ACHC vs CYH vs THC Stock Comparison

Acadia Healthcare Company, Community Health Systems and Tenet Healthcare Prices as of Oct 26, 2026 Peers: Industry group
THC Tenet Healthcare Corp
$268.86 +3.5% 1M +27.8% 1Y
Market cap
$21.96B
P/E
9.8x
Revenue (TTM)
$21.81B
Div. yield
–
Hospitals Healthcare
8 wins

Head to Head

11 decided of 12

Tenet Healthcare leads on 8 of the 12 questions below (Tenet Healthcare 8, Acadia Healthcare Company 2, Community Health Systems 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionACHCCYHTHCLeader
Larger companyMarket capitalisation $2.70B $383.45M $21.96B THC
Cheaper on earningsLower P/E, profitable companies only -2.4x 1.3x 9.8x CYH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.0x — 12.2x THC
Faster revenue growthRevenue growth, trailing twelve months +4.3% -5.3% +5.4% THC
More profitableNet margin, trailing twelve months -33.4% 2.4% 10.3% THC
Better return on capitalReturn on invested capital -24.7% 14.1% 18.8% THC
Less leveragedLower net debt / EBITDA -2.5x 5.2x 2.0x ACHC
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +34.0% -28.3% +27.8% ACHC
Better 5-year returnAnnualised price return, 5 years -11.0%/yr -21.9%/yr +30.8%/yr THC
Less volatileAnnualised volatility, 1 year 64.3% 50.3% 42.2% THC
Higher overall scoreMean of the five percentile scores vs peers 26/100 52/100 77/100 THC

Percentile Scorecard

ACHCCYHTHC

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisACHCCYHTHC
Valuation 45 #52 of 93 88 #12 of 93 94 #7 of 93
Growth 6 #83 of 88 32 #60 of 88 74 #24 of 88
Profitability 17 #72 of 87 70 #27 of 87 97 #4 of 87
Financial Health 34 #66 of 100 19 #81 of 100 37 #63 of 100
Shareholder Returns – – 86 #9 of 56
Overall 26 52 77
  • ACHC ranked among 103 companies in Healthcare Providers
  • CYH ranked among 103 companies in Healthcare Providers
  • THC ranked among 103 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodACHCCYHTHCSPY
1 month +11.6%+0.3%+3.5% -0.8%
3 months -3.6%+8.1%+10.5% +3.5%
6 months +11.3%+4.6%+44.9% +7.0%
Year to date +120.9%-5.8%+35.3% +12.2%
1 year +34.0%-28.3%+27.8% +13.0%
3 years -56.5%+40.7%+406.1% +86.3%
3 years, per year -24.2%+12.1%+71.8% +23.1%
5 years -44.2%-70.9%+283.2% +68.6%
5 years, per year -11.0%-21.9%+30.8% +11.0%
10 years -16.8%-70.7%+1,144.7% +258.0%
10 years, per year -1.8%-11.6%+28.7% +13.6%

Risk

MeasureACHCCYHTHCSPY
Volatility, 1Y 64.3%50.3%42.2% 12.7%
Downside volatility, 1Y 64.9%55.5%34.0% 12.7%
Beta vs S&P 500, 1Y 0.970.970.48 1.00
Return / volatility, 1Y 0.53-0.560.66 1.02
Max drawdown, 5Y -86.9%-86.3%-58.9% -25.4%
From 52-week high -12.0%-33.3%-4.2% -1.8%
52-week high $35.61$4.41$280.77 $779.14
52-week low $11.68$2.49$161.37 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleACHCCYHTHC
P/E now vs peer median -2.5xmedian 25.1x 1.4xmedian 25.1x 10.0xmedian 25.1x
P/S now vs peer median 0.8xmedian 1.6x 0.0xmedian 1.6x 1.0xmedian 1.6x
EV/EBITDA now vs peer median -5.7xmedian 14.5x 5.5xmedian 14.5x 6.0xmedian 14.5x
P/FCF now vs peer median -21.2xmedian 22.4x -2.2xmedian 22.4x 7.2xmedian 22.4x
P/B now vs peer median 1.4xmedian 3.1x -0.3xmedian 3.1x 3.3xmedian 3.1x
PEG now vs peer median 0.03median 0.66 -0.17median 0.66 0.13median 0.66

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsACHCCYHTHC
Revenue $3.37B $11.98B $21.81B
Gross profit – $10.38B –
Operating income – $1.59B $4.54B
Net income -$1.12B $410.00M $3.17B
Free cash flow -$134.03M -$185.00M $3.02B
EPS (diluted) $-12.33 $2.09 $26.69
Cash & equivalents $171.29M $149.00M $2.17B
Total debt $2.41B $9.58B $13.25B
Shares (diluted) 91.37M 136.51M 83.96M
Enterprise value $2.12B -$860.55M $10.96B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricACHCCYHTHC
P/E -2.5x 1.4x 10.0x
P/FCF -21.2x -2.2x 7.2x
P/Operating cash flow 13.5x 3.3x 5.4x
P/S 0.8x 0.0x 1.0x
P/B 1.4x -0.3x 3.3x
P/Tangible book 1.5x -0.3x 4.1x
EV/EBITDA -5.7x 5.5x 6.0x
EV/EBIT -4.6x 7.2x 7.2x
EV/Revenue 1.5x 0.8x 1.5x
EV/FCF -38.0x -53.2x 10.8x
EV/Operating cash flow 24.2x 78.1x 8.2x
PEG (3Y EPS CAGR) 0.03 -0.17 0.13

Growth

14 metrics
MetricACHCCYHTHC
Revenue growth (1Y) 4.3% -5.3% 5.4%
Revenue CAGR (3Y) 6.6% 27.7% 3.1%
Gross profit growth (1Y) – -3.0% –
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) – 93.7% 23.5%
Operating income CAGR (3Y) – – 24.7%
Net income growth (1Y) -838.8% 1,179% 32.4%
Net income CAGR (3Y) -82.3% -1.4% 41.1%
EPS growth (1Y) -900.5% 282.9% 65.1%
EPS CAGR (3Y) -83.4% -8.4% 77.6%
Operating cash flow growth (1Y) -50.4% -74.3% 62.9%
Operating cash flow CAGR (3Y) -16.6% -19.0% 31.1%
Free cash flow growth (1Y) 56.9% -236.0% 94.7%
Free cash flow CAGR (3Y) -73.4% 4.7% 46.5%

Profitability

14 metrics
MetricACHCCYHTHC
Gross margin – 86.6% –
EBITDA margin -26.6% 15.0% 25.0%
Operating margin – 13.3% 20.8%
Pretax margin -32.6% 3.9% 17.7%
Net margin -33.4% 2.4% 10.3%
FCF margin -4.0% -1.5% 13.9%
Operating cash flow margin 6.3% 1.1% 18.4%
Return on equity -57.0% – 47.8%
Return on assets -20.2% 3.2% 10.3%
Return on invested capital -24.7% 14.1% 18.8%
Return on capital employed -21.9% 12.8% 17.9%
Asset turnover 0.6x 0.9x 0.7x
Cash conversion (OCF / net income) -0.2x 0.3x 1.3x
Stock comp / revenue 0.9% 0.1% 0.6%

Financial Health

11 metrics
MetricACHCCYHTHC
Debt / assets 43.5% 78.7% 43.2%
Debt / equity 1.2x -6.9x 2.0x
Net debt / EBITDA -2.5x 5.2x 2.0x
Debt / FCF -18.0x -51.8x 4.4x
Liabilities / assets 64.3% 111.4% 78.6%
Equity / assets 35.7% -11.4% 21.4%
Interest coverage – 1.6x 5.5x
Current ratio 1.6x 1.5x 1.4x
Quick ratio 1.2x 1.1x 0.9x
Cash ratio 0.3x 0.1x 0.4x
Altman Z-score 0.31 1.07 2.10

Shareholder Returns

7 metrics
MetricACHCCYHTHC
Dividend yield – – –
Net buyback yield – – 7.6%
Shareholder yield – 0.0% 7.6%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusACHCCYHTHC
Forward P/E 20.0xFY2026 – 12.2xFY2026
EPS, next fiscal year $1.57FY2026 $-1.16FY2026 $21.99FY2026
EPS growth, next FY -21.5%FY2026 -197.5%FY2026 +31.0%FY2026
EPS growth, the year after +22.3% – -7.1%
Revenue, next fiscal year $3.53BFY2026 – $23.70BFY2026
Revenue growth, next FY +6.5%FY2026 – +11.2%FY2026
Revenue growth, the year after +6.9% – -0.3%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersACHCCYHTHC
Held by institutions 100.0% 82.1% 96.2%
Institutions holding 314 179 677
Change in shares held, QoQ +3.7% +6.6% -1.9%
Institutions buying 165 96 331
Institutions selling 98 52 260
Buyers to sellers 1.68 1.85 1.27

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ACHCCYHTHC
ACHC 1.00 0.30 0.27
CYH 0.30 1.00 0.34
THC 0.27 0.34 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ACHC, CYH and THC?

Tenet Healthcare (THC) is the largest by market capitalisation: Acadia Healthcare Company (ACHC) $2.70B, Community Health Systems (CYH) $383.45M, Tenet Healthcare (THC) $21.96B.

Which stock is cheaper, ACHC, CYH and THC?

Community Health Systems (CYH) trades on the lowest price-to-earnings ratio (Acadia Healthcare Company (ACHC) -2.4x, Community Health Systems (CYH) 1.3x, Tenet Healthcare (THC) 9.8x). On next year's consensus earnings, Tenet Healthcare (THC) is cheapest (Acadia Healthcare Company (ACHC) 20.0x, Tenet Healthcare (THC) 12.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Tenet Healthcare (THC) grew revenue fastest over the trailing twelve months: Acadia Healthcare Company (ACHC) +4.3%, Community Health Systems (CYH) -5.3%, Tenet Healthcare (THC) +5.4%.

Which company is more profitable?

Tenet Healthcare (THC) has the highest net margin (Acadia Healthcare Company (ACHC) -33.4%, Community Health Systems (CYH) 2.4%, Tenet Healthcare (THC) 10.3%). On return on invested capital, Tenet Healthcare (THC) leads (Acadia Healthcare Company (ACHC) -24.7%, Community Health Systems (CYH) 14.1%, Tenet Healthcare (THC) 18.8%).

Which stock has performed better?

Over the past year Acadia Healthcare Company (ACHC) returned the most: Acadia Healthcare Company (ACHC) +34.0%, Community Health Systems (CYH) -28.3%, Tenet Healthcare (THC) +27.8%. Over five years, Tenet Healthcare (THC) compounded fastest (Acadia Healthcare Company (ACHC) -11.0%/yr, Community Health Systems (CYH) -21.9%/yr, Tenet Healthcare (THC) +30.8%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Tenet Healthcare (THC) has been the steadiest (Acadia Healthcare Company (ACHC) 64.3%, Community Health Systems (CYH) 50.3%, Tenet Healthcare (THC) 42.2%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ACHC, CYH and THC?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Tenet Healthcare (THC) leads on 8. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.