HCA vs UNH vs ACHC Stock Comparison

HCA Healthcare, Unitedhealth and Acadia Healthcare Company Prices as of Oct 27, 2026 Peers: Industry group
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
5 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
4 wins

Head to Head

11 decided of 12

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

QuestionHCAUNHACHCLeader
Larger companyMarket capitalisation $101.81B $367.43B $2.67B UNH
Cheaper on earningsLower P/E, profitable companies only 15.0x 26.0x -2.4x HCA
Cheaper on forward earningsLower price / next fiscal year consensus EPS 14.9x 19.2x 19.0x HCA
Faster revenue growthRevenue growth, trailing twelve months +5.8% +6.5% +4.3% UNH
More profitableNet margin, trailing twelve months — 3.1% -33.4% UNH
Better return on capitalReturn on invested capital — 10.3% -24.7% UNH
Less leveragedLower net debt / EBITDA — 1.6x -2.5x ACHC
Higher dividend yieldTrailing dividend yield 0.00% 0.02% 0.00% –
Better 1-year returnPrice return, last 12 months -3.9% +12.2% +30.3% ACHC
Better 5-year returnAnnualised price return, 5 years +12.4%/yr -2.1%/yr -12.5%/yr HCA
Less volatileAnnualised volatility, 1 year 31.1% 36.2% 64.4% HCA
Higher overall scoreMean of the five percentile scores vs peers 61/100 52/100 26/100 HCA

Percentile Scorecard

HCAUNHACHC

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

AxisHCAUNHACHC
Valuation 88 #12 of 92 42 #15 of 25 48 #48 of 92
Growth 23 #67 of 87 9 #22 of 24 6 #82 of 87
Profitability 74 #23 of 86 91 #3 of 24 18 #71 of 86
Financial Health – 48 #14 of 26 31 #67 of 97
Shareholder Returns 58 #24 of 56 71 #5 of 15 –
Overall 61 52 26
  • HCA ranked among 102 companies in Healthcare Providers
  • UNH ranked among 27 companies in Healthcare Payers and Distributors
  • ACHC ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodHCAUNHACHCSPY
1 month +3.2%+9.0%+6.4% -0.2%
3 months +7.5%-4.3%-8.5% +3.9%
6 months +4.1%+12.0%+8.4% +8.2%
Year to date -3.7%+24.4%+110.7% +12.9%
1 year -3.9%+12.2%+30.3% +12.3%
3 years +99.6%-21.7%-58.5% +87.4%
3 years, per year +25.9%-7.9%-25.4% +23.3%
5 years +79.4%-9.8%-48.8% +67.9%
5 years, per year +12.4%-2.1%-12.5% +10.9%
10 years +467.1%+189.3%-19.1% +261.1%
10 years, per year +19.0%+11.2%-2.1% +13.7%

Risk

MeasureHCAUNHACHCSPY
Volatility, 1Y 31.1%36.2%64.4% 12.7%
Downside volatility, 1Y 30.7%38.1%65.0% 12.7%
Beta vs S&P 500, 1Y 0.110.310.96 1.00
Return / volatility, 1Y -0.120.340.47 0.97
Max drawdown, 5Y -39.7%-62.0%-86.9% -25.4%
From 52-week high -17.5%-5.9%-16.0% -1.2%
52-week high $545.13$436.35$35.61 $779.14
52-week low $361.32$259.02$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.

MultipleHCAUNHACHC
P/E now vs peer median 14.6xmedian 24.6x 26.2xmedian 23.9x -2.4xmedian 24.6x
P/S now vs peer median 1.2xmedian 1.6x 0.8xmedian 0.3x 0.8xmedian 1.6x
EV/EBITDA now vs peer median —median 14.6x 15.9xmedian 13.4x -5.5xmedian 14.6x
P/FCF now vs peer median 15.7xmedian 21.6x 15.7xmedian 15.5x -20.3xmedian 21.6x
P/B now vs peer median -12.1xmedian 3.2x 3.6xmedian 2.5x 1.4xmedian 3.2x
PEG now vs peer median 1.08median 0.66 -2.29median 1.34 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 monthsHCAUNHACHC
Revenue $78.70B $450.13B $3.37B
Gross profit – $139.28B –
Operating income – $21.68B –
Net income $7.80B $14.91B -$1.12B
Free cash flow – $23.62B -$134.03M
EPS (diluted) $30.41 $15.59 $-12.33
Cash & equivalents $908.00M $28.59B $171.29M
Total debt – $73.33B $2.41B
Shares (diluted) 222.83M 906.00M 91.37M
Enterprise value $101.81B $246.00B $2.09B

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
MetricHCAUNHACHC
P/E 14.6x 26.2x -2.4x
P/FCF 15.7x 15.7x -20.3x
P/Operating cash flow 8.8x 13.8x 12.9x
P/S 1.2x 0.8x 0.8x
P/B -12.1x 3.6x 1.4x
P/Tangible book -12.1x 4.4x 1.4x
EV/EBITDA – 15.9x -5.5x
EV/EBIT – 19.1x -4.5x
EV/Revenue 1.2x 0.9x 1.5x
EV/FCF – 17.5x -37.0x
EV/Operating cash flow 8.8x 15.3x 23.6x
PEG (3Y EPS CAGR) 1.08 -2.29 0.03

Growth

14 metrics
MetricHCAUNHACHC
Revenue growth (1Y) 5.8% 6.5% 4.3%
Revenue CAGR (3Y) 7.6% 8.9% 6.6%
Gross profit growth (1Y) – 1.1% –
Gross profit CAGR (3Y) – 4.5% –
Operating income growth (1Y) – -29.5% –
Operating income CAGR (3Y) – -10.8% –
Net income growth (1Y) 6.8% -32.5% -838.8%
Net income CAGR (3Y) 4.3% -11.8% -82.3%
EPS growth (1Y) 13.2% -33.4% -900.5%
EPS CAGR (3Y) 13.6% -11.5% -83.4%
Operating cash flow growth (1Y) -13.0% -6.7% -50.4%
Operating cash flow CAGR (3Y) 6.4% -13.2% -16.6%
Free cash flow growth (1Y) – -6.5% 56.9%
Free cash flow CAGR (3Y) – -14.8% -73.4%

Profitability

14 metrics
MetricHCAUNHACHC
Gross margin – 30.9% –
EBITDA margin – 5.8% -26.6%
Operating margin – 4.8% –
Pretax margin – 3.9% -32.6%
Net margin – 3.1% -33.4%
FCF margin – 5.2% -4.0%
Operating cash flow margin 14.2% 6.0% 6.3%
Return on equity – 14.3% -57.0%
Return on assets – 4.8% -20.2%
Return on invested capital – 10.3% -24.7%
Return on capital employed – 10.9% -21.9%
Asset turnover – 1.4x 0.6x
Cash conversion (OCF / net income) 1.4x 1.8x -0.2x
Stock comp / revenue 0.5% 0.2% 0.9%

Financial Health

11 metrics
MetricHCAUNHACHC
Debt / assets – 23.7% 43.5%
Debt / equity – 0.7x 1.2x
Net debt / EBITDA – 1.6x -2.5x
Debt / FCF – 3.1x -18.0x
Liabilities / assets – 66.3% 64.3%
Equity / assets – 33.7% 35.7%
Interest coverage – 5.6x –
Current ratio – 0.8x 1.6x
Quick ratio – 0.7x 1.2x
Cash ratio – 0.3x 0.3x
Altman Z-score – 3.13 0.29

Shareholder Returns

7 metrics
MetricHCAUNHACHC
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.

ConsensusHCAUNHACHC
Forward P/E 14.9xFY2026 19.2xFY2026 19.0xFY2026
EPS, next fiscal year $30.21FY2026 $21.36FY2026 $1.57FY2026
EPS growth, next FY +7.1%FY2026 +30.6%FY2026 -21.5%FY2026
EPS growth, the year after +11.0% +12.0% +22.3%
Revenue, next fiscal year $73.03BFY2026 $421.27BFY2026 $3.53BFY2026
Revenue growth, next FY -3.4%FY2026 -5.9%FY2026 +6.5%FY2026
Revenue growth, the year after +18.8% +15.1% +6.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHCAUNHACHC
Held by institutions 59.5% 86.6% 100.0%
Institutions holding 1,333 3,360 314
Change in shares held, QoQ +0.3% +5.0% +3.7%
Institutions buying 567 1,823 165
Institutions selling 563 1,247 98
Buyers to sellers 1.01 1.46 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.

HCAUNHACHC
HCA 1.00 -0.02 0.19
UNH -0.02 1.00 0.37
ACHC 0.19 0.37 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HCA, UNH and ACHC?

Unitedhealth (UNH) is the largest by market capitalisation: HCA Healthcare (HCA) $101.81B, Unitedhealth (UNH) $367.43B, Acadia Healthcare Company (ACHC) $2.67B.

Which stock is cheaper, HCA, UNH and ACHC?

HCA Healthcare (HCA) trades on the lowest price-to-earnings ratio (HCA Healthcare (HCA) 15.0x, Unitedhealth (UNH) 26.0x, Acadia Healthcare Company (ACHC) -2.4x). On next year's consensus earnings, HCA Healthcare (HCA) is cheapest (HCA Healthcare (HCA) 14.9x, Unitedhealth (UNH) 19.2x, Acadia Healthcare Company (ACHC) 19.0x). 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: HCA Healthcare (HCA) +5.8%, Unitedhealth (UNH) +6.5%, Acadia Healthcare Company (ACHC) +4.3%.

Which company is more profitable?

Unitedhealth (UNH) has the highest net margin (Unitedhealth (UNH) 3.1%, Acadia Healthcare Company (ACHC) -33.4%). On return on invested capital, Unitedhealth (UNH) leads (Unitedhealth (UNH) 10.3%, Acadia Healthcare Company (ACHC) -24.7%).

Which stock has performed better?

Over the past year Acadia Healthcare Company (ACHC) returned the most: HCA Healthcare (HCA) -3.9%, Unitedhealth (UNH) +12.2%, Acadia Healthcare Company (ACHC) +30.3%. Over five years, HCA Healthcare (HCA) compounded fastest (HCA Healthcare (HCA) +12.4%/yr, Unitedhealth (UNH) -2.1%/yr, Acadia Healthcare Company (ACHC) -12.5%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: HCA Healthcare (HCA) 0.00%, Unitedhealth (UNH) 0.02%, 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, HCA Healthcare (HCA) has been the steadiest (HCA Healthcare (HCA) 31.1%, Unitedhealth (UNH) 36.2%, Acadia Healthcare Company (ACHC) 64.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HCA, UNH 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.