Fresenius Medical Care AG ADR vs PACS Group Inc

Fresenius Medical Care AG ADR (FMS) is undervalued and PACS Group Inc (PACS) is slightly overvalued.

Against our estimates of intrinsic value, FMS trades at the wider discount: a margin of safety of +48%, against -18% for PACS.

Values as of the 22 Sept 2026 close.

Fresenius Medical Care AG ADR (FMS)

Discounting its cash flows at 7.1% (average of 3 methods) values the shares at $42.92; the price of $22.50 is 48% below that value, and 83% of that value comes from beyond year five.

Leak Score 54/100 on 3 of 12 signals

PACS Group Inc (PACS)

Discounting its cash flows at 11.7% (average of 3 methods) values the shares at $35.24; the price of $41.53 is 18% above that value, and 69% of that value comes from beyond year five.

Leak Score 14/100 on 3 of 12 signals

MetricFMSPACS
VerdictUndervaluedSlightly overvalued
Price$22.50$41.53
Intrinsic value$42.92$35.24
Margin of safety+48%-18%
Leak Score54/100 (3/12)14/100 (3/12)
Market cap$12.0B$6.6B
Revenue growth, 5 years1.7%45.9%
Operating margin10.9%7.4%
Net margin4.8%4.8%
Return on equity7.3%28.1%
Debt to equity0.873.07
P/E11.6x24.9x
Forward P/E9.2x15.9x
P/B0.8x5.9x
Dividend yield3.7%

All stocks in Medical Care Facilities