HCA Healthcare, Inc. Financial Flexibility Index
HCA Healthcare, Inc. 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). See how much free cash does HCA Healthcare, Inc. generate to measure how efficiently the company converts operating cash flow to free cash.
Financial Flexibility Index
Free Cash Flow
Total Liabilities
Capital Expenditures
Financial Flexibility Index of HCA Healthcare, Inc. (1990–2025)
Financial flexibility index of HCA Healthcare, Inc. from 1990 to 2025. Historical Financial Flexibility Index trend for HCA Healthcare, Inc. across 36 annual periods. Check earnings quality score of HCA Healthcare, Inc. to evaluate the quality of earnings relative to operating cash generation.
HCA Healthcare, Inc. Financial Flexibility Index by Year (1990–2025)
HCA Healthcare, Inc. financial flexibility index by year from 1990 to 2025. Year-by-year free cash flow to debt coverage for HCA Healthcare, Inc.. For the full cash flow conversion analysis, see HCA cash flow metrics.
| 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 | — |