ELV vs HCA vs UNH Stock Comparison

Elevance Health, HCA Healthcare and Unitedhealth Prices as of Oct 29, 2026 Peers: Industry group
ELV Elevance Health, Inc.
$422.02 +7.5% 1M +25.5% 1Y
Market cap
$91.20B
P/E
17.8x
Revenue (TTM)
$201.83B
Div. yield
1.63%
Managed Care Healthcare
4 wins
HCA HCA Healthcare, Inc.
$478.21 +10.8% 1M +2.1% 1Y
Market cap
$100.85B
P/E
15.1x
Revenue (TTM)
$78.70B
Div. yield
0.64%
Hospitals Healthcare
5 wins
UNH Unitedhealth Group Inc
$410.79 +9.6% 1M +15.6% 1Y
Market cap
$371.76B
P/E
26.2x
Revenue (TTM)
$450.13B
Div. yield
2.21%
Managed Care Healthcare
3 wins

Head to Head

12 decided of 12

HCA Healthcare leads on 5 of the 12 questions below (HCA Healthcare 5, Elevance Health 4, Unitedhealth 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionELVHCAUNHLeader
Larger companyMarket capitalisation $91.20B $100.85B $371.76B UNH
Cheaper on earningsLower P/E, profitable companies only 17.8x 15.1x 26.2x HCA
Cheaper on forward earningsLower price / next fiscal year consensus EPS 14.0x 15.8x 19.2x ELV
Faster revenue growthRevenue growth, trailing twelve months +3.6% +5.8% +6.5% UNH
More profitableNet margin, trailing twelve months 2.5% 8.6% 3.1% HCA
Better return on capitalReturn on invested capital 8.3% 21.8% 10.3% HCA
Less leveragedLower net debt / EBITDA -0.5x 3.1x 1.6x ELV
Higher dividend yieldTrailing dividend yield 1.63% 0.64% 2.21% UNH
Better 1-year returnPrice return, last 12 months +25.5% +2.1% +15.6% ELV
Better 5-year returnAnnualised price return, 5 years -0.6%/yr +13.8%/yr -2.3%/yr HCA
Less volatileAnnualised volatility, 1 year 36.1% 31.4% 36.0% HCA
Higher overall scoreMean of the five percentile scores vs peers 71/100 59/100 53/100 ELV

Percentile Scorecard

ELVHCAUNH

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

AxisELVHCAUNH
Valuation 83 #5 of 25 89 #11 of 92 50 #13 of 25
Growth 30 #17 of 24 24 #66 of 87 9 #22 of 24
Profitability 78 #6 of 24 95 #5 of 86 91 #3 of 24
Financial Health 72 #8 of 26 15 #83 of 97 44 #15 of 26
Shareholder Returns 93 #2 of 16 74 #15 of 55 73 #5 of 16
Overall 71 59 53
  • ELV 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

PeriodELVHCAUNHSPY
1 month +7.5%+10.8%+9.6% +0.7%
3 months +12.1%+20.8%-2.5% +3.7%
6 months +12.1%+10.1%+10.9% +7.1%
Year to date +20.4%+2.4%+24.4% +12.8%
1 year +25.5%+2.1%+15.6% +11.9%
3 years -5.8%+114.1%-22.5% +85.2%
3 years, per year -2.0%+28.9%-8.1% +22.8%
5 years -3.0%+90.9%-10.8% +67.6%
5 years, per year -0.6%+13.8%-2.3% +10.9%
10 years +247.0%+518.6%+192.7% +262.0%
10 years, per year +13.3%+20.0%+11.3% +13.7%

Risk

MeasureELVHCAUNHSPY
Volatility, 1Y 36.1%31.4%36.0% 12.7%
Downside volatility, 1Y 39.6%30.8%37.8% 12.6%
Beta vs S&P 500, 1Y 0.280.110.31 1.00
Return / volatility, 1Y 0.700.070.43 0.94
Max drawdown, 5Y -51.2%-39.7%-62.0% -25.4%
From 52-week high -5.3%-12.3%-5.9% -1.2%
52-week high $445.45$545.13$436.35 $779.14
52-week low $280.74$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.

MultipleELVHCAUNH
P/E now vs peer median 17.8xmedian 24.3x 15.1xmedian 26.0x 26.2xmedian 24.3x
P/S now vs peer median 0.5xmedian 0.3x 1.3xmedian 1.6x 0.8xmedian 0.3x
EV/EBITDA now vs peer median 9.4xmedian 12.9x 9.4xmedian 15.4x 15.9xmedian 12.9x
P/FCF now vs peer median 14.0xmedian 16.4x 16.9xmedian 21.5x 15.7xmedian 16.4x
P/B now vs peer median 2.0xmedian 2.5x -12.5xmedian 3.2x 3.6xmedian 2.5x
PEG now vs peer median -7.61median 1.36 1.04median 0.87 -2.29median 1.36

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 monthsELVHCAUNH
Revenue $201.83B $78.70B $450.13B
Gross profit $53.35B – $139.28B
Operating income $7.70B – $21.68B
Net income $5.13B $7.80B $14.91B
Free cash flow $6.51B $5.97B $23.62B
EPS (diluted) $23.62 $31.20 $15.59
Cash & equivalents $10.35B $908.00M $28.59B
Total debt $30.76B $50.49B $73.33B
Shares (diluted) 217.60M 217.21M 906.00M
Enterprise value -$51.27B $100.42B $256.40B

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
MetricELVHCAUNH
P/E 17.8x 15.1x 26.2x
P/FCF 14.0x 16.9x 15.7x
P/Operating cash flow 12.0x 9.0x 13.8x
P/S 0.5x 1.3x 0.8x
P/B 2.0x -12.5x 3.6x
P/Tangible book 2.7x -12.5x 4.4x
EV/EBITDA 9.4x 9.4x 15.9x
EV/EBIT 11.2x 12.3x 19.1x
EV/Revenue 0.4x 1.9x 0.9x
EV/FCF 13.2x 25.2x 17.5x
EV/Operating cash flow 11.4x 13.5x 15.3x
PEG (3Y EPS CAGR) -7.61 1.04 -2.29

Growth

14 metrics
MetricELVHCAUNH
Revenue growth (1Y) 3.6% 5.8% 6.5%
Revenue CAGR (3Y) 6.2% 7.6% 8.9%
Gross profit growth (1Y) 4.3% – 1.1%
Gross profit CAGR (3Y) 5.5% – 4.5%
Operating income growth (1Y) -9.2% – -29.5%
Operating income CAGR (3Y) -4.2% – -10.8%
Net income growth (1Y) -7.4% 6.8% -32.5%
Net income CAGR (3Y) -5.2% 4.3% -11.8%
EPS growth (1Y) -4.5% 16.1% -33.4%
EPS CAGR (3Y) -2.3% 14.6% -11.5%
Operating cash flow growth (1Y) 54.6% -13.0% -6.7%
Operating cash flow CAGR (3Y) -7.2% 6.4% -13.2%
Free cash flow growth (1Y) 72.9% -26.2% -6.5%
Free cash flow CAGR (3Y) -7.6% 10.9% -14.8%

Profitability

14 metrics
MetricELVHCAUNH
Gross margin 26.4% – 30.9%
EBITDA margin 4.6% 20.3% 5.8%
Operating margin 3.8% – 4.8%
Pretax margin 3.1% 12.5% 3.9%
Net margin 2.5% 8.6% 3.1%
FCF margin 3.2% 7.6% 5.2%
Operating cash flow margin 3.8% 14.2% 6.0%
Return on equity 11.4% – 14.3%
Return on assets 4.0% 12.3% 4.8%
Return on invested capital 8.3% 21.8% 10.3%
Return on capital employed 9.6% 28.0% 10.9%
Asset turnover 1.6x 1.2x 1.4x
Cash conversion (OCF / net income) 1.5x 1.4x 1.8x
Stock comp / revenue 0.1% 0.5% 0.2%

Financial Health

11 metrics
MetricELVHCAUNH
Debt / assets 24.1% 79.6% 23.7%
Debt / equity 0.7x -6.3x 0.7x
Net debt / EBITDA -0.5x 3.1x 1.6x
Debt / FCF 4.7x 8.5x 3.1x
Liabilities / assets 65.0% 112.7% 66.3%
Equity / assets 35.0% -12.7% 33.7%
Interest coverage 5.3x 5.2x 5.6x
Current ratio 1.5x 0.8x 0.8x
Quick ratio 1.2x 0.6x 0.7x
Cash ratio 0.8x 0.0x 0.3x
Altman Z-score 3.05 2.48 3.13

Shareholder Returns

7 metrics
MetricELVHCAUNH
Dividend yield 1.6% 0.6% 2.2%
Net buyback yield 2.2% 9.1% 0.3%
Shareholder yield 3.8% 9.7% 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.

ConsensusELVHCAUNH
Forward P/E 14.0xFY2026 15.8xFY2026 19.2xFY2026
EPS, next fiscal year $30.04FY2026 $30.21FY2026 $21.36FY2026
EPS growth, next FY -0.8%FY2026 +7.1%FY2026 +30.6%FY2026
EPS growth, the year after +4.4% +11.0% +12.0%
Revenue, next fiscal year $211.76BFY2026 $73.03BFY2026 $421.27BFY2026
Revenue growth, next FY +7.2%FY2026 -3.4%FY2026 -5.9%FY2026
Revenue growth, the year after -0.1% +18.8% +15.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersELVHCAUNH
Held by institutions 91.8% 59.5% 86.6%
Institutions holding 1,612 1,335 3,362
Change in shares held, QoQ +1.7% +0.3% +5.0%
Institutions buying 860 569 1,824
Institutions selling 541 563 1,248
Buyers to sellers 1.59 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.

ELVHCAUNH
ELV 1.00 0.01 0.66
HCA 0.01 1.00 -0.02
UNH 0.66 -0.02 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, ELV, HCA and UNH?

Unitedhealth (UNH) is the largest by market capitalisation: Elevance Health (ELV) $91.20B, HCA Healthcare (HCA) $100.85B, Unitedhealth (UNH) $371.76B.

Which stock is cheaper, ELV, HCA and UNH?

HCA Healthcare (HCA) trades on the lowest price-to-earnings ratio (Elevance Health (ELV) 17.8x, HCA Healthcare (HCA) 15.1x, Unitedhealth (UNH) 26.2x). On next year's consensus earnings, Elevance Health (ELV) is cheapest (Elevance Health (ELV) 14.0x, HCA Healthcare (HCA) 15.8x, 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?

Unitedhealth (UNH) grew revenue fastest over the trailing twelve months: Elevance Health (ELV) +3.6%, HCA Healthcare (HCA) +5.8%, Unitedhealth (UNH) +6.5%.

Which company is more profitable?

HCA Healthcare (HCA) has the highest net margin (Elevance Health (ELV) 2.5%, HCA Healthcare (HCA) 8.6%, Unitedhealth (UNH) 3.1%). On return on invested capital, HCA Healthcare (HCA) leads (Elevance Health (ELV) 8.3%, HCA Healthcare (HCA) 21.8%, Unitedhealth (UNH) 10.3%).

Which stock has performed better?

Over the past year Elevance Health (ELV) returned the most: Elevance Health (ELV) +25.5%, HCA Healthcare (HCA) +2.1%, Unitedhealth (UNH) +15.6%. Over five years, HCA Healthcare (HCA) compounded fastest (Elevance Health (ELV) -0.6%/yr, HCA Healthcare (HCA) +13.8%/yr, Unitedhealth (UNH) -2.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Unitedhealth (UNH) has the highest dividend yield: Elevance Health (ELV) 1.63%, HCA Healthcare (HCA) 0.64%, Unitedhealth (UNH) 2.21%.

Which stock is riskier?

By one-year price volatility, HCA Healthcare (HCA) has been the steadiest (Elevance Health (ELV) 36.1%, HCA Healthcare (HCA) 31.4%, Unitedhealth (UNH) 36.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ELV, 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, 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.