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STOCK COMPARISON

HCA Healthcare vs Spire Healthcare Group: Fair Value & Quality

Both stocks run through our valuation models. Here is how HCA Healthcare (HCA) and Spire Healthcare Group (SPI) compare, as of Sep 6, 2026.

As of Sep 6, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: HCA Healthcare trades at $405 versus a fair value of $548 (+35%), while Spire Healthcare Group trades at £2.38 versus £0.90 (-62%).
HCA Healthcare
HCA · USD · Health Care
+35%
upside to fair value
undervalued
Price$405
Fair Value$548
Quality71/100
Spire Healthcare Group
SPI.LSE · GBX · Health Care
-62%
upside to fair value
overvalued
Price£2.38
Fair Value£0.90
Quality54/100
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Head-to-head numbers

Green value = the better side for that row (for valuation multiples: lower = cheaper).

HCA HealthcareSpire Healthcare Group
Valuation
14.0×P/E (TTM)59.6×
1.06×P/S (TTM)0.75×
P/B1.60×
7.8×EV/EBITDA7.1×
1.18×PEG
+35.2%Fair value upside−62.2%
0.7%Dividend yield0.6%
$2.94Dividend per share£0.02
Profitability
15%Operating margin9%
1.12×EBIT margin trend (5Y)0.91×
136%Return on equity2%
12%Return on assets4%
Growth
4%Revenue growth (YoY)5%
7.9%Avg. growth/yr (3Y)9.6%
8.0%Avg. growth/yr (5Y)11.4%
+22.7%Value creation/yr+18.6%
Balance & size
5.3×Interest coverage (EBIT/interest)1.4×
Debt / equity0.49×
$81BMarket cap$1B
healthyGrowth qualityhealthy

HCA Healthcare leads: 8 to 4 metric wins.

Dash = 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 66 · market factors 41 Spire Healthcare Groupof which business quality 52 · market factors 53
ProfitabilityMargins and returns on capital today
76
30
Quality GrowthAre margins and returns improving?
61
38
CashflowEarnings quality: real cash, not paper profit
62
63
Fin. StrengthBalance sheet, leverage, solvency risk
39
26
InvestmentDisciplined investing over empire-building
75
89
Low VolatilityCalm price path (market factor)
58
34
MomentumPrice trend over the last 3–12 months (market factor)
34
59
52W MomentumDistance to the 52-week high (market factor)
33
67
Net IssuanceBuybacks instead of dilution
100
92

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 $405Spire Healthcare GroupPrice £2.38
DCF Models+35%above the price$546+64%above the price£3.91
Earnings-Based-29%below the price$289-76%below the price£0.56
Dividend Discount-87%below the price$53.85-87%below the price£0.30
Multiples+66%above the price$673-1%close to the price£2.36
Asset-Basedn/a-48%below the price£1.24
Growth DCF+33%above the price$540+67%above the price£3.97
Economic Profit+3%close to the price$419-29%below the price£1.69
Growth Earnings+25%above the price$506-67%below the price£0.79
Minimum-87%below the price$53.85-87%below the price£0.30
Maximum+66%above the price$673+67%above the price£3.97
Median+25%above the price$506-38%below the price£1.47
Geometric mean-13%close to the price$351-44%below the price£1.34

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.

Spire Healthcare Group: 16 of 26 models see the stock below the current price.

Scenario ranges

From our cautious bear case to the optimistic bull case. The white tick is the current price: left of fair value means room to run.

HCA Healthcare
Bear $260Fair Value $548Bull $841
$405 = current price (white tick)
Spire Healthcare Group
Bear £0.68Fair Value £0.90Bull £1.13
£2.38 = current price (white tick)

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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 score71 · Top 25%
Fair value upside+35% · Top 25%

Spire Healthcare Group · Health Care

Quality score54 · above median
Fair value upside-62% · below median

Bottom line

As of Sep 6, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: HCA Healthcare trades at $405 versus a fair value of $548 (+35%), while Spire Healthcare Group trades at £2.38 versus £0.90 (-62%).

HCA Healthcare has the higher quality score (71/100).

See the full analysis →

More comparisons

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