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HCA Healthcare vs Universal Health Services

HCA Healthcare is the larger business, with $75.60bn of revenue in fiscal 2025 against $17.36bn for Universal Health Services (4.4 times as much). Universal Health Services grew faster (9.7% against 7.1%). HCA Healthcare kept more of each dollar of sales as profit: a net margin of 9.0% against 8.6%.

Latest fiscal yearHCA HealthcareHCA, 2025Universal Health ServicesUHS, 2025
Revenue $75.60bn $17.36bn
Revenue growth 7.1% 9.7%
Net income $6.78bn $1.49bn
Operating margin — —
Net margin 9.0% 8.6%
Return on equity — 21.4%
Free cash flow $7.69bn $849m
Cash $1.04bn $138m
Total debt $46.93bn $4.80bn
Debt to equity — —
Dividend per share $2.88 $0.80
Dividend yield 0.7% 0.5%
Share buybacks $10.07bn $968m
Employees 320,000 101,500
Market value $98.06bn $10.74bn
Price vs our value range — Below our value range
Moat score 75 (Strong) 68 (Moderate)
Insider trades, 12 months 0 buys, 13 sales 0 buys, 4 sales

Each figure is from the company's latest annual report and links to the page it comes from. Fiscal years can end on different dates. Market value and the value verdict use the delayed price shown on the stock pages. Not a recommendation.

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Figures from each company's latest annual report filed with the SEC (10-K or 20-F), as reported, with the fiscal year shown. Not investment advice. How we read filings: methodology.