HCA Healthcare, Inc. (HCA) — Free Cash Flow Generation Index
HCA Healthcare, Inc. (HCA) has a Free Cash Flow Generation Index of 0.44x as of March 2026. Free cash flow of $895.00 Million represents 0% of operating cash flow ($2.01 Billion). Read HCA Healthcare, Inc. (HCA) financial obligations for a breakdown of total debt and financial obligations.
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. Explore HCA Healthcare, Inc. capex to cash flow ratio to see what proportion of operating cash flow is directed to capital expenditures.
Annual Free Cash Flow Generation for HCA Healthcare, Inc. (1990–2025)
Year-by-year Free Cash Flow Generation Index for HCA Healthcare, Inc.. For the full company profile including market capitalisation, see HCA market cap.
| 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 | — |