HCA Healthcare, Inc. (HCA) — Financial Flexibility Index
HCA Healthcare, Inc. (HCA) has a Financial Flexibility Index of 0.05x as of March 2026. Free cash flow of $3.13 Billion (operating CF $2.01 Billion minus capex $1.12 Billion) represents 0% of total liabilities ($64.43 Billion). Check HCA PP&E to net assets ratio to assess the company's strategic physical and investment asset allocation.
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. See HCA Healthcare, Inc. (HCA) working capital ratio to evaluate short-term liquidity relative to the company's equity base.
Annual Financial Flexibility Index for HCA Healthcare, Inc. (1990–2025)
Year-by-year free cash flow to debt coverage for HCA Healthcare, Inc.. For the full company profile including market capitalisation, see HCA market cap.
| 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 | — |