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ELV vs. FMS: Elevance Health vs. Fresenius Medical Care Stock Comparison

How do Elevance Health (ELV) 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

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

Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
Profile ItemELVFMS
NameElevance Health, Inc.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 Capitalization91.96 billion USD12.15 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateOctober 30, 2001September 17, 1996
Security TypeCommon StockADR

Price Performance

Cumulative Growth

ELV
FMS
GSPC
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Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Total Return (1Y)35.51%-0.71%
Total Return (3Y, Annualized)-0.68%13.88%
Total Return (5Y, Annualized)1.10%-4.69%

Risk Profile

Drawdown History

ELV
FMS
GSPC
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Elevance Health (ELV) 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 Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Volatility (1Y, Annualized)35.05%30.61%
Beta (5Y)0.610.77
Max Drawdown (5Y)-50.38%-62.33%
Avg. Volume (3M)1.19M954.21K

Risk-Adjusted Performance

Risk-Return Positioning

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ELV 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Sharpe Ratio (1Y)0.89-0.16
Sortino Ratio (1Y)1.25-0.21

Profitability

ROE (TTM)

Both Elevance Health (ELV) at 11.48% 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.

ELV

Health Care Equipment & Services industry group

11.48%

Max
47.61%
Q3
14.36%
ELV
11.48%
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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Elevance Health (ELV) vs. Fresenius Medical Care (FMS): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both Elevance Health (ELV) at 2.55% 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.

ELV

Health Care Equipment & Services industry group

2.55%

Max
29.35%
Q3
9.33%
ELV
2.55%
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%
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Elevance Health (ELV) vs. Fresenius Medical Care (FMS): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both Elevance Health (ELV) at 4.22% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

ELV

Health Care Equipment & Services industry group

4.22%

Max
35.43%
Q3
14.14%
Median
6.81%
ELV
4.22%
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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Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
ROE (TTM)11.48%7.84%
ROA (TTM)4.01%3.94%
Net Margin (TTM)2.55%4.22%
Operating Margin (TTM)4.22%9.63%
Gross Margin (TTM)26.43%26.46%

Growth

Revenue Growth

Elevance Health (ELV) at 12.62% 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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Elevance Health (ELV) 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 Elevance Health (ELV) at -1.83% is closer to the peer norm — faster per-share earnings growth for FMS.

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

Growth Metrics

Growth metrics for Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Revenue Growth (YoY)12.62%1.51%
Revenue Growth (3Y CAGR)8.34%0.39%
EPS Growth (YoY)-1.83%83.61%
EPS Growth (3Y CAGR)0.53%13.47%

Financial Strength

Current Ratio (MRQ)

Elevance Health (ELV) at 1.47 keeps current ratio within its industry’s typical mid-range, while Fresenius Medical Care (FMS) at 0.99 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for FMS.

ELV

Health Care Equipment & Services industry group

1.47

Max
7.59
Q3
4.00
Median
1.98
ELV
1.47
Q1
1.37
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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Elevance Health (ELV) vs. Fresenius Medical Care (FMS): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Elevance Health (ELV) at 0.69 and Fresenius Medical Care (FMS) at 0.79 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

ELV

Health Care Equipment & Services industry group

0.69

Max
1.88
Q3
0.91
ELV
0.69
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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Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Current Ratio (MRQ)1.470.99
Debt / Equity (MRQ)0.690.79
Net Debt / EBITDA-0.813.63

Dividends

Dividend Yield (TTM)

Both Elevance Health (ELV) at 1.59% 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.

ELV

Health Care Equipment & Services industry group

1.59%

ELV
1.59%
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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Elevance Health (ELV) 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 Elevance Health (ELV) at 29.17% 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.

ELV

Health Care Equipment & Services industry group

29.17%

ELV
29.17%
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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Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
Dividend Yield (TTM)1.59%6.30%
Dividend Payout Ratio (TTM)29.17%50.14%

Valuation

P/E Ratio (TTM)

Both Elevance Health (ELV) at 18.07 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.

ELV

Health Care Equipment & Services industry group

18.07

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
ELV
18.07
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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Elevance Health (ELV) 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 Elevance Health (ELV) at 0.46 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.

ELV

Health Care Equipment & Services industry group

0.46

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
ELV
0.46
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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Elevance Health (ELV) 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 Elevance Health (ELV) at 2.06 is valued near its industry’s middle — FMS is cheaper on assets, though weigh it against ROE and asset quality.

ELV

Health Care Equipment & Services industry group

2.06

Max
11.68
Q3
6.12
Median
3.00
ELV
2.06
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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Elevance Health (ELV) 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 Elevance Health (ELV) and Fresenius Medical Care (FMS)
MetricELVFMS
P/E Ratio (TTM)18.0713.53
P/S Ratio (TTM)0.460.62
P/B Ratio (MRQ)2.060.85
Free Cash Flow Yield (TTM)8.69%12.29%