FCHS vs LFST vs FMS Stock Comparison

First Choice Healthcare Solutions, LifeStance Health and Fresenius Medical Care AG Prices as of Oct 26, 2026 Peers: Industry group
FMS Fresenius Medical Care AG
$22.50 -0.8% 1M -17.3% 1Y
Market cap
$13.16B
P/E
12.0x
Revenue (TTM)
$11.07B
Div. yield
–
Healthcare Services Healthcare
5 wins

Head to Head

11 decided of 12

Fresenius Medical Care AG leads on 5 of the 12 questions below (Fresenius Medical Care AG 5, LifeStance Health 5, First Choice Healthcare Solutions 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionFCHSLFSTFMSLeader
Larger companyMarket capitalisation $329.58K $5.19B $13.16B FMS
Cheaper on earningsLower P/E, profitable companies only 0.0x 102.5x 12.0x FMS
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 81.9x 9.5x FMS
Faster revenue growthRevenue growth, trailing twelve months — +20.4% -47.8% LFST
More profitableNet margin, trailing twelve months — 3.2% 9.9% FMS
Better return on capitalReturn on invested capital — 3.4% 0.2% LFST
Less leveragedLower net debt / EBITDA -10.9x 0.2x 200.7x FCHS
Higher dividend yieldTrailing dividend yield — 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months 0.0% +156.4% -17.3% LFST
Better 5-year returnAnnualised price return, 5 years -32.3%/yr +1.9%/yr -8.3%/yr LFST
Less volatileAnnualised volatility, 1 year 209.8% 50.5% 31.1% FMS
Higher overall scoreMean of the five percentile scores vs peers 13/100 70/100 51/100 LFST

Percentile Scorecard

FCHSLFSTFMS

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

AxisFCHSLFSTFMS
Valuation 2 #90 of 92 51 #46 of 92 71 #27 of 92
Growth 36 #56 of 87 90 #10 of 87 12 #77 of 87
Profitability – 59 #36 of 86 64 #32 of 86
Financial Health 1 #96 of 97 77 #23 of 97 14 #84 of 97
Shareholder Returns – 75 #15 of 56 93 #5 of 56
Overall 13 70 51
  • FCHS ranked among 102 companies in Healthcare Providers
  • LFST ranked among 102 companies in Healthcare Providers
  • FMS ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodFCHSLFSTFMSSPY
1 month 0.0%+10.6%-0.8% -0.2%
3 months -50.0%+16.5%-9.1% +3.9%
6 months 0.0%+70.8%0.0% +8.2%
Year to date 0.0%+86.1%-5.5% +12.9%
1 year 0.0%+156.4%-17.3% +12.3%
3 years 0.0%+132.7%+37.2% +87.4%
3 years, per year 0.0%+32.5%+11.1% +23.3%
5 years -85.7%+10.0%-35.2% +67.9%
5 years, per year -32.3%+1.9%-8.3% +10.9%
10 years -99.1%—-44.4% +261.1%
10 years, per year -37.4%—-5.7% +13.7%

Risk

MeasureFCHSLFSTFMSSPY
Volatility, 1Y 209.8%50.5%31.1% 12.7%
Downside volatility, 1Y —41.4%36.8% 12.7%
Beta vs S&P 500, 1Y -2.860.560.19 1.00
Return / volatility, 1Y 0.003.10-0.56 0.97
Max drawdown, 5Y -88.9%-71.7%-63.9% -25.4%
From 52-week high -66.7%-2.1%-17.3% -1.2%
52-week high $0.03$13.38$27.20 $779.14
52-week low $0.01$4.81$20.19 $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.

MultipleFCHSLFSTFMS
P/E now vs peer median 0.0xmedian 24.6x 99.3xmedian 24.6x 12.0xmedian 24.6x
P/S now vs peer median —median 1.6x 3.2xmedian 1.6x 1.1xmedian 1.6x
EV/EBITDA now vs peer median -11.1xmedian 14.6x 37.6xmedian 14.6x 205.4xmedian 14.6x
P/FCF now vs peer median -0.6xmedian 21.6x 28.8xmedian 21.6x 6.0xmedian 21.6x
P/B now vs peer median 0.0xmedian 3.2x 3.4xmedian 3.2x 0.8xmedian 3.2x
PEG now vs peer median -0.01median 0.66 3.12median 0.66 0.57median 0.66

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 monthsFCHSLFSTFMS
Revenue – $1.58B $11.07B
Gross profit – $531.85M -$5.62B
Operating income -$2.85M $78.43M $879.32M
Net income -$7.00M $50.60M $1.38B
Free cash flow -$586.99K $173.91M $2.08B
R&D – – $180.01M
EPS (diluted) $-0.22 $0.13 $1.79
Cash & equivalents $3.86K $225.94M $1.21B
Total debt $118.13M $258.99M $572.99B
Shares (diluted) 32.96M 387.30M 612.52M
Enterprise value $310.94K $4.31B $5.11B

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
MetricFCHSLFSTFMS
P/E 0.0x 99.3x 12.0x
P/FCF -0.6x 28.8x 6.0x
P/Operating cash flow -0.6x 23.0x 3.8x
P/S – 3.2x 1.1x
P/B 0.0x 3.4x 0.8x
P/Tangible book 0.0x 3.8x 0.9x
EV/EBITDA -11.1x 37.6x 205.4x
EV/EBIT -11.0x 64.2x 628.2x
EV/Revenue – 3.2x 49.9x
EV/FCF -53.3x 29.0x 265.6x
EV/Operating cash flow -53.3x 23.1x 167.5x
PEG (3Y EPS CAGR) -0.01 3.12 0.57

Growth

14 metrics
MetricFCHSLFSTFMS
Revenue growth (1Y) – 20.4% -47.8%
Revenue CAGR (3Y) – 18.2% -18.6%
Gross profit growth (1Y) – 24.2% -207.2%
Gross profit CAGR (3Y) – – -45.2%
Operating income growth (1Y) -106.8% 32,780% -45.5%
Operating income CAGR (3Y) 19.9% 35.2% -16.4%
Net income growth (1Y) -73.2% 413.3% 49.8%
Net income CAGR (3Y) 5.7% 32.2% 18.2%
EPS growth (1Y) -72.6% 412.8% 52.0%
EPS CAGR (3Y) 5.6% 31.8% 20.9%
Operating cash flow growth (1Y) 87.1% 48.9% 9.3%
Operating cash flow CAGR (3Y) 33.8% 87.0% 9.3%
Free cash flow growth (1Y) 87.1% 44.8% -7.7%
Free cash flow CAGR (3Y) 33.8% 158.0% 4.8%

Profitability

14 metrics
MetricFCHSLFSTFMS
Gross margin – 33.6% -50.7%
EBITDA margin – 8.5% 24.3%
Operating margin – 4.9% 7.9%
Pretax margin – 4.2% 15.8%
Net margin – 3.2% 9.9%
FCF margin – 11.0% 18.8%
Operating cash flow margin – 13.7% 29.8%
Return on equity – 3.4% 2.7%
Return on assets -172.9% 2.3% 1.2%
Return on invested capital – 3.4% 0.2%
Return on capital employed – 4.2% 3.2%
Asset turnover – 0.7x 0.3x
Cash conversion (OCF / net income) 0.1x 4.3x 2.4x
Stock comp / revenue – 4.4% –

Financial Health

11 metrics
MetricFCHSLFSTFMS
Debt / assets 764.7% 11.9% 1,515%
Debt / equity -0.8x 0.2x 35.0x
Net debt / EBITDA -10.9x 0.2x 200.7x
Debt / FCF -52.8x 1.5x 260.4x
Liabilities / assets 1,112% 32.3% 56.8%
Equity / assets -1,012% 67.7% 43.2%
Interest coverage -0.6x 7.8x 2.0x
Current ratio 0.0x 1.4x 1.1x
Quick ratio 0.0x 1.2x 0.2x
Cash ratio 0.0x 0.8x 0.2x
Altman Z-score – 4.67 1.32

Shareholder Returns

7 metrics
MetricFCHSLFSTFMS
Dividend yield – – 3.8%
Net buyback yield – 2.0% 8.6%
Shareholder yield – 2.0% 12.4%
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.

ConsensusFCHSLFSTFMS
Forward P/E – 81.9xFY2026 9.5xFY2026
EPS, next fiscal year – $0.16FY2026 $2.37FY2026
EPS growth, next FY – +700.0%FY2026 -6.0%FY2026
EPS growth, the year after – +50.0% +7.6%
Revenue, next fiscal year – $1.82BFY2026 $21.50BFY2026
Revenue growth, next FY – +28.1%FY2026 -7.0%FY2026
Revenue growth, the year after – +11.9% -0.3%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersFCHSLFSTFMS
Held by institutions – 97.9% 7.3%
Institutions holding – 286 235
Change in shares held, QoQ – +1.9% -2.9%
Institutions buying – 204 151
Institutions selling – 55 41
Buyers to sellers – 3.71 3.68

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.

FCHSLFSTFMS
FCHS 1.00 -0.10 0.03
LFST -0.10 1.00 0.10
FMS 0.03 0.10 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, FCHS, LFST and FMS?

Fresenius Medical Care AG (FMS) is the largest by market capitalisation: First Choice Healthcare Solutions (FCHS) $329.58K, LifeStance Health (LFST) $5.19B, Fresenius Medical Care AG (FMS) $13.16B.

Which stock is cheaper, FCHS, LFST and FMS?

Fresenius Medical Care AG (FMS) trades on the lowest price-to-earnings ratio (First Choice Healthcare Solutions (FCHS) 0.0x, LifeStance Health (LFST) 102.5x, Fresenius Medical Care AG (FMS) 12.0x). On next year's consensus earnings, Fresenius Medical Care AG (FMS) is cheapest (LifeStance Health (LFST) 81.9x, Fresenius Medical Care AG (FMS) 9.5x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

LifeStance Health (LFST) grew revenue fastest over the trailing twelve months: LifeStance Health (LFST) +20.4%, Fresenius Medical Care AG (FMS) -47.8%.

Which company is more profitable?

Fresenius Medical Care AG (FMS) has the highest net margin (LifeStance Health (LFST) 3.2%, Fresenius Medical Care AG (FMS) 9.9%). On return on invested capital, LifeStance Health (LFST) leads (LifeStance Health (LFST) 3.4%, Fresenius Medical Care AG (FMS) 0.2%).

Which stock has performed better?

Over the past year LifeStance Health (LFST) returned the most: First Choice Healthcare Solutions (FCHS) 0.0%, LifeStance Health (LFST) +156.4%, Fresenius Medical Care AG (FMS) -17.3%. Over five years, LifeStance Health (LFST) compounded fastest (First Choice Healthcare Solutions (FCHS) -32.3%/yr, LifeStance Health (LFST) +1.9%/yr, Fresenius Medical Care AG (FMS) -8.3%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Fresenius Medical Care AG (FMS) has been the steadiest (First Choice Healthcare Solutions (FCHS) 209.8%, LifeStance Health (LFST) 50.5%, Fresenius Medical Care AG (FMS) 31.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, FCHS, LFST and FMS?

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.