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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and Smurfit Westrock (SW). Click either name above to swap in a different company.

Smurfit Westrock is the larger business by last-quarter revenue ($7.6B vs $5.5B, roughly 1.4× Fresenius Medical Care AG). Fresenius Medical Care AG runs the higher net margin — 7.9% vs 1.3%, a 6.7% gap on every dollar of revenue. On growth, Smurfit Westrock posted the faster year-over-year revenue change (0.5% 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.

Smurfit Westrock plc is an Irish company based in Dublin, Ireland that manufactures corrugated and paper-based packaging. Its stock is listed on the New York Stock Exchange and the London Stock Exchange.

FMS vs SW — Head-to-Head

Bigger by revenue
SW
SW
1.4× larger
SW
$7.6B
$5.5B
FMS
Growing faster (revenue YoY)
SW
SW
+0.8% gap
SW
0.5%
-0.3%
FMS
Higher net margin
FMS
FMS
6.7% more per $
FMS
7.9%
1.3%
SW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMS
FMS
SW
SW
Revenue
$5.5B
$7.6B
Net Profit
$434.2M
$97.0M
Gross Margin
27.4%
18.2%
Operating Margin
11.7%
5.1%
Net Margin
7.9%
1.3%
Revenue YoY
-0.3%
0.5%
Net Profit YoY
240.4%
-33.6%
EPS (diluted)
$0.18

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
SW
SW
Q4 25
$5.5B
$7.6B
Q3 25
$8.0B
Q2 25
$7.9B
Q1 25
$7.7B
Q4 24
$5.5B
$7.5B
Q3 24
$7.7B
Q2 24
$3.0B
Q1 24
$2.9B
Net Profit
FMS
FMS
SW
SW
Q4 25
$434.2M
$97.0M
Q3 25
$246.0M
Q2 25
$-28.0M
Q1 25
$384.0M
Q4 24
$127.6M
$146.0M
Q3 24
$-150.0M
Q2 24
$132.0M
Q1 24
$191.0M
Gross Margin
FMS
FMS
SW
SW
Q4 25
27.4%
18.2%
Q3 25
19.6%
Q2 25
19.1%
Q1 25
20.6%
Q4 24
25.0%
19.1%
Q3 24
17.6%
Q2 24
23.3%
Q1 24
24.2%
Operating Margin
FMS
FMS
SW
SW
Q4 25
11.7%
5.1%
Q3 25
6.6%
Q2 25
3.2%
Q1 25
7.2%
Q4 24
5.1%
5.3%
Q3 24
0.7%
Q2 24
8.2%
Q1 24
10.5%
Net Margin
FMS
FMS
SW
SW
Q4 25
7.9%
1.3%
Q3 25
3.1%
Q2 25
-0.4%
Q1 25
5.0%
Q4 24
2.3%
1.9%
Q3 24
-2.0%
Q2 24
4.4%
Q1 24
6.5%
EPS (diluted)
FMS
FMS
SW
SW
Q4 25
$0.18
Q3 25
$0.47
Q2 25
$-0.05
Q1 25
$0.73
Q4 24
$-0.12
Q3 24
$-0.30
Q2 24
$0.51
Q1 24
$0.73

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
SW
SW
Cash + ST InvestmentsLiquidity on hand
$1.7B
$892.0M
Total DebtLower is stronger
$13.4B
Stockholders' EquityBook value
$15.4B
$18.3B
Total Assets
$33.5B
$45.2B
Debt / EquityLower = less leverage
0.73×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
SW
SW
Q4 25
$1.7B
$892.0M
Q3 25
$851.0M
Q2 25
$778.0M
Q1 25
$797.0M
Q4 24
$1.3B
$855.0M
Q3 24
Q2 24
$26.8K
Q1 24
$108
Total Debt
FMS
FMS
SW
SW
Q4 25
$13.4B
Q3 25
$13.3B
Q2 25
$13.3B
Q1 25
$12.9B
Q4 24
$12.5B
Q3 24
$13.2B
Q2 24
Q1 24
Stockholders' Equity
FMS
FMS
SW
SW
Q4 25
$15.4B
$18.3B
Q3 25
$18.4B
Q2 25
$18.3B
Q1 25
$17.9B
Q4 24
$17.0B
$17.4B
Q3 24
$18.0B
Q2 24
$14.5K
Q1 24
$108
Total Assets
FMS
FMS
SW
SW
Q4 25
$33.5B
$45.2B
Q3 25
$45.6B
Q2 25
$45.7B
Q1 25
$44.6B
Q4 24
$36.3B
$43.8B
Q3 24
$45.0B
Q2 24
$26.8K
Q1 24
$108
Debt / Equity
FMS
FMS
SW
SW
Q4 25
0.73×
Q3 25
0.72×
Q2 25
0.73×
Q1 25
0.72×
Q4 24
0.72×
Q3 24
0.73×
Q2 24
Q1 24

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
SW
SW
Operating Cash FlowLast quarter
$2.9B
$1.2B
Free Cash FlowOCF − Capex
$612.0M
FCF MarginFCF / Revenue
8.1%
Capex IntensityCapex / Revenue
7.7%
Cash ConversionOCF / Net Profit
6.67×
12.32×
TTM Free Cash FlowTrailing 4 quarters
$1.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
SW
SW
Q4 25
$2.9B
$1.2B
Q3 25
$1.1B
Q2 25
$829.0M
Q1 25
$235.0M
Q4 24
$2.6B
$781.0M
Q3 24
$320.0M
Q2 24
$340.0M
Q1 24
$42.0M
Free Cash Flow
FMS
FMS
SW
SW
Q4 25
$612.0M
Q3 25
$523.0M
Q2 25
$307.0M
Q1 25
$-242.0M
Q4 24
$212.0M
Q3 24
$-192.0M
Q2 24
$163.0M
Q1 24
$-166.0M
FCF Margin
FMS
FMS
SW
SW
Q4 25
8.1%
Q3 25
6.5%
Q2 25
3.9%
Q1 25
-3.2%
Q4 24
2.8%
Q3 24
-2.5%
Q2 24
5.5%
Q1 24
-5.7%
Capex Intensity
FMS
FMS
SW
SW
Q4 25
7.7%
Q3 25
7.6%
Q2 25
6.6%
Q1 25
6.2%
Q4 24
7.5%
Q3 24
6.7%
Q2 24
6.0%
Q1 24
7.1%
Cash Conversion
FMS
FMS
SW
SW
Q4 25
6.67×
12.32×
Q3 25
4.61×
Q2 25
Q1 25
0.61×
Q4 24
20.20×
5.35×
Q3 24
Q2 24
2.58×
Q1 24
0.22×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMS
FMS

Segment breakdown not available.

SW
SW

Packaging$3.3B43%
Other$3.2B43%
Paper$1.1B14%

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