Hca Healthcare Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Hca Healthcare Inc (HCA) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Hca Healthcare Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 76,388M vs 112,391M combined for tracked competitors (40.5% combined share).
- Trending: Latest-quarter revenue run-rate is holding steady (+0.1% annualized vs trailing 12 months), vs holding steady (-0.8%) for its tracked peer group.
- Growth: Hca Healthcare Inc generated 4.3% revenue growth year over year in Q1 2026, vs 5.2% for its tracked competitors combined.
- Profitability: Its 9.7% net margin compares with 7.6% for the peer group.
- Scale: Hca Healthcare Inc ranks #1 of 51 companies by market capitalization in the Healthcare Facilities industry, holding 38.8% of industry market cap.
- Peer revenue share: Hca Healthcare Inc accounted for 40.7% of combined revenue among its tracked peer group, down from 40.9% a year earlier.
- Peer differentiation: Revenue per employee of $0.24M compares with $0.20M for the peer group (1.2x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
HCA Sales vs. its Competitors, Q1 2026
Hca Healthcare Inc reported revenue growth of 4.30 % year on year in Q1 2026, below its competitors' combined revenue growth of 5.24 %.
With a net margin of 9.72 %, Hca Healthcare Inc achieved higher profitability than its competitors (7.61 %).
Hca Healthcare Inc generated 40.66 % of the combined sales of its peer group, down from 40.88 % a year earlier.
Hca Healthcare Inc vs. its Competitors, Q1 2026
Revenue growth, year on year
Net income growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Hca Healthcare Inc and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Hca Healthcare Inc | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| High-Confidence Competitors (1) | $12,345M | +12.3% · Accelerating |
| Similar-Size Competitors (4) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (6) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Hca Healthcare Inc's competitor groups requires a Commercial License.
For context: the Healthcare Facilities industry grew revenue 14.7% year over year, combined, vs 4.3% for Hca Healthcare Inc. Hca Healthcare Inc's share of combined industry revenue moved from 17.81% to 16.19%, a loss of 1.61 percentage points.
Hca Healthcare Inc's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Hca Healthcare Inc | Yes | Yes | Yes | No |
| Competitors combined (25) | ||||
| High-Confidence Competitors (1) | ||||
| Similar-Size Competitors (5) | ||||
| Similar Growth & Profitability (8) | 87.50 % (7 of 8) | 87.50 % (7 of 8) | 62.50 % (5 of 8) | 12.50 % (1 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
HCA Stock Performance relative to its Competitors
HCA Stock Performance relative to High-Confidence Competitors
HCA Stock Performance relative to Similar-Size Competitors
HCA Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Psq Holdings Inc | 282.9% | Outperformed |
| 2 | Nutex Health Inc | 282.9% | Outperformed |
| 3 | Lifestance Health Group Inc | 282.9% | Outperformed |
| 4 | National Healthcare Corp | 282.9% | Outperformed |
| 5 | Pediatrix Medical Group Inc | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Hca Healthcare Inc's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Publicly Traded Peers of Hca Healthcare Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Hca Healthcare Inc | 98,049.66 | 76,388.00 |
| Tenet Healthcare Corp | 21,656.83 | 21,812.00 |
| Encompass Health Corporation | 12,402.00 | 6,206.10 |
| Davita Inc | 11,769.00 | 14,009.65 |
| Universal Health Services Inc | 10,632.83 | 18,114.49 |
| Ensign Group Inc | 10,490.42 | 5,486.71 |
| SUBTOTAL | 198,776.92 | 188,844.74 |
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Sources: Hca Healthcare Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Hca Healthcare Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Hca Healthcare Inc's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Surgery Partners Inc | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Hca Healthcare Inc's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Hca Healthcare Inc's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Hca Healthcare Inc | American Group 34.90 % |
| Tenet Healthcare Corp | Hospital Operations 75.34 % |
| Encompass Health Corporation | Inpatient Rehabilitation 100.00 % |
| Davita Inc | U. S. Dialysis And Related Lab Services 84.42 % |
| Universal Health Services Inc | Acute Care Hospital Services 56.27 % |
| Ensign Group Inc | Skilled Services 95.80 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
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Hca Healthcare Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Hca Healthcare Inc | 98,050 | 238,713 | 24,419 |
| Tenet Healthcare Corp | 21,657 | 220,323 | 32,061 |
| Encompass Health Corporation | 12,402 | 147,764 | 19,840 |
| Davita Inc | 11,769 | 179,611 | 15,250 |
| Universal Health Services Inc | 10,633 | 178,468 | 15,273 |
| Ensign Group Inc | 10,490 | 119,276 | 8,240 |
| PEERS TOTAL | 100,727 | 199,300 | 13,168 |
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Hca Healthcare Inc's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Delcath Systems Inc | Non-US 7.20 % |
Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
Hca Healthcare Inc's Position in Industry Market Structure
Market-capitalization share and concentration across all 48 companies in Hca Healthcare Inc's industry classification, broader than the peer set above. Market cap in millions of $.Hca Healthcare Inc ranks #1 of 48 companies by market capitalization in its industry, holding 38.81 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 1,749, indicating a moderately concentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Hca Healthcare Inc | 100,440 | 38.81 % |
| 2 | Tenet Healthcare Corp | 22,258 | 8.60 % |
| 3 | Fresenius Medical Care Ag | 13,424 | 5.19 % |
| 4 | Brightspring Health Services Inc | 12,539 | 4.84 % |
| 5 | Encompass Health Corporation | 1,234 | 5.2% |
| 6 | Davita Inc | 1,234 | 5.2% |
| 7 | Universal Health Services Inc | 1,234 | 5.2% |
| 8 | Ensign Group Inc | 1,234 | 5.2% |
| 9 | Pacs Group Inc | 1,234 | 5.2% |
| 10 | Chemed Corporation | 1,234 | 5.2% |
Market cap and industry share for the rest of Hca Healthcare Inc's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Hca Healthcare Inc's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 1 | Hca Healthcare Inc | 100,440 | 6.81 % |
| 2 | Tenet Healthcare Corp | 22,258 | 34.75 % |
| 3 | Fresenius Medical Care Ag | 1,234 | 12.3% |
| 4 | Brightspring Health Services Inc | 1,234 | 12.3% |
| 5 | Encompass Health Corporation | 1,234 | 12.3% |
| 6 | Davita Inc | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Hca Healthcare Inc's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Hca Healthcare Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Healthcare Facilities industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (77 companies).| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 100.00 % | 52.28 % (avg) | +47.7 pp |
| Operating Margin | 51.95 % | industry median | +44.5 pp |
| EBITDA Margin | 19.04 % | 3.22 % (avg) | +15.8 pp |
| Capital Intensity (Capex / Revenue) | 6.64 % | 4.01 % (avg) | +2.6 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Hca Healthcare Inc's Valuation vs Competitive Position
Valuation multiples vs the Healthcare Facilities industry average (77 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | 17.4x | 23.5x | -6.1x |
| EV / EBITDA | 10.9x | 15.7x | -4.8x |
| P/B | -49.8x | 3.3x | -53.0x |
| Return on Equity | -341.75 % | industry aggregate | -381.16 % |
| Return on Invested Capital | 99.56 % | 4.91 % (avg) | 94.65 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Hca Healthcare Inc's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Revenue Growth | -2.05 % | 9.98 % | 0.38 % | 17.67 % | 0.84 % | 7.86 % | 8.67 % | 7.08 % |
| Operating Margin | -123.57 % | 49.08 % | 48.38 % | 54.12 % | 51.27 % | 49.87 % | 51.18 % | 51.92 % |
| Return on Invested Capital | -197.13 % | 68.40 % | 59.59 % | 70.94 % | 71.23 % | 76.86 % | 77.69 % | 94.11 % |
| P/E | 12.5x | 14.2x | 14.5x | 10.1x | 12.4x | 13.8x | 14.8x | 17.1x |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Hca Healthcare Inc's Strategic Group Map
Every company in Hca Healthcare Inc's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Hca Healthcare Inc is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Hca Healthcare Inc's BCG Growth-Share Matrix
Relative market share (vs Hca Healthcare Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.
Hca Healthcare Inc falls in the Cash Cow quadrant: relative market share of 4.51x vs its largest competitor, in an industry growing revenue 4.2% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution.
Hca Healthcare Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | Moderate | Industry HHI of 1,749 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | High (capital intensive) | Capital intensity (capex / revenue) of 6.64 % vs industry average 4.01 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Hca Healthcare Inc's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Hca Healthcare Inc's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Hca Healthcare Inc's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Hca Healthcare Inc falls in the Low attractiveness / High strength cell: Selective.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Hca Healthcare Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Market leader by capitalization in its industry (#1 of 48, 38.81 % share).
- Operating margin 44.5 points above the industry median.
Weaknesses
- Return on equity 381.2 points below the industry aggregate.
- Underperforming the U.S.A. 500 over the trailing 12 months.
Opportunities
- Trades at a lower P/E than the industry average (17.4x vs 23.5x) despite a higher return on invested capital -- a possible re-rating opportunity.
Threats
- Losing revenue share to the broader industry (-1.6 points over the past year).
- High capital intensity requires continuous reinvestment just to keep pace with the industry.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Hca Healthcare Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Hca Healthcare Inc | 0.06 | 0.90 | - |
| Tenet Healthcare Corp | 0.53 | 1.54 | 3.16 |
| Encompass Health Corporation | 0.10 | 1.15 | 0.98 |
| Davita Inc | 0.23 | 1.38 | - |
| Universal Health Services Inc | 0.04 | 1.07 | 0.72 |
| Ensign Group Inc | 0.51 | 1.41 | 0.03 |
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Hca Healthcare Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Hca Healthcare Inc | Q1 2026 | +4.3 % | +1.8 % |
| Tenet Healthcare Corp | Q2 2026 | +6.8 % | +100.2 % |
| Encompass Health Corporation | Q2 2026 | +9.6 % | +12.2 % |
| Davita Inc | Q2 2026 | +5.2 % | +24.7 % |
| Universal Health Services Inc | Q2 2026 | +8.3 % | +0.5 % |
| Ensign Group Inc | Q2 2026 | +17.3 % | +18.2 % |
| PEERS TOTAL | +4.5 % | +14.1 % |
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Hca Healthcare Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Hca Healthcare Inc | Q1 2026 | - | +12.9 % |
| Tenet Healthcare Corp | Q2 2026 | +14.4 % | -13.0 % |
| Encompass Health Corporation | Q2 2026 | - | +40.4 % |
| Davita Inc | Q2 2026 | - | +40.2 % |
| Universal Health Services Inc | Q2 2026 | - | -14.4 % |
| Ensign Group Inc | Q2 2026 | +16.7 % | - |
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Hca Healthcare Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Hca Healthcare Inc | 12.94% | 18.54% | - |
| Tenet Healthcare Corp | 10.49% | 9.98% | 50.64% |
| Encompass Health Corporation | 11.60% | 11.56% | 25.52% |
| Davita Inc | 6.77% | 6.92% | - |
| Universal Health Services Inc | 9.92% | 12.43% | 20.89% |
| Ensign Group Inc | 6.88% | 5.75% | 16.53% |
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Hca Healthcare Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Hca Healthcare Inc | 15.03 | 1.28 |
| Tenet Healthcare Corp | 7.09 | 0.99 |
| Encompass Health Corporation | 20.20 | 2.00 |
| Davita Inc | 10.86 | 0.84 |
| Universal Health Services Inc | 7.27 | 0.59 |
| Ensign Group Inc | 27.60 | 1.91 |
| PEERS AVERAGE | 13.04 | 1.05 |
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.