ELV vs FMS vs HUM Stock Comparison

Elevance Health, Fresenius Medical Care AG and Humana Prices as of Oct 27, 2026 Peers: Industry group
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ELV Elevance Health, Inc.
$421.37 +6.4% 1M +23.0% 1Y
Market cap
$91.06B
P/E
17.8x
Revenue (TTM)
$201.83B
Div. yield
1.63%
Managed Care Healthcare
4 wins
FMS Fresenius Medical Care AG
$22.50 -0.8% 1M -17.3% 1Y
Market cap
$12.57B
P/E
12.0x
Revenue (TTM)
$11.07B
Div. yield
3.82%
Healthcare Services Healthcare
5 wins
HUM Humana Inc
$415.02 +4.2% 1M +42.0% 1Y
Market cap
$49.84B
P/E
39.0x
Revenue (TTM)
$145.68B
Div. yield
0.64%
Managed Care Healthcare
3 wins

Head to Head

12 decided of 12

Fresenius Medical Care AG leads on 5 of the 12 questions below (Fresenius Medical Care AG 5, Elevance Health 4, Humana 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionELVFMSHUMLeader
Larger companyMarket capitalisation $91.06B $12.57B $49.84B ELV
Cheaper on earningsLower P/E, profitable companies only 17.8x 12.0x 39.0x FMS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 14.0x 9.5x 48.0x FMS
Faster revenue growthRevenue growth, trailing twelve months +3.6% -47.8% +18.3% HUM
More profitableNet margin, trailing twelve months 2.5% 9.9% 0.9% FMS
Better return on capitalReturn on invested capital 8.3% 0.2% 6.7% ELV
Less leveragedLower net debt / EBITDA -0.5x 200.7x -2.7x HUM
Higher dividend yieldTrailing dividend yield 1.63% 3.82% 0.64% FMS
Better 1-year returnPrice return, last 12 months +23.0% -17.3% +42.0% HUM
Better 5-year returnAnnualised price return, 5 years -0.6%/yr -8.3%/yr -2.4%/yr ELV
Less volatileAnnualised volatility, 1 year 36.1% 31.1% 48.0% FMS
Higher overall scoreMean of the five percentile scores vs peers 71/100 51/100 42/100 ELV

Percentile Scorecard

ELVFMSHUM

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisELVFMSHUM
Valuation 83 #5 of 25 71 #27 of 92 54 #12 of 25
Growth 30 #17 of 24 12 #77 of 87 13 #21 of 24
Profitability 78 #6 of 24 64 #32 of 86 39 #15 of 24
Financial Health 72 #8 of 26 14 #84 of 97 68 #9 of 26
Shareholder Returns 93 #2 of 15 93 #5 of 56 36 #10 of 15
Overall 71 51 42
  • ELV ranked among 27 companies in Healthcare Payers and Distributors
  • FMS ranked among 102 companies in Healthcare Providers
  • HUM ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodELVFMSHUMSPY
1 month +6.4%-0.8%+4.2% -0.2%
3 months +9.2%-9.1%+6.7% +3.9%
6 months +16.2%0.0%+80.7% +8.2%
Year to date +20.2%-5.5%+62.0% +12.9%
1 year +23.0%-17.3%+42.0% +12.3%
3 years -4.6%+37.2%-18.7% +87.4%
3 years, per year -1.5%+11.1%-6.7% +23.3%
5 years -2.8%-35.2%-11.2% +67.9%
5 years, per year -0.6%-8.3%-2.4% +10.9%
10 years +241.2%-44.4%+138.3% +261.1%
10 years, per year +13.1%-5.7%+9.1% +13.7%

Risk

MeasureELVFMSHUMSPY
Volatility, 1Y 36.1%31.1%48.0% 12.7%
Downside volatility, 1Y 39.4%36.8%52.7% 12.7%
Beta vs S&P 500, 1Y 0.280.190.57 1.00
Return / volatility, 1Y 0.64-0.560.87 0.97
Max drawdown, 5Y -51.2%-63.9%-70.9% -25.4%
From 52-week high -5.4%-17.3%-4.3% -1.2%
52-week high $445.45$27.20$433.45 $779.14
52-week low $280.74$20.19$163.67 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleELVFMSHUM
P/E now vs peer median 17.8xmedian 23.9x 12.0xmedian 24.6x 39.0xmedian 23.9x
P/S now vs peer median 0.5xmedian 0.3x 1.1xmedian 1.6x 0.3xmedian 0.3x
EV/EBITDA now vs peer median 9.4xmedian 13.4x 205.4xmedian 14.6x 11.6xmedian 13.4x
P/FCF now vs peer median 14.0xmedian 15.5x 6.0xmedian 21.6x 25.6xmedian 15.5x
P/B now vs peer median 2.0xmedian 2.5x 0.8xmedian 3.2x 2.6xmedian 2.5x
PEG now vs peer median -7.60median 1.34 0.57median 0.66 -1.45median 1.34

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsELVFMSHUM
Revenue $201.83B $11.07B $145.68B
Gross profit $53.35B -$5.62B $19.89B
Operating income $7.70B $879.32M $2.71B
Net income $5.13B $1.38B $1.29B
Free cash flow $6.51B $2.08B $1.95B
R&D – $180.01M –
EPS (diluted) $23.62 $1.79 $10.56
Cash & equivalents $10.35B $1.21B $6.89B
Total debt $30.76B $572.99B $54.48B
Shares (diluted) 217.60M 612.52M 121.14M
Enterprise value -$51.41B $5.64B -$37.96B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricELVFMSHUM
P/E 17.8x 12.0x 39.0x
P/FCF 14.0x 6.0x 25.6x
P/Operating cash flow 12.0x 3.8x 19.6x
P/S 0.5x 1.1x 0.3x
P/B 2.0x 0.8x 2.6x
P/Tangible book 2.7x 0.9x 2.6x
EV/EBITDA 9.4x 205.4x 11.6x
EV/EBIT 11.2x 628.2x 15.0x
EV/Revenue 0.4x 49.9x 0.3x
EV/FCF 13.2x 265.6x 20.8x
EV/Operating cash flow 11.3x 167.5x 16.0x
PEG (3Y EPS CAGR) -7.60 0.57 -1.45

Growth

14 metrics
MetricELVFMSHUM
Revenue growth (1Y) 3.6% -47.8% 18.3%
Revenue CAGR (3Y) 6.2% -18.6% 13.8%
Gross profit growth (1Y) 4.3% -207.2% 7.5%
Gross profit CAGR (3Y) 5.5% -45.2% 3.6%
Operating income growth (1Y) -9.2% -45.5% -17.9%
Operating income CAGR (3Y) -4.2% -16.4% -15.3%
Net income growth (1Y) -7.4% 49.8% -18.3%
Net income CAGR (3Y) -5.2% 18.2% -27.4%
EPS growth (1Y) -4.5% 52.0% -19.1%
EPS CAGR (3Y) -2.3% 20.9% -26.9%
Operating cash flow growth (1Y) 54.6% 9.3% -13.4%
Operating cash flow CAGR (3Y) -7.2% 9.3% -42.3%
Free cash flow growth (1Y) 72.9% -7.7% -20.1%
Free cash flow CAGR (3Y) -7.6% 4.8% -45.6%

Profitability

14 metrics
MetricELVFMSHUM
Gross margin 26.4% -50.7% 13.7%
EBITDA margin 4.6% 24.3% 2.4%
Operating margin 3.8% 7.9% 1.9%
Pretax margin 3.1% 15.8% 1.1%
Net margin 2.5% 9.9% 0.9%
FCF margin 3.2% 18.8% 1.3%
Operating cash flow margin 3.8% 29.8% 1.7%
Return on equity 11.4% 2.7% 6.8%
Return on assets 4.0% 1.2% 2.3%
Return on invested capital 8.3% 0.2% 6.7%
Return on capital employed 9.6% 3.2% 8.1%
Asset turnover 1.6x 0.3x 2.6x
Cash conversion (OCF / net income) 1.5x 2.4x 2.0x
Stock comp / revenue 0.1% – 0.2%

Financial Health

11 metrics
MetricELVFMSHUM
Debt / assets 24.1% 1,515% 25.5%
Debt / equity 0.7x 35.0x 0.8x
Net debt / EBITDA -0.5x 200.7x -2.7x
Debt / FCF 4.7x 260.4x 7.5x
Liabilities / assets 65.0% 56.8% 66.3%
Equity / assets 35.0% 43.2% 33.7%
Interest coverage 5.3x 2.0x 3.8x
Current ratio 1.5x 1.1x 1.7x
Quick ratio 1.2x 0.2x 1.3x
Cash ratio 0.8x 0.2x 1.0x
Altman Z-score 3.05 1.32 4.60

Shareholder Returns

7 metrics
MetricELVFMSHUM
Dividend yield 1.6% 3.8% 0.6%
Net buyback yield 2.2% 8.6% 0.3%
Shareholder yield 3.8% 12.4% 0.9%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusELVFMSHUM
Forward P/E 14.0xFY2026 9.5xFY2026 48.0xFY2026
EPS, next fiscal year $30.04FY2026 $2.37FY2026 $8.65FY2026
EPS growth, next FY -0.8%FY2026 -6.0%FY2026 -49.5%FY2026
EPS growth, the year after +4.4% +7.6% +84.9%
Revenue, next fiscal year $211.76BFY2026 $21.50BFY2026 $166.70BFY2026
Revenue growth, next FY +7.2%FY2026 -7.0%FY2026 +28.6%FY2026
Revenue growth, the year after -0.1% -0.3% +7.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersELVFMSHUM
Held by institutions 91.8% 7.3% 98.6%
Institutions holding 1,610 235 927
Change in shares held, QoQ +1.7% -2.9% +2.7%
Institutions buying 859 151 558
Institutions selling 540 41 266
Buyers to sellers 1.59 3.68 2.10

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ELVFMSHUM
ELV 1.00 0.11 0.57
FMS 0.11 1.00 0.14
HUM 0.57 0.14 1.00

Add a Peer

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Frequently Asked Questions

Which is bigger, ELV, FMS and HUM?

Elevance Health (ELV) is the largest by market capitalisation: Elevance Health (ELV) $91.06B, Fresenius Medical Care AG (FMS) $12.57B, Humana (HUM) $49.84B.

Which stock is cheaper, ELV, FMS and HUM?

Fresenius Medical Care AG (FMS) trades on the lowest price-to-earnings ratio (Elevance Health (ELV) 17.8x, Fresenius Medical Care AG (FMS) 12.0x, Humana (HUM) 39.0x). On next year's consensus earnings, Fresenius Medical Care AG (FMS) is cheapest (Elevance Health (ELV) 14.0x, Fresenius Medical Care AG (FMS) 9.5x, Humana (HUM) 48.0x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Humana (HUM) grew revenue fastest over the trailing twelve months: Elevance Health (ELV) +3.6%, Fresenius Medical Care AG (FMS) -47.8%, Humana (HUM) +18.3%.

Which company is more profitable?

Fresenius Medical Care AG (FMS) has the highest net margin (Elevance Health (ELV) 2.5%, Fresenius Medical Care AG (FMS) 9.9%, Humana (HUM) 0.9%). On return on invested capital, Elevance Health (ELV) leads (Elevance Health (ELV) 8.3%, Fresenius Medical Care AG (FMS) 0.2%, Humana (HUM) 6.7%).

Which stock has performed better?

Over the past year Humana (HUM) returned the most: Elevance Health (ELV) +23.0%, Fresenius Medical Care AG (FMS) -17.3%, Humana (HUM) +42.0%. Over five years, Elevance Health (ELV) compounded fastest (Elevance Health (ELV) -0.6%/yr, Fresenius Medical Care AG (FMS) -8.3%/yr, Humana (HUM) -2.4%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Fresenius Medical Care AG (FMS) has the highest dividend yield: Elevance Health (ELV) 1.63%, Fresenius Medical Care AG (FMS) 3.82%, Humana (HUM) 0.64%.

Which stock is riskier?

By one-year price volatility, Fresenius Medical Care AG (FMS) has been the steadiest (Elevance Health (ELV) 36.1%, Fresenius Medical Care AG (FMS) 31.1%, Humana (HUM) 48.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ELV, FMS and HUM?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Fresenius Medical Care AG (FMS) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.