HCA Healthcare, Inc. (HCA) — Financial Flexibility Index
HCA Healthcare, Inc. (HCA) has a Financial Flexibility Index of 0.06x as of June 2026. Free cash flow of $3.57 Billion (operating CF $2.33 Billion minus capex $1.23 Billion) represents 0% of total liabilities ($63.67 Billion). Check HCA Healthcare, Inc. (HCA) total reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
Financial Flexibility Index
Free Cash Flow
Total Liabilities
Capital Expenditures
HCA Healthcare, Inc. Financial Flexibility Index (1990–2025)
Historical Financial Flexibility Index trend for HCA Healthcare, Inc. across 36 annual periods. For the full cash flow conversion analysis, see HCA cash flow metrics.
Annual Financial Flexibility Index for HCA Healthcare, Inc. (1990–2025)
Year-by-year free cash flow to debt coverage for HCA Healthcare, Inc.. Explore HCA Healthcare, Inc. debt service capacity to assess how comfortably operating cash covers total debt obligations.
| Year | Flexibility Index | Free Cash Flow (USD) | Operating CF | Total Liabilities | YoY Change |
|---|---|---|---|---|---|
| 2025 | 0.28x | $17.58 Billion | $12.64 Billion | $63.49 Billion | ▲ +6.1% |
| 2024 | 0.26x | $15.39 Billion | $10.51 Billion | $58.96 Billion | ▲ +1.6% |
| 2023 | 0.26x | $14.18 Billion | $9.43 Billion | $55.15 Billion | ▲ +4.5% |
| 2022 | 0.25x | $12.92 Billion | $8.52 Billion | $52.51 Billion | ▼ -3.4% |
| 2021 | 0.25x | $12.54 Billion | $8.96 Billion | $49.25 Billion | ▼ -5.9% |
| 2020 | 0.27x | $12.07 Billion | $9.23 Billion | $44.60 Billion | ▲ +5.0% |
| 2019 | 0.26x | $11.76 Billion | $7.60 Billion | $45.62 Billion | ▲ +5.1% |
| 2018 | 0.25x | $10.33 Billion | $6.76 Billion | $42.12 Billion | ▲ +20.9% |
| 2017 | 0.20x | $8.44 Billion | $5.43 Billion | $41.59 Billion | ▼ -5.0% |
| 2016 | 0.21x | $8.41 Billion | $5.65 Billion | $39.39 Billion | ▲ +16.5% |
| 2015 | 0.18x | $7.11 Billion | $4.73 Billion | $38.79 Billion | ▲ +4.3% |
| 2014 | 0.18x | $6.62 Billion | $4.45 Billion | $37.70 Billion | ▲ +11.7% |
| 2013 | 0.16x | $5.62 Billion | $3.68 Billion | $35.76 Billion | ▼ -5.1% |
| 2012 | 0.17x | $6.04 Billion | $4.17 Billion | $36.42 Billion | ▲ +0.2% |
| 2011 | 0.17x | $5.61 Billion | $3.93 Billion | $33.91 Billion | ▲ +30.0% |
| 2010 | 0.13x | $4.41 Billion | $3.08 Billion | $34.65 Billion | ▲ +0.6% |
| 2009 | 0.13x | $4.06 Billion | $2.75 Billion | $32.11 Billion | ▲ +25.0% |
| 2008 | 0.10x | $3.40 Billion | $1.80 Billion | $33.54 Billion | ▲ +19.9% |
| 2007 | 0.08x | $2.84 Billion | $1.40 Billion | $33.62 Billion | ▼ -22.3% |
| 2006 | 0.11x | $3.71 Billion | $1.84 Billion | $34.14 Billion | ▼ -62.2% |
| 2005 | 0.29x | $4.75 Billion | $3.16 Billion | $16.53 Billion | ▲ +2.3% |
| 2004 | 0.28x | $4.56 Billion | $3.05 Billion | $16.25 Billion | ▼ -0.6% |
| 2003 | 0.28x | $4.00 Billion | $2.17 Billion | $14.17 Billion | ▼ -21.4% |
| 2002 | 0.36x | $4.47 Billion | $2.75 Billion | $12.43 Billion | ▲ +60.2% |
| 2001 | 0.22x | $2.78 Billion | $1.41 Billion | $12.40 Billion | ▲ +4.5% |
| 2000 | 0.21x | $2.70 Billion | $1.55 Billion | $12.59 Billion | ▼ -10.2% |
| 1999 | 0.24x | $2.51 Billion | $1.22 Billion | $10.51 Billion | ▼ -16.5% |
| 1998 | 0.29x | $3.17 Billion | $1.92 Billion | $11.08 Billion | ▲ +37.1% |
| 1997 | 0.21x | $2.90 Billion | $1.48 Billion | $13.92 Billion | ▼ -38.6% |
| 1996 | 0.34x | $4.02 Billion | $2.62 Billion | $11.83 Billion | ▲ +8.3% |
| 1995 | 0.31x | $3.78 Billion | $2.25 Billion | $12.04 Billion | ▼ -1.6% |
| 1994 | 0.32x | $2.13 Billion | $1.30 Billion | $6.69 Billion | ▲ +0.0% |
| 1993 | 0.32x | $2.13 Billion | $1.30 Billion | $6.69 Billion | ▲ +45.5% |
| 1992 | 0.22x | $170.20 Million | $66.80 Million | $775.90 Million | ▲ +5.4% |
| 1991 | 0.21x | $71.60 Million | $25.80 Million | $344.00 Million | ▲ +71.5% |
| 1990 | 0.12x | $32.10 Million | $14.00 Million | $264.50 Million | — |