Comprehensive Stock Comparison

Compare Sonida Senior Living, Inc. (SNDA) vs Fresenius Medical Care AG & Co. KGaA (FMS) Stock

Analyze side-by-side fundamentals, valuation, growth, and profitability to decide which stock is the better buy.

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Quick Verdict

CategoryWinnerWhy
GrowthSNDA19.2% revenue growth vs FMS's 1.5%
Quality / MarginsFMS5.0% net margin vs SNDA's -12.4%
Stability / SafetyFMSBeta 0.40 vs SNDA's 1.06, lower leverage
DividendsSNDA0.6% yield; FMS pays no meaningful dividend
Momentum (1Y)SNDA+47.7% vs FMS's +0.2%
Efficiency (ROA)FMS3.2% ROA vs SNDA's -5.4%, ROIC 5.6% vs -1.7%
Bottom line: SNDA and FMS each win 3 categories — the better choice depends on your priorities. Fresenius Medical Care AG & Co. KGaA is the better choice for profitability and margin quality and capital preservation and lower volatility. As direct sector peers, they can serve as alternatives in the same portfolio allocation.

Who Each Stock Is For

Income & stability

Growth exposure

Long-term compounding (10Y)

Sleep-well-at-night portfolio

Defensive / Recession hedge

Business Model

What each company does and how it makes money

SNDASonida Senior Living, Inc.
Healthcare

Sonida Senior Living operates senior housing communities across the United States, providing independent living, assisted living, and memory care services. The company generates revenue primarily from resident fees — including monthly rent and service charges — with its assisted living and memory care segments typically commanding higher rates due to the specialized care provided. Its competitive advantage lies in its operational expertise in managing a portfolio of owned communities, which creates economies of scale and allows for consistent service delivery across locations.

FMSFresenius Medical Care AG & Co. KGaA
Healthcare

Fresenius Medical Care is a global leader in dialysis care and products for patients with chronic kidney failure. It generates revenue through two main segments: dialysis services (about 75% of revenue) from its network of outpatient clinics and hospital contracts, and dialysis products (about 25%) including machines, dialyzers, and related supplies. The company's key advantage is its vertically integrated model—combining clinics, products, and services—which creates patient stickiness and economies of scale in the capital-intensive dialysis industry.

Revenue Breakdown by Segment

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

SNDASonida Senior Living, Inc.
FY 2024
Health Care, Resident Service
46.8%$268M
Housing And Support Services
46.3%$265M
Community Reimbursement Revenue
5.8%$33M
Management Service
0.6%$3M
Community Fees
0.3%$2M
Ancillary Services
0.2%$1M
FMSFresenius Medical Care AG & Co. KGaA
FY 2025
Health Care Services
74.8%$13.1B
Health Care Products
25.2%$4.4B

Financial Metrics Comparison

Side-by-side fundamentals across 2 stocks. BestLagging

Financial Scorecard

FMS 4SNDA 1
Financial MetricsFMS4/6 metrics
Valuation MetricsFMS3/4 metrics
Profitability & EfficiencyFMS7/9 metrics
Total ReturnsSNDA5/6 metrics
Risk & VolatilityTie1/2 metrics
Analyst OutlookFMS1/1 metrics

FMS leads in 4 of 6 categories (Financial Metrics, Valuation Metrics). SNDA leads in 1 (Total Returns). 1 tied.

Financial Metrics (TTM)

FMS is the larger business by revenue, generating $19.6B annually — 52.3x SNDA's $375M. FMS is the more profitable business, keeping 5.0% of every revenue dollar as net income compared to SNDA's -12.4%. On growth, SNDA holds the edge at +31.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
RevenueTrailing 12 months$375M$19.6B
EBITDAEarnings before interest/tax$40M$3.3B
Net IncomeAfter-tax profit-$47M$978M
Free Cash FlowCash after capex-$10M$1.2B
Gross MarginGross profit ÷ Revenue+91.4%+25.6%
Operating MarginEBIT ÷ Revenue-4.0%+9.3%
Net MarginNet income ÷ Revenue-12.4%+5.0%
FCF MarginFCF ÷ Revenue-2.7%+6.0%
Rev. Growth (YoY)Latest quarter vs prior year+31.2%-0.3%
EPS Growth (YoY)Latest quarter vs prior year-59.2%+8.5%
FMS leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

On an enterprise value basis, FMS's 6.3x EV/EBITDA is more attractive than SNDA's 45.0x.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
Market CapShares × price$682M$13.6B
Enterprise ValueMkt cap + debt − cash$1.3B$24.4B
Trailing P/EPrice ÷ TTM EPS-66.46x11.84x
Forward P/EPrice ÷ next-FY EPS est.9.89x
PEG RatioP/E ÷ EPS growth rate2.32x
EV / EBITDAEnterprise value multiple45.04x6.33x
Price / SalesMarket cap ÷ Revenue2.24x0.59x
Price / BookPrice ÷ Book value/share3.91x0.81x
Price / FCFMarket cap ÷ FCF
FMS leads this category, winning 3 of 4 comparable metrics.

Profitability & Efficiency

FMS delivers a 6.8% return on equity — every $100 of shareholder capital generates $7 in annual profit, vs $-54 for SNDA. FMS carries lower financial leverage with a 0.76x debt-to-equity ratio, signaling a more conservative balance sheet compared to SNDA's 5.03x. On the Piotroski fundamental quality scale (0–9), FMS scores 5/9 vs SNDA's 4/9, reflecting solid financial health.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
ROE (TTM)Return on equity-53.8%+6.8%
ROA (TTM)Return on assets-5.4%+3.2%
ROICReturn on invested capital-1.7%+5.6%
ROCEReturn on capital employed-2.3%+6.9%
Piotroski ScoreFundamental quality 0–945
Debt / EquityFinancial leverage5.03x0.76x
Net DebtTotal debt minus cash$634M$9.2B
Cash & Equiv.Liquid assets$17M$1.6B
Total DebtShort + long-term debt$651M$10.8B
Interest CoverageEBIT ÷ Interest expense-0.26x6.84x
FMS leads this category, winning 7 of 9 comparable metrics.

Total Returns (with DRIP)

A $10,000 investment in SNDA five years ago would be worth $12,300 today (with dividends reinvested), compared to $7,718 for FMS. Over the past 12 months, SNDA leads with a +47.7% total return vs FMS's +0.2%. The 3-year compound annual growth rate (CAGR) favors SNDA at 45.5% vs FMS's 9.1% — a key indicator of consistent wealth creation.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
YTD ReturnYear-to-date+12.4%-0.2%
1-Year ReturnPast 12 months+47.7%+0.2%
3-Year ReturnCumulative with dividends+208.3%+29.7%
5-Year ReturnCumulative with dividends+23.0%-22.8%
10-Year ReturnCumulative with dividends-86.0%-28.5%
CAGR (3Y)Annualised 3-year return+45.5%+9.1%
SNDA leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

FMS is the less volatile stock with a 0.40 beta — it tends to amplify market swings less than SNDA's 1.06 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. SNDA currently trades 98.6% from its 52-week high vs FMS's 77.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
Beta (5Y)Sensitivity to S&P 5001.06x0.40x
52-Week HighHighest price in past year$36.40$30.46
52-Week LowLowest price in past year$19.34$20.95
% of 52W HighCurrent price vs 52-week peak+98.6%+77.0%
RSI (14)Momentum oscillator 0–10070.749.0
Avg Volume (50D)Average daily shares traded39K518K
Evenly matched — SNDA and FMS each lead in 1 of 2 comparable metrics.

Analyst Outlook

Wall Street rates SNDA as "Hold" and FMS as "Hold". Consensus price targets imply 19.4% upside for FMS (target: $28) vs -12.2% for SNDA (target: $32). SNDA is the only dividend payer here at 0.56% yield — a key consideration for income-focused portfolios.

MetricSNDASonida Senior Liv…FMSFresenius Medical…
Analyst RatingConsensus buy/hold/sellHoldHold
Price TargetConsensus 12-month target$31.50$28.00
# AnalystsCovering analysts218
Dividend YieldAnnual dividend ÷ price+0.6%
Dividend StreakConsecutive years of raises03
Dividend / ShareAnnual DPS$0.20
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%
FMS leads this category, winning 1 of 1 comparable metric.

Historical Charts

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Chart 1Total Return — 5 Years (Rebased to 100)

StockMar 20Feb 26Change
Sonida Senior Livin… (SNDA)10092.74-7.3%
Fresenius Medical C… (FMS)10058.23-41.8%

Sonida Senior Livin… (SNDA) returned +23% over 5 years vs Fresenius Medical C… (FMS)'s -23%. A $10,000 investment in SNDA 5 years ago would be worth $12,300 today (including dividends reinvested).

Chart 2Revenue Growth — 10 Years

Stock20162025Change
Sonida Senior Livin… (SNDA)$447M$304M-32.0%
Fresenius Medical C… (FMS)$17.0B$19.6B+15.3%

Fresenius Medical Care AG & Co. KGaA's revenue grew from $17.0B (2016) to $19.6B (2025) — a 1.6% CAGR.

Chart 3Net Margin Trend — 10 Years

Stock20162025Change
Sonida Senior Livin… (SNDA)-6.3%-0.7%+89.2%
Fresenius Medical C… (FMS)6.9%5.0%-28.2%

Fresenius Medical Care AG & Co. KGaA's net margin went from 7% (2016) to 5% (2025).

Chart 4P/E Ratio History — 9 Years

Stock20172025Change
Fresenius Medical C… (FMS)25.314.2-43.9%

Fresenius Medical Care AG & Co. KGaA has traded in a 10x–39x P/E range over 9 years; current trailing P/E is ~12x.

Chart 5EPS Growth — 10 Years

Stock20162025Change
Sonida Senior Livin… (SNDA)-14.54-0.54+96.3%
Fresenius Medical C… (FMS)1.871.68-10.2%

Fresenius Medical Care AG & Co. KGaA's EPS grew from $1.87 (2016) to $1.68 (2025) — a -1% CAGR.

Chart 6Free Cash Flow — 5 Years

2021
$-39M
$2B
2022
$-27M
$1B
2023
$-7M
$2B
2024
$-27M
$2B
2025
$0M
Sonida Senior Livin… (SNDA)Fresenius Medical C… (FMS)

Sonida Senior Living, Inc. generated $-27M FCF in 2024 (+31% vs 2021). Fresenius Medical Care AG & Co. KGaA generated $0M FCF in 2025 (-100% vs 2021).

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SNDA vs FMS: Frequently Asked Questions

8 questions · data-driven answers · updated daily

01

Is SNDA or FMS a better buy right now?

Fresenius Medical Care AG & Co. KGaA (FMS) offers the better valuation at 11.8x trailing P/E (9.9x forward), making it the more compelling value choice. Analysts rate Sonida Senior Living, Inc. (SNDA) a "Hold" — based on 2 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 is the better long-term investment — SNDA or FMS?

Over the past 5 years, Sonida Senior Living, Inc. (SNDA) delivered a total return of +23.0%, compared to -22.8% for Fresenius Medical Care AG & Co. KGaA (FMS). A $10,000 investment in SNDA five years ago would be worth approximately $12K today (assuming dividends reinvested). Over 10 years, the gap is even starker: FMS returned -28.5% versus SNDA's -86.0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — SNDA or FMS?

By beta (market sensitivity over 5 years), Fresenius Medical Care AG & Co. KGaA (FMS) is the lower-risk stock at 0.40β versus Sonida Senior Living, Inc.'s 1.06β — meaning SNDA is approximately 165% more volatile than FMS relative to the S&P 500. On balance sheet safety, Fresenius Medical Care AG & Co. KGaA (FMS) carries a lower debt/equity ratio of 76% versus 5% for Sonida Senior Living, Inc. — giving it more financial flexibility in a downturn.

04

Which has better profit margins — SNDA or FMS?

Fresenius Medical Care AG & Co. KGaA (FMS) is the more profitable company, earning 5.0% net margin versus -0.7% for Sonida Senior Living, Inc. — meaning it keeps 5.0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: FMS leads at 9.3% versus -4.9% for SNDA. At the gross margin level — before operating expenses — SNDA leads at 89.1%, 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.

05

Is SNDA or FMS more undervalued right now?

Analyst consensus price targets imply the most upside for FMS: 19.4% to $28.00.

06

Which pays a better dividend — SNDA or FMS?

In this comparison, SNDA (0.6% yield) pays a dividend. FMS does not pay a meaningful dividend and should not be held primarily for income.

07

Is SNDA or FMS better for a retirement portfolio?

For long-horizon retirement investors, Fresenius Medical Care AG & Co. KGaA (FMS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.40)). Both have compounded well over 10 years (FMS: -28.5%, SNDA: -86.0%), 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.

08

What are the main differences between SNDA and FMS?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both. In terms of investment character: SNDA is a small-cap quality compounder stock; FMS is a mid-cap deep-value stock. SNDA pays a dividend while FMS 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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High-Growth Disruptor

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  • Market Cap > $100B
  • Revenue Growth > 15%
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FMS

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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 15%
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Revenue Growth>
%
(SNDA: 31.2% · FMS: -0.3%)