FMS vs. ZBH: Fresenius Medical Care vs. Zimmer Biomet Stock Comparison
How do Fresenius Medical Care (FMS) and Zimmer Biomet (ZBH) 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 Zimmer Biomet (ZBH) both fall under the Health Care Equipment & Services industry group, but FMS is classified in Health Care Providers & Services while ZBH is classified in Health Care Equipment & Supplies.
Zimmer Biomet (ZBH) 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 | ZBH |
|---|---|---|
| Name | Fresenius Medical Care AG - Depositary Receipt | Zimmer Biomet Holdings 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 | 19.98 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | September 17, 1996 | July 25, 2001 |
| Security Type | ADR | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Total Return (1Y) | -0.71% | 24.04% |
| Total Return (3Y, Annualized) | 13.88% | 2.38% |
| Total Return (5Y, Annualized) | -4.69% | -2.74% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Volatility (1Y, Annualized) | 30.61% | 32.39% |
| Beta (5Y) | 0.77 | 0.42 |
| Max Drawdown (5Y) | -62.33% | -43.94% |
| Avg. Volume (3M) | 954.21K | 2.09M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Sharpe Ratio (1Y) | -0.16 | 0.61 |
| Sortino Ratio (1Y) | -0.21 | 0.93 |
Profitability
ROE (TTM)
Both Fresenius Medical Care (FMS) at 7.84% and Zimmer Biomet (ZBH) at 6.03% 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%
ZBH
Health Care Equipment & Services industry group
6.03%
- Max
- 47.61%
- Q3
- 14.36%
- ZBH
- 6.03%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both Fresenius Medical Care (FMS) at 4.22% and Zimmer Biomet (ZBH) at 8.95% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.
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%
ZBH
Health Care Equipment & Services industry group
8.95%
- Max
- 29.35%
- Q3
- 9.33%
- ZBH
- 8.95%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Zimmer Biomet (ZBH) at 17.35% 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%
ZBH
Health Care Equipment & Services industry group
17.35%
- Max
- 35.43%
- ZBH
- 17.35%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | FMS | ZBH |
|---|---|---|
| ROE (TTM) | 7.84% | 6.03% |
| ROA (TTM) | 3.94% | 3.81% |
| Net Margin (TTM) | 4.22% | 8.95% |
| Operating Margin (TTM) | 9.63% | 17.35% |
| Gross Margin (TTM) | 26.46% | 69.33% |
Growth
Revenue Growth
Zimmer Biomet (ZBH) at 7.20% 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 Zimmer Biomet (ZBH) at -19.86% is closer to the peer norm — faster per-share earnings growth for FMS.
Growth Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Revenue Growth (YoY) | 1.51% | 7.20% |
| Revenue Growth (3Y CAGR) | 0.39% | 5.85% |
| EPS Growth (YoY) | 83.61% | -19.86% |
| EPS Growth (3Y CAGR) | 13.47% | 47.78% |
Financial Strength
Current Ratio (MRQ)
Zimmer Biomet (ZBH) at 1.46 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
ZBH
Health Care Equipment & Services industry group
1.46
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- ZBH
- 1.46
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Both Fresenius Medical Care (FMS) at 0.79 and Zimmer Biomet (ZBH) at 0.60 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
ZBH
Health Care Equipment & Services industry group
0.60
- Max
- 1.88
- Q3
- 0.91
- ZBH
- 0.60
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Current Ratio (MRQ) | 0.99 | 1.46 |
| Debt / Equity (MRQ) | 0.79 | 0.60 |
| Net Debt / EBITDA | 3.63 | 2.85 |
Dividends
Dividend Yield (TTM)
Both Fresenius Medical Care (FMS) at 6.30% and Zimmer Biomet (ZBH) at 0.90% 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%
ZBH
Health Care Equipment & Services industry group
0.90%
- ZBH
- 0.90%
- 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 Zimmer Biomet (ZBH) at 24.24% 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%
ZBH
Health Care Equipment & Services industry group
24.24%
- ZBH
- 24.24%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | FMS | ZBH |
|---|---|---|
| Dividend Yield (TTM) | 6.30% | 0.90% |
| Dividend Payout Ratio (TTM) | 50.14% | 24.24% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Zimmer Biomet (ZBH) at 26.66 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
ZBH
Health Care Equipment & Services industry group
26.66
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- ZBH
- 26.66
- 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 Zimmer Biomet (ZBH) at 2.33 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
ZBH
Health Care Equipment & Services industry group
2.33
- Max
- 8.80
- Q3
- 4.32
- ZBH
- 2.33
- Median
- 2.13
- Q1
- 1.10
- Min
- 0.03
P/B Ratio (MRQ)
Relative to net asset value, both Fresenius Medical Care (FMS) at 0.85 and Zimmer Biomet (ZBH) at 1.58 look inexpensive, sitting in the lower P/B ratio quartile of their industries.
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
ZBH
Health Care Equipment & Services industry group
1.58
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- ZBH
- 1.58
- Min
- -1.31
Valuation Metrics
| Metric | FMS | ZBH |
|---|---|---|
| P/E Ratio (TTM) | 13.53 | 26.66 |
| P/S Ratio (TTM) | 0.62 | 2.33 |
| P/B Ratio (MRQ) | 0.85 | 1.58 |
| Free Cash Flow Yield (TTM) | 12.29% | 7.22% |