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Side-by-side financial comparison of HCA Healthcare (HCA) and ROYAL BANK OF CANADA (RY). Click either name above to swap in a different company.
HCA Healthcare is the larger business by last-quarter revenue ($19.1B vs $13.1B, roughly 1.5× ROYAL BANK OF CANADA). ROYAL BANK OF CANADA runs the higher net margin — 32.2% vs 9.7%, a 22.5% 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.
The Royal Bank of Canada is a Canadian multinational financial services company and the largest bank in Canada by market capitalization. The bank serves over 18 million clients and has more than 98,000 employees worldwide. Founded in 1864 in Halifax, Nova Scotia, it maintains its corporate headquarters in Toronto and its head office in Montreal. RBC's institution number is 003. In November 2017, RBC was added to the Financial Stability Board's list of global systemically important banks.
HCA vs RY — Head-to-Head
Income Statement — Q1 FY2026 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $19.1B | $13.1B |
| Net Profit | $1.9B | $4.2B |
| Gross Margin | — | — |
| Operating Margin | — | — |
| Net Margin | 9.7% | 32.2% |
| Revenue YoY | 4.3% | — |
| Net Profit YoY | 1.8% | — |
| EPS (diluted) | $7.15 | — |
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 | $19.1B | $13.1B | ||
| Q4 25 | $19.5B | — | ||
| Q3 25 | $19.2B | $12.4B | ||
| Q2 25 | $18.6B | $11.4B | ||
| Q1 25 | $18.3B | — | ||
| Q4 24 | $18.3B | — | ||
| Q3 24 | $17.5B | — | ||
| Q2 24 | $17.5B | — |
| Q1 26 | $1.9B | $4.2B | ||
| Q4 25 | $1.9B | — | ||
| Q3 25 | $1.6B | $4.0B | ||
| Q2 25 | $1.7B | $3.2B | ||
| Q1 25 | $1.6B | — | ||
| Q4 24 | $1.4B | — | ||
| Q3 24 | $1.3B | — | ||
| Q2 24 | $1.5B | — |
| Q1 26 | — | — | ||
| Q4 25 | 13.7% | — | ||
| Q3 25 | 12.6% | — | ||
| Q2 25 | 13.0% | — | ||
| Q1 25 | 12.7% | — | ||
| Q4 24 | 11.7% | — | ||
| Q3 24 | 10.9% | — | ||
| Q2 24 | 12.8% | — |
| Q1 26 | 9.7% | 32.2% | ||
| Q4 25 | 9.6% | — | ||
| Q3 25 | 8.6% | 31.9% | ||
| Q2 25 | 8.9% | 28.0% | ||
| Q1 25 | 8.8% | — | ||
| Q4 24 | 7.9% | — | ||
| Q3 24 | 7.3% | — | ||
| Q2 24 | 8.4% | — |
| Q1 26 | $7.15 | — | ||
| Q4 25 | $8.09 | — | ||
| Q3 25 | $6.96 | — | ||
| Q2 25 | $6.83 | — | ||
| Q1 25 | $6.45 | — | ||
| 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 | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $940.0M | $33.7B |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | — | $102.1B |
| Total Assets | $19.3B | $1709.9B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $940.0M | $33.7B | ||
| Q4 25 | $1.0B | — | ||
| Q3 25 | $997.0M | $25.5B | ||
| Q2 25 | $939.0M | $35.5B | ||
| Q1 25 | $1.1B | — | ||
| Q4 24 | $1.9B | — | ||
| Q3 24 | $2.9B | — | ||
| Q2 24 | $831.0M | — |
| 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 | — |
| Q1 26 | — | $102.1B | ||
| Q4 25 | $-6.0B | — | ||
| Q3 25 | $-5.3B | $99.0B | ||
| Q2 25 | $-4.4B | $96.7B | ||
| Q1 25 | $-3.5B | — | ||
| Q4 24 | $-2.5B | — | ||
| Q3 24 | $-2.2B | — | ||
| Q2 24 | $-1.6B | — |
| Q1 26 | $19.3B | $1709.9B | ||
| Q4 25 | $60.7B | — | ||
| Q3 25 | $59.7B | $1626.4B | ||
| Q2 25 | $59.5B | $1636.8B | ||
| Q1 25 | $59.8B | — | ||
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $2.0B | $27.7B |
| Free Cash FlowOCF − Capex | — | — |
| FCF MarginFCF / Revenue | — | — |
| Capex IntensityCapex / Revenue | — | — |
| Cash ConversionOCF / Net Profit | 1.08× | 6.55× |
| TTM Free Cash FlowTrailing 4 quarters | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $2.0B | $27.7B | ||
| Q4 25 | $2.4B | — | ||
| Q3 25 | $4.4B | $21.2B | ||
| Q2 25 | $4.2B | $7.2B | ||
| Q1 25 | $1.7B | — | ||
| Q4 24 | $2.6B | — | ||
| Q3 24 | $3.5B | — | ||
| Q2 24 | $2.0B | — |
| 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 | — |
| 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% | — |
| 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% | — |
| Q1 26 | 1.08× | 6.55× | ||
| Q4 25 | 1.26× | — | ||
| Q3 25 | 2.69× | 5.36× | ||
| Q2 25 | 2.55× | 2.24× | ||
| Q1 25 | 1.03× | — | ||
| 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.
