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HCA Healthcare › Financials

HCA Healthcare financials

HCA

Ten years from HCA Healthcare’s own SEC filings. Fiscal years end in December.

$99.34BMarket capat $458.84 a share
$76.39BRevenuelast 12 months to Mar 2026
$6.79BNet incomelast 12 months to Mar 2026
$7.93BFree cash flowlast 12 months to Mar 2026
$940.0MCashMar 2026
$44.37BDebtMar 2026

Income statement

Dec 2016fiscal yearDec 2017fiscal yearDec 2018fiscal yearDec 2019fiscal yearDec 2020fiscal yearDec 2021fiscal yearDec 2022fiscal yearDec 2023fiscal yearDec 2024fiscal yearDec 2025fiscal yearLast 12 monthsto Mar 2026Latest quarterMar 2026
Revenue$41.49B$43.61B$46.68B$51.34B$51.53B$58.75B$60.23B$64.97B$70.60B$75.60B$76.39B—
Net income$2.89B$2.22B$3.79B$3.50B$3.75B$6.96B$5.64B$5.24B$5.76B$6.78B$6.79B—
Earnings per share, diluted$7.30$5.95$10.66$10.07$10.93$21.16$19.15$18.97$22.00$28.33——

Balance sheet

Dec 2016fiscal yearDec 2017fiscal yearDec 2018fiscal yearDec 2019fiscal yearDec 2020fiscal yearDec 2021fiscal yearDec 2022fiscal yearDec 2023fiscal yearDec 2024fiscal yearDec 2025fiscal yearLast 12 monthsto Mar 2026Latest quarterMar 2026
Cash and equivalents$646.0M$732.0M$502.0M$621.0M$1.79B$1.45B$908.0M$935.0M$1.93B$1.04B—$940.0M
Total assets$33.76B$36.59B$39.21B$45.06B$47.49B$50.74B$52.44B$56.21B$59.51B$60.72B—$61.45B
Debt$31.38B$33.06B$32.82B$33.72B$31.00B$34.58B$38.08B$39.59B$43.03B$44.28B—$44.37B
Total liabilities$39.39B$41.59B$42.12B$45.62B$44.60B$49.25B$52.51B$55.15B$58.96B$63.49B—$64.43B
Shareholders' equity−$7.30B−$6.81B−$4.95B−$2.81B$572.0M−$933.0M−$2.77B−$1.77B−$2.50B−$6.03B—−$6.30B

Cash flow

Dec 2016fiscal yearDec 2017fiscal yearDec 2018fiscal yearDec 2019fiscal yearDec 2020fiscal yearDec 2021fiscal yearDec 2022fiscal yearDec 2023fiscal yearDec 2024fiscal yearDec 2025fiscal yearLast 12 monthsto Mar 2026Latest quarterMar 2026
Operating cash flow$5.65B$5.43B$6.76B$7.60B$9.23B$8.96B$8.52B$9.43B$10.51B$12.64B$13.00B—
Capital spending$2.76B$3.02B$3.57B$4.16B$2.83B$3.58B$4.39B$4.74B$4.88B$4.94B$5.07B—
Free cash flow$2.89B$2.41B$3.19B$3.44B$6.40B$5.38B$4.13B$4.69B$5.64B$7.69B$7.93B—
Buybacks$2.75B$2.05B$1.53B$1.03B$441.0M$8.21B$7.00B$3.81B$6.04B$10.07B$9.13B—
Dividends—$0$487.0M$550.0M$153.0M$624.0M$653.0M$661.0M$690.0M$679.0M$682.0M—
Returned to shareholders$2.75B$2.05B$2.02B$1.58B$594.0M$8.84B$7.65B$4.47B$6.73B$10.75B$9.81B—
Stock-based pay$251.0M$270.0M$268.0M$347.0M$362.0M$440.0M$341.0M$262.0M$360.0M$401.0M$389.0M—
Where these numbers come from

Every column links to the filing it comes from on EDGAR. Last 12 months adds the latest year to date to the last 10-K and takes away the same months a year earlier. Debt is long-term debt including the part due within a year. A dash means the company did not report that line in a form we can read, never a zero. Market cap uses the latest closing price and the share count from the cover of the latest filing. How we count

HCA Healthcare financials, answered

What is HCA Healthcare's market cap?

$99.34B at $458.84 a share, with 216,501,500 shares outstanding as of Jul 24, 2026, from the cover of its latest SEC filing.

How much does HCA Healthcare earn?

Revenue of $76.39B and net income of $6.79B in the last 12 months to Mar 2026.

How much debt does HCA Healthcare have?

HCA Healthcare reported $44.37B of debt and $940.0M of cash and equivalents on its balance sheet in Mar 2026.

Does HCA Healthcare make free cash flow?

Yes. Operating cash flow minus capital spending was $7.93B in the last 12 months to Mar 2026.

How much cash does HCA Healthcare return to shareholders?

$10.75B in buybacks and dividends in fiscal 2025, from the cash flow statement.

HCA Healthcare buybacks and share count

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