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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and RYDER SYSTEM INC (R). 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 $3.1B, roughly 1.8× RYDER SYSTEM INC). Fresenius Medical Care AG runs the higher net margin — 7.9% vs 3.0%, a 5.0% gap on every dollar of revenue. On growth, RYDER SYSTEM INC posted the faster year-over-year revenue change (1.0% 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.

Ryder System, Inc. is an American transportation and logistics company, specializing in truck rental and leasing, fleet management, supply chain management, and transportation management. It also offers full-service leasing, rental and maintenance, used vehicle sales, transportation management, professional drivers, e-commerce fulfillment, and last-mile delivery services. The company is headquartered in Coral Gables, Florida, and operates in the United States and United Kingdom.

FMS vs R — Head-to-Head

Bigger by revenue
FMS
FMS
1.8× larger
FMS
$5.5B
$3.1B
R
Growing faster (revenue YoY)
R
R
+1.3% gap
R
1.0%
-0.3%
FMS
Higher net margin
FMS
FMS
5.0% more per $
FMS
7.9%
3.0%
R

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
FMS
FMS
R
R
Revenue
$5.5B
$3.1B
Net Profit
$434.2M
$93.0M
Gross Margin
27.4%
Operating Margin
11.7%
Net Margin
7.9%
3.0%
Revenue YoY
-0.3%
1.0%
Net Profit YoY
240.4%
-5.1%
EPS (diluted)
$2.34

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
R
R
Q1 26
$3.1B
Q4 25
$5.5B
$3.2B
Q3 25
$3.2B
Q2 25
$3.2B
Q1 25
$3.1B
Q4 24
$5.5B
$3.2B
Q3 24
$3.2B
Q2 24
$3.2B
Net Profit
FMS
FMS
R
R
Q1 26
$93.0M
Q4 25
$434.2M
$132.0M
Q3 25
$138.0M
Q2 25
$131.0M
Q1 25
$98.0M
Q4 24
$127.6M
$135.0M
Q3 24
$142.0M
Q2 24
$127.0M
Gross Margin
FMS
FMS
R
R
Q1 26
Q4 25
27.4%
Q3 25
Q2 25
Q1 25
Q4 24
25.0%
Q3 24
Q2 24
Operating Margin
FMS
FMS
R
R
Q1 26
Q4 25
11.7%
5.6%
Q3 25
6.0%
Q2 25
5.8%
Q1 25
4.3%
Q4 24
5.1%
5.7%
Q3 24
5.9%
Q2 24
5.6%
Net Margin
FMS
FMS
R
R
Q1 26
3.0%
Q4 25
7.9%
4.2%
Q3 25
4.4%
Q2 25
4.1%
Q1 25
3.1%
Q4 24
2.3%
4.2%
Q3 24
4.5%
Q2 24
4.0%
EPS (diluted)
FMS
FMS
R
R
Q1 26
$2.34
Q4 25
$3.22
Q3 25
$3.32
Q2 25
$3.13
Q1 25
$2.27
Q4 24
$3.09
Q3 24
$3.24
Q2 24
$2.84

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
R
R
Cash + ST InvestmentsLiquidity on hand
$1.7B
$182.0M
Total DebtLower is stronger
Stockholders' EquityBook value
$15.4B
$2.9B
Total Assets
$33.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
R
R
Q1 26
$182.0M
Q4 25
$1.7B
$198.0M
Q3 25
$189.0M
Q2 25
$180.0M
Q1 25
$151.0M
Q4 24
$1.3B
$154.0M
Q3 24
$162.0M
Q2 24
$164.0M
Total Debt
FMS
FMS
R
R
Q1 26
Q4 25
$6.8B
Q3 25
$7.3B
Q2 25
$7.0B
Q1 25
$6.7B
Q4 24
$6.7B
Q3 24
$6.6B
Q2 24
$6.5B
Stockholders' Equity
FMS
FMS
R
R
Q1 26
$2.9B
Q4 25
$15.4B
$3.1B
Q3 25
$3.1B
Q2 25
$3.1B
Q1 25
$3.0B
Q4 24
$17.0B
$3.1B
Q3 24
$3.1B
Q2 24
$3.1B
Total Assets
FMS
FMS
R
R
Q1 26
Q4 25
$33.5B
$16.4B
Q3 25
$16.5B
Q2 25
$16.5B
Q1 25
$16.4B
Q4 24
$36.3B
$16.7B
Q3 24
$16.5B
Q2 24
$16.4B
Debt / Equity
FMS
FMS
R
R
Q1 26
Q4 25
2.24×
Q3 25
2.35×
Q2 25
2.27×
Q1 25
2.21×
Q4 24
2.14×
Q3 24
2.17×
Q2 24
2.09×

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
R
R
Operating Cash FlowLast quarter
$2.9B
$583.0M
Free Cash FlowOCF − Capex
$273.0M
FCF MarginFCF / Revenue
8.7%
Capex IntensityCapex / Revenue
13.7%
Cash ConversionOCF / Net Profit
6.67×
6.27×
TTM Free Cash FlowTrailing 4 quarters
$595.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
R
R
Q1 26
$583.0M
Q4 25
$2.9B
$749.0M
Q3 25
$442.0M
Q2 25
$752.0M
Q1 25
$651.0M
Q4 24
$2.6B
$558.0M
Q3 24
$629.0M
Q2 24
$552.0M
Free Cash Flow
FMS
FMS
R
R
Q1 26
$273.0M
Q4 25
$344.0M
Q3 25
$-85.0M
Q2 25
$63.0M
Q1 25
$137.0M
Q4 24
$-201.0M
Q3 24
$30.0M
Q2 24
$-87.0M
FCF Margin
FMS
FMS
R
R
Q1 26
8.7%
Q4 25
10.8%
Q3 25
-2.7%
Q2 25
2.0%
Q1 25
4.4%
Q4 24
-6.3%
Q3 24
0.9%
Q2 24
-2.7%
Capex Intensity
FMS
FMS
R
R
Q1 26
13.7%
Q4 25
12.8%
Q3 25
16.6%
Q2 25
21.6%
Q1 25
16.4%
Q4 24
23.8%
Q3 24
18.9%
Q2 24
20.1%
Cash Conversion
FMS
FMS
R
R
Q1 26
6.27×
Q4 25
6.67×
5.67×
Q3 25
3.20×
Q2 25
5.74×
Q1 25
6.64×
Q4 24
20.20×
4.13×
Q3 24
4.43×
Q2 24
4.35×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

R
R

Fleet Management Solutions$1.5B47%
ChoiceLease$878.0M28%
Dedicated Transportation Solutions$553.0M18%
Commercial rental$211.0M7%

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