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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and Intercontinental Exchange (ICE). 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 $3.7B, roughly 1.5× Intercontinental Exchange). Intercontinental Exchange runs the higher net margin — 39.1% vs 7.9%, a 31.1% gap on every dollar of revenue. On growth, Intercontinental Exchange posted the faster year-over-year revenue change (13.5% vs -0.3%).

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.

Intercontinental Exchange, Inc. (ICE) is an American multinational financial services company formed in 2000 that operates global financial exchanges and clearing houses and provides mortgage technology, data and listing services. Listed on the Fortune 500, S&P 500, and Russell 1000, the company owns exchanges for financial and commodity markets, and operates 12 regulated exchanges and marketplaces. This includes ICE futures exchanges in the United States, Canada, and Europe; the Liffe future...

FMS vs ICE — Head-to-Head

Bigger by revenue
FMS
FMS
1.5× larger
FMS
$5.5B
$3.7B
ICE
Growing faster (revenue YoY)
ICE
ICE
+13.8% gap
ICE
13.5%
-0.3%
FMS
Higher net margin
ICE
ICE
31.1% more per $
ICE
39.1%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
FMS
FMS
ICE
ICE
Revenue
$5.5B
$3.7B
Net Profit
$434.2M
$1.4B
Gross Margin
27.4%
Operating Margin
11.7%
45.4%
Net Margin
7.9%
39.1%
Revenue YoY
-0.3%
13.5%
Net Profit YoY
240.4%
76.4%
EPS (diluted)
$2.48

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
ICE
ICE
Q1 26
$3.7B
Q4 25
$5.5B
$3.1B
Q3 25
$3.0B
Q2 25
$3.3B
Q1 25
$3.2B
Q4 24
$5.5B
$3.0B
Q3 24
$3.0B
Q2 24
$2.9B
Net Profit
FMS
FMS
ICE
ICE
Q1 26
$1.4B
Q4 25
$434.2M
$851.0M
Q3 25
$816.0M
Q2 25
$851.0M
Q1 25
$797.0M
Q4 24
$127.6M
$698.0M
Q3 24
$657.0M
Q2 24
$632.0M
Gross Margin
FMS
FMS
ICE
ICE
Q1 26
Q4 25
27.4%
Q3 25
Q2 25
Q1 25
Q4 24
25.0%
Q3 24
Q2 24
Operating Margin
FMS
FMS
ICE
ICE
Q1 26
45.4%
Q4 25
11.7%
39.4%
Q3 25
39.0%
Q2 25
39.8%
Q1 25
37.8%
Q4 24
5.1%
35.5%
Q3 24
36.4%
Q2 24
36.8%
Net Margin
FMS
FMS
ICE
ICE
Q1 26
39.1%
Q4 25
7.9%
27.1%
Q3 25
27.1%
Q2 25
26.1%
Q1 25
24.7%
Q4 24
2.3%
23.0%
Q3 24
21.7%
Q2 24
21.8%
EPS (diluted)
FMS
FMS
ICE
ICE
Q1 26
$2.48
Q4 25
$1.49
Q3 25
$1.42
Q2 25
$1.48
Q1 25
$1.38
Q4 24
$1.21
Q3 24
$1.14
Q2 24
$1.10

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
ICE
ICE
Cash + ST InvestmentsLiquidity on hand
$1.7B
$863.0M
Total DebtLower is stronger
$20.4B
Stockholders' EquityBook value
$15.4B
$29.5M
Total Assets
$33.5B
$179.2B
Debt / EquityLower = less leverage
689.81×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
ICE
ICE
Q1 26
$863.0M
Q4 25
$1.7B
$837.0M
Q3 25
$850.0M
Q2 25
$1.0B
Q1 25
$783.0M
Q4 24
$1.3B
$844.0M
Q3 24
$755.0M
Q2 24
$885.0M
Total Debt
FMS
FMS
ICE
ICE
Q1 26
$20.4B
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Stockholders' Equity
FMS
FMS
ICE
ICE
Q1 26
$29.5M
Q4 25
$15.4B
$28.9B
Q3 25
$28.6B
Q2 25
$28.4B
Q1 25
$28.0B
Q4 24
$17.0B
$27.6B
Q3 24
$27.2B
Q2 24
$26.7B
Total Assets
FMS
FMS
ICE
ICE
Q1 26
$179.2B
Q4 25
$33.5B
$136.9B
Q3 25
$140.9B
Q2 25
$144.2B
Q1 25
$142.9B
Q4 24
$36.3B
$139.4B
Q3 24
$135.2B
Q2 24
$137.7B
Debt / Equity
FMS
FMS
ICE
ICE
Q1 26
689.81×
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 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
ICE
ICE
Operating Cash FlowLast quarter
$2.9B
$1.3B
Free Cash FlowOCF − Capex
$1.1B
FCF MarginFCF / Revenue
31.4%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
6.67×
0.93×
TTM Free Cash FlowTrailing 4 quarters
$4.6B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
ICE
ICE
Q1 26
$1.3B
Q4 25
$2.9B
$1.3B
Q3 25
$915.0M
Q2 25
$1.5B
Q1 25
$966.0M
Q4 24
$2.6B
$1.5B
Q3 24
$898.0M
Q2 24
$1.2B
Free Cash Flow
FMS
FMS
ICE
ICE
Q1 26
$1.1B
Q4 25
$1.1B
Q3 25
$853.0M
Q2 25
$1.4B
Q1 25
$881.0M
Q4 24
$1.3B
Q3 24
$819.0M
Q2 24
$1.1B
FCF Margin
FMS
FMS
ICE
ICE
Q1 26
31.4%
Q4 25
35.3%
Q3 25
28.4%
Q2 25
44.3%
Q1 25
27.3%
Q4 24
43.3%
Q3 24
27.0%
Q2 24
38.7%
Capex Intensity
FMS
FMS
ICE
ICE
Q1 26
Q4 25
5.3%
Q3 25
2.1%
Q2 25
1.8%
Q1 25
2.6%
Q4 24
6.4%
Q3 24
2.6%
Q2 24
2.6%
Cash Conversion
FMS
FMS
ICE
ICE
Q1 26
0.93×
Q4 25
6.67×
1.50×
Q3 25
1.12×
Q2 25
1.77×
Q1 25
1.21×
Q4 24
20.20×
2.16×
Q3 24
1.37×
Q2 24
1.89×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

ICE
ICE

Exchanges$2.5B67%
Fixed income and data services$657.0M18%
Mortgage technology$539.0M15%

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