MD vs FMS vs LFST Stock Comparison

Pediatrix Medical, Fresenius Medical Care AG and LifeStance Health Prices as of Oct 26, 2026 Peers: Industry group
FMS Fresenius Medical Care AG
$22.76 +0.4% 1M -16.4% 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.

QuestionMDFMSLFSTLeader
Larger companyMarket capitalisation $2.30B $13.10B $5.01B FMS
Cheaper on earningsLower P/E, profitable companies only 13.1x 12.0x 99.0x FMS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 12.1x 9.6x 81.6x FMS
Faster revenue growthRevenue growth, trailing twelve months +0.5% -47.8% +20.4% LFST
More profitableNet margin, trailing twelve months 9.0% 9.9% 3.2% FMS
Better return on capitalReturn on invested capital 11.3% 0.2% 3.4% MD
Less leveragedLower net debt / EBITDA 0.8x 200.7x 0.2x LFST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +64.9% -16.4% +151.2% LFST
Better 5-year returnAnnualised price return, 5 years +1.0%/yr -8.0%/yr +2.8%/yr LFST
Less volatileAnnualised volatility, 1 year 41.3% 31.1% 50.6% FMS
Higher overall scoreMean of the five percentile scores vs peers 70/100 50/100 69/100 MD

Percentile Scorecard

MDFMSLFST

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

AxisMDFMSLFST
Valuation 91 #9 of 93 72 #27 of 93 48 #49 of 93
Growth 38 #55 of 88 12 #78 of 88 90 #10 of 88
Profitability 81 #17 of 87 62 #34 of 87 58 #37 of 87
Financial Health 59 #42 of 100 13 #87 of 100 77 #24 of 100
Shareholder Returns 82 #11 of 56 91 #6 of 56 71 #17 of 56
Overall 70 50 69
  • MD ranked among 103 companies in Healthcare Providers
  • FMS ranked among 103 companies in Healthcare Providers
  • LFST ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodMDFMSLFSTSPY
1 month +10.4%+0.4%+10.3% -0.8%
3 months +11.1%-8.5%+20.0% +3.5%
6 months +24.1%+0.6%+79.6% +7.0%
Year to date +35.7%-4.5%+85.5% +12.2%
1 year +64.9%-16.4%+151.2% +13.0%
3 years +156.4%+38.8%+132.0% +86.3%
3 years, per year +36.9%+11.6%+32.4% +23.1%
5 years +5.3%-33.9%+14.7% +68.6%
5 years, per year +1.0%-8.0%+2.8% +11.0%
10 years -55.4%-43.7%— +258.0%
10 years, per year -7.7%-5.6%— +13.6%

Risk

MeasureMDFMSLFSTSPY
Volatility, 1Y 41.3%31.1%50.6% 12.7%
Downside volatility, 1Y 39.0%37.0%41.4% 12.7%
Beta vs S&P 500, 1Y 0.340.200.56 1.00
Return / volatility, 1Y 1.57-0.532.99 1.02
Max drawdown, 5Y -76.4%-63.9%-71.7% -25.4%
From 52-week high -1.8%-16.3%-2.4% -1.8%
52-week high $29.54$27.20$13.38 $779.14
52-week low $16.97$20.19$4.81 $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.

MultipleMDFMSLFST
P/E now vs peer median 13.2xmedian 25.1x 12.1xmedian 25.1x 99.0xmedian 25.1x
P/S now vs peer median 1.2xmedian 1.6x 1.1xmedian 1.6x 3.1xmedian 1.6x
EV/EBITDA now vs peer median 10.6xmedian 14.5x 205.4xmedian 14.5x 37.5xmedian 14.5x
P/FCF now vs peer median 10.3xmedian 22.4x 6.1xmedian 22.4x 28.7xmedian 22.4x
P/B now vs peer median 2.7xmedian 3.1x 0.8xmedian 3.1x 3.4xmedian 3.1x
PEG now vs peer median 0.66median 0.66 0.58median 0.66 3.11median 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 monthsMDFMSLFST
Revenue $1.95B $11.07B $1.58B
Gross profit – -$5.62B $531.85M
Operating income $215.42M $879.32M $78.43M
Net income $174.81M $1.38B $50.60M
Free cash flow $229.94M $2.08B $173.91M
R&D – $180.01M –
EPS (diluted) $2.15 $1.79 $0.13
Cash & equivalents $288.88M $1.21B $225.94M
Total debt $584.24M $572.99B $258.99M
Shares (diluted) 81.41M 612.52M 387.30M
Enterprise value $600.61M $5.05B $4.14B

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
MetricMDFMSLFST
P/E 13.2x 12.1x 99.0x
P/FCF 10.3x 6.1x 28.7x
P/Operating cash flow 9.5x 3.9x 22.9x
P/S 1.2x 1.1x 3.1x
P/B 2.7x 0.8x 3.4x
P/Tangible book 2.7x 0.9x 3.8x
EV/EBITDA 10.6x 205.4x 37.5x
EV/EBIT 11.8x 628.4x 64.0x
EV/Revenue 1.3x 49.9x 3.2x
EV/FCF 11.0x 265.7x 28.9x
EV/Operating cash flow 10.2x 167.5x 23.1x
PEG (3Y EPS CAGR) 0.66 0.58 3.11

Growth

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

Profitability

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

Financial Health

11 metrics
MetricMDFMSLFST
Debt / assets 27.4% 1,515% 11.9%
Debt / equity 0.7x 35.0x 0.2x
Net debt / EBITDA 0.8x 200.7x 0.2x
Debt / FCF 2.5x 260.4x 1.5x
Liabilities / assets 58.6% 56.8% 32.3%
Equity / assets 41.4% 43.2% 67.7%
Interest coverage 6.3x 2.0x 7.8x
Current ratio 1.3x 1.1x 1.4x
Quick ratio 1.3x 0.2x 1.2x
Cash ratio 0.8x 0.2x 0.8x
Altman Z-score 2.46 1.33 4.66

Shareholder Returns

7 metrics
MetricMDFMSLFST
Dividend yield – 3.8% –
Net buyback yield 6.2% 8.5% 2.0%
Shareholder yield 6.2% 12.3% 2.0%
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.

ConsensusMDFMSLFST
Forward P/E 12.1xFY2026 9.6xFY2026 81.6xFY2026
EPS, next fiscal year $2.40FY2026 $2.37FY2026 $0.16FY2026
EPS growth, next FY +17.6%FY2026 -6.0%FY2026 +700.0%FY2026
EPS growth, the year after -0.4% +7.6% +50.0%
Revenue, next fiscal year $1.86BFY2026 $21.50BFY2026 $1.82BFY2026
Revenue growth, next FY -2.5%FY2026 -7.0%FY2026 +28.1%FY2026
Revenue growth, the year after +3.8% -0.3% +11.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDFMSLFST
Held by institutions 100.0% 7.3% 97.9%
Institutions holding 301 235 285
Change in shares held, QoQ +1.1% -2.9% +1.9%
Institutions buying 153 151 204
Institutions selling 101 41 54
Buyers to sellers 1.51 3.68 3.78

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.

MDFMSLFST
MD 1.00 0.21 0.21
FMS 0.21 1.00 0.10
LFST 0.21 0.10 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MD, FMS and LFST?

Fresenius Medical Care AG (FMS) is the largest by market capitalisation: Pediatrix Medical (MD) $2.30B, Fresenius Medical Care AG (FMS) $13.10B, LifeStance Health (LFST) $5.01B.

Which stock is cheaper, MD, FMS and LFST?

Fresenius Medical Care AG (FMS) trades on the lowest price-to-earnings ratio (Pediatrix Medical (MD) 13.1x, Fresenius Medical Care AG (FMS) 12.0x, LifeStance Health (LFST) 99.0x). On next year's consensus earnings, Fresenius Medical Care AG (FMS) is cheapest (Pediatrix Medical (MD) 12.1x, Fresenius Medical Care AG (FMS) 9.6x, LifeStance Health (LFST) 81.6x). 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: Pediatrix Medical (MD) +0.5%, Fresenius Medical Care AG (FMS) -47.8%, LifeStance Health (LFST) +20.4%.

Which company is more profitable?

Fresenius Medical Care AG (FMS) has the highest net margin (Pediatrix Medical (MD) 9.0%, Fresenius Medical Care AG (FMS) 9.9%, LifeStance Health (LFST) 3.2%). On return on invested capital, Pediatrix Medical (MD) leads (Pediatrix Medical (MD) 11.3%, Fresenius Medical Care AG (FMS) 0.2%, LifeStance Health (LFST) 3.4%).

Which stock has performed better?

Over the past year LifeStance Health (LFST) returned the most: Pediatrix Medical (MD) +64.9%, Fresenius Medical Care AG (FMS) -16.4%, LifeStance Health (LFST) +151.2%. Over five years, LifeStance Health (LFST) compounded fastest (Pediatrix Medical (MD) +1.0%/yr, Fresenius Medical Care AG (FMS) -8.0%/yr, LifeStance Health (LFST) +2.8%/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 (Pediatrix Medical (MD) 41.3%, Fresenius Medical Care AG (FMS) 31.1%, LifeStance Health (LFST) 50.6%). Volatility measures how widely the price swings, not the risk of the business.

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

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.