CNC vs HCA vs UNH Stock Comparison

Centene, HCA Healthcare and Unitedhealth Prices as of Oct 27, 2026 Peers: Industry group
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CNC Centene Corp
$68.73 +11.2% 1M +107.3% 1Y
Market cap
$33.18B
P/E
22.7x
Revenue (TTM)
$203.90B
Div. yield
–
Managed Care Healthcare
4 wins
HCA HCA Healthcare, Inc.
$449.78 +3.2% 1M -3.9% 1Y
Market cap
$101.81B
P/E
15.0x
Revenue (TTM)
$78.70B
Div. yield
–
Hospitals Healthcare
3 wins
UNH Unitedhealth Group Inc
$410.61 +9.0% 1M +12.2% 1Y
Market cap
$367.43B
P/E
26.0x
Revenue (TTM)
$450.13B
Div. yield
0.02%
Managed Care Healthcare
1 win

Head to Head

8 decided of 12

Centene leads on 4 of the 12 questions below (Centene 4, HCA Healthcare 3, Unitedhealth 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionCNCHCAUNHLeader
Larger companyMarket capitalisation $33.18B $101.81B $367.43B UNH
Cheaper on earningsLower P/E, profitable companies only 22.7x 15.0x 26.0x HCA
Cheaper on forward earningsLower price / next fiscal year consensus EPS 13.6x 14.9x 19.2x CNC
Faster revenue growthRevenue growth, trailing twelve months +9.7% +5.8% +6.5% CNC
More profitableNet margin, trailing twelve months — — 3.1% –
Better return on capitalReturn on invested capital — — 10.3% –
Less leveragedLower net debt / EBITDA — — 1.6x –
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.02% –
Better 1-year returnPrice return, last 12 months +107.3% -3.9% +12.2% CNC
Better 5-year returnAnnualised price return, 5 years -0.8%/yr +12.4%/yr -2.1%/yr HCA
Less volatileAnnualised volatility, 1 year 47.4% 31.1% 36.2% HCA
Higher overall scoreMean of the five percentile scores vs peers 68/100 61/100 52/100 CNC

Percentile Scorecard

CNCHCAUNH

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

AxisCNCHCAUNH
Valuation 96 #2 of 25 88 #12 of 92 42 #15 of 25
Growth 61 #10 of 24 23 #67 of 87 9 #22 of 24
Profitability 70 #8 of 24 74 #23 of 86 91 #3 of 24
Financial Health 44 #15 of 26 – 48 #14 of 26
Shareholder Returns – 58 #24 of 56 71 #5 of 15
Overall 68 61 52
  • CNC ranked among 27 companies in Healthcare Payers and Distributors
  • HCA ranked among 102 companies in Healthcare Providers
  • UNH ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

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

Returns

PeriodCNCHCAUNHSPY
1 month +11.2%+3.2%+9.0% -0.2%
3 months +7.2%+7.5%-4.3% +3.9%
6 months +38.7%+4.1%+12.0% +8.2%
Year to date +67.0%-3.7%+24.4% +12.9%
1 year +107.3%-3.9%+12.2% +12.3%
3 years +1.9%+99.6%-21.7% +87.4%
3 years, per year +0.6%+25.9%-7.9% +23.3%
5 years -4.0%+79.4%-9.8% +67.9%
5 years, per year -0.8%+12.4%-2.1% +10.9%
10 years +116.7%+467.1%+189.3% +261.1%
10 years, per year +8.0%+19.0%+11.2% +13.7%

Risk

MeasureCNCHCAUNHSPY
Volatility, 1Y 47.4%31.1%36.2% 12.7%
Downside volatility, 1Y 47.4%30.7%38.1% 12.7%
Beta vs S&P 500, 1Y 0.310.110.31 1.00
Return / volatility, 1Y 2.26-0.120.34 0.97
Max drawdown, 5Y -74.1%-39.7%-62.0% -25.4%
From 52-week high -3.5%-17.5%-5.9% -1.2%
52-week high $71.21$545.13$436.35 $779.14
52-week low $31.80$361.32$259.02 $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.

MultipleCNCHCAUNH
P/E now vs peer median 23.2xmedian 23.9x 14.6xmedian 24.6x 26.2xmedian 23.9x
P/S now vs peer median 0.2xmedian 0.3x 1.2xmedian 1.6x 0.8xmedian 0.3x
EV/EBITDA now vs peer median —median 13.4x —median 14.6x 15.9xmedian 13.4x
P/FCF now vs peer median 3.4xmedian 15.5x 15.7xmedian 21.6x 15.7xmedian 15.5x
P/B now vs peer median 1.5xmedian 2.5x -12.1xmedian 3.2x 3.6xmedian 2.5x
PEG now vs peer median -1.74median 1.34 1.08median 0.66 -2.29median 1.34

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 monthsCNCHCAUNH
Revenue $203.90B $78.70B $450.13B
Gross profit – – $139.28B
Operating income $1.01B – $21.68B
Net income $1.46B $7.80B $14.91B
Free cash flow – – $23.62B
EPS (diluted) $2.93 $30.41 $15.59
Cash & equivalents $20.70B $908.00M $28.59B
Total debt – – $73.33B
Shares (diluted) 497.64M 222.83M 906.00M
Enterprise value $33.18B $101.81B $246.00B

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
MetricCNCHCAUNH
P/E 23.2x 14.6x 26.2x
P/FCF 3.4x 15.7x 15.7x
P/Operating cash flow 7.2x 8.8x 13.8x
P/S 0.2x 1.2x 0.8x
P/B 1.5x -12.1x 3.6x
P/Tangible book 1.9x -12.1x 4.4x
EV/EBITDA – – 15.9x
EV/EBIT – – 19.1x
EV/Revenue 0.2x 1.2x 0.9x
EV/FCF – – 17.5x
EV/Operating cash flow 7.2x 8.8x 15.3x
PEG (3Y EPS CAGR) -1.74 1.08 -2.29

Growth

14 metrics
MetricCNCHCAUNH
Revenue growth (1Y) 9.7% 5.8% 6.5%
Revenue CAGR (3Y) 10.7% 7.6% 8.9%
Gross profit growth (1Y) – – 1.1%
Gross profit CAGR (3Y) – – 4.5%
Operating income growth (1Y) 117.7% – -29.5%
Operating income CAGR (3Y) -29.2% – -10.8%
Net income growth (1Y) 127.6% 6.8% -32.5%
Net income CAGR (3Y) -15.8% 4.3% -11.8%
EPS growth (1Y) 127.2% 13.2% -33.4%
EPS CAGR (3Y) -13.4% 13.6% -11.5%
Operating cash flow growth (1Y) 16.2% -13.0% -6.7%
Operating cash flow CAGR (3Y) -9.0% 6.4% -13.2%
Free cash flow growth (1Y) – – -6.5%
Free cash flow CAGR (3Y) – – -14.8%

Profitability

14 metrics
MetricCNCHCAUNH
Gross margin – – 30.9%
EBITDA margin – – 5.8%
Operating margin – – 4.8%
Pretax margin – – 3.9%
Net margin – – 3.1%
FCF margin – – 5.2%
Operating cash flow margin 2.3% 14.2% 6.0%
Return on equity 6.5% – 14.3%
Return on assets 1.8% – 4.8%
Return on invested capital – – 10.3%
Return on capital employed – – 10.9%
Asset turnover 2.5x – 1.4x
Cash conversion (OCF / net income) 3.2x 1.4x 1.8x
Stock comp / revenue 0.1% 0.5% 0.2%

Financial Health

11 metrics
MetricCNCHCAUNH
Debt / assets – – 23.7%
Debt / equity – – 0.7x
Net debt / EBITDA – – 1.6x
Debt / FCF – – 3.1x
Liabilities / assets 71.9% – 66.3%
Equity / assets 28.1% – 33.7%
Interest coverage – – 5.6x
Current ratio 1.2x – 0.8x
Quick ratio – – 0.7x
Cash ratio – – 0.3x
Altman Z-score – – 3.13

Shareholder Returns

7 metrics
MetricCNCHCAUNH
Dividend yield – 0.7% 2.2%
Net buyback yield – – 0.3%
Shareholder yield – 0.7% 2.5%
Payout ratio (earnings) – – 54.3%
Payout ratio (FCF) – – 34.3%
Dividend growth (1Y) – – 4.0%
Dividend CAGR (3Y) – – 8.3%

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.

ConsensusCNCHCAUNH
Forward P/E 13.6xFY2026 14.9xFY2026 19.2xFY2026
EPS, next fiscal year $5.04FY2026 $30.21FY2026 $21.36FY2026
EPS growth, next FY +142.3%FY2026 +7.1%FY2026 +30.6%FY2026
EPS growth, the year after +11.5% +11.0% +12.0%
Revenue, next fiscal year $202.57BFY2026 $73.03BFY2026 $421.27BFY2026
Revenue growth, next FY +4.0%FY2026 -3.4%FY2026 -5.9%FY2026
Revenue growth, the year after -0.4% +18.8% +15.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCNCHCAUNH
Held by institutions 97.9% 59.5% 86.6%
Institutions holding 999 1,333 3,360
Change in shares held, QoQ +2.1% +0.3% +5.0%
Institutions buying 568 567 1,823
Institutions selling 334 563 1,247
Buyers to sellers 1.70 1.01 1.46

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.

CNCHCAUNH
CNC 1.00 0.05 0.51
HCA 0.05 1.00 -0.02
UNH 0.51 -0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, CNC, HCA and UNH?

Unitedhealth (UNH) is the largest by market capitalisation: Centene (CNC) $33.18B, HCA Healthcare (HCA) $101.81B, Unitedhealth (UNH) $367.43B.

Which stock is cheaper, CNC, HCA and UNH?

HCA Healthcare (HCA) trades on the lowest price-to-earnings ratio (Centene (CNC) 22.7x, HCA Healthcare (HCA) 15.0x, Unitedhealth (UNH) 26.0x). On next year's consensus earnings, Centene (CNC) is cheapest (Centene (CNC) 13.6x, HCA Healthcare (HCA) 14.9x, Unitedhealth (UNH) 19.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Centene (CNC) grew revenue fastest over the trailing twelve months: Centene (CNC) +9.7%, HCA Healthcare (HCA) +5.8%, Unitedhealth (UNH) +6.5%.

Which stock has performed better?

Over the past year Centene (CNC) returned the most: Centene (CNC) +107.3%, HCA Healthcare (HCA) -3.9%, Unitedhealth (UNH) +12.2%. Over five years, HCA Healthcare (HCA) compounded fastest (Centene (CNC) -0.8%/yr, HCA Healthcare (HCA) +12.4%/yr, Unitedhealth (UNH) -2.1%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Centene (CNC) 0.00%, HCA Healthcare (HCA) 0.00%, Unitedhealth (UNH) 0.02%. Centene (CNC) and HCA Healthcare (HCA) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, HCA Healthcare (HCA) has been the steadiest (Centene (CNC) 47.4%, HCA Healthcare (HCA) 31.1%, Unitedhealth (UNH) 36.2%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, CNC, HCA and UNH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Centene (CNC) leads on 4. 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.