HCA Healthcare, Inc. (HCA) - Cash Flow Conversion Efficiency
Based on the latest financial reports, HCA Healthcare, Inc. (HCA) has a cash flow conversion efficiency ratio of -0.676x as of March 2026. Cash flow conversion efficiency measures how effectively a company's net assets (equity) generate operating cash flow. It is calculated by dividing operating cash flow ($2.01 Billion) by net assets ($-2.98 Billion). A higher ratio indicates that the company is more efficient at using its equity to generate cash flow from its core operations. See how leveraged is HCA Healthcare, Inc.'s balance sheet to measure how much of total assets are equity-financed.
HCA Healthcare, Inc. - Cash Flow Conversion Efficiency Trend (1990–2025)
This chart illustrates how HCA Healthcare, Inc.'s cash flow conversion efficiency has evolved over time, based on yearly financial data. Check HCA Healthcare, Inc. (HCA) cash flow quality to evaluate the quality of earnings relative to operating cash generation.
HCA Healthcare, Inc. Competitors by Cash Flow Conversion Efficiency
The table below lists competitors of HCA Healthcare, Inc. ranked by their cash flow conversion efficiency.
| Company | Cash Flow Conversion Efficiency |
|---|---|
|
ING Group NV ADR
NYSE:ING
|
-0.123x |
|
State Bank of India
F:SID
|
N/A |
|
Investor AB ser. B
ST:INVE-B
|
0.012x |
|
Suncor Energy Inc
TO:SU
|
0.053x |
|
Canadian Pacific Railway Ltd
TO:CP
|
0.021x |
|
Infineon Technologies AG
F:IFX
|
0.024x |
|
Xiaomi Corporation
F:3CP
|
0.031x |
|
ANZ Group Holdings Ltd
AU:ANZ
|
0.014x |
Annual Cash Flow Conversion Efficiency for HCA Healthcare, Inc. (1990–2025)
The table below shows the annual cash flow conversion efficiency of HCA Healthcare, Inc. from 1990 to 2025. For the full company profile with market capitalisation and key ratios, see HCA market cap overview.
| Year | Net Assets | Operating Cash Flow | Cash Flow Conversion Efficiency | Change |
|---|---|---|---|---|
| 2025-12-31 | $-2.77 Billion | $12.64 Billion | -4.560x | -124.07% |
| 2024-12-31 | $555.00 Million | $10.51 Billion | 18.944x | +112.92% |
| 2023-12-31 | $1.06 Billion | $9.43 Billion | 8.897x | +107.62% |
| 2022-12-31 | $-73.00 Million | $8.52 Billion | -116.740x | -2040.23% |
| 2021-12-31 | $1.49 Billion | $8.96 Billion | 6.017x | +88.48% |
| 2020-12-31 | $2.89 Billion | $9.23 Billion | 3.192x | +123.73% |
| 2019-12-31 | $-565.00 Million | $7.60 Billion | -13.455x | -480.70% |
| 2018-12-31 | $-2.92 Billion | $6.76 Billion | -2.317x | -113.30% |
| 2017-12-31 | $-5.00 Billion | $5.43 Billion | -1.086x | -8.24% |
| 2016-12-31 | $-5.63 Billion | $5.65 Billion | -1.004x | -28.17% |
| 2015-12-31 | $-6.05 Billion | $4.73 Billion | -0.783x | -14.39% |
| 2014-12-31 | $-6.50 Billion | $4.45 Billion | -0.685x | -28.87% |
| 2013-12-31 | $-6.93 Billion | $3.68 Billion | -0.531x | -6.12% |
| 2012-12-31 | $-8.34 Billion | $4.17 Billion | -0.501x | +10.74% |
| 2011-12-31 | $-7.01 Billion | $3.93 Billion | -0.561x | -96.19% |
| 2010-12-31 | $-10.79 Billion | $3.08 Billion | -0.286x | +16.99% |
| 2009-12-31 | $-7.98 Billion | $2.75 Billion | -0.344x | -77.43% |
| 2008-12-31 | $-9.26 Billion | $1.80 Billion | -0.194x | -33.45% |
| 2007-12-31 | $-9.60 Billion | $1.40 Billion | -0.145x | +17.50% |
| 2006-12-31 | $-10.47 Billion | $1.84 Billion | -0.176x | -131.76% |
| 2005-12-31 | $5.69 Billion | $3.16 Billion | 0.555x | -5.04% |
| 2004-12-31 | $5.22 Billion | $3.05 Billion | 0.585x | +85.92% |
| 2003-12-31 | $6.89 Billion | $2.17 Billion | 0.314x | -27.82% |
| 2002-12-31 | $6.31 Billion | $2.75 Billion | 0.436x | +64.16% |
| 2001-12-31 | $5.33 Billion | $1.41 Billion | 0.265x | -14.63% |
| 2000-12-31 | $4.98 Billion | $1.55 Billion | 0.311x | +62.15% |
| 1999-12-31 | $6.38 Billion | $1.22 Billion | 0.192x | -16.50% |
| 1998-12-31 | $8.35 Billion | $1.92 Billion | 0.230x | +25.17% |
| 1997-12-31 | $8.09 Billion | $1.48 Billion | 0.183x | -33.91% |
| 1996-12-31 | $9.45 Billion | $2.62 Billion | 0.278x | -3.34% |
| 1995-12-31 | $7.85 Billion | $2.25 Billion | 0.287x | -21.97% |
| 1994-12-31 | $3.53 Billion | $1.30 Billion | 0.368x | 0.00% |
| 1993-12-31 | $3.53 Billion | $1.30 Billion | 0.368x | +63.08% |
| 1992-12-31 | $296.10 Million | $66.80 Million | 0.226x | +23.56% |
| 1991-12-31 | $141.30 Million | $25.80 Million | 0.183x | -25.53% |
| 1990-12-31 | $57.10 Million | $14.00 Million | 0.245x | -- |
About HCA Healthcare, Inc.
HCA Healthcare, Inc., through its subsidiaries, provides health care services in the United States. The company owns, manages, and operates hospitals, ASCs, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, radiation and oncology therapy centers, as well as rehabilitation and physical therapy centers, physician practices, home health … Read more