FRE.DE vs. HCA

Last updated Apr 3, 2026

Compare and contrast key facts about Fresenius SE & Co. KGaA (FRE.DE) and HCA Healthcare, Inc. (HCA).

Performance

FRE.DE vs. HCA - Performance Comparison

The chart below illustrates the hypothetical performance of a €10,000 investment in Fresenius SE & Co. KGaA (FRE.DE) and HCA Healthcare, Inc. (HCA). The values are adjusted to include any dividend payments, if applicable.

FRE.DE vs. HCA - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
FRE.DE Fresenius SE & Co. KGaA	-11.02%	49.50%	19.49%	10.62%	-23.79%	-4.64%	-21.47%	20.37%	-34.16%	-11.69%
HCA HCA Healthcare, Inc.	3.05%	38.11%	19.13%	10.42%	0.21%	69.37%	2.83%	22.96%	50.10%	4.09%

Different Trading Currencies

FRE.DE is traded in EUR, while HCA is traded in USD. To make them comparable, the HCA values have been converted to EUR using the latest available exchange rates.

Returns By Period

In the year-to-date period, FRE.DE achieves a -11.02% return, which is significantly lower than HCA's 3.05% return. Over the past 10 years, FRE.DE has underperformed HCA with an annualized return of -2.05%, while HCA has yielded a comparatively higher 20.37% annualized return.

FRE.DE

• 1D: -0.84%
• 1M: -9.60%
• YTD: -11.02%
• 6M: -7.30%
• 1Y: 12.95%
• 3Y*: 22.85%
• 5Y*: 5.05%
• 10Y*: -2.05%

HCA

• 1D: -0.16%
• 1M: -12.22%
• YTD: 3.05%
• 6M: 12.67%
• 1Y: 28.47%
• 3Y*: 19.99%
• 5Y*: 21.97%
• 10Y*: 20.37%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Return for Risk

FRE.DE vs. HCA — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

FRE.DE

FRE.DE Risk / Return Rank: 55
FRE.DE Sharpe Ratio Rank: 60
FRE.DE Sortino Ratio Rank: 50
FRE.DE Omega Ratio Rank: 50
FRE.DE Calmar Ratio Rank: 56
FRE.DE Martin Ratio Rank: 61

HCA

HCA Risk / Return Rank: 79
HCA Sharpe Ratio Rank: 81
HCA Sortino Ratio Rank: 76
HCA Omega Ratio Rank: 74
HCA Calmar Ratio Rank: 81
HCA Martin Ratio Rank: 82

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

FRE.DE vs. HCA - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fresenius SE & Co. KGaA (FRE.DE) and HCA Healthcare, Inc. (HCA). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	FRE.DE	HCA	Difference
Sharpe ratio Return per unit of total volatility	0.56	1.04	-0.48
Sortino ratio Return per unit of downside risk	0.87	1.55	-0.68
Omega ratio Gain probability vs. loss probability	1.11	1.20	-0.08
Calmar ratio Return relative to maximum drawdown	0.75	1.60	-0.85
Martin ratio Return relative to average drawdown	2.29	4.48	-2.19
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

FRE.DE vs. HCA - Sharpe Ratio Comparison

The current FRE.DE Sharpe Ratio is 0.56, which is lower than the HCA Sharpe Ratio of 1.04. The chart below compares the historical Sharpe Ratios of FRE.DE and HCA, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	FRE.DE	HCA	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.56	1.04	-0.48
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.20	0.76	-0.56
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	-0.07	0.63	-0.70
Sharpe Ratio (All Time) Calculated using the full available price history	0.43	0.71	-0.28

Correlation

The correlation between FRE.DE and HCA is 0.17, which is considered to be low. This implies their price changes are not closely related. A low correlation is generally favorable for portfolio diversification, as it helps to reduce overall risk by spreading it across multiple assets with different performance patterns.

Dividends

FRE.DE vs. HCA - Dividend Comparison

FRE.DE's dividend yield for the trailing twelve months is around 2.29%, more than HCA's 0.62% yield.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FRE.DE Fresenius SE & Co. KGaA	2.29%	2.04%	0.00%	3.28%	3.50%	2.49%	4.44%	1.59%	1.77%	0.95%	0.74%	0.58%
HCA HCA Healthcare, Inc.	0.62%	0.62%	0.88%	0.89%	0.93%	0.75%	0.63%	1.08%	1.12%	0.00%	0.00%	0.00%

Drawdowns

FRE.DE vs. HCA - Drawdown Comparison

The maximum FRE.DE drawdown since its inception was -81.25%, which is greater than HCA's maximum drawdown of -54.98%. Use the drawdown chart below to compare losses from any high point for FRE.DE and HCA.

Drawdown Indicators

	FRE.DE	HCA	Difference
Max Drawdown Largest peak-to-trough decline	-81.25%	-54.74%	-26.51%
Max Drawdown (1Y) Largest decline over 1 year	-16.39%	-14.17%	-2.22%
Max Drawdown (5Y) Largest decline over 5 years	-56.59%	-39.49%	-17.10%
Max Drawdown (10Y) Largest decline over 10 years	-71.79%	-54.74%	-17.05%
Current Drawdown Current decline from peak	-35.03%	-13.32%	-21.71%
Average Drawdown Average peak-to-trough decline	-23.19%	-10.91%	-12.28%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.39%	5.11%	+0.28%

Volatility

FRE.DE vs. HCA - Volatility Comparison

Fresenius SE & Co. KGaA (FRE.DE) has a higher volatility of 7.18% compared to HCA Healthcare, Inc. (HCA) at 5.14%. This indicates that FRE.DE's price experiences larger fluctuations and is considered to be riskier than HCA based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FRE.DE	HCA	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.18%	5.14%	+2.04%
Volatility (6M) Calculated over the trailing 6-month period	16.96%	19.22%	-2.26%
Volatility (1Y) Calculated over the trailing 1-year period	23.19%	27.63%	-4.44%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	25.25%	28.95%	-3.70%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	27.29%	32.50%	-5.21%

Financials