HCA vs THC: HCA and Tenet Healthcare compared
The short version
From the latest prices and each company's SEC filings. Who's ahead on each measure, not which to buy.
- HCA is the larger company, worth $94.7B, about 4.3 times Tenet Healthcare.
- Tenet Healthcare grew revenue faster over the last year (+6.8% vs +4.3%).
- Tenet Healthcare keeps more of each dollar of revenue as operating profit (20.8% vs 12.8%).
- On earnings, Tenet Healthcare is the cheaper stock (13.2x vs 14.7x).
- HCA's price assumes faster free cash flow growth: about -1% a year, against -6% for Tenet Healthcare (reverse DCF).
Side by side
The stronger figure is shaded where higher (or, for valuation multiples, lower) reads as better. How the implied growth works.
| Measure | HCA | THC |
|---|---|---|
| Market cap | $94.7B | $21.9B |
| Share price | $451.09 | $259.83 |
| Revenue (last fiscal year) | $75.6B | $21.3B |
| Free cash flow (last fiscal year) | $7.7B | $2.5B |
| Revenue growth, last year | +4.3% | +6.8% |
| Revenue growth per year, last 5 fiscal years | +6.5% | +2.3% |
| Operating margin | 12.8% | 20.8% |
| Net margin | 8.9% | 10.3% |
| Return on equity | — | 48.1% |
| P/E (trailing) | 14.7x | 13.2x |
| Price / free cash flow | 12.3x | 8.65x |
| EV / EBITDA | 9.60x | 5.74x |
| FCF growth the price implies | -1.4% | -6.2% |
| Dividend yield | 0.66% | — |
| Debt / equity | — | 4.72x |
| Fundamental grade | C | B |
| Superinvestors holding it | 12 | 7 |
| Insider purchases, last 12 months | 0 | 2 |
Results from SEC filings
Revenue and free cash flow by fiscal year, from each company's 10-K filings.
HCA
| Year | Revenue | Free cash flow | Op. margin |
|---|---|---|---|
| 2021 | $58.8B | $5.4B | 16.7% |
| 2022 | $60.2B | $4.1B | 14.2% |
| 2023 | $65.0B | $4.7B | 11.9% |
| 2024 | $70.6B | $5.6B | 12.1% |
| 2025 | $75.6B | $7.7B | 13.0% |
Tenet Healthcare
| Year | Revenue | Free cash flow | Op. margin |
|---|---|---|---|
| 2021 | $19.5B | $910M | 14.7% |
| 2022 | $19.2B | $321M | 12.2% |
| 2023 | $20.6B | $1.6B | 12.2% |
| 2024 | $20.7B | $1.1B | 28.8% |
| 2025 | $21.3B | $2.5B | 16.5% |
Where the revenue comes from
HCA · by segments, 2023
American Group$22.3B34%
Atlantic Group$21.2B33%
National Group$18.1B28%
Corporate and Other$3.4B5%
Tenet Healthcare · by segments, 2025
Hospital Operations$16.1B76%
Ambulatory Care$5.2B24%
Compare them in fullFifteen years of statements, quarterly results, DCF and IRR models, and any number of peers side by side.
Open HCA in InvestinglyQuestions
Which is bigger, HCA or Tenet Healthcare?
HCA (HCA), at $94.7B against $21.9B.
Is HCA or THC cheaper?
By trailing P/E, Tenet Healthcare (13.2x) is cheaper than HCA (14.7x). A lower multiple can also mean the market expects less growth.
Which grows faster, HCA or THC?
Tenet Healthcare: revenue grew +6.8% over the last year, against +4.3%.
Prices and ratios as of the last daily update; statements from SEC filings. Information only, not investment advice.