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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and O’Reilly Automotive (ORLY). 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 $4.4B, roughly 1.2× O’Reilly Automotive). O’Reilly Automotive runs the higher net margin — 13.7% vs 7.9%, a 5.8% gap on every dollar of revenue. On growth, O’Reilly Automotive posted the faster year-over-year revenue change (7.8% 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.

O'Reilly Automotive, Inc., doing business as O'Reilly Auto Parts, is an American automotive part retailer that provides automotive parts, tools, supplies, equipment, and accessories to professional service providers and do-it-yourself customers. Founded in 1957 by the O’Reilly family, O'Reilly Auto Parts operates more than 6,400 stores in 48 states, Puerto Rico, Mexico, and Canada.

FMS vs ORLY — Head-to-Head

Bigger by revenue
FMS
FMS
1.2× larger
FMS
$5.5B
$4.4B
ORLY
Growing faster (revenue YoY)
ORLY
ORLY
+8.1% gap
ORLY
7.8%
-0.3%
FMS
Higher net margin
ORLY
ORLY
5.8% more per $
ORLY
13.7%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMS
FMS
ORLY
ORLY
Revenue
$5.5B
$4.4B
Net Profit
$434.2M
$605.2M
Gross Margin
27.4%
51.8%
Operating Margin
11.7%
18.8%
Net Margin
7.9%
13.7%
Revenue YoY
-0.3%
7.8%
Net Profit YoY
240.4%
9.8%
EPS (diluted)
$-8.01

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
ORLY
ORLY
Q4 25
$5.5B
$4.4B
Q3 25
$4.7B
Q2 25
$4.5B
Q1 25
$4.1B
Q4 24
$5.5B
$4.1B
Q3 24
$4.4B
Q2 24
$4.3B
Q1 24
$4.0B
Net Profit
FMS
FMS
ORLY
ORLY
Q4 25
$434.2M
$605.2M
Q3 25
$725.9M
Q2 25
$668.6M
Q1 25
$538.5M
Q4 24
$127.6M
$551.1M
Q3 24
$665.5M
Q2 24
$622.8M
Q1 24
$547.2M
Gross Margin
FMS
FMS
ORLY
ORLY
Q4 25
27.4%
51.8%
Q3 25
51.9%
Q2 25
51.4%
Q1 25
51.3%
Q4 24
25.0%
51.3%
Q3 24
51.6%
Q2 24
50.7%
Q1 24
51.2%
Operating Margin
FMS
FMS
ORLY
ORLY
Q4 25
11.7%
18.8%
Q3 25
20.7%
Q2 25
20.2%
Q1 25
17.9%
Q4 24
5.1%
18.0%
Q3 24
20.5%
Q2 24
20.2%
Q1 24
18.9%
Net Margin
FMS
FMS
ORLY
ORLY
Q4 25
7.9%
13.7%
Q3 25
15.4%
Q2 25
14.8%
Q1 25
13.0%
Q4 24
2.3%
13.5%
Q3 24
15.2%
Q2 24
14.6%
Q1 24
13.8%
EPS (diluted)
FMS
FMS
ORLY
ORLY
Q4 25
$-8.01
Q3 25
$0.85
Q2 25
$0.78
Q1 25
$9.35
Q4 24
$9.50
Q3 24
$11.41
Q2 24
$10.55
Q1 24
$9.20

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
ORLY
ORLY
Cash + ST InvestmentsLiquidity on hand
$1.7B
$193.8M
Total DebtLower is stronger
Stockholders' EquityBook value
$15.4B
$-763.4M
Total Assets
$33.5B
$16.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
ORLY
ORLY
Q4 25
$1.7B
$193.8M
Q3 25
$204.5M
Q2 25
$198.6M
Q1 25
$191.2M
Q4 24
$1.3B
$130.2M
Q3 24
$115.6M
Q2 24
$145.0M
Q1 24
$89.3M
Stockholders' Equity
FMS
FMS
ORLY
ORLY
Q4 25
$15.4B
$-763.4M
Q3 25
$-894.7M
Q2 25
$-1.2B
Q1 25
$-1.4B
Q4 24
$17.0B
$-1.4B
Q3 24
$-1.4B
Q2 24
$-1.6B
Q1 24
$-1.4B
Total Assets
FMS
FMS
ORLY
ORLY
Q4 25
$33.5B
$16.5B
Q3 25
$16.3B
Q2 25
$15.8B
Q1 25
$15.3B
Q4 24
$36.3B
$14.9B
Q3 24
$14.6B
Q2 24
$14.4B
Q1 24
$14.2B

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
ORLY
ORLY
Operating Cash FlowLast quarter
$2.9B
$633.5M
Free Cash FlowOCF − Capex
$364.5M
FCF MarginFCF / Revenue
8.3%
Capex IntensityCapex / Revenue
6.1%
Cash ConversionOCF / Net Profit
6.67×
1.05×
TTM Free Cash FlowTrailing 4 quarters
$1.6B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
ORLY
ORLY
Q4 25
$2.9B
$633.5M
Q3 25
$616.5M
Q2 25
$756.8M
Q1 25
$755.1M
Q4 24
$2.6B
$624.5M
Q3 24
$772.0M
Q2 24
$948.9M
Q1 24
$704.2M
Free Cash Flow
FMS
FMS
ORLY
ORLY
Q4 25
$364.5M
Q3 25
$304.4M
Q2 25
$456.1M
Q1 25
$468.2M
Q4 24
$334.0M
Q3 24
$513.7M
Q2 24
$723.5M
Q1 24
$455.0M
FCF Margin
FMS
FMS
ORLY
ORLY
Q4 25
8.3%
Q3 25
6.5%
Q2 25
10.1%
Q1 25
11.3%
Q4 24
8.2%
Q3 24
11.8%
Q2 24
16.9%
Q1 24
11.4%
Capex Intensity
FMS
FMS
ORLY
ORLY
Q4 25
6.1%
Q3 25
6.6%
Q2 25
6.6%
Q1 25
6.9%
Q4 24
7.1%
Q3 24
5.9%
Q2 24
5.3%
Q1 24
6.3%
Cash Conversion
FMS
FMS
ORLY
ORLY
Q4 25
6.67×
1.05×
Q3 25
0.85×
Q2 25
1.13×
Q1 25
1.40×
Q4 24
20.20×
1.13×
Q3 24
1.16×
Q2 24
1.52×
Q1 24
1.29×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

ORLY
ORLY

DIY Customer$2.2B49%
Professional Service Provider Customer$2.1B49%
Other Customers And Sales Adjustments$84.4M2%

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