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Side-by-side financial comparison of Boston Scientific (BSX) 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 $5.2B, roughly 1.1× Boston Scientific). Boston Scientific runs the higher net margin — 25.7% vs 7.9%, a 17.8% gap on every dollar of revenue. On growth, Boston Scientific posted the faster year-over-year revenue change (11.6% vs -0.3%).

Boston Scientific Corporation (BSC) is an American biotechnology and biomedical engineering firm and multinational manufacturer of medical devices used in interventional medical specialties, including interventional radiology, interventional cardiology, peripheral interventions, neuromodulation, neurovascular intervention, electrophysiology, cardiac surgery, vascular surgery, endoscopy, oncology, urology and gynecology.

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.

BSX vs FMS — Head-to-Head

Bigger by revenue
FMS
FMS
1.1× larger
FMS
$5.5B
$5.2B
BSX
Growing faster (revenue YoY)
BSX
BSX
+11.9% gap
BSX
11.6%
-0.3%
FMS
Higher net margin
BSX
BSX
17.8% more per $
BSX
25.7%
7.9%
FMS

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
BSX
BSX
FMS
FMS
Revenue
$5.2B
$5.5B
Net Profit
$1.3B
$434.2M
Gross Margin
69.5%
27.4%
Operating Margin
11.7%
Net Margin
25.7%
7.9%
Revenue YoY
11.6%
-0.3%
Net Profit YoY
99.0%
240.4%
EPS (diluted)
$0.90

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
BSX
BSX
FMS
FMS
Q1 26
$5.2B
Q4 25
$5.3B
$5.5B
Q3 25
$5.1B
Q2 25
$5.1B
Q1 25
$4.7B
Q4 24
$4.6B
$5.5B
Q3 24
$4.2B
Q2 24
$4.1B
Net Profit
BSX
BSX
FMS
FMS
Q1 26
$1.3B
Q4 25
$670.0M
$434.2M
Q3 25
$755.0M
Q2 25
$795.0M
Q1 25
$672.0M
Q4 24
$563.0M
$127.6M
Q3 24
$468.0M
Q2 24
$322.0M
Gross Margin
BSX
BSX
FMS
FMS
Q1 26
69.5%
Q4 25
69.6%
27.4%
Q3 25
69.9%
Q2 25
67.7%
Q1 25
68.8%
Q4 24
67.8%
25.0%
Q3 24
68.8%
Q2 24
69.2%
Operating Margin
BSX
BSX
FMS
FMS
Q1 26
Q4 25
15.6%
11.7%
Q3 25
20.7%
Q2 25
16.2%
Q1 25
19.8%
Q4 24
14.8%
5.1%
Q3 24
17.4%
Q2 24
12.6%
Net Margin
BSX
BSX
FMS
FMS
Q1 26
25.7%
Q4 25
12.7%
7.9%
Q3 25
14.9%
Q2 25
15.7%
Q1 25
14.4%
Q4 24
12.3%
2.3%
Q3 24
11.1%
Q2 24
7.8%
EPS (diluted)
BSX
BSX
FMS
FMS
Q1 26
$0.90
Q4 25
$0.45
Q3 25
$0.51
Q2 25
$0.53
Q1 25
$0.45
Q4 24
$0.38
Q3 24
$0.32
Q2 24
$0.22

Balance Sheet & Financial Strength

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

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

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$2.0B
$1.7B
Q3 25
$1.3B
Q2 25
$534.0M
Q1 25
$725.0M
Q4 24
$414.0M
$1.3B
Q3 24
$2.5B
Q2 24
$2.9B
Total Debt
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$11.1B
Q3 25
$11.1B
Q2 25
$11.1B
Q1 25
$10.5B
Q4 24
$9.0B
Q3 24
$9.2B
Q2 24
$9.0B
Stockholders' Equity
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$24.2B
$15.4B
Q3 25
$23.4B
Q2 25
$22.4B
Q1 25
$22.2B
Q4 24
$21.8B
$17.0B
Q3 24
$20.7B
Q2 24
$20.4B
Total Assets
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$43.7B
$33.5B
Q3 25
$42.7B
Q2 25
$41.6B
Q1 25
$40.1B
Q4 24
$39.4B
$36.3B
Q3 24
$38.1B
Q2 24
$37.1B
Debt / Equity
BSX
BSX
FMS
FMS
Q1 26
Q4 25
0.46×
Q3 25
0.48×
Q2 25
0.50×
Q1 25
0.47×
Q4 24
0.41×
Q3 24
0.45×
Q2 24
0.44×

Cash Flow & Capital Efficiency

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

Metric
BSX
BSX
FMS
FMS
Operating Cash FlowLast quarter
$2.9B
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
6.67×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$1.4B
$2.9B
Q3 25
$1.3B
Q2 25
$1.3B
Q1 25
$541.0M
Q4 24
$1.5B
$2.6B
Q3 24
$1.0B
Q2 24
$813.0M
Free Cash Flow
BSX
BSX
FMS
FMS
Q1 26
Q4 25
$1.0B
Q3 25
$1.2B
Q2 25
$1.1B
Q1 25
$354.0M
Q4 24
$1.2B
Q3 24
$823.0M
Q2 24
$658.0M
FCF Margin
BSX
BSX
FMS
FMS
Q1 26
Q4 25
19.2%
Q3 25
22.9%
Q2 25
22.3%
Q1 25
7.6%
Q4 24
25.8%
Q3 24
19.6%
Q2 24
16.0%
Capex Intensity
BSX
BSX
FMS
FMS
Q1 26
Q4 25
6.6%
Q3 25
3.6%
Q2 25
3.1%
Q1 25
4.0%
Q4 24
6.1%
Q3 24
4.3%
Q2 24
3.8%
Cash Conversion
BSX
BSX
FMS
FMS
Q1 26
Q4 25
2.04×
6.67×
Q3 25
1.78×
Q2 25
1.62×
Q1 25
0.81×
Q4 24
2.59×
20.20×
Q3 24
2.14×
Q2 24
2.52×

Financial Flow Comparison

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

Revenue Breakdown by Segment

BSX
BSX

Cardiovascular$3.1B59%
Endoscopy$673.0M13%
Urology$633.0M12%
Other$386.0M7%
Neuromodulation$271.0M5%
LACA$155.0M3%

FMS
FMS

Segment breakdown not available.

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