HCA Healthcare, Inc. (HCA) — Cash Flow Reinvestment Rate

Latest as of June 2026: 0.62x

HCA Healthcare, Inc. (HCA) has a Cash Flow Reinvestment Rate of 0.62x as of June 2026, reinvesting $1.45 Billion (capex $1.23 Billion plus investments $-223.00 Million) from operating cash flow of $2.33 Billion. See cash generation quality of HCA Healthcare, Inc. to measure how efficiently the company converts operating cash flow to free cash.

Reinvestment Rate

0.62x
(Capex + Investments) / Operating CF

Total Reinvested

$1.45 Billion
Capex + Investments

Operating Cash Flow

$2.33 Billion
USD

Capital Expenditures

$1.23 Billion
USD

HCA Healthcare, Inc. Cash Flow Reinvestment Rate (1990–2025)

Historical reinvestment intensity for HCA Healthcare, Inc. across 36 annual periods. For the full cash flow conversion analysis, see HCA cash generation efficiency.

Annual Cash Flow Reinvestment Rate for HCA Healthcare, Inc. (1990–2025)

Year-by-year capital reinvestment analysis for HCA Healthcare, Inc.. See how financially flexible is HCA Healthcare, Inc. to measure the company's free cash flow as a share of total liabilities.

Year Reinvestment Rate Total Reinvested (USD) Operating CF Capex YoY Change
2025 0.40x $5.02 Billion $12.64 Billion $4.94 Billion ▼ -57.4%
2024 0.93x $9.81 Billion $10.51 Billion $4.88 Billion ▼ -12.6%
2023 1.07x $10.06 Billion $9.43 Billion $4.74 Billion ▲ +16.8%
2022 0.91x $7.78 Billion $8.52 Billion $4.39 Billion ▲ +121.5%
2021 0.41x $3.69 Billion $8.96 Billion $3.58 Billion ▲ +11.2%
2020 0.37x $3.42 Billion $9.23 Billion $2.83 Billion ▼ -51.5%
2019 0.76x $5.82 Billion $7.60 Billion $4.16 Billion ▲ +8.4%
2018 0.71x $4.77 Billion $6.76 Billion $3.57 Billion ▼ -11.0%
2017 0.79x $4.30 Billion $5.43 Billion $3.02 Billion ▲ +36.9%
2016 0.58x $3.27 Billion $5.65 Billion $2.76 Billion ▲ +2.9%
2015 0.56x $2.66 Billion $4.73 Billion $2.38 Billion ▼ -16.0%
2014 0.67x $2.98 Billion $4.45 Billion $2.18 Billion ▲ +4.7%
2013 0.64x $2.35 Billion $3.68 Billion $1.94 Billion ▲ +28.8%
2012 0.50x $2.07 Billion $4.17 Billion $1.86 Billion ▼ -38.2%
2011 0.80x $3.16 Billion $3.93 Billion $1.68 Billion ▲ +87.1%
2010 0.43x $1.32 Billion $3.08 Billion $1.32 Billion ▼ -10.4%
2009 0.48x $1.32 Billion $2.75 Billion $1.32 Billion ▼ -46.2%
2008 0.89x $1.60 Billion $1.80 Billion $1.60 Billion ▼ -13.9%
2007 1.03x $1.44 Billion $1.40 Billion $1.44 Billion ▲ +2.3%
2006 1.01x $1.86 Billion $1.84 Billion $1.86 Billion ▲ +100.6%
2005 0.50x $1.59 Billion $3.16 Billion $1.59 Billion ▲ +1.6%
2004 0.50x $1.51 Billion $3.05 Billion $1.51 Billion ▼ -41.5%
2003 0.85x $1.84 Billion $2.17 Billion $1.84 Billion ▲ +35.8%
2002 0.62x $1.72 Billion $2.75 Billion $1.72 Billion ▼ -35.6%
2001 0.97x $1.37 Billion $1.41 Billion $1.37 Billion ▲ +29.9%
2000 0.75x $1.16 Billion $1.55 Billion $1.16 Billion ▼ -29.1%
1999 1.05x $1.29 Billion $1.22 Billion $1.29 Billion ▲ +60.7%
1998 0.66x $1.25 Billion $1.92 Billion $1.25 Billion ▼ -31.7%
1997 0.96x $1.42 Billion $1.48 Billion $1.42 Billion ▲ +79.5%
1996 0.53x $1.40 Billion $2.62 Billion $1.40 Billion ▼ -21.2%
1995 0.68x $1.53 Billion $2.25 Billion $1.53 Billion ▲ +5.2%
1994 0.64x $836.00 Million $1.30 Billion $836.00 Million ▲ +0.0%
1993 0.64x $836.00 Million $1.30 Billion $836.00 Million ▼ -58.4%
1992 1.55x $103.40 Million $66.80 Million $103.40 Million ▼ -12.8%
1991 1.78x $45.80 Million $25.80 Million $45.80 Million ▲ +37.3%
1990 1.29x $18.10 Million $14.00 Million $18.10 Million
Cash Flow Reinvestment Rate = (ABS(Capex) + ABS(Investments)) / Operating Cash Flow