THC vs HCA Stock Comparison

Tenet Healthcare and HCA Healthcare Prices as of Oct 23, 2026 Peers: Industry group
THC Tenet Healthcare Corp
$268.45 +4.6% 1M +29.7% 1Y
Market cap
$22.43B
P/E
10.0x
Revenue (TTM)
$21.81B
Div. yield
–
Hospitals Healthcare
7 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
4 wins

Head to Head

11 decided of 12

Tenet Healthcare leads on 7 of the 12 questions below (Tenet Healthcare 7, HCA Healthcare 4). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionTHCHCALeader
Larger companyMarket capitalisation $22.43B $102.46B HCA
Cheaper on earningsLower P/E, profitable companies only 10.0x 15.0x THC
Cheaper on forward earningsLower price / next fiscal year consensus EPS 12.2x 15.5x THC
Faster revenue growthRevenue growth, trailing twelve months +5.4% +7.3% HCA
More profitableNet margin, trailing twelve months 10.3% 8.8% THC
Better return on capitalReturn on invested capital 18.8% 22.0% HCA
Less leveragedLower net debt / EBITDA 2.0x 3.1x THC
Higher dividend yieldTrailing dividend yield 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +29.7% +6.6% THC
Better 5-year returnAnnualised price return, 5 years +30.6%/yr +13.1%/yr THC
Less volatileAnnualised volatility, 1 year 42.2% 31.3% HCA
Higher overall scoreMean of the five percentile scores vs peers 77/100 59/100 THC

Percentile Scorecard

THCHCA

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

AxisTHCHCA
Valuation 94 #7 of 93 86 #14 of 93
Growth 74 #24 of 88 25 #66 of 88
Profitability 97 #4 of 87 94 #6 of 87
Financial Health 36 #64 of 100 16 #84 of 100
Shareholder Returns 86 #9 of 56 75 #15 of 56
Overall 77 59
  • THC ranked among 103 companies in Healthcare Providers
  • HCA ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodTHCHCASPY
1 month +4.6%+7.4% -1.0%
3 months +15.1%+22.7% +2.9%
6 months +48.5%+8.5% +6.4%
Year to date +35.1%+0.5% +11.4%
1 year +29.7%+6.6% +13.1%
3 years +378.9%+103.9% +79.4%
3 years, per year +68.6%+26.8% +21.5%
5 years +280.1%+85.3% +67.7%
5 years, per year +30.6%+13.1% +10.9%
10 years +1,040.9%+473.9% +255.2%
10 years, per year +27.6%+19.1% +13.5%

Risk

MeasureTHCHCASPY
Volatility, 1Y 42.2%31.3% 12.7%
Downside volatility, 1Y 34.0%30.6% 12.7%
Beta vs S&P 500, 1Y 0.500.17 1.00
Return / volatility, 1Y 0.700.21 1.03
Max drawdown, 5Y -58.9%-39.7% -25.4%
From 52-week high -4.4%-13.9% -2.5%
52-week high $280.77$545.13 $779.14
52-week low $161.37$361.32 $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.

MultipleTHCHCA
P/E now vs peer median 10.0xmedian 25.3x 15.1xmedian 25.3x
P/S now vs peer median 1.0xmedian 1.6x 1.3xmedian 1.6x
EV/EBITDA now vs peer median 6.0xmedian 14.6x 9.5xmedian 14.6x
P/FCF now vs peer median 7.2xmedian 22.7x 17.0xmedian 22.7x
P/B now vs peer median 3.3xmedian 3.3x -15.4xmedian 3.3x
PEG now vs peer median 0.13median 0.66 1.08median 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 monthsTHCHCA
Revenue $21.81B $78.01B
Operating income $4.54B –
Net income $3.17B $7.85B
Free cash flow $3.02B $6.00B
EPS (diluted) $26.69 $30.70
Cash & equivalents $2.17B $1.01B
Total debt $13.25B $49.72B
Shares (diluted) 83.96M 222.83M
Enterprise value $11.44B $98.47B

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
MetricTHCHCA
P/E 10.0x 15.1x
P/FCF 7.2x 17.0x
P/Operating cash flow 5.4x 9.2x
P/S 1.0x 1.3x
P/B 3.3x -15.4x
P/Tangible book 4.1x -15.4x
EV/EBITDA 6.0x 9.5x
EV/EBIT 7.2x 12.4x
EV/Revenue 1.5x 1.9x
EV/FCF 10.8x 25.2x
EV/Operating cash flow 8.1x 13.6x
PEG (3Y EPS CAGR) 0.13 1.08

Growth

14 metrics
MetricTHCHCA
Revenue growth (1Y) 5.4% 7.3%
Revenue CAGR (3Y) 3.1% 8.0%
Gross profit growth (1Y) – –
Gross profit CAGR (3Y) – –
Operating income growth (1Y) 23.5% –
Operating income CAGR (3Y) 24.7% –
Net income growth (1Y) 32.4% 14.1%
Net income CAGR (3Y) 41.1% 4.2%
EPS growth (1Y) 65.1% 24.4%
EPS CAGR (3Y) 77.6% 14.0%
Operating cash flow growth (1Y) 62.9% -6.8%
Operating cash flow CAGR (3Y) 31.1% 4.2%
Free cash flow growth (1Y) 94.7% -17.8%
Free cash flow CAGR (3Y) 46.5% 6.7%

Profitability

14 metrics
MetricTHCHCA
Gross margin – –
EBITDA margin 25.0% 20.4%
Operating margin 20.8% –
Pretax margin 17.7% 12.7%
Net margin 10.3% 8.8%
FCF margin 13.9% 7.7%
Operating cash flow margin 18.4% 14.3%
Return on equity 47.8% –
Return on assets 10.3% 12.6%
Return on invested capital 18.8% 22.0%
Return on capital employed 17.9% 27.1%
Asset turnover 0.7x 1.3x
Cash conversion (OCF / net income) 1.3x 1.4x
Stock comp / revenue 0.6% 0.5%

Financial Health

11 metrics
MetricTHCHCA
Debt / assets 43.2% 78.6%
Debt / equity 2.0x -7.5x
Net debt / EBITDA 2.0x 3.1x
Debt / FCF 4.4x 8.3x
Liabilities / assets 78.6% 110.5%
Equity / assets 21.4% -10.5%
Interest coverage 5.5x 5.3x
Current ratio 1.4x 1.0x
Quick ratio 0.9x 0.8x
Cash ratio 0.4x 0.1x
Altman Z-score 2.10 2.61

Shareholder Returns

7 metrics
MetricTHCHCA
Dividend yield – 0.7%
Net buyback yield 7.6% 8.5%
Shareholder yield 7.6% 9.2%
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.

ConsensusTHCHCA
Forward P/E 12.2xFY2026 15.5xFY2026
EPS, next fiscal year $22.00FY2026 $30.21FY2026
EPS growth, next FY +31.1%FY2026 +7.1%FY2026
EPS growth, the year after -7.1% +11.0%
Revenue, next fiscal year $23.70BFY2026 $73.04BFY2026
Revenue growth, next FY +11.2%FY2026 -3.4%FY2026
Revenue growth, the year after -0.3% +18.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersTHCHCA
Held by institutions 96.2% 59.5%
Institutions holding 677 1,333
Change in shares held, QoQ -1.9% +0.3%
Institutions buying 331 567
Institutions selling 260 563
Buyers to sellers 1.27 1.01

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.

THCHCA
THC 1.00 0.62
HCA 0.62 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, THC and HCA?

HCA Healthcare (HCA) is the largest by market capitalisation: Tenet Healthcare (THC) $22.43B, HCA Healthcare (HCA) $102.46B.

Which stock is cheaper, THC and HCA?

Tenet Healthcare (THC) trades on the lowest price-to-earnings ratio (Tenet Healthcare (THC) 10.0x, HCA Healthcare (HCA) 15.0x). On next year's consensus earnings, Tenet Healthcare (THC) is cheapest (Tenet Healthcare (THC) 12.2x, HCA Healthcare (HCA) 15.5x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

HCA Healthcare (HCA) grew revenue fastest over the trailing twelve months: Tenet Healthcare (THC) +5.4%, HCA Healthcare (HCA) +7.3%.

Which company is more profitable?

Tenet Healthcare (THC) has the highest net margin (Tenet Healthcare (THC) 10.3%, HCA Healthcare (HCA) 8.8%). On return on invested capital, HCA Healthcare (HCA) leads (Tenet Healthcare (THC) 18.8%, HCA Healthcare (HCA) 22.0%).

Which stock has performed better?

Over the past year Tenet Healthcare (THC) returned the most: Tenet Healthcare (THC) +29.7%, HCA Healthcare (HCA) +6.6%. Over five years, Tenet Healthcare (THC) compounded fastest (Tenet Healthcare (THC) +30.6%/yr, HCA Healthcare (HCA) +13.1%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, HCA Healthcare (HCA) has been the steadiest (Tenet Healthcare (THC) 42.2%, HCA Healthcare (HCA) 31.3%). Volatility measures how widely the price swings, not the risk of the business.

Do THC and HCA move together?

Their daily returns over the past year have a correlation of 0.62, a moderate positive relationship. Holding both diversifies more than two closely linked stocks would.

Which is the better stock, THC and HCA?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Tenet Healthcare (THC) leads on 7. 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.