HCA Healthcare, Inc. (HCA) — Cash Flow Quality Index
HCA Healthcare, Inc. (HCA) has a Cash Flow Quality Index of 1.24x as of March 2026. Operating cash flow of $2.01 Billion exceeds net income of $1.62 Billion, indicating high earnings quality where cash backs reported profits. Explore HCA strategic capital deployment ratio to see how much of total assets are deployed in long-term investments.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
HCA Healthcare, Inc. Cash Flow Quality Index (1990–2025)
Historical Cash Flow Quality Index for HCA Healthcare, Inc. across 36 annual periods. Values consistently above 1.0x indicate high-quality earnings. Check HCA Healthcare, Inc. (HCA) tangible equity ratio to evaluate the tangible quality of the company's equity base.
Annual Cash Flow Quality Index for HCA Healthcare, Inc. (1990–2025)
Year-by-year earnings quality comparison for HCA Healthcare, Inc.. For live market cap and the full company financial profile, see HCA Healthcare, Inc. market cap and net worth.
| 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 | — |