HCA Healthcare, Inc. HCA Cash Flow

Hca healthcare, inc. (HCA)

CashFlow / Quarterly

Mar'20	Dec'19	Sep'19	Jun'19	Mar'19	Dec'18	Sep'18	Jun'18	Mar'18	Dec'17	Sep'17	Jun'17	Mar'17	Dec'16	Sep'16	Jun'16	Mar'16	Dec'15	Sep'15	Jun'15	Mar'15	Dec'14	Sep'14	Jun'14	Mar'14	Dec'13	Sep'13	Jun'13	Mar'13	Dec'12	Sep'12	Jun'12	Mar'12	Dec'11	Sep'11	Jun'11	Mar'11	Dec'10	Sep'10	Jun'10	Mar'10
Cash flows from operating activities:
Net income
698	1,273	764	927	1,181	1,245	896	966	1,282	641	530	795	777	1,085	745	791	811	738	573	665	720	676	611	632	454	554	467	537	438	427	455	485	639	2,042	146	320	334	394	325	378	476
Increase (decrease) in cash from operating assets and liabilities:
Accounts receivable
-464	233	-81	-195	369	262	-72	229	4	531	151	87	-168	-2,054	680	575	789	1,138	1,192	889	895	990	828	702	1,125	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Provision for doubtful accounts
-	-	-	-	-	-	-	-	-	-	-	-	-	-	840	762	790	1,074	1,158	1,035	646	832	758	728	851	1,126	955	1,023	754	1,104	831	1,041	794	660	740	775	649	575	721	788	564
Changes in operating assets and liabilities
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	984	1,041	1,294	-	996	543	1,384	-	760	2,350	-774	-	229	860	838
Accounts receivable, net
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-160	-187	-1	64	34	-146	249	158	70	-26	274	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Inventories and other assets
196	63	-136	57	174	106	-64	-18	218	19	-128	181	-3	-49	-15	190	-14	109	10	89	106	-16	29	96	123	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Accounts payable and accrued expenses
-784	514	120	413	-651	548	119	294	-263	543	129	293	-591	485	-239	269	-371	344	-35	195	-312	486	63	208	-313	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Depreciation and amortization
674	694	647	636	619	581	582	562	553	550	539	521	521	503	495	489	479	480	482	469	473	459	460	454	447	461	443	425	424	425	417	420	417	387	362	358	358	359	352	355	355
Income taxes
121	199	24	-242	269	-	-	-128	246	442	-276	-25	292	115	-59	-293	360	-12	-47	-539	438	-22	33	-238	144	-15	-25	-167	350	-154	-76	26	300	564	31	-4	321	97	41	-349	238
Losses (gains) on sales of facilities
7	1	0	18	-1	8	6	9	405	-2	7	2	1	15	3	6	-1	-7	-2	-5	9	9	-12	11	21	3	-1	4	-16	11	7	-4	1	145	-2	0	-1	-	-	-	-
Impairments of long-lived assets
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	4	10	91	18
Losses on retirement of debt
-295	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	0	0	-17	-	-	-	0	-	-	-	-	-	-	-	-
Legal claim benefits
-	-	-	-	-	-	-	-	-	-	-	-	-	-279	11	10	12	-	-	-	-	0	0	0	78	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-
Amortization of debt issuance costs and discounts
7	7	7	8	8	8	8	7	8	8	7	8	8	8	8	8	10	8	8	9	10	9	10	9	14	14	13	15	13	18	15	15	14	14	17	19	20	21	20	20	20
Share-based compensation
82	84	105	96	62	64	70	74	60	75	55	67	73	55	67	64	65	68	68	55	48	45	41	40	37	32	30	28	23	17	16	14	9	2	8	8	8	8	8	8	8
Other
-21	-31	-31	-39	-28	-31	-25	-27	-24	-23	-15	-15	-30	-31	-2	-20	-17	-16	-17	-16	-5	-	-	-	-	-10	0	2	1	-2	0	0	-7	-	-	-	1	-2	-6	-41	18
Net cash provided by operating activities
1,375	2,505	2,126	1,997	974	2,175	1,721	1,582	1,283	1,734	1,008	1,404	1,280	1,699	1,206	1,349	1,399	1,558	1,101	1,057	1,018	1,627	1,128	1,250	443	1,226	900	814	740	1,263	655	1,460	797	1,387	880	748	918	534	1,256	436	859
Cash flows from investing activities:
Purchase of property and equipment
853	1,274	1,139	964	781	1,153	846	880	694	982	729	733	571	876	712	663	509	804	567	558	446	694	569	513	400	596	451	492	404	594	484	449	335	509	394	447	329	465	324	322	214
Acquisition of hospitals and health care entities
328	90	88	30	1,474	197	518	159	379	70	847	205	90	108	38	421	9	167	89	67	28	669	70	8	19	18	440	1	22	91	28	27	112	1,473	41	146	22	198	4	10	21
Sales of hospitals and health care entities
35	12	8	11	30	6	3	32	767	1	10	10	4	3	9	10	4	46	5	7	15	13	6	9	23	2	0	30	1	13	11	5	1	226	1	-1	55	11	1	1	24
Change in investments
1	10	24	-23	-36	8	-42	-12	-11	58	4	-8	19	14	-60	-7	-11	31	-27	-45	-22	59	21	-56	13	61	5	-51	-51	57	-38	-29	-6	0	-4	-56	-20	1	29	-473	-29
Other
-2	-17	19	-12	-24	-66	-19	-15	40	-2	11	2	-7	11	-2	-8	-7	-4	-2	4	-5	-	-	-	-	-1	-12	5	-1	-6	-9	7	-3	-1	-2	1	-3	-12	-9	12	-1
Net cash used in investing activities
-1,145	-1,345	-1,262	-948	-2,165	-1,286	-1,300	-980	-335	-1,107	-1,581	-922	-669	-1,006	-679	-1,059	-496	-952	-622	-577	-432	-1,406	-648	-455	-409	-672	-884	-417	-373	-723	-454	-449	-437	-1,755	-428	-539	-273	-641	-347	130	-181
Cash flows from financing activities:
Issuances of long-term debt
2,700	0	0	4,951	1,500	-	-	-	-	-	-	-	-	0	2,400	0	3,000	1,500	0	3,048	1,000	2,000	0	0	3,502	-	-	-	-	3,500	0	0	1,350	-	-	-	-	1,525	0	0	1,387
Net change in revolving bank credit facilities
1,440	-530	3,010	-3,500	460	-310	-540	-60	270	110	1,810	-1,320	160	-	-	-	-930	420	30	-40	-260	600	-500	2,780	-2,440	340	650	-410	390	-	-	-	470	-863	-1,110	-1,080	2,604	-2,924	-294	-10	1,339
Repayment of long-term debt
3,327	35	5,191	49	49	52	1,551	51	50	53	605	52	43	51	2,359	54	2,011	1,218	58	2,853	791	1,639	43	2,940	542	362	532	27	741	1,752	81	515	93	57	5,075	1,212	296	248	491	19	1,510
Distributions to noncontrolling interests
154	138	157	111	136	126	130	93	92	85	115	103	145	92	137	94	111	128	130	105	132	117	128	110	87	127	112	94	102	98	112	98	93	97	96	90	95	60	106	93	83
Payment of debt issuance costs
34	2	8	41	22	1	22	0	2	1	0	23	2	0	16	2	22	16	1	22	11	24	0	1	48	-	-	-	-	42	1	3	16	-	-	-	-	25	0	0	25
Payment of dividends
152	136	136	137	141	121	121	122	123	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Repurchases of common stock
441	272	239	242	278	335	302	470	423	576	509	542	424	538	355	1,237	621	1,011	446	574	366	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Issuance of common stock
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	0	0	2,506	-	-	-	-
Distributions to stockholders
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	7	-	3	0	10	2,165	1	0	982	0	1	0	30	2,006	0	500	1,751
Income tax benefits
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	44	25	50	43	9	25	36	-	-	-	49	9	5	27	22	174	-4	-14	-42
Other
-141	3	-10	-17	-118	-16	-40	-1	-191	-8	5	8	-50	-3	-4	6	-97	0	41	153	-6	129	4	2	-26	-31	-6	-18	-51	-32	-8	-20	-7	70	0	-16	-6	-10	5	4	-1
Net cash used in financing activities
-109	-1,110	-2,731	854	1,216	-961	-706	-797	-611	-613	586	-530	-504	-724	-541	-451	-792	-453	-564	-393	-566	-170	-623	-987	402	-624	6	-529	-478	-307	-247	-964	-262	382	-632	-223	-503	141	-882	-604	-602
Effect of exchange rate changes on cash and cash equivalents
-11	-	-	-	4	-4	-5	-23	17	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Change in cash and cash equivalents
110	62	-1,871	1,899	29	-76	-290	-218	354	14	13	-48	107	-31	-14	-161	111	153	-85	87	20	51	-143	-192	436	-70	22	-132	-111	233	-46	47	98	14	-180	-14	142	34	27	-38	76
Interest payments
468	422	582	330	580	322	549	324	549	317	549	294	540	327	572	277	490	301	539	323	487	317	542	376	523	368	555	376	533	319	550	337	517	352	592	642	401	595	426	599	374
Income tax (refunds) payments, net
-9	135	191	513	10	170	291	400	11	294	524	390	-3	365	332	482	76	322	1,445	-699	118	299	241	485	32	218	250	411	-185	190	287	166	-25	-161	-59	124	-160	19	98	471	-71