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Services-General Medical & Surgical Hospitals, NEC: capital spending and supply chain

SIC 8062 · 5 companies with filed cash-flow statements

Capital spending, 12 months$7.5B
Operating cash flow$17.9B
Capex / cash flow42%
Capex / revenue5.3%
Top 3 share95%

Analysis

5 companies in Services-General Medical & Surgical Hospitals, NEC (SIC 8062) spent $7.5B on capital projects over their latest twelve months, 42% of the $17.9B their operations generated; the three largest spenders — HCA, UHS, THC — account for 95%.

Capital spending is 5.3% of the industry's $140.7B of annual revenue.

By the industry's asset mix most of it goes to equipment (47%); about $1.2B is imported.

The largest supplier of that spending is health care structures ($2.3B).

Its largest supplying industries, by the input-output tables: other real estate ($9.2B), employment services ($3.5B), imports ($2.5B).

Charts

Services-General Medical & Surgical Hospitals, NEC: capital spending by company, latest twelve monthsServices-General Medical & Surgical Hospitals, NEC: capital spending by company, latest twelve monthsHCA$5.2BUHS$941MTHC$910MCYH$333MSGRY$70.4M
Filed cash-flow statements (SEC XBRL).
Services-General Medical & Surgical Hospitals, NEC: what the capital spending buys (US part)Services-General Medical & Surgical Hospitals, NEC: what the capital spending buys (US part)Structures$2.3BEquipment$2.9BSoftware$659MOther$331M
Capital spending × the industry’s asset mix (BEA fixed assets): grade C, an industry average applied to filed figures.
Services-General Medical & Surgical Hospitals, NEC: the industries that build and sell what it buysServices-General Medical & Surgical Hospitals, NEC: the industries that build and sell what it buysHealth care structures$2.3BElectromedical and electrotherape…$1.2BSurgical and medical instrument m…$884MSurgical appliance and supplies m…$400MSoftware publishers$368MIrradiation apparatus manufacturi…$287MComputer systems design services$136MCustom computer programming servi…$134MDental equipment and supplies man…$132MHospitals$64.8M
BEA fixed assets: investment by asset type → supplying industry. Estimates (grade C).
Services-General Medical & Surgical Hospitals, NEC: its first-tier supplying industriesServices-General Medical & Surgical Hospitals, NEC: its first-tier supplying industriesOther real estate$9.2BEmployment services$3.5BImports$2.5BLegal services$2.3BHospitals$1.9BInsurance carriers, except direct…$1.9BIn-vitro diagnostic substance man…$1.8BProfessional and commercial equip…$1.8BSurgical and medical instrument m…$1.7BManagement of companies and enter…$1.6B
Purchased inputs × the industry’s input mix (BEA Use table), US part: grade C.
Services-General Medical & Surgical Hospitals, NEC: where the industry's cash came from (+) and went (−)Services-General Medical & Surgical Hospitals, NEC: where the industry's cash came from (+) and went (−)Operating cash flow$18.4BBuybacks−$12.1BCapital spending−$7.5BNet borrowing$6.9BPaid to partners−$2.7BNet debt repaid−$2.5BSales of assets & businesses$1.7BOther financing (in)$1.5BAcquisitions−$1.4BOther investing (out)−$1.4BDividends−$730MCash drawn from the balance s…$423MOther financing (out)−$374MCash added to the balance she…−$275M
The companies’ cash-flow statements, latest four quarters or fiscal year: every figure filed (grade A).

Capital spending by company

CompanyCapital spendingOperating cash flowCapex / OCFPeriod
HCA HCA Healthcare$5.2B$11.2B47%TTM to Q3 2026
UHS Universal Health Services$941M$2.1B46%TTM to Q3 2026
THC Tenet Healthcare$910M$4.2B21%TTM to Q3 2026
CYH Community Health Systems$333M$211M158%TTM to Q3 2026
SGRY Surgery Partners$70.4M$258M27%TTM to Q2 2026

Customers and suppliers named in annual reports

SupplierCustomerShare of supplier revenueEvidenceSource
SGRYMedicare & Medicaid43%Stated in 10-K (sentence)filing
DOCHCA7%Stated in 10-K (sentence)filing
UHTUHS40%Stated in 10-K (sentence)filing

The interactive money flow: switch views, follow each dollar →

Evidence grades: A filed figure · B computed from filed figures · C industry average (BEA input-output and fixed-asset tables) applied to filed figures. Estimates are not the companies’ own records. Not investment advice.