HCA Healthcare, Inc. Cash Flow Quality Index
HCA Healthcare, Inc. cash flow quality index. HCA Healthcare, Inc. (HCA) has a Cash Flow Quality Index of 1.37x as of June 2026. Operating cash flow of $2.33 Billion exceeds net income of $1.70 Billion, indicating high earnings quality where cash backs reported profits. Explore HCA debt coverage from operations to assess how comfortably operating cash covers total debt obligations.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Cash Flow Quality Index of HCA Healthcare, Inc. (1990–2025)
Cash flow quality index of HCA Healthcare, Inc. from 1990 to 2025. Historical Cash Flow Quality Index for HCA Healthcare, Inc. across 36 annual periods. Values consistently above 1.0x indicate high-quality earnings. See HCA Healthcare, Inc. (HCA) balance sheet quality index to measure how much of total assets are equity-financed.
HCA Healthcare, Inc. Cash Flow Quality Index by Year (1990–2025)
HCA Healthcare, Inc. cash flow quality index by year from 1990 to 2025. Year-by-year earnings quality comparison for HCA Healthcare, Inc.. For the full cash flow conversion analysis, see how efficiently does HCA Healthcare, Inc. generate cash.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 1.86x | $12.64 Billion | $6.78 Billion | ▲ +17.9% |
| 2024 | 1.58x | $10.51 Billion | $6.66 Billion | ▼ -12.2% |
| 2023 | 1.80x | $9.43 Billion | $5.24 Billion | ▲ +44.3% |
| 2022 | 1.25x | $8.52 Billion | $6.83 Billion | ▲ +7.5% |
| 2021 | 1.16x | $8.96 Billion | $7.72 Billion | ▼ -44.9% |
| 2020 | 2.10x | $9.23 Billion | $4.39 Billion | ▲ +14.7% |
| 2019 | 1.83x | $7.60 Billion | $4.14 Billion | ▲ +19.1% |
| 2018 | 1.54x | $6.76 Billion | $4.39 Billion | ▼ -22.1% |
| 2017 | 1.98x | $5.43 Billion | $2.74 Billion | ▲ +20.1% |
| 2016 | 1.65x | $5.65 Billion | $3.43 Billion | ▼ -6.2% |
| 2015 | 1.76x | $4.73 Billion | $2.70 Billion | ▼ -6.3% |
| 2014 | 1.87x | $4.45 Billion | $2.37 Billion | ▲ +1.7% |
| 2013 | 1.84x | $3.68 Billion | $2.00 Billion | ▼ -11.4% |
| 2012 | 2.08x | $4.17 Billion | $2.01 Billion | ▲ +50.4% |
| 2011 | 1.38x | $3.93 Billion | $2.84 Billion | ▼ -29.4% |
| 2010 | 1.96x | $3.08 Billion | $1.57 Billion | ▼ -1.8% |
| 2009 | 2.00x | $2.75 Billion | $1.38 Billion | ▼ -25.2% |
| 2008 | 2.67x | $1.80 Billion | $673.00 Million | ▲ +67.2% |
| 2007 | 1.60x | $1.40 Billion | $874.00 Million | ▼ -10.3% |
| 2006 | 1.78x | $1.84 Billion | $1.04 Billion | ▼ -19.7% |
| 2005 | 2.22x | $3.16 Billion | $1.42 Billion | ▼ -9.3% |
| 2004 | 2.45x | $3.05 Billion | $1.25 Billion | ▲ +50.5% |
| 2003 | 1.63x | $2.17 Billion | $1.33 Billion | ▼ -50.7% |
| 2002 | 3.30x | $2.75 Billion | $833.00 Million | ▲ +107.0% |
| 2001 | 1.59x | $1.41 Billion | $886.00 Million | ▼ -77.4% |
| 2000 | 7.06x | $1.55 Billion | $219.00 Million | ▲ +279.5% |
| 1999 | 1.86x | $1.22 Billion | $657.00 Million | ▼ -48.3% |
| 1998 | 3.60x | $1.92 Billion | $532.00 Million | ▼ -69.4% |
| 1997 | 11.77x | $1.48 Billion | $126.00 Million | ▲ +575.8% |
| 1996 | 1.74x | $2.62 Billion | $1.50 Billion | ▼ -25.7% |
| 1995 | 2.35x | $2.25 Billion | $961.00 Million | ▲ +6.8% |
| 1994 | 2.20x | $1.30 Billion | $591.00 Million | ▲ +0.0% |
| 1993 | 2.20x | $1.30 Billion | $591.00 Million | ▼ -14.8% |
| 1992 | 2.58x | $66.80 Million | $25.90 Million | ▲ +51.9% |
| 1991 | 1.70x | $25.80 Million | $15.20 Million | ▲ +18.8% |
| 1990 | 1.43x | $14.00 Million | $9.80 Million | — |