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

Latest as of March 2026: 0.61x

HCA Healthcare, Inc. (HCA) has a Cash Flow Reinvestment Rate of 0.61x as of March 2026, reinvesting $1.22 Billion (capex $1.12 Billion plus investments $103.00 Million) from operating cash flow of $2.01 Billion. Check HCA cash to earnings ratio to evaluate the quality of earnings relative to operating cash generation.

Reinvestment Rate

0.61x
(Capex + Investments) / Operating CF

Total Reinvested

$1.22 Billion
Capex + Investments

Operating Cash Flow

$2.01 Billion
USD

Capital Expenditures

$1.12 Billion
USD

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

Historical reinvestment intensity for HCA Healthcare, Inc. across 36 annual periods. Explore HCA strategic capital deployment ratio to see how much of total assets are deployed in long-term investments.

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

Year-by-year capital reinvestment analysis for HCA Healthcare, Inc.. For live market cap and broader valuation context, see how much is HCA Healthcare, Inc. worth.

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