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Side-by-side financial comparison of COMMERCE BANCSHARES INC (CBSH) and NATIONAL HEALTHCARE CORP (NHC). Click either name above to swap in a different company.
COMMERCE BANCSHARES INC is the larger business by last-quarter revenue ($475.7M vs $386.5M, roughly 1.2× NATIONAL HEALTHCARE CORP). COMMERCE BANCSHARES INC runs the higher net margin — 29.8% vs 6.4%, a 23.3% gap on every dollar of revenue. On growth, COMMERCE BANCSHARES INC posted the faster year-over-year revenue change (11.1% vs 4.6%). Over the past eight quarters, NATIONAL HEALTHCARE CORP's revenue compounded faster (14.0% CAGR vs 7.1%).
Commerce Bancshares, Inc. is a regional bank holding company headquartered in Missouri, with principal offices in Kansas City and St. Louis. It is the corporate parent of Commerce Bank, which offers a diversified line of financial services, including business and personal banking, wealth management and investments through its affiliated companies.
HCA Healthcare, Inc. is an American global for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 20 states and the United Kingdom. As of 2024, HCA Healthcare is ranked #61 on the Fortune 500 rankings of the largest United States corporations by to...
CBSH vs NHC — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $475.7M | $386.5M |
| Net Profit | $141.6M | $24.8M |
| Gross Margin | — | — |
| Operating Margin | — | 8.6% |
| Net Margin | 29.8% | 6.4% |
| Revenue YoY | 11.1% | 4.6% |
| Net Profit YoY | 10.5% | 308.6% |
| EPS (diluted) | $0.96 | $1.58 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $475.7M | — | ||
| Q4 25 | $449.4M | $386.5M | ||
| Q3 25 | $441.0M | $382.7M | ||
| Q2 25 | $445.8M | $374.9M | ||
| Q1 25 | $428.1M | $373.7M | ||
| Q4 24 | $422.1M | $369.4M | ||
| Q3 24 | $421.4M | $340.2M | ||
| Q2 24 | $414.5M | $300.7M |
| Q1 26 | $141.6M | — | ||
| Q4 25 | $140.7M | $24.8M | ||
| Q3 25 | $141.5M | $39.2M | ||
| Q2 25 | $152.5M | $23.7M | ||
| Q1 25 | $131.6M | $32.2M | ||
| Q4 24 | $136.1M | $6.1M | ||
| Q3 24 | $138.0M | $42.8M | ||
| Q2 24 | $139.6M | $26.8M |
| Q1 26 | — | — | ||
| Q4 25 | 40.8% | 8.6% | ||
| Q3 25 | 41.9% | 7.9% | ||
| Q2 25 | 44.0% | 9.1% | ||
| Q1 25 | 39.2% | 8.2% | ||
| Q4 24 | 41.2% | 7.8% | ||
| Q3 24 | 42.4% | 6.7% | ||
| Q2 24 | 43.4% | 7.5% |
| Q1 26 | 29.8% | — | ||
| Q4 25 | 31.3% | 6.4% | ||
| Q3 25 | 32.1% | 10.3% | ||
| Q2 25 | 34.2% | 6.3% | ||
| Q1 25 | 30.7% | 8.6% | ||
| Q4 24 | 32.2% | 1.6% | ||
| Q3 24 | 32.8% | 12.6% | ||
| Q2 24 | 33.7% | 8.9% |
| Q1 26 | $0.96 | — | ||
| Q4 25 | $0.86 | $1.58 | ||
| Q3 25 | $1.06 | $2.50 | ||
| Q2 25 | $1.14 | $1.52 | ||
| Q1 25 | $0.98 | $2.07 | ||
| Q4 24 | $0.83 | $0.38 | ||
| Q3 24 | $1.01 | $2.73 | ||
| Q2 24 | $1.03 | $1.73 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | — | $92.8M |
| Total DebtLower is stronger | — | $40.0M |
| Stockholders' EquityBook value | $4.3B | $1.1B |
| Total Assets | $35.7B | $1.5B |
| Debt / EquityLower = less leverage | — | 0.04× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | — | $92.8M | ||
| Q3 25 | — | $130.6M | ||
| Q2 25 | — | $111.0M | ||
| Q1 25 | — | $90.4M | ||
| Q4 24 | — | $76.1M | ||
| Q3 24 | — | $84.8M | ||
| Q2 24 | — | $136.2M |
| Q1 26 | — | — | ||
| Q4 25 | — | $40.0M | ||
| Q3 25 | — | $73.1M | ||
| Q2 25 | — | $110.0M | ||
| Q1 25 | — | $134.0M | ||
| Q4 24 | — | $137.0M | ||
| Q3 24 | — | $147.0M | ||
| Q2 24 | — | — |
| Q1 26 | $4.3B | — | ||
| Q4 25 | $3.8B | $1.1B | ||
| Q3 25 | $3.8B | $1.1B | ||
| Q2 25 | $3.6B | $1.0B | ||
| Q1 25 | $3.5B | $1.0B | ||
| Q4 24 | $3.3B | $980.2M | ||
| Q3 24 | $3.4B | $983.5M | ||
| Q2 24 | $3.1B | $945.8M |
| Q1 26 | $35.7B | — | ||
| Q4 25 | $32.9B | $1.5B | ||
| Q3 25 | $32.3B | $1.6B | ||
| Q2 25 | $32.3B | $1.6B | ||
| Q1 25 | $32.4B | $1.5B | ||
| Q4 24 | $32.0B | $1.5B | ||
| Q3 24 | $31.5B | $1.6B | ||
| Q2 24 | $30.6B | $1.3B |
| Q1 26 | — | — | ||
| Q4 25 | — | 0.04× | ||
| Q3 25 | — | 0.07× | ||
| Q2 25 | — | 0.11× | ||
| Q1 25 | — | 0.13× | ||
| Q4 24 | — | 0.14× | ||
| Q3 24 | — | 0.15× | ||
| Q2 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | — | $16.8M |
| Free Cash FlowOCF − Capex | — | $6.4M |
| FCF MarginFCF / Revenue | — | 1.7% |
| Capex IntensityCapex / Revenue | — | 2.7% |
| Cash ConversionOCF / Net Profit | — | 0.68× |
| TTM Free Cash FlowTrailing 4 quarters | — | $148.6M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $645.1M | $16.8M | ||
| Q3 25 | $129.0M | $66.2M | ||
| Q2 25 | $111.2M | $62.8M | ||
| Q1 25 | $138.6M | $39.3M | ||
| Q4 24 | $577.9M | $12.8M | ||
| Q3 24 | $431.7M | $34.2M | ||
| Q2 24 | $147.4M | $50.7M |
| Q1 26 | — | — | ||
| Q4 25 | $592.4M | $6.4M | ||
| Q3 25 | $113.3M | $56.5M | ||
| Q2 25 | $100.5M | $52.6M | ||
| Q1 25 | $126.0M | $33.1M | ||
| Q4 24 | $531.7M | $4.6M | ||
| Q3 24 | $419.1M | $28.6M | ||
| Q2 24 | $138.9M | $42.8M |
| Q1 26 | — | — | ||
| Q4 25 | 131.8% | 1.7% | ||
| Q3 25 | 25.7% | 14.8% | ||
| Q2 25 | 22.5% | 14.0% | ||
| Q1 25 | 29.4% | 8.9% | ||
| Q4 24 | 126.0% | 1.3% | ||
| Q3 24 | 99.5% | 8.4% | ||
| Q2 24 | 33.5% | 14.2% |
| Q1 26 | — | — | ||
| Q4 25 | 11.7% | 2.7% | ||
| Q3 25 | 3.6% | 2.5% | ||
| Q2 25 | 2.4% | 2.7% | ||
| Q1 25 | 2.9% | 1.6% | ||
| Q4 24 | 10.9% | 2.2% | ||
| Q3 24 | 3.0% | 1.7% | ||
| Q2 24 | 2.1% | 2.6% |
| Q1 26 | — | — | ||
| Q4 25 | 4.59× | 0.68× | ||
| Q3 25 | 0.91× | 1.69× | ||
| Q2 25 | 0.73× | 2.65× | ||
| Q1 25 | 1.05× | 1.22× | ||
| Q4 24 | 4.25× | 2.10× | ||
| Q3 24 | 3.13× | 0.80× | ||
| Q2 24 | 1.06× | 1.89× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
CBSH
Segment breakdown not available.
NHC
| Inpatient Services Segment | $333.7M | 86% |
| Homecare Services Segment | $40.0M | 10% |
| Other | $11.2M | 3% |
| National | $1.6M | 0% |
