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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and McDonald's (MCD). Click either name above to swap in a different company.

McDonald's is the larger business by last-quarter revenue ($7.0B vs $5.5B, roughly 1.3× Fresenius Medical Care AG). McDonald's runs the higher net margin — 30.9% vs 7.9%, a 22.9% gap on every dollar of revenue. On growth, McDonald's posted the faster year-over-year revenue change (9.7% 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.

McDonald's Corporation, doing business as McDonald's, is an American multinational fast food restaurant chain. As of 2024, it is the second-largest by number of locations in the world, behind the Chinese chain Mixue Ice Cream & Tea.

FMS vs MCD — Head-to-Head

Bigger by revenue
MCD
MCD
1.3× larger
MCD
$7.0B
$5.5B
FMS
Growing faster (revenue YoY)
MCD
MCD
+10.0% gap
MCD
9.7%
-0.3%
FMS
Higher net margin
MCD
MCD
22.9% more per $
MCD
30.9%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMS
FMS
MCD
MCD
Revenue
$5.5B
$7.0B
Net Profit
$434.2M
$2.2B
Gross Margin
27.4%
Operating Margin
11.7%
45.0%
Net Margin
7.9%
30.9%
Revenue YoY
-0.3%
9.7%
Net Profit YoY
240.4%
7.3%
EPS (diluted)
$3.03

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
MCD
MCD
Q4 25
$5.5B
$7.0B
Q3 25
$7.1B
Q2 25
$6.8B
Q1 25
$6.0B
Q4 24
$5.5B
$6.4B
Q3 24
$6.9B
Q2 24
$6.5B
Q1 24
$6.2B
Net Profit
FMS
FMS
MCD
MCD
Q4 25
$434.2M
$2.2B
Q3 25
$2.3B
Q2 25
$2.3B
Q1 25
$1.9B
Q4 24
$127.6M
$2.0B
Q3 24
$2.3B
Q2 24
$2.0B
Q1 24
$1.9B
Gross Margin
FMS
FMS
MCD
MCD
Q4 25
27.4%
Q3 25
90.6%
Q2 25
90.4%
Q1 25
89.6%
Q4 24
25.0%
Q3 24
90.6%
Q2 24
90.3%
Q1 24
89.8%
Operating Margin
FMS
FMS
MCD
MCD
Q4 25
11.7%
45.0%
Q3 25
47.4%
Q2 25
47.2%
Q1 25
44.5%
Q4 24
5.1%
44.9%
Q3 24
46.4%
Q2 24
45.0%
Q1 24
44.4%
Net Margin
FMS
FMS
MCD
MCD
Q4 25
7.9%
30.9%
Q3 25
32.2%
Q2 25
32.9%
Q1 25
31.4%
Q4 24
2.3%
31.6%
Q3 24
32.8%
Q2 24
31.2%
Q1 24
31.3%
EPS (diluted)
FMS
FMS
MCD
MCD
Q4 25
$3.03
Q3 25
$3.18
Q2 25
$3.14
Q1 25
$2.60
Q4 24
$2.80
Q3 24
$3.13
Q2 24
$2.80
Q1 24
$2.66

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
MCD
MCD
Cash + ST InvestmentsLiquidity on hand
$1.7B
$774.0M
Total DebtLower is stronger
$40.0B
Stockholders' EquityBook value
$15.4B
$-1.8B
Total Assets
$33.5B
$59.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
MCD
MCD
Q4 25
$1.7B
$774.0M
Q3 25
$2.4B
Q2 25
$1.9B
Q1 25
$1.2B
Q4 24
$1.3B
$1.1B
Q3 24
$1.2B
Q2 24
$792.0M
Q1 24
$838.0M
Total Debt
FMS
FMS
MCD
MCD
Q4 25
$40.0B
Q3 25
Q2 25
Q1 25
Q4 24
$38.4B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
FMS
FMS
MCD
MCD
Q4 25
$15.4B
$-1.8B
Q3 25
$-2.2B
Q2 25
$-2.8B
Q1 25
$-3.5B
Q4 24
$17.0B
$-3.8B
Q3 24
$-5.2B
Q2 24
$-4.8B
Q1 24
$-4.8B
Total Assets
FMS
FMS
MCD
MCD
Q4 25
$33.5B
$59.5B
Q3 25
$60.6B
Q2 25
$59.6B
Q1 25
$56.3B
Q4 24
$36.3B
$55.2B
Q3 24
$56.2B
Q2 24
$53.8B
Q1 24
$53.5B

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
MCD
MCD
Operating Cash FlowLast quarter
$2.9B
$2.7B
Free Cash FlowOCF − Capex
$1.6B
FCF MarginFCF / Revenue
23.4%
Capex IntensityCapex / Revenue
15.1%
Cash ConversionOCF / Net Profit
6.67×
1.25×
TTM Free Cash FlowTrailing 4 quarters
$7.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
MCD
MCD
Q4 25
$2.9B
$2.7B
Q3 25
$3.4B
Q2 25
$2.0B
Q1 25
$2.4B
Q4 24
$2.6B
$2.6B
Q3 24
$2.7B
Q2 24
$1.7B
Q1 24
$2.4B
Free Cash Flow
FMS
FMS
MCD
MCD
Q4 25
$1.6B
Q3 25
$2.4B
Q2 25
$1.3B
Q1 25
$1.9B
Q4 24
$1.8B
Q3 24
$1.9B
Q2 24
$1.1B
Q1 24
$1.8B
FCF Margin
FMS
FMS
MCD
MCD
Q4 25
23.4%
Q3 25
34.1%
Q2 25
18.3%
Q1 25
31.5%
Q4 24
28.6%
Q3 24
28.3%
Q2 24
16.3%
Q1 24
29.9%
Capex Intensity
FMS
FMS
MCD
MCD
Q4 25
15.1%
Q3 25
14.3%
Q2 25
10.9%
Q1 25
9.3%
Q4 24
12.6%
Q3 24
11.6%
Q2 24
9.7%
Q1 24
8.9%
Cash Conversion
FMS
FMS
MCD
MCD
Q4 25
6.67×
1.25×
Q3 25
1.50×
Q2 25
0.89×
Q1 25
1.30×
Q4 24
20.20×
1.30×
Q3 24
1.21×
Q2 24
0.84×
Q1 24
1.24×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

MCD
MCD

International Operated Markets$3.6B51%
Other$2.8B40%
International Developmental Licensed Marketsand Corporate$633.0M9%

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