Cash provided by operating activities was $4.461 billion in the third quarter of 2026, compared with $4.416 billion in the third quarter of 2025. For the first nine months, operating cash flow declined 14.3% to $8.810 billion from $10.277 billion. The nine-month cash-flow statement showed a $635 million cash outflow from accounts receivable in 2026, compared with a $345 million inflow in 2025.
Key facts
HCA reported third-quarter 2026 operating cash flow of $4.461 billion, compared with $4.416 billion in third-quarter 2025. source
HCA reported operating cash flow of $8.810 billion for the nine months ended September 30, 2026, compared with $10.277 billion in the same 2025 period. source