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 cash flow metrics to assess how effectively this company generates cash.
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. cash flow reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
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 market cap overview.
| 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 | — |