HCA Healthcare Quarterly 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 the quarter ended Mar 31, 2026, HCA Healthcare generated $2.01 billion of operating cash flow and spent $1.12 billion on capital expenditures. That left free cash flow of $895.0 million, a free-cash-flow margin of 4.7% of revenue. Free cash flow was up 35.6% from the prior year's $660.0 million.
HCA Healthcare returned $1.75 billion to shareholders: $183.0 million in dividends and $1.57 billion in share repurchases, equal to 196% of free cash flow. Free cash flow covered dividend payments 4.9 times.
Summary generated from market data by MetaCap's automated system. Methodology
HCA Healthcare cash flow statement (quarterly)
| Quarter (USD) | Q1 20262026-03-31 | Q4 20252025-12-31 | Q3 20252025-09-30 | Q2 20252025-06-30 | Q1 20252025-03-31 | Q4 20242024-12-31 | Q3 20242024-09-30 | Q2 20242024-06-30 | Q1 20242024-03-31 | Q4 20232023-12-31 | Q3 20232023-09-30 | Q2 20232023-06-30 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Income | 1.86B | 2.16B | 1.90B | 1.89B | 1.82B | 1.69B | 1.48B | 1.69B | 1.80B | 1.86B | 1.27B | 1.41B |
| Net Income growth (YoY) | +1.75% | +28.29% | +28.41% | +12.09% | +1.28% | -9.40% | +16.24% | +19.48% | +16.79% | -29.67% | -5.13% | +2.39% |
| Depreciation & Amortization | 930.00M | 911.00M | 889.00M | 863.00M | 860.00M | 856.00M | 842.00M | 819.00M | 795.00M | 789.00M | 769.00M | 763.00M |
| Stock-Based Compensation | 86.00M | 100.00M | 104.00M | 99.00M | 98.00M | 85.00M | 76.00M | 112.00M | 87.00M | 57.00M | 72.00M | 56.00M |
| Change in Working Capital | -1.45B | 198.00M | 730.00M | 971.00M | -1.33B | -572.00M | 876.00M | -137.00M | -607.00M | -374.00M | 242.00M | 629.00M |
| Operating Cash Flow | 2.01B | 2.36B | 4.42B | 4.21B | 1.65B | 2.56B | 3.52B | 1.97B | 2.47B | 2.67B | 2.48B | 2.48B |
| Capital Expenditures | -1.12B | -1.49B | -1.29B | -1.18B | -991.00M | -1.28B | -1.19B | -1.28B | -1.12B | -1.16B | -1.15B | -1.24B |
| Investing Cash Flow | -1.28B | -1.32B | -1.39B | -1.25B | -1.03B | -1.35B | -1.35B | -1.33B | -903.00M | -1.60B | -1.31B | -1.26B |
| Dividends Paid | -183.00M | -162.00M | -166.00M | -171.00M | -180.00M | -165.00M | -169.00M | -171.00M | -185.00M | -160.00M | -162.00M | -164.00M |
| Share Repurchases | -1.57B | -2.56B | -2.50B | -2.50B | -2.51B | -1.70B | -1.79B | -1.37B | -1.18B | -910.00M | -1.14B | -915.00M |
| Debt Issued | 0 | 3.24B | 0 | 0 | 5.23B | 0 | 3.01B | 0 | 4.48B | 4.00M | 2.00M | 3.22B |
| Debt Repaid | -58.00M | -1.55B | -174.00M | -1.76B | -3.90B | -64.00M | -77.00M | -203.00M | -2.07B | -218.00M | -83.00M | -58.00M |
| Financing Cash Flow | -830.00M | -999.00M | -2.97B | -3.09B | -1.50B | -2.16B | -110.00M | -1.09B | -1.22B | -1.04B | -1.13B | -1.20B |
| Net Change in Cash | -100.00M | 43.00M | 58.00M | -121.00M | -873.00M | -955.00M | 2.06B | -453.00M | 349.00M | 44.00M | 29.00M | 20.00M |
| Free Cash Flow | 895.00M | 870.00M | 3.13B | 3.03B | 660.00M | 1.27B | 2.32B | 690.00M | 1.35B | 1.51B | 1.33B | 1.23B |
This table shows 12 quarterly periods of HCA Healthcare's cash flow statement, from Q1 2026 back to Q2 2023, 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?