EHC vs HCA vs ACHC Stock Comparison

Encompass Health, HCA Healthcare and Acadia Healthcare Company Prices as of Oct 23, 2026 Peers: Industry group
EHC Encompass Health Corp
$124.19 +1.6% 1M -1.8% 1Y
Market cap
$12.25B
P/E
19.7x
Revenue (TTM)
$6.21B
Div. yield
0.01%
Hospitals Healthcare
4 wins
HCA HCA Healthcare, Inc.
$469.11 +7.4% 1M +6.6% 1Y
Market cap
$102.46B
P/E
15.0x
Revenue (TTM)
$78.01B
Div. yield
–
Hospitals Healthcare
5 wins

Head to Head

11 decided of 12

HCA Healthcare leads on 5 of the 12 questions below (HCA Healthcare 5, Encompass Health 4, Acadia Healthcare Company 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionEHCHCAACHCLeader
Larger companyMarket capitalisation $12.25B $102.46B $2.84B HCA
Cheaper on earningsLower P/E, profitable companies only 19.7x 15.0x -2.5x HCA
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.9x 15.5x 20.1x HCA
Faster revenue growthRevenue growth, trailing twelve months +9.5% +7.3% +4.3% EHC
More profitableNet margin, trailing twelve months 10.0% 8.8% -33.4% EHC
Better return on capitalReturn on invested capital 15.4% 22.0% -24.7% HCA
Less leveragedLower net debt / EBITDA 1.7x 3.1x -2.5x ACHC
Higher dividend yieldTrailing dividend yield 0.01% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -1.8% +6.6% +34.1% ACHC
Better 5-year returnAnnualised price return, 5 years +12.0%/yr +13.1%/yr -11.4%/yr HCA
Less volatileAnnualised volatility, 1 year 29.4% 31.3% 64.2% EHC
Higher overall scoreMean of the five percentile scores vs peers 64/100 59/100 26/100 EHC

Percentile Scorecard

EHCHCAACHC

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

AxisEHCHCAACHC
Valuation 77 #22 of 93 86 #14 of 93 45 #52 of 93
Growth 55 #40 of 88 25 #66 of 88 6 #83 of 88
Profitability 90 #10 of 87 94 #6 of 87 17 #72 of 87
Financial Health 39 #61 of 100 16 #84 of 100 34 #66 of 100
Shareholder Returns 58 #24 of 56 75 #15 of 56 –
Overall 64 59 26
  • EHC ranked among 103 companies in Healthcare Providers
  • HCA ranked among 103 companies in Healthcare Providers
  • ACHC ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodEHCHCAACHCSPY
1 month +1.6%+7.4%+10.5% -1.0%
3 months +10.0%+22.7%-8.7% +2.9%
6 months +21.8%+8.5%+15.1% +6.4%
Year to date +17.0%+0.5%+122.1% +11.4%
1 year -1.8%+6.6%+34.1% +13.1%
3 years +98.7%+103.9%-58.0% +79.4%
3 years, per year +25.7%+26.8%-25.1% +21.5%
5 years +75.8%+85.3%-45.4% +67.7%
5 years, per year +12.0%+13.1%-11.4% +10.9%
10 years +210.6%+473.9%-19.7% +255.2%
10 years, per year +12.0%+19.1%-2.2% +13.5%

Risk

MeasureEHCHCAACHCSPY
Volatility, 1Y 29.4%31.3%64.2% 12.7%
Downside volatility, 1Y 24.8%30.6%64.7% 12.7%
Beta vs S&P 500, 1Y 0.040.170.95 1.00
Return / volatility, 1Y -0.060.210.53 1.03
Max drawdown, 5Y -39.1%-39.7%-86.9% -25.4%
From 52-week high -2.9%-13.9%-11.5% -2.5%
52-week high $127.92$545.13$35.61 $779.14
52-week low $93.83$361.32$11.68 $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.

MultipleEHCHCAACHC
P/E now vs peer median 19.8xmedian 25.3x 15.1xmedian 25.3x -2.5xmedian 25.3x
P/S now vs peer median 2.0xmedian 1.6x 1.3xmedian 1.6x 0.9xmedian 1.6x
EV/EBITDA now vs peer median 9.9xmedian 14.6x 9.5xmedian 14.6x -5.7xmedian 14.6x
P/FCF now vs peer median 29.6xmedian 22.7x 17.0xmedian 22.7x -21.4xmedian 22.7x
P/B now vs peer median 3.6xmedian 3.3x -15.4xmedian 3.3x 1.4xmedian 3.3x
PEG now vs peer median 0.76median 0.66 1.08median 0.66 0.03median 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 monthsEHCHCAACHC
Revenue $6.21B $78.01B $3.37B
Net income $833.30M $7.85B -$1.12B
Free cash flow $413.40M $6.00B -$134.03M
EPS (diluted) $6.21 $30.70 $-12.33
Cash & equivalents $107.70M $1.01B $171.29M
Total debt $2.63B $49.72B $9.75B
Shares (diluted) 100.00M 222.83M 91.37M
Enterprise value $11.91B $98.47B $2.26B

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
MetricEHCHCAACHC
P/E 19.8x 15.1x -2.5x
P/FCF 29.6x 17.0x -21.4x
P/Operating cash flow 10.1x 9.2x 13.6x
P/S 2.0x 1.3x 0.9x
P/B 3.6x -15.4x 1.4x
P/Tangible book 4.0x -15.4x 1.5x
EV/EBITDA 9.9x 9.5x -5.7x
EV/EBIT 12.8x 12.4x -4.7x
EV/Revenue 2.4x 1.9x 1.5x
EV/FCF 35.7x 25.2x -38.1x
EV/Operating cash flow 12.2x 13.6x 24.3x
PEG (3Y EPS CAGR) 0.76 1.08 0.03

Growth

14 metrics
MetricEHCHCAACHC
Revenue growth (1Y) 9.5% 7.3% 4.3%
Revenue CAGR (3Y) 10.7% 8.0% 6.6%
Gross profit growth (1Y) – – –
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) – – –
Operating income CAGR (3Y) – – –
Net income growth (1Y) 20.3% 14.1% -838.8%
Net income CAGR (3Y) 26.2% 4.2% -82.3%
EPS growth (1Y) 21.5% 24.4% -900.5%
EPS CAGR (3Y) 26.0% 14.0% -83.4%
Operating cash flow growth (1Y) 9.7% -6.8% -50.4%
Operating cash flow CAGR (3Y) 21.4% 4.2% -16.6%
Free cash flow growth (1Y) -5.9% -17.8% 56.9%
Free cash flow CAGR (3Y) 62.3% 6.7% -73.4%

Profitability

14 metrics
MetricEHCHCAACHC
Gross margin – – –
EBITDA margin 24.2% 20.4% -26.6%
Operating margin – – –
Pretax margin 16.6% 12.7% -32.6%
Net margin 10.0% 8.8% -33.4%
FCF margin 6.7% 7.7% -4.0%
Operating cash flow margin 19.5% 14.3% 6.3%
Return on equity 24.8% – -57.0%
Return on assets 11.3% 12.6% -20.2%
Return on invested capital 15.4% 22.0% -24.7%
Return on capital employed 17.7% 27.1% -21.9%
Asset turnover 0.8x 1.3x 0.6x
Cash conversion (OCF / net income) 1.5x 1.4x -0.2x
Stock comp / revenue 0.9% 0.5% 0.9%

Financial Health

11 metrics
MetricEHCHCAACHC
Debt / assets 35.3% 78.6% 43.5%
Debt / equity 0.8x -7.5x 1.2x
Net debt / EBITDA 1.7x 3.1x -2.5x
Debt / FCF 6.4x 8.3x -18.0x
Liabilities / assets 54.4% 110.5% 64.3%
Equity / assets 45.6% -10.5% 35.7%
Interest coverage 9.2x 5.3x –
Current ratio 1.2x 1.0x 1.6x
Quick ratio 0.9x 0.8x 1.2x
Cash ratio 0.1x 0.1x 0.3x
Altman Z-score – 2.61 0.31

Shareholder Returns

7 metrics
MetricEHCHCAACHC
Dividend yield 0.6% 0.7% –
Net buyback yield 2.0% 8.5% –
Shareholder yield 2.6% 9.2% –
Payout ratio (earnings) 9.0% – –
Payout ratio (FCF) 18.2% – –
Dividend growth (1Y) 12.1% – –
Dividend CAGR (3Y) 0.9% – –

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.

ConsensusEHCHCAACHC
Forward P/E 20.9xFY2026 15.5xFY2026 20.1xFY2026
EPS, next fiscal year $5.94FY2026 $30.21FY2026 $1.57FY2026
EPS growth, next FY +9.0%FY2026 +7.1%FY2026 -21.5%FY2026
EPS growth, the year after +7.1% +11.0% +22.3%
Revenue, next fiscal year $6.62BFY2026 $73.04BFY2026 $3.53BFY2026
Revenue growth, next FY +11.5%FY2026 -3.4%FY2026 +6.5%FY2026
Revenue growth, the year after +9.2% +18.8% +6.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersEHCHCAACHC
Held by institutions 96.0% 59.5% 100.0%
Institutions holding 595 1,333 314
Change in shares held, QoQ -0.8% +0.3% +3.7%
Institutions buying 292 567 165
Institutions selling 217 563 98
Buyers to sellers 1.35 1.01 1.68

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.

EHCHCAACHC
EHC 1.00 0.28 0.23
HCA 0.28 1.00 0.19
ACHC 0.23 0.19 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, EHC, HCA and ACHC?

HCA Healthcare (HCA) is the largest by market capitalisation: Encompass Health (EHC) $12.25B, HCA Healthcare (HCA) $102.46B, Acadia Healthcare Company (ACHC) $2.84B.

Which stock is cheaper, EHC, HCA and ACHC?

HCA Healthcare (HCA) trades on the lowest price-to-earnings ratio (Encompass Health (EHC) 19.7x, HCA Healthcare (HCA) 15.0x, Acadia Healthcare Company (ACHC) -2.5x). On next year's consensus earnings, HCA Healthcare (HCA) is cheapest (Encompass Health (EHC) 20.9x, HCA Healthcare (HCA) 15.5x, Acadia Healthcare Company (ACHC) 20.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Encompass Health (EHC) grew revenue fastest over the trailing twelve months: Encompass Health (EHC) +9.5%, HCA Healthcare (HCA) +7.3%, Acadia Healthcare Company (ACHC) +4.3%.

Which company is more profitable?

Encompass Health (EHC) has the highest net margin (Encompass Health (EHC) 10.0%, HCA Healthcare (HCA) 8.8%, Acadia Healthcare Company (ACHC) -33.4%). On return on invested capital, HCA Healthcare (HCA) leads (Encompass Health (EHC) 15.4%, HCA Healthcare (HCA) 22.0%, Acadia Healthcare Company (ACHC) -24.7%).

Which stock has performed better?

Over the past year Acadia Healthcare Company (ACHC) returned the most: Encompass Health (EHC) -1.8%, HCA Healthcare (HCA) +6.6%, Acadia Healthcare Company (ACHC) +34.1%. Over five years, HCA Healthcare (HCA) compounded fastest (Encompass Health (EHC) +12.0%/yr, HCA Healthcare (HCA) +13.1%/yr, Acadia Healthcare Company (ACHC) -11.4%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Encompass Health (EHC) 0.01%, HCA Healthcare (HCA) 0.00%, Acadia Healthcare Company (ACHC) 0.00%. HCA Healthcare (HCA) and Acadia Healthcare Company (ACHC) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Encompass Health (EHC) has been the steadiest (Encompass Health (EHC) 29.4%, HCA Healthcare (HCA) 31.3%, Acadia Healthcare Company (ACHC) 64.2%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, EHC, HCA and ACHC?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, HCA Healthcare (HCA) leads on 5. 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.