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Stock Comparison

FMS vs FXNC vs DVA vs NKSH

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
FMS
Fresenius Medical Care AG & Co. KGaA

Medical - Care Facilities

HealthcareNYSE • DE
Market Cap$11.92B
5Y Perf.-48.7%
FXNC
First National Corporation

Banks - Regional

Financial ServicesNASDAQ • US
Market Cap$253M
5Y Perf.+110.5%
DVA
DaVita Inc.

Medical - Care Facilities

HealthcareNYSE • US
Market Cap$12.60B
5Y Perf.+142.4%
NKSH
National Bankshares, Inc.

Banks - Regional

Financial ServicesNASDAQ • US
Market Cap$240M
5Y Perf.+22.4%

FMS vs FXNC vs DVA vs NKSH — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
FMS logoFMS
FXNC logoFXNC
DVA logoDVA
NKSH logoNKSH
IndustryMedical - Care FacilitiesBanks - RegionalMedical - Care FacilitiesBanks - Regional
Market Cap$11.92B$253M$12.60B$240M
Revenue (TTM)$19.36B$112M$13.84B$85M
Net Income (TTM)$947M$18M$781M$16M
Gross Margin26.0%74.0%31.1%65.1%
Operating Margin9.7%19.6%15.0%22.5%
Forward P/E10.5x11.7x13.8x11.7x
Total Debt$10.79B$43M$15.05B$2M
Cash & Equiv.$1.60B$161M$758M$8M

FMS vs FXNC vs DVA vs NKSHLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

FMS
FXNC
DVA
NKSH
StockMay 20May 26Return
Fresenius Medical C… (FMS)10051.3-48.7%
First National Corp… (FXNC)100210.5+110.5%
DaVita Inc. (DVA)100242.4+142.4%
National Bankshares… (NKSH)100122.4+22.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: FMS vs FXNC vs DVA vs NKSH

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: NKSH leads in 3 of 7 categories, making it the strongest pick for profitability and margin quality and dividend income and shareholder returns. DaVita Inc. is the stronger pick specifically for capital preservation and lower volatility and operational efficiency and capital deployment. FMS and FXNC also each lead in at least one category. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
FMS
Fresenius Medical Care AG & Co. KGaA
The Income Pick

FMS is the clearest fit if your priority is income & stability.

  • Dividend streak 4 yrs, beta 0.49, yield 3.8%
  • Lower P/E (10.5x vs 11.7x), PEG 2.06 vs 7.87
Best for: income & stability
FXNC
First National Corporation
The Banking Pick

FXNC is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 27.1%, EPS growth 96.0%
  • 241.1% 10Y total return vs DVA's 158.1%
  • NIM 3.6% vs NKSH's 2.5%
  • 27.1% NII/revenue growth vs FMS's 1.5%
Best for: growth exposure and long-term compounding
DVA
DaVita Inc.
The Defensive Pick

DVA is the #2 pick in this set and the best alternative if sleep-well-at-night and valuation efficiency is your priority.

  • Lower volatility, beta 0.05, current ratio 1.29x
  • PEG 1.67 vs FXNC's 7.87
  • Beta 0.05 vs NKSH's 0.76
  • 4.5% ROA vs FXNC's 0.9%, ROIC 10.5% vs 7.7%
Best for: sleep-well-at-night and valuation efficiency
NKSH
National Bankshares, Inc.
The Banking Pick

NKSH carries the broadest edge in this set and is the clearest fit for defensive.

  • Beta 0.76, yield 4.0%, current ratio 1203.84x
  • 18.6% margin vs FMS's 4.9%
  • 4.0% yield, 1-year raise streak, vs FXNC's 2.2%, (1 stock pays no dividend)
  • +49.7% vs FMS's -20.5%
Best for: defensive
See the full category breakdown
CategoryWinnerWhy
GrowthFXNC logoFXNC27.1% NII/revenue growth vs FMS's 1.5%
ValueFMS logoFMSLower P/E (10.5x vs 11.7x), PEG 2.06 vs 7.87
Quality / MarginsNKSH logoNKSH18.6% margin vs FMS's 4.9%
Stability / SafetyDVA logoDVABeta 0.05 vs NKSH's 0.76
DividendsNKSH logoNKSH4.0% yield, 1-year raise streak, vs FXNC's 2.2%, (1 stock pays no dividend)
Momentum (1Y)NKSH logoNKSH+49.7% vs FMS's -20.5%
Efficiency (ROA)DVA logoDVA4.5% ROA vs FXNC's 0.9%, ROIC 10.5% vs 7.7%

FMS vs FXNC vs DVA vs NKSH — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

FMSFresenius Medical Care AG & Co. KGaA
FY 2025
Health Care Services
74.8%$13.1B
Health Care Products
25.2%$4.4B
FXNCFirst National Corporation
FY 2018
Bank Servicing And Deposit Account
41.2%$3M
Credit And Debit Card
29.2%$2M
Financial Service, Wealth Management
21.8%$2M
Financial Service, Other
7.8%$601,000
DVADaVita Inc.
FY 2025
U S Dialysis And Related Lab Services
100.0%$11.7B
NKSHNational Bankshares, Inc.

Segment breakdown not available.

FMS vs FXNC vs DVA vs NKSH — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLDVALAGGINGNKSH

Income & Cash Flow (Last 12 Months)

FXNC leads this category, winning 3 of 6 comparable metrics.

FMS is the larger business by revenue, generating $19.4B annually — 226.9x NKSH's $85M. NKSH is the more profitable business, keeping 18.6% of every revenue dollar as net income compared to FMS's 4.9%. On growth, DVA holds the edge at +6.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
RevenueTrailing 12 months$19.4B$112M$13.8B$85M
EBITDAEarnings before interest/tax$3.5B$25M$2.8B$20M
Net IncomeAfter-tax profit$947M$18M$781M$16M
Free Cash FlowCash after capex$1.8B$21M$1.5B$17M
Gross MarginGross profit ÷ Revenue+26.0%+74.0%+31.1%+65.1%
Operating MarginEBIT ÷ Revenue+9.7%+19.6%+15.0%+22.5%
Net MarginNet income ÷ Revenue+4.9%+15.8%+5.6%+18.6%
FCF MarginFCF ÷ Revenue+9.1%+18.7%+10.8%+17.8%
Rev. Growth (YoY)Latest quarter vs prior year-5.5%+6.0%
EPS Growth (YoY)Latest quarter vs prior year-15.4%+7.1%+43.5%+91.7%
FXNC leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

FMS leads this category, winning 7 of 7 comparable metrics.

At 11.0x trailing earnings, FMS trades at a 47% valuation discount to DVA's 20.6x P/E. Adjusting for growth (PEG ratio), FMS offers better value at 2.15x vs NKSH's 145.48x — a lower PEG means you pay less per unit of expected earnings growth.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
Market CapShares × price$11.9B$253M$12.6B$240M
Enterprise ValueMkt cap + debt − cash$22.7B$134M$26.9B$234M
Trailing P/EPrice ÷ TTM EPS10.96x14.27x20.64x15.14x
Forward P/EPrice ÷ next-FY EPS est.10.52x11.75x13.85x11.71x
PEG RatioP/E ÷ EPS growth rate2.15x9.55x2.49x145.48x
EV / EBITDAEnterprise value multiple5.91x6.13x9.87x12.20x
Price / SalesMarket cap ÷ Revenue0.52x2.25x0.92x2.81x
Price / BookPrice ÷ Book value/share0.75x1.35x14.93x1.30x
Price / FCFMarket cap ÷ FCF5.98x12.03x9.61x15.85x
FMS leads this category, winning 7 of 7 comparable metrics.

Profitability & Efficiency

DVA leads this category, winning 4 of 9 comparable metrics.

DVA delivers a 59.1% return on equity — every $100 of shareholder capital generates $59 in annual profit, vs $7 for FMS. NKSH carries lower financial leverage with a 0.01x debt-to-equity ratio, signaling a more conservative balance sheet compared to DVA's 12.99x. On the Piotroski fundamental quality scale (0–9), NKSH scores 8/9 vs DVA's 5/9, reflecting strong financial health.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
ROE (TTM)Return on equity+6.7%+10.0%+59.1%+9.0%
ROA (TTM)Return on assets+3.0%+0.9%+4.5%+0.9%
ROICReturn on invested capital+5.6%+7.7%+10.5%+8.4%
ROCEReturn on capital employed+6.9%+9.9%+14.0%+1.9%
Piotroski ScoreFundamental quality 0–97758
Debt / EquityFinancial leverage0.76x0.23x12.99x0.01x
Net DebtTotal debt minus cash$9.2B-$118M$14.3B-$6M
Cash & Equiv.Liquid assets$1.6B$161M$758M$8M
Total DebtShort + long-term debt$10.8B$43M$15.0B$2M
Interest CoverageEBIT ÷ Interest expense10.17x0.84x3.54x0.64x
DVA leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

DVA leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in FXNC five years ago would be worth $16,866 today (with dividends reinvested), compared to $6,410 for FMS. Over the past 12 months, NKSH leads with a +49.7% total return vs FMS's -20.5%. The 3-year compound annual growth rate (CAGR) favors DVA at 30.1% vs FMS's 0.7% — a key indicator of consistent wealth creation.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
YTD ReturnYear-to-date-7.9%+14.6%+71.4%+14.2%
1-Year ReturnPast 12 months-20.5%+46.9%+36.3%+49.7%
3-Year ReturnCumulative with dividends+2.2%+110.8%+120.0%+55.1%
5-Year ReturnCumulative with dividends-35.9%+68.7%+54.8%+31.9%
10-Year ReturnCumulative with dividends-35.1%+241.1%+158.1%+51.3%
CAGR (3Y)Annualised 3-year return+0.7%+28.2%+30.1%+15.7%
DVA leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

DVA leads this category, winning 2 of 2 comparable metrics.

DVA is the less volatile stock with a 0.05 beta — it tends to amplify market swings less than NKSH's 0.76 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. DVA currently trades 99.6% from its 52-week high vs FMS's 71.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
Beta (5Y)Sensitivity to S&P 5000.49x0.70x0.05x0.76x
52-Week HighHighest price in past year$30.46$29.85$197.08$40.00
52-Week LowLowest price in past year$20.02$18.31$101.00$24.74
% of 52W HighCurrent price vs 52-week peak+71.1%+93.7%+99.6%+94.3%
RSI (14)Momentum oscillator 0–10036.547.682.251.1
Avg Volume (50D)Average daily shares traded527K80K801K50K
DVA leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Evenly matched — FXNC and NKSH each lead in 1 of 2 comparable metrics.

Analyst consensus: FMS as "Hold", FXNC as "Buy", DVA as "Hold", NKSH as "Buy". Consensus price targets imply 29.4% upside for FMS (target: $28) vs -24.9% for FXNC (target: $21). For income investors, NKSH offers the higher dividend yield at 4.01% vs FXNC's 2.19%.

MetricFMS logoFMSFresenius Medical…FXNC logoFXNCFirst National Co…DVA logoDVADaVita Inc.NKSH logoNKSHNational Bankshar…
Analyst RatingConsensus buy/hold/sellHoldBuyHoldBuy
Price TargetConsensus 12-month target$28.00$21.00$168.67
# AnalystsCovering analysts181234
Dividend YieldAnnual dividend ÷ price+3.8%+2.2%+4.0%
Dividend StreakConsecutive years of raises41131
Dividend / ShareAnnual DPS$0.70$0.61$1.51
Buyback YieldShare repurchases ÷ mkt cap+5.5%+0.1%+14.2%0.0%
Evenly matched — FXNC and NKSH each lead in 1 of 2 comparable metrics.
Key Takeaway

DVA leads in 3 of 6 categories (Profitability & Efficiency, Total Returns). FXNC leads in 1 (Income & Cash Flow). 1 tied.

Best OverallDaVita Inc. (DVA)Leads 3 of 6 categories
Loading custom metrics...

FMS vs FXNC vs DVA vs NKSH: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is FMS or FXNC or DVA or NKSH a better buy right now?

For growth investors, First National Corporation (FXNC) is the stronger pick with 27.

1% revenue growth year-over-year, versus 1. 5% for Fresenius Medical Care AG & Co. KGaA (FMS). Fresenius Medical Care AG & Co. KGaA (FMS) offers the better valuation at 11. 0x trailing P/E (10. 5x forward), making it the more compelling value choice. Analysts rate First National Corporation (FXNC) a "Buy" — based on 1 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — FMS or FXNC or DVA or NKSH?

On trailing P/E, Fresenius Medical Care AG & Co.

KGaA (FMS) is the cheapest at 11. 0x versus DaVita Inc. at 20. 6x. On forward P/E, Fresenius Medical Care AG & Co. KGaA is actually cheaper at 10. 5x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: DaVita Inc. wins at 1. 67x versus National Bankshares, Inc. 's 145. 48x — a reasonable growth-adjusted valuation.

03

Which is the better long-term investment — FMS or FXNC or DVA or NKSH?

Over the past 5 years, First National Corporation (FXNC) delivered a total return of +68.

7%, compared to -35. 9% for Fresenius Medical Care AG & Co. KGaA (FMS). Over 10 years, the gap is even starker: FXNC returned +241. 1% versus FMS's -35. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — FMS or FXNC or DVA or NKSH?

By beta (market sensitivity over 5 years), DaVita Inc.

(DVA) is the lower-risk stock at 0. 05β versus National Bankshares, Inc. 's 0. 76β — meaning NKSH is approximately 1497% more volatile than DVA relative to the S&P 500. On balance sheet safety, National Bankshares, Inc. (NKSH) carries a lower debt/equity ratio of 1% versus 13% for DaVita Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — FMS or FXNC or DVA or NKSH?

By revenue growth (latest reported year), First National Corporation (FXNC) is pulling ahead at 27.

1% versus 1. 5% for Fresenius Medical Care AG & Co. KGaA (FMS). On earnings-per-share growth, the picture is similar: National Bankshares, Inc. grew EPS 100. 8% year-over-year, compared to -11. 4% for DaVita Inc.. Over a 3-year CAGR, DVA leads at 5. 5% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — FMS or FXNC or DVA or NKSH?

National Bankshares, Inc.

(NKSH) is the more profitable company, earning 18. 6% net margin versus 5. 0% for Fresenius Medical Care AG & Co. KGaA — meaning it keeps 18. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: NKSH leads at 22. 5% versus 9. 3% for FMS. At the gross margin level — before operating expenses — FXNC leads at 74. 0%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is FMS or FXNC or DVA or NKSH more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, DaVita Inc. (DVA) is the more undervalued stock at a PEG of 1. 67x versus National Bankshares, Inc. 's 145. 48x. Both stocks trade at elevated growth-adjusted valuations, so expected growth needs to materialise. On forward earnings alone, Fresenius Medical Care AG & Co. KGaA (FMS) trades at 10. 5x forward P/E versus 13. 8x for DaVita Inc. — 3. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for FMS: 29. 4% to $28. 00.

08

Which pays a better dividend — FMS or FXNC or DVA or NKSH?

In this comparison, NKSH (4.

0% yield), FMS (3. 8% yield), FXNC (2. 2% yield) pay a dividend. DVA does not pay a meaningful dividend and should not be held primarily for income.

09

Is FMS or FXNC or DVA or NKSH better for a retirement portfolio?

For long-horizon retirement investors, DaVita Inc.

(DVA) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 05), +158. 1% 10Y return). Both have compounded well over 10 years (DVA: +158. 1%, NKSH: +51. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between FMS and FXNC and DVA and NKSH?

These companies operate in different sectors (FMS (Healthcare) and FXNC (Financial Services) and DVA (Healthcare) and NKSH (Financial Services)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

In terms of investment character: FMS is a mid-cap deep-value stock; FXNC is a small-cap high-growth stock; DVA is a mid-cap quality compounder stock; NKSH is a small-cap deep-value stock. FMS, FXNC, NKSH pay a dividend while DVA does not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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Stocks Like

FMS

Income & Dividend Stock

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 15%
  • Dividend Yield > 1.5%
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FXNC

High-Growth Compounder

  • Sector: Financial Services
  • Market Cap > $100B
  • Revenue Growth > 13%
  • Net Margin > 9%
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DVA

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 5%
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NKSH

Income & Dividend Stock

  • Sector: Financial Services
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 11%
Run This Screen
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Beat Both

Find stocks that outperform FMS and FXNC and DVA and NKSH on the metrics below

Revenue Growth>
%
(FMS: -5.5% · FXNC: 27.1%)
Net Margin>
%
(FMS: 4.9% · FXNC: 15.8%)
P/E Ratio<
x
(FMS: 11.0x · FXNC: 14.3x)

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