EHC vs. FMS: Encompass Health vs. Fresenius Medical Care Stock Comparison

November 11, 2026

How do Encompass Health (EHC) 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

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

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Profile Item	EHC	FMS
Name	Encompass Health Corporation	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 Providers & Services	Health Care Providers & Services
GICS Sub-Industry	Health Care Facilities	Health Care Services
Market Capitalization	13.50 billion USD	12.15 billion USD
Currency	USD	USD
Exchange	NYSE	NYSE
Listing Date	September 24, 1986	September 17, 1996
Security Type	Common Stock	ADR

Price Performance

Cumulative Growth

EHC

FMS

GSPC

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Total Return (1Y)	22.16%	-0.71%
Total Return (3Y, Annualized)	30.96%	13.88%
Total Return (5Y, Annualized)	23.55%	-4.69%

Risk Profile

Drawdown History

EHC

FMS

GSPC

Encompass Health (EHC) 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 Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Volatility (1Y, Annualized)	30.54%	30.61%
Beta (5Y)	0.82	0.77
Max Drawdown (5Y)	-27.33%	-62.33%
Avg. Volume (3M)	996.79K	954.21K

Risk-Adjusted Performance

Risk-Return Positioning

EHC 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Sharpe Ratio (1Y)	0.59	-0.16
Sortino Ratio (1Y)	1.08	-0.21

Profitability

ROE (TTM)

Encompass Health (EHC) at 25.11% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for EHC.

EHC

Health Care Equipment & Services industry group

25.11%

Max: 47.61%
EHC: 25.11%
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%

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

Net Margin (TTM)

Encompass Health (EHC) at 10.17% 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.

EHC

Health Care Equipment & Services industry group

10.17%

Max: 29.35%
EHC: 10.17%
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%

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

Operating Margin (TTM)

Encompass Health (EHC) at 18.07% operates in the top operating margin quartile, ahead of Fresenius Medical Care (FMS) at 9.63%, which runs around its industry’s norm.

EHC

Health Care Equipment & Services industry group

18.07%

Max: 35.43%
EHC: 18.07%
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%

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
ROE (TTM)	25.11%	7.84%
ROA (TTM)	10.08%	3.94%
Net Margin (TTM)	10.17%	4.22%
Operating Margin (TTM)	18.07%	9.63%
Gross Margin (TTM)	44.15%	26.46%

Growth

Revenue Growth

Encompass Health (EHC) at 10.46% 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.

Encompass Health (EHC) 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 Encompass Health (EHC) at 24.22% is closer to the peer norm — faster per-share earnings growth for FMS.

Encompass Health (EHC) vs. Fresenius Medical Care (FMS): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Revenue Growth (YoY)	10.46%	1.51%
Revenue Growth (3Y CAGR)	10.92%	0.39%
EPS Growth (YoY)	24.22%	83.61%
EPS Growth (3Y CAGR)	27.07%	13.47%

Financial Strength

Current Ratio (MRQ)

Both Encompass Health (EHC) at 1.09 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.

EHC

Health Care Equipment & Services industry group

1.09

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
EHC: 1.09
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

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

Debt / Equity (MRQ)

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

EHC

Health Care Equipment & Services industry group

0.79

Max: 1.88
Q3: 0.91
EHC: 0.79
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

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Current Ratio (MRQ)	1.09	0.99
Debt / Equity (MRQ)	0.79	0.79
Net Debt / EBITDA	1.79	3.63

Dividends

Dividend Yield (TTM)

Both Encompass Health (EHC) at 0.55% 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.

EHC

Health Care Equipment & Services industry group

0.55%

EHC: 0.55%
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%

Encompass Health (EHC) 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 Encompass Health (EHC) at 12.48% 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.

EHC

Health Care Equipment & Services industry group

12.48%

EHC: 12.48%
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%

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
Dividend Yield (TTM)	0.55%	6.30%
Dividend Payout Ratio (TTM)	12.48%	50.14%

Valuation

P/E Ratio (TTM)

Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Encompass Health (EHC) at 22.01 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.

EHC

Health Care Equipment & Services industry group

22.01

Max: 80.41
Q3: 47.62
Median: 29.93
EHC: 22.01
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

Encompass Health (EHC) 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 Encompass Health (EHC) at 2.13 prices around its industry’s middle — FMS costs less per dollar of sales, though read it alongside growth and margins.

EHC

Health Care Equipment & Services industry group

2.13

Max: 8.80
Q3: 4.32
EHC: 2.13
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

Encompass Health (EHC) 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 Encompass Health (EHC) at 5.04 is valued near its industry’s middle — FMS is cheaper on assets, though weigh it against ROE and asset quality.

EHC

Health Care Equipment & Services industry group

5.04

Max: 11.68
Q3: 6.12
EHC: 5.04
Median: 3.00
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

Encompass Health (EHC) 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 Encompass Health (EHC) and Fresenius Medical Care (FMS)
Metric	EHC	FMS
P/E Ratio (TTM)	22.01	13.53
P/S Ratio (TTM)	2.13	0.62
P/B Ratio (MRQ)	5.04	0.85
Free Cash Flow Yield (TTM)	1.97%	12.29%