Hca Healthcare Inc (HCA) reported $75.6B in revenue for fiscal year 2025, up 7.1% from the prior fiscal year. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 15 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).
HCA’s cash-generating healthcare model is funding aggressive buybacks faster than it rebuilds liquidity or balance-sheet equity.
By FY2025, operating cash flow climbed to$12.6B while capex held near$4.9B , pushing free cash flow to$7.7B ; that widening gap funded$10.1B of buybacks even as cash fell to$1.0B and the current ratio slipped to 1.0x. The operating engine is therefore producing more spendable cash, but management is channeling it toward capital return rather than building a thicker cash buffer or repairing book equity.
From FY2023 to FY2025, revenue rose
Across FY2021-FY2025, net income was down
Financial Health Signals
Hca Healthcare Inc does not currently provide enough eligible data for a peer-relative financial health score, so none is published. The signals and metrics below are current.
Hca Healthcare Inc passes 6 of 8 computable financial strength tests (1 of the nine could not be computed from available data). All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 3 leverage/liquidity signals pass, both operating efficiency signals pass.
For every $1 of reported earnings, Hca Healthcare Inc generates $1.86 in operating cash flow ($12.6B OCF vs $6.8B net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.
Key Financial Metrics
Earnings & Revenue
Hca Healthcare Inc generated $75.6B in revenue in fiscal year 2025. This represents an increase of 7.1% from the prior year.
Hca Healthcare Inc reported $6.8B in net income in fiscal year 2025. This represents an increase of 17.8% from the prior year.
Hca Healthcare Inc earned $28.33 per diluted share (EPS) in fiscal year 2025. This represents an increase of 28.8% from the prior year.
Not reported for fiscal year 2025.
Cash & Balance Sheet
Hca Healthcare Inc generated $7.7B in free cash flow in fiscal year 2025, representing cash available after capex. This represents an increase of 36.4% from the prior year.
Hca Healthcare Inc held $1.0B in cash against $41.6B in long-term debt as of fiscal year 2025.
Hca Healthcare Inc paid $2.88 per share in dividends in fiscal year 2025. This represents an increase of 9.1% from the prior year.
Margins & Returns
Hca Healthcare Inc's net profit margin was 9.0% in fiscal year 2025, showing the share of revenue converted to profit. This is up 0.8 percentage points from the prior year.
Not reported for fiscal year 2025.
Not reported for fiscal year 2025.
Not reported for fiscal year 2025.
Capital Allocation
Hca Healthcare Inc spent $10.1B on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding. This represents an increase of 66.6% from the prior year.
Hca Healthcare Inc invested $4.9B in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents an increase of 1.4% from the prior year.
Not reported for fiscal year 2025.
HCA Income Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | TTM | FY25 | FY24 | FY23 | FY22 | FY21 | FY20 | FY19 | FY18 | FY17 | FY16 | FY15 | FY14 | FY13 | FY12 | FY11 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $76.4B | $75.6B+7.1% | $70.6B+8.7% | $65.0B+7.9% | $60.2B+2.5% | $58.8B+14.0% | $51.5B+0.4% | $51.3B+10.0% | $46.7B+7.0% | $43.6B+5.1% | $41.5B | N/A | $36.9B+8.0% | $34.2B+3.5% | $33.0B+11.2% | $29.7B |
| SG&A Expenses | $555.0M | $548.0M+30.2% | $421.0M+19.3% | $353.0M+15.0% | $307.0M-8.9% | $337.0M-19.0% | $416.0M+12.4% | $370.0M+7.6% | $344.0M+1.2% | $340.0M-0.9% | $343.0M+4.9% | $327.0M+14.7% | $285.0M-0.7% | $287.0M+15.7% | $248.0M+8.8% | $228.0M |
| Interest Expense | $2.3B | $2.2B+9.1% | $2.1B+6.3% | $1.9B+11.3% | $1.7B+11.2% | $1.6B-1.1% | $1.6B-13.2% | $1.8B+3.9% | $1.8B+3.8% | $1.7B-1.0% | $1.7B+2.5% | $1.7B-4.5% | $1.7B-5.7% | $1.8B+2.8% | $1.8B-11.7% | $2.0B |
| Income Tax | $2.0B | $2.0B+9.9% | $1.9B+15.5% | $1.6B-7.5% | $1.7B-17.3% | $2.1B+102.5% | $1.0B-5.1% | $1.1B+16.2% | $946.0M-42.2% | $1.6B+18.9% | $1.4B+9.3% | $1.3B+13.8% | $1.1B+16.6% | $950.0M+7.0% | $888.0M+23.5% | $719.0M |
| Net Income | $6.8B | $6.8B+17.8% | $5.8B+9.9% | $5.2B-7.1% | $5.6B-18.9% | $7.0B+85.3% | $3.8B+7.1% | $3.5B-7.4% | $3.8B+70.9% | $2.2B-23.3% | $2.9B+35.7% | $2.1B+13.5% | $1.9B+20.5% | $1.6B-3.1% | $1.6B-34.9% | $2.5B |
| EPS (Diluted) | — | $28.33+28.8% | $22.00+16.0% | $18.97-0.9% | $19.15-9.5% | $21.16+93.6% | $10.93+8.5% | $10.07-5.5% | $10.66+79.2% | $5.95-18.5% | $7.30+46.3% | $4.99+20.0% | $4.16+23.4% | $3.37-3.4% | $3.49-29.8% | $4.97 |
Not reported in any period shown, so not listed: Cost of Revenue, Gross Profit, R&D Expenses, Operating Income.
TTM is the trailing twelve months, Q2 FY2025 through Q1 FY2026, summed from the four most recent quarterly filings. A row marked — cannot be summed at all, because a quarter in the window reports no per-share figure; a row marked N/A could be summed, but a quarter in the window does not report that metric.
HCA Balance Sheet
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | FY25 | FY24 | FY23 | FY22 | FY21 | FY20 | FY19 | FY18 | FY17 | FY16 | FY15 | FY14 | FY13 | FY12 | FY11 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total Assets | $60.7B+2.0% | $59.5B+5.9% | $56.2B+7.2% | $52.4B+3.3% | $50.7B+6.8% | $47.5B+5.4% | $45.1B+14.9% | $39.2B+7.1% | $36.6B+8.4% | $33.8B+3.1% | $32.7B+5.7% | $31.0B+8.3% | $28.6B+1.8% | $28.1B+4.4% | $26.9B |
| Current Assets | $15.8B-3.8% | $16.4B+10.0% | $14.9B+9.4% | $13.6B+0.7% | $13.5B+9.8% | $12.3B+10.2% | $11.2B+9.6% | $10.2B+2.4% | $10.0B+9.8% | $9.1B-1.6% | $9.2B+3.4% | $8.9B+11.1% | $8.0B+3.5% | $7.8B+7.3% | $7.2B |
| Cash & Equivalents | $1.0B-46.2% | $1.9B+106.7% | $935.0M+3.0% | $908.0M-37.4% | $1.5B-19.1% | $1.8B+188.7% | $621.0M+23.7% | $502.0M-31.4% | $732.0M+13.3% | $646.0M-12.8% | $741.0M+30.9% | $566.0M+36.7% | $414.0M-41.3% | $705.0M+89.0% | $373.0M |
| Inventory | $1.7B-4.9% | $1.7B-14.0% | $2.0B-2.3% | $2.1B+4.1% | $2.0B-1.9% | $2.0B+9.5% | $1.8B+6.8% | $1.7B+10.1% | $1.6B+4.7% | $1.5B+4.4% | $1.4B+12.5% | $1.3B+8.5% | $1.2B+8.6% | $1.1B+3.0% | $1.1B |
| Accounts Receivable | $10.9B+1.1% | $10.8B+8.0% | $10.0B+12.0% | $8.9B+9.8% | $8.1B+14.8% | $7.1B-4.5% | $7.4B+8.7% | $6.8B+4.4% | $6.5B+11.6% | $5.8B-1.1% | $5.9B+3.4% | $5.7B+9.3% | $5.2B+11.5% | $4.7B+3.1% | $4.5B |
| Total Liabilities | $66.7B+7.6% | $62.0B+6.9% | $58.0B+5.0% | $55.2B+6.8% | $51.7B+10.1% | $46.9B+2.8% | $45.6B+8.3% | $42.1B+1.3% | $41.6B+5.6% | $39.4B+1.5% | $38.8B+3.5% | $37.5B+4.8% | $35.8B-1.8% | $36.4B+7.4% | $33.9B |
| Current Liabilities | $16.4B+7.7% | $15.2B+19.9% | $12.7B+27.8% | $9.9B+3.3% | $9.6B+10.1% | $8.7B+12.2% | $7.8B+2.5% | $7.6B+22.9% | $6.2B+5.6% | $5.8B+5.8% | $5.5B+0.7% | $5.5B-3.8% | $5.7B-7.7% | $6.2B+11.1% | $5.6B |
| Long-Term Debt | $41.6B+8.5% | $38.3B+3.1% | $37.2B-1.4% | $37.7B+9.8% | $34.3B+11.5% | $30.8B-8.3% | $33.6B+4.8% | $32.0B-2.5% | $32.9B+5.4% | $31.2B+3.0% | $30.3B+4.0% | $29.1B+5.4% | $27.6B+0.3% | $27.5B+7.2% | $25.6B |
| Total Equity | -$6.0B-141.2% | -$2.5B-40.9% | -$1.8B+35.9% | -$2.8B-196.6% | -$933.0M-263.1% | $572.0M+120.4% | -$2.8B+43.3% | -$5.0B+27.3% | -$6.8B+6.8% | -$7.3B+3.9% | -$7.6B+3.7% | -$7.9B+4.5% | -$8.3B+14.4% | -$9.7B-17.0% | -$8.3B |
| Retained Earnings | -$5.7B-170.6% | -$2.1B-56.4% | -$1.4B+40.7% | -$2.3B-328.6% | -$532.0M-168.5% | $777.0M+133.0% | -$2.4B+48.6% | -$4.6B+30.0% | -$6.5B+6.3% | -$7.0B+5.0% | -$7.3B+3.1% | -$7.6B+19.4% | -$9.4B+14.2% | -$11.0B-16.3% | -$9.4B |
Not reported in any period shown, so not listed: Goodwill.
HCA Cash Flow Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | TTM | FY25 | FY24 | FY23 | FY22 | FY21 | FY20 | FY19 | FY18 | FY17 | FY16 | FY15 | FY14 | FY13 | FY12 | FY11 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | $13.0B | $12.6B+20.2% | $10.5B+11.5% | $9.4B+10.7% | $8.5B-4.9% | $9.0B-3.0% | $9.2B+21.4% | $7.6B+12.4% | $6.8B+24.6% | $5.4B-4.0% | $5.7B+19.4% | $4.7B+6.4% | $4.4B+20.9% | $3.7B-11.9% | $4.2B+6.2% | $3.9B |
| Capital Expenditures | $5.1B | $4.9B+1.4% | $4.9B+2.8% | $4.7B+7.9% | $4.4B+22.9% | $3.6B+26.2% | $2.8B-31.8% | $4.2B+16.4% | $3.6B+18.5% | $3.0B+9.2% | $2.8B+16.2% | $2.4B+9.1% | $2.2B+12.0% | $1.9B+4.4% | $1.9B+10.9% | $1.7B |
| Free Cash Flow | $7.9B | $7.7B+36.4% | $5.6B+20.3% | $4.7B+13.6% | $4.1B-23.3% | $5.4B-15.9% | $6.4B+85.7% | $3.4B+8.0% | $3.2B+32.2% | $2.4B-16.7% | $2.9B+22.6% | $2.4B+3.8% | $2.3B+30.8% | $1.7B-24.9% | $2.3B+2.6% | $2.3B |
| Investing Cash Flow | -$5.2B | -$5.0B-1.1% | -$4.9B+7.2% | -$5.3B-56.9% | -$3.4B-28.2% | -$2.6B+22.1% | -$3.4B+40.7% | -$5.7B-46.6% | -$3.9B+8.8% | -$4.3B-32.1% | -$3.2B | N/A | -$2.9B-24.4% | -$2.3B-13.7% | -$2.1B+31.1% | -$3.0B |
| Financing Cash Flow | -$7.9B | -$8.6B-86.6% | -$4.6B-11.9% | -$4.1B+27.6% | -$5.7B+15.0% | -$6.7B-42.3% | -$4.7B-164.1% | -$1.8B+42.4% | -$3.1B-189.8% | -$1.1B+57.7% | -$2.5B | N/A | -$1.4B+15.2% | -$1.6B+8.7% | -$1.8B-82.4% | -$976.0M |
| Dividends Paid | $682.0M | $679.0M-1.6% | $690.0M+4.4% | $661.0M+1.2% | $653.0M+4.6% | $624.0M+307.8% | $153.0M-72.2% | $550.0M+12.9% | $487.0M | $0 | N/A | N/A | $7.0M-56.3% | $16.0M-99.5% | $3.1B+10054.8% | $31.0M |
| Share Buybacks | $9.1B | $10.1B+66.6% | $6.0B+58.5% | $3.8B-45.6% | $7.0B-14.8% | $8.2B+1762.8% | $441.0M-57.2% | $1.0B-32.6% | $1.5B-25.4% | $2.1B-25.4% | $2.8B+14.8% | $2.4B+37.0% | $1.8B+250.0% | $500.0M | N/A | $1.5B |
TTM is the trailing twelve months, Q2 FY2025 through Q1 FY2026, summed from the four most recent quarterly filings. A row marked — cannot be summed at all, because a quarter in the window reports no per-share figure; a row marked N/A could be summed, but a quarter in the window does not report that metric.
HCA Financial Ratios
Margins and returns are percentages; the remaining ratios are unitless multiples.
| Metric | FY25 | FY24 | FY23 | FY22 | FY21 | FY20 | FY19 | FY18 | FY17 | FY16 | FY15 | FY14 | FY13 | FY12 | FY11 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Margin | 9.0%+0.8pp | 8.2%+0.1pp | 8.1%-1.3pp | 9.4%-2.5pp | 11.8%+4.6pp | 7.3%+0.5pp | 6.8%-1.3pp | 8.1%+3.0pp | 5.1%-1.9pp | 7.0% | N/A | 5.1%+0.5pp | 4.5%-0.3pp | 4.9%-3.4pp | 8.3% |
| Return on Equity | N/A | N/A | N/A | N/A | N/A | 656.3% | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Return on Assets | 11.2%+1.5pp | 9.7%+0.4pp | 9.3%-1.4pp | 10.8%-2.9pp | 13.7%+5.8pp | 7.9%+0.1pp | 7.8%-1.9pp | 9.7%+3.6pp | 6.1%-2.5pp | 8.6%+2.1pp | 6.5%+0.5pp | 6.0%+0.6pp | 5.4%-0.3pp | 5.7%-3.4pp | 9.2% |
| Current Ratio | 0.97-0.1x | 1.08-0.1x | 1.18-0.2x | 1.380.0x | 1.410.0x | 1.420.0x | 1.44+0.1x | 1.35-0.3x | 1.62+0.1x | 1.56-0.1x | 1.670.0x | 1.63+0.2x | 1.41+0.2x | 1.260.0x | 1.30 |
| Debt-to-Equity | N/A | N/A | N/A | N/A | N/A | 53.84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| FCF Margin | 10.2%+2.2pp | 8.0%+0.8pp | 7.2%+0.4pp | 6.9%-2.3pp | 9.2%-3.3pp | 12.4%+5.7pp | 6.7%-0.1pp | 6.8%+1.3pp | 5.5%-1.4pp | 7.0% | N/A | 6.2%+1.1pp | 5.1%-1.9pp | 7.0%-0.6pp | 7.6% |
Not reported in any period shown, so not listed: Gross Margin, Operating Margin.
Note: Shareholder equity is negative (-$6.0B), which causes debt-to-equity and return on equity ratios to appear negative or not meaningful. This can occur from accumulated losses or large share buyback programs.
Note: The current ratio is below 1.0 (0.97), indicating current liabilities exceed current assets, which may suggest potential short-term liquidity concerns.
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Where Hca Healthcare Inc Ranks
Frequently Asked Questions
What is Hca Healthcare Inc's annual revenue?
Hca Healthcare Inc (HCA) reported $75.6B in total revenue for fiscal year 2025. This represents a 7.1% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.
How fast is Hca Healthcare Inc's revenue growing?
Hca Healthcare Inc (HCA) revenue grew by 7.1% year-over-year, from $70.6B to $75.6B in fiscal year 2025.
Is Hca Healthcare Inc profitable?
Yes, Hca Healthcare Inc (HCA) reported a net income of $6.8B in fiscal year 2025, with a net profit margin of 9.0%.
How much debt does Hca Healthcare Inc have?
As of fiscal year 2025, Hca Healthcare Inc (HCA) had $1.0B in cash and equivalents against $41.6B in long-term debt.
What is Hca Healthcare Inc's net profit margin?
Hca Healthcare Inc (HCA) had a net profit margin of 9.0% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.
Does Hca Healthcare Inc pay dividends?
Yes, Hca Healthcare Inc (HCA) paid $2.88 per share in dividends during fiscal year 2025.
What is Hca Healthcare Inc's free cash flow?
Hca Healthcare Inc (HCA) generated $7.7B in free cash flow during fiscal year 2025. This represents a 36.4% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.
What is Hca Healthcare Inc's operating cash flow?
Hca Healthcare Inc (HCA) generated $12.6B in operating cash flow during fiscal year 2025, representing cash generated from core business activities.
What are Hca Healthcare Inc's total assets?
Hca Healthcare Inc (HCA) had $60.7B in total assets as of fiscal year 2025, including both current and long-term assets.
What are Hca Healthcare Inc's capital expenditures?
Hca Healthcare Inc (HCA) invested $4.9B in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.
What is Hca Healthcare Inc's current ratio?
Hca Healthcare Inc (HCA) had a current ratio of 0.97 as of fiscal year 2025, which is below 1.0, which may suggest potential liquidity concerns.
What is Hca Healthcare Inc's return on assets (ROA)?
Hca Healthcare Inc (HCA) had a return on assets of 11.2% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.
Why is Hca Healthcare Inc's debt-to-equity ratio negative or not reported?
Hca Healthcare Inc (HCA) has negative shareholder equity of -$6.0B as of fiscal year 2025, so no debt-to-equity ratio is reported: dividing debt by equity that is not positive produces a number that cannot be read as leverage. This can occur when accumulated losses exceed invested capital, or after large share buyback programs. Other solvency metrics like the current ratio or interest coverage may be more informative.
What is Hca Healthcare Inc's Piotroski F-Score?
Hca Healthcare Inc (HCA) has a Piotroski F-Score of 6 out of 8 computable signals; 1 of the nine could not be computed from available data, so the full-scale strength rating is not shown. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.
Are Hca Healthcare Inc's earnings high quality?
Hca Healthcare Inc (HCA) has an earnings quality ratio of 1.86x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.