HCA Holdings Inc (HCA) — Cash Flow Quality Index
HCA Holdings 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 Holdings Inc Cash Flow Quality Index (1990–2025)
Historical Cash Flow Quality Index for HCA Holdings Inc across 36 annual periods. Values consistently above 1.0x indicate high-quality earnings. Check HCA Holdings Inc (HCA) tangible equity ratio to evaluate the tangible quality of the company's equity base.
Annual Cash Flow Quality Index for HCA Holdings Inc (1990–2025)
Year-by-year earnings quality comparison for HCA Holdings Inc. For live market cap and the full company financial profile, see HCA Holdings 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 | — |