HCA Healthcare, Inc. (HCA)
NYSE: HCA · Real-Time Price · USD
494.99
-12.49 (-2.46%)
At close: Nov 6, 2026, 4:00 PM EST
500.00
+5.01 (1.01%)
After-hours: Nov 6, 2026, 7:57 PM EST
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 | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Net Income | 1,579 | 1,699 | 1,620 | 1,878 | 1,643 | 1,653 | 1,610 | 1,438 | 1,270 | 1,461 | 1,591 | 1,607 | 1,079 | 1,193 | 1,363 | 2,081 | 1,134 | 1,155 | 1,273 | 1,814 |
Depreciation & Amortization | 954 | 944 | 930 | 911 | 889 | 863 | 860 | 856 | 842 | 819 | 795 | 789 | 769 | 763 | 756 | 750 | 749 | 738 | 732 | 728 |
Other Amortization | 11 | 12 | 11 | 12 | 7 | 14 | 11 | 9 | 9 | 8 | 9 | 9 | 9 | 8 | 9 | 7 | 7 | 8 | 7 | 6 |
Loss (Gain) From Sale of Assets | -13 | -10 | 1 | -41 | 2 | 3 | -1 | 195 | 4 | -12 | -201 | -7 | -2 | -1 | 15 | -1,326 | 3 | 32 | -10 | -563 |
Stock-Based Compensation | 133 | 85 | 86 | 100 | 104 | 99 | 98 | 85 | 76 | 112 | 87 | 57 | 72 | 56 | 77 | 83 | 87 | 85 | 86 | 99 |
Other Operating Activities | 138 | 114 | 739 | -670 | 739 | 674 | 760 | 398 | 186 | -135 | 718 | 445 | 283 | -86 | 625 | 1,006 | 291 | 120 | 576 | -52 |
Change in Accounts Receivable | 782 | -954 | -463 | -439 | 25 | 647 | -327 | -854 | 340 | -195 | -90 | -767 | -474 | 68 | 238 | -310 | 60 | -120 | -427 | 350 |
Change in Inventory | 108 | -106 | 80 | -29 | 302 | -67 | -360 | 150 | 252 | -145 | 77 | 148 | 27 | -87 | -214 | -112 | 515 | -341 | -121 | -207 |
Change in Accounts Payable | 769 | 551 | -990 | 637 | 705 | 324 | -1,000 | 282 | 536 | 58 | -517 | 393 | 716 | 561 | -1,066 | 348 | 174 | -47 | -771 | 268 |
Operating Cash Flow | 4,461 | 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 |
Operating Cash Flow Growth (YoY) | 1.02% | -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% | - |
Investing Activities
Fiscal Quarter | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Capital Expenditures | -1,357 | -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 |
Cash Acquisitions | -556 | -121 | -265 | -36 | -35 | -99 | -227 | -42 | -93 | -35 | -96 | -354 | -157 | -9 | -115 | -48 | -60 | -114 | -2 | -617 |
Divestitures | 86 | 18 | 3 | 92 | 10 | 6 | 161 | 16 | 1 | 1 | 310 | 10 | 11 | 7 | 165 | 585 | 632 | 6 | 14 | 180 |
Investment in Securities | -94 | -223 | 103 | 98 | -67 | 13 | 28 | -30 | -71 | -16 | 2 | -82 | -14 | -3 | -13 | 4 | 12 | -12 | 10 | -79 |
Other Investing Activities | 5 | - | -4 | 18 | -8 | 5 | -3 | -5 | 2 | -1 | -1 | -12 | -5 | -11 | 9 | -11 | 1 | -5 | -6 | -6 |
Investing Cash Flow | -1,916 | -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 |
Financing Activities
Fiscal Quarter | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Long-Term Debt Issued | - | - | 1,435 | - | - | - | 5,453 | - | - | - | 4,483 | - | - | - | 1,240 | - | - | - | 5,966 | - |
Total Debt Issued | 828 | 4,238 | 1,435 | 3,537 | 138 | 1,548 | 5,453 | - | 3,012 | - | 4,483 | 4 | 2 | 1,978 | 1,240 | 141 | -920 | 930 | 5,966 | 2,287 |
Long-Term Debt Repaid | - | - | -58 | - | - | - | -3,895 | - | - | - | -3,946 | - | - | - | -550 | - | - | - | -2,846 | - |
Total Debt Repaid | -105 | -2,550 | -58 | -1,555 | -174 | -1,765 | -3,895 | -64 | -927 | 647 | -3,946 | 182 | 337 | -1,898 | -550 | 174 | -314 | 156 | -2,846 | -82 |
Net Debt Issued (Repaid) | 723 | 1,688 | 1,377 | 1,982 | -36 | -217 | 1,558 | -64 | 2,085 | 647 | 537 | 186 | 339 | 80 | 690 | 315 | -1,234 | 1,086 | 3,120 | 2,205 |
Repurchase of Common Stock | -2,970 | -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 |
Common Dividends Paid | -165 | -171 | -183 | -162 | -166 | -171 | -180 | -165 | -169 | -171 | -185 | -160 | -162 | -164 | -175 | -156 | -160 | -160 | -177 | -148 |
Other Financing Activities | -237 | -157 | -453 | -261 | -267 | -196 | -367 | -234 | -231 | -202 | -388 | -155 | -169 | -199 | -394 | -478 | -225 | -170 | -417 | -291 |
Financing Cash Flow | -2,649 | -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 |
Net Cash Flow
Fiscal Quarter | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Foreign Exchange Rate Adjustments | -1 | -1 | -2 | - | -3 | 9 | 3 | -5 | 4 | 1 | -1 | 6 | -6 | - | 7 | 13 | -16 | -12 | -5 | 1 |
Net Cash Flow | -105 | 73 | -100 | 43 | 58 | -121 | -873 | -955 | 2,057 | -453 | 349 | 44 | 29 | 20 | -66 | -91 | 141 | -1,513 | 920 | 424 |
Free Cash Flow
Fiscal Quarter | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Free Cash Flow | 3,104 | 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 |
Free Cash Flow Growth (YoY) | -0.77% | -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% | - |
Free Cash Flow Margin | 15.64% | 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% |
Free Cash Flow Per Share | 14.29 | 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 |
Levered Free Cash Flow | 2,567 | 517.5 | 601.38 | 39.75 | 2,391 | 2,491 | 698.5 | 317.75 | 1,911 | 198.63 | 1,300 | 548.13 | 967.63 | 840.38 | 388.88 | 60 | 2,104 | 118.75 | 627.63 | 592.5 |
Unlevered Free Cash Flow | 2,935 | 879.88 | 955.38 | 385.25 | 2,734 | 2,832 | 1,029 | 638.75 | 2,224 | 506.88 | 1,611 | 846 | 1,261 | 1,136 | 679.25 | 336.13 | 2,375 | 382 | 875.63 | 835.25 |
Additional Metrics
Fiscal Quarter | Q3 2026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | 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 |
Cash Interest Paid | 562 | 594 | 569 | 511 | 622 | 535 | 539 | 533 | 462 | 405 | 538 | 432 | 535 | 351 | 574 | 333 | 552 | 369 | 408 | 375 |
Cash Income Tax Paid | 692 | 730 | -5 | 1,513 | 81 | 136 | 10 | 358 | 487 | 998 | 1 | 316 | 297 | 766 | 7 | 244 | 322 | 606 | 3 | 836 |
Change in Working Capital | 1,659 | -509 | -1,373 | 169 | 1,032 | 904 | -1,687 | -422 | 1,128 | -282 | -530 | -226 | 269 | 542 | -1,042 | -74 | 749 | -508 | -1,319 | 411 |