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Stock Comparison

SNN vs ZBH vs SYK vs BSX vs HOLX

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
SNN
Smith & Nephew plc

Medical - Devices

HealthcareNYSE • GB
Market Cap$12.84B
5Y Perf.-25.9%
ZBH
Zimmer Biomet Holdings, Inc.

Medical - Devices

HealthcareNYSE • US
Market Cap$16.22B
5Y Perf.-32.4%
SYK
Stryker Corporation

Medical - Devices

HealthcareNYSE • US
Market Cap$111.96B
5Y Perf.+49.4%
BSX
Boston Scientific Corporation

Medical - Devices

HealthcareNYSE • US
Market Cap$83.23B
5Y Perf.+47.4%
HOLX
Hologic, Inc.

Medical - Instruments & Supplies

HealthcareNASDAQ • US
Market Cap$16.97B
5Y Perf.+42.6%

SNN vs ZBH vs SYK vs BSX vs HOLX — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
SNN logoSNN
ZBH logoZBH
SYK logoSYK
BSX logoBSX
HOLX logoHOLX
IndustryMedical - DevicesMedical - DevicesMedical - DevicesMedical - DevicesMedical - Instruments & Supplies
Market Cap$12.84B$16.22B$111.96B$83.23B$16.97B
Revenue (TTM)$11.61B$8.41B$25.12B$20.07B$4.13B
Net Income (TTM)$799M$761M$3.25B$2.89B$544M
Gross Margin70.2%70.0%63.5%69.0%52.8%
Operating Margin12.9%15.6%22.4%19.8%17.5%
Forward P/E13.5x9.8x19.5x16.6x17.2x
Total Debt$3.33B$7.52B$14.86B$12.42B$2.63B
Cash & Equiv.$557M$592M$4.01B$2.04B$1.96B

SNN vs ZBH vs SYK vs BSX vs HOLXLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

SNN
ZBH
SYK
BSX
HOLX
StockMay 20May 26Return
Smith & Nephew plc (SNN)10074.1-25.9%
Zimmer Biomet Holdi… (ZBH)10067.6-32.4%
Stryker Corporation (SYK)100149.4+49.4%
Boston Scientific C… (BSX)100147.4+47.4%
Hologic, Inc. (HOLX)100142.6+42.6%

Price return only. Dividends and distributions are not included.

Quick Verdict: SNN vs ZBH vs SYK vs BSX vs HOLX

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: BSX leads in 3 of 7 categories (5-stock set), making it the strongest pick for growth and revenue expansion and profitability and margin quality. Smith & Nephew plc is the stronger pick specifically for dividend income and shareholder returns and operational efficiency and capital deployment. ZBH and HOLX also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
SNN
Smith & Nephew plc
The Income Pick

SNN is the #2 pick in this set and the best alternative if income & stability and defensive is your priority.

  • Dividend streak 1 yrs, beta 0.59, yield 2.5%
  • Beta 0.59, yield 2.5%, current ratio 2.57x
  • 2.5% yield, 1-year raise streak, vs SYK's 1.1%, (2 stocks pay no dividend)
  • 7.7% ROA vs ZBH's 3.3%, ROIC 9.4% vs 5.4%
Best for: income & stability and defensive
ZBH
Zimmer Biomet Holdings, Inc.
The Value Play

ZBH ranks third and is worth considering specifically for value.

  • Lower P/E (9.8x vs 17.2x)
Best for: value
SYK
Stryker Corporation
The Long-Run Compounder

SYK is the clearest fit if your priority is long-term compounding and valuation efficiency.

  • 185.6% 10Y total return vs BSX's 154.2%
  • PEG 1.31 vs SNN's 1.90
Best for: long-term compounding and valuation efficiency
BSX
Boston Scientific Corporation
The Growth Play

BSX carries the broadest edge in this set and is the clearest fit for growth exposure.

  • Rev growth 19.9%, EPS growth 55.2%, 3Y rev CAGR 16.5%
  • 19.9% revenue growth vs HOLX's 1.7%
  • 14.4% margin vs SNN's 6.9%
  • Beta 0.34 vs ZBH's 0.65, lower leverage
Best for: growth exposure
HOLX
Hologic, Inc.
The Defensive Pick

HOLX is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 0.41, Low D/E 52.0%, current ratio 3.75x
  • +43.1% vs BSX's -46.2%
Best for: sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthBSX logoBSX19.9% revenue growth vs HOLX's 1.7%
ValueZBH logoZBHLower P/E (9.8x vs 17.2x)
Quality / MarginsBSX logoBSX14.4% margin vs SNN's 6.9%
Stability / SafetyBSX logoBSXBeta 0.34 vs ZBH's 0.65, lower leverage
DividendsSNN logoSNN2.5% yield, 1-year raise streak, vs SYK's 1.1%, (2 stocks pay no dividend)
Momentum (1Y)HOLX logoHOLX+43.1% vs BSX's -46.2%
Efficiency (ROA)SNN logoSNN7.7% ROA vs ZBH's 3.3%, ROIC 9.4% vs 5.4%

SNN vs ZBH vs SYK vs BSX vs HOLX — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

SNNSmith & Nephew plc
FY 2024
Orthopaedics, Sports Medicine and ENT and Advanced Wound Management
50.0%$5.8B
Orthopaedics, Sports Medicine and Ear Nose and Throat
35.5%$4.1B
Advanced Wound Management
14.5%$1.7B
ZBHZimmer Biomet Holdings, Inc.
FY 2025
Knees
43.9%$3.3B
S E T
28.4%$2.2B
Hips
27.7%$2.1B
SYKStryker Corporation
FY 2025
MedSurg
62.3%$15.6B
Orthopaedics
37.7%$9.5B
BSXBoston Scientific Corporation
FY 2025
Cardiovascular
66.0%$13.3B
MedSurg
34.0%$6.8B
HOLXHologic, Inc.
FY 2025
Diagnostics
44.6%$1.8B
Breast Health
36.2%$1.5B
Gyn Surgical
16.6%$680M
Skeletal Health
2.7%$109M

SNN vs ZBH vs SYK vs BSX vs HOLX — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLZBHLAGGINGHOLX

Income & Cash Flow (Last 12 Months)

Evenly matched — SYK and BSX each lead in 2 of 6 comparable metrics.

SYK is the larger business by revenue, generating $25.1B annually — 6.1x HOLX's $4.1B. BSX is the more profitable business, keeping 14.4% of every revenue dollar as net income compared to SNN's 6.9%. On growth, BSX holds the edge at +15.9% YoY revenue growth, suggesting stronger near-term business momentum.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
RevenueTrailing 12 months$11.6B$8.4B$25.1B$20.1B$4.1B
EBITDAEarnings before interest/tax$2.5B$2.3B$6.3B$4.7B$974M
Net IncomeAfter-tax profit$799M$761M$3.2B$2.9B$544M
Free Cash FlowCash after capex$1.1B$1.8B$4.3B$3.6B$1000M
Gross MarginGross profit ÷ Revenue+70.2%+70.0%+63.5%+69.0%+52.8%
Operating MarginEBIT ÷ Revenue+12.9%+15.6%+22.4%+19.8%+17.5%
Net MarginNet income ÷ Revenue+6.9%+9.1%+12.9%+14.4%+13.2%
FCF MarginFCF ÷ Revenue+9.5%+21.8%+17.1%+18.1%+24.2%
Rev. Growth (YoY)Latest quarter vs prior year+5.7%+9.3%+11.4%+15.9%+2.5%
EPS Growth (YoY)Latest quarter vs prior year+36.0%+34.1%+56.0%+18.5%-9.2%
Evenly matched — SYK and BSX each lead in 2 of 6 comparable metrics.

Valuation Metrics

ZBH leads this category, winning 5 of 7 comparable metrics.

At 21.0x trailing earnings, SNN trades at a 40% valuation discount to SYK's 34.8x P/E. Adjusting for growth (PEG ratio), SYK offers better value at 2.34x vs SNN's 2.94x — a lower PEG means you pay less per unit of expected earnings growth.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
Market CapShares × price$12.8B$16.2B$112.0B$83.2B$17.0B
Enterprise ValueMkt cap + debt − cash$15.6B$23.1B$122.8B$93.6B$17.6B
Trailing P/EPrice ÷ TTM EPS21.01x23.33x34.80x28.87x30.53x
Forward P/EPrice ÷ next-FY EPS est.13.54x9.77x19.49x16.58x17.21x
PEG RatioP/E ÷ EPS growth rate2.94x2.34x
EV / EBITDAEnterprise value multiple9.88x9.42x20.19x25.07x17.39x
Price / SalesMarket cap ÷ Revenue2.08x1.97x4.46x4.15x4.14x
Price / BookPrice ÷ Book value/share2.50x1.30x4.98x3.42x3.43x
Price / FCFMarket cap ÷ FCF15.04x11.01x26.14x22.75x18.44x
ZBH leads this category, winning 5 of 7 comparable metrics.

Profitability & Efficiency

Evenly matched — SNN and BSX and HOLX each lead in 3 of 9 comparable metrics.

SNN delivers a 15.1% return on equity — every $100 of shareholder capital generates $15 in annual profit, vs $6 for ZBH. BSX carries lower financial leverage with a 0.51x debt-to-equity ratio, signaling a more conservative balance sheet compared to SYK's 0.66x. On the Piotroski fundamental quality scale (0–9), SNN scores 7/9 vs ZBH's 5/9, reflecting strong financial health.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
ROE (TTM)Return on equity+15.1%+5.8%+15.0%+12.4%+10.4%
ROA (TTM)Return on assets+7.7%+3.3%+6.9%+6.9%+5.9%
ROICReturn on invested capital+9.4%+5.4%+11.4%+8.8%+9.4%
ROCEReturn on capital employed+11.4%+6.9%+13.0%+11.1%+8.8%
Piotroski ScoreFundamental quality 0–975677
Debt / EquityFinancial leverage0.63x0.59x0.66x0.51x0.52x
Net DebtTotal debt minus cash$2.8B$6.9B$10.8B$10.4B$667M
Cash & Equiv.Liquid assets$557M$592M$4.0B$2.0B$2.0B
Total DebtShort + long-term debt$3.3B$7.5B$14.9B$12.4B$2.6B
Interest CoverageEBIT ÷ Interest expense8.75x4.08x6.72x11.03x8.00x
Evenly matched — SNN and BSX and HOLX each lead in 3 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

BSX leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in BSX five years ago would be worth $13,011 today (with dividends reinvested), compared to $5,213 for ZBH. Over the past 12 months, HOLX leads with a +43.1% total return vs BSX's -46.2%. The 3-year compound annual growth rate (CAGR) favors BSX at 1.8% vs ZBH's -14.6% — a key indicator of consistent wealth creation.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
YTD ReturnYear-to-date-6.5%-7.7%-15.8%-40.9%+1.9%
1-Year ReturnPast 12 months+9.1%-9.2%-21.7%-46.2%+43.1%
3-Year ReturnCumulative with dividends+2.4%-37.6%+4.8%+5.4%-8.5%
5-Year ReturnCumulative with dividends-21.9%-47.9%+21.1%+30.1%+16.7%
10-Year ReturnCumulative with dividends+12.4%-17.6%+185.6%+154.2%+125.4%
CAGR (3Y)Annualised 3-year return+0.8%-14.6%+1.6%+1.8%-2.9%
BSX leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

Evenly matched — BSX and HOLX each lead in 1 of 2 comparable metrics.

BSX is the less volatile stock with a 0.34 beta — it tends to amplify market swings less than ZBH's 0.65 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HOLX currently trades 100.0% from its 52-week high vs BSX's 51.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
Beta (5Y)Sensitivity to S&P 5000.59x0.65x0.55x0.34x0.41x
52-Week HighHighest price in past year$38.79$108.29$404.87$109.50$76.04
52-Week LowLowest price in past year$27.97$79.83$289.91$54.98$51.90
% of 52W HighCurrent price vs 52-week peak+78.0%+76.5%+72.2%+51.1%+100.0%
RSI (14)Momentum oscillator 0–10042.034.625.433.169.1
Avg Volume (50D)Average daily shares traded1.0M2.2M2.0M15.3M9.7M
Evenly matched — BSX and HOLX each lead in 1 of 2 comparable metrics.

Analyst Outlook

Evenly matched — SNN and SYK each lead in 1 of 2 comparable metrics.

Analyst consensus: SNN as "Hold", ZBH as "Hold", SYK as "Buy", BSX as "Buy", HOLX as "Hold". Consensus price targets imply 63.1% upside for BSX (target: $91) vs 3.9% for HOLX (target: $79). For income investors, SNN offers the higher dividend yield at 2.50% vs SYK's 1.15%.

MetricSNN logoSNNSmith & Nephew plcZBH logoZBHZimmer Biomet Hol…SYK logoSYKStryker Corporati…BSX logoBSXBoston Scientific…HOLX logoHOLXHologic, Inc.
Analyst RatingConsensus buy/hold/sellHoldHoldBuyBuyHold
Price TargetConsensus 12-month target$32.00$97.90$403.69$91.33$79.00
# AnalystsCovering analysts2242504342
Dividend YieldAnnual dividend ÷ price+2.5%+1.2%+1.1%
Dividend StreakConsecutive years of raises10340
Dividend / ShareAnnual DPS$0.76$0.96$3.36
Buyback YieldShare repurchases ÷ mkt cap+3.9%+3.0%0.0%0.0%+4.4%
Evenly matched — SNN and SYK each lead in 1 of 2 comparable metrics.
Key Takeaway

ZBH leads in 1 of 6 categories (Valuation Metrics). BSX leads in 1 (Total Returns). 4 tied.

Best OverallZimmer Biomet Holdings, Inc. (ZBH)Leads 1 of 6 categories
Loading custom metrics...

SNN vs ZBH vs SYK vs BSX vs HOLX: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is SNN or ZBH or SYK or BSX or HOLX a better buy right now?

For growth investors, Boston Scientific Corporation (BSX) is the stronger pick with 19.

9% revenue growth year-over-year, versus 1. 7% for Hologic, Inc. (HOLX). Smith & Nephew plc (SNN) offers the better valuation at 21. 0x trailing P/E (13. 5x forward), making it the more compelling value choice. Analysts rate Stryker Corporation (SYK) a "Buy" — based on 50 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — SNN or ZBH or SYK or BSX or HOLX?

On trailing P/E, Smith & Nephew plc (SNN) is the cheapest at 21.

0x versus Stryker Corporation at 34. 8x. On forward P/E, Zimmer Biomet Holdings, Inc. is actually cheaper at 9. 8x — notably different from the trailing picture, reflecting expected earnings growth. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Stryker Corporation wins at 1. 31x versus Smith & Nephew plc's 1. 90x — a reasonable growth-adjusted valuation.

03

Which is the better long-term investment — SNN or ZBH or SYK or BSX or HOLX?

Over the past 5 years, Boston Scientific Corporation (BSX) delivered a total return of +30.

1%, compared to -47. 9% for Zimmer Biomet Holdings, Inc. (ZBH). Over 10 years, the gap is even starker: SYK returned +185. 6% versus ZBH's -17. 6%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — SNN or ZBH or SYK or BSX or HOLX?

By beta (market sensitivity over 5 years), Boston Scientific Corporation (BSX) is the lower-risk stock at 0.

34β versus Zimmer Biomet Holdings, Inc. 's 0. 65β — meaning ZBH is approximately 90% more volatile than BSX relative to the S&P 500. On balance sheet safety, Boston Scientific Corporation (BSX) carries a lower debt/equity ratio of 51% versus 66% for Stryker Corporation — giving it more financial flexibility in a downturn.

05

Which is growing faster — SNN or ZBH or SYK or BSX or HOLX?

By revenue growth (latest reported year), Boston Scientific Corporation (BSX) is pulling ahead at 19.

9% versus 1. 7% for Hologic, Inc. (HOLX). On earnings-per-share growth, the picture is similar: Boston Scientific Corporation grew EPS 55. 2% year-over-year, compared to -25. 0% for Hologic, Inc.. Over a 3-year CAGR, BSX leads at 16. 5% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — SNN or ZBH or SYK or BSX or HOLX?

Boston Scientific Corporation (BSX) is the more profitable company, earning 14.

4% net margin versus 8. 6% for Zimmer Biomet Holdings, Inc. — meaning it keeps 14. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: BSX leads at 19. 8% versus 16. 3% for SNN. At the gross margin level — before operating expenses — BSX leads at 69. 0%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is SNN or ZBH or SYK or BSX or HOLX more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, Stryker Corporation (SYK) is the more undervalued stock at a PEG of 1. 31x versus Smith & Nephew plc's 1. 90x. A PEG below 1. 5 suggests fair-to-attractive pricing relative to expected growth. On forward earnings alone, Zimmer Biomet Holdings, Inc. (ZBH) trades at 9. 8x forward P/E versus 19. 5x for Stryker Corporation — 9. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for BSX: 63. 1% to $91. 33.

08

Which pays a better dividend — SNN or ZBH or SYK or BSX or HOLX?

In this comparison, SNN (2.

5% yield), ZBH (1. 2% yield), SYK (1. 1% yield) pay a dividend. BSX, HOLX do not pay a meaningful dividend and should not be held primarily for income.

09

Is SNN or ZBH or SYK or BSX or HOLX better for a retirement portfolio?

For long-horizon retirement investors, Stryker Corporation (SYK) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

55), 1. 1% yield, +185. 6% 10Y return). Both have compounded well over 10 years (SYK: +185. 6%, HOLX: +125. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between SNN and ZBH and SYK and BSX and HOLX?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: SNN is a mid-cap quality compounder stock; ZBH is a mid-cap quality compounder stock; SYK is a mid-cap quality compounder stock; BSX is a mid-cap high-growth stock; HOLX is a mid-cap quality compounder stock. SNN, ZBH, SYK pay a dividend while BSX, HOLX do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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SNN

Income & Dividend Stock

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 5%
Run This Screen
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ZBH

Stable Dividend Mega-Cap

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 5%
Run This Screen
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SYK

Stable Dividend Mega-Cap

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 7%
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BSX

High-Growth Compounder

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 7%
  • Net Margin > 8%
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HOLX

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Net Margin > 7%
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Custom Screen

Beat Both

Find stocks that outperform SNN and ZBH and SYK and BSX and HOLX on the metrics below

Revenue Growth>
%
(SNN: 5.7% · ZBH: 9.3%)
Net Margin>
%
(SNN: 6.9% · ZBH: 9.1%)
P/E Ratio<
x
(SNN: 21.0x · ZBH: 23.3x)

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