HCA Healthcare, Inc. (HCA) — Free Cash Flow Generation Index
HCA Healthcare, Inc. (HCA) has a Free Cash Flow Generation Index of 0.47x as of June 2026. Free cash flow of $1.10 Billion represents 0% of operating cash flow ($2.33 Billion). Explore HCA Healthcare, Inc. capex to cash flow ratio to see what proportion of operating cash flow is directed to capital expenditures.
FCF Generation Index
Free Cash Flow
Operating Cash Flow
Capital Expenditures
HCA Healthcare, Inc. Free Cash Flow Generation Index (1990–2025)
Historical FCF Generation Index trend for HCA Healthcare, Inc. across 36 annual periods. For the full cash flow conversion analysis, see HCA cash generation efficiency.
Annual Free Cash Flow Generation for HCA Healthcare, Inc. (1990–2025)
Year-by-year Free Cash Flow Generation Index for HCA Healthcare, Inc.. Check HCA total capital reinvestment ratio to assess the company's total reinvestment commitment from operating cash flow.
| Year | FCG Index | Free Cash Flow (USD) | Operating CF | Capital Expenditures | YoY Change |
|---|---|---|---|---|---|
| 2025 | 0.61x | $7.69 Billion | $12.64 Billion | $4.94 Billion | ▲ +13.5% |
| 2024 | 0.54x | $5.64 Billion | $10.51 Billion | $4.88 Billion | ▲ +7.9% |
| 2023 | 0.50x | $4.69 Billion | $9.43 Billion | $4.74 Billion | ▲ +2.6% |
| 2022 | 0.48x | $4.13 Billion | $8.52 Billion | $4.39 Billion | ▼ -19.4% |
| 2021 | 0.60x | $5.38 Billion | $8.96 Billion | $3.58 Billion | ▼ -13.3% |
| 2020 | 0.69x | $6.40 Billion | $9.23 Billion | $2.83 Billion | ▲ +52.9% |
| 2019 | 0.45x | $3.44 Billion | $7.60 Billion | $4.16 Billion | ▼ -3.9% |
| 2018 | 0.47x | $3.19 Billion | $6.76 Billion | $3.57 Billion | ▲ +6.1% |
| 2017 | 0.44x | $2.41 Billion | $5.43 Billion | $3.02 Billion | ▼ -13.2% |
| 2016 | 0.51x | $2.89 Billion | $5.65 Billion | $2.76 Billion | ▲ +2.7% |
| 2015 | 0.50x | $2.36 Billion | $4.73 Billion | $2.38 Billion | ▼ -2.4% |
| 2014 | 0.51x | $2.27 Billion | $4.45 Billion | $2.18 Billion | ▲ +8.2% |
| 2013 | 0.47x | $1.74 Billion | $3.68 Billion | $1.94 Billion | ▼ -14.8% |
| 2012 | 0.55x | $2.31 Billion | $4.17 Billion | $1.86 Billion | ▼ -3.3% |
| 2011 | 0.57x | $2.25 Billion | $3.93 Billion | $1.68 Billion | ▲ +0.5% |
| 2010 | 0.57x | $1.76 Billion | $3.08 Billion | $1.32 Billion | ▲ +9.6% |
| 2009 | 0.52x | $1.43 Billion | $2.75 Billion | $1.32 Billion | ▲ +374.9% |
| 2008 | 0.11x | $197.00 Million | $1.80 Billion | $1.60 Billion | ▲ +418.8% |
| 2007 | -0.03x | $-48.00 Million | $1.40 Billion | $1.44 Billion | ▼ -217.2% |
| 2006 | -0.01x | $-20.00 Million | $1.84 Billion | $1.86 Billion | ▼ -102.2% |
| 2005 | 0.50x | $1.57 Billion | $3.16 Billion | $1.59 Billion | ▼ -1.5% |
| 2004 | 0.50x | $1.54 Billion | $3.05 Billion | $1.51 Billion | ▲ +232.7% |
| 2003 | 0.15x | $328.00 Million | $2.17 Billion | $1.84 Billion | ▼ -59.6% |
| 2002 | 0.38x | $1.03 Billion | $2.75 Billion | $1.72 Billion | ▲ +1133.2% |
| 2001 | 0.03x | $43.00 Million | $1.41 Billion | $1.37 Billion | ▼ -88.0% |
| 2000 | 0.25x | $392.00 Million | $1.55 Billion | $1.16 Billion | ▲ +584.2% |
| 1999 | -0.05x | $-64.00 Million | $1.22 Billion | $1.29 Billion | ▼ -115.2% |
| 1998 | 0.34x | $661.00 Million | $1.92 Billion | $1.25 Billion | ▲ +738.7% |
| 1997 | 0.04x | $61.00 Million | $1.48 Billion | $1.42 Billion | ▼ -91.2% |
| 1996 | 0.47x | $1.22 Billion | $2.62 Billion | $1.40 Billion | ▲ +44.4% |
| 1995 | 0.32x | $727.00 Million | $2.25 Billion | $1.53 Billion | ▼ -9.4% |
| 1994 | 0.36x | $462.00 Million | $1.30 Billion | $836.00 Million | ▲ +0.0% |
| 1993 | 0.36x | $462.00 Million | $1.30 Billion | $836.00 Million | ▲ +165.0% |
| 1992 | -0.55x | $-36.60 Million | $66.80 Million | $103.40 Million | ▲ +29.3% |
| 1991 | -0.78x | $-20.00 Million | $25.80 Million | $45.80 Million | ▼ -164.7% |
| 1990 | -0.29x | $-4.10 Million | $14.00 Million | $18.10 Million | — |