HCA vs. IDXX: HCA Healthcare vs. IDEXX Laboratories Stock Comparison

November 11, 2026

How do HCA Healthcare (HCA) and IDEXX Laboratories (IDXX) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

HCA Healthcare (HCA) and IDEXX Laboratories (IDXX) both fall under the Health Care Equipment & Services industry group, but HCA is classified in Health Care Providers & Services while IDXX is classified in Health Care Equipment & Supplies.

Company profile comparison for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Profile Item	HCA	IDXX
Name	HCA Healthcare, Inc.	IDEXX Laboratories, Inc.
Country/Region	United States	United States
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Providers & Services	Health Care Equipment & Supplies
GICS Sub-Industry	Health Care Facilities	Health Care Equipment
Market Capitalization	103.40 billion USD	53.26 billion USD
Currency	USD	USD
Exchange	NYSE	Nasdaq
Listing Date	March 10, 2011	June 21, 1991
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

HCA

IDXX

GSPC

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Total Return (1Y)	6.56%	-1.84%
Total Return (3Y, Annualized)	31.39%	18.42%
Total Return (5Y, Annualized)	16.40%	2.02%

Risk Profile

Drawdown History

HCA

IDXX

GSPC

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Volatility (1Y, Annualized)	32.89%	37.02%
Beta (5Y)	1.07	1.44
Max Drawdown (5Y)	-39.49%	-50.91%
Avg. Volume (3M)	1.35M	564.80K

Risk-Adjusted Performance

Risk-Return Positioning

HCA and IDXX are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Sharpe Ratio (1Y)	0.07	-0.17
Sortino Ratio (1Y)	0.11	-0.28

Profitability

ROE (TTM)

Capital efficiency shows on one side only: IDEXX Laboratories (IDXX) earns 68.93% on shareholders’ equity, ranked against its industry; HCA Healthcare (HCA) has no ROE this period.

HCA

Health Care Equipment & Services industry group

Max: 47.61%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%
HCA: --

IDXX

Health Care Equipment & Services industry group

68.93%

IDXX: 68.93%
Max: 47.61%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): HCA does not report ROE, so it has no value marker; IDXX is benchmarked against the Health Care Equipment & Services industry group.

Net Margin (TTM)

IDEXX Laboratories (IDXX) at 25.36% retains a top-quartile share of revenue as profit, ahead of HCA Healthcare (HCA) at 8.61%, which keeps about the industry-typical share.

HCA

Health Care Equipment & Services industry group

8.61%

Max: 29.35%
Q3: 9.33%
HCA: 8.61%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

IDXX

Health Care Equipment & Services industry group

25.36%

Max: 29.35%
IDXX: 25.36%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both HCA Healthcare (HCA) at 14.83% and IDEXX Laboratories (IDXX) at 33.14% convert sales into operating profit at a top-quartile rate, pointing to tighter cost discipline before financing and tax.

HCA

Health Care Equipment & Services industry group

14.83%

Max: 35.43%
HCA: 14.83%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

IDXX

Health Care Equipment & Services industry group

33.14%

Max: 35.43%
IDXX: 33.14%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
ROE (TTM)	--	68.93%
ROA (TTM)	12.23%	26.70%
Net Margin (TTM)	8.61%	25.36%
Operating Margin (TTM)	14.83%	33.14%
Gross Margin (TTM)	42.76%	62.72%

Growth

Revenue Growth

Both HCA Healthcare (HCA) at 7.08% and IDEXX Laboratories (IDXX) at 10.42% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their Revenue Growth across different time periods.

EPS Growth

HCA Healthcare (HCA) at 28.77% sits in the top EPS growth quartile, while IDEXX Laboratories (IDXX) at 22.59% is closer to the peer norm — faster per-share earnings growth for HCA.

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Revenue Growth (YoY)	7.08%	10.42%
Revenue Growth (3Y CAGR)	7.87%	8.52%
EPS Growth (YoY)	28.77%	22.59%
EPS Growth (3Y CAGR)	13.94%	17.66%

Financial Strength

Current Ratio (MRQ)

Both HCA Healthcare (HCA) at 0.82 and IDEXX Laboratories (IDXX) at 1.19 run current ratio in the tighter-liquidity quartile of industry peers, leaving thinner cushions against current liabilities than typical competitors.

HCA

Health Care Equipment & Services industry group

0.82

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
HCA: 0.82
Min: 0.30

IDXX

Health Care Equipment & Services industry group

1.19

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
IDXX: 1.19
Min: 0.30

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Only one side’s leverage can be read here: IDEXX Laboratories (IDXX) carries debt-to-equity ratio of 0.52 against its industry range, while HCA Healthcare (HCA) reports no figure this period.

HCA

Health Care Equipment & Services industry group

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00
HCA: --

IDXX

Health Care Equipment & Services industry group

0.52

Max: 1.88
Q3: 0.91
Median: 0.58
IDXX: 0.52
Q1: 0.16
Min: 0.00

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): HCA does not report debt-to-equity ratio, so it has no value marker; IDXX is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Current Ratio (MRQ)	0.82	1.19
Debt / Equity (MRQ)	--	0.52
Net Debt / EBITDA	3.26	0.46

Dividends

Dividend Yield (TTM)

IDEXX Laboratories (IDXX) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile HCA Healthcare (HCA) reports a yield of 0.60%, ranking against industry peers normally.

HCA

Health Care Equipment & Services industry group

0.60%

HCA: 0.60%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

IDXX

Health Care Equipment & Services industry group

0.00%

IDXX: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

IDEXX Laboratories (IDXX) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile HCA Healthcare (HCA) reports a payout of 10.15%, ranking against industry peers normally.

HCA

Health Care Equipment & Services industry group

10.15%

HCA: 10.15%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

IDXX

Health Care Equipment & Services industry group

0.00%

IDXX: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
Dividend Yield (TTM)	0.60%	0.00%
Dividend Payout Ratio (TTM)	10.15%	0.00%

Valuation

P/E Ratio (TTM)

HCA Healthcare (HCA) at 16.42 sits in the cheaper P/E ratio quartile, while IDEXX Laboratories (IDXX) at 45.56 is closer to its industry’s usual earnings multiple — a discount for HCA, though growth and earnings durability still matter.

HCA

Health Care Equipment & Services industry group

16.42

Max: 80.41
Q3: 47.62
Median: 29.93
Q1: 21.19
HCA: 16.42
Min: 4.21

IDXX

Health Care Equipment & Services industry group

45.56

Max: 80.41
Q3: 47.62
IDXX: 45.56
Median: 29.93
Q1: 21.19
Min: 4.21

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

HCA Healthcare (HCA) at 1.31 prices around its industry’s typical P/S ratio, while IDEXX Laboratories (IDXX) at 11.42 clears its benchmark range — IDXX looks notably rich on sales.

HCA

Health Care Equipment & Services industry group

1.31

Max: 8.80
Q3: 4.32
Median: 2.13
HCA: 1.31
Q1: 1.10
Min: 0.03

IDXX

Health Care Equipment & Services industry group

11.42

IDXX: 11.42
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

HCA Healthcare (HCA) reports a negative P/B ratio of -12.92, meaning negative book equity — the multiple itself is not meaningful for valuation. Meanwhile IDEXX Laboratories (IDXX) reports 28.50, ranking against industry peers normally.

HCA

Health Care Equipment & Services industry group

-12.92

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31
HCA: -12.92

IDXX

Health Care Equipment & Services industry group

28.50

IDXX: 28.50
Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

HCA Healthcare (HCA) vs. IDEXX Laboratories (IDXX): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for HCA Healthcare (HCA) and IDEXX Laboratories (IDXX)
Metric	HCA	IDXX
P/E Ratio (TTM)	16.42	45.56
P/S Ratio (TTM)	1.31	11.42
P/B Ratio (MRQ)	-12.92	28.50
Free Cash Flow Yield (TTM)	3.81%	2.00%