FMS vs HCA: Fresenius Medical Care and HCA compared
The short version
From the latest prices and each company's SEC filings. Who's ahead on each measure, not which to buy.
- HCA is the larger company, worth $94.7B, about 8.2 times Fresenius Medical Care.
- HCA grew revenue faster over the last year (+4.3% vs -0.3%).
- HCA keeps more of each dollar of revenue as operating profit (12.8% vs 9.3%).
- On earnings, Fresenius Medical Care is the cheaper stock (11.2x vs 14.7x).
Side by side
The stronger figure is shaded where higher (or, for valuation multiples, lower) reads as better. How the implied growth works.
| Measure | FMS | HCA |
|---|---|---|
| Market cap | $11.5B | $94.7B |
| Share price | $21.06 | $451.09 |
| Revenue (last fiscal year) | $19.6B | $75.6B |
| Free cash flow (last fiscal year) | $2.7B | $7.7B |
| Revenue growth, last year | -0.3% | +4.3% |
| Revenue growth per year, last 5 fiscal years | +2.7% | +6.5% |
| Operating margin | 9.3% | 12.8% |
| Net margin | 5.0% | 8.9% |
| Return on equity | 7.3% | — |
| P/E (trailing) | 11.2x | 14.7x |
| Price / free cash flow | 6.81x | 12.3x |
| EV / EBITDA | 5.65x | 9.60x |
| FCF growth the price implies | — | -1.4% |
| Dividend yield | 3.8% | 0.66% |
| Debt / equity | 1.26x | — |
| Fundamental grade | C | C |
| Superinvestors holding it | 4 | 12 |
| Insider purchases, last 12 months | 0 | 0 |
Results from SEC filings
Revenue and free cash flow by fiscal year, from each company's 10-K filings.
Fresenius Medical Care
| Year | Revenue | Free cash flow | Op. margin |
|---|---|---|---|
| 2021 | $17.6B | $2.5B | 10.5% |
| 2022 | $19.4B | $2.1B | 7.8% |
| 2023 | $19.5B | $2.6B | 7.0% |
| 2024 | $19.3B | $2.4B | 7.2% |
| 2025 | $19.6B | $2.7B | 9.3% |
HCA
| Year | Revenue | Free cash flow | Op. margin |
|---|---|---|---|
| 2021 | $58.8B | $5.4B | 16.7% |
| 2022 | $60.2B | $4.1B | 14.2% |
| 2023 | $65.0B | $4.7B | 11.9% |
| 2024 | $70.6B | $5.6B | 12.1% |
| 2025 | $75.6B | $7.7B | 13.0% |
Where the revenue comes from
Fresenius Medical Care · by segments, 2025
Care Delivery$13.2B67%
Care Enablement$4.1B21%
Value-Based Care$2.2B11%
HCA · by segments, 2023
American Group$22.3B34%
Atlantic Group$21.2B33%
National Group$18.1B28%
Corporate and Other$3.4B5%
Compare them in fullFifteen years of statements, quarterly results, DCF and IRR models, and any number of peers side by side.
Open FMS in InvestinglyQuestions
Which is bigger, Fresenius Medical Care or HCA?
HCA (HCA), at $94.7B against $11.5B.
Is FMS or HCA cheaper?
By trailing P/E, Fresenius Medical Care (11.2x) is cheaper than HCA (14.7x). A lower multiple can also mean the market expects less growth.
Which grows faster, FMS or HCA?
HCA: revenue grew +4.3% over the last year, against -0.3%.
Prices and ratios as of the last daily update; statements from SEC filings. Information only, not investment advice.