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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and GFL Environmental Inc. (GFL). 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 $4.9B, roughly 1.1× GFL Environmental Inc.). Fresenius Medical Care AG runs the higher net margin — 7.9% vs -13.9%, a 21.8% gap on every dollar of revenue.

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.

GFL Environmental Inc. is an American-Canadian waste management company founded in Vaughan, Ontario, with headquarters in Miami Beach, Florida. Founded in 2007, GFL operates in all provinces in Canada and much of the United States, and currently employs more than 20,000 people. The company provides environmental services to municipal, residential, commercial, industrial and institutional customers.

FMS vs GFL — Head-to-Head

Bigger by revenue
FMS
FMS
1.1× larger
FMS
$5.5B
$4.9B
GFL
Higher net margin
FMS
FMS
21.8% more per $
FMS
7.9%
-13.9%
GFL

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
FMS
FMS
GFL
GFL
Revenue
$5.5B
$4.9B
Net Profit
$434.2M
$-686.1M
Gross Margin
27.4%
Operating Margin
11.7%
Net Margin
7.9%
-13.9%
Revenue YoY
-0.3%
Net Profit YoY
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
FMS
FMS
GFL
GFL
Q4 25
$5.5B
Q3 25
$4.9B
Q2 25
$3.2B
Q1 25
$1.6B
Q4 24
$5.5B
Q3 24
$5.9B
Q2 24
$3.9B
Q1 24
$1.8B
Net Profit
FMS
FMS
GFL
GFL
Q4 25
$434.2M
Q3 25
$-686.1M
Q2 25
$-727.7M
Q1 25
$-195.8M
Q4 24
$127.6M
Q3 24
$94.3M
Q2 24
Q1 24
$-217.8M
Gross Margin
FMS
FMS
GFL
GFL
Q4 25
27.4%
Q3 25
Q2 25
Q1 25
Q4 24
25.0%
Q3 24
Q2 24
Q1 24
Operating Margin
FMS
FMS
GFL
GFL
Q4 25
11.7%
Q3 25
Q2 25
Q1 25
Q4 24
5.1%
Q3 24
Q2 24
Q1 24
Net Margin
FMS
FMS
GFL
GFL
Q4 25
7.9%
Q3 25
-13.9%
Q2 25
-22.5%
Q1 25
-12.6%
Q4 24
2.3%
Q3 24
1.6%
Q2 24
Q1 24
-12.1%

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
GFL
GFL
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
FMS
FMS
GFL
GFL
Q4 25
$1.7B
Q3 25
Q2 25
Q1 25
Q4 24
$1.3B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
FMS
FMS
GFL
GFL
Q4 25
$15.4B
Q3 25
Q2 25
Q1 25
Q4 24
$17.0B
Q3 24
Q2 24
Q1 24
Total Assets
FMS
FMS
GFL
GFL
Q4 25
$33.5B
Q3 25
Q2 25
Q1 25
Q4 24
$36.3B
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

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

Metric
FMS
FMS
GFL
GFL
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
FMS
FMS
GFL
GFL
Q4 25
$2.9B
Q3 25
Q2 25
Q1 25
Q4 24
$2.6B
Q3 24
Q2 24
Q1 24
Cash Conversion
FMS
FMS
GFL
GFL
Q4 25
6.67×
Q3 25
Q2 25
Q1 25
Q4 24
20.20×
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

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