HCA Healthcare, Inc. (HCA)

HCA Healthcare Cash Flow Statement

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

Fiscal Year	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021
Period Ending	Dec 31, 2025	Dec 31, 2024	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021
Net Income	6,784	5,760	5,242	5,643	6,956
Depreciation & Amortization	3,523	3,312	3,077	2,969	2,853
Other Amortization	44	35	35	29	27
Loss (Gain) From Sale of Assets	-37	-14	5	-1,301	-1,620
Stock-Based Compensation	401	360	262	341	440
Other Operating Activities	1,503	1,167	1,267	1,993	806
Change in Accounts Receivable	-94	-799	-935	-797	-962
Change in Inventory	-154	334	-126	-59	-540
Change in Accounts Payable	666	359	604	-296	999
Operating Cash Flow	12,636	10,514	9,431	8,522	8,959
Operating Cash Flow Growth	20.18%	11.48%	10.67%	-4.88%	-2.96%
Capital Expenditures	-4,944	-4,875	-4,744	-4,395	-3,577
Cash Acquisitions	-397	-266	-635	-224	-1,105
Divestitures	269	328	193	1,237	2,160
Investment in Securities	72	-115	-112	14	-117
Other Investing Activities	12	-5	-19	-21	-4
Investing Cash Flow	-4,988	-4,933	-5,317	-3,389	-2,643
Short-Term Debt Issued	2,202	-	-	-	-
Long-Term Debt Issued	8,474	7,495	3,224	6,117	7,124
Total Debt Issued	10,676	7,495	3,224	6,117	7,124
Long-Term Debt Repaid	-7,389	-4,290	-1,929	-2,830	-3,869
Net Debt Issued (Repaid)	3,287	3,205	1,295	3,287	3,255
Repurchase of Common Stock	-10,067	-6,042	-3,811	-7,000	-8,215
Common Dividends Paid	-679	-690	-661	-653	-624
Other Financing Activities	-1,091	-1,055	-917	-1,290	-1,071
Financing Cash Flow	-8,550	-4,582	-4,094	-5,656	-6,655
Foreign Exchange Rate Adjustments	9	-1	7	-20	-3
Net Cash Flow	-893	998	27	-543	-342
Free Cash Flow	7,692	5,639	4,687	4,127	5,382
Free Cash Flow Growth	36.41%	20.31%	13.57%	-23.32%	-15.87%
Free Cash Flow Margin	10.17%	7.99%	7.21%	6.85%	9.16%
Free Cash Flow Per Share	32.12	21.54	16.96	14.01	16.37
Cash Interest Paid	2,207	1,938	1,892	1,662	1,502
Cash Income Tax Paid	1,740	1,844	1,386	1,175	2,182
Levered Free Cash Flow	6,072	3,916	2,873	3,083	4,078
Unlevered Free Cash Flow	7,433	5,169	4,049	4,142	5,030
Change in Working Capital	418	-106	-457	-1,152	-503

Updated Jan 27, 2026. Source: S&P Global Market Intelligence. Standard template. Financial Sources.

SEC Filings: 10-K · 10-Q