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STOCK COMPARISON

HCA Healthcare vs Sienna Senior Living: Fair Value & Quality

Both stocks run through our valuation models. Here is how HCA Healthcare (HCA) and Sienna Senior Living (SIA) compare, as of Sep 30, 2026.

As of Sep 30, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: HCA Healthcare trades at $433 versus a fair value of $598 (+38.2%), while Sienna Senior Living trades at C$20.50 versus C$10.33 (−49.6%).
HCA Healthcare
HCA · USD · Health Care
+38.2%
upside to fair value
undervalued
Price$433
Fair Value$598
Quality70/100
Sienna Senior Living
SIA.TO · CAD · Health Care
−49.6%
upside to fair value
overvalued
PriceC$20.50
Fair ValueC$10.33
Quality20/100
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Head-to-head numbers

Green is the better side of a row, red the weaker one (for valuation multiples: lower = cheaper). Grey rows are for reference only and are not scored.

betterweakerfor reference, not scored

HCA HealthcareSienna Senior Living
Valuation
15.0×P/E (TTM)42.7×
13.5×Forward P/E (FY2027)n/a
14.0×Median P/E at FY-end (10 FY, reported earnings)n/a
1.24×P/S (TTM)2.39×
Negative equityP/B3.47×
8.7×EV/EBITDA22.7×
1.34×PEG24.62×
+38.2%Fair value upside−49.6%
0.7%Dividend yield4.6%
$3.00Dividend per shareC$0.94
Profitability
15.2%Operating margin8.3%
1.12×EBIT margin trend (5Y)0.51×
Negative equityReturn on equity6.1%
12.3%Return on assets2.8%
Growth
8.7%Revenue growth (YoY)17.6%
7.9%Avg. growth/yr (3Y)11.8%
8.0%Avg. growth/yr (5Y)8.6%
+16.7%Value creation/yr−6.4%
Balance & size
5.3×Interest coverage (EBIT/interest)2.2×
Negative equityDebt / equity1.95×
$96BMarket cap$2B
healthyGrowth qualityexpensive
HCA Healthcare, median P/E at fiscal year-end, 10 fiscal years (2016 to 2025), reported earnings: 14.
Forward P/E: price divided by the analyst consensus for the first fiscal year that has not started yet. The current year carries special items from quarters already reported.

HCA Healthcare leads: 11 to 3 metric wins.

n/a = not meaningfully computable, for example with negative equity.

Quality in detail

The quality score, broken down into the same factor families as on the stock page, 0 to 100 per family.

HCA Healthcareof which business quality 67 · market factors 46 Sienna Senior Livingof which business quality 22 · market factors 54
ProfitabilityMargins and returns on capital today
76
24
Quality GrowthAre margins and returns improving?
61
30
CashflowEarnings quality: real cash, not paper profit
62
36
Fin. StrengthBalance sheet, leverage, solvency risk
41
13
InvestmentDisciplined investing over empire-building
75
23
Low VolatilityCalm price path (market factor)
59
74
MomentumPrice trend over the last 3–12 months (market factor)
42
43
52W MomentumDistance to the 52-week high (market factor)
39
49
Net IssuanceShare count: buybacks or dilution?
100
0

What the models say

How far the median fair value (base case) per model family sits from the current price, in percent. The amount in the currency of the trading venue is shown underneath.

above the price, more than 15% above close to the price, 85% to 115% of the price below the price, more than 15% below

Model familyHCA HealthcarePrice $433Sienna Senior LivingPrice C$20.50
DCF Models+42.2%above the price$615n/a
Earnings-Based−33.1%below the price$289−81.4%below the priceC$3.82
Dividend Discount−87.6%below the price$53.85n/a
Multiples+55.5%above the price$673−65.2%below the priceC$7.13
Asset-Basedn/a−77.9%below the priceC$4.54
Growth DCF+48.6%above the price$643n/a
Economic Profit−3.2%close to the price$419−75.1%below the priceC$5.10
Growth Earnings+17.1%above the price$506−65.3%below the priceC$7.11
Minimum−87.6%below the price$53.85−81.4%below the priceC$3.82
Maximum+55.5%above the price$673−65.2%below the priceC$7.13
Median+17.1%above the price$506−75.1%below the priceC$5.10
Geometric mean−15.4%below the price$366−73.8%below the priceC$5.37

Minimum, maximum, median and geometric mean refer to the family values in this table. Geometric because deviations are ratios: half the price and twice the price average to 100%, not 125%.

HCA Healthcare: 6 of 23 models see the stock below the current price.

Sienna Senior Living: 11 of 11 models see the stock below the current price.

Scenario ranges

From our cautious bear scenario to the optimistic bull scenario. The white tick is the current price (value above it), the green tick the fair value (value below it): if the price sits left of the fair value, there is room to rise.

HCA Healthcare
Price $433
Fair Value $598
Bear $309Bull $841
Sienna Senior Living
Price C$20.50
Fair Value C$10.33
Bear C$7.33Bull C$12.97

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Ranked within their sector

Where each stock sits within its sector peer group. Band = middle 50% of peers, tick = median, dot = this stock.

HCA Healthcare · Health Care

Quality score70 · Top 25%
Fair value upside+38.2% · Top 25%

Sienna Senior Living · Health Care

Quality score20 · bottom 25%
Fair value upside−49.6% · below median

Bottom line

As of Sep 30, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: HCA Healthcare trades at $433 versus a fair value of $598 (+38.2%), while Sienna Senior Living trades at C$20.50 versus C$10.33 (−49.6%).

HCA Healthcare has the higher quality score (70/100).

Open HCA Healthcare live analysis →

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A model-based valuation snapshot from 26 models. Values change with price and fundamentals; the date shown above applies.