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HCA Healthcare, Inc. (HCA)
NYSE: HCA · Real-Time Price · USD
451.09
+6.08 (1.37%)
At close: Oct 9, 2026, 4:00 PM EDT
445.04
-6.05 (-1.34%)
After-hours: Oct 9, 2026, 7:42 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
Jun '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Net Income
6,8406,7845,7605,2425,6436,956
Depreciation & Amortization
3,6743,5233,3123,0772,9692,853
Other Amortization
424435352927
Loss (Gain) From Sale of Assets
-48-37-145-1,301-1,620
Stock-Based Compensation
375401360262341440
Other Operating Activities
9221,5031,1671,2671,993806
Change in Accounts Receivable
-1,831-94-799-935-797-962
Change in Inventory
247-154334-126-59-540
Change in Accounts Payable
903666359604-296999
Operating Cash Flow
11,12412,63610,5149,4318,5228,959
Operating Cash Flow Growth
-6.79%20.18%11.48%10.67%-4.88%-2.96%

Investing Activities

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Jun '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Capital Expenditures
-5,127-4,944-4,875-4,744-4,395-3,577
Cash Acquisitions
-457-397-266-635-224-1,105
Divestitures
1232693281931,2372,160
Investment in Securities
-8972-115-11214-117
Other Investing Activities
612-5-19-21-4
Investing Cash Flow
-5,544-4,988-4,933-5,317-3,389-2,643

Financing Activities

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Jun '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)
5,0113,2873,2051,2953,2873,255
Repurchase of Common Stock
-8,691-10,067-6,042-3,811-7,000-8,215
Common Dividends Paid
-682-679-690-661-653-624
Other Financing Activities
-1,138-1,091-1,055-917-1,290-1,071
Financing Cash Flow
-5,500-8,550-4,582-4,094-5,656-6,655

Net Cash Flow

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Jun '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Foreign Exchange Rate Adjustments
-69-17-20-3
Net Cash Flow
74-89399827-543-342

Free Cash Flow

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Jun '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Free Cash Flow
5,9977,6925,6394,6874,1275,382
Free Cash Flow Growth
-17.76%36.41%20.31%13.57%-23.32%-15.87%
Free Cash Flow Margin
7.69%10.17%7.99%7.21%6.85%9.16%
Free Cash Flow Per Share
26.1832.1221.5416.9614.0116.37
Levered Free Cash Flow
3,7385,8233,9162,8733,0834,078
Unlevered Free Cash Flow
5,1447,1845,1694,0494,1425,030

Additional Metrics

Fiscal Year
TTMFY 2025FY 2024FY 2023FY 2022FY 2021
Period Ending
Jun '26 Dec '25 Dec '24 Dec '23 Dec '22 Dec '21
Cash Interest Paid
2,2962,2071,9381,8921,6621,502
Cash Income Tax Paid
2,3191,7401,8441,3861,1752,182
Change in Working Capital
-681418-106-457-1,152-503
SEC Filings: 10-K · 10-Q