HCA vs UHS vs EHC Stock Comparison

HCA Healthcare, Universal Health Services and Encompass Health Prices as of Oct 23, 2026 Peers: Industry group
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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
4 wins
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

Head to Head

12 decided of 12

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

QuestionHCAUHSEHCLeader
Larger companyMarket capitalisation $102.46B $11.07B $12.25B HCA
Cheaper on earningsLower P/E, profitable companies only 15.0x 7.3x 19.7x UHS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.5x 8.1x 20.9x UHS
Faster revenue growthRevenue growth, trailing twelve months +7.3% +10.0% +9.5% UHS
More profitableNet margin, trailing twelve months 8.8% 8.4% 10.0% EHC
Better return on capitalReturn on invested capital 22.0% 12.8% 15.4% HCA
Less leveragedLower net debt / EBITDA 3.1x 1.7x 1.7x EHC
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.01% EHC
Better 1-year returnPrice return, last 12 months +6.6% -10.3% -1.8% HCA
Better 5-year returnAnnualised price return, 5 years +13.1%/yr +6.6%/yr +12.0%/yr HCA
Less volatileAnnualised volatility, 1 year 31.3% 32.9% 29.4% EHC
Higher overall scoreMean of the five percentile scores vs peers 59/100 66/100 64/100 UHS

Percentile Scorecard

HCAUHSEHC

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

AxisHCAUHSEHC
Valuation 86 #14 of 93 98 #3 of 93 77 #22 of 93
Growth 25 #66 of 88 52 #43 of 88 55 #40 of 88
Profitability 94 #6 of 87 78 #20 of 87 90 #10 of 87
Financial Health 16 #84 of 100 42 #58 of 100 39 #61 of 100
Shareholder Returns 75 #15 of 56 62 #22 of 56 58 #24 of 56
Overall 59 66 64
  • HCA ranked among 103 companies in Healthcare Providers
  • UHS ranked among 103 companies in Healthcare Providers
  • EHC ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodHCAUHSEHCSPY
1 month +7.4%+3.1%+1.6% -1.0%
3 months +22.7%+20.0%+10.0% +2.9%
6 months +8.5%+7.3%+21.8% +6.4%
Year to date +0.5%-14.2%+17.0% +11.4%
1 year +6.6%-10.3%-1.8% +13.1%
3 years +103.9%+50.2%+98.7% +79.4%
3 years, per year +26.8%+14.5%+25.7% +21.5%
5 years +85.3%+37.9%+75.8% +67.7%
5 years, per year +13.1%+6.6%+12.0% +10.9%
10 years +473.9%+51.4%+210.6% +255.2%
10 years, per year +19.1%+4.2%+12.0% +13.5%

Risk

MeasureHCAUHSEHCSPY
Volatility, 1Y 31.3%32.9%29.4% 12.7%
Downside volatility, 1Y 30.6%34.8%24.8% 12.7%
Beta vs S&P 500, 1Y 0.170.130.04 1.00
Return / volatility, 1Y 0.21-0.31-0.06 1.03
Max drawdown, 5Y -39.7%-43.5%-39.1% -25.4%
From 52-week high -13.9%-23.4%-2.9% -2.5%
52-week high $545.13$244.18$127.92 $779.14
52-week low $361.32$141.17$93.83 $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.

MultipleHCAUHSEHC
P/E now vs peer median 15.1xmedian 25.3x 7.3xmedian 25.3x 19.8xmedian 25.3x
P/S now vs peer median 1.3xmedian 1.6x 0.5xmedian 1.6x 2.0xmedian 1.6x
EV/EBITDA now vs peer median 9.5xmedian 14.6x 5.3xmedian 14.6x 9.9xmedian 14.6x
P/FCF now vs peer median 17.0xmedian 22.7x 11.4xmedian 22.7x 29.6xmedian 22.7x
P/B now vs peer median -15.4xmedian 3.3x 1.3xmedian 3.3x 3.6xmedian 3.3x
PEG now vs peer median 1.08median 0.66 0.19median 0.66 0.76median 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 monthsHCAUHSEHC
Revenue $78.01B $18.11B $6.21B
Operating income – $2.06B –
Net income $7.85B $1.55B $833.30M
Free cash flow $6.00B $845.40M $413.40M
EPS (diluted) $30.70 $25.47 $6.21
Cash & equivalents $1.01B $138.80M $107.70M
Total debt $49.72B $4.85B $2.63B
Shares (diluted) 222.83M 59.91M 100.00M
Enterprise value $98.47B $10.56B $11.91B

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
MetricHCAUHSEHC
P/E 15.1x 7.3x 19.8x
P/FCF 17.0x 11.4x 29.6x
P/Operating cash flow 9.2x 5.4x 10.1x
P/S 1.3x 0.5x 2.0x
P/B -15.4x 1.3x 3.6x
P/Tangible book -15.4x 1.3x 4.0x
EV/EBITDA 9.5x 5.3x 9.9x
EV/EBIT 12.4x 7.0x 12.8x
EV/Revenue 1.9x 0.8x 2.4x
EV/FCF 25.2x 17.0x 35.7x
EV/Operating cash flow 13.6x 8.0x 12.2x
PEG (3Y EPS CAGR) 1.08 0.19 0.76

Growth

14 metrics
MetricHCAUHSEHC
Revenue growth (1Y) 7.3% 10.0% 9.5%
Revenue CAGR (3Y) 8.0% 9.5% 10.7%
Gross profit growth (1Y) – – –
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) – 13.6% –
Operating income CAGR (3Y) – 23.4% –
Net income growth (1Y) 14.1% 20.4% 20.3%
Net income CAGR (3Y) 4.2% 31.7% 26.2%
EPS growth (1Y) 24.4% 31.3% 21.5%
EPS CAGR (3Y) 14.0% 37.7% 26.0%
Operating cash flow growth (1Y) -6.8% -5.3% 9.7%
Operating cash flow CAGR (3Y) 4.2% 15.4% 21.4%
Free cash flow growth (1Y) -17.8% -6.2% -5.9%
Free cash flow CAGR (3Y) 6.7% 18.4% 62.3%

Profitability

14 metrics
MetricHCAUHSEHC
Gross margin – – –
EBITDA margin 20.4% 14.9% 24.2%
Operating margin – 11.4% –
Pretax margin 12.7% 11.2% 16.6%
Net margin 8.8% 8.4% 10.0%
FCF margin 7.7% 4.7% 6.7%
Operating cash flow margin 14.3% 9.9% 19.5%
Return on equity – 20.5% 24.8%
Return on assets 12.6% 9.8% 11.3%
Return on invested capital 22.0% 12.8% 15.4%
Return on capital employed 27.1% 16.5% 17.7%
Asset turnover 1.3x 1.1x 0.8x
Cash conversion (OCF / net income) 1.4x 1.2x 1.5x
Stock comp / revenue 0.5% 0.5% 0.9%

Financial Health

11 metrics
MetricHCAUHSEHC
Debt / assets 78.6% 30.4% 35.3%
Debt / equity -7.5x 0.6x 0.8x
Net debt / EBITDA 3.1x 1.7x 1.7x
Debt / FCF 8.3x 5.7x 6.4x
Liabilities / assets 110.5% 52.4% 54.4%
Equity / assets -10.5% 47.6% 45.6%
Interest coverage 5.3x 13.1x 9.2x
Current ratio 1.0x 1.1x 1.2x
Quick ratio 0.8x 0.9x 0.9x
Cash ratio 0.1x 0.0x 0.1x
Altman Z-score 2.61 – –

Shareholder Returns

7 metrics
MetricHCAUHSEHC
Dividend yield 0.7% 0.4% 0.6%
Net buyback yield 8.5% 10.9% 2.0%
Shareholder yield 9.2% 11.4% 2.6%
Payout ratio (earnings) – 3.2% 9.0%
Payout ratio (FCF) – 5.9% 18.2%
Dividend growth (1Y) – -6.0% 12.1%
Dividend CAGR (3Y) – -4.6% 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.

ConsensusHCAUHSEHC
Forward P/E 15.5xFY2026 8.1xFY2026 20.9xFY2026
EPS, next fiscal year $30.21FY2026 $23.19FY2026 $5.94FY2026
EPS growth, next FY +7.1%FY2026 +6.7%FY2026 +9.0%FY2026
EPS growth, the year after +11.0% +8.3% +7.1%
Revenue, next fiscal year $73.04BFY2026 $18.14BFY2026 $6.62BFY2026
Revenue growth, next FY -3.4%FY2026 +4.5%FY2026 +11.5%FY2026
Revenue growth, the year after +18.8% +10.1% +9.2%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHCAUHSEHC
Held by institutions 59.5% 100.0% 96.0%
Institutions holding 1,333 597 595
Change in shares held, QoQ +0.3% +1.2% -0.8%
Institutions buying 567 289 292
Institutions selling 563 235 217
Buyers to sellers 1.01 1.23 1.35

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.

HCAUHSEHC
HCA 1.00 0.66 0.28
UHS 0.66 1.00 0.35
EHC 0.28 0.35 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HCA, UHS and EHC?

HCA Healthcare (HCA) is the largest by market capitalisation: HCA Healthcare (HCA) $102.46B, Universal Health Services (UHS) $11.07B, Encompass Health (EHC) $12.25B.

Which stock is cheaper, HCA, UHS and EHC?

Universal Health Services (UHS) trades on the lowest price-to-earnings ratio (HCA Healthcare (HCA) 15.0x, Universal Health Services (UHS) 7.3x, Encompass Health (EHC) 19.7x). On next year's consensus earnings, Universal Health Services (UHS) is cheapest (HCA Healthcare (HCA) 15.5x, Universal Health Services (UHS) 8.1x, Encompass Health (EHC) 20.9x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Universal Health Services (UHS) grew revenue fastest over the trailing twelve months: HCA Healthcare (HCA) +7.3%, Universal Health Services (UHS) +10.0%, Encompass Health (EHC) +9.5%.

Which company is more profitable?

Encompass Health (EHC) has the highest net margin (HCA Healthcare (HCA) 8.8%, Universal Health Services (UHS) 8.4%, Encompass Health (EHC) 10.0%). On return on invested capital, HCA Healthcare (HCA) leads (HCA Healthcare (HCA) 22.0%, Universal Health Services (UHS) 12.8%, Encompass Health (EHC) 15.4%).

Which stock has performed better?

Over the past year HCA Healthcare (HCA) returned the most: HCA Healthcare (HCA) +6.6%, Universal Health Services (UHS) -10.3%, Encompass Health (EHC) -1.8%. Over five years, HCA Healthcare (HCA) compounded fastest (HCA Healthcare (HCA) +13.1%/yr, Universal Health Services (UHS) +6.6%/yr, Encompass Health (EHC) +12.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Encompass Health (EHC) has the highest dividend yield: HCA Healthcare (HCA) 0.00%, Universal Health Services (UHS) 0.00%, Encompass Health (EHC) 0.01%. HCA Healthcare (HCA) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Encompass Health (EHC) has been the steadiest (HCA Healthcare (HCA) 31.3%, Universal Health Services (UHS) 32.9%, Encompass Health (EHC) 29.4%). Volatility measures how widely the price swings, not the risk of the business.

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

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 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.