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Cash Flow Overview
Free Cash flow
$1,104M
Unit: Million (M) dollars
Positive Cash Flow Breakdown
Issuance of long-term debt
Net income
Net change in short-term borrowi...
Others
Negative Cash Flow Breakdown
Repayment of long-term debt
Repurchase of common stock
Purchase of property and equipme...
Others
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Page 1
Quarterly
123
Page 1
Cash Flow
2026-06-30
2026-03-31
2025-12-31
2025-09-30
Net income
1,930
1,857
2,163
1,903
Accounts receivable
954
463
439
-25
Inventories and other assets
106
-80
29
-302
Accounts payable and accrued expenses
551
-990
637
705
Depreciation and amortization
944
930
911
889
Income taxes
-166
435
-1,004
434
Losses (gains) on sales of facilities
10
-1
41
-2
Amortization of debt issuance costs and discounts
12
11
12
7
Share-based compensation
85
86
100
104
Other
-49
-67
-49
-45
Net cash provided by operating activities
2,335
2,014
2,359
4,416
Purchase of property and equipment
1,231
1,119
1,489
1,288
Acquisition of hospitals and health care entities
121
265
36
35
Sales of hospitals and health care entities
18
3
92
10
Change in investments
223
-103
-98
67
Other
0
4
-18
8
Net cash used in investing activities
-1,557
-1,282
-1,317
-1,388
Issuance of long-term debt
2,994
0
3,241
0
Net change in short-term borrowings and revolving credit facility
1,244
1,435
296
138
Repayment of long-term debt
2,550
58
1,555
174
Distributions to noncontrolling interests
143
191
196
237
Payment of debt issuance costs
17
0
22
0
Payment of dividends
171
183
162
166
Repurchase of common stock
2,064
1,571
2,558
2,498
Other
3
-262
-43
-30
Net cash used in financing activities
-704
-830
-999
-2,967
Effect of exchange rate changes on cash and cash equivalents
-1
-2
0
-3
Change in cash and cash equivalents
73
-100
43
58
Cash and cash equivalents at beginning of period
940
1,040
1,060
1,060
Cash and cash equivalents at end of period
1,013
940
1,040
997
Page 1
Unit: Million (M) dollars (except for numbers of shares and EPS). Numbers labeled with * are estimated quarterly values.
Page 1
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Time Plot
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Cash Flow
Net income
$1,930M
(2.06%↑ Y/Y)
Depreciation and
amortization
$944M
(9.39%↑ Y/Y)
Accounts payable and
accrued expenses
$551M
(70.06%↑ Y/Y)
Share-based compensation
$85M
(-14.14%↓ Y/Y)
Other
-$49M
(-2.08%↓ Y/Y)
Amortization of debt issuance
costs and discounts
$12M
(-14.29%↓ Y/Y)
Net cash provided by
operating activities
$2,335M
(-44.54%↓ Y/Y)
Canceled cashflow
$1,236M
Change in cash and cash
equivalents
$73M
(160.33%↑ Y/Y)
Canceled cashflow
$2,262M
Accounts receivable
$954M
(247.45%↑ Y/Y)
Income taxes
-$166M
(-142.78%↓ Y/Y)
Inventories and other assets
$106M
(58.21%↑ Y/Y)
Losses (gains) on sales
of facilities
$10M
(433.33%↑ Y/Y)
Sales of hospitals and
health care entities
$18M
(200.00%↑ Y/Y)
Issuance of long-term
debt
$2,994M
Net change in
short-term borrowings and...
$1,244M
(-19.64%↓ Y/Y)
Other
$3M
(113.64%↑ Y/Y)
Net cash used in
investing activities
-$1,557M
(-24.46%↓ Y/Y)
Net cash used in
financing activities
-$704M
(77.21%↑ Y/Y)
Effect of exchange rate
changes on cash and cash...
-$1M
(-111.11%↓ Y/Y)
Canceled cashflow
$18M
Canceled cashflow
$4,241M
Purchase of property and
equipment
$1,231M
(4.68%↑ Y/Y)
Change in investments
$223M
(1815.38%↑ Y/Y)
Acquisition of hospitals and
health care entities
$121M
(22.22%↑ Y/Y)
Repayment of long-term
debt
$2,550M
(44.48%↑ Y/Y)
Repurchase of common stock
$2,064M
(-17.60%↓ Y/Y)
Payment of dividends
$171M
(0.00%↑ Y/Y)
Distributions to
noncontrolling interests
$143M
(-17.82%↓ Y/Y)
Payment of debt issuance
costs
$17M
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