FMS vs. SYK: Fresenius Medical Care vs. Stryker Stock Comparison
How do Fresenius Medical Care (FMS) and Stryker (SYK) 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 Stryker (SYK) both fall under the Health Care Equipment & Services industry group, but FMS is classified in Health Care Providers & Services while SYK is classified in Health Care Equipment & Supplies.
Stryker (SYK) 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.
| Profile Item | FMS | SYK |
|---|---|---|
| Name | Fresenius Medical Care AG - Depositary Receipt | Stryker Corp. |
| 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 | 124.06 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | September 17, 1996 | March 17, 1980 |
| Security Type | ADR | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | FMS | SYK |
|---|---|---|
| Total Return (1Y) | -0.71% | -6.99% |
| Total Return (3Y, Annualized) | 13.88% | 7.60% |
| Total Return (5Y, Annualized) | -4.69% | 4.64% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | FMS | SYK |
|---|---|---|
| Volatility (1Y, Annualized) | 30.61% | 32.80% |
| Beta (5Y) | 0.77 | 0.72 |
| Max Drawdown (5Y) | -62.33% | -32.47% |
| Avg. Volume (3M) | 954.21K | 2.81M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | FMS | SYK |
|---|---|---|
| Sharpe Ratio (1Y) | -0.16 | -0.34 |
| Sortino Ratio (1Y) | -0.21 | -0.49 |
Profitability
ROE (TTM)
Stryker (SYK) at 16.02% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for SYK.
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%
SYK
Health Care Equipment & Services industry group
16.02%
- Max
- 47.61%
- SYK
- 16.02%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Stryker (SYK) at 13.78% 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%
SYK
Health Care Equipment & Services industry group
13.78%
- Max
- 29.35%
- SYK
- 13.78%
- Q3
- 9.33%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Stryker (SYK) at 22.96% 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%
SYK
Health Care Equipment & Services industry group
22.96%
- Max
- 35.43%
- SYK
- 22.96%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | FMS | SYK |
|---|---|---|
| ROE (TTM) | 7.84% | 16.02% |
| ROA (TTM) | 3.94% | 8.36% |
| Net Margin (TTM) | 4.22% | 13.78% |
| Operating Margin (TTM) | 9.63% | 22.96% |
| Gross Margin (TTM) | 26.46% | 65.70% |
Growth
Revenue Growth
Stryker (SYK) at 11.16% 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
Fresenius Medical Care (FMS) at 83.61% sits in the top EPS growth quartile, while Stryker (SYK) at 8.25% is closer to the peer norm — faster per-share earnings growth for FMS.
Growth Metrics
| Metric | FMS | SYK |
|---|---|---|
| Revenue Growth (YoY) | 1.51% | 11.16% |
| Revenue Growth (3Y CAGR) | 0.39% | 10.83% |
| EPS Growth (YoY) | 83.61% | 8.25% |
| EPS Growth (3Y CAGR) | 13.47% | 10.83% |
Financial Strength
Current Ratio (MRQ)
Stryker (SYK) at 2.18 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
SYK
Health Care Equipment & Services industry group
2.18
- Max
- 7.59
- Q3
- 4.00
- SYK
- 2.18
- Median
- 1.98
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Both Fresenius Medical Care (FMS) at 0.79 and Stryker (SYK) at 0.66 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
SYK
Health Care Equipment & Services industry group
0.66
- Max
- 1.88
- Q3
- 0.91
- SYK
- 0.66
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | FMS | SYK |
|---|---|---|
| Current Ratio (MRQ) | 0.99 | 2.18 |
| Debt / Equity (MRQ) | 0.79 | 0.66 |
| Net Debt / EBITDA | 3.63 | 1.62 |
Dividends
Dividend Yield (TTM)
Both Fresenius Medical Care (FMS) at 6.30% and Stryker (SYK) at 1.05% 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%
SYK
Health Care Equipment & Services industry group
1.05%
- SYK
- 1.05%
- 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 Stryker (SYK) at 37.49% 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%
SYK
Health Care Equipment & Services industry group
37.49%
- SYK
- 37.49%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | FMS | SYK |
|---|---|---|
| Dividend Yield (TTM) | 6.30% | 1.05% |
| Dividend Payout Ratio (TTM) | 50.14% | 37.49% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Stryker (SYK) at 34.70 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
SYK
Health Care Equipment & Services industry group
34.70
- Max
- 80.41
- Q3
- 47.62
- SYK
- 34.70
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
Fresenius Medical Care (FMS) at 0.62 looks cheap on sales in the lower P/S ratio quartile, while Stryker (SYK) at 4.72 looks rich in the upper quartile — a clear gap in price per dollar of revenue.
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
SYK
Health Care Equipment & Services industry group
4.72
- Max
- 8.80
- SYK
- 4.72
- Q3
- 4.32
- Median
- 2.13
- 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 against book while Stryker (SYK) at 5.29 is valued near its industry’s middle — FMS is cheaper on assets, though weigh it against ROE and asset quality.
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
SYK
Health Care Equipment & Services industry group
5.29
- Max
- 11.68
- Q3
- 6.12
- SYK
- 5.29
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | FMS | SYK |
|---|---|---|
| P/E Ratio (TTM) | 13.53 | 34.70 |
| P/S Ratio (TTM) | 0.62 | 4.72 |
| P/B Ratio (MRQ) | 0.85 | 5.29 |
| Free Cash Flow Yield (TTM) | 12.29% | 2.98% |