vs

Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and S&P Global (SPGI). 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 $4.2B, roughly 1.3× S&P Global). S&P Global runs the higher net margin — 36.1% vs 7.9%, a 28.1% gap on every dollar of revenue. On growth, S&P Global posted the faster year-over-year revenue change (10.0% 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.

S&P Global Inc. is an American publicly traded corporation headquartered in Manhattan, New York. Its primary areas of business are financial information, analytics, and energy and commodities intelligence. It is the parent company of S&P Global Ratings, S&P Global Energy, S&P Global Market Intelligence, S&P Global Mobility, and the Indian credit rating agency CRISIL. It is also the majority owner of the S&P Dow Jones Indices joint venture. "S&P" is a shortening of "Standard and Poor's".

FMS vs SPGI — Head-to-Head

Bigger by revenue
FMS
FMS
1.3× larger
FMS
$5.5B
$4.2B
SPGI
Growing faster (revenue YoY)
SPGI
SPGI
+10.3% gap
SPGI
10.0%
-0.3%
FMS
Higher net margin
SPGI
SPGI
28.1% more per $
SPGI
36.1%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
FMS
FMS
SPGI
SPGI
Revenue
$5.5B
$4.2B
Net Profit
$434.2M
$1.5B
Gross Margin
27.4%
Operating Margin
11.7%
48.0%
Net Margin
7.9%
36.1%
Revenue YoY
-0.3%
10.0%
Net Profit YoY
240.4%
28.0%
EPS (diluted)
$4.69

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
SPGI
SPGI
Q1 26
$4.2B
Q4 25
$5.5B
$3.9B
Q3 25
$3.9B
Q2 25
$3.8B
Q1 25
$3.8B
Q4 24
$5.5B
$3.6B
Q3 24
$3.6B
Q2 24
$3.5B
Net Profit
FMS
FMS
SPGI
SPGI
Q1 26
$1.5B
Q4 25
$434.2M
$1.1B
Q3 25
$1.2B
Q2 25
$1.1B
Q1 25
$1.1B
Q4 24
$127.6M
$879.0M
Q3 24
$971.0M
Q2 24
$1.0B
Gross Margin
FMS
FMS
SPGI
SPGI
Q1 26
Q4 25
27.4%
70.1%
Q3 25
71.2%
Q2 25
70.2%
Q1 25
69.5%
Q4 24
25.0%
69.8%
Q3 24
70.0%
Q2 24
69.4%
Operating Margin
FMS
FMS
SPGI
SPGI
Q1 26
48.0%
Q4 25
11.7%
42.7%
Q3 25
43.1%
Q2 25
41.3%
Q1 25
41.8%
Q4 24
5.1%
36.4%
Q3 24
40.1%
Q2 24
40.9%
Net Margin
FMS
FMS
SPGI
SPGI
Q1 26
36.1%
Q4 25
7.9%
28.9%
Q3 25
30.2%
Q2 25
28.5%
Q1 25
28.9%
Q4 24
2.3%
24.5%
Q3 24
27.2%
Q2 24
28.5%
EPS (diluted)
FMS
FMS
SPGI
SPGI
Q1 26
$4.69
Q4 25
$3.76
Q3 25
$3.86
Q2 25
$3.50
Q1 25
$3.54
Q4 24
$2.85
Q3 24
$3.11
Q2 24
$3.23

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
SPGI
SPGI
Cash + ST InvestmentsLiquidity on hand
$1.7B
Total DebtLower is stronger
$13.3B
Stockholders' EquityBook value
$15.4B
$31.3B
Total Assets
$33.5B
$60.8B
Debt / EquityLower = less leverage
0.43×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
SPGI
SPGI
Q1 26
Q4 25
$1.7B
$1.8B
Q3 25
$1.7B
Q2 25
$1.8B
Q1 25
$1.5B
Q4 24
$1.3B
$1.7B
Q3 24
$1.7B
Q2 24
$2.0B
Total Debt
FMS
FMS
SPGI
SPGI
Q1 26
$13.3B
Q4 25
$13.1B
Q3 25
$11.4B
Q2 25
$11.4B
Q1 25
$11.4B
Q4 24
$11.4B
Q3 24
$11.4B
Q2 24
$11.4B
Stockholders' Equity
FMS
FMS
SPGI
SPGI
Q1 26
$31.3B
Q4 25
$15.4B
$31.1B
Q3 25
$33.1B
Q2 25
$33.4B
Q1 25
$33.4B
Q4 24
$17.0B
$33.2B
Q3 24
$34.0B
Q2 24
$34.9B
Total Assets
FMS
FMS
SPGI
SPGI
Q1 26
$60.8B
Q4 25
$33.5B
$61.2B
Q3 25
$59.7B
Q2 25
$60.4B
Q1 25
$59.9B
Q4 24
$36.3B
$60.2B
Q3 24
$60.4B
Q2 24
$61.0B
Debt / Equity
FMS
FMS
SPGI
SPGI
Q1 26
0.43×
Q4 25
0.42×
Q3 25
0.34×
Q2 25
0.34×
Q1 25
0.34×
Q4 24
0.34×
Q3 24
0.34×
Q2 24
0.33×

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
SPGI
SPGI
Operating Cash FlowLast quarter
$2.9B
Free Cash FlowOCF − Capex
$919.0M
FCF MarginFCF / Revenue
22.0%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
6.67×
TTM Free Cash FlowTrailing 4 quarters
$5.5B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
SPGI
SPGI
Q1 26
Q4 25
$2.9B
$1.7B
Q3 25
$1.5B
Q2 25
$1.4B
Q1 25
$953.0M
Q4 24
$2.6B
$1.7B
Q3 24
$1.4B
Q2 24
$1.6B
Free Cash Flow
FMS
FMS
SPGI
SPGI
Q1 26
$919.0M
Q4 25
$1.7B
Q3 25
$1.5B
Q2 25
$1.4B
Q1 25
$910.0M
Q4 24
$1.7B
Q3 24
$1.4B
Q2 24
$1.5B
FCF Margin
FMS
FMS
SPGI
SPGI
Q1 26
22.0%
Q4 25
43.5%
Q3 25
37.6%
Q2 25
36.9%
Q1 25
24.1%
Q4 24
47.5%
Q3 24
39.4%
Q2 24
42.9%
Capex Intensity
FMS
FMS
SPGI
SPGI
Q1 26
0.6%
Q4 25
1.2%
Q3 25
1.2%
Q2 25
1.6%
Q1 25
1.1%
Q4 24
0.9%
Q3 24
1.0%
Q2 24
0.9%
Cash Conversion
FMS
FMS
SPGI
SPGI
Q1 26
Q4 25
6.67×
1.54×
Q3 25
1.28×
Q2 25
1.35×
Q1 25
0.87×
Q4 24
20.20×
1.98×
Q3 24
1.49×
Q2 24
1.54×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

SPGI
SPGI

Ratings$1.3B31%
Market Intelligence$1.3B31%
Energy$652.0M16%
Indices$519.0M12%
Mobility$454.0M11%

Related Comparisons