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Side-by-side financial comparison of Universal Health Services (UHS) and Vistra Corp. (VST). Click either name above to swap in a different company.
Vistra Corp. is the larger business by last-quarter revenue ($4.8B vs $4.5B, roughly 1.1× Universal Health Services). Universal Health Services runs the higher net margin — 8.0% vs 4.8%, a 3.1% gap on every dollar of revenue. On growth, Vistra Corp. posted the faster year-over-year revenue change (31.2% vs 8.2%). Over the past eight quarters, Vistra Corp.'s revenue compounded faster (23.3% CAGR vs 7.3%).
Universal Health Services, Inc. (UHS) is an American Fortune 500 company that provides hospital and healthcare services, based in King of Prussia, Pennsylvania. In 2024, UHS reported total revenues of $15.8 billion.
Vistra may refer to either of two companies:Vistra, a corporate services company based in Hong Kong Vistra Corp, an energy company based in Texas
UHS vs VST — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $4.5B | $4.8B |
| Net Profit | $358.7M | $233.0M |
| Gross Margin | — | — |
| Operating Margin | 11.2% | 9.9% |
| Net Margin | 8.0% | 4.8% |
| Revenue YoY | 8.2% | 31.2% |
| Net Profit YoY | 11.5% | -47.2% |
| EPS (diluted) | $5.65 | $0.55 |
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 | $4.5B | — | ||
| Q4 25 | $4.5B | $4.8B | ||
| Q3 25 | $4.5B | $4.8B | ||
| Q2 25 | $4.3B | $3.8B | ||
| Q1 25 | $4.1B | $4.3B | ||
| Q4 24 | $4.1B | $3.7B | ||
| Q3 24 | $4.0B | $4.3B | ||
| Q2 24 | $3.9B | $3.6B |
| Q1 26 | $358.7M | — | ||
| Q4 25 | $445.9M | $233.0M | ||
| Q3 25 | $373.0M | $652.0M | ||
| Q2 25 | $353.2M | $327.0M | ||
| Q1 25 | $316.7M | $-268.0M | ||
| Q4 24 | $332.4M | $441.0M | ||
| Q3 24 | $258.7M | $1.9B | ||
| Q2 24 | $289.2M | $365.0M |
| Q1 26 | 11.2% | — | ||
| Q4 25 | 11.5% | 9.9% | ||
| Q3 25 | 11.6% | 21.7% | ||
| Q2 25 | 11.7% | 13.7% | ||
| Q1 25 | 11.1% | -2.8% | ||
| Q4 24 | 11.5% | 16.4% | ||
| Q3 24 | 9.7% | 59.6% | ||
| Q2 24 | 11.2% | 22.5% |
| Q1 26 | 8.0% | — | ||
| Q4 25 | 9.9% | 4.8% | ||
| Q3 25 | 8.3% | 13.6% | ||
| Q2 25 | 8.2% | 8.7% | ||
| Q1 25 | 7.7% | -6.3% | ||
| Q4 24 | 8.1% | 12.0% | ||
| Q3 24 | 6.5% | 43.5% | ||
| Q2 24 | 7.4% | 10.1% |
| Q1 26 | $5.65 | — | ||
| Q4 25 | $7.01 | $0.55 | ||
| Q3 25 | $5.86 | $1.75 | ||
| Q2 25 | $5.43 | $0.81 | ||
| Q1 25 | $4.80 | $-0.93 | ||
| Q4 24 | $4.94 | $1.09 | ||
| Q3 24 | $3.80 | $5.25 | ||
| Q2 24 | $4.26 | $0.90 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $119.0M | $785.0M |
| Total DebtLower is stronger | $4.7B | $15.8B |
| Stockholders' EquityBook value | $7.5B | $5.1B |
| Total Assets | $15.7B | $41.5B |
| Debt / EquityLower = less leverage | 0.63× | 3.11× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $119.0M | — | ||
| Q4 25 | $137.8M | $785.0M | ||
| Q3 25 | $112.9M | $602.0M | ||
| Q2 25 | $137.6M | $458.0M | ||
| Q1 25 | $126.8M | $561.0M | ||
| Q4 24 | $126.0M | $1.2B | ||
| Q3 24 | $106.1M | $905.0M | ||
| Q2 24 | $128.8M | $1.6B |
| Q1 26 | $4.7B | — | ||
| Q4 25 | $4.8B | $15.8B | ||
| Q3 25 | $4.7B | $15.8B | ||
| Q2 25 | $4.6B | $15.5B | ||
| Q1 25 | $4.6B | $15.4B | ||
| Q4 24 | $4.5B | $15.4B | ||
| Q3 24 | $4.7B | $13.9B | ||
| Q2 24 | $4.5B | $13.9B |
| Q1 26 | $7.5B | — | ||
| Q4 25 | $7.3B | $5.1B | ||
| Q3 25 | $7.2B | $5.2B | ||
| Q2 25 | $7.0B | $4.8B | ||
| Q1 25 | $6.8B | $4.8B | ||
| Q4 24 | $6.7B | $5.6B | ||
| Q3 24 | $6.6B | $5.4B | ||
| Q2 24 | $6.5B | $5.6B |
| Q1 26 | $15.7B | — | ||
| Q4 25 | $15.5B | $41.5B | ||
| Q3 25 | $15.3B | $38.0B | ||
| Q2 25 | $15.0B | $38.1B | ||
| Q1 25 | $14.9B | $38.2B | ||
| Q4 24 | $14.5B | $37.8B | ||
| Q3 24 | $14.4B | $37.9B | ||
| Q2 24 | $14.1B | $39.1B |
| Q1 26 | 0.63× | — | ||
| Q4 25 | 0.65× | 3.11× | ||
| Q3 25 | 0.66× | 3.02× | ||
| Q2 25 | 0.65× | 3.22× | ||
| Q1 25 | 0.68× | 3.20× | ||
| Q4 24 | 0.68× | 2.77× | ||
| Q3 24 | 0.71× | 2.56× | ||
| Q2 24 | 0.69× | 2.49× |
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 | $401.6M | $1.4B |
| Free Cash FlowOCF − Capex | — | $596.0M |
| FCF MarginFCF / Revenue | — | 12.4% |
| Capex IntensityCapex / Revenue | 4.8% | 17.4% |
| Cash ConversionOCF / Net Profit | 1.12× | 6.15× |
| TTM Free Cash FlowTrailing 4 quarters | — | $1.3B |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $401.6M | — | ||
| Q4 25 | $574.7M | $1.4B | ||
| Q3 25 | $380.7M | $1.5B | ||
| Q2 25 | $549.0M | $572.0M | ||
| Q1 25 | $360.0M | $599.0M | ||
| Q4 24 | $658.4M | $1.4B | ||
| Q3 24 | $333.0M | $1.7B | ||
| Q2 24 | $679.3M | $1.2B |
| Q1 26 | — | — | ||
| Q4 25 | $293.5M | $596.0M | ||
| Q3 25 | $151.8M | $1.0B | ||
| Q2 25 | $283.0M | $-118.0M | ||
| Q1 25 | $121.0M | $-169.0M | ||
| Q4 24 | $412.5M | $923.0M | ||
| Q3 24 | $85.0M | $1.0B | ||
| Q2 24 | $437.9M | $698.0M |
| Q1 26 | — | — | ||
| Q4 25 | 6.5% | 12.4% | ||
| Q3 25 | 3.4% | 21.1% | ||
| Q2 25 | 6.6% | -3.1% | ||
| Q1 25 | 3.0% | -4.0% | ||
| Q4 24 | 10.0% | 25.2% | ||
| Q3 24 | 2.1% | 23.4% | ||
| Q2 24 | 11.2% | 19.4% |
| Q1 26 | 4.8% | — | ||
| Q4 25 | 6.3% | 17.4% | ||
| Q3 25 | 5.1% | 9.6% | ||
| Q2 25 | 6.2% | 18.4% | ||
| Q1 25 | 5.8% | 18.1% | ||
| Q4 24 | 6.0% | 11.7% | ||
| Q3 24 | 6.3% | 15.8% | ||
| Q2 24 | 6.2% | 13.8% |
| Q1 26 | 1.12× | — | ||
| Q4 25 | 1.29× | 6.15× | ||
| Q3 25 | 1.02× | 2.25× | ||
| Q2 25 | 1.55× | 1.75× | ||
| Q1 25 | 1.14× | — | ||
| Q4 24 | 1.98× | 3.07× | ||
| Q3 24 | 1.29× | 0.90× | ||
| Q2 24 | 2.35× | 3.28× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
UHS
Segment breakdown not available.
VST
| Retail Energy Charge In ERCOT | $2.1B | 43% |
| Retail Energy Charge In Northeast Midwest | $1.2B | 24% |
| East Segment | $1.1B | 24% |
| Hedging Revenue Realized | $170.0M | 4% |
| Revenue From Other Wholesale Contracts | $116.0M | 2% |
| Transferable Production Tax Credit Revenues | $78.0M | 2% |
| West Segment | $77.0M | 2% |
| Intersegment Sales | $25.0M | 1% |
