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.
| Profile Item | HCA | SNN |
|---|---|---|
| Name | HCA Healthcare, Inc. | Smith & Nephew plc Sponsored ADR |
| Country/Region | United States | United Kingdom |
| 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 | 13.04 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | March 10, 2011 | November 16, 1999 |
| Security Type | Common Stock | ADR |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | HCA | SNN |
|---|---|---|
| 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
Return Distribution
Risk Metrics
| Metric | HCA | SNN |
|---|---|---|
| Volatility (1Y, Annualized) | 32.89% | 27.31% |
| Beta (5Y) | 1.07 | 0.49 |
| Max Drawdown (5Y) | -39.49% | -38.80% |
| Avg. Volume (3M) | 1.35M | 1.49M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | HCA | SNN |
|---|---|---|
| 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%
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%
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%
Profitability Metrics
| Metric | HCA | SNN |
|---|---|---|
| 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.
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.
Growth Metrics
| Metric | HCA | SNN |
|---|---|---|
| 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
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
Financial Strength Metrics
| Metric | HCA | SNN |
|---|---|---|
| Current Ratio (MRQ) | 0.82 | 2.14 |
| Debt / Equity (MRQ) | -- | 0.73 |
| Net Debt / EBITDA | 3.26 | 2.19 |
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%
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%
Dividend Metrics
| Metric | HCA | SNN |
|---|---|---|
| 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
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
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
Valuation Metrics
| Metric | HCA | SNN |
|---|---|---|
| P/E Ratio (TTM) | 16.42 | 21.19 |
| P/S Ratio (TTM) | 1.31 | 2.07 |
| P/B Ratio (MRQ) | -12.92 | 12.80 |
| Free Cash Flow Yield (TTM) | 3.81% | 8.12% |