HCA Healthcare, Inc. (HCA) — 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
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. For the full cash flow conversion analysis, see cash flow conversion of HCA Healthcare, Inc..
Annual Cash Flow Quality Index for HCA Healthcare, Inc. (1990–2025)
Year-by-year earnings quality comparison for HCA Healthcare, Inc..
| 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 | — |