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

Lilly (Eli) is the larger business by last-quarter revenue ($19.3B vs $19.1B, roughly 1.0× HCA Healthcare). Lilly (Eli) runs the higher net margin — 34.4% vs 9.7%, a 24.7% gap on every dollar of revenue. On growth, Lilly (Eli) posted the faster year-over-year revenue change (42.6% vs 4.3%). Over the past eight quarters, Lilly (Eli)'s revenue compounded faster (48.3% CAGR vs 4.5%).

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.

Eli Lilly and Company, doing business as Lilly, is an American multinational pharmaceutical company headquartered in Indianapolis, Indiana, with offices in 18 countries. Its products are sold in approximately 125 countries. The company was founded in 1876 by Eli Lilly, a pharmaceutical chemist and Union army veteran during the American Civil War for whom the company was later named.

HCA vs LLY — Head-to-Head

Bigger by revenue
LLY
LLY
1.0× larger
LLY
$19.3B
$19.1B
HCA
Growing faster (revenue YoY)
LLY
LLY
+38.3% gap
LLY
42.6%
4.3%
HCA
Higher net margin
LLY
LLY
24.7% more per $
LLY
34.4%
9.7%
HCA
Faster 2-yr revenue CAGR
LLY
LLY
Annualised
LLY
48.3%
4.5%
HCA

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
HCA
HCA
LLY
LLY
Revenue
$19.1B
$19.3B
Net Profit
$1.9B
$6.6B
Gross Margin
82.5%
Operating Margin
42.8%
Net Margin
9.7%
34.4%
Revenue YoY
4.3%
42.6%
Net Profit YoY
1.8%
50.5%
EPS (diluted)
$7.15
$7.39

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
LLY
LLY
Q1 26
$19.1B
Q4 25
$19.5B
$19.3B
Q3 25
$19.2B
$17.6B
Q2 25
$18.6B
$15.6B
Q1 25
$18.3B
$12.7B
Q4 24
$18.3B
$13.5B
Q3 24
$17.5B
$11.4B
Q2 24
$17.5B
$11.3B
Net Profit
HCA
HCA
LLY
LLY
Q1 26
$1.9B
Q4 25
$1.9B
$6.6B
Q3 25
$1.6B
$5.6B
Q2 25
$1.7B
$5.7B
Q1 25
$1.6B
$2.8B
Q4 24
$1.4B
$4.4B
Q3 24
$1.3B
$970.3M
Q2 24
$1.5B
$3.0B
Gross Margin
HCA
HCA
LLY
LLY
Q1 26
Q4 25
82.5%
Q3 25
82.9%
Q2 25
84.3%
Q1 25
82.5%
Q4 24
82.2%
Q3 24
81.0%
Q2 24
80.8%
Operating Margin
HCA
HCA
LLY
LLY
Q1 26
Q4 25
13.7%
42.8%
Q3 25
12.6%
41.1%
Q2 25
13.0%
43.6%
Q1 25
12.7%
27.2%
Q4 24
11.7%
37.2%
Q3 24
10.9%
13.9%
Q2 24
12.8%
31.1%
Net Margin
HCA
HCA
LLY
LLY
Q1 26
9.7%
Q4 25
9.6%
34.4%
Q3 25
8.6%
31.7%
Q2 25
8.9%
36.4%
Q1 25
8.8%
21.7%
Q4 24
7.9%
32.6%
Q3 24
7.3%
8.5%
Q2 24
8.4%
26.3%
EPS (diluted)
HCA
HCA
LLY
LLY
Q1 26
$7.15
Q4 25
$8.09
$7.39
Q3 25
$6.96
$6.21
Q2 25
$6.83
$6.29
Q1 25
$6.45
$3.06
Q4 24
$5.66
$4.88
Q3 24
$4.88
$1.07
Q2 24
$5.53
$3.28

Balance Sheet & Financial Strength

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

Metric
HCA
HCA
LLY
LLY
Cash + ST InvestmentsLiquidity on hand
$940.0M
$7.3B
Total DebtLower is stronger
Stockholders' EquityBook value
$26.5B
Total Assets
$19.3B
$112.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HCA
HCA
LLY
LLY
Q1 26
$940.0M
Q4 25
$1.0B
$7.3B
Q3 25
$997.0M
$9.9B
Q2 25
$939.0M
$3.5B
Q1 25
$1.1B
$3.2B
Q4 24
$1.9B
$3.4B
Q3 24
$2.9B
$3.5B
Q2 24
$831.0M
$3.4B
Total Debt
HCA
HCA
LLY
LLY
Q1 26
Q4 25
$44.3B
Q3 25
$42.6B
Q2 25
$42.7B
Q1 25
$44.6B
Q4 24
$43.0B
$29.5B
Q3 24
$43.0B
Q2 24
$40.9B
Stockholders' Equity
HCA
HCA
LLY
LLY
Q1 26
Q4 25
$-6.0B
$26.5B
Q3 25
$-5.3B
$23.8B
Q2 25
$-4.4B
$18.3B
Q1 25
$-3.5B
$15.8B
Q4 24
$-2.5B
$14.2B
Q3 24
$-2.2B
$14.2B
Q2 24
$-1.6B
$13.6B
Total Assets
HCA
HCA
LLY
LLY
Q1 26
$19.3B
Q4 25
$60.7B
$112.5B
Q3 25
$59.7B
$114.9B
Q2 25
$59.5B
$100.9B
Q1 25
$59.8B
$89.4B
Q4 24
$59.5B
$78.7B
Q3 24
$59.5B
$75.6B
Q2 24
$57.4B
$71.9B
Debt / Equity
HCA
HCA
LLY
LLY
Q1 26
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
2.08×
Q3 24
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
HCA
HCA
LLY
LLY
Operating Cash FlowLast quarter
$2.0B
$3.2B
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
1.08×
0.49×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HCA
HCA
LLY
LLY
Q1 26
$2.0B
Q4 25
$2.4B
$3.2B
Q3 25
$4.4B
$8.8B
Q2 25
$4.2B
$3.1B
Q1 25
$1.7B
$1.7B
Q4 24
$2.6B
$2.5B
Q3 24
$3.5B
$3.7B
Q2 24
$2.0B
$1.5B
Free Cash Flow
HCA
HCA
LLY
LLY
Q1 26
Q4 25
$870.0M
Q3 25
$3.1B
Q2 25
$3.0B
Q1 25
$660.0M
Q4 24
$1.3B
Q3 24
$2.3B
Q2 24
$690.0M
FCF Margin
HCA
HCA
LLY
LLY
Q1 26
Q4 25
4.5%
Q3 25
16.3%
Q2 25
16.3%
Q1 25
3.6%
Q4 24
7.0%
Q3 24
13.3%
Q2 24
3.9%
Capex Intensity
HCA
HCA
LLY
LLY
Q1 26
Q4 25
7.6%
Q3 25
6.7%
Q2 25
6.3%
Q1 25
5.4%
Q4 24
7.0%
Q3 24
6.8%
Q2 24
7.3%
Cash Conversion
HCA
HCA
LLY
LLY
Q1 26
1.08×
Q4 25
1.26×
0.49×
Q3 25
2.69×
1.58×
Q2 25
2.55×
0.55×
Q1 25
1.03×
0.60×
Q4 24
1.78×
0.56×
Q3 24
2.77×
3.83×
Q2 24
1.35×
0.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HCA
HCA

Segment breakdown not available.

LLY
LLY

Other$5.4B28%
Zepbound$4.2B22%
Mounjaro$4.1B21%
Verzenio$997.1M5%
Collaborationand Other Revenue$991.7M5%
Taltz$724.3M4%
Trulicity$692.8M4%
Other Cardiometabolic Health$524.5M3%
Other Oncology$514.8M3%
Jardiance$465.8M2%
Neuroscience$320.2M2%
Other Immunology$187.3M1%
Other Product Total$77.0M0%

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