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Side-by-side financial comparison of American Tower (AMT) and Fresenius Medical Care AG (FMS). Click either name above to swap in a different company.

Fresenius Medical Care AG is the larger business by last-quarter revenue ($5.5B vs $2.7B, roughly 2.0× American Tower). American Tower runs the higher net margin — 110.1% vs 7.9%, a 102.2% gap on every dollar of revenue. On growth, American Tower posted the faster year-over-year revenue change (6.8% vs -0.3%).

American Tower Corporation, one of the largest global REITs, is a leading independent owner, operator and developer of multitenant communications real estate with a portfolio of approximately 219,000 communications sites. For more information about American Tower, please visit the Earnings Materials and Investor Presentations sections of our investor relations website at www.americantower.com.

Fresenius Medical Care AG & Co. KGaA is a German healthcare company which provides kidney dialysis services through a network of 4,171 outpatient dialysis centers, serving 345,425 patients. The company primarily treats end-stage renal disease (ESRD), which requires patients to undergo dialysis 3 times per week for the rest of their lives.

AMT vs FMS — Head-to-Head

Bigger by revenue
FMS
FMS
2.0× larger
FMS
$5.5B
$2.7B
AMT
Growing faster (revenue YoY)
AMT
AMT
+7.1% gap
AMT
6.8%
-0.3%
FMS
Higher net margin
AMT
AMT
102.2% more per $
AMT
110.1%
7.9%
FMS

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
AMT
AMT
FMS
FMS
Revenue
$2.7B
$5.5B
Net Profit
$3.0B
$434.2M
Gross Margin
27.4%
Operating Margin
0.0%
11.7%
Net Margin
110.1%
7.9%
Revenue YoY
6.8%
-0.3%
Net Profit YoY
-2.6%
240.4%
EPS (diluted)

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AMT
AMT
FMS
FMS
Q1 26
$2.7B
Q4 25
$2.7B
$5.5B
Q3 25
$2.7B
Q2 25
$2.6B
Q1 25
$2.6B
Q4 24
$2.5B
$5.5B
Q3 24
$2.5B
Q2 24
$2.5B
Net Profit
AMT
AMT
FMS
FMS
Q1 26
$3.0B
Q4 25
$836.8M
$434.2M
Q3 25
$912.6M
Q2 25
$380.5M
Q1 25
$498.6M
Q4 24
$1.2B
$127.6M
Q3 24
$-780.4M
Q2 24
$908.4M
Gross Margin
AMT
AMT
FMS
FMS
Q1 26
Q4 25
27.4%
Q3 25
Q2 25
Q1 25
Q4 24
25.0%
Q3 24
Q2 24
Operating Margin
AMT
AMT
FMS
FMS
Q1 26
0.0%
Q4 25
42.4%
11.7%
Q3 25
45.4%
Q2 25
45.6%
Q1 25
48.9%
Q4 24
42.4%
5.1%
Q3 24
45.2%
Q2 24
45.4%
Net Margin
AMT
AMT
FMS
FMS
Q1 26
110.1%
Q4 25
30.6%
7.9%
Q3 25
33.6%
Q2 25
14.5%
Q1 25
19.5%
Q4 24
48.3%
2.3%
Q3 24
-30.9%
Q2 24
35.7%
EPS (diluted)
AMT
AMT
FMS
FMS
Q1 26
Q4 25
$1.76
Q3 25
$1.82
Q2 25
$0.78
Q1 25
$1.04
Q4 24
$2.63
Q3 24
$-1.69
Q2 24
$1.92

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AMT
AMT
FMS
FMS
Cash + ST InvestmentsLiquidity on hand
$1.6B
$1.7B
Total DebtLower is stronger
Stockholders' EquityBook value
$10.2B
$15.4B
Total Assets
$33.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMT
AMT
FMS
FMS
Q1 26
$1.6B
Q4 25
$1.5B
$1.7B
Q3 25
$2.0B
Q2 25
$2.1B
Q1 25
$2.1B
Q4 24
$2.0B
$1.3B
Q3 24
$2.2B
Q2 24
$2.2B
Total Debt
AMT
AMT
FMS
FMS
Q1 26
Q4 25
$33.8B
Q3 25
$34.9B
Q2 25
$35.2B
Q1 25
$34.0B
Q4 24
$32.8B
Q3 24
$33.4B
Q2 24
$35.6B
Stockholders' Equity
AMT
AMT
FMS
FMS
Q1 26
$10.2B
Q4 25
$3.7B
$15.4B
Q3 25
$4.0B
Q2 25
$3.7B
Q1 25
$3.5B
Q4 24
$3.4B
$17.0B
Q3 24
$3.6B
Q2 24
$3.9B
Total Assets
AMT
AMT
FMS
FMS
Q1 26
Q4 25
$63.2B
$33.5B
Q3 25
$63.9B
Q2 25
$63.8B
Q1 25
$62.1B
Q4 24
$61.1B
$36.3B
Q3 24
$62.8B
Q2 24
$65.8B
Debt / Equity
AMT
AMT
FMS
FMS
Q1 26
Q4 25
9.26×
Q3 25
8.82×
Q2 25
9.48×
Q1 25
9.63×
Q4 24
9.70×
Q3 24
9.16×
Q2 24
9.24×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AMT
AMT
FMS
FMS
Operating Cash FlowLast quarter
$2.9B
Free Cash FlowOCF − Capex
$941.0M
FCF MarginFCF / Revenue
34.4%
Capex IntensityCapex / Revenue
16.8%
Cash ConversionOCF / Net Profit
6.67×
TTM Free Cash FlowTrailing 4 quarters
$6.7B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMT
AMT
FMS
FMS
Q1 26
Q4 25
$5.5B
$2.9B
Q3 25
$1.5B
Q2 25
$1.3B
Q1 25
$1.3B
Q4 24
$5.3B
$2.6B
Q3 24
$1.5B
Q2 24
$1.3B
Free Cash Flow
AMT
AMT
FMS
FMS
Q1 26
$941.0M
Q4 25
$3.8B
Q3 25
$994.5M
Q2 25
$976.9M
Q1 25
$963.9M
Q4 24
$3.7B
Q3 24
$1.0B
Q2 24
$1.0B
FCF Margin
AMT
AMT
FMS
FMS
Q1 26
34.4%
Q4 25
138.2%
Q3 25
36.6%
Q2 25
37.2%
Q1 25
37.6%
Q4 24
145.3%
Q3 24
41.4%
Q2 24
39.8%
Capex Intensity
AMT
AMT
FMS
FMS
Q1 26
16.8%
Q4 25
61.4%
Q3 25
17.1%
Q2 25
11.6%
Q1 25
12.9%
Q4 24
62.4%
Q3 24
16.8%
Q2 24
12.8%
Cash Conversion
AMT
AMT
FMS
FMS
Q1 26
Q4 25
6.53×
6.67×
Q3 25
1.60×
Q2 25
3.37×
Q1 25
2.60×
Q4 24
4.30×
20.20×
Q3 24
Q2 24
1.47×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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