Hca healthcare, inc. (HCA)
CashFlow / TTM
Mar'20Dec'19Sep'19Jun'19Mar'19Dec'18Sep'18Jun'18Mar'18Dec'17Sep'17Jun'17Mar'17Dec'16Sep'16Jun'16Mar'16Dec'15Sep'15Jun'15Mar'15Dec'14Sep'14Jun'14Mar'14Dec'13Sep'13Jun'13Mar'13Dec'12Sep'12Jun'12Mar'12Dec'11Sep'11Jun'11Mar'11Dec'10Sep'10Jun'10Mar'10
Cash flows from operating activities:
Net income

3,662

4,145

4,117

4,249

4,288

4,389

3,785

3,419

3,248

2,743

3,187

3,402

3,398

3,432

3,085

2,913

2,787

2,696

2,634

2,672

2,639

2,373

2,251

2,107

2,012

1,996

1,869

1,857

1,805

2,006

3,621

3,312

3,147

2,842

1,194

1,373

1,431

1,573

0

0

0

Increase (decrease) in cash from operating assets and liabilities:
Accounts receivable

-507

326

355

364

788

423

692

915

773

601

-1,984

-1,455

-967

-10

3,182

3,694

4,008

4,114

3,966

3,602

3,415

3,645

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Provision for doubtful accounts

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,466

3,784

4,057

3,913

3,671

3,271

2,964

3,169

3,463

3,660

3,955

3,858

3,836

3,712

3,730

3,770

3,326

3,235

2,969

2,824

2,739

2,720

2,733

2,648

0

0

0

Changes in operating assets and liabilities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

0

0

0

-

0

0

0

-

0

0

0

Accounts receivable, net

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-284

-90

-49

201

295

331

451

476

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Inventories and other assets

180

158

201

273

198

242

155

91

290

69

1

114

123

112

270

295

194

314

189

208

215

232

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Accounts payable and accrued expenses

263

396

430

429

310

698

693

703

702

374

316

-52

-76

144

3

207

133

192

334

432

445

444

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Depreciation and amortization

2,651

2,596

2,483

2,418

2,344

2,278

2,247

2,204

2,163

2,131

2,084

2,040

2,008

1,966

1,943

1,930

1,910

1,904

1,883

1,861

1,846

1,820

1,822

1,805

1,776

1,753

1,717

1,691

1,686

1,679

1,641

1,586

1,524

1,465

1,437

1,427

1,424

1,421

0

0

0

Income taxes

102

250

0

0

0

-

-

284

387

433

106

323

55

123

-4

8

-238

-160

-170

-90

211

-83

-76

-134

-63

143

4

-47

146

96

814

921

891

912

445

455

110

27

0

0

0

Losses (gains) on sales of facilities

26

18

25

31

22

428

418

419

412

8

25

21

25

23

1

-4

-15

-5

11

1

17

29

23

34

27

-10

-2

6

-2

15

149

140

144

142

0

0

0

-

-

-

-

Impairments of long-lived assets

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

123

0

0

0

Losses on retirement of debt

0

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-17

0

0

0

-

-

-

0

-

-

-

-

-

-

-

-

Legal claim benefits

-

-

-

-

-

-

-

-

-

-

-

-

-

-246

0

0

0

-

-

-

-

78

0

0

0

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

Amortization of debt issuance costs and discounts

29

30

31

32

31

31

31

30

31

31

31

32

32

34

34

34

35

35

36

38

38

42

47

50

56

55

59

61

61

62

58

60

64

70

77

80

81

81

0

0

0

Share-based compensation

367

347

327

292

270

268

279

264

257

270

250

262

259

251

264

265

256

239

216

189

174

163

150

139

127

113

98

84

70

56

41

33

27

26

32

32

32

32

0

0

0

Other

-122

-129

-129

-123

-111

-107

-99

-89

-77

-83

-91

-78

-83

-70

-55

-70

-66

-54

0

0

0

-

-

-

-

-7

1

1

-1

-9

0

0

0

-

-

-

-48

-31

0

0

0

Net cash provided by operating activities

8,003

7,602

7,272

6,867

6,452

6,761

6,320

5,607

5,429

5,426

5,391

5,589

5,534

5,653

5,512

5,407

5,115

4,734

4,803

4,830

5,023

4,448

4,047

3,819

3,383

3,680

3,717

3,472

4,118

4,175

4,299

4,524

3,812

3,933

3,080

3,456

3,144

3,085

0

0

0

Cash flows from investing activities:
Purchase of property and equipment

4,230

4,158

4,037

3,744

3,660

3,573

3,402

3,285

3,138

3,015

2,909

2,892

2,822

2,760

2,688

2,543

2,438

2,375

2,265

2,267

2,222

2,176

2,078

1,960

1,939

1,943

1,941

1,974

1,931

1,862

1,777

1,687

1,685

1,679

1,635

1,565

1,440

1,325

0

0

0

Acquisition of hospitals and health care entities

536

1,682

1,789

2,219

2,348

1,253

1,126

1,455

1,501

1,212

1,250

441

657

576

635

686

332

351

853

834

775

766

115

485

478

481

554

142

168

258

1,640

1,653

1,772

1,682

407

370

234

233

0

0

0

Sales of hospitals and health care entities

66

61

55

50

71

808

803

810

788

25

27

26

26

26

69

65

62

73

40

41

43

51

40

34

55

33

44

55

30

30

243

233

227

281

66

66

68

37

0

0

0

Change in investments

12

-25

-27

-93

-82

-57

-7

39

43

73

29

-35

-34

-64

-47

-14

-52

-63

-35

13

2

37

39

23

28

-36

-40

-83

-61

-16

-73

-39

-66

-80

-79

-46

-463

-472

0

0

0

Other

-12

-34

-83

-121

-124

-60

4

34

51

4

17

4

-6

-6

-21

-21

-9

-7

0

0

0

-

-

-

-

-9

-14

-11

-9

-11

-6

1

-5

-5

-16

-23

-12

-10

0

0

0

Net cash used in investing activities

-4,700

-5,720

-5,661

-5,699

-5,731

-3,901

-3,722

-4,003

-3,945

-4,279

-4,178

-3,276

-3,413

-3,240

-3,186

-3,129

-2,647

-2,583

-3,037

-3,063

-2,941

-2,918

-2,184

-2,420

-2,382

-2,346

-2,397

-1,967

-1,999

-2,063

-3,095

-3,069

-3,159

-2,995

-1,881

-1,800

-1,131

-1,039

0

0

0

Cash flows from financing activities:
Issuances of long-term debt

7,651

6,451

0

0

0

-

-

-

-

-

-

-

-

5,400

6,900

4,500

7,548

5,548

6,048

6,048

3,000

5,502

0

0

0

-

-

-

-

4,850

0

0

0

-

-

-

-

2,912

0

0

0

Net change in revolving bank credit facilities

420

-560

-340

-3,890

-450

-640

-220

2,130

870

760

0

0

0

-

-

-

-520

150

330

-200

2,620

440

180

1,330

-1,860

970

0

0

0

-

-

-

-2,583

-449

-2,510

-1,694

-624

-1,889

0

0

0

Repayment of long-term debt

8,602

5,324

5,341

1,701

1,703

1,704

1,705

759

760

753

751

2,505

2,507

4,475

5,642

3,341

6,140

4,920

5,341

5,326

5,413

5,164

3,887

4,376

1,463

1,662

3,052

2,601

3,089

2,441

746

5,740

6,437

6,640

6,831

2,247

1,054

2,268

0

0

0

Distributions to noncontrolling interests

560

542

530

503

485

441

400

385

395

448

455

477

468

434

470

463

474

495

484

482

487

442

452

436

420

435

406

406

410

401

400

384

376

378

341

351

354

342

0

0

0

Payment of debt issuance costs

85

73

72

86

45

25

25

3

26

26

25

41

20

40

56

41

61

50

58

57

36

73

0

0

0

-

-

-

-

62

0

0

0

-

-

-

-

50

0

0

0

Payment of dividends

561

550

535

520

505

487

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Repurchases of common stock

1,194

1,031

1,094

1,157

1,385

1,530

1,771

1,978

2,050

2,051

2,013

1,859

2,554

2,751

3,224

3,315

2,652

2,397

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Issuance of common stock

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,506

0

0

0

-

-

-

-

Distributions to stockholders

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

2,178

2,176

2,176

3,148

983

983

983

31

2,037

2,036

2,536

4,257

0

0

0

Income tax benefits

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

162

127

127

113

0

0

0

-

-

-

90

63

228

219

178

114

0

0

0

Other

-165

-142

-161

-191

-175

-248

-240

-195

-186

-45

-40

-49

-51

-98

-95

-50

97

188

317

280

129

109

-51

-61

-81

-106

-107

-109

-111

-67

35

43

47

48

-32

-27

-7

-2

0

0

0

Net cash used in financing activities

-3,096

-1,771

-1,622

403

-1,248

-3,075

-2,727

-1,435

-1,168

-1,061

-1,172

-2,299

-2,220

-2,508

-2,237

-2,260

-2,202

-1,976

-1,693

-1,752

-2,346

-1,378

-1,832

-1,203

-745

-1,625

-1,308

-1,561

-1,996

-1,780

-1,091

-1,476

-735

-976

-1,217

-1,467

-1,848

-1,947

0

0

0

Effect of exchange rate changes on cash and cash equivalents

0

-

-

-

-28

-15

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Change in cash and cash equivalents

200

119

-19

1,562

-555

-230

-140

163

333

86

41

14

-99

-95

89

18

266

175

73

15

-264

152

31

196

256

-291

12

-56

123

332

113

-21

-82

-38

-18

189

165

99

0

0

0

Interest payments

1,802

1,914

1,814

1,781

1,775

1,744

1,739

1,739

1,709

1,700

1,710

1,733

1,716

1,666

1,640

1,607

1,653

1,650

1,666

1,669

1,722

1,758

1,809

1,822

1,822

1,832

1,783

1,778

1,739

1,723

1,756

1,798

2,103

1,987

2,230

2,064

2,021

1,994

0

0

0

Income tax (refunds) payments, net

830

849

884

984

871

872

996

1,229

1,219

1,205

1,276

1,084

1,176

1,255

1,212

2,325

1,144

1,186

1,163

-41

1,143

1,057

976

985

911

694

666

703

458

618

267

-79

-121

-256

-76

81

428

517

0

0

0