HCA Healthcare Cash Flow Statement

Financials in millions USD. Fiscal year is January - December.

Millions USD. Fiscal year is Jan - Dec.

Fiscal Year	TTM	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020	2015 - 2019
Period Ending	Sep '25 Sep 30, 2025	Dec '24 Dec 31, 2024	Dec '23 Dec 31, 2023	Dec '22 Dec 31, 2022	Dec '21 Dec 31, 2021	Dec '20 Dec 31, 2020	2015 - 2019
Net Income	6,344	5,760	5,242	5,643	6,956	3,754	Upgrade
Depreciation & Amortization	3,468	3,312	3,077	2,969	2,853	2,721	Upgrade
Other Amortization	41	35	35	29	27	30	Upgrade
Loss (Gain) From Sale of Assets	199	-14	5	-1,301	-1,620	7	Upgrade
Stock-Based Compensation	386	360	262	341	440	362	Upgrade
Other Operating Activities	2,571	1,167	1,267	1,993	806	1,080	Upgrade
Change in Accounts Receivable	-509	-799	-935	-797	-962	327	Upgrade
Change in Inventory	25	334	-126	-59	-540	-304	Upgrade
Change in Accounts Payable	311	359	604	-296	999	1,255	Upgrade
Operating Cash Flow	12,836	10,514	9,431	8,522	8,959	9,232	Upgrade
Operating Cash Flow Growth	20.76%	11.48%	10.67%	-4.88%	-2.96%	21.44%	Upgrade
Capital Expenditures	-4,740	-4,875	-4,744	-4,395	-3,577	-2,835	Upgrade
Cash Acquisitions	-403	-266	-635	-224	-1,105	-568	Upgrade
Divestitures	193	328	193	1,237	2,160	68	Upgrade
Investment in Securities	-56	-115	-112	14	-117	-20	Upgrade
Other Investing Activities	-11	-5	-19	-21	-4	-38	Upgrade
Investing Cash Flow	-5,017	-4,933	-5,317	-3,389	-2,643	-3,393	Upgrade
Long-Term Debt Issued	-	7,495	3,224	6,117	7,124	2,700	Upgrade
Long-Term Debt Repaid	-	-4,290	-1,929	-2,830	-3,869	-5,917	Upgrade
Net Debt Issued (Repaid)	1,241	3,205	1,295	3,287	3,255	-3,217	Upgrade
Repurchase of Common Stock	-9,209	-6,042	-3,811	-7,000	-8,215	-441	Upgrade
Common Dividends Paid	-682	-690	-661	-653	-624	-153	Upgrade
Other Financing Activities	-1,064	-1,055	-917	-1,290	-1,071	-866	Upgrade
Financing Cash Flow	-9,714	-4,582	-4,094	-5,656	-6,655	-4,677	Upgrade
Foreign Exchange Rate Adjustments	4	-1	7	-20	-3	10	Upgrade
Net Cash Flow	-1,891	998	27	-543	-342	1,172	Upgrade
Free Cash Flow	8,096	5,639	4,687	4,127	5,382	6,397	Upgrade
Free Cash Flow Growth	37.69%	20.31%	13.57%	-23.32%	-15.87%	85.74%	Upgrade
Free Cash Flow Margin	10.89%	7.99%	7.21%	6.85%	9.16%	12.41%	Upgrade
Free Cash Flow Per Share	32.96	21.54	16.96	14.01	16.37	18.62	Upgrade
Cash Interest Paid	2,229	1,938	1,892	1,662	1,502	1,607	Upgrade
Cash Income Tax Paid	585	1,844	1,386	1,175	2,182	1,002	Upgrade
Levered Free Cash Flow	6,101	3,916	2,873	3,083	4,078	4,685	Upgrade
Unlevered Free Cash Flow	7,438	5,169	4,049	4,142	5,030	5,645	Upgrade
Change in Working Capital	-173	-106	-457	-1,152	-503	1,278	Upgrade

Updated Sep 30, 2025. Source: S&P Global Market Intelligence. Standard template. Financial Sources.