CAH vs. FMS: Cardinal Health vs. Fresenius Medical Care Stock Comparison
How do Cardinal Health (CAH) and Fresenius Medical Care (FMS) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.
Company Profile
Cardinal Health (CAH) and Fresenius Medical Care (FMS) both belong to the Health Care Providers & Services industry, though CAH is classified under Health Care Distributors while FMS falls under Health Care Services.
Cardinal Health (CAH) trades as ordinary local shares, while Fresenius Medical Care (FMS) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.
| Profile Item | CAH | FMS |
|---|---|---|
| Name | Cardinal Health, Inc. | Fresenius Medical Care AG - Depositary Receipt |
| Country/Region | United States | Germany |
| GICS Sector | Health Care | Health Care |
| GICS Industry Group | Health Care Equipment & Services | Health Care Equipment & Services |
| GICS Industry | Health Care Providers & Services | Health Care Providers & Services |
| GICS Sub-Industry | Health Care Distributors | Health Care Services |
| Market Capitalization | 62.80 billion USD | 12.15 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | August 4, 1983 | September 17, 1996 |
| Security Type | Common Stock | ADR |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | CAH | FMS |
|---|---|---|
| Total Return (1Y) | 35.44% | -0.71% |
| Total Return (3Y, Annualized) | 40.52% | 13.88% |
| Total Return (5Y, Annualized) | 43.73% | -4.69% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | CAH | FMS |
|---|---|---|
| Volatility (1Y, Annualized) | 25.91% | 30.61% |
| Beta (5Y) | 0.49 | 0.77 |
| Max Drawdown (5Y) | -20.95% | -62.33% |
| Avg. Volume (3M) | 1.77M | 954.21K |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | CAH | FMS |
|---|---|---|
| Sharpe Ratio (1Y) | 1.20 | -0.16 |
| Sortino Ratio (1Y) | 1.90 | -0.21 |
Profitability
ROE (TTM)
Capital efficiency shows on one side only: Fresenius Medical Care (FMS) earns 7.84% on shareholders’ equity, ranked against its industry; Cardinal Health (CAH) has no ROE this period.
CAH
Health Care Equipment & Services industry group
--
- Max
- 47.61%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
- CAH
- --
FMS
Health Care Equipment & Services industry group
7.84%
- Max
- 47.61%
- Q3
- 14.36%
- FMS
- 7.84%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both Cardinal Health (CAH) at 0.71% and Fresenius Medical Care (FMS) at 4.22% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.
CAH
Health Care Equipment & Services industry group
0.71%
- Max
- 29.35%
- Q3
- 9.33%
- Median
- 2.18%
- CAH
- 0.71%
- Q1
- -6.29%
- Min
- -28.46%
FMS
Health Care Equipment & Services industry group
4.22%
- Max
- 29.35%
- Q3
- 9.33%
- FMS
- 4.22%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Both Cardinal Health (CAH) at 1.34% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.
CAH
Health Care Equipment & Services industry group
1.34%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- CAH
- 1.34%
- Q1
- -0.28%
- Min
- -16.29%
FMS
Health Care Equipment & Services industry group
9.63%
- Max
- 35.43%
- Q3
- 14.14%
- FMS
- 9.63%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | CAH | FMS |
|---|---|---|
| ROE (TTM) | -- | 7.84% |
| ROA (TTM) | 3.72% | 3.94% |
| Net Margin (TTM) | 0.71% | 4.22% |
| Operating Margin (TTM) | 1.34% | 9.63% |
| Gross Margin (TTM) | 3.90% | 26.46% |
Growth
Revenue Growth
Cardinal Health (CAH) at 14.23% is around its peer norm for revenue growth, while Fresenius Medical Care (FMS) at 1.51% drops into the bottom quartile, signaling weaker demand or pricing momentum.
EPS Growth
Fresenius Medical Care (FMS) at 83.61% sits in the top EPS growth quartile, while Cardinal Health (CAH) at 12.09% is closer to the peer norm — faster per-share earnings growth for FMS.
Growth Metrics
| Metric | CAH | FMS |
|---|---|---|
| Revenue Growth (YoY) | 14.23% | 1.51% |
| Revenue Growth (3Y CAGR) | 7.44% | 0.39% |
| EPS Growth (YoY) | 12.09% | 83.61% |
| EPS Growth (3Y CAGR) | 93.37% | 13.47% |
Financial Strength
Current Ratio (MRQ)
Both Cardinal Health (CAH) at 0.89 and Fresenius Medical Care (FMS) at 0.99 run current ratio in the tighter-liquidity quartile of industry peers, leaving thinner cushions against current liabilities than typical competitors.
CAH
Health Care Equipment & Services industry group
0.89
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- CAH
- 0.89
- Min
- 0.30
FMS
Health Care Equipment & Services industry group
0.99
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- FMS
- 0.99
- Min
- 0.30
Debt / Equity (MRQ)
Only one side’s leverage can be read here: Fresenius Medical Care (FMS) carries debt-to-equity ratio of 0.79 against its industry range, while Cardinal Health (CAH) reports no figure this period.
CAH
Health Care Equipment & Services industry group
--
- Max
- 1.88
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
- CAH
- --
FMS
Health Care Equipment & Services industry group
0.79
- Max
- 1.88
- Q3
- 0.91
- FMS
- 0.79
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | CAH | FMS |
|---|---|---|
| Current Ratio (MRQ) | 0.89 | 0.99 |
| Debt / Equity (MRQ) | -- | 0.79 |
| Net Debt / EBITDA | 0.81 | 3.63 |
Dividends
Dividend Yield (TTM)
Both Cardinal Health (CAH) at 0.77% and Fresenius Medical Care (FMS) at 6.30% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.
CAH
Health Care Equipment & Services industry group
0.77%
- CAH
- 0.77%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
FMS
Health Care Equipment & Services industry group
6.30%
- FMS
- 6.30%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Both Cardinal Health (CAH) at 26.56% and Fresenius Medical Care (FMS) at 50.14% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.
CAH
Health Care Equipment & Services industry group
26.56%
- CAH
- 26.56%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
FMS
Health Care Equipment & Services industry group
50.14%
- FMS
- 50.14%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | CAH | FMS |
|---|---|---|
| Dividend Yield (TTM) | 0.77% | 6.30% |
| Dividend Payout Ratio (TTM) | 26.56% | 50.14% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while Cardinal Health (CAH) at 35.15 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.
CAH
Health Care Equipment & Services industry group
35.15
- Max
- 80.41
- Q3
- 47.62
- CAH
- 35.15
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
FMS
Health Care Equipment & Services industry group
13.53
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- FMS
- 13.53
- Min
- 4.21
P/S Ratio (TTM)
Both Cardinal Health (CAH) at 0.24 and Fresenius Medical Care (FMS) at 0.62 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.
CAH
Health Care Equipment & Services industry group
0.24
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- CAH
- 0.24
- Min
- 0.03
FMS
Health Care Equipment & Services industry group
0.62
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- FMS
- 0.62
- Min
- 0.03
P/B Ratio (MRQ)
Cardinal Health (CAH) reports a negative P/B ratio of -20.84, meaning negative book equity — the multiple itself is not meaningful for valuation. Meanwhile Fresenius Medical Care (FMS) reports 0.85, ranking against industry peers normally.
CAH
Health Care Equipment & Services industry group
-20.84
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
- CAH
- -20.84
FMS
Health Care Equipment & Services industry group
0.85
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- FMS
- 0.85
- Min
- -1.31
Valuation Metrics
| Metric | CAH | FMS |
|---|---|---|
| P/E Ratio (TTM) | 35.15 | 13.53 |
| P/S Ratio (TTM) | 0.24 | 0.62 |
| P/B Ratio (MRQ) | -20.84 | 0.85 |
| Free Cash Flow Yield (TTM) | 7.99% | 12.29% |