2018 thc Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Percentage Of Total
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingPercentageOfTotal
1.000
CY2018Q2 thc Number Of New Directors
NumberOfNewDirectors
2 member
CY2017Q4 thc Number Of New Directors
NumberOfNewDirectors
3 member
CY2018Q4 thc Number Of New Directors
NumberOfNewDirectors
1 member
CY2017Q4 thc Number Of New Directors
NumberOfNewDirectors
2 member
CY2018 us-gaap Defined Contribution Plan Cost Recognized
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99000000 USD
CY2017 us-gaap Defined Contribution Plan Cost Recognized
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128000000 USD
CY2017Q4 us-gaap Defined Benefit Plan Benefit Obligation
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1455000000 USD
CY2016Q4 us-gaap Defined Benefit Plan Benefit Obligation
DefinedBenefitPlanBenefitObligation
1475000000 USD
CY2018 us-gaap Defined Benefit Plan Service Cost
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2000000 USD
CY2017 us-gaap Defined Benefit Plan Service Cost
DefinedBenefitPlanServiceCost
2000000 USD
CY2018 us-gaap Defined Benefit Plan Interest Cost
DefinedBenefitPlanInterestCost
56000000 USD
CY2017 us-gaap Defined Benefit Plan Interest Cost
DefinedBenefitPlanInterestCost
62000000 USD
CY2018 us-gaap Defined Benefit Plan Actuarial Gain Loss
DefinedBenefitPlanActuarialGainLoss
-90000000 USD
CY2017 us-gaap Defined Benefit Plan Actuarial Gain Loss
DefinedBenefitPlanActuarialGainLoss
31000000 USD
CY2018 thc Defined Benefit Plan Benefits Paid Or Employer Contribution
DefinedBenefitPlanBenefitsPaidOrEmployerContribution
122000000 USD
CY2017 thc Defined Benefit Plan Benefits Paid Or Employer Contribution
DefinedBenefitPlanBenefitsPaidOrEmployerContribution
120000000 USD
CY2018 us-gaap Defined Benefit Plan Other Costs
DefinedBenefitPlanOtherCosts
0 USD
CY2017 us-gaap Defined Benefit Plan Other Costs
DefinedBenefitPlanOtherCosts
5000000 USD
CY2018Q4 us-gaap Defined Benefit Plan Benefit Obligation
DefinedBenefitPlanBenefitObligation
1301000000 USD
CY2017Q4 us-gaap Defined Benefit Plan Benefit Obligation
DefinedBenefitPlanBenefitObligation
1455000000 USD
CY2017Q4 us-gaap Defined Benefit Plan Fair Value Of Plan Assets
DefinedBenefitPlanFairValueOfPlanAssets
850000000 USD
CY2016Q4 us-gaap Defined Benefit Plan Fair Value Of Plan Assets
DefinedBenefitPlanFairValueOfPlanAssets
786000000 USD
CY2018 us-gaap Defined Benefit Plan Actual Return On Plan Assets
DefinedBenefitPlanActualReturnOnPlanAssets
-65000000 USD
CY2017 us-gaap Defined Benefit Plan Actual Return On Plan Assets
DefinedBenefitPlanActualReturnOnPlanAssets
122000000 USD
CY2018 us-gaap Defined Benefit Plan Contributions By Employer
DefinedBenefitPlanContributionsByEmployer
47000000 USD
CY2017 us-gaap Defined Benefit Plan Contributions By Employer
DefinedBenefitPlanContributionsByEmployer
43000000 USD
CY2018 us-gaap Defined Benefit Plan Plan Assets Benefits Paid
DefinedBenefitPlanPlanAssetsBenefitsPaid
101000000 USD
CY2017 us-gaap Defined Benefit Plan Plan Assets Benefits Paid
DefinedBenefitPlanPlanAssetsBenefitsPaid
101000000 USD
CY2018Q4 us-gaap Defined Benefit Plan Fair Value Of Plan Assets
DefinedBenefitPlanFairValueOfPlanAssets
731000000 USD
CY2017Q4 us-gaap Defined Benefit Plan Fair Value Of Plan Assets
DefinedBenefitPlanFairValueOfPlanAssets
850000000 USD
CY2018Q4 us-gaap Defined Benefit Plan Funded Status Of Plan
DefinedBenefitPlanFundedStatusOfPlan
-570000000 USD
CY2017Q4 us-gaap Defined Benefit Plan Funded Status Of Plan
DefinedBenefitPlanFundedStatusOfPlan
-605000000 USD
CY2018Q4 us-gaap Pension And Other Postretirement Defined Benefit Plans Current Liabilities
PensionAndOtherPostretirementDefinedBenefitPlansCurrentLiabilities
49000000 USD
CY2017Q4 us-gaap Pension And Other Postretirement Defined Benefit Plans Current Liabilities
PensionAndOtherPostretirementDefinedBenefitPlansCurrentLiabilities
69000000 USD
CY2018Q4 us-gaap Pension And Other Postretirement Defined Benefit Plans Liabilities Noncurrent
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521000000 USD
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56000000 USD
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42000000 USD
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330000000 USD
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thc-20181231ex31b.htm Edgar Link pending
thc-20181231ex32.htm Edgar Link pending
thc-20181231ex99ee.htm Edgar Link pending
thc-20181231_cal.xml Edgar Link unprocessable
thc-20181231_def.xml Edgar Link unprocessable
thc-20181231_lab.xml Edgar Link unprocessable
thc-20181231_pre.xml Edgar Link unprocessable
thc-21081231ex21.htm Edgar Link pending