Fresenius Medical Care AG (XTER:FME) Cyclically Adjusted PB Ratio: 0.75 (As of Sep. 15, 2026) — 60% Below Median

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XTER:FME Fresenius Medical Care AG XTER:FME
76 GF Score
Price €39.56
GF Value €42.27
Valuation Fairly Valued
! 3 Warning Signs
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What is Fresenius Medical Care AG Cyclically Adjusted PB Ratio?

Fresenius Medical Care AG XTER:FME +2.91% 76 Cyclically Adjusted PB Ratio is 0.75 as of Sep. 15, 2026, which is 60% below its 10-year median of 1.88. GuruFocus rates XTER:FME with a GF Score™ of 76/100 and a GF Value™ of €42.27 (Fairly Valued). The stock has 3 warning signs investors should review. Among 332 Healthcare Providers & Services companies, Fresenius Medical Care AG ranks better than 76.2% on this metric.

As of today (2026-09-15), Fresenius Medical Care AG's current share price is €39.56. Fresenius Medical Care AG's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 was €52.70. Fresenius Medical Care AG's Cyclically Adjusted PB Ratio for today is 0.75.

The historical rank and industry rank for Fresenius Medical Care AG's Cyclically Adjusted PB Ratio or its related term are showing as below:

XTER:FME' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 0.69   Med: 1.88   Max: 3.99
Current: 0.8

During the past years, Fresenius Medical Care AG's highest Cyclically Adjusted PB Ratio was 3.99. The lowest was 0.69. And the median was 1.88.

XTER:FME's Cyclically Adjusted PB Ratio is ranked better than
76.2% of 332 companies
in the Healthcare Providers & Services industry
Industry Median: 1.79 vs XTER:FME: 0.80

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

Fresenius Medical Care AG's adjusted book value per share data for the three months ended in Jun. 2026 was €50.848. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is €52.70 for the trailing ten years ended in Jun. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


Fresenius Medical Care AG  (XTER:FME) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


Fresenius Medical Care AG Cyclically Adjusted PB Ratio Related Terms


Fresenius Medical Care AG Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for Fresenius Medical Care AG's Cyclically Adjusted PB Ratio can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Fresenius Medical Care AG Cyclically Adjusted PB Ratio Chart

Fresenius Medical Care AG Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 1.49 0.70 0.80 0.87 0.78

Fresenius Medical Care AG Quarterly Data
Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
Cyclically Adjusted PB Ratio Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 0.96 0.87 0.79 0.74 0.75

XTER:FME vs HCA, THC, EHC: Cyclically Adjusted PB Ratio Comparison

For the Medical Care Facilities subindustry, Fresenius Medical Care AG's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Fresenius Medical Care AG Cyclically Adjusted PB Ratio vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Fresenius Medical Care AG's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Fresenius Medical Care AG's Cyclically Adjusted PB Ratio falls into.


XTER:FME
76GF Score
Fresenius Medical Care AG XTER:FME
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
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Fresenius Medical Care AG Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

Fresenius Medical Care AG's Cyclically Adjusted PB Ratio for today is calculated as

Cyclically Adjusted PB Ratio=Share Price/ Cyclically Adjusted Book per Share
=39.56/52.703
=0.75

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Fresenius Medical Care AG's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 is calculated as:

For example, Fresenius Medical Care AG's adjusted Book Value per Share data for the three months ended in Jun. 2026 was:

Adj_Book=Book Value per Share/CPI of Jun. 2026 (Change)*Current CPI (Jun. 2026)
=50.848/131.3638*131.3638
=50.848

Current CPI (Jun. 2026) = 131.3638.

Fresenius Medical Care AG Quarterly Data

Book Value per Share CPI Adj_Book
201609 32.664 101.017 42.477
201612 36.089 101.217 46.838
201703 36.885 101.417 47.777
201706 34.846 102.117 44.826
201709 34.770 102.717 44.467
201712 35.334 102.617 45.232
201803 35.603 102.917 45.444
201806 39.129 104.017 49.416
201809 40.235 104.718 50.473
201812 42.043 104.217 52.994
201903 43.326 104.217 54.611
201906 42.269 105.718 52.523
201909 45.091 106.018 55.871
201912 44.338 105.818 55.042
202003 45.237 105.718 56.211
202006 45.499 106.618 56.059
202009 43.218 105.818 53.652
202012 42.104 105.518 52.417
202103 45.067 107.518 55.062
202106 43.732 108.486 52.954
202109 45.891 109.435 55.087
202112 47.709 110.384 56.777
202203 49.618 113.968 57.192
202206 52.659 115.760 59.757
202209 57.037 118.818 63.060
202212 52.653 119.345 57.956
202303 51.896 122.402 55.695
202306 50.884 123.140 54.282
202309 52.603 124.195 55.640
202312 50.531 123.773 53.630
202403 51.573 125.038 54.182
202406 51.761 125.882 54.015
202409 50.410 126.198 52.474
202412 53.742 127.041 55.571
202503 52.842 127.779 54.324
202506 48.828 128.412 49.950
202509 47.985 129.255 48.768
202512 51.140 129.361 51.932
202603 52.593 131.258 52.635
202606 50.848 131.364 50.848

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

What does a Cyclically Adjusted PB Ratio of 0.75 mean?
Fresenius Medical Care AG (XTER:FME) has a Cyclically Adjusted PB Ratio of 0.75 as of Sep. 15, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Fresenius Medical Care AG and its competitors. This is 60% below median its historical median of 1.88. Over the past decade, Fresenius Medical Care AG's Cyclically Adjusted PB Ratio has ranged from 0.69 to 3.99. According to the industry distribution chart, Fresenius Medical Care AG ranks #79 out of 332 companies in the Healthcare Providers & Services industry, placing it in the top 23.8%.
Is Fresenius Medical Care AG's Cyclically Adjusted PB Ratio too high?
Fresenius Medical Care AG's current Cyclically Adjusted PB Ratio of 0.75 is 60% below median its 10-year median of 1.88. Over the past 10 years, this metric has ranged from a low of 0.69 to a high of 3.99. The Healthcare Providers & Services industry median Cyclically Adjusted PB Ratio is 1.79. Fresenius Medical Care AG's value of 0.75 is 58.1% below this industry median. Based on the distribution chart, Fresenius Medical Care AG ranks #79 out of 332 companies in the Healthcare Providers & Services industry, which is in the top quartile — a strong position relative to peers. Overall, Fresenius Medical Care AG has a GF Score™ of 76/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Fresenius Medical Care AG's Cyclically Adjusted PB Ratio compare to HCA and THC?
According to the Healthcare Providers & Services industry distribution chart, Fresenius Medical Care AG ranks #79 out of 332 companies for Cyclically Adjusted PB Ratio. This places Fresenius Medical Care AG in the top 24% of its industry — outperforming the majority of peers. The industry median Cyclically Adjusted PB Ratio is 1.79. Fresenius Medical Care AG's value of 0.75 is 58.1% below this benchmark. Historically, Fresenius Medical Care AG's own Cyclically Adjusted PB Ratio has ranged from 0.69 to 3.99 over the past decade. While the company's 10-year median is 1.88 vs. the industry median of 1.79, Fresenius Medical Care AG has consistently been below the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Healthcare Providers & Services company?
The median Cyclically Adjusted PB Ratio among Healthcare Providers & Services companies is 1.79, based on 332 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Fresenius Medical Care AG's current Cyclically Adjusted PB Ratio of 0.75 is 58.1% below the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Fresenius Medical Care AG and its competitors. For the Healthcare Providers & Services industry, the median Cyclically Adjusted PB Ratio is 1.79 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Fresenius Medical Care AG's current Cyclically Adjusted PB Ratio is 0.75, which is 60% below median its own 10-year median of 1.88. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Fresenius Medical Care AG stock overvalued right now?
Based on GuruFocus' analysis, Fresenius Medical Care AG (XTER:FME) is currently considered Fairly Valued. The stock's GF Value™ is €42.27, compared to a current price of €39.56 — trading 6.4% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 0.75, which is 60% below median its 10-year median of 1.88 and 58.1% below the Healthcare Providers & Services industry median of 1.79. Fresenius Medical Care AG's overall GF Score™ is 76/100 with 3 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Fresenius Medical Care AG (XTER:FME), the current Cyclically Adjusted PB Ratio is 0.75 as of Sep. 15, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Fresenius Medical Care AG (XTER:FME) Overvalued in 2026?

Based on GuruFocus' analysis, Fresenius Medical Care AG stock appears to be undervalued. The current stock price of €39.56 is trading 6.4% below its estimated GF Value™ of €42.27. GuruFocus considers Fresenius Medical Care AG to be Fairly Valued.

Key valuation signals for XTER:FME:

  • Cyclically Adjusted PB Ratio: 0.75 (60% below median its 10-year median of 1.88)
  • GF Value™: €42.27 vs. price of €39.56 (6.4% below fair value)
  • GF Score™: 76/100 with 3 warning signs
  • Industry Position: 58.1% below the Healthcare Providers & Services median (#79 of 332)

No single metric tells the full story. See the XTER:FME stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Fresenius Medical Care AG Business Description

Address Else-Kroner-Strasse 1, Bad Homburg, HE, DEU, 61352
Fresenius Medical Care is the largest dialysis company in the world, treating nearly 300,000 patients from about 3,600 clinics worldwide as of December 2025. In addition to providing dialysis services, the firm is a leading supplier of dialysis products, including machines, dialyzers, and concentrates. Fresenius accounts for about 35% of the global dialysis products market, creating the world's only fully integrated dialysis business. Services account for about three-fourths of sales, while the balance is generated from medical technology products that enable dialysis treatments.
76GF Score

Get the complete analysis for XTER:FME

Cyclically Adjusted PB Ratio is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

€39.56
Price
€42.27
GF Value