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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and U.S. Bancorp (USB). Click either name above to swap in a different company.

U.S. Bancorp is the larger business by last-quarter revenue ($7.4B vs $5.5B, roughly 1.3× Fresenius Medical Care AG). U.S. Bancorp runs the higher net margin — 27.8% vs 7.9%, a 19.8% gap on every dollar of revenue. On growth, U.S. Bancorp posted the faster year-over-year revenue change (5.1% 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.

U.S. Bancorp is an American multinational banking institution headquartered in Minneapolis, Minnesota and incorporated in Delaware. It is the 5th-largest bank in the United States as of 2025. As the largest bank in the Midwestern United States, it is considered systemically important by the Financial Stability Board. It is the parent company of its primary operating entity, U.S. Bank National Association, which does business as U.S. Bank. The company provides banking, investment, mortgage, tr...

FMS vs USB — Head-to-Head

Bigger by revenue
USB
USB
1.3× larger
USB
$7.4B
$5.5B
FMS
Growing faster (revenue YoY)
USB
USB
+5.4% gap
USB
5.1%
-0.3%
FMS
Higher net margin
USB
USB
19.8% more per $
USB
27.8%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMS
FMS
USB
USB
Revenue
$5.5B
$7.4B
Net Profit
$434.2M
$2.0B
Gross Margin
27.4%
Operating Margin
11.7%
34.4%
Net Margin
7.9%
27.8%
Revenue YoY
-0.3%
5.1%
Net Profit YoY
240.4%
23.0%
EPS (diluted)
$1.26

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
USB
USB
Q4 25
$5.5B
$7.4B
Q3 25
$7.3B
Q2 25
$7.0B
Q1 25
$7.0B
Q4 24
$5.5B
$7.0B
Q3 24
$6.9B
Q2 24
$6.9B
Q1 24
$6.7B
Net Profit
FMS
FMS
USB
USB
Q4 25
$434.2M
$2.0B
Q3 25
$2.0B
Q2 25
$1.8B
Q1 25
$1.7B
Q4 24
$127.6M
$1.7B
Q3 24
$1.7B
Q2 24
$1.6B
Q1 24
$1.3B
Gross Margin
FMS
FMS
USB
USB
Q4 25
27.4%
Q3 25
Q2 25
Q1 25
Q4 24
25.0%
Q3 24
Q2 24
Q1 24
Operating Margin
FMS
FMS
USB
USB
Q4 25
11.7%
34.4%
Q3 25
34.5%
Q2 25
32.7%
Q1 25
31.0%
Q4 24
5.1%
30.1%
Q3 24
30.2%
Q2 24
29.9%
Q1 24
24.9%
Net Margin
FMS
FMS
USB
USB
Q4 25
7.9%
27.8%
Q3 25
27.3%
Q2 25
25.9%
Q1 25
24.6%
Q4 24
2.3%
23.7%
Q3 24
25.0%
Q2 24
23.3%
Q1 24
19.6%
EPS (diluted)
FMS
FMS
USB
USB
Q4 25
$1.26
Q3 25
$1.22
Q2 25
$1.11
Q1 25
$1.03
Q4 24
$1.01
Q3 24
$1.03
Q2 24
$0.97
Q1 24
$0.78

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
USB
USB
Cash + ST InvestmentsLiquidity on hand
$1.7B
Total DebtLower is stronger
Stockholders' EquityBook value
$15.4B
$65.2B
Total Assets
$33.5B
$692.3B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
USB
USB
Q4 25
$1.7B
Q3 25
Q2 25
Q1 25
Q4 24
$1.3B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
FMS
FMS
USB
USB
Q4 25
$15.4B
$65.2B
Q3 25
$63.3B
Q2 25
$61.4B
Q1 25
$60.1B
Q4 24
$17.0B
$58.6B
Q3 24
$58.9B
Q2 24
$56.4B
Q1 24
$55.6B
Total Assets
FMS
FMS
USB
USB
Q4 25
$33.5B
$692.3B
Q3 25
$695.4B
Q2 25
$686.4B
Q1 25
$676.5B
Q4 24
$36.3B
$678.3B
Q3 24
$686.5B
Q2 24
$680.1B
Q1 24
$683.6B

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
USB
USB
Operating Cash FlowLast quarter
$2.9B
$2.8B
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
6.67×
1.39×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
USB
USB
Q4 25
$2.9B
$2.8B
Q3 25
$3.4B
Q2 25
$2.0B
Q1 25
$-285.0M
Q4 24
$2.6B
$4.8B
Q3 24
$972.0M
Q2 24
$2.9B
Q1 24
$2.7B
Cash Conversion
FMS
FMS
USB
USB
Q4 25
6.67×
1.39×
Q3 25
1.69×
Q2 25
1.12×
Q1 25
-0.17×
Q4 24
20.20×
2.87×
Q3 24
0.57×
Q2 24
1.79×
Q1 24
2.02×

Financial Flow Comparison

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

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