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HCA Healthcare vs Universal Health Services: Which Stock Looks Stronger in 2026?

HCA Healthcare holds the cleaner structural position, with profitability as the main driver and stability adding further support. Universal Health Services does not offset that deficit through any equally strong structural edge elsewhere. On the market side, HCA Healthcare is in better shape — its trend is intact while Universal Health Services's trend has broken down. That puts structure and market broadly in agreement — HCA Healthcare's lead looks more confirmed than conflicted.

The comparison is based on similar long-term financial trajectories, not sector labels.

Updated 2026-04-05

This is not just a one-metric split: both profitability and stability materially support the lead. HCA Healthcare, Inc. leads by 21 points on the overall comparison score.

INDUSTRY COMPARISON

Both operate in: Medical Care Facilities

This comparison is based on industry proximity, not on functional trajectory similarity. HCA and UHS share the same industry classification.

For a similarity-based comparison, see how HCA Healthcare and Universal Health Services each position within their functional peer groups in AssetNext.

Peer-Relative Score
HCA
HCA Healthcare, Inc.
70
Peer-Score
Signal qualityMedium
vs
UHS
Universal Health Services, Inc.
49
Peer-Score
Signal qualityMedium

Scores reflect position relative to comparable companies with similar long-term financial trajectories.

The largest gaps do not all point in the same direction.

Dimension spread: HCA vs UHS Profitability 72 18 Stability 58 34 Valuation 84 87 Growth 59 51 HCA UHS
Gap Ranking
#1 Profitability +54
#2 Stability +24
#3 Growth +8
#4 Valuation +3
Price Setup

Left means cheaper relative valuation. Higher means stronger structure.

Price setup map for HCA and UHS Stronger + cheaper Stronger + richer Weaker + cheaper Weaker + richer HCAUHS Relative valuation Structural strength

Structure clearly favours HCA Healthcare, Inc., even though current pricing leans the other way.

Valuation position uses peer-relative PE percentile (idx_pct_pe) where available.

Relative Position vs Comparable Companies
Profitability
HCA Healthcare, Inc. ranks near the top of the group on profitability; Universal Health Services, Inc. sits in the weaker half.
Stability
HCA Healthcare, Inc. sits in the stronger part of the group on stability, while Universal Health Services, Inc. is closer to mid-pack.
Profitability — Dominant Gap
HCA
72
UHS
18
Gap+54in favour of HCA

Capital efficiency adds support, with a 8.8-point ROIC advantage.

What keeps the gap from being one-sided

Universal Health Services, Inc. still shows lower market-fundamental divergence, which keeps the wider picture mixed rather than completely one-sided.

What this means for the comparison

Profitability is the clearest driver, and stability also supports HCA Healthcare, Inc.'s broader structural position.

Explore full peer positioning in AssetNext

Break down the HCA vs UHS comparison across all dimensions with the full interactive tool.

Explore full breakdown →
Similar profitability-driven comparisons

Explore how HCA and UHS each compare against other companies in their peer groups.

Rule-based, descriptive analysis only. Derived from peer percentile dimensions. Not investment advice. Peer groups are determined algorithmically based on structural similarity — not by sector classification alone.

How AssetNext Peer Scores Work

AssetNext scores reflect each company's structural position within its functional peer group — not a ranking against all stocks simultaneously. Peers are identified by similarity across eight financial dimensions, including revenue growth trajectory, margin structure, capital intensity, and earnings stability. A score of 75 means the company ranks in the top quartile within its own peer group, not the entire market.

Four dimension scores drive the overall peer score: Growth (revenue trajectory and expansion dynamics), Quality (margin structure and capital efficiency), Valuation (peer-relative pricing on standard multiples), and Stability (earnings consistency and financial predictability). Each dimension is scored 0–100 relative to the peer group, then combined into an overall peer score using equal weighting.

Scores are recalculated periodically as underlying financial data is updated. All analysis is descriptive and rule-based — AssetNext describes structural realities and never issues buy, sell or hold recommendations.