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HCA vs. SNN: HCA Healthcare vs. Smith & Nephew Stock Comparison

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

HCA Healthcare (HCA) trades as ordinary local shares, while Smith & Nephew (SNN) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.

Company profile comparison for HCA Healthcare (HCA) and Smith & Nephew (SNN)
Profile ItemHCASNN
NameHCA Healthcare, Inc.Smith & Nephew plc Sponsored ADR
Country/RegionUnited StatesUnited Kingdom
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Equipment & Supplies
GICS Sub-IndustryHealth Care FacilitiesHealth Care Equipment
Market Capitalization103.40 billion USD13.04 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateMarch 10, 2011November 16, 1999
Security TypeCommon StockADR

Price Performance

Cumulative Growth

HCA
SNN
GSPC
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for HCA Healthcare (HCA) and Smith & Nephew (SNN). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
Total Return (1Y)6.56%-4.20%
Total Return (3Y, Annualized)31.39%11.34%
Total Return (5Y, Annualized)16.40%-0.34%

Risk Profile

Drawdown History

HCA
SNN
GSPC
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
Volatility (1Y, Annualized)32.89%27.31%
Beta (5Y)1.070.49
Max Drawdown (5Y)-39.49%-38.80%
Avg. Volume (3M)1.35M1.49M

Risk-Adjusted Performance

Risk-Return Positioning

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HCA and SNN 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 Smith & Nephew (SNN)
MetricHCASNN
Sharpe Ratio (1Y)0.07-0.31
Sortino Ratio (1Y)0.11-0.46

Profitability

ROE (TTM)

Capital efficiency shows on one side only: Smith & Nephew (SNN) earns 11.85% 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
--

SNN

Health Care Equipment & Services industry group

11.85%

Max
47.61%
Q3
14.36%
SNN
11.85%
Median
5.45%
Q1
-10.67%
Min
-47.01%
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): HCA does not report ROE, so it has no value marker; SNN is benchmarked against the Health Care Equipment & Services industry group.

Net Margin (TTM)

Smith & Nephew (SNN) at 10.08% 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%

SNN

Health Care Equipment & Services industry group

10.08%

Max
29.35%
SNN
10.08%
Q3
9.33%
Median
2.18%
Q1
-6.29%
Min
-28.46%
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN) at 14.47% 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%

SNN

Health Care Equipment & Services industry group

14.47%

Max
35.43%
SNN
14.47%
Q3
14.14%
Median
6.81%
Q1
-0.28%
Min
-16.29%
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
ROE (TTM)--11.85%
ROA (TTM)12.23%5.16%
Net Margin (TTM)8.61%10.08%
Operating Margin (TTM)14.83%14.47%
Gross Margin (TTM)42.76%68.44%

Growth

Revenue Growth

Both HCA Healthcare (HCA) at 7.08% and Smith & Nephew (SNN) at 6.09% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both HCA Healthcare (HCA) at 28.77% and Smith & Nephew (SNN) at 52.34% sit in the top peer quartile for EPS growth, so each is compounding per-share earnings faster than typical industry peers.

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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
Revenue Growth (YoY)7.08%6.09%
Revenue Growth (3Y CAGR)7.87%5.73%
EPS Growth (YoY)28.77%52.34%
EPS Growth (3Y CAGR)13.94%42.01%

Financial Strength

Current Ratio (MRQ)

Smith & Nephew (SNN) at 2.14 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

SNN

Health Care Equipment & Services industry group

2.14

Max
7.59
Q3
4.00
SNN
2.14
Median
1.98
Q1
1.37
Min
0.30
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): 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: Smith & Nephew (SNN) carries debt-to-equity ratio of 0.73 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
--

SNN

Health Care Equipment & Services industry group

0.73

Max
1.88
Q3
0.91
SNN
0.73
Median
0.58
Q1
0.16
Min
0.00
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): HCA does not report debt-to-equity ratio, so it has no value marker; SNN is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
Current Ratio (MRQ)0.822.14
Debt / Equity (MRQ)--0.73
Net Debt / EBITDA3.262.19

Dividends

Dividend Yield (TTM)

Both HCA Healthcare (HCA) at 0.60% and Smith & Nephew (SNN) at 1.24% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.

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%

SNN

Health Care Equipment & Services industry group

1.24%

SNN
1.24%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Both HCA Healthcare (HCA) at 10.15% and Smith & Nephew (SNN) at 53.20% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.

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%

SNN

Health Care Equipment & Services industry group

53.20%

SNN
53.20%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for HCA Healthcare (HCA) and Smith & Nephew (SNN)
MetricHCASNN
Dividend Yield (TTM)0.60%1.24%
Dividend Payout Ratio (TTM)10.15%53.20%

Valuation

P/E Ratio (TTM)

HCA Healthcare (HCA) at 16.42 sits in the cheaper P/E ratio quartile, while Smith & Nephew (SNN) at 21.19 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

SNN

Health Care Equipment & Services industry group

21.19

Max
80.41
Q3
47.62
Median
29.93
SNN
21.19
Q1
21.19
Min
4.21
Loading chart…
HCA Healthcare (HCA) vs. Smith & Nephew (SNN): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

On P/S ratio, both HCA Healthcare (HCA) at 1.31 and Smith & Nephew (SNN) at 2.07 are priced roughly in line with their industries — neither looks cheap nor rich on a sales basis.

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

SNN

Health Care Equipment & Services industry group

2.07

Max
8.80
Q3
4.32
Median
2.13
SNN
2.07
Q1
1.10
Min
0.03
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HCA Healthcare (HCA) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN) reports 12.80, 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

SNN

Health Care Equipment & Services industry group

12.80

SNN
12.80
Max
11.68
Q3
6.12
Median
3.00
Q1
1.73
Min
-1.31
Loading chart…
HCA Healthcare (HCA) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN)
MetricHCASNN
P/E Ratio (TTM)16.4221.19
P/S Ratio (TTM)1.312.07
P/B Ratio (MRQ)-12.9212.80
Free Cash Flow Yield (TTM)3.81%8.12%