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Side-by-side financial comparison of Ecolab (ECL) 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 $4.1B, roughly 1.3× Ecolab). Ecolab runs the higher net margin — 10.6% vs 7.9%, a 2.7% gap on every dollar of revenue. On growth, Ecolab posted the faster year-over-year revenue change (10.0% vs -0.3%).

Ecolab Inc., headquartered in Saint Paul, Minnesota, provides products related to water treatment, sanitation, and hygiene, primarily to commercial and industrial customers.

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.

ECL vs FMS — Head-to-Head

Bigger by revenue
FMS
FMS
1.3× larger
FMS
$5.5B
$4.1B
ECL
Growing faster (revenue YoY)
ECL
ECL
+10.3% gap
ECL
10.0%
-0.3%
FMS
Higher net margin
ECL
ECL
2.7% more per $
ECL
10.6%
7.9%
FMS

Income Statement — Q2 FY2026 vs Q4 FY2025

Metric
ECL
ECL
FMS
FMS
Revenue
$4.1B
$5.5B
Net Profit
$432.6M
$434.2M
Gross Margin
27.4%
Operating Margin
15.3%
11.7%
Net Margin
10.6%
7.9%
Revenue YoY
10.0%
-0.3%
Net Profit YoY
1.3%
240.4%
EPS (diluted)
$1.52

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
ECL
ECL
FMS
FMS
Q2 26
$4.1B
Q4 25
$4.2B
$5.5B
Q3 25
$4.2B
Q2 25
$4.0B
Q1 25
$3.7B
Q4 24
$4.0B
$5.5B
Q3 24
$4.0B
Q2 24
$4.0B
Net Profit
ECL
ECL
FMS
FMS
Q2 26
$432.6M
Q4 25
$563.9M
$434.2M
Q3 25
$585.0M
Q2 25
$524.2M
Q1 25
$402.5M
Q4 24
$472.9M
$127.6M
Q3 24
$736.5M
Q2 24
$490.9M
Gross Margin
ECL
ECL
FMS
FMS
Q2 26
Q4 25
44.0%
27.4%
Q3 25
44.8%
Q2 25
44.8%
Q1 25
44.2%
Q4 24
43.3%
25.0%
Q3 24
43.4%
Q2 24
43.8%
Operating Margin
ECL
ECL
FMS
FMS
Q2 26
15.3%
Q4 25
17.0%
11.7%
Q3 25
18.3%
Q2 25
17.6%
Q1 25
15.0%
Q4 24
14.6%
5.1%
Q3 24
26.1%
Q2 24
16.5%
Net Margin
ECL
ECL
FMS
FMS
Q2 26
10.6%
Q4 25
13.4%
7.9%
Q3 25
14.0%
Q2 25
13.0%
Q1 25
10.9%
Q4 24
11.8%
2.3%
Q3 24
18.4%
Q2 24
12.3%
EPS (diluted)
ECL
ECL
FMS
FMS
Q2 26
$1.52
Q4 25
$1.98
Q3 25
$2.05
Q2 25
$1.84
Q1 25
$1.41
Q4 24
$1.65
Q3 24
$2.58
Q2 24
$1.71

Balance Sheet & Financial Strength

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

Metric
ECL
ECL
FMS
FMS
Cash + ST InvestmentsLiquidity on hand
$519.8K
$1.7B
Total DebtLower is stronger
$8.5M
Stockholders' EquityBook value
$10.0M
$15.4B
Total Assets
$25.0M
$33.5B
Debt / EquityLower = less leverage
0.85×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ECL
ECL
FMS
FMS
Q2 26
$519.8K
Q4 25
$646.2M
$1.7B
Q3 25
$2.0B
Q2 25
$1.9B
Q1 25
$1.2B
Q4 24
$1.3B
$1.3B
Q3 24
$1.3B
Q2 24
$384.0M
Total Debt
ECL
ECL
FMS
FMS
Q2 26
$8.5M
Q4 25
$7.4B
Q3 25
$8.1B
Q2 25
$7.5B
Q1 25
$7.0B
Q4 24
$6.9B
Q3 24
$7.0B
Q2 24
$7.5B
Stockholders' Equity
ECL
ECL
FMS
FMS
Q2 26
$10.0M
Q4 25
$9.8B
$15.4B
Q3 25
$9.7B
Q2 25
$9.3B
Q1 25
$8.9B
Q4 24
$8.8B
$17.0B
Q3 24
$8.5B
Q2 24
$8.3B
Total Assets
ECL
ECL
FMS
FMS
Q2 26
$25.0M
Q4 25
$24.7B
$33.5B
Q3 25
$23.9B
Q2 25
$23.7B
Q1 25
$22.4B
Q4 24
$22.4B
$36.3B
Q3 24
$22.1B
Q2 24
$21.5B
Debt / Equity
ECL
ECL
FMS
FMS
Q2 26
0.85×
Q4 25
0.75×
Q3 25
0.83×
Q2 25
0.81×
Q1 25
0.79×
Q4 24
0.79×
Q3 24
0.82×
Q2 24
0.91×

Cash Flow & Capital Efficiency

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

Metric
ECL
ECL
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
ECL
ECL
FMS
FMS
Q2 26
Q4 25
$1.1B
$2.9B
Q3 25
$791.3M
Q2 25
$701.8M
Q1 25
$369.4M
Q4 24
$766.7M
$2.6B
Q3 24
$786.7M
Q2 24
$611.1M
Free Cash Flow
ECL
ECL
FMS
FMS
Q2 26
Q4 25
$758.0M
Q3 25
$529.7M
Q2 25
$485.1M
Q1 25
$131.5M
Q4 24
$407.0M
Q3 24
$550.3M
Q2 24
$414.2M
FCF Margin
ECL
ECL
FMS
FMS
Q2 26
Q4 25
18.1%
Q3 25
12.7%
Q2 25
12.1%
Q1 25
3.6%
Q4 24
10.2%
Q3 24
13.8%
Q2 24
10.4%
Capex Intensity
ECL
ECL
FMS
FMS
Q2 26
Q4 25
7.9%
Q3 25
6.3%
Q2 25
5.4%
Q1 25
6.4%
Q4 24
9.0%
Q3 24
5.9%
Q2 24
4.9%
Cash Conversion
ECL
ECL
FMS
FMS
Q2 26
Q4 25
1.93×
6.67×
Q3 25
1.35×
Q2 25
1.34×
Q1 25
0.92×
Q4 24
1.62×
20.20×
Q3 24
1.07×
Q2 24
1.24×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ECL
ECL

Product and equipment sales$3.2B78%
Service and lease sales$891.5M22%

FMS
FMS

Segment breakdown not available.

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