HCA Healthcare, Inc. (HCA)

HCA Healthcare Cash Flow Statement

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

Fiscal Year	TTM	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020
Period Ending	Jun 30, 2025	Dec 31, 2024	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020
Net Income	5,971	5,760	5,242	5,643	6,956	3,754
Depreciation & Amortization	3,421	3,312	3,077	2,969	2,853	2,721
Other Amortization	43	35	35	29	27	30
Loss (Gain) From Sale of Assets	201	-14	5	-1,301	-1,620	7
Stock-Based Compensation	358	360	262	341	440	362
Other Operating Activities	2,018	1,167	1,267	1,993	806	1,080
Change in Accounts Receivable	-194	-799	-935	-797	-962	327
Change in Inventory	-25	334	-126	-59	-540	-304
Change in Accounts Payable	142	359	604	-296	999	1,255
Operating Cash Flow	11,935	10,514	9,431	8,522	8,959	9,232
Operating Cash Flow Growth	24.41%	11.48%	10.67%	-4.88%	-2.96%	21.44%
Capital Expenditures	-4,643	-4,875	-4,744	-4,395	-3,577	-2,835
Cash Acquisitions	-461	-266	-635	-224	-1,105	-568
Divestitures	184	328	193	1,237	2,160	68
Investment in Securities	-60	-115	-112	14	-117	-20
Other Investing Activities	-1	-5	-19	-21	-4	-38
Investing Cash Flow	-4,981	-4,933	-5,317	-3,389	-2,643	-3,393
Long-Term Debt Issued	-	7,495	3,224	6,117	7,124	2,700
Long-Term Debt Repaid	-	-4,290	-1,929	-2,830	-3,869	-5,917
Net Debt Issued (Repaid)	3,362	3,205	1,295	3,287	3,255	-3,217
Repurchase of Common Stock	-8,506	-6,042	-3,811	-7,000	-8,215	-441
Common Dividends Paid	-685	-690	-661	-653	-624	-153
Other Financing Activities	-1,028	-1,055	-917	-1,290	-1,071	-866
Financing Cash Flow	-6,857	-4,582	-4,094	-5,656	-6,655	-4,677
Foreign Exchange Rate Adjustments	11	-1	7	-20	-3	10
Net Cash Flow	108	998	27	-543	-342	1,172
Free Cash Flow	7,292	5,639	4,687	4,127	5,382	6,397
Free Cash Flow Growth	49.18%	20.31%	13.57%	-23.32%	-15.87%	85.74%
Free Cash Flow Margin	10.03%	7.99%	7.21%	6.85%	9.16%	12.41%
Free Cash Flow Per Share	28.98	21.54	16.96	14.01	16.37	18.62
Cash Interest Paid	1,938	1,938	1,892	1,662	1,502	1,607
Cash Income Tax Paid	1,844	1,844	1,386	1,175	2,182	1,002
Levered Free Cash Flow	5,495	3,916	2,873	3,083	4,078	4,685
Unlevered Free Cash Flow	6,801	5,169	4,049	4,142	5,030	5,645
Change in Net Working Capital	-739	220	562	432	735	-858

Updated Jul 25, 2025. Source: S&P Global Market Intelligence. Standard template. Financial Sources.

SEC Filings: 10-K · 10-Q