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

HCA Healthcare holds the cleaner structural position, with the lead spread across profitability and stability. Universal Health Services still has the edge on growth, which keeps the comparison from looking entirely one-sided. Both sides have seen trend damage — neither carries a clear market edge right now. With both trends damaged, the structural comparison carries most of the weight here.

The comparison is based on similar long-term financial trajectories, not sector labels. Both peer scores are relative to the S&P 500 universe, making them directly comparable.

Updated 2026-05-17

The clearest separation starts in profitability, with stability adding a second layer of support. HCA Healthcare, Inc. leads by 18 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.
67
Peer-Score
Signal qualitylow
Peer basis: S&P 500
vs
UHS
Universal Health Services, Inc.
49
Peer-Score
Signal qualityMedium
Peer basis: S&P 500

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 86 24 Stability 58 31 Valuation 81 88 Growth 28 45 HCA UHS
Gap Ranking
#1 Profitability +62
#2 Stability +27
#3 Growth +17
#4 Valuation +7
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.

Entry today — historical context

Where HCA and UHS each sit in their own 5-year price and valuation history.

BASED ON 5-YEAR HISTORY HCA Elevated · near norm 0th 50th 100th 29 pct gap UHS Neutral · below norm 0th 50th 100th 88th 60th
Today UHS sits in the upper-middle of its own 5-year history (60th percentile), while HCA sits higher in its own history (88th). Within each stock's own 5-year context, UHS is at a historically more favourable entry position than HCA. This reflects entry timing, not which company is structurally stronger — peer-relative analysis is a separate question addressed above.

Describes historical entry positioning only. Descriptive — not investment advice.

Relative Position vs Comparable Companies
Profitability
On profitability, HCA Healthcare, Inc. ranks near the top of the group; 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
86
UHS
24
Gap+62in favour of HCA

Capital efficiency adds support, with a 8.4-point ROIC advantage.

What keeps the gap from being one-sided

Universal Health Services, Inc. still carries lower volatility exposure — that difference is real enough to prevent the comparison from becoming one-sided.

What this means for the comparison

The lead is built on both profitability and stability — though growth still provides a counterweight.

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.

Because scores are peer-relative, the same company can have slightly different scores in different index universes. On comparison pages, both companies are shown within their shared peer universe wherever possible — so the scores are directly comparable. The peer basis is stated on each score card.

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.