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AMN vs UNH vs HCSG vs HCA vs THC

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
AMN
AMN Healthcare Services, Inc.

Medical - Care Facilities

HealthcareNYSE • US
Market Cap$869M
5Y Perf.-49.3%
UNH
UnitedHealth Group Incorporated

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$335.60B
5Y Perf.+21.3%
HCSG
Healthcare Services Group, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$1.60B
5Y Perf.-6.7%
HCA
HCA Healthcare, Inc.

Medical - Care Facilities

HealthcareNYSE • US
Market Cap$95.95B
5Y Perf.+301.5%
THC
Tenet Healthcare Corporation

Medical - Care Facilities

HealthcareNYSE • US
Market Cap$17.01B
5Y Perf.+792.1%

AMN vs UNH vs HCSG vs HCA vs THC — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
AMN logoAMN
UNH logoUNH
HCSG logoHCSG
HCA logoHCA
THC logoTHC
IndustryMedical - Care FacilitiesMedical - Healthcare PlansMedical - Care FacilitiesMedical - Care FacilitiesMedical - Care Facilities
Market Cap$869M$335.60B$1.60B$95.95B$17.01B
Revenue (TTM)$3.42B$449.71B$1.84B$75.60B$21.45B
Net Income (TTM)$-32M$12.04B$59M$6.78B$1.70B
Gross Margin25.5%18.8%13.3%41.5%42.8%
Operating Margin0.3%4.2%3.0%15.8%16.1%
Forward P/E11.0x20.2x20.8x14.2x10.9x
Total Debt$803M$78.39B$25M$50.20B$13.17B
Cash & Equiv.$34M$24.36B$161M$1.04B$2.88B

AMN vs UNH vs HCSG vs HCA vs THCLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

AMN
UNH
HCSG
HCA
THC
StockMay 20May 26Return
AMN Healthcare Serv… (AMN)10050.7-49.3%
UnitedHealth Group … (UNH)100121.3+21.3%
Healthcare Services… (HCSG)10093.3-6.7%
HCA Healthcare, Inc. (HCA)100401.5+301.5%
Tenet Healthcare Co… (THC)100892.1+792.1%

Price return only. Dividends and distributions are not included.

Quick Verdict: AMN vs UNH vs HCSG vs HCA vs THC

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: HCA leads in 3 of 7 categories (5-stock set), making it the strongest pick for profitability and margin quality and capital preservation and lower volatility. UnitedHealth Group Incorporated is the stronger pick specifically for growth and revenue expansion and dividend income and shareholder returns. HCSG and THC also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
AMN
AMN Healthcare Services, Inc.
The Value Angle

Among these 5 stocks, AMN doesn't own a clear edge in any measured category.

Best for: healthcare exposure
UNH
UnitedHealth Group Incorporated
The Insurance Pick

UNH is the #2 pick in this set and the best alternative if income & stability and growth exposure is your priority.

  • Dividend streak 25 yrs, beta 0.59, yield 2.4%
  • Rev growth 11.8%, EPS growth -14.7%, 3Y rev CAGR 11.4%
  • Lower volatility, beta 0.59, Low D/E 77.1%, current ratio 0.79x
  • Beta 0.59, yield 2.4%, current ratio 0.79x
Best for: income & stability and growth exposure
HCSG
Healthcare Services Group, Inc.
The Momentum Pick

HCSG ranks third and is worth considering specifically for momentum.

  • +55.8% vs UNH's -3.2%
Best for: momentum
HCA
HCA Healthcare, Inc.
The Quality Compounder

HCA carries the broadest edge in this set and is the clearest fit for quality and stability.

  • 9.0% margin vs AMN's -0.9%
  • Beta 0.29 vs HCSG's 1.12
  • 11.3% ROA vs AMN's -1.4%, ROIC 19.9% vs 1.6%
Best for: quality and stability
THC
Tenet Healthcare Corporation
The Long-Run Compounder

THC is the clearest fit if your priority is long-term compounding and valuation efficiency.

  • 5.2% 10Y total return vs HCA's 450.5%
  • PEG 0.33 vs HCA's 0.67
  • Lower P/E (10.9x vs 14.2x), PEG 0.33 vs 0.67
Best for: long-term compounding and valuation efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthUNH logoUNH11.8% revenue growth vs AMN's -8.5%
ValueTHC logoTHCLower P/E (10.9x vs 14.2x), PEG 0.33 vs 0.67
Quality / MarginsHCA logoHCA9.0% margin vs AMN's -0.9%
Stability / SafetyHCA logoHCABeta 0.29 vs HCSG's 1.12
DividendsUNH logoUNH2.4% yield, 25-year raise streak, vs HCA's 0.7%, (3 stocks pay no dividend)
Momentum (1Y)HCSG logoHCSG+55.8% vs UNH's -3.2%
Efficiency (ROA)HCA logoHCA11.3% ROA vs AMN's -1.4%, ROIC 19.9% vs 1.6%

AMN vs UNH vs HCSG vs HCA vs THC — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

AMNAMN Healthcare Services, Inc.
FY 2025
Locum Tenens Staffing
92.4%$565M
Permanent Placement
7.6%$47M
UNHUnitedHealth Group Incorporated
FY 2025
Unitedhealthcare
94.4%$332.4B
Optumhealth
5.6%$19.8B
HCSGHealthcare Services Group, Inc.
FY 2025
Dietary Services
55.1%$1.0B
Environmental Services
44.9%$825M
HCAHCA Healthcare, Inc.
FY 2025
Managed Care And Other Insurers
50.5%$37.0B
Managed Medicare
18.4%$13.4B
Medicare
15.4%$11.3B
Medicaid
8.1%$5.9B
Managed Medicaid
5.0%$3.7B
International
2.5%$1.9B
THCTenet Healthcare Corporation
FY 2025
Ambulatory Care
50.2%$5.2B
Hospital Operations
49.8%$5.1B

AMN vs UNH vs HCSG vs HCA vs THC — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLAMNLAGGINGHCA

Income & Cash Flow (Last 12 Months)

AMN leads this category, winning 3 of 6 comparable metrics.

UNH is the larger business by revenue, generating $449.7B annually — 244.8x HCSG's $1.8B. HCA is the more profitable business, keeping 9.0% of every revenue dollar as net income compared to AMN's -0.9%. On growth, AMN holds the edge at +99.9% YoY revenue growth, suggesting stronger near-term business momentum.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
RevenueTrailing 12 months$3.4B$449.7B$1.8B$75.6B$21.5B
EBITDAEarnings before interest/tax$127M$23.2B$72M$15.5B$4.3B
Net IncomeAfter-tax profit-$32M$12.0B$59M$6.8B$1.7B
Free Cash FlowCash after capex$714M$19.7B$139M$7.7B$3.3B
Gross MarginGross profit ÷ Revenue+25.5%+18.8%+13.3%+41.5%+42.8%
Operating MarginEBIT ÷ Revenue+0.3%+4.2%+3.0%+15.8%+16.1%
Net MarginNet income ÷ Revenue-0.9%+2.7%+3.2%+9.0%+7.9%
FCF MarginFCF ÷ Revenue+20.9%+4.4%+7.6%+10.2%+15.6%
Rev. Growth (YoY)Latest quarter vs prior year+99.9%+2.0%+6.6%+6.7%+2.8%
EPS Growth (YoY)Latest quarter vs prior year+56.8%+0.7%+175.0%+44.6%+87.6%
AMN leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

AMN leads this category, winning 4 of 7 comparable metrics.

At 12.5x trailing earnings, THC trades at a 55% valuation discount to UNH's 27.9x P/E. Adjusting for growth (PEG ratio), THC offers better value at 0.38x vs HCA's 0.72x — a lower PEG means you pay less per unit of expected earnings growth.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
Market CapShares × price$869M$335.6B$1.6B$95.9B$17.0B
Enterprise ValueMkt cap + debt − cash$1.6B$389.6B$1.5B$145.1B$27.3B
Trailing P/EPrice ÷ TTM EPS-9.06x27.95x27.54x15.12x12.53x
Forward P/EPrice ÷ next-FY EPS est.11.05x20.19x20.83x14.19x10.94x
PEG RatioP/E ÷ EPS growth rate0.72x0.38x
EV / EBITDAEnterprise value multiple8.63x16.70x22.38x9.37x6.34x
Price / SalesMarket cap ÷ Revenue0.32x0.75x0.87x1.27x0.80x
Price / BookPrice ÷ Book value/share1.35x3.31x3.19x1.97x
Price / FCFMarket cap ÷ FCF3.72x20.88x11.49x12.47x6.72x
AMN leads this category, winning 4 of 7 comparable metrics.

Profitability & Efficiency

HCSG leads this category, winning 5 of 9 comparable metrics.

THC delivers a 19.6% return on equity — every $100 of shareholder capital generates $20 in annual profit, vs $-5 for AMN. HCSG carries lower financial leverage with a 0.05x debt-to-equity ratio, signaling a more conservative balance sheet compared to THC's 1.47x. On the Piotroski fundamental quality scale (0–9), HCSG scores 7/9 vs AMN's 5/9, reflecting strong financial health.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
ROE (TTM)Return on equity-5.0%+11.5%+11.8%+19.6%
ROA (TTM)Return on assets-1.4%+3.9%+7.3%+11.3%+5.7%
ROICReturn on invested capital+1.6%+9.2%+9.0%+19.9%+13.2%
ROCEReturn on capital employed+2.0%+9.7%+7.7%+27.0%+13.8%
Piotroski ScoreFundamental quality 0–956777
Debt / EquityFinancial leverage1.25x0.77x0.05x1.47x
Net DebtTotal debt minus cash$769M$54.0B-$136M$49.2B$10.3B
Cash & Equiv.Liquid assets$34M$24.4B$161M$1.0B$2.9B
Total DebtShort + long-term debt$803M$78.4B$25M$50.2B$13.2B
Interest CoverageEBIT ÷ Interest expense-1.70x4.71x33.02x5.37x4.28x
HCSG leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

THC leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in THC five years ago would be worth $29,044 today (with dividends reinvested), compared to $2,488 for AMN. Over the past 12 months, HCSG leads with a +55.8% total return vs UNH's -3.2%. The 3-year compound annual growth rate (CAGR) favors THC at 40.7% vs AMN's -37.1% — a key indicator of consistent wealth creation.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
YTD ReturnYear-to-date+48.7%+10.6%+28.6%-8.6%-2.7%
1-Year ReturnPast 12 months+14.6%-3.2%+55.8%+19.7%+27.4%
3-Year ReturnCumulative with dividends-75.1%-19.9%+48.6%+57.4%+178.5%
5-Year ReturnCumulative with dividends-75.1%-2.6%-21.1%+109.7%+190.4%
10-Year ReturnCumulative with dividends-41.5%+220.6%-26.8%+450.5%+523.4%
CAGR (3Y)Annualised 3-year return-37.1%-7.1%+14.1%+16.3%+40.7%
THC leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — AMN and HCA each lead in 1 of 2 comparable metrics.

HCA is the less volatile stock with a 0.29 beta — it tends to amplify market swings less than HCSG's 1.12 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. AMN currently trades 94.7% from its 52-week high vs HCA's 77.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
Beta (5Y)Sensitivity to S&P 5001.08x0.59x1.12x0.29x0.71x
52-Week HighHighest price in past year$23.74$395.52$24.39$556.52$247.21
52-Week LowLowest price in past year$14.87$234.60$12.66$330.00$146.60
% of 52W HighCurrent price vs 52-week peak+94.7%+93.5%+91.5%+77.1%+78.5%
RSI (14)Momentum oscillator 0–10057.275.961.830.852.9
Avg Volume (50D)Average daily shares traded849K7.9M676K1000K1.2M
Evenly matched — AMN and HCA each lead in 1 of 2 comparable metrics.

Analyst Outlook

UNH leads this category, winning 2 of 2 comparable metrics.

Analyst consensus: AMN as "Buy", UNH as "Buy", HCSG as "Hold", HCA as "Buy", THC as "Buy". Consensus price targets imply 38.1% upside for THC (target: $268) vs 0.1% for AMN (target: $23). For income investors, UNH offers the higher dividend yield at 2.35% vs HCA's 0.69%.

MetricAMN logoAMNAMN Healthcare Se…UNH logoUNHUnitedHealth Grou…HCSG logoHCSGHealthcare Servic…HCA logoHCAHCA Healthcare, I…THC logoTHCTenet Healthcare …
Analyst RatingConsensus buy/hold/sellBuyBuyHoldBuyBuy
Price TargetConsensus 12-month target$22.50$385.43$24.50$527.45$268.00
# AnalystsCovering analysts1752154632
Dividend YieldAnnual dividend ÷ price+2.4%+0.7%
Dividend StreakConsecutive years of raises252050
Dividend / ShareAnnual DPS$8.70$2.94
Buyback YieldShare repurchases ÷ mkt cap+0.2%+1.7%+3.9%+10.5%+8.4%
UNH leads this category, winning 2 of 2 comparable metrics.
Key Takeaway

AMN leads in 2 of 6 categories (Income & Cash Flow, Valuation Metrics). HCSG leads in 1 (Profitability & Efficiency). 1 tied.

Best OverallAMN Healthcare Services, In… (AMN)Leads 2 of 6 categories
Loading custom metrics...

AMN vs UNH vs HCSG vs HCA vs THC: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is AMN or UNH or HCSG or HCA or THC a better buy right now?

For growth investors, UnitedHealth Group Incorporated (UNH) is the stronger pick with 11.

8% revenue growth year-over-year, versus -8. 5% for AMN Healthcare Services, Inc. (AMN). Tenet Healthcare Corporation (THC) offers the better valuation at 12. 5x trailing P/E (10. 9x forward), making it the more compelling value choice. Analysts rate AMN Healthcare Services, Inc. (AMN) a "Buy" — based on 17 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — AMN or UNH or HCSG or HCA or THC?

On trailing P/E, Tenet Healthcare Corporation (THC) is the cheapest at 12.

5x versus UnitedHealth Group Incorporated at 27. 9x. On forward P/E, Tenet Healthcare Corporation is actually cheaper at 10. 9x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Tenet Healthcare Corporation wins at 0. 33x versus HCA Healthcare, Inc. 's 0. 67x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.

03

Which is the better long-term investment — AMN or UNH or HCSG or HCA or THC?

Over the past 5 years, Tenet Healthcare Corporation (THC) delivered a total return of +190.

4%, compared to -75. 1% for AMN Healthcare Services, Inc. (AMN). Over 10 years, the gap is even starker: THC returned +523. 4% versus AMN's -41. 5%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — AMN or UNH or HCSG or HCA or THC?

By beta (market sensitivity over 5 years), HCA Healthcare, Inc.

(HCA) is the lower-risk stock at 0. 29β versus Healthcare Services Group, Inc. 's 1. 12β — meaning HCSG is approximately 292% more volatile than HCA relative to the S&P 500. On balance sheet safety, Healthcare Services Group, Inc. (HCSG) carries a lower debt/equity ratio of 5% versus 147% for Tenet Healthcare Corporation — giving it more financial flexibility in a downturn.

05

Which is growing faster — AMN or UNH or HCSG or HCA or THC?

By revenue growth (latest reported year), UnitedHealth Group Incorporated (UNH) is pulling ahead at 11.

8% versus -8. 5% for AMN Healthcare Services, Inc. (AMN). On earnings-per-share growth, the picture is similar: Healthcare Services Group, Inc. grew EPS 52. 8% year-over-year, compared to -52. 6% for Tenet Healthcare Corporation. Over a 3-year CAGR, UNH leads at 11. 4% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — AMN or UNH or HCSG or HCA or THC?

HCA Healthcare, Inc.

(HCA) is the more profitable company, earning 9. 0% net margin versus -3. 5% for AMN Healthcare Services, Inc. — meaning it keeps 9. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: THC leads at 16. 1% versus 1. 2% for AMN. At the gross margin level — before operating expenses — THC leads at 82. 3%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is AMN or UNH or HCSG or HCA or THC more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, Tenet Healthcare Corporation (THC) is the more undervalued stock at a PEG of 0. 33x versus HCA Healthcare, Inc. 's 0. 67x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Tenet Healthcare Corporation (THC) trades at 10. 9x forward P/E versus 20. 8x for Healthcare Services Group, Inc. — 9. 9x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for THC: 38. 1% to $268. 00.

08

Which pays a better dividend — AMN or UNH or HCSG or HCA or THC?

In this comparison, UNH (2.

4% yield), HCA (0. 7% yield) pay a dividend. AMN, HCSG, THC do not pay a meaningful dividend and should not be held primarily for income.

09

Is AMN or UNH or HCSG or HCA or THC better for a retirement portfolio?

For long-horizon retirement investors, HCA Healthcare, Inc.

(HCA) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 29), 0. 7% yield, +450. 5% 10Y return). Both have compounded well over 10 years (HCA: +450. 5%, HCSG: -26. 8%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between AMN and UNH and HCSG and HCA and THC?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: AMN is a small-cap quality compounder stock; UNH is a large-cap quality compounder stock; HCSG is a small-cap quality compounder stock; HCA is a mid-cap deep-value stock; THC is a mid-cap deep-value stock. UNH, HCA pay a dividend while AMN, HCSG, THC do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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