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HCA Healthcare, Inc. (HCA)
NYSE: HCA · Real-Time Price · USD
473.19
-4.89 (-1.02%)
At close: Oct 30, 2026, 4:00 PM EDT
475.61
+2.42 (0.51%)
After-hours: Oct 30, 2026, 7:46 PM EDT

HCA Healthcare Cash Flow Statement

Millions USD. Fiscal year is Jan - Dec.

Operating Activities

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Net Income
6,7766,7845,7605,2425,6436,956
Depreciation & Amortization
3,7393,5233,3123,0772,9692,853
Other Amortization
464435352927
Loss (Gain) From Sale of Assets
-63-37-145-1,301-1,620
Stock-Based Compensation
404401360262341440
Other Operating Activities
3211,5031,1671,2671,993806
Change in Accounts Receivable
-1,074-94-799-935-797-962
Change in Inventory
53-154334-126-59-540
Change in Accounts Payable
967666359604-296999
Operating Cash Flow
11,16912,63610,5149,4318,5228,959
Operating Cash Flow Growth
-12.99%20.18%11.48%10.67%-4.88%-2.96%

Investing Activities

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Capital Expenditures
-5,196-4,944-4,875-4,744-4,395-3,577
Cash Acquisitions
-978-397-266-635-224-1,105
Divestitures
1992693281931,2372,160
Investment in Securities
-11672-115-11214-117
Other Investing Activities
1912-5-19-21-4
Investing Cash Flow
-6,072-4,988-4,933-5,317-3,389-2,643

Financing Activities

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Long-Term Debt Issued
-10,6767,4953,2246,1177,124
Long-Term Debt Repaid
--7,389-4,290-1,929-2,830-3,869
Net Debt Issued (Repaid)
5,7703,2873,2051,2953,2873,255
Repurchase of Common Stock
-9,163-10,067-6,042-3,811-7,000-8,215
Common Dividends Paid
-681-679-690-661-653-624
Other Financing Activities
-1,108-1,091-1,055-917-1,290-1,071
Financing Cash Flow
-5,182-8,550-4,582-4,094-5,656-6,655

Net Cash Flow

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Foreign Exchange Rate Adjustments
-49-17-20-3
Net Cash Flow
-89-89399827-543-342

Free Cash Flow

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Free Cash Flow
5,9737,6925,6394,6874,1275,382
Free Cash Flow Growth
-26.22%36.41%20.31%13.57%-23.32%-15.87%
Free Cash Flow Margin
7.59%10.17%7.99%7.21%6.85%9.16%
Free Cash Flow Per Share
26.6332.1221.5416.9614.0116.37
Levered Free Cash Flow
3,9435,8233,9162,8733,0834,078
Unlevered Free Cash Flow
5,3747,1845,1694,0494,1425,030

Additional Metrics

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Sep '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Cash Interest Paid
2,2362,2071,9381,8921,6621,502
Cash Income Tax Paid
2,9301,7401,8441,3861,1752,182
Change in Working Capital
-54418-106-457-1,152-503
SEC Filings: 10-K · 10-Q