HCA Healthcare, Inc. (HCA)
NYSE: HCA · Real-Time Price · USD
418.19
+28.57 (7.33%)
At close: Jul 28, 2026, 4:00 PM EDT
418.25
+0.06 (0.01%)
After-hours: Jul 28, 2026, 7:57 PM EDT
HCA Healthcare Cash Flow Statement
Financials in millions USD. Fiscal year is January - December.
Millions USD. Fiscal year is Jan - Dec.
Operating Activities
Fiscal Quarter | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 | Q2 2022 | Q1 2022 | Q4 2021 | Q3 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Mar '26 Mar 31, 2026 | Dec '25 Dec 31, 2025 | Sep '25 Sep 30, 2025 | Jun '25 Jun 30, 2025 | Mar '25 Mar 31, 2025 | Dec '24 Dec 31, 2024 | Sep '24 Sep 30, 2024 | Jun '24 Jun 30, 2024 | Mar '24 Mar 31, 2024 | Dec '23 Dec 31, 2023 | Sep '23 Sep 30, 2023 | Jun '23 Jun 30, 2023 | Mar '23 Mar 31, 2023 | Dec '22 Dec 31, 2022 | Sep '22 Sep 30, 2022 | Jun '22 Jun 30, 2022 | Mar '22 Mar 31, 2022 | Dec '21 Dec 31, 2021 | Sep '21 Sep 30, 2021 |
Net Income | 1,930 | 1,857 | 2,163 | 1,903 | 1,891 | 1,825 | 1,686 | 1,482 | 1,687 | 1,802 | 1,861 | 1,275 | 1,412 | 1,543 | 2,646 | 1,344 | 1,379 | 1,465 | 2,005 | 2,472 |
Depreciation & Amortization | 944 | 930 | 911 | 889 | 863 | 860 | 856 | 842 | 819 | 795 | 789 | 769 | 763 | 756 | 750 | 749 | 738 | 732 | 728 | 716 |
Stock-Based Compensation | 85 | 86 | 100 | 104 | 99 | 98 | 85 | 76 | 112 | 87 | 57 | 72 | 56 | 77 | 83 | 87 | 85 | 86 | 99 | 115 |
Other Adjustments | -115 | 514 | -984 | 488 | 453 | 555 | 159 | -13 | -353 | 315 | 200 | 94 | -298 | 469 | -878 | 91 | -142 | 381 | -800 | -843 |
Change in Receivables | -954 | -463 | -439 | 25 | 647 | -327 | -854 | 340 | -195 | -90 | -767 | -474 | 68 | 238 | -310 | 60 | -120 | -427 | 350 | -745 |
Changes in Inventories | -106 | 80 | -29 | 302 | -67 | -360 | 150 | 252 | -145 | 77 | 148 | 27 | -87 | -214 | -112 | 515 | -341 | -121 | -207 | -120 |
Changes in Accounts Payable | 551 | -990 | 637 | 705 | 324 | -1,000 | 282 | 536 | 58 | -517 | 393 | 716 | 561 | -1,066 | 348 | 174 | -47 | -771 | 268 | 682 |
Operating Cash Flow | 2,335 | 2,014 | 2,359 | 4,416 | 4,210 | 1,651 | 2,559 | 3,515 | 1,971 | 2,469 | 2,674 | 2,479 | 2,475 | 1,803 | 2,527 | 3,020 | 1,630 | 1,345 | 2,443 | 2,277 |
Operating Cash Flow Growth (YoY) | -44.54% | 21.99% | -7.82% | 25.63% | 113.60% | -33.13% | -4.30% | 41.79% | -20.36% | 36.94% | 5.82% | -17.91% | 51.84% | 34.05% | 3.44% | 32.63% | -27.59% | -32.34% | - | -16.19% |
Investing Activities
Fiscal Quarter | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 | Q2 2022 | Q1 2022 | Q4 2021 | Q3 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Mar '26 Mar 31, 2026 | Dec '25 Dec 31, 2025 | Sep '25 Sep 30, 2025 | Jun '25 Jun 30, 2025 | Mar '25 Mar 31, 2025 | Dec '24 Dec 31, 2024 | Sep '24 Sep 30, 2024 | Jun '24 Jun 30, 2024 | Mar '24 Mar 31, 2024 | Dec '23 Dec 31, 2023 | Sep '23 Sep 30, 2023 | Jun '23 Jun 30, 2023 | Mar '23 Mar 31, 2023 | Dec '22 Dec 31, 2022 | Sep '22 Sep 30, 2022 | Jun '22 Jun 30, 2022 | Mar '22 Mar 31, 2022 | Dec '21 Dec 31, 2021 | Sep '21 Sep 30, 2021 |
Capital Expenditures | -1,231 | -1,119 | -1,489 | -1,288 | -1,176 | -991 | -1,285 | -1,191 | -1,281 | -1,118 | -1,159 | -1,147 | -1,241 | -1,197 | -1,323 | -1,131 | -1,080 | -861 | -1,192 | -889 |
Cash Acquisitions | -121 | -265 | -36 | -35 | -99 | -227 | -42 | -93 | -35 | -96 | -354 | -157 | -9 | -115 | -48 | -60 | -114 | -2 | -617 | -390 |
Proceeds from Business Divestments | 18 | 3 | 92 | 10 | 6 | 161 | 16 | 1 | 1 | 310 | 10 | 11 | 7 | 165 | 585 | 632 | 6 | 14 | 180 | 1,950 |
Other Investing Activities | -223 | 99 | 116 | -75 | 18 | 25 | -35 | -69 | -17 | 1 | -94 | -19 | -14 | -4 | -7 | 13 | -17 | 4 | -85 | -31 |
Investing Cash Flow | -1,557 | -1,282 | -1,317 | -1,388 | -1,251 | -1,032 | -1,346 | -1,352 | -1,332 | -903 | -1,597 | -1,312 | -1,257 | -1,151 | -793 | -546 | -1,205 | -845 | -1,714 | 640 |
Financing Activities
Fiscal Quarter | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 | Q2 2022 | Q1 2022 | Q4 2021 | Q3 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Mar '26 Mar 31, 2026 | Dec '25 Dec 31, 2025 | Sep '25 Sep 30, 2025 | Jun '25 Jun 30, 2025 | Mar '25 Mar 31, 2025 | Dec '24 Dec 31, 2024 | Sep '24 Sep 30, 2024 | Jun '24 Jun 30, 2024 | Mar '24 Mar 31, 2024 | Dec '23 Dec 31, 2023 | Sep '23 Sep 30, 2023 | Jun '23 Jun 30, 2023 | Mar '23 Mar 31, 2023 | Dec '22 Dec 31, 2022 | Sep '22 Sep 30, 2022 | Jun '22 Jun 30, 2022 | Mar '22 Mar 31, 2022 | Dec '21 Dec 31, 2021 | Sep '21 Sep 30, 2021 |
Short-Term Debt Issued | 1,244 | 1,435 | 296 | 138 | 1,548 | 220 | 0 | -850 | 850 | -1,880 | 400 | 420 | -3,080 | 1,240 | 350 | -1,160 | 3,710 | -2,780 | 2,280 | -300 |
Net Short-Term Debt Issued (Repaid) | 1,244 | 1,435 | 296 | 138 | 1,548 | 220 | 0 | -850 | 850 | -1,880 | 400 | 420 | -3,080 | 1,240 | 350 | -1,160 | 3,710 | -2,780 | 2,280 | -300 |
Long-Term Debt Issued | 2,994 | - | 3,241 | 0 | 0 | 5,233 | 0 | 3,012 | 0 | 4,483 | 4 | 2 | 3,218 | - | 21 | 10 | 0 | 5,966 | 7 | 0 |
Long-Term Debt Repaid | -2,550 | -58 | -1,555 | -174 | -1,765 | -3,895 | -64 | -77 | -203 | -2,066 | -218 | -83 | -58 | -550 | -56 | -84 | -2,624 | -66 | -82 | -56 |
Net Long-Term Debt Issued (Repaid) | 444 | -58 | 1,686 | -174 | -1,765 | 1,338 | -64 | 2,935 | -203 | 2,417 | -214 | -81 | 3,160 | -550 | -35 | -74 | -2,624 | 5,900 | -75 | -56 |
Repurchase of Common Stock | -2,064 | -1,571 | -2,558 | -2,498 | -2,505 | -2,506 | -1,700 | -1,795 | -1,367 | -1,180 | -910 | -1,140 | -915 | -846 | -1,519 | -698 | -2,682 | -2,101 | -2,072 | -2,329 |
Net Common Stock Issued (Repurchased) | -2,064 | -1,571 | -2,558 | -2,498 | -2,505 | -2,506 | -1,700 | -1,795 | -1,367 | -1,180 | -910 | -1,140 | -915 | -846 | -1,519 | -698 | -2,682 | -2,101 | -2,072 | -2,329 |
Common Dividends Paid | -171 | -183 | -162 | -166 | -171 | -180 | -165 | -169 | -171 | -185 | -160 | -162 | -164 | -175 | -156 | -160 | -160 | -177 | -148 | -151 |
Other Financing Activities | -157 | -453 | -261 | -267 | -196 | -367 | -234 | -231 | -202 | -388 | -155 | -169 | -199 | -394 | -478 | -225 | -170 | -417 | -291 | -167 |
Financing Cash Flow | -704 | -830 | -999 | -2,967 | -3,089 | -1,495 | -2,163 | -110 | -1,093 | -1,216 | -1,039 | -1,132 | -1,198 | -725 | -1,838 | -2,317 | -1,926 | 425 | -306 | -3,003 |
Net Cash Flow
Fiscal Quarter | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 | Q2 2022 | Q1 2022 | Q4 2021 | Q3 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Mar '26 Mar 31, 2026 | Dec '25 Dec 31, 2025 | Sep '25 Sep 30, 2025 | Jun '25 Jun 30, 2025 | Mar '25 Mar 31, 2025 | Dec '24 Dec 31, 2024 | Sep '24 Sep 30, 2024 | Jun '24 Jun 30, 2024 | Mar '24 Mar 31, 2024 | Dec '23 Dec 31, 2023 | Sep '23 Sep 30, 2023 | Jun '23 Jun 30, 2023 | Mar '23 Mar 31, 2023 | Dec '22 Dec 31, 2022 | Sep '22 Sep 30, 2022 | Jun '22 Jun 30, 2022 | Mar '22 Mar 31, 2022 | Dec '21 Dec 31, 2021 | Sep '21 Sep 30, 2021 |
Foreign Exchange Rate Adjustments | -1 | -2 | 0 | -3 | 9 | 3 | -5 | 4 | 1 | -1 | 6 | -6 | 0 | 7 | 13 | -16 | -12 | -5 | 1 | -7 |
Net Cash Flow | 73 | -100 | 43 | 58 | -121 | -873 | -955 | 2,057 | -453 | 349 | 44 | 29 | 20 | -66 | -91 | 141 | -1,513 | 920 | 424 | -93 |
Free Cash Flow
Fiscal Quarter | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 | Q2 2022 | Q1 2022 | Q4 2021 | Q3 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Mar '26 Mar 31, 2026 | Dec '25 Dec 31, 2025 | Sep '25 Sep 30, 2025 | Jun '25 Jun 30, 2025 | Mar '25 Mar 31, 2025 | Dec '24 Dec 31, 2024 | Sep '24 Sep 30, 2024 | Jun '24 Jun 30, 2024 | Mar '24 Mar 31, 2024 | Dec '23 Dec 31, 2023 | Sep '23 Sep 30, 2023 | Jun '23 Jun 30, 2023 | Mar '23 Mar 31, 2023 | Dec '22 Dec 31, 2022 | Sep '22 Sep 30, 2022 | Jun '22 Jun 30, 2022 | Mar '22 Mar 31, 2022 | Dec '21 Dec 31, 2021 | Sep '21 Sep 30, 2021 |
Free Cash Flow | 1,104 | 895 | 870 | 3,128 | 3,034 | 660 | 1,274 | 2,324 | 690 | 1,351 | 1,515 | 1,332 | 1,234 | 606 | 1,204 | 1,889 | 550 | 484 | 1,251 | 1,388 |
Free Cash Flow Growth (YoY) | -63.61% | 35.61% | -31.71% | 34.60% | 339.71% | -51.15% | -15.91% | 74.47% | -44.08% | 122.94% | 25.83% | -29.49% | 124.36% | 25.21% | -3.76% | 36.09% | -60.97% | -63.72% | - | -37.70% |
FCF Margin | 5.46% | 4.68% | 4.46% | 16.32% | 16.31% | 3.60% | 6.97% | 13.29% | 3.94% | 7.79% | 8.76% | 8.22% | 7.78% | 3.89% | 7.77% | 12.62% | 3.71% | 3.24% | 8.30% | 9.09% |
Free Cash Flow Per Share | 4.95 | 3.95 | 3.77 | 13.24 | 12.54 | 2.65 | 4.99 | 8.94 | 2.61 | 5.04 | 5.59 | 4.84 | 4.44 | 2.16 | 4.21 | 6.52 | 1.86 | 1.57 | 3.97 | 4.28 |
Levered Free Cash Flow | 3,545 | 1,898 | 3,890 | 2,215 | 1,380 | 1,677 | 1,377 | 3,794 | 1,559 | 1,365 | 1,964 | 1,783 | 1,269 | 332 | 2,059 | 207 | 1,511 | 3,372 | 3,616 | 2,302 |
Unlevered Free Cash Flow | 2,531 | 1,226 | 2,603 | 2,941 | 2,267 | 748.1 | 2,253 | 2,313 | 1,511 | 1,290 | 2,394 | 2,001 | 1,791 | 233.04 | 1,597 | 1,997 | 1,069 | 756.54 | 1,447 | 2,325 |