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

HCA Healthcare is the larger business by last-quarter revenue ($19.1B vs $15.9B, roughly 1.2× IBM). HCA Healthcare runs the higher net margin — 9.7% vs 7.6%, a 2.1% gap on every dollar of revenue. On growth, IBM posted the faster year-over-year revenue change (9.5% vs 4.3%). Over the past eight quarters, HCA Healthcare's revenue compounded faster (4.5% CAGR vs 0.5%).

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.

International Business Machines Corporation, doing business as IBM, is an American multinational technology company headquartered in Armonk, New York, and present in over 175 countries. It is a publicly traded company and one of the 30 companies in the Dow Jones Industrial Average. IBM is the largest industrial research organization in the world, with 19 research facilities across a dozen countries; for 29 consecutive years, from 1993 to 2021, it held the record for most annual U.S.

HCA vs IBM — Head-to-Head

Bigger by revenue
HCA
HCA
1.2× larger
HCA
$19.1B
$15.9B
IBM
Growing faster (revenue YoY)
IBM
IBM
+5.2% gap
IBM
9.5%
4.3%
HCA
Higher net margin
HCA
HCA
2.1% more per $
HCA
9.7%
7.6%
IBM
Faster 2-yr revenue CAGR
HCA
HCA
Annualised
HCA
4.5%
0.5%
IBM

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
HCA
HCA
IBM
IBM
Revenue
$19.1B
$15.9B
Net Profit
$1.9B
$1.2B
Gross Margin
56.2%
Operating Margin
Net Margin
9.7%
7.6%
Revenue YoY
4.3%
9.5%
Net Profit YoY
1.8%
15.3%
EPS (diluted)
$7.15
$1.28

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
IBM
IBM
Q1 26
$19.1B
$15.9B
Q4 25
$19.5B
$19.7B
Q3 25
$19.2B
$16.3B
Q2 25
$18.6B
$17.0B
Q1 25
$18.3B
$14.5B
Q4 24
$18.3B
$17.6B
Q3 24
$17.5B
$15.0B
Q2 24
$17.5B
$15.8B
Net Profit
HCA
HCA
IBM
IBM
Q1 26
$1.9B
$1.2B
Q4 25
$1.9B
$5.6B
Q3 25
$1.6B
$1.7B
Q2 25
$1.7B
$2.2B
Q1 25
$1.6B
$1.1B
Q4 24
$1.4B
$2.9B
Q3 24
$1.3B
$-330.0M
Q2 24
$1.5B
$1.8B
Gross Margin
HCA
HCA
IBM
IBM
Q1 26
56.2%
Q4 25
60.6%
Q3 25
57.3%
Q2 25
58.8%
Q1 25
55.2%
Q4 24
59.5%
Q3 24
56.3%
Q2 24
56.8%
Operating Margin
HCA
HCA
IBM
IBM
Q1 26
Q4 25
13.7%
21.0%
Q3 25
12.6%
14.9%
Q2 25
13.0%
15.3%
Q1 25
12.7%
8.0%
Q4 24
11.7%
18.8%
Q3 24
10.9%
-5.4%
Q2 24
12.8%
14.1%
Net Margin
HCA
HCA
IBM
IBM
Q1 26
9.7%
7.6%
Q4 25
9.6%
28.4%
Q3 25
8.6%
10.7%
Q2 25
8.9%
12.9%
Q1 25
8.8%
7.3%
Q4 24
7.9%
16.6%
Q3 24
7.3%
-2.2%
Q2 24
8.4%
11.6%
EPS (diluted)
HCA
HCA
IBM
IBM
Q1 26
$7.15
$1.28
Q4 25
$8.09
$5.90
Q3 25
$6.96
$1.84
Q2 25
$6.83
$2.31
Q1 25
$6.45
$1.12
Q4 24
$5.66
$3.11
Q3 24
$4.88
$-0.36
Q2 24
$5.53
$1.96

Balance Sheet & Financial Strength

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

Metric
HCA
HCA
IBM
IBM
Cash + ST InvestmentsLiquidity on hand
$940.0M
$10.8B
Total DebtLower is stronger
$66.4B
Stockholders' EquityBook value
$33.1B
Total Assets
$19.3B
$156.2B
Debt / EquityLower = less leverage
2.01×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HCA
HCA
IBM
IBM
Q1 26
$940.0M
$10.8B
Q4 25
$1.0B
$13.6B
Q3 25
$997.0M
$11.6B
Q2 25
$939.0M
$11.9B
Q1 25
$1.1B
$11.0B
Q4 24
$1.9B
$13.9B
Q3 24
$2.9B
$13.2B
Q2 24
$831.0M
$12.2B
Total Debt
HCA
HCA
IBM
IBM
Q1 26
$66.4B
Q4 25
$44.3B
$54.8B
Q3 25
$42.6B
$55.2B
Q2 25
$42.7B
$55.2B
Q1 25
$44.6B
$56.4B
Q4 24
$43.0B
$49.9B
Q3 24
$43.0B
$53.0B
Q2 24
$40.9B
$52.9B
Stockholders' Equity
HCA
HCA
IBM
IBM
Q1 26
$33.1B
Q4 25
$-6.0B
$32.6B
Q3 25
$-5.3B
$27.9B
Q2 25
$-4.4B
$27.5B
Q1 25
$-3.5B
$26.9B
Q4 24
$-2.5B
$27.3B
Q3 24
$-2.2B
$24.4B
Q2 24
$-1.6B
$24.0B
Total Assets
HCA
HCA
IBM
IBM
Q1 26
$19.3B
$156.2B
Q4 25
$60.7B
$151.9B
Q3 25
$59.7B
$146.3B
Q2 25
$59.5B
$148.6B
Q1 25
$59.8B
$145.7B
Q4 24
$59.5B
$137.2B
Q3 24
$59.5B
$134.3B
Q2 24
$57.4B
$133.8B
Debt / Equity
HCA
HCA
IBM
IBM
Q1 26
2.01×
Q4 25
1.68×
Q3 25
1.98×
Q2 25
2.01×
Q1 25
2.10×
Q4 24
1.83×
Q3 24
2.17×
Q2 24
2.20×

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
IBM
IBM
Operating Cash FlowLast quarter
$2.0B
$5.2B
Free Cash FlowOCF − Capex
$2.2B
FCF MarginFCF / Revenue
13.9%
Capex IntensityCapex / Revenue
2.4%
Cash ConversionOCF / Net Profit
1.08×
4.25×
TTM Free Cash FlowTrailing 4 quarters
$10.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HCA
HCA
IBM
IBM
Q1 26
$2.0B
$5.2B
Q4 25
$2.4B
$4.0B
Q3 25
$4.4B
$3.1B
Q2 25
$4.2B
$1.7B
Q1 25
$1.7B
$4.4B
Q4 24
$2.6B
$4.3B
Q3 24
$3.5B
$2.9B
Q2 24
$2.0B
$2.1B
Free Cash Flow
HCA
HCA
IBM
IBM
Q1 26
$2.2B
Q4 25
$870.0M
$3.7B
Q3 25
$3.1B
$2.8B
Q2 25
$3.0B
$1.5B
Q1 25
$660.0M
$4.1B
Q4 24
$1.3B
$4.0B
Q3 24
$2.3B
$2.6B
Q2 24
$690.0M
$1.8B
FCF Margin
HCA
HCA
IBM
IBM
Q1 26
13.9%
Q4 25
4.5%
18.6%
Q3 25
16.3%
17.3%
Q2 25
16.3%
8.8%
Q1 25
3.6%
28.4%
Q4 24
7.0%
22.9%
Q3 24
13.3%
17.3%
Q2 24
3.9%
11.7%
Capex Intensity
HCA
HCA
IBM
IBM
Q1 26
2.4%
Q4 25
7.6%
1.9%
Q3 25
6.7%
1.6%
Q2 25
6.3%
1.2%
Q1 25
5.4%
1.7%
Q4 24
7.0%
1.7%
Q3 24
6.8%
1.9%
Q2 24
7.3%
1.4%
Cash Conversion
HCA
HCA
IBM
IBM
Q1 26
1.08×
4.25×
Q4 25
1.26×
0.72×
Q3 25
2.69×
1.77×
Q2 25
2.55×
0.78×
Q1 25
1.03×
4.14×
Q4 24
1.78×
1.49×
Q3 24
2.77×
Q2 24
1.35×
1.13×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HCA
HCA

Segment breakdown not available.

IBM
IBM

Software$7.1B44%
Consulting$5.3B33%
Infrastructure$3.3B21%
Financing$220.0M1%

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