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HCA Healthcare vs Tenet Healthcare: revenue, profit, margins and growth compared

HCA Healthcare brought in $75.6B of revenue in fiscal 2025, Tenet Healthcare $21.3B in fiscal 2025. Revenue changed by +7.1% at HCA Healthcare and +3.1% at Tenet Healthcare on the year before, so HCA Healthcare grew faster. HCA Healthcare kept 9.0% of its revenue as net profit, Tenet Healthcare 6.6%. Free cash flow was $7.7B at HCA Healthcare and $2.5B at Tenet Healthcare.

Side by side, latest fiscal year

HCATHC
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$75.6B$21.3B
Revenue growth+7.1%+3.1%
Net income$6.8B$1.4B
Net margin9.0%6.6%
Free cash flow$7.7B$2.5B
Free cash flow margin10.2%11.9%
Earnings per share (diluted)$28.33$15.49
Cash$1B$2.9B
Debt$44.3B$13.2B
Price to earnings15.416.8
Market value$94.3B$20.9B
Dividend yield0.66%n/a
Rank by revenue in sector#10 of 523 · Health care#28 of 523 · Health care

Over the years

Revenue
HCA FY2018: $46.7BHCA FY2019: $51.3BHCA FY2020: $51.5BHCA FY2021: $58.8BHCA FY2022: $60.2BHCA FY2023: $65BHCA FY2024: $70.6BHCA FY2025: $75.6BTHC FY2018: $18.3BTHC FY2019: $18.5BTHC FY2020: $17.6BTHC FY2021: $19.5BTHC FY2022: $19.2BTHC FY2023: $20.6BTHC FY2024: $20.7BTHC FY2025: $21.3BFY18FY19FY20FY21FY22FY23FY24FY25
HCA $75.6BTHC $21.3B
Net income
HCA FY2018: $3.8BHCA FY2019: $3.5BHCA FY2020: $3.8BHCA FY2021: $7BHCA FY2022: $5.6BHCA FY2023: $5.2BHCA FY2024: $5.8BHCA FY2025: $6.8BTHC FY2018: $104MTHC FY2019: -$215MTHC FY2020: $399MTHC FY2021: $914MTHC FY2022: $411MTHC FY2023: $611MTHC FY2024: $3.2BTHC FY2025: $1.4BFY18FY19FY20FY21FY22FY23FY24FY25
HCA $6.8BTHC $1.4B
Net margin
HCA FY2018: 8.1%HCA FY2019: 6.8%HCA FY2020: 7.3%HCA FY2021: 11.8%HCA FY2022: 9.4%HCA FY2023: 8.1%HCA FY2024: 8.2%HCA FY2025: 9.0%THC FY2018: 0.6%THC FY2019: -1.2%THC FY2020: 2.3%THC FY2021: 4.7%THC FY2022: 2.1%THC FY2023: 3.0%THC FY2024: 15.5%THC FY2025: 6.6%FY18FY19FY20FY21FY22FY23FY24FY25
HCA 9.0%THC 6.6%
Revenue growth
HCA FY2019: +10.0%HCA FY2020: +0.4%HCA FY2021: +14.0%HCA FY2022: +2.5%HCA FY2023: +7.9%HCA FY2024: +8.7%HCA FY2025: +7.1%THC FY2019: +0.9%THC FY2020: -4.5%THC FY2021: +10.5%THC FY2022: -1.6%THC FY2023: +7.2%THC FY2024: +0.5%THC FY2025: +3.1%FY19FY20FY21FY22FY23FY24FY25
HCA +7.1%THC +3.1%
Free cash flow
HCA FY2018: $3.2BHCA FY2019: $3.4BHCA FY2020: $6.4BHCA FY2021: $5.4BHCA FY2022: $4.1BHCA FY2023: $4.7BHCA FY2024: $5.6BHCA FY2025: $7.7BTHC FY2018: $432MTHC FY2019: $563MTHC FY2020: $2.9BTHC FY2021: $910MTHC FY2022: $321MTHC FY2023: $1.6BTHC FY2024: $1.1BTHC FY2025: $2.5BFY18FY19FY20FY21FY22FY23FY24FY25
HCA $7.7BTHC $2.5B

Fiscal years as each company reports them; the two may end in different months.

Questions about HCA Healthcare and Tenet Healthcare

Which is bigger by revenue, HCA Healthcare or Tenet Healthcare?

HCA Healthcare is bigger by revenue: $75.6B in fiscal 2025, against $21.3B for Tenet Healthcare in fiscal 2025.

Which keeps more of its revenue as profit, HCA Healthcare or Tenet Healthcare?

HCA Healthcare had a net margin of 9.0% in fiscal 2025; Tenet Healthcare had 6.6% in fiscal 2025.

Which grew revenue faster, HCA Healthcare or Tenet Healthcare?

In their latest fiscal years revenue changed by +7.1% at HCA Healthcare and +3.1% at Tenet Healthcare.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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