FMS vs. MCK: Fresenius Medical Care vs. McKesson Stock Comparison
How do Fresenius Medical Care (FMS) and McKesson (MCK) 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 McKesson (MCK) both belong to the Health Care Providers & Services industry, though FMS is classified under Health Care Services while MCK falls under Health Care Distributors.
McKesson (MCK) 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 | FMS | MCK |
|---|---|---|
| Name | Fresenius Medical Care AG - Depositary Receipt | McKesson Corporation |
| 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 Providers & Services |
| GICS Sub-Industry | Health Care Services | Health Care Distributors |
| Market Capitalization | 12.15 billion USD | 122.48 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | NYSE |
| Listing Date | September 17, 1996 | November 10, 1994 |
| Security Type | ADR | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | FMS | MCK |
|---|---|---|
| Total Return (1Y) | -0.71% | 25.40% |
| Total Return (3Y, Annualized) | 13.88% | 32.67% |
| Total Return (5Y, Annualized) | -4.69% | 37.84% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | FMS | MCK |
|---|---|---|
| Volatility (1Y, Annualized) | 30.61% | 31.71% |
| Beta (5Y) | 0.77 | 0.26 |
| Max Drawdown (5Y) | -62.33% | -27.17% |
| Avg. Volume (3M) | 954.21K | 822.69K |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | FMS | MCK |
|---|---|---|
| Sharpe Ratio (1Y) | -0.16 | 0.67 |
| Sortino Ratio (1Y) | -0.21 | 1.15 |
Profitability
ROE (TTM)
Capital efficiency shows on one side only: Fresenius Medical Care (FMS) earns 7.84% on shareholders’ equity, ranked against its industry; McKesson (MCK) has no ROE this period.
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%
MCK
Health Care Equipment & Services industry group
--
- Max
- 47.61%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
- MCK
- --
Net Margin (TTM)
Both Fresenius Medical Care (FMS) at 4.22% and McKesson (MCK) at 1.12% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.
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%
MCK
Health Care Equipment & Services industry group
1.12%
- Max
- 29.35%
- Q3
- 9.33%
- Median
- 2.18%
- MCK
- 1.12%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Both Fresenius Medical Care (FMS) at 9.63% and McKesson (MCK) at 1.48% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.
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%
MCK
Health Care Equipment & Services industry group
1.48%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- MCK
- 1.48%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | FMS | MCK |
|---|---|---|
| ROE (TTM) | 7.84% | -- |
| ROA (TTM) | 3.94% | 4.72% |
| Net Margin (TTM) | 4.22% | 1.12% |
| Operating Margin (TTM) | 9.63% | 1.48% |
| Gross Margin (TTM) | 26.46% | 3.65% |
Growth
Revenue Growth
McKesson (MCK) at 12.36% 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
Both Fresenius Medical Care (FMS) at 83.61% and McKesson (MCK) at 49.22% sit in the top peer quartile for EPS growth, so each is compounding per-share earnings faster than typical industry peers.
Growth Metrics
| Metric | FMS | MCK |
|---|---|---|
| Revenue Growth (YoY) | 1.51% | 12.36% |
| Revenue Growth (3Y CAGR) | 0.39% | 13.39% |
| EPS Growth (YoY) | 83.61% | 49.22% |
| EPS Growth (3Y CAGR) | 13.47% | 15.31% |
Financial Strength
Current Ratio (MRQ)
Both Fresenius Medical Care (FMS) at 0.99 and McKesson (MCK) at 0.90 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
MCK
Health Care Equipment & Services industry group
0.90
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- MCK
- 0.90
- 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 McKesson (MCK) reports no figure this period.
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
MCK
Health Care Equipment & Services industry group
--
- Max
- 1.88
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
- MCK
- --
Financial Strength Metrics
| Metric | FMS | MCK |
|---|---|---|
| Current Ratio (MRQ) | 0.99 | 0.90 |
| Debt / Equity (MRQ) | 0.79 | -- |
| Net Debt / EBITDA | 3.63 | 0.64 |
Dividends
Dividend Yield (TTM)
Both Fresenius Medical Care (FMS) at 6.30% and McKesson (MCK) at 0.32% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.
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%
MCK
Health Care Equipment & Services industry group
0.32%
- MCK
- 0.32%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Both Fresenius Medical Care (FMS) at 50.14% and McKesson (MCK) at 8.77% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.
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%
MCK
Health Care Equipment & Services industry group
8.77%
- MCK
- 8.77%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | FMS | MCK |
|---|---|---|
| Dividend Yield (TTM) | 6.30% | 0.32% |
| Dividend Payout Ratio (TTM) | 50.14% | 8.77% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while McKesson (MCK) at 27.36 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
MCK
Health Care Equipment & Services industry group
27.36
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- MCK
- 27.36
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
Both Fresenius Medical Care (FMS) at 0.62 and McKesson (MCK) at 0.29 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.
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
MCK
Health Care Equipment & Services industry group
0.29
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- MCK
- 0.29
- Min
- 0.03
P/B Ratio (MRQ)
McKesson (MCK) reports a negative P/B ratio of -30.85, 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.
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
MCK
Health Care Equipment & Services industry group
-30.85
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
- MCK
- -30.85
Valuation Metrics
| Metric | FMS | MCK |
|---|---|---|
| P/E Ratio (TTM) | 13.53 | 27.36 |
| P/S Ratio (TTM) | 0.62 | 0.29 |
| P/B Ratio (MRQ) | 0.85 | -30.85 |
| Free Cash Flow Yield (TTM) | 12.29% | 6.04% |