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CI vs. FMS: Cigna vs. Fresenius Medical Care Stock Comparison

How do Cigna (CI) and Fresenius Medical Care (FMS) 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

Cigna (CI) and Fresenius Medical Care (FMS) are both classified in the Health Care Services sub-industry within the broader Health Care Providers & Services industry, placing them in the closest GICS peer bucket.

Cigna (CI) trades as ordinary local shares, while Fresenius Medical Care (FMS) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.

Company profile comparison for Cigna (CI) and Fresenius Medical Care (FMS)
Profile ItemCIFMS
NameThe Cigna GroupFresenius Medical Care AG - Depositary Receipt
Country/RegionUnited StatesGermany
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Providers & Services
GICS Sub-IndustryHealth Care ServicesHealth Care Services
Market Capitalization77.36 billion USD12.15 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateMarch 31, 1982September 17, 1996
Security TypeCommon StockADR

Price Performance

Cumulative Growth

CI
FMS
GSPC
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Cigna (CI) vs. Fresenius Medical Care (FMS), 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 Cigna (CI) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Cigna (CI) and Fresenius Medical Care (FMS). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Total Return (1Y)13.95%-0.71%
Total Return (3Y, Annualized)2.65%13.88%
Total Return (5Y, Annualized)8.40%-4.69%

Risk Profile

Drawdown History

CI
FMS
GSPC
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Cigna (CI) vs. Fresenius Medical Care (FMS), 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 Cigna (CI) and Fresenius Medical Care (FMS). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Volatility (1Y, Annualized)26.82%30.61%
Beta (5Y)0.240.77
Max Drawdown (5Y)-32.10%-62.33%
Avg. Volume (3M)1.55M954.21K

Risk-Adjusted Performance

Risk-Return Positioning

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CI and FMS 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 Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Sharpe Ratio (1Y)0.36-0.16
Sortino Ratio (1Y)0.54-0.21

Profitability

ROE (TTM)

Cigna (CI) at 15.65% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for CI.

CI

Health Care Equipment & Services industry group

15.65%

Max
47.61%
CI
15.65%
Q3
14.36%
Median
5.45%
Q1
-10.67%
Min
-47.01%

FMS

Health Care Equipment & Services industry group

7.84%

Max
47.61%
Q3
14.36%
FMS
7.84%
Median
5.45%
Q1
-10.67%
Min
-47.01%
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both Cigna (CI) at 2.09% and Fresenius Medical Care (FMS) at 4.22% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.

CI

Health Care Equipment & Services industry group

2.09%

Max
29.35%
Q3
9.33%
Median
2.18%
CI
2.09%
Q1
-6.29%
Min
-28.46%

FMS

Health Care Equipment & Services industry group

4.22%

Max
29.35%
Q3
9.33%
FMS
4.22%
Median
2.18%
Q1
-6.29%
Min
-28.46%
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both Cigna (CI) at 3.48% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

CI

Health Care Equipment & Services industry group

3.48%

Max
35.43%
Q3
14.14%
Median
6.81%
CI
3.48%
Q1
-0.28%
Min
-16.29%

FMS

Health Care Equipment & Services industry group

9.63%

Max
35.43%
Q3
14.14%
FMS
9.63%
Median
6.81%
Q1
-0.28%
Min
-16.29%
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
ROE (TTM)15.65%7.84%
ROA (TTM)4.29%3.94%
Net Margin (TTM)2.09%4.22%
Operating Margin (TTM)3.48%9.63%
Gross Margin (TTM)9.09%26.46%

Growth

Revenue Growth

Cigna (CI) at 11.26% is around its peer norm for revenue growth, while Fresenius Medical Care (FMS) at 1.51% drops into the bottom quartile, signaling weaker demand or pricing momentum.

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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both Cigna (CI) at 83.00% and Fresenius Medical Care (FMS) at 83.61% 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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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Revenue Growth (YoY)11.26%1.51%
Revenue Growth (3Y CAGR)15.15%0.39%
EPS Growth (YoY)83.00%83.61%
EPS Growth (3Y CAGR)1.36%13.47%

Financial Strength

Current Ratio (MRQ)

Both Cigna (CI) at 0.84 and Fresenius Medical Care (FMS) at 0.99 run current ratio in the tighter-liquidity quartile of industry peers, leaving thinner cushions against current liabilities than typical competitors.

CI

Health Care Equipment & Services industry group

0.84

Max
7.59
Q3
4.00
Median
1.98
Q1
1.37
CI
0.84
Min
0.30

FMS

Health Care Equipment & Services industry group

0.99

Max
7.59
Q3
4.00
Median
1.98
Q1
1.37
FMS
0.99
Min
0.30
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Cigna (CI) at 0.71 and Fresenius Medical Care (FMS) at 0.79 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

CI

Health Care Equipment & Services industry group

0.71

Max
1.88
Q3
0.91
CI
0.71
Median
0.58
Q1
0.16
Min
0.00

FMS

Health Care Equipment & Services industry group

0.79

Max
1.88
Q3
0.91
FMS
0.79
Median
0.58
Q1
0.16
Min
0.00
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Current Ratio (MRQ)0.840.99
Debt / Equity (MRQ)0.710.79
Net Debt / EBITDA1.873.63

Dividends

Dividend Yield (TTM)

Both Cigna (CI) at 2.05% and Fresenius Medical Care (FMS) at 6.30% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.

CI

Health Care Equipment & Services industry group

2.05%

CI
2.05%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%

FMS

Health Care Equipment & Services industry group

6.30%

FMS
6.30%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Both Cigna (CI) at 27.29% and Fresenius Medical Care (FMS) at 50.14% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.

CI

Health Care Equipment & Services industry group

27.29%

CI
27.29%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%

FMS

Health Care Equipment & Services industry group

50.14%

FMS
50.14%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
Dividend Yield (TTM)2.05%6.30%
Dividend Payout Ratio (TTM)27.29%50.14%

Valuation

P/E Ratio (TTM)

Both Cigna (CI) at 12.94 and Fresenius Medical Care (FMS) at 13.53 sit in the cheaper earnings-multiple quartile for P/E ratio, with the market paying less for a dollar of trailing earnings than it pays for typical peers.

CI

Health Care Equipment & Services industry group

12.94

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
CI
12.94
Min
4.21

FMS

Health Care Equipment & Services industry group

13.53

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
FMS
13.53
Min
4.21
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Both Cigna (CI) at 0.27 and Fresenius Medical Care (FMS) at 0.62 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.

CI

Health Care Equipment & Services industry group

0.27

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
CI
0.27
Min
0.03

FMS

Health Care Equipment & Services industry group

0.62

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
FMS
0.62
Min
0.03
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Fresenius Medical Care (FMS) at 0.85 sits in the lower P/B ratio quartile against book while Cigna (CI) at 1.79 is valued near its industry’s middle — FMS is cheaper on assets, though weigh it against ROE and asset quality.

CI

Health Care Equipment & Services industry group

1.79

Max
11.68
Q3
6.12
Median
3.00
CI
1.79
Q1
1.73
Min
-1.31

FMS

Health Care Equipment & Services industry group

0.85

Max
11.68
Q3
6.12
Median
3.00
Q1
1.73
FMS
0.85
Min
-1.31
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Cigna (CI) vs. Fresenius Medical Care (FMS): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Cigna (CI) and Fresenius Medical Care (FMS)
MetricCIFMS
P/E Ratio (TTM)12.9413.53
P/S Ratio (TTM)0.270.62
P/B Ratio (MRQ)1.790.85
Free Cash Flow Yield (TTM)10.59%12.29%