HCA Healthcare, Inc. Free Cash Flow Generation Index

Latest as of June 2026: 0.47x

HCA Healthcare, Inc. 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).

FCF Generation Index

0.47x
Free Cash Flow / Operating CF

Free Cash Flow

$1.10 Billion
USD

Operating Cash Flow

$2.33 Billion
USD

Capital Expenditures

$1.23 Billion
USD

Free Cash Flow Generation Index of HCA Healthcare, Inc. (1990–2025)

Free cash flow generation index of HCA Healthcare, Inc. from 1990 to 2025. Historical FCF Generation Index trend for HCA Healthcare, Inc. across 36 annual periods. See HCA financial flexibility score to measure the company's free cash flow as a share of total liabilities.

HCA Healthcare, Inc. Free Cash Flow Generation Index by Year (1990–2025)

HCA Healthcare, Inc. free cash flow generation index by year from 1990 to 2025. Year-by-year Free Cash Flow Generation Index for HCA Healthcare, Inc.. For the full cash flow conversion analysis, see HCA cash flow metrics.

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 —
FCG Index = Free Cash Flow / Operating Cash Flow. FCF = Operating CF + Capital Expenditures (capex stored negative).