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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.

Company profile comparison for Fresenius Medical Care (FMS) and Smith & Nephew (SNN)
Profile ItemFMSSNN
NameFresenius Medical Care AG - Depositary ReceiptSmith & Nephew plc Sponsored ADR
Country/RegionGermanyUnited Kingdom
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Equipment & Supplies
GICS Sub-IndustryHealth Care ServicesHealth Care Equipment
Market Capitalization12.15 billion USD13.04 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateSeptember 17, 1996November 16, 1999
Security TypeADRADR

Price Performance

Cumulative Growth

FMS
SNN
GSPC
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Fresenius Medical Care (FMS) and Smith & Nephew (SNN). 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 Smith & Nephew (SNN)
MetricFMSSNN
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

FMS
SNN
GSPC
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). 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 Smith & Nephew (SNN)
MetricFMSSNN
Volatility (1Y, Annualized)30.61%27.31%
Beta (5Y)0.770.49
Max Drawdown (5Y)-62.33%-38.80%
Avg. Volume (3M)954.21K1.49M

Risk-Adjusted Performance

Risk-Return Positioning

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FMS and SNN 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 Smith & Nephew (SNN)
MetricFMSSNN
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%
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

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

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%
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN)
MetricFMSSNN
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.

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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): A comparison of their Revenue Growth across different time periods.

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.

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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Fresenius Medical Care (FMS) and Smith & Nephew (SNN)
MetricFMSSNN
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
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

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
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Fresenius Medical Care (FMS) and Smith & Nephew (SNN)
MetricFMSSNN
Current Ratio (MRQ)0.992.14
Debt / Equity (MRQ)0.790.73
Net Debt / EBITDA3.632.19

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

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%
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN)
MetricFMSSNN
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
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): 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 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
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Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): 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 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
Loading chart…
Fresenius Medical Care (FMS) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN)
MetricFMSSNN
P/E Ratio (TTM)13.5321.19
P/S Ratio (TTM)0.622.07
P/B Ratio (MRQ)0.8512.80
Free Cash Flow Yield (TTM)12.29%8.12%