Compare StocksHCA vs PFE

HCA Healthcare, Inc. (HCA) vs Pfizer Inc. (PFE)

HCA
HCA Healthcare, Inc.
$499.65
VS
PFE
Pfizer Inc.
$27.41

Rewards

HCA
  • HCA Healthcare, Inc. has maintained ROIC above 15% for 4 consecutive years, indicating a durable competitive advantage.
  • HCA Healthcare, Inc. scores 95/100 on the Economic Moat Score (Wide Moat), with roic consistency as the strongest competitive dimension.
  • Free cash flow has grown at a 23.1% CAGR over the past 4 years, demonstrating strong earnings power growth.
PFE
  • Gross margin of 75.8% indicates strong pricing power — typical of businesses with significant intellectual property or brand strength.
  • Dividend yield of 6.28% with a consistent or growing payout over the past 4 years.
  • FCF yield of 8.6% is historically attractive — the business generates significant cash relative to its price.

Risks

HCA
  • FCF yield of 6.9% suggests reasonable valuation assuming continued moderate growth.
  • Trailing P/E of 17.6x is 29% above the historical average of 13.6x — the stock trades at a premium to its own history.
  • 5 insider sales totaling $29.3M with no purchases in the past 3 months — insiders are reducing their exposure.
PFE
  • ROIC has declined by 13.9 percentage points over the observed period, which may signal competitive erosion.
  • Free cash flow has declined at a 29.6% CAGR over the past 4 years — a concerning trend.

Key Valuation Metrics

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HCA
PFE
Valuation
$7.69B
Free Cash Flow
$13.43B
6.88%
FCF Yield
8.61%
17.64
Trailing P/E
20.15
15.02
Forward P/E
9.69
Quality & Moat
19.98%
ROIC
7.67%
N/A
ROE
8.96%
41.50%
Gross Margin
75.81%
0.40
PEG Ratio
N/A
Balance Sheet Safety
N/A
Debt / Equity
0.78
N/A
Interest Coverage
N/A
3.07
Net Debt / EBITDA
2.10
0.62%
Dividend Yield
6.28%
HCA: 2Ties: 1PFE: 6
HCAPFE

Historical Fundamentals

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HCA

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation.

PFE

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation.

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation.

$1 Retained Earnings Test

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HCA
$2.43
created per $1 retained over 3 years
Exceptional Value Creator
Σ Retained
$15.76B
Δ Market Cap
+$38.30B
Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer
PFE
N/A
Net losses over 3 years — test not applicable
Company had negative cumulative retained earnings
Σ Retained
$-10.61B
Δ Market Cap
$-146.18B
Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Discounted Cash Flow (DCF) Analysis

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HCA
3.7% Margin of Safety
Price is 3.7% below estimated fair value
Current Price: $499.65
Fair Value: $519.03
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued
PFE
140.2% Overvalued
Price is 140.2% above estimated fair value
Current Price: $27.41
Fair Value: $11.41
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued

Reverse DCF — Market-Implied Growth

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HCA

What growth rate is the market pricing in at $500?

+9.9%
Market-Implied Owner Earnings Growth
Standard FCF implies +8.2%

The market implies +9.9% Owner Earnings growth, above historical trends.

Standard FCF implies a demanding +8.2%, reflecting heavy growth investment.

PFE

What growth rate is the market pricing in at $27?

+11.8%
Market-Implied Owner Earnings Growth
Standard FCF implies +4.3%

The market implies +11.8% Owner Earnings growth, above historical trends.

Standard FCF implies a demanding +4.3%, reflecting heavy growth investment.

Economic Moat Score

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HCA
95/100
Wide Moat
70+ Wide · 40-69 Narrow · <40 None

Wide moat with strength across all dimensions. ROIC Consistency is the standout factor.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 5 years of fundamental data.
PFE
35/100
No Moat
70+ Wide · 40-69 Narrow · <40 None

No durable moat detected, though reinvestment efficiency shows some competitive positioning. The business lacks consistent evidence of sustainable advantages.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 5 years of fundamental data.

Forensic Accounting

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HCA
-2.78
Unlikely Manipulator
Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

M-Score Trend

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.
PFE
-2.53
Unlikely Manipulator
Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

M-Score Trend

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Ownership Breakdown

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HCA
Insiders 16.2%Institutions 78.4%Retail & Other 5.4%
No. of Institutional Holders1,906
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.
PFE
Insiders 0.1%Institutions 67.7%Retail & Other 32.2%
No. of Institutional Holders3,693
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.

High insider ownership aligns management incentives with shareholders. Institutional concentration can indicate smart-money conviction but also crowding risk.

Insider Buying Activity

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HCA
0
Buys (3M)
0
Buys (12M)
No open market insider purchases found.
Open market purchases · includes direct & indirect ownership · excludes option exercises
PFE
0
Buys (3M)
0
Buys (12M)
BLAYLOCK RONALD E
Director
$499,072
@ $25.65 · 2025-02-13
GOTTLIEB SCOTT
Director
$28,240
@ $28.24 · 2024-10-30
Open market purchases · includes direct & indirect ownership · excludes option exercises

Open market purchases · includes direct & indirect ownership · excludes option exercises.

Insider Selling Activity

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HCA
5
Sells (3M)
8
Sells (12M)
Total value (12M): $38.53M
MCALEVEY MICHAEL R.
Officer
$903,537
@ $533.37 · 2026-02-18
BERRES JENNIFER
Officer
$4.13M
@ $514.58 · 2026-02-11
WYATT CHRISTOPHER F
Officer
$2.02M
@ $505.00 · 2026-02-11
HAZEN SAMUEL N
Chief Executive Officer
$21.48M
@ $501.04 · 2026-02-03
CUFFE MICHAEL S
Officer
$747,135
@ $498.09 · 2026-02-03
MCALEVEY MICHAEL R.
Officer
$1.84M
@ $473.79 · 2025-11-05
CUFFE MICHAEL S
Officer
$1.61M
@ $418.84 · 2025-09-08
FOSTER JON MARK
Officer
$5.80M
@ $369.32 · 2025-05-13
BERRES JENNIFER
Officer
$3.08M
@ $322.59 · 2025-02-14
BILLINGTON PHILLIP G
Officer
$1.36M
@ $350.00 · 2024-11-14
WHALEN KATHLEEN M
Officer
$527,677
@ $357.99 · 2024-11-14
AKDAMAR EROL R
Officer
$1.02M
@ $353.00 · 2024-11-14
CUFFE MICHAEL S
Officer
$3.22M
@ $385.42 · 2024-09-12
WHALEN KATHLEEN M
Officer
$1.76M
@ $362.13 · 2024-07-31
REINER DEBORAH M
Officer
$1.19M
@ $359.96 · 2024-07-29
WYATT CHRISTOPHER F
Officer
$1.44M
@ $360.20 · 2024-07-29
TORRES KATHRYN A
Officer
$659,328
@ $355.05 · 2024-07-25
WHALEN KATHLEEN M
Officer
$1.05M
@ $326.30 · 2024-05-16
TORRES KATHRYN A
Officer
$607,673
@ $326.18 · 2024-05-15
COHEN JEFFREY E.
Officer
$516,450
@ $313.00 · 2024-05-09
CUFFE MICHAEL S
Officer
$2.00M
@ $316.88 · 2024-05-09
CUFFE MICHAEL S
Officer
$494,400
@ $309.00 · 2024-05-06
TORRES KATHRYN A
Officer
$581,256
@ $312.00 · 2024-05-03
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives
PFE
0
Sells (3M)
0
Sells (12M)
DAMICO JENNIFER B.
Officer
$64,825
@ $25.93 · 2025-03-04
DAMICO JENNIFER B.
Officer
$147,714
@ $28.66 · 2024-08-13
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives

Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives.

🎭 Mr. Market's Mood

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HCA
FearGreed
😐Neutral(53/100)

"Market is pricing this stock without strong emotion in either direction"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.
PFE
FearGreed
😏Greed(64/100)

"Market is optimistic — be cautious and ensure you have a margin of safety"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

Composite sentiment score based on market signals. Inspired by Buffett’s "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

⚖️ Buffett Signal

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HCA
Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Neutral (53)
PFE
Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Greed (64)
View HCA Full AnalysisView PFE Full Analysis
HCA Healthcare, Inc. (HCA) vs Pfizer Inc. (PFE) Stock Comparison | SafetyMargin.io