HIMS vs SYRA vs ELV Stock Comparison

Hims & Hers Health, Syra Health and Elevance Health Prices as of Nov 4, 2026 Peers: Industry group
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SYRA Syra Health Corp
$0.90 +8.4% 1M +1,185.7% 1Y
Market cap
$11.14M
P/E
15.9x
Revenue (TTM)
$8.25M
Div. yield
–
Healthcare Services Healthcare
5 wins
ELV Elevance Health, Inc.
$434.35 +10.1% 1M +37.2% 1Y
Market cap
$93.05B
P/E
18.1x
Revenue (TTM)
$201.83B
Div. yield
–
Managed Care Healthcare
2 wins

Head to Head

9 decided of 12

Syra Health leads on 5 of the 12 questions below (Syra Health 5, Elevance Health 2, Hims & Hers Health 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionHIMSSYRAELVLeader
Larger companyMarket capitalisation $5.58B $11.14M $93.05B ELV
Cheaper on earningsLower P/E, profitable companies only -39.3x 15.9x 18.1x SYRA
Cheaper on forward earningsLower price / next fiscal year consensus EPS — — 14.5x –
Faster revenue growthRevenue growth, trailing twelve months +28.0% +10.1% +3.6% HIMS
More profitableNet margin, trailing twelve months -5.5% 8.5% 2.5% SYRA
Better return on capitalReturn on invested capital — — 8.3% –
Less leveragedLower net debt / EBITDA — -16.6x -0.5x SYRA
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -37.7% +1,185.7% +37.2% SYRA
Better 5-year returnAnnualised price return, 5 years +26.2%/yr — +0.6%/yr HIMS
Less volatileAnnualised volatility, 1 year 87.4% 158.4% 36.1% ELV
Higher overall scoreMean of the five percentile scores vs peers 42/100 74/100 69/100 SYRA

Percentile Scorecard

HIMSSYRAELV

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

AxisHIMSSYRAELV
Valuation 39 #58 of 95 68 #31 of 95 80 #6 of 26
Growth 38 #55 of 88 84 #15 of 88 25 #19 of 25
Profitability 41 #52 of 87 49 #45 of 87 75 #7 of 25
Financial Health 20 #80 of 100 95 #6 of 100 72 #8 of 26
Shareholder Returns 70 #18 of 58 – 94 #2 of 17
Overall 42 74 69
  • HIMS ranked among 102 companies in Healthcare Providers
  • SYRA ranked among 102 companies in Healthcare Providers
  • ELV 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

PeriodHIMSSYRAELVSPY
1 month -10.2%+8.4%+10.1% -1.0%
3 months -15.8%+45.2%+11.0% -0.4%
6 months -0.8%+100.0%+15.9% +4.5%
Year to date -17.9%+900.0%+23.9% +12.4%
1 year -37.7%+1,185.7%+37.2% +13.6%
3 years +311.4%-40.0%-3.4% +76.4%
3 years, per year +60.3%-15.7%-1.2% +20.8%
5 years +220.0%—+2.9% +63.7%
5 years, per year +26.2%—+0.6% +10.4%
10 years ——+264.1% +267.7%
10 years, per year ——+13.8% +13.9%

Risk

MeasureHIMSSYRAELVSPY
Volatility, 1Y 87.4%158.4%36.1% 12.8%
Downside volatility, 1Y 80.8%173.2%39.0% 12.7%
Beta vs S&P 500, 1Y 2.810.870.31 1.00
Return / volatility, 1Y -0.437.491.03 1.06
Max drawdown, 5Y -78.9%-99.0%-51.2% -25.4%
From 52-week high -39.0%-14.3%-2.5% -1.6%
52-week high $43.73$1.05$445.45 $779.14
52-week low $14.52$0.06$280.74 $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.

MultipleHIMSSYRAELV
P/E now vs peer median -43.5xmedian 25.6x 18.2xmedian 25.6x 18.3xmedian 25.7x
P/S now vs peer median 2.4xmedian 1.6x 1.5xmedian 1.6x 0.5xmedian 0.3x
EV/EBITDA now vs peer median -89.4xmedian 16.0x 77.4xmedian 16.0x 9.7xmedian 13.9x
P/FCF now vs peer median 74.9xmedian 21.6x —median 21.6x 14.4xmedian 16.6x
P/B now vs peer median 19.2xmedian 3.4x 4.1xmedian 3.4x 2.1xmedian 2.6x
PEG now vs peer median 1.10median 0.74 0.66median 0.74 -7.83median 1.56

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 monthsHIMSSYRAELV
Revenue $2.58B $8.25M $201.83B
Gross profit $1.76B $3.30M $53.35B
Operating income -$154.52M $123.15K $7.70B
Net income -$142.00M $701.26K $5.13B
Free cash flow $83.03M – $6.51B
R&D $183.38M $54.59K –
EPS (diluted) $-0.61 $0.05 $23.62
Cash & equivalents $609.81M $2.38M $10.35B
Total debt – $179.75K $30.76B
Shares (diluted) 231.75M 15.14M 217.60M
Enterprise value $2.78B $2.25M -$49.54B

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
MetricHIMSSYRAELV
P/E -43.5x 18.2x 18.3x
P/FCF 74.9x – 14.4x
P/Operating cash flow 23.6x – 12.4x
P/S 2.4x 1.5x 0.5x
P/B 19.2x 4.1x 2.1x
P/Tangible book -63.0x 4.1x 2.8x
EV/EBITDA -89.4x 77.4x 9.7x
EV/EBIT -34.8x 83.3x 11.6x
EV/Revenue 2.1x 1.2x 0.4x
EV/FCF 64.8x – 13.7x
EV/Operating cash flow 20.4x – 11.7x
PEG (3Y EPS CAGR) 1.10 0.66 -7.83

Growth

14 metrics
MetricHIMSSYRAELV
Revenue growth (1Y) 28.0% 10.1% 3.6%
Revenue CAGR (3Y) 53.7% 13.0% 6.2%
Gross profit growth (1Y) 15.0% 48.0% 4.3%
Gross profit CAGR (3Y) 45.7% 43.4% 5.5%
Operating income growth (1Y) -223.0% 109.7% -9.2%
Operating income CAGR (3Y) -43.7% 27.0% -4.2%
Net income growth (1Y) -173.3% 155.4% -7.4%
Net income CAGR (3Y) -44.6% 31.5% -5.2%
EPS growth (1Y) -181.3% 143.7% -4.5%
EPS CAGR (3Y) -39.6% 27.6% -2.3%
Operating cash flow growth (1Y) 0.7% – 54.6%
Operating cash flow CAGR (3Y) 117.6% – -7.2%
Free cash flow growth (1Y) -37.3% – 72.9%
Free cash flow CAGR (3Y) 67.0% – -7.6%

Profitability

14 metrics
MetricHIMSSYRAELV
Gross margin 68.4% 40.0% 26.4%
EBITDA margin -2.3% 1.6% 4.6%
Operating margin -6.0% 1.5% 3.8%
Pretax margin -6.3% 2.2% 3.1%
Net margin -5.5% 8.5% 2.5%
FCF margin 3.2% – 3.2%
Operating cash flow margin 10.2% – 3.8%
Return on equity -36.9% 8.0% 11.4%
Return on assets -4.8% – 4.0%
Return on invested capital – – 8.3%
Return on capital employed -10.5% – 9.6%
Asset turnover 0.9x – 1.6x
Cash conversion (OCF / net income) -1.9x – 1.5x
Stock comp / revenue 6.0% 1.4% 0.1%

Financial Health

11 metrics
MetricHIMSSYRAELV
Debt / assets – 4.3% 24.1%
Debt / equity – 0.1x 0.7x
Net debt / EBITDA – -16.6x -0.5x
Debt / FCF – – 4.7x
Liabilities / assets 91.1% 28.4% 65.0%
Equity / assets 8.9% 71.6% 35.0%
Interest coverage – 11.9x 5.3x
Current ratio 0.9x 3.5x 1.5x
Quick ratio 0.8x 3.2x 1.2x
Cash ratio 0.6x 2.0x 0.8x
Altman Z-score 1.55 6.17 3.07

Shareholder Returns

7 metrics
MetricHIMSSYRAELV
Dividend yield – – 1.6%
Net buyback yield 1.0% – 2.1%
Shareholder yield 1.0% – 3.7%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

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.

ConsensusHIMSSYRAELV
Forward P/E – – 14.5xFY2026
EPS, next fiscal year $-0.62FY2026 – $30.04FY2026
EPS growth, next FY -221.6%FY2026 – -0.8%FY2026
EPS growth, the year after – – +4.4%
Revenue, next fiscal year $3.34BFY2026 – $211.76BFY2026
Revenue growth, next FY +42.0%FY2026 – +7.2%FY2026
Revenue growth, the year after +28.1% – -0.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHIMSSYRAELV
Held by institutions 69.3% – 91.8%
Institutions holding 510 – 1,615
Change in shares held, QoQ +4.4% – +1.7%
Institutions buying 325 – 862
Institutions selling 130 – 542
Buyers to sellers 2.50 – 1.59

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.

HIMSSYRAELV
HIMS 1.00 0.11 0.02
SYRA 0.11 1.00 -0.07
ELV 0.02 -0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HIMS, SYRA and ELV?

Elevance Health (ELV) is the largest by market capitalisation: Hims & Hers Health (HIMS) $5.58B, Syra Health (SYRA) $11.14M, Elevance Health (ELV) $93.05B.

Which stock is cheaper, HIMS, SYRA and ELV?

Syra Health (SYRA) trades on the lowest price-to-earnings ratio (Hims & Hers Health (HIMS) -39.3x, Syra Health (SYRA) 15.9x, Elevance Health (ELV) 18.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Hims & Hers Health (HIMS) grew revenue fastest over the trailing twelve months: Hims & Hers Health (HIMS) +28.0%, Syra Health (SYRA) +10.1%, Elevance Health (ELV) +3.6%.

Which company is more profitable?

Syra Health (SYRA) has the highest net margin (Hims & Hers Health (HIMS) -5.5%, Syra Health (SYRA) 8.5%, Elevance Health (ELV) 2.5%).

Which stock has performed better?

Over the past year Syra Health (SYRA) returned the most: Hims & Hers Health (HIMS) -37.7%, Syra Health (SYRA) +1,185.7%, Elevance Health (ELV) +37.2%. Over five years, Hims & Hers Health (HIMS) compounded fastest (Hims & Hers Health (HIMS) +26.2%/yr, Elevance Health (ELV) +0.6%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Elevance Health (ELV) has been the steadiest (Hims & Hers Health (HIMS) 87.4%, Syra Health (SYRA) 158.4%, Elevance Health (ELV) 36.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HIMS, SYRA and ELV?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Syra Health (SYRA) 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.