FMS vs. MDLN: Fresenius Medical Care vs. Medline Stock Comparison
How do Fresenius Medical Care (FMS) and Medline (MDLN) 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 Medline (MDLN) both fall under the Health Care Equipment & Services industry group, but FMS is classified in Health Care Providers & Services while MDLN is classified in Health Care Equipment & Supplies.
Fresenius Medical Care (FMS) has been public since September 17, 1996, giving it decades of market history across multiple cycles, while Medline (MDLN) listed only on December 17, 2025 and lacks comparable through-cycle data.
Medline (MDLN) 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 | MDLN |
|---|---|---|
| Name | Fresenius Medical Care AG - Depositary Receipt | Medline Inc. Class A Common Stock |
| 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 Supplies |
| Market Capitalization | 12.15 billion USD | 52.17 billion USD |
| Currency | USD | USD |
| Exchange | NYSE | Nasdaq |
| Listing Date | September 17, 1996 | December 17, 2025 |
| Security Type | ADR | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | FMS | MDLN |
|---|---|---|
| Total Return (1Y) | -0.71% | -- |
| Total Return (3Y, Annualized) | 13.88% | -- |
| Total Return (5Y, Annualized) | -4.69% | -- |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
Medline (MDLN) reports a negative beta of -0.93, suggesting inverse market sensitivity over the measurement window. That is uncommon for ordinary equities and can reflect commodity-linked or hedge-like exposure, but it can also come from statistical noise. Fresenius Medical Care (FMS) has a non-negative beta of 0.77.
| Metric | FMS | MDLN |
|---|---|---|
| Volatility (1Y, Annualized) | 30.61% | 47.93% |
| Beta (5Y) | 0.77 | -0.93 |
| Max Drawdown (5Y) | -62.33% | -36.71% |
| Avg. Volume (3M) | 954.21K | 8.63M |
Risk-Adjusted Performance
Risk-Return Positioning
Both FMS and MDLN need 1-year volatility and 1-year return to plot risk-return positioning.
Risk-Adjusted Metrics
| Metric | FMS | MDLN |
|---|---|---|
| Sharpe Ratio (1Y) | -0.16 | -- |
| Sortino Ratio (1Y) | -0.21 | -- |
Profitability
ROE (TTM)
Both Fresenius Medical Care (FMS) at 7.84% and Medline (MDLN) at 4.85% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.
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%
MDLN
Health Care Equipment & Services industry group
4.85%
- Max
- 47.61%
- Q3
- 14.36%
- Median
- 5.45%
- MDLN
- 4.85%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both Fresenius Medical Care (FMS) at 4.22% and Medline (MDLN) at 1.85% 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%
MDLN
Health Care Equipment & Services industry group
1.85%
- Max
- 29.35%
- Q3
- 9.33%
- Median
- 2.18%
- MDLN
- 1.85%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Both Fresenius Medical Care (FMS) at 9.63% and Medline (MDLN) at 5.22% 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%
MDLN
Health Care Equipment & Services industry group
5.22%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- MDLN
- 5.22%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | FMS | MDLN |
|---|---|---|
| ROE (TTM) | 7.84% | 4.85% |
| ROA (TTM) | 3.94% | 2.70% |
| Net Margin (TTM) | 4.22% | 1.85% |
| Operating Margin (TTM) | 9.63% | 5.22% |
| Gross Margin (TTM) | 26.46% | 24.42% |
Growth
Revenue Growth
Only one side can be read here: Fresenius Medical Care (FMS) reports revenue growth of 1.51%, ranked against its industry; Medline (MDLN) has no revenue growth figure this period.
EPS Growth
Both companies show strong earnings momentum, but Medline (MDLN) at 117.38% is the standout with EPS growth above its industry range; Fresenius Medical Care (FMS) at 83.61% also sits in the top quartile.
Growth Metrics
| Metric | FMS | MDLN |
|---|---|---|
| Revenue Growth (YoY) | 1.51% | -- |
| Revenue Growth (3Y CAGR) | 0.39% | -- |
| EPS Growth (YoY) | 83.61% | 117.38% |
| EPS Growth (3Y CAGR) | 13.47% | -- |
Financial Strength
Current Ratio (MRQ)
Medline (MDLN) at 4.04 carries current ratio above its industry’s typical mid-range, while Fresenius Medical Care (FMS) at 0.99 runs in the tighter-liquidity quartile — different working-capital profiles, both worth examining.
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
MDLN
Health Care Equipment & Services industry group
4.04
- Max
- 7.59
- MDLN
- 4.04
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Both Fresenius Medical Care (FMS) at 0.79 and Medline (MDLN) at 0.65 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
MDLN
Health Care Equipment & Services industry group
0.65
- Max
- 1.88
- Q3
- 0.91
- MDLN
- 0.65
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | FMS | MDLN |
|---|---|---|
| Current Ratio (MRQ) | 0.99 | 4.04 |
| Debt / Equity (MRQ) | 0.79 | 0.65 |
| Net Debt / EBITDA | 3.63 | 3.35 |
Dividends
Dividend Yield (TTM)
Medline (MDLN) 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%
MDLN
Health Care Equipment & Services industry group
0.00%
- MDLN
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Medline (MDLN) 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%
MDLN
Health Care Equipment & Services industry group
0.00%
- MDLN
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | FMS | MDLN |
|---|---|---|
| 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 Medline (MDLN) at 90.09 trades above its peer range — a wide earnings-valuation gap relative to industry peers.
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
MDLN
Health Care Equipment & Services industry group
90.09
- MDLN
- 90.09
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
Fresenius Medical Care (FMS) at 0.62 sits in the cheaper P/S ratio quartile while Medline (MDLN) at 1.70 prices around its industry’s middle — FMS costs less per dollar of sales, though read it alongside growth and margins.
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
MDLN
Health Care Equipment & Services industry group
1.70
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- MDLN
- 1.70
- Q1
- 1.10
- Min
- 0.03
P/B Ratio (MRQ)
Fresenius Medical Care (FMS) at 0.85 sits in the lower P/B ratio quartile against book while Medline (MDLN) at 2.95 is valued near its industry’s middle — FMS is cheaper on assets, though weigh it against ROE and asset quality.
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
MDLN
Health Care Equipment & Services industry group
2.95
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- MDLN
- 2.95
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | FMS | MDLN |
|---|---|---|
| P/E Ratio (TTM) | 13.53 | 90.09 |
| P/S Ratio (TTM) | 0.62 | 1.70 |
| P/B Ratio (MRQ) | 0.85 | 2.95 |
| Free Cash Flow Yield (TTM) | 12.29% | 2.67% |