FMS vs. IDXX: Fresenius Medical Care vs. IDEXX Laboratories Stock Comparison

November 11, 2026

How do Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX) 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

Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX) both fall under the Health Care Equipment & Services industry group, but FMS is classified in Health Care Providers & Services while IDXX is classified in Health Care Equipment & Supplies.

IDEXX Laboratories (IDXX) 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.

Company profile comparison for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Profile Item	FMS	IDXX
Name	Fresenius Medical Care AG - Depositary Receipt	IDEXX Laboratories, Inc.
Country/Region	Germany	United States
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 Equipment & Supplies
GICS Sub-Industry	Health Care Services	Health Care Equipment
Market Capitalization	12.15 billion USD	53.26 billion USD
Currency	USD	USD
Exchange	NYSE	Nasdaq
Listing Date	September 17, 1996	June 21, 1991
Security Type	ADR	Common Stock

Price Performance

Cumulative Growth

FMS

IDXX

GSPC

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Total Return (1Y)	-0.71%	-1.84%
Total Return (3Y, Annualized)	13.88%	18.42%
Total Return (5Y, Annualized)	-4.69%	2.02%

Risk Profile

Drawdown History

FMS

IDXX

GSPC

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Volatility (1Y, Annualized)	30.61%	37.02%
Beta (5Y)	0.77	1.44
Max Drawdown (5Y)	-62.33%	-50.91%
Avg. Volume (3M)	954.21K	564.80K

Risk-Adjusted Performance

Risk-Return Positioning

FMS and IDXX are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Sharpe Ratio (1Y)	-0.16	-0.17
Sortino Ratio (1Y)	-0.21	-0.28

Profitability

ROE (TTM)

IDEXX Laboratories (IDXX) at 68.93% clears its industry range for ROE, a sharper capital-efficiency signal than Fresenius Medical Care (FMS) at 7.84%, which is closer to a typical peer reading.

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%

IDXX

Health Care Equipment & Services industry group

68.93%

IDXX: 68.93%
Max: 47.61%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

IDEXX Laboratories (IDXX) at 25.36% retains a top-quartile share of revenue as profit, ahead of Fresenius Medical Care (FMS) at 4.22%, which keeps about the industry-typical share.

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%

IDXX

Health Care Equipment & Services industry group

25.36%

Max: 29.35%
IDXX: 25.36%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

IDEXX Laboratories (IDXX) at 33.14% operates in the top operating margin quartile, ahead of Fresenius Medical Care (FMS) at 9.63%, which runs around its industry’s norm.

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%

IDXX

Health Care Equipment & Services industry group

33.14%

Max: 35.43%
IDXX: 33.14%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
ROE (TTM)	7.84%	68.93%
ROA (TTM)	3.94%	26.70%
Net Margin (TTM)	4.22%	25.36%
Operating Margin (TTM)	9.63%	33.14%
Gross Margin (TTM)	26.46%	62.72%

Growth

Revenue Growth

IDEXX Laboratories (IDXX) at 10.42% 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.

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their Revenue Growth across different time periods.

EPS Growth

Fresenius Medical Care (FMS) at 83.61% sits in the top EPS growth quartile, while IDEXX Laboratories (IDXX) at 22.59% is closer to the peer norm — faster per-share earnings growth for FMS.

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Revenue Growth (YoY)	1.51%	10.42%
Revenue Growth (3Y CAGR)	0.39%	8.52%
EPS Growth (YoY)	83.61%	22.59%
EPS Growth (3Y CAGR)	13.47%	17.66%

Financial Strength

Current Ratio (MRQ)

Both Fresenius Medical Care (FMS) at 0.99 and IDEXX Laboratories (IDXX) at 1.19 run current ratio in the tighter-liquidity quartile of industry peers, leaving thinner cushions against current liabilities than typical competitors.

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

IDXX

Health Care Equipment & Services industry group

1.19

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
IDXX: 1.19
Min: 0.30

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Fresenius Medical Care (FMS) at 0.79 and IDEXX Laboratories (IDXX) at 0.52 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

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

IDXX

Health Care Equipment & Services industry group

0.52

Max: 1.88
Q3: 0.91
Median: 0.58
IDXX: 0.52
Q1: 0.16
Min: 0.00

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Current Ratio (MRQ)	0.99	1.19
Debt / Equity (MRQ)	0.79	0.52
Net Debt / EBITDA	3.63	0.46

Dividends

Dividend Yield (TTM)

IDEXX Laboratories (IDXX) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a yield of 6.30%, ranking against industry peers normally.

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%

IDXX

Health Care Equipment & Services industry group

0.00%

IDXX: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

IDEXX Laboratories (IDXX) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a payout of 50.14%, ranking against industry peers normally.

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%

IDXX

Health Care Equipment & Services industry group

0.00%

IDXX: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
Dividend Yield (TTM)	6.30%	0.00%
Dividend Payout Ratio (TTM)	50.14%	0.00%

Valuation

P/E Ratio (TTM)

Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while IDEXX Laboratories (IDXX) at 45.56 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.

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

IDXX

Health Care Equipment & Services industry group

45.56

Max: 80.41
Q3: 47.62
IDXX: 45.56
Median: 29.93
Q1: 21.19
Min: 4.21

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Fresenius Medical Care (FMS) at 0.62 sits in the cheaper P/S ratio quartile while IDEXX Laboratories (IDXX) at 11.42 prices above its industry range — a wide gap in sales valuation between them.

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

IDXX

Health Care Equipment & Services industry group

11.42

IDXX: 11.42
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Fresenius Medical Care (FMS) at 0.85 sits in the lower P/B ratio quartile relative to book while IDEXX Laboratories (IDXX) at 28.50 prices above its industry range — a wide valuation gap against assets.

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

IDXX

Health Care Equipment & Services industry group

28.50

IDXX: 28.50
Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

Fresenius Medical Care (FMS) vs. IDEXX Laboratories (IDXX): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Fresenius Medical Care (FMS) and IDEXX Laboratories (IDXX)
Metric	FMS	IDXX
P/E Ratio (TTM)	13.53	45.56
P/S Ratio (TTM)	0.62	11.42
P/B Ratio (MRQ)	0.85	28.50
Free Cash Flow Yield (TTM)	12.29%	2.00%