HCA Healthcare Cash Flow Statement
NYSE: HCAHealth CareHospital/Nursing ManagementUSD
At close: Oct 9, 4:00 PM ET · Delayed 15 min
HCA Healthcare free cash flow
In fiscal 2025, HCA Healthcare generated $12.64 billion of operating cash flow and spent $4.94 billion on capital expenditures. That left free cash flow of $7.69 billion, a free-cash-flow margin of 10.2% of revenue. Free cash flow was up 36.4% from the prior year's $5.64 billion.
HCA Healthcare returned $10.75 billion to shareholders: $679.0 million in dividends and $10.07 billion in share repurchases, equal to 140% of free cash flow. Free cash flow covered dividend payments 11.3 times.
Summary generated from market data by MetaCap's automated system. Methodology
HCA Healthcare cash flow statement (annual)
| Fiscal year (USD) | FY 20252025-12-31 | FY 20242024-12-31 | FY 20232023-12-31 | FY 20222022-12-31 | FY 20212021-12-31 | FY 20202020-12-31 | FY 20192019-12-31 | FY 20182018-12-31 | FY 20172017-12-31 | FY 20162016-12-31 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net Income | 7.78B | 6.66B | 6.09B | 6.83B | 7.72B | 4.39B | 4.14B | 4.39B | 2.74B | 3.43B |
| Net Income growth (YoY) | +16.90% | +9.29% | -10.87% | -11.49% | +76.00% | +5.84% | -5.56% | +60.01% | -20.08% | +27.30% |
| Depreciation & Amortization | 3.52B | 3.31B | 3.08B | 2.97B | 2.85B | 2.72B | 2.60B | 2.28B | 2.13B | 1.97B |
| Stock-Based Compensation | 401.00M | 360.00M | 262.00M | 341.00M | 440.00M | 362.00M | 347.00M | 268.00M | 270.00M | 251.00M |
| Change in Working Capital | 572.00M | -440.00M | -331.00M | -1.09B | 37.00M | 1.58B | -88.00M | 33.00M | -296.00M | 42.00M |
| Operating Cash Flow | 12.64B | 10.51B | 9.43B | 8.52B | 8.96B | 9.23B | 7.60B | 6.76B | 5.43B | 5.65B |
| Capital Expenditures | -4.94B | -4.88B | -4.74B | -4.39B | -3.58B | -2.83B | -4.16B | -3.57B | -3.02B | -2.76B |
| Investing Cash Flow | -4.99B | -4.93B | -5.32B | -3.39B | -2.64B | -3.39B | -5.72B | -3.90B | -4.28B | -3.24B |
| Dividends Paid | -679.00M | -690.00M | -661.00M | -653.00M | -624.00M | -153.00M | -550.00M | -487.00M | 0 | — |
| Share Repurchases | -10.07B | -6.04B | -3.81B | -7.00B | -8.21B | -441.00M | -1.03B | -1.53B | -2.05B | -2.75B |
| Debt Issued | 8.47B | 7.50B | 3.22B | 6.00B | 4.34B | 2.70B | 6.45B | 2.00B | 1.50B | 5.40B |
| Debt Repaid | -7.39B | -2.41B | -909.00M | -2.83B | -3.87B | -3.44B | -5.32B | -1.70B | -753.00M | -4.47B |
| Financing Cash Flow | -8.55B | -4.58B | -4.09B | -5.66B | -6.66B | -4.68B | -1.77B | -3.08B | -1.06B | -2.51B |
| Net Change in Cash | -893.00M | 998.00M | 27.00M | -543.00M | -342.00M | 1.17B | 119.00M | -230.00M | 86.00M | -95.00M |
| Free Cash Flow | 7.69B | 5.64B | 4.69B | 4.13B | 5.38B | 6.40B | 3.44B | 3.19B | 2.41B | 2.89B |
This table shows 10 annual periods of HCA Healthcare's cash flow statement, from FY 2025 back to FY 2016, across 14 line items including net income, depreciation & amortization, stock-based compensation. Values in USD; B = billions, M = millions. Fiscal periods follow HCA's reporting calendar. What is a cash flow statement?