FMS vs MD vs PAIYY Stock Comparison

Fresenius Medical Care AG, Pediatrix Medical and Aesthetic Medical International Holdings Prices as of Oct 27, 2026 Peers: Industry group
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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

Pediatrix Medical leads on 6 of the 12 questions below (Pediatrix Medical 6, Fresenius Medical Care AG 5). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionFMSMDPAIYYLeader
Larger companyMarket capitalisation $13.16B $2.29B $491.09K FMS
Cheaper on earningsLower P/E, profitable companies only 12.0x 13.1x -0.1x FMS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 9.5x 12.0x — FMS
Faster revenue growthRevenue growth, trailing twelve months -47.8% +0.5% — MD
More profitableNet margin, trailing twelve months 9.9% 9.0% — FMS
Better return on capitalReturn on invested capital 0.2% 11.3% — MD
Less leveragedLower net debt / EBITDA 200.7x 0.8x — MD
Higher dividend yieldTrailing dividend yield 0.00% 0.00% — –
Better 1-year returnPrice return, last 12 months -17.3% +65.4% -95.2% MD
Better 5-year returnAnnualised price return, 5 years -8.3%/yr +0.8%/yr -70.1%/yr MD
Less volatileAnnualised volatility, 1 year 31.1% 41.3% 422.8% FMS
Higher overall scoreMean of the five percentile scores vs peers 51/100 71/100 — MD

Percentile Scorecard

FMSMDPAIYY

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

AxisFMSMDPAIYY
Valuation 71 #27 of 92 92 #8 of 92 22 #72 of 92
Growth 12 #77 of 87 37 #55 of 87 –
Profitability 64 #32 of 86 85 #14 of 86 –
Financial Health 14 #84 of 97 58 #41 of 97 12 #86 of 97
Shareholder Returns 93 #5 of 56 84 #10 of 56 –
Overall 51 71 –
  • FMS ranked among 102 companies in Healthcare Providers
  • MD ranked among 102 companies in Healthcare Providers
  • PAIYY ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodFMSMDPAIYYSPY
1 month -0.8%+9.7%-50.0% -0.2%
3 months -9.1%+7.4%-50.0% +3.9%
6 months 0.0%+25.7%-88.9% +8.2%
Year to date -5.5%+34.9%-94.1% +12.9%
1 year -17.3%+65.4%-95.2% +12.3%
3 years +37.2%+154.9%-98.3% +87.4%
3 years, per year +11.1%+36.6%-74.2% +23.3%
5 years -35.2%+3.9%-99.8% +67.9%
5 years, per year -8.3%+0.8%-70.1% +10.9%
10 years -44.4%-52.6%— +261.1%
10 years, per year -5.7%-7.2%— +13.7%

Risk

MeasureFMSMDPAIYYSPY
Volatility, 1Y 31.1%41.3%422.8% 12.7%
Downside volatility, 1Y 36.8%38.8%1,222.1% 12.7%
Beta vs S&P 500, 1Y 0.190.33-3.75 1.00
Return / volatility, 1Y -0.561.59-0.23 0.97
Max drawdown, 5Y -63.9%-76.4%-99.8% -25.4%
From 52-week high -17.3%-2.3%-96.9% -1.2%
52-week high $27.20$29.54$0.32 $779.14
52-week low $20.19$16.97$0.01 $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.

MultipleFMSMDPAIYY
P/E now vs peer median 12.0xmedian 24.6x 13.1xmedian 24.6x -0.1xmedian 24.6x
P/S now vs peer median 1.1xmedian 1.6x 1.2xmedian 1.6x 0.0xmedian 1.6x
EV/EBITDA now vs peer median 205.4xmedian 14.6x 10.6xmedian 14.6x —median 14.6x
P/FCF now vs peer median 6.0xmedian 21.6x 10.2xmedian 21.6x -0.2xmedian 21.6x
P/B now vs peer median 0.8xmedian 3.2x 2.7xmedian 3.2x -0.1xmedian 3.2x
PEG now vs peer median 0.57median 0.66 0.66median 0.66 —median 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 monthsFMSMDPAIYY
Revenue $11.07B $1.95B –
Gross profit -$5.62B – –
Operating income $879.32M $215.42M –
Net income $1.38B $174.81M –
Free cash flow $2.08B $229.94M –
R&D $180.01M – –
EPS (diluted) $1.79 $2.15 –
Cash & equivalents $1.21B $288.88M $8.61M
Total debt $572.99B $584.24M $76.21M
Shares (diluted) 612.52M 81.41M 47.83M
Enterprise value $5.11B $598.63M -$24.51M

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
MetricFMSMDPAIYY
P/E 12.0x 13.1x -0.1x
P/FCF 6.0x 10.2x -0.2x
P/Operating cash flow 3.8x 9.4x –
P/S 1.1x 1.2x 0.0x
P/B 0.8x 2.7x -0.1x
P/Tangible book 0.9x 2.7x -0.1x
EV/EBITDA 205.4x 10.6x –
EV/EBIT 628.2x 11.7x –
EV/Revenue 49.9x 1.3x –
EV/FCF 265.6x 11.0x –
EV/Operating cash flow 167.5x 10.2x –
PEG (3Y EPS CAGR) 0.57 0.66 –

Growth

14 metrics
MetricFMSMDPAIYY
Revenue growth (1Y) -47.8% 0.5% –
Revenue CAGR (3Y) -18.6% -0.8% –
Gross profit growth (1Y) -207.2% – –
Gross profit CAGR (3Y) -45.2% – –
Operating income growth (1Y) -45.5% 30.5% –
Operating income CAGR (3Y) -16.4% 10.0% –
Net income growth (1Y) 49.8% 59.0% –
Net income CAGR (3Y) 18.2% 19.3% –
EPS growth (1Y) 52.0% 67.1% –
EPS CAGR (3Y) 20.9% 19.9% –
Operating cash flow growth (1Y) 9.3% -3.6% –
Operating cash flow CAGR (3Y) 9.3% 10.2% –
Free cash flow growth (1Y) -7.7% -4.2% –
Free cash flow CAGR (3Y) 4.8% 14.2% –

Profitability

14 metrics
MetricFMSMDPAIYY
Gross margin -50.7% – –
EBITDA margin 24.3% 12.3% –
Operating margin 7.9% 11.0% –
Pretax margin 15.8% 11.6% –
Net margin 9.9% 9.0% –
FCF margin 18.8% 11.8% –
Operating cash flow margin 29.8% 12.7% –
Return on equity 2.7% 19.9% –
Return on assets 1.2% 8.3% –
Return on invested capital 0.2% 11.3% –
Return on capital employed 3.2% 13.5% –
Asset turnover 0.3x 0.9x –
Cash conversion (OCF / net income) 2.4x 1.4x –
Stock comp / revenue – 1.0% –

Financial Health

11 metrics
MetricFMSMDPAIYY
Debt / assets 1,515% 27.4% 28.2%
Debt / equity 35.0x 0.7x -3.3x
Net debt / EBITDA 200.7x 0.8x –
Debt / FCF 260.4x 2.5x –
Liabilities / assets 56.8% 58.6% 108.5%
Equity / assets 43.2% 41.4% -8.5%
Interest coverage 2.0x 6.3x –
Current ratio 1.1x 1.3x –
Quick ratio 0.2x 1.3x 0.3x
Cash ratio 0.2x 0.8x 0.1x
Altman Z-score 1.32 2.45 –

Shareholder Returns

7 metrics
MetricFMSMDPAIYY
Dividend yield 3.8% – –
Net buyback yield 8.6% 6.2% –
Shareholder yield 12.4% 6.2% –
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.

ConsensusFMSMDPAIYY
Forward P/E 9.5xFY2026 12.0xFY2026 –
EPS, next fiscal year $2.37FY2026 $2.40FY2026 $-1.50FY2023
EPS growth, next FY -6.0%FY2026 +17.6%FY2026 –
EPS growth, the year after +7.6% -0.4% –
Revenue, next fiscal year $21.50BFY2026 $1.86BFY2026 $89.98MFY2023
Revenue growth, next FY -7.0%FY2026 -2.5%FY2026 –
Revenue growth, the year after -0.3% +3.8% –

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersFMSMDPAIYY
Held by institutions 7.3% 100.0% –
Institutions holding 235 301 –
Change in shares held, QoQ -2.9% +1.1% –
Institutions buying 151 153 –
Institutions selling 41 101 –
Buyers to sellers 3.68 1.51 –

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.

FMSMDPAIYY
FMS 1.00 0.21 -0.03
MD 0.21 1.00 0.10
PAIYY -0.03 0.10 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, FMS, MD and PAIYY?

Fresenius Medical Care AG (FMS) is the largest by market capitalisation: Fresenius Medical Care AG (FMS) $13.16B, Pediatrix Medical (MD) $2.29B, Aesthetic Medical International Holdings (PAIYY) $491.09K.

Which stock is cheaper, FMS, MD and PAIYY?

Fresenius Medical Care AG (FMS) trades on the lowest price-to-earnings ratio (Fresenius Medical Care AG (FMS) 12.0x, Pediatrix Medical (MD) 13.1x, Aesthetic Medical International Holdings (PAIYY) -0.1x). On next year's consensus earnings, Fresenius Medical Care AG (FMS) is cheapest (Fresenius Medical Care AG (FMS) 9.5x, Pediatrix Medical (MD) 12.0x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Pediatrix Medical (MD) grew revenue fastest over the trailing twelve months: Fresenius Medical Care AG (FMS) -47.8%, Pediatrix Medical (MD) +0.5%.

Which company is more profitable?

Fresenius Medical Care AG (FMS) has the highest net margin (Fresenius Medical Care AG (FMS) 9.9%, Pediatrix Medical (MD) 9.0%). On return on invested capital, Pediatrix Medical (MD) leads (Fresenius Medical Care AG (FMS) 0.2%, Pediatrix Medical (MD) 11.3%).

Which stock has performed better?

Over the past year Pediatrix Medical (MD) returned the most: Fresenius Medical Care AG (FMS) -17.3%, Pediatrix Medical (MD) +65.4%, Aesthetic Medical International Holdings (PAIYY) -95.2%. Over five years, Pediatrix Medical (MD) compounded fastest (Fresenius Medical Care AG (FMS) -8.3%/yr, Pediatrix Medical (MD) +0.8%/yr, Aesthetic Medical International Holdings (PAIYY) -70.1%/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 (Fresenius Medical Care AG (FMS) 31.1%, Pediatrix Medical (MD) 41.3%, Aesthetic Medical International Holdings (PAIYY) 422.8%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, FMS, MD and PAIYY?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Pediatrix Medical (MD) leads on 6. 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.