LFST vs FMS vs MD Stock Comparison

LifeStance Health, Fresenius Medical Care AG and Pediatrix Medical Prices as of Oct 27, 2026 Peers: Industry group
FMS Fresenius Medical Care AG
$22.50 -0.8% 1M -17.3% 1Y
Market cap
$13.10B
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 4, Pediatrix Medical 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionLFSTFMSMDLeader
Larger companyMarket capitalisation $5.18B $13.10B $2.29B FMS
Cheaper on earningsLower P/E, profitable companies only 102.4x 12.0x 13.1x FMS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 81.9x 9.5x 12.0x FMS
Faster revenue growthRevenue growth, trailing twelve months +20.4% -47.8% +0.5% LFST
More profitableNet margin, trailing twelve months 3.2% 9.9% 9.0% FMS
Better return on capitalReturn on invested capital 3.4% 0.2% 11.3% MD
Less leveragedLower net debt / EBITDA 0.2x 200.7x 0.8x LFST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +156.4% -17.3% +65.4% LFST
Better 5-year returnAnnualised price return, 5 years +1.9%/yr -8.3%/yr +0.8%/yr LFST
Less volatileAnnualised volatility, 1 year 50.5% 31.1% 41.3% FMS
Higher overall scoreMean of the five percentile scores vs peers 70/100 51/100 71/100 MD

Percentile Scorecard

LFSTFMSMD

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

AxisLFSTFMSMD
Valuation 51 #46 of 92 71 #27 of 92 92 #8 of 92
Growth 90 #10 of 87 12 #77 of 87 37 #55 of 87
Profitability 59 #36 of 86 64 #32 of 86 85 #14 of 86
Financial Health 77 #23 of 97 14 #84 of 97 58 #41 of 97
Shareholder Returns 75 #15 of 56 93 #5 of 56 84 #10 of 56
Overall 70 51 71
  • LFST ranked among 102 companies in Healthcare Providers
  • FMS ranked among 102 companies in Healthcare Providers
  • MD ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodLFSTFMSMDSPY
1 month +10.6%-0.8%+9.7% -0.2%
3 months +16.5%-9.1%+7.4% +3.9%
6 months +70.8%0.0%+25.7% +8.2%
Year to date +86.1%-5.5%+34.9% +12.9%
1 year +156.4%-17.3%+65.4% +12.3%
3 years +132.7%+37.2%+154.9% +87.4%
3 years, per year +32.5%+11.1%+36.6% +23.3%
5 years +10.0%-35.2%+3.9% +67.9%
5 years, per year +1.9%-8.3%+0.8% +10.9%
10 years —-44.4%-52.6% +261.1%
10 years, per year —-5.7%-7.2% +13.7%

Risk

MeasureLFSTFMSMDSPY
Volatility, 1Y 50.5%31.1%41.3% 12.7%
Downside volatility, 1Y 41.4%36.8%38.8% 12.7%
Beta vs S&P 500, 1Y 0.560.190.33 1.00
Return / volatility, 1Y 3.10-0.561.59 0.97
Max drawdown, 5Y -71.7%-63.9%-76.4% -25.4%
From 52-week high -2.1%-17.3%-2.3% -1.2%
52-week high $13.38$27.20$29.54 $779.14
52-week low $4.81$20.19$16.97 $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.

MultipleLFSTFMSMD
P/E now vs peer median 99.3xmedian 24.6x 12.0xmedian 24.6x 13.1xmedian 24.6x
P/S now vs peer median 3.2xmedian 1.6x 1.1xmedian 1.6x 1.2xmedian 1.6x
EV/EBITDA now vs peer median 37.6xmedian 14.6x 205.4xmedian 14.6x 10.6xmedian 14.6x
P/FCF now vs peer median 28.8xmedian 21.6x 6.0xmedian 21.6x 10.2xmedian 21.6x
P/B now vs peer median 3.4xmedian 3.2x 0.8xmedian 3.2x 2.7xmedian 3.2x
PEG now vs peer median 3.12median 0.66 0.57median 0.66 0.66median 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 monthsLFSTFMSMD
Revenue $1.58B $11.07B $1.95B
Gross profit $531.85M -$5.62B –
Operating income $78.43M $879.32M $215.42M
Net income $50.60M $1.38B $174.81M
Free cash flow $173.91M $2.08B $229.94M
R&D – $180.01M –
EPS (diluted) $0.13 $1.79 $2.15
Cash & equivalents $225.94M $1.21B $288.88M
Total debt $258.99M $572.99B $584.24M
Shares (diluted) 387.30M 612.52M 81.41M
Enterprise value $4.31B $5.06B $595.05M

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
MetricLFSTFMSMD
P/E 99.3x 12.0x 13.1x
P/FCF 28.8x 6.0x 10.2x
P/Operating cash flow 23.0x 3.8x 9.4x
P/S 3.2x 1.1x 1.2x
P/B 3.4x 0.8x 2.7x
P/Tangible book 3.8x 0.9x 2.7x
EV/EBITDA 37.6x 205.4x 10.6x
EV/EBIT 64.2x 628.2x 11.7x
EV/Revenue 3.2x 49.9x 1.3x
EV/FCF 29.0x 265.6x 11.0x
EV/Operating cash flow 23.1x 167.5x 10.2x
PEG (3Y EPS CAGR) 3.12 0.57 0.66

Growth

14 metrics
MetricLFSTFMSMD
Revenue growth (1Y) 20.4% -47.8% 0.5%
Revenue CAGR (3Y) 18.2% -18.6% -0.8%
Gross profit growth (1Y) 24.2% -207.2% –
Gross profit CAGR (3Y) – -45.2% –
Operating income growth (1Y) 32,780% -45.5% 30.5%
Operating income CAGR (3Y) 35.2% -16.4% 10.0%
Net income growth (1Y) 413.3% 49.8% 59.0%
Net income CAGR (3Y) 32.2% 18.2% 19.3%
EPS growth (1Y) 412.8% 52.0% 67.1%
EPS CAGR (3Y) 31.8% 20.9% 19.9%
Operating cash flow growth (1Y) 48.9% 9.3% -3.6%
Operating cash flow CAGR (3Y) 87.0% 9.3% 10.2%
Free cash flow growth (1Y) 44.8% -7.7% -4.2%
Free cash flow CAGR (3Y) 158.0% 4.8% 14.2%

Profitability

14 metrics
MetricLFSTFMSMD
Gross margin 33.6% -50.7% –
EBITDA margin 8.5% 24.3% 12.3%
Operating margin 4.9% 7.9% 11.0%
Pretax margin 4.2% 15.8% 11.6%
Net margin 3.2% 9.9% 9.0%
FCF margin 11.0% 18.8% 11.8%
Operating cash flow margin 13.7% 29.8% 12.7%
Return on equity 3.4% 2.7% 19.9%
Return on assets 2.3% 1.2% 8.3%
Return on invested capital 3.4% 0.2% 11.3%
Return on capital employed 4.2% 3.2% 13.5%
Asset turnover 0.7x 0.3x 0.9x
Cash conversion (OCF / net income) 4.3x 2.4x 1.4x
Stock comp / revenue 4.4% – 1.0%

Financial Health

11 metrics
MetricLFSTFMSMD
Debt / assets 11.9% 1,515% 27.4%
Debt / equity 0.2x 35.0x 0.7x
Net debt / EBITDA 0.2x 200.7x 0.8x
Debt / FCF 1.5x 260.4x 2.5x
Liabilities / assets 32.3% 56.8% 58.6%
Equity / assets 67.7% 43.2% 41.4%
Interest coverage 7.8x 2.0x 6.3x
Current ratio 1.4x 1.1x 1.3x
Quick ratio 1.2x 0.2x 1.3x
Cash ratio 0.8x 0.2x 0.8x
Altman Z-score 4.67 1.32 2.45

Shareholder Returns

7 metrics
MetricLFSTFMSMD
Dividend yield – 3.8% –
Net buyback yield 2.0% 8.6% 6.2%
Shareholder yield 2.0% 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.

ConsensusLFSTFMSMD
Forward P/E 81.9xFY2026 9.5xFY2026 12.0xFY2026
EPS, next fiscal year $0.16FY2026 $2.37FY2026 $2.40FY2026
EPS growth, next FY +700.0%FY2026 -6.0%FY2026 +17.6%FY2026
EPS growth, the year after +50.0% +7.6% -0.4%
Revenue, next fiscal year $1.82BFY2026 $21.50BFY2026 $1.86BFY2026
Revenue growth, next FY +28.1%FY2026 -7.0%FY2026 -2.5%FY2026
Revenue growth, the year after +11.9% -0.3% +3.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersLFSTFMSMD
Held by institutions 97.9% 7.3% 100.0%
Institutions holding 286 235 301
Change in shares held, QoQ +1.9% -2.9% +1.1%
Institutions buying 204 151 153
Institutions selling 55 41 101
Buyers to sellers 3.71 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.

LFSTFMSMD
LFST 1.00 0.10 0.21
FMS 0.10 1.00 0.21
MD 0.21 0.21 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, LFST, FMS and MD?

Fresenius Medical Care AG (FMS) is the largest by market capitalisation: LifeStance Health (LFST) $5.18B, Fresenius Medical Care AG (FMS) $13.10B, Pediatrix Medical (MD) $2.29B.

Which stock is cheaper, LFST, FMS and MD?

Fresenius Medical Care AG (FMS) trades on the lowest price-to-earnings ratio (LifeStance Health (LFST) 102.4x, Fresenius Medical Care AG (FMS) 12.0x, Pediatrix Medical (MD) 13.1x). 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, 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?

LifeStance Health (LFST) grew revenue fastest over the trailing twelve months: LifeStance Health (LFST) +20.4%, 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 (LifeStance Health (LFST) 3.2%, Fresenius Medical Care AG (FMS) 9.9%, Pediatrix Medical (MD) 9.0%). On return on invested capital, Pediatrix Medical (MD) leads (LifeStance Health (LFST) 3.4%, Fresenius Medical Care AG (FMS) 0.2%, Pediatrix Medical (MD) 11.3%).

Which stock has performed better?

Over the past year LifeStance Health (LFST) returned the most: LifeStance Health (LFST) +156.4%, Fresenius Medical Care AG (FMS) -17.3%, Pediatrix Medical (MD) +65.4%. Over five years, LifeStance Health (LFST) compounded fastest (LifeStance Health (LFST) +1.9%/yr, Fresenius Medical Care AG (FMS) -8.3%/yr, Pediatrix Medical (MD) +0.8%/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 (LifeStance Health (LFST) 50.5%, Fresenius Medical Care AG (FMS) 31.1%, Pediatrix Medical (MD) 41.3%). Volatility measures how widely the price swings, not the risk of the business.

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

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.