SEM vs. HCA

Last updated Apr 1, 2026

Compare and contrast key facts about Select Medical Holdings Corporation (SEM) and HCA Healthcare, Inc. (HCA).

Performance

SEM vs. HCA - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Select Medical Holdings Corporation (SEM) and HCA Healthcare, Inc. (HCA). The values are adjusted to include any dividend payments, if applicable.

SEM vs. HCA - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
SEM Select Medical Holdings Corporation	10.16%	-19.84%	51.24%	-3.52%	-13.85%	7.41%	18.51%	52.05%	-13.03%	33.21%
HCA HCA Healthcare, Inc.	1.52%	56.71%	11.75%	13.83%	-5.64%	57.58%	12.07%	20.24%	43.37%	18.67%

Fundamentals

EPS SEM : $1.53 HCA : $28.46
PE Ratio SEM : 10.63 HCA : 16.63
PS Ratio SEM : 0.25 HCA : 1.49
Total Revenue (TTM) SEM : $5.45B HCA : $75.60B
Gross Profit (TTM) SEM : $629.30M HCA : $31.37B
EBITDA (TTM) SEM : $489.30M HCA : $15.60B

Returns By Period

In the year-to-date period, SEM achieves a 10.16% return, which is significantly higher than HCA's 1.52% return. Over the past 10 years, SEM has underperformed HCA with an annualized return of 10.74%, while HCA has yielded a comparatively higher 20.49% annualized return.

SEM

• 1D: 0.00%
• 1M: 9.27%
• YTD: 10.16%
• 6M: 28.00%
• 1Y: -0.67%
• 3Y*: 7.20%
• 5Y*: -0.91%
• 10Y*: 10.74%

HCA

• 1D: 1.16%
• 1M: -10.53%
• YTD: 1.52%
• 6M: 11.37%
• 1Y: 37.87%
• 3Y*: 22.48%
• 5Y*: 21.54%
• 10Y*: 20.49%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Return for Risk

SEM vs. HCA — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

SEM

SEM Risk / Return Rank: 39
SEM Sharpe Ratio Rank: 40
SEM Sortino Ratio Rank: 36
SEM Omega Ratio Rank: 39
SEM Calmar Ratio Rank: 41
SEM Martin Ratio Rank: 40

HCA

HCA Risk / Return Rank: 82
HCA Sharpe Ratio Rank: 84
HCA Sortino Ratio Rank: 79
HCA Omega Ratio Rank: 78
HCA Calmar Ratio Rank: 85
HCA Martin Ratio Rank: 86

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

SEM vs. HCA - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Select Medical Holdings Corporation (SEM) and HCA Healthcare, Inc. (HCA). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	SEM	HCA	Difference
Sharpe ratio Return per unit of total volatility	-0.02	1.44	-1.46
Sortino ratio Return per unit of downside risk	0.26	2.01	-1.75
Omega ratio Gain probability vs. loss probability	1.05	1.26	-0.22
Calmar ratio Return relative to maximum drawdown	-0.04	2.77	-2.80
Martin ratio Return relative to average drawdown	-0.06	7.89	-7.95
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

SEM vs. HCA - Sharpe Ratio Comparison

The current SEM Sharpe Ratio is -0.02, which is lower than the HCA Sharpe Ratio of 1.44. The chart below compares the historical Sharpe Ratios of SEM and HCA, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	SEM	HCA	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.02	1.44	-1.46
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.02	0.74	-0.76
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.25	0.63	-0.38
Sharpe Ratio (All Time) Calculated using the full available price history	0.22	0.67	-0.46

Correlation

The correlation between SEM and HCA is 0.48, which is considered to be moderate. This suggests that the two assets have some degree of positive relationship in their price movements. Moderate correlation can be acceptable for portfolio diversification, offering a balance between risk and potential returns.

Dividends

SEM vs. HCA - Dividend Comparison

SEM's dividend yield for the trailing twelve months is around 1.53%, more than HCA's 0.62% yield.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
SEM Select Medical Holdings Corporation	1.53%	1.68%	97.39%	2.13%	2.01%	1.28%	0.00%	0.00%	0.00%	0.00%	0.00%	0.84%
HCA HCA Healthcare, Inc.	0.62%	0.62%	0.88%	0.89%	0.93%	0.75%	0.63%	1.08%	1.12%	0.00%	0.00%	0.00%

Drawdowns

SEM vs. HCA - Drawdown Comparison

The maximum SEM drawdown since its inception was -60.26%, which is greater than HCA's maximum drawdown of -54.74%. Use the drawdown chart below to compare losses from any high point for SEM and HCA.

Drawdown Indicators

	SEM	HCA	Difference
Max Drawdown Largest peak-to-trough decline	-60.26%	-54.74%	-5.52%
Max Drawdown (1Y) Largest decline over 1 year	-35.80%	-14.17%	-21.63%
Max Drawdown (5Y) Largest decline over 5 years	-49.09%	-39.49%	-9.60%
Max Drawdown (10Y) Largest decline over 10 years	-60.26%	-54.74%	-5.52%
Current Drawdown Current decline from peak	-23.71%	-13.06%	-10.65%
Average Drawdown Average peak-to-trough decline	-22.66%	-10.91%	-11.75%
Ulcer Index Depth and duration of drawdowns from previous peaks	20.72%	4.97%	+15.75%

Volatility

SEM vs. HCA - Volatility Comparison

Select Medical Holdings Corporation (SEM) has a higher volatility of 8.07% compared to HCA Healthcare, Inc. (HCA) at 5.71%. This indicates that SEM's price experiences larger fluctuations and is considered to be riskier than HCA based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SEM	HCA	Difference
Volatility (1M) Calculated over the trailing 1-month period	8.07%	5.71%	+2.36%
Volatility (6M) Calculated over the trailing 6-month period	22.28%	19.15%	+3.13%
Volatility (1Y) Calculated over the trailing 1-year period	41.81%	26.41%	+15.40%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	37.75%	29.39%	+8.36%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	42.55%	32.37%	+10.18%

Financials

SEM vs. HCA - Profitability Comparison

The chart below illustrates the profitability comparison between Select Medical Holdings Corporation and HCA Healthcare, Inc. over time, highlighting three key metrics: Gross Profit Margin, Operating Margin, and Net Profit Margin.

SEM - Gross Margin

Gross margin is calculated as gross profit divided by revenue. For the three months ending on Apr 2026, Select Medical Holdings Corporation reported a gross profit of 145.83M and revenue of 1.40B. Therefore, the gross margin over that period was 10.4%.

HCA - Gross Margin

Gross margin is calculated as gross profit divided by revenue. For the three months ending on Apr 2026, HCA Healthcare, Inc. reported a gross profit of 8.18B and revenue of 19.51B. Therefore, the gross margin over that period was 41.9%.

SEM - Operating Margin

Operating margin is calculated as operating income divided by revenue. For the three months ending on Apr 2026, Select Medical Holdings Corporation reported an operating income of -270.64M and revenue of 1.40B, resulting in an operating margin of -19.4%.

HCA - Operating Margin

Operating margin is calculated as operating income divided by revenue. For the three months ending on Apr 2026, HCA Healthcare, Inc. reported an operating income of 3.18B and revenue of 19.51B, resulting in an operating margin of 16.3%.

SEM - Net Margin

Net margin is calculated as net income divided by revenue. For the three months ending on Apr 2026, Select Medical Holdings Corporation reported a net income of 0.00 and revenue of 1.40B, resulting in a net margin of 0.0%.

HCA - Net Margin

Net margin is calculated as net income divided by revenue. For the three months ending on Apr 2026, HCA Healthcare, Inc. reported a net income of 1.88B and revenue of 19.51B, resulting in a net margin of 9.6%.