vs

Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and ServiceNow (NOW). 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 $3.8B, roughly 1.5× ServiceNow). ServiceNow runs the higher net margin — 12.4% vs 7.9%, a 4.5% gap on every dollar of revenue. On growth, ServiceNow posted the faster year-over-year revenue change (2.8% 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.

ServiceNow, Inc. is an American software company that supplies a cloud computing platform for the creation and management of automated business workflows. The company was founded in Santa Clara, California, United States, in 2003 by Fred Luddy. It is listed on the New York Stock Exchange and is a constituent of the S&P 100 and S&P 500 indices.

FMS vs NOW — Head-to-Head

Bigger by revenue
FMS
FMS
1.5× larger
FMS
$5.5B
$3.8B
NOW
Growing faster (revenue YoY)
NOW
NOW
+3.1% gap
NOW
2.8%
-0.3%
FMS
Higher net margin
NOW
NOW
4.5% more per $
NOW
12.4%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
FMS
FMS
NOW
NOW
Revenue
$5.5B
$3.8B
Net Profit
$434.2M
$469.0M
Gross Margin
27.4%
75.1%
Operating Margin
11.7%
13.3%
Net Margin
7.9%
12.4%
Revenue YoY
-0.3%
2.8%
Net Profit YoY
240.4%
-53.7%
EPS (diluted)
$1.04

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
NOW
NOW
Q1 26
$3.8B
Q4 25
$5.5B
$3.6B
Q3 25
$3.4B
Q2 25
$3.2B
Q1 25
$3.1B
Q4 24
$5.5B
$3.0B
Q3 24
$2.8B
Q2 24
$2.6B
Net Profit
FMS
FMS
NOW
NOW
Q1 26
$469.0M
Q4 25
$434.2M
$401.0M
Q3 25
$502.0M
Q2 25
$385.0M
Q1 25
$460.0M
Q4 24
$127.6M
$384.0M
Q3 24
$432.0M
Q2 24
$262.0M
Gross Margin
FMS
FMS
NOW
NOW
Q1 26
75.1%
Q4 25
27.4%
76.6%
Q3 25
77.3%
Q2 25
77.5%
Q1 25
78.9%
Q4 24
25.0%
78.7%
Q3 24
79.1%
Q2 24
79.0%
Operating Margin
FMS
FMS
NOW
NOW
Q1 26
13.3%
Q4 25
11.7%
12.4%
Q3 25
16.8%
Q2 25
11.1%
Q1 25
14.6%
Q4 24
5.1%
12.6%
Q3 24
14.9%
Q2 24
9.1%
Net Margin
FMS
FMS
NOW
NOW
Q1 26
12.4%
Q4 25
7.9%
11.2%
Q3 25
14.7%
Q2 25
12.0%
Q1 25
14.9%
Q4 24
2.3%
13.0%
Q3 24
15.4%
Q2 24
10.0%
EPS (diluted)
FMS
FMS
NOW
NOW
Q1 26
$1.04
Q4 25
$-4.77
Q3 25
$2.40
Q2 25
$1.84
Q1 25
$2.20
Q4 24
$1.84
Q3 24
$2.07
Q2 24
$1.26

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
NOW
NOW
Cash + ST InvestmentsLiquidity on hand
$1.7B
$2.7B
Total DebtLower is stronger
Stockholders' EquityBook value
$15.4B
$11.7B
Total Assets
$33.5B
$24.4B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
NOW
NOW
Q1 26
$2.7B
Q4 25
$1.7B
$3.7B
Q3 25
$2.7B
Q2 25
$3.1B
Q1 25
$3.4B
Q4 24
$1.3B
$2.3B
Q3 24
$1.9B
Q2 24
$2.2B
Stockholders' Equity
FMS
FMS
NOW
NOW
Q1 26
$11.7B
Q4 25
$15.4B
$13.0B
Q3 25
$11.3B
Q2 25
$10.9B
Q1 25
$10.1B
Q4 24
$17.0B
$9.6B
Q3 24
$9.3B
Q2 24
$8.7B
Total Assets
FMS
FMS
NOW
NOW
Q1 26
$24.4B
Q4 25
$33.5B
$26.0B
Q3 25
$21.8B
Q2 25
$22.1B
Q1 25
$21.0B
Q4 24
$36.3B
$20.4B
Q3 24
$18.4B
Q2 24
$18.2B

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
NOW
NOW
Operating Cash FlowLast quarter
$2.9B
$1.7B
Free Cash FlowOCF − Capex
$1.7B
FCF MarginFCF / Revenue
44.2%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
6.67×
3.56×
TTM Free Cash FlowTrailing 4 quarters
$4.8B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
NOW
NOW
Q1 26
$1.7B
Q4 25
$2.9B
$2.2B
Q3 25
$813.0M
Q2 25
$716.0M
Q1 25
$1.7B
Q4 24
$2.6B
$1.6B
Q3 24
$671.0M
Q2 24
$620.0M
Free Cash Flow
FMS
FMS
NOW
NOW
Q1 26
$1.7B
Q4 25
$2.0B
Q3 25
$578.0M
Q2 25
$526.0M
Q1 25
$1.5B
Q4 24
$1.4B
Q3 24
$469.0M
Q2 24
$358.0M
FCF Margin
FMS
FMS
NOW
NOW
Q1 26
44.2%
Q4 25
56.1%
Q3 25
17.0%
Q2 25
16.4%
Q1 25
47.7%
Q4 24
46.7%
Q3 24
16.8%
Q2 24
13.6%
Capex Intensity
FMS
FMS
NOW
NOW
Q1 26
Q4 25
6.7%
Q3 25
6.9%
Q2 25
5.9%
Q1 25
6.6%
Q4 24
8.6%
Q3 24
7.2%
Q2 24
10.0%
Cash Conversion
FMS
FMS
NOW
NOW
Q1 26
3.56×
Q4 25
6.67×
5.58×
Q3 25
1.62×
Q2 25
1.86×
Q1 25
3.65×
Q4 24
20.20×
4.26×
Q3 24
1.55×
Q2 24
2.37×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

NOW
NOW

Subscription revenues$3.7B97%
Other$99.0M3%

Related Comparisons