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CNC vs. FMS: Centene vs. Fresenius Medical Care Stock Comparison

How do Centene (CNC) 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

Centene (CNC) and Fresenius Medical Care (FMS) both belong to the Health Care Providers & Services industry, though CNC is classified under Managed Health Care while FMS falls under Health Care Services.

Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
Profile ItemCNCFMS
NameCentene Corp.Fresenius 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-IndustryManaged Health CareHealth Care Services
Market Capitalization34.53 billion USD12.15 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateDecember 13, 2001September 17, 1996
Security TypeCommon StockADR

Price Performance

Cumulative Growth

CNC
FMS
GSPC
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Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Total Return (1Y)84.77%-0.71%
Total Return (3Y, Annualized)-0.97%13.88%
Total Return (5Y, Annualized)-1.48%-4.69%

Risk Profile

Drawdown History

CNC
FMS
GSPC
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Centene (CNC) 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 Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Volatility (1Y, Annualized)46.34%30.61%
Beta (5Y)1.070.77
Max Drawdown (5Y)-74.07%-62.33%
Avg. Volume (3M)4.63M954.21K

Risk-Adjusted Performance

Risk-Return Positioning

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CNC 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Sharpe Ratio (1Y)1.74-0.16
Sortino Ratio (1Y)2.71-0.21

Profitability

ROE (TTM)

Both Centene (CNC) at 6.74% and Fresenius Medical Care (FMS) at 7.84% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.

CNC

Health Care Equipment & Services industry group

6.74%

Max
47.61%
Q3
14.36%
CNC
6.74%
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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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both Centene (CNC) at 0.81% 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.

CNC

Health Care Equipment & Services industry group

0.81%

Max
29.35%
Q3
9.33%
Median
2.18%
CNC
0.81%
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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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both Centene (CNC) at 0.74% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

CNC

Health Care Equipment & Services industry group

0.74%

Max
35.43%
Q3
14.14%
Median
6.81%
CNC
0.74%
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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Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
ROE (TTM)6.74%7.84%
ROA (TTM)2.68%3.94%
Net Margin (TTM)0.81%4.22%
Operating Margin (TTM)0.74%9.63%
Gross Margin (TTM)11.34%26.46%

Growth

Revenue Growth

Centene (CNC) at 19.44% 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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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their Revenue Growth across different time periods.

EPS Growth

Fresenius Medical Care (FMS) at 83.61% sits in the top EPS growth quartile, while Centene (CNC) at -314.42% falls below its industry range — a large difference in per-share earnings trajectories.

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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Revenue Growth (YoY)19.44%1.51%
Revenue Growth (3Y CAGR)10.45%0.39%
EPS Growth (YoY)-314.42%83.61%
EPS Growth (3Y CAGR)--13.47%

Financial Strength

Current Ratio (MRQ)

Both Centene (CNC) at 1.16 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.

CNC

Health Care Equipment & Services industry group

1.16

Max
7.59
Q3
4.00
Median
1.98
Q1
1.37
CNC
1.16
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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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Centene (CNC) at 0.70 and Fresenius Medical Care (FMS) at 0.79 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

CNC

Health Care Equipment & Services industry group

0.70

Max
1.88
Q3
0.91
CNC
0.70
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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Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Current Ratio (MRQ)1.160.99
Debt / Equity (MRQ)0.700.79
Net Debt / EBITDA-1.713.63

Dividends

Dividend Yield (TTM)

Centene (CNC) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a yield of 6.30%, ranking against industry peers normally.

CNC

Health Care Equipment & Services industry group

0.00%

CNC
0.00%
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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Centene (CNC) vs. Fresenius Medical Care (FMS): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Centene (CNC) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a payout of 50.14%, ranking against industry peers normally.

CNC

Health Care Equipment & Services industry group

0.00%

CNC
0.00%
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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Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
Dividend Yield (TTM)0.00%6.30%
Dividend Payout Ratio (TTM)0.00%50.14%

Valuation

P/E Ratio (TTM)

Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Centene (CNC) at 23.97 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.

CNC

Health Care Equipment & Services industry group

23.97

Max
80.41
Q3
47.62
Median
29.93
CNC
23.97
Q1
21.19
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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Centene (CNC) 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 Centene (CNC) at 0.19 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.

CNC

Health Care Equipment & Services industry group

0.19

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
CNC
0.19
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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Centene (CNC) 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)

Relative to net asset value, both Centene (CNC) at 1.55 and Fresenius Medical Care (FMS) at 0.85 look inexpensive, sitting in the lower P/B ratio quartile of their industries.

CNC

Health Care Equipment & Services industry group

1.55

Max
11.68
Q3
6.12
Median
3.00
Q1
1.73
CNC
1.55
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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Centene (CNC) 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 Centene (CNC) and Fresenius Medical Care (FMS)
MetricCNCFMS
P/E Ratio (TTM)23.9713.53
P/S Ratio (TTM)0.190.62
P/B Ratio (MRQ)1.550.85
Free Cash Flow Yield (TTM)8.93%12.29%