FMS vs. SNN: Fresenius Medical Care vs. Smith & Nephew Stock Comparison
How do Fresenius Medical Care (FMS) and Smith & Nephew (SNN) 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 Smith & Nephew (SNN) both fall under the Health Care Equipment & Services industry group, but FMS is classified in Health Care Providers & Services while SNN is classified in Health Care Equipment & Supplies.
Both Fresenius Medical Care (FMS) and Smith & Nephew (SNN) trade as ADRs — their core financials are comparable, but keep FX, depositary-program fees, and dividend withholding in view for each.
| Profile Item | FMS | SNN |
|---|---|---|
| Name | Fresenius Medical Care AG - Depositary Receipt | Smith & Nephew plc Sponsored ADR |
| Country/Region | Germany | United Kingdom |
| 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 | 13.04 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | September 17, 1996 | November 16, 1999 |
| Security Type | ADR | ADR |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | FMS | SNN |
|---|---|---|
| Total Return (1Y) | -0.71% | -4.20% |
| Total Return (3Y, Annualized) | 13.88% | 11.34% |
| Total Return (5Y, Annualized) | -4.69% | -0.34% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | FMS | SNN |
|---|---|---|
| Volatility (1Y, Annualized) | 30.61% | 27.31% |
| Beta (5Y) | 0.77 | 0.49 |
| Max Drawdown (5Y) | -62.33% | -38.80% |
| Avg. Volume (3M) | 954.21K | 1.49M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | FMS | SNN |
|---|---|---|
| Sharpe Ratio (1Y) | -0.16 | -0.31 |
| Sortino Ratio (1Y) | -0.21 | -0.46 |
Profitability
ROE (TTM)
Both Fresenius Medical Care (FMS) at 7.84% and Smith & Nephew (SNN) at 11.85% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.
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%
SNN
Health Care Equipment & Services industry group
11.85%
- Max
- 47.61%
- Q3
- 14.36%
- SNN
- 11.85%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Smith & Nephew (SNN) at 10.08% 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%
SNN
Health Care Equipment & Services industry group
10.08%
- Max
- 29.35%
- SNN
- 10.08%
- Q3
- 9.33%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Smith & Nephew (SNN) at 14.47% 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%
SNN
Health Care Equipment & Services industry group
14.47%
- Max
- 35.43%
- SNN
- 14.47%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | FMS | SNN |
|---|---|---|
| ROE (TTM) | 7.84% | 11.85% |
| ROA (TTM) | 3.94% | 5.16% |
| Net Margin (TTM) | 4.22% | 10.08% |
| Operating Margin (TTM) | 9.63% | 14.47% |
| Gross Margin (TTM) | 26.46% | 68.44% |
Growth
Revenue Growth
Smith & Nephew (SNN) at 6.09% 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.
EPS Growth
Both Fresenius Medical Care (FMS) at 83.61% and Smith & Nephew (SNN) at 52.34% sit in the top peer quartile for EPS growth, so each is compounding per-share earnings faster than typical industry peers.
Growth Metrics
| Metric | FMS | SNN |
|---|---|---|
| Revenue Growth (YoY) | 1.51% | 6.09% |
| Revenue Growth (3Y CAGR) | 0.39% | 5.73% |
| EPS Growth (YoY) | 83.61% | 52.34% |
| EPS Growth (3Y CAGR) | 13.47% | 42.01% |
Financial Strength
Current Ratio (MRQ)
Smith & Nephew (SNN) at 2.14 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
SNN
Health Care Equipment & Services industry group
2.14
- Max
- 7.59
- Q3
- 4.00
- SNN
- 2.14
- Median
- 1.98
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Both Fresenius Medical Care (FMS) at 0.79 and Smith & Nephew (SNN) at 0.73 fund their balance sheets with roughly industry-typical debt-to-equity mixes.
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
SNN
Health Care Equipment & Services industry group
0.73
- Max
- 1.88
- Q3
- 0.91
- SNN
- 0.73
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | FMS | SNN |
|---|---|---|
| Current Ratio (MRQ) | 0.99 | 2.14 |
| Debt / Equity (MRQ) | 0.79 | 0.73 |
| Net Debt / EBITDA | 3.63 | 2.19 |
Dividends
Dividend Yield (TTM)
Both Fresenius Medical Care (FMS) at 6.30% and Smith & Nephew (SNN) at 1.24% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.
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%
SNN
Health Care Equipment & Services industry group
1.24%
- SNN
- 1.24%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Both Fresenius Medical Care (FMS) at 50.14% and Smith & Nephew (SNN) at 53.20% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.
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%
SNN
Health Care Equipment & Services industry group
53.20%
- SNN
- 53.20%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | FMS | SNN |
|---|---|---|
| Dividend Yield (TTM) | 6.30% | 1.24% |
| Dividend Payout Ratio (TTM) | 50.14% | 53.20% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Smith & Nephew (SNN) at 21.19 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.
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
SNN
Health Care Equipment & Services industry group
21.19
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- SNN
- 21.19
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
Fresenius Medical Care (FMS) at 0.62 sits in the cheaper P/S ratio quartile while Smith & Nephew (SNN) at 2.07 prices around its industry’s middle — FMS costs less per dollar of sales, though read it alongside growth and margins.
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
SNN
Health Care Equipment & Services industry group
2.07
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- SNN
- 2.07
- Q1
- 1.10
- Min
- 0.03
P/B Ratio (MRQ)
Fresenius Medical Care (FMS) at 0.85 sits in the lower P/B ratio quartile relative to book while Smith & Nephew (SNN) at 12.80 prices above its industry range — a wide valuation gap against assets.
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
SNN
Health Care Equipment & Services industry group
12.80
- SNN
- 12.80
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | FMS | SNN |
|---|---|---|
| P/E Ratio (TTM) | 13.53 | 21.19 |
| P/S Ratio (TTM) | 0.62 | 2.07 |
| P/B Ratio (MRQ) | 0.85 | 12.80 |
| Free Cash Flow Yield (TTM) | 12.29% | 8.12% |