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Side-by-side financial comparison of HCA Healthcare (HCA) and HSBC HOLDINGS PLC (HSBC). Click either name above to swap in a different company.

HSBC HOLDINGS PLC is the larger business by last-quarter revenue ($28.6B vs $19.1B, roughly 1.5× HCA Healthcare). HSBC HOLDINGS PLC runs the higher net margin — 25.7% vs 9.7%, a 16.0% gap on every dollar of revenue.

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.

HSBC Holdings plc is a British universal bank and financial services group headquartered in London, England, with historical and business links to East Asia and a multinational footprint. It is the largest Europe-based bank by total assets, ahead of BNP Paribas, with US$3.098 trillion as of September 2024. This also puts it as the 7th largest bank in the world by total assets behind Bank of America, and the 3rd largest non-state owned bank in the world.

HCA vs HSBC — Head-to-Head

Bigger by revenue
HSBC
HSBC
1.5× larger
HSBC
$28.6B
$19.1B
HCA
Higher net margin
HSBC
HSBC
16.0% more per $
HSBC
25.7%
9.7%
HCA

Income Statement — Q1 FY2026 vs Q4 FY2024

Metric
HCA
HCA
HSBC
HSBC
Revenue
$19.1B
$28.6B
Net Profit
$1.9B
$7.3B
Gross Margin
Operating Margin
33.1%
Net Margin
9.7%
25.7%
Revenue YoY
4.3%
Net Profit YoY
1.8%
EPS (diluted)
$7.15
$0.36

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.

Revenue
HCA
HCA
HSBC
HSBC
Q1 26
$19.1B
Q4 25
$19.5B
Q3 25
$19.2B
Q2 25
$18.6B
Q1 25
$18.3B
$28.6B
Q4 24
$18.3B
Q3 24
$17.5B
Q2 24
$17.5B
Net Profit
HCA
HCA
HSBC
HSBC
Q1 26
$1.9B
Q4 25
$1.9B
Q3 25
$1.6B
Q2 25
$1.7B
Q1 25
$1.6B
$7.3B
Q4 24
$1.4B
Q3 24
$1.3B
Q2 24
$1.5B
Operating Margin
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
13.7%
Q3 25
12.6%
Q2 25
13.0%
Q1 25
12.7%
33.1%
Q4 24
11.7%
Q3 24
10.9%
Q2 24
12.8%
Net Margin
HCA
HCA
HSBC
HSBC
Q1 26
9.7%
Q4 25
9.6%
Q3 25
8.6%
Q2 25
8.9%
Q1 25
8.8%
25.7%
Q4 24
7.9%
Q3 24
7.3%
Q2 24
8.4%
EPS (diluted)
HCA
HCA
HSBC
HSBC
Q1 26
$7.15
Q4 25
$8.09
Q3 25
$6.96
Q2 25
$6.83
Q1 25
$6.45
$0.36
Q4 24
$5.66
Q3 24
$4.88
Q2 24
$5.53

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
HCA
HCA
HSBC
HSBC
Cash + ST InvestmentsLiquidity on hand
$940.0M
$434.9B
Total DebtLower is stronger
Stockholders' EquityBook value
$192.3B
Total Assets
$19.3B
$3017.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HCA
HCA
HSBC
HSBC
Q1 26
$940.0M
Q4 25
$1.0B
Q3 25
$997.0M
Q2 25
$939.0M
Q1 25
$1.1B
$434.9B
Q4 24
$1.9B
Q3 24
$2.9B
Q2 24
$831.0M
Total Debt
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
$44.3B
Q3 25
$42.6B
Q2 25
$42.7B
Q1 25
$44.6B
Q4 24
$43.0B
Q3 24
$43.0B
Q2 24
$40.9B
Stockholders' Equity
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
$-6.0B
Q3 25
$-5.3B
Q2 25
$-4.4B
Q1 25
$-3.5B
$192.3B
Q4 24
$-2.5B
Q3 24
$-2.2B
Q2 24
$-1.6B
Total Assets
HCA
HCA
HSBC
HSBC
Q1 26
$19.3B
Q4 25
$60.7B
Q3 25
$59.7B
Q2 25
$59.5B
Q1 25
$59.8B
$3017.0B
Q4 24
$59.5B
Q3 24
$59.5B
Q2 24
$57.4B

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
HCA
HCA
HSBC
HSBC
Operating Cash FlowLast quarter
$2.0B
$65.3B
Free Cash FlowOCF − Capex
$64.0B
FCF MarginFCF / Revenue
223.9%
Capex IntensityCapex / Revenue
4.7%
Cash ConversionOCF / Net Profit
1.08×
8.90×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HCA
HCA
HSBC
HSBC
Q1 26
$2.0B
Q4 25
$2.4B
Q3 25
$4.4B
Q2 25
$4.2B
Q1 25
$1.7B
$65.3B
Q4 24
$2.6B
Q3 24
$3.5B
Q2 24
$2.0B
Free Cash Flow
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
$870.0M
Q3 25
$3.1B
Q2 25
$3.0B
Q1 25
$660.0M
$64.0B
Q4 24
$1.3B
Q3 24
$2.3B
Q2 24
$690.0M
FCF Margin
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
4.5%
Q3 25
16.3%
Q2 25
16.3%
Q1 25
3.6%
223.9%
Q4 24
7.0%
Q3 24
13.3%
Q2 24
3.9%
Capex Intensity
HCA
HCA
HSBC
HSBC
Q1 26
Q4 25
7.6%
Q3 25
6.7%
Q2 25
6.3%
Q1 25
5.4%
4.7%
Q4 24
7.0%
Q3 24
6.8%
Q2 24
7.3%
Cash Conversion
HCA
HCA
HSBC
HSBC
Q1 26
1.08×
Q4 25
1.26×
Q3 25
2.69×
Q2 25
2.55×
Q1 25
1.03×
8.90×
Q4 24
1.78×
Q3 24
2.77×
Q2 24
1.35×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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