HCA vs. ISRG: HCA Healthcare vs. Intuitive Surgical Stock Comparison

November 11, 2026

How do HCA Healthcare (HCA) and Intuitive Surgical (ISRG) 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 Intuitive Surgical (ISRG) both fall under the Health Care Equipment & Services industry group, but HCA is classified in Health Care Providers & Services while ISRG is classified in Health Care Equipment & Supplies.

Company profile comparison for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Profile Item	HCA	ISRG
Name	HCA Healthcare, Inc.	Intuitive Surgical 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	159.96 billion USD
Currency	USD	USD
Exchange	NYSE	Nasdaq
Listing Date	March 10, 2011	June 16, 2000
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

HCA

ISRG

GSPC

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG), 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 Intuitive Surgical (ISRG). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for HCA Healthcare (HCA) and Intuitive Surgical (ISRG). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
Total Return (1Y)	6.56%	-17.61%
Total Return (3Y, Annualized)	31.39%	19.20%
Total Return (5Y, Annualized)	16.40%	4.85%

Risk Profile

Drawdown History

HCA

ISRG

GSPC

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG), 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 Intuitive Surgical (ISRG). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
Volatility (1Y, Annualized)	32.89%	35.53%
Beta (5Y)	1.07	1.41
Max Drawdown (5Y)	-39.49%	-49.88%
Avg. Volume (3M)	1.35M	2.43M

Risk-Adjusted Performance

Risk-Return Positioning

HCA and ISRG 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 Intuitive Surgical (ISRG)
Metric	HCA	ISRG
Sharpe Ratio (1Y)	0.07	-0.62
Sortino Ratio (1Y)	0.11	-0.83

Profitability

ROE (TTM)

Capital efficiency shows on one side only: Intuitive Surgical (ISRG) earns 17.93% 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: --

ISRG

Health Care Equipment & Services industry group

17.93%

Max: 47.61%
ISRG: 17.93%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

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

Net Margin (TTM)

Intuitive Surgical (ISRG) at 25.54% 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%

ISRG

Health Care Equipment & Services industry group

25.54%

Max: 29.35%
ISRG: 25.54%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) at 33.29% 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%

ISRG

Health Care Equipment & Services industry group

33.29%

Max: 35.43%
ISRG: 33.29%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
ROE (TTM)	--	17.93%
ROA (TTM)	12.23%	11.86%
Net Margin (TTM)	8.61%	25.54%
Operating Margin (TTM)	14.83%	33.29%
Gross Margin (TTM)	42.76%	66.64%

Growth

Revenue Growth

Intuitive Surgical (ISRG) at 20.51% sits in the top revenue growth quartile, while HCA Healthcare (HCA) at 7.08% is closer to the peer norm — faster top-line expansion for ISRG.

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) at 22.59% is closer to the peer norm — faster per-share earnings growth for HCA.

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
Revenue Growth (YoY)	7.08%	20.51%
Revenue Growth (3Y CAGR)	7.87%	17.39%
EPS Growth (YoY)	28.77%	22.59%
EPS Growth (3Y CAGR)	13.94%	29.19%

Financial Strength

Current Ratio (MRQ)

Intuitive Surgical (ISRG) at 3.33 keeps current ratio within its industry’s typical mid-range, while HCA Healthcare (HCA) at 0.82 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for HCA.

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

ISRG

Health Care Equipment & Services industry group

3.33

Max: 7.59
Q3: 4.00
ISRG: 3.33
Median: 1.98
Q1: 1.37
Min: 0.30

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Neither HCA Healthcare (HCA) nor Intuitive Surgical (ISRG) reports a debt-to-equity ratio value for this period, so a direct comparison isn’t possible.

HCA

Health Care Equipment & Services industry group

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

ISRG

Health Care Equipment & Services industry group

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

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): Neither stock reports debt-to-equity ratio, so the chart shows available benchmark boxes without value markers.

Financial Strength Metrics

Financial strength metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
Current Ratio (MRQ)	0.82	3.33
Debt / Equity (MRQ)	--	--
Net Debt / EBITDA	3.26	-0.90

Dividends

Dividend Yield (TTM)

Intuitive Surgical (ISRG) 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%

ISRG

Health Care Equipment & Services industry group

0.00%

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

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Intuitive Surgical (ISRG) 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%

ISRG

Health Care Equipment & Services industry group

0.00%

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

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for HCA Healthcare (HCA) and Intuitive Surgical (ISRG)
Metric	HCA	ISRG
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 Intuitive Surgical (ISRG) at 54.75 sits in the richer quartile — a clear split in what investors pay for each dollar of trailing earnings.

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

ISRG

Health Care Equipment & Services industry group

54.75

Max: 80.41
ISRG: 54.75
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) at 13.82 clears its benchmark range — ISRG 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

ISRG

Health Care Equipment & Services industry group

13.82

ISRG: 13.82
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) reports 9.82, 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

ISRG

Health Care Equipment & Services industry group

9.82

Max: 11.68
ISRG: 9.82
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

HCA Healthcare (HCA) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG)
Metric	HCA	ISRG
P/E Ratio (TTM)	16.42	54.75
P/S Ratio (TTM)	1.31	13.82
P/B Ratio (MRQ)	-12.92	9.82
Free Cash Flow Yield (TTM)	3.81%	2.15%