HCA Healthcare, Inc. (HCA) — Cash Flow-to-Debt Ratio
HCA Healthcare, Inc. (HCA) has a Cash Flow-to-Debt Ratio of 0.04x as of June 2026, meaning its operating cash flow of $2.33 Billion could theoretically repay 0% of its total liabilities ($63.67 Billion) in one year. See financial agility of HCA Healthcare, Inc. to measure the company's free cash flow as a share of total liabilities.
CF-to-Debt Ratio
Operating Cash Flow
Total Liabilities
Data as of
HCA Healthcare, Inc. Cash Flow-to-Debt Ratio (1990–2025)
Historical debt coverage capacity for HCA Healthcare, Inc. across 36 annual periods. For the full cash flow conversion analysis, see HCA cash flow conversion.
Annual Cash Flow-to-Debt Ratio for HCA Healthcare, Inc. (1990–2025)
Year-by-year debt coverage analysis for HCA Healthcare, Inc.. Check earnings quality score of HCA Healthcare, Inc. to evaluate the quality of earnings relative to operating cash generation.
| Year | CF-to-Debt Ratio | Operating CF (USD) | Total Liabilities | YoY Change |
|---|---|---|---|---|
| 2025 | 0.20x | $12.64 Billion | $63.49 Billion | ▲ +11.6% |
| 2024 | 0.18x | $10.51 Billion | $58.96 Billion | ▲ +4.3% |
| 2023 | 0.17x | $9.43 Billion | $55.15 Billion | ▲ +5.4% |
| 2022 | 0.16x | $8.52 Billion | $52.51 Billion | ▼ -10.8% |
| 2021 | 0.18x | $8.96 Billion | $49.25 Billion | ▼ -12.1% |
| 2020 | 0.21x | $9.23 Billion | $44.60 Billion | ▲ +24.2% |
| 2019 | 0.17x | $7.60 Billion | $45.62 Billion | ▲ +3.8% |
| 2018 | 0.16x | $6.76 Billion | $42.12 Billion | ▲ +23.0% |
| 2017 | 0.13x | $5.43 Billion | $41.59 Billion | ▼ -9.1% |
| 2016 | 0.14x | $5.65 Billion | $39.39 Billion | ▲ +17.6% |
| 2015 | 0.12x | $4.73 Billion | $38.79 Billion | ▲ +3.4% |
| 2014 | 0.12x | $4.45 Billion | $37.70 Billion | ▲ +14.7% |
| 2013 | 0.10x | $3.68 Billion | $35.76 Billion | ▼ -10.2% |
| 2012 | 0.11x | $4.17 Billion | $36.42 Billion | ▼ -1.1% |
| 2011 | 0.12x | $3.93 Billion | $33.91 Billion | ▲ +30.2% |
| 2010 | 0.09x | $3.08 Billion | $34.65 Billion | ▲ +4.1% |
| 2009 | 0.09x | $2.75 Billion | $32.11 Billion | ▲ +59.7% |
| 2008 | 0.05x | $1.80 Billion | $33.54 Billion | ▲ +29.1% |
| 2007 | 0.04x | $1.40 Billion | $33.62 Billion | ▼ -23.2% |
| 2006 | 0.05x | $1.84 Billion | $34.14 Billion | ▼ -71.7% |
| 2005 | 0.19x | $3.16 Billion | $16.53 Billion | ▲ +1.8% |
| 2004 | 0.19x | $3.05 Billion | $16.25 Billion | ▲ +22.8% |
| 2003 | 0.15x | $2.17 Billion | $14.17 Billion | ▼ -30.9% |
| 2002 | 0.22x | $2.75 Billion | $12.43 Billion | ▲ +94.3% |
| 2001 | 0.11x | $1.41 Billion | $12.40 Billion | ▼ -7.3% |
| 2000 | 0.12x | $1.55 Billion | $12.59 Billion | ▲ +5.5% |
| 1999 | 0.12x | $1.22 Billion | $10.51 Billion | ▼ -32.7% |
| 1998 | 0.17x | $1.92 Billion | $11.08 Billion | ▲ +62.2% |
| 1997 | 0.11x | $1.48 Billion | $13.92 Billion | ▼ -51.9% |
| 1996 | 0.22x | $2.62 Billion | $11.83 Billion | ▲ +18.4% |
| 1995 | 0.19x | $2.25 Billion | $12.04 Billion | ▼ -3.5% |
| 1994 | 0.19x | $1.30 Billion | $6.69 Billion | ▲ +0.0% |
| 1993 | 0.19x | $1.30 Billion | $6.69 Billion | ▲ +125.4% |
| 1992 | 0.09x | $66.80 Million | $775.90 Million | ▲ +14.8% |
| 1991 | 0.08x | $25.80 Million | $344.00 Million | ▲ +41.7% |
| 1990 | 0.05x | $14.00 Million | $264.50 Million | — |