FMS vs. ISRG: Fresenius Medical Care vs. Intuitive Surgical Stock Comparison

November 11, 2026

How do Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG) 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

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

Intuitive Surgical (ISRG) 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 Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Profile Item	FMS	ISRG
Name	Fresenius Medical Care AG - Depositary Receipt	Intuitive Surgical Inc.
Country/Region	Germany	United States
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 Equipment & Supplies
GICS Sub-Industry	Health Care Services	Health Care Equipment
Market Capitalization	12.15 billion USD	159.96 billion USD
Currency	USD	USD
Exchange	NYSE	Nasdaq
Listing Date	September 17, 1996	June 16, 2000
Security Type	ADR	Common Stock

Price Performance

Cumulative Growth

FMS

ISRG

GSPC

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG), 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 Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG). Returns over one year are annualized.

Calendar-Year Returns

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

Performance Metrics

Price performance metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Total Return (1Y)	-0.71%	-17.61%
Total Return (3Y, Annualized)	13.88%	19.20%
Total Return (5Y, Annualized)	-4.69%	4.85%

Risk Profile

Drawdown History

FMS

ISRG

GSPC

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

Risk Metrics

Risk profile metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Volatility (1Y, Annualized)	30.61%	35.53%
Beta (5Y)	0.77	1.41
Max Drawdown (5Y)	-62.33%	-49.88%
Avg. Volume (3M)	954.21K	2.43M

Risk-Adjusted Performance

Risk-Return Positioning

FMS and ISRG 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 Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Sharpe Ratio (1Y)	-0.16	-0.62
Sortino Ratio (1Y)	-0.21	-0.83

Profitability

ROE (TTM)

Intuitive Surgical (ISRG) at 17.93% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for ISRG.

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%

ISRG

Health Care Equipment & Services industry group

17.93%

Max: 47.61%
ISRG: 17.93%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

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

Net Margin (TTM)

Intuitive Surgical (ISRG) at 25.54% 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.

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%

ISRG

Health Care Equipment & Services industry group

25.54%

Max: 29.35%
ISRG: 25.54%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

Intuitive Surgical (ISRG) at 33.29% operates in the top operating margin quartile, ahead of Fresenius Medical Care (FMS) at 9.63%, which runs around its industry’s norm.

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%

ISRG

Health Care Equipment & Services industry group

33.29%

Max: 35.43%
ISRG: 33.29%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
ROE (TTM)	7.84%	17.93%
ROA (TTM)	3.94%	11.86%
Net Margin (TTM)	4.22%	25.54%
Operating Margin (TTM)	9.63%	33.29%
Gross Margin (TTM)	26.46%	66.64%

Growth

Revenue Growth

Intuitive Surgical (ISRG) at 20.51% sits in the top revenue growth quartile, while Fresenius Medical Care (FMS) at 1.51% is in the bottom quartile, showing a clear gap in revenue momentum.

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) at 22.59% is closer to the peer norm — faster per-share earnings growth for FMS.

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Revenue Growth (YoY)	1.51%	20.51%
Revenue Growth (3Y CAGR)	0.39%	17.39%
EPS Growth (YoY)	83.61%	22.59%
EPS Growth (3Y CAGR)	13.47%	29.19%

Financial Strength

Current Ratio (MRQ)

Intuitive Surgical (ISRG) at 3.33 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.

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

ISRG

Health Care Equipment & Services industry group

3.33

Max: 7.59
Q3: 4.00
ISRG: 3.33
Median: 1.98
Q1: 1.37
Min: 0.30

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

Debt / Equity (MRQ)

Only one side’s leverage can be read here: Fresenius Medical Care (FMS) carries debt-to-equity ratio of 0.79 against its industry range, while Intuitive Surgical (ISRG) reports no figure this period.

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

ISRG

Health Care Equipment & Services industry group

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00
ISRG: --

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): ISRG does not report debt-to-equity ratio, so it has no value marker; FMS is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Current Ratio (MRQ)	0.99	3.33
Debt / Equity (MRQ)	0.79	--
Net Debt / EBITDA	3.63	-0.90

Dividends

Dividend Yield (TTM)

Intuitive Surgical (ISRG) 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.

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%

ISRG

Health Care Equipment & Services industry group

0.00%

ISRG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Payout Ratio (TTM)

Intuitive Surgical (ISRG) 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.

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%

ISRG

Health Care Equipment & Services industry group

0.00%

ISRG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
Dividend Yield (TTM)	6.30%	0.00%
Dividend Payout Ratio (TTM)	50.14%	0.00%

Valuation

P/E Ratio (TTM)

Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Intuitive Surgical (ISRG) at 54.75 sits in the richer quartile — a clear split in what investors pay for each dollar of trailing earnings.

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

ISRG

Health Care Equipment & Services industry group

54.75

Max: 80.41
ISRG: 54.75
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): 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 Intuitive Surgical (ISRG) at 13.82 prices above its industry range — a wide gap in sales valuation between them.

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

ISRG

Health Care Equipment & Services industry group

13.82

ISRG: 13.82
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): 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 looks cheap against book in the lower P/B ratio quartile, while Intuitive Surgical (ISRG) at 9.82 carries a premium in the upper quartile — a clear price-to-book gap.

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

ISRG

Health Care Equipment & Services industry group

9.82

Max: 11.68
ISRG: 9.82
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

Fresenius Medical Care (FMS) vs. Intuitive Surgical (ISRG): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Fresenius Medical Care (FMS) and Intuitive Surgical (ISRG)
Metric	FMS	ISRG
P/E Ratio (TTM)	13.53	54.75
P/S Ratio (TTM)	0.62	13.82
P/B Ratio (MRQ)	0.85	9.82
Free Cash Flow Yield (TTM)	12.29%	2.15%