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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.

Company profile comparison for Fresenius Medical Care (FMS) and Medline (MDLN)
Profile ItemFMSMDLN
NameFresenius Medical Care AG - Depositary ReceiptMedline Inc. Class A Common Stock
Country/RegionGermanyUnited States
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Equipment & Supplies
GICS Sub-IndustryHealth Care ServicesHealth Care Supplies
Market Capitalization12.15 billion USD52.17 billion USD
CurrencyUSDUSD
ExchangeNYSENasdaq
Listing DateSeptember 17, 1996December 17, 2025
Security TypeADRCommon Stock

Price Performance

Cumulative Growth

FMS
MDLN
GSPC
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Fresenius Medical Care (FMS) vs. Medline (MDLN), 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 Medline (MDLN). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Fresenius Medical Care (FMS) and Medline (MDLN). 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 Medline (MDLN)
MetricFMSMDLN
Total Return (1Y)-0.71%--
Total Return (3Y, Annualized)13.88%--
Total Return (5Y, Annualized)-4.69%--

Risk Profile

Drawdown History

FMS
MDLN
GSPC
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Fresenius Medical Care (FMS) vs. Medline (MDLN), 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 Medline (MDLN). Each bar is the share of months whose return fell in that 5% bucket.

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.

Risk profile metrics for Fresenius Medical Care (FMS) and Medline (MDLN)
MetricFMSMDLN
Volatility (1Y, Annualized)30.61%47.93%
Beta (5Y)0.77-0.93
Max Drawdown (5Y)-62.33%-36.71%
Avg. Volume (3M)954.21K8.63M

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

Risk-adjusted metrics for Fresenius Medical Care (FMS) and Medline (MDLN)
MetricFMSMDLN
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%
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Fresenius Medical Care (FMS) vs. Medline (MDLN): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

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

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%
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 Medline (MDLN)
MetricFMSMDLN
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.

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Fresenius Medical Care (FMS) vs. Medline (MDLN): A comparison of their Revenue Growth across different time periods.

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.

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Fresenius Medical Care (FMS) vs. Medline (MDLN): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Fresenius Medical Care (FMS) and Medline (MDLN)
MetricFMSMDLN
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
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 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
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 Medline (MDLN)
MetricFMSMDLN
Current Ratio (MRQ)0.994.04
Debt / Equity (MRQ)0.790.65
Net Debt / EBITDA3.633.35

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

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%
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 Medline (MDLN)
MetricFMSMDLN
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
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 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
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 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
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Fresenius Medical Care (FMS) vs. Medline (MDLN): 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 Medline (MDLN)
MetricFMSMDLN
P/E Ratio (TTM)13.5390.09
P/S Ratio (TTM)0.621.70
P/B Ratio (MRQ)0.852.95
Free Cash Flow Yield (TTM)12.29%2.67%