COO vs. FMS: Cooper vs. Fresenius Medical Care Stock Comparison

November 11, 2026

How do Cooper (COO) 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

Cooper (COO) and Fresenius Medical Care (FMS) both fall under the Health Care Equipment & Services industry group, but COO is classified in Health Care Equipment & Supplies while FMS is classified in Health Care Providers & Services.

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Profile Item	COO	FMS
Name	The Cooper Companies, Inc.	Fresenius Medical Care AG - Depositary Receipt
Country/Region	United States	Germany
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Equipment & Supplies	Health Care Providers & Services
GICS Sub-Industry	Health Care Supplies	Health Care Services
Market Capitalization	11.86 billion USD	12.15 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	January 21, 1983	September 17, 1996
Security Type	Common Stock	ADR

Price Performance

Cumulative Growth

COO

FMS

GSPC

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
Total Return (1Y)	-9.72%	-0.71%
Total Return (3Y, Annualized)	-8.06%	13.88%
Total Return (5Y, Annualized)	-10.20%	-4.69%

Risk Profile

Drawdown History

COO

FMS

GSPC

Cooper (COO) 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 Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
Volatility (1Y, Annualized)	32.67%	30.61%
Beta (5Y)	0.79	0.77
Max Drawdown (5Y)	-52.11%	-62.33%
Avg. Volume (3M)	3.47M	954.21K

Risk-Adjusted Performance

Risk-Return Positioning

COO 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
Sharpe Ratio (1Y)	-0.43	-0.16
Sortino Ratio (1Y)	-0.59	-0.21

Profitability

ROE (TTM)

Both Cooper (COO) at 6.84% 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.

COO

Health Care Equipment & Services industry group

6.84%

Max: 47.61%
Q3: 14.36%
COO: 6.84%
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%

Cooper (COO) vs. Fresenius Medical Care (FMS): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Cooper (COO) at 13.46% retains a top-quartile share of revenue as profit, ahead of Fresenius Medical Care (FMS) at 4.22%, which keeps about the industry-typical share.

COO

Health Care Equipment & Services industry group

13.46%

Max: 29.35%
COO: 13.46%
Q3: 9.33%
Median: 2.18%
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%

Cooper (COO) vs. Fresenius Medical Care (FMS): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Cooper (COO) at 20.82% operates in the top operating margin quartile, ahead of Fresenius Medical Care (FMS) at 9.63%, which runs around its industry’s norm.

COO

Health Care Equipment & Services industry group

20.82%

Max: 35.43%
COO: 20.82%
Q3: 14.14%
Median: 6.81%
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%

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
ROE (TTM)	6.84%	7.84%
ROA (TTM)	2.74%	3.94%
Net Margin (TTM)	13.46%	4.22%
Operating Margin (TTM)	20.82%	9.63%
Gross Margin (TTM)	65.93%	26.46%

Growth

Revenue Growth

Cooper (COO) at 5.06% 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.

Cooper (COO) 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 Cooper (COO) at -4.59% is closer to the peer norm — faster per-share earnings growth for FMS.

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

Growth Metrics

Growth metrics for Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
Revenue Growth (YoY)	5.06%	1.51%
Revenue Growth (3Y CAGR)	7.35%	0.39%
EPS Growth (YoY)	-4.59%	83.61%
EPS Growth (3Y CAGR)	-1.22%	13.47%

Financial Strength

Current Ratio (MRQ)

Both Cooper (COO) at 1.22 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.

COO

Health Care Equipment & Services industry group

1.22

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
COO: 1.22
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

Cooper (COO) vs. Fresenius Medical Care (FMS): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Cooper (COO) at 0.34 and Fresenius Medical Care (FMS) at 0.79 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

COO

Health Care Equipment & Services industry group

0.34

Max: 1.88
Q3: 0.91
Median: 0.58
COO: 0.34
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

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
Current Ratio (MRQ)	1.22	0.99
Debt / Equity (MRQ)	0.34	0.79
Net Debt / EBITDA	2.84	3.63

Dividends

Dividend Yield (TTM)

Cooper (COO) 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.

COO

Health Care Equipment & Services industry group

0.00%

COO: 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%

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

Dividend Payout Ratio (TTM)

Cooper (COO) 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.

COO

Health Care Equipment & Services industry group

0.00%

COO: 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%

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
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 Cooper (COO) at 21.43 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.

COO

Health Care Equipment & Services industry group

21.43

Max: 80.41
Q3: 47.62
Median: 29.93
COO: 21.43
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

Cooper (COO) 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)

Fresenius Medical Care (FMS) at 0.62 sits in the cheaper P/S ratio quartile while Cooper (COO) at 2.80 prices around its industry’s middle — FMS costs less per dollar of sales, though read it alongside growth and margins.

COO

Health Care Equipment & Services industry group

2.80

Max: 8.80
Q3: 4.32
COO: 2.80
Median: 2.13
Q1: 1.10
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

Cooper (COO) 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 Cooper (COO) at 1.42 and Fresenius Medical Care (FMS) at 0.85 look inexpensive, sitting in the lower P/B ratio quartile of their industries.

COO

Health Care Equipment & Services industry group

1.42

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
COO: 1.42
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

Cooper (COO) 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 Cooper (COO) and Fresenius Medical Care (FMS)
Metric	COO	FMS
P/E Ratio (TTM)	21.43	13.53
P/S Ratio (TTM)	2.80	0.62
P/B Ratio (MRQ)	1.42	0.85
Free Cash Flow Yield (TTM)	4.58%	12.29%