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Side-by-side financial comparison of Fresenius Medical Care AG (FMS) and VIEMED HEALTHCARE, INC. (VMD). 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 $76.2M, roughly 71.9× VIEMED HEALTHCARE, INC.). Fresenius Medical Care AG runs the higher net margin — 7.9% vs 7.4%, a 0.5% gap on every dollar of revenue. On growth, VIEMED HEALTHCARE, INC. posted the faster year-over-year revenue change (25.5% 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.

Viemed Healthcare, Inc. is a medical technology firm specializing in respiratory care solutions. It develops, manufactures and distributes portable ventilators, respiratory therapy devices and related support services, catering to acute care, post-acute care and home care segments across North America, Europe and key Asia-Pacific markets for patients with respiratory conditions.

FMS vs VMD — Head-to-Head

Bigger by revenue
FMS
FMS
71.9× larger
FMS
$5.5B
$76.2M
VMD
Growing faster (revenue YoY)
VMD
VMD
+25.8% gap
VMD
25.5%
-0.3%
FMS
Higher net margin
FMS
FMS
0.5% more per $
FMS
7.9%
7.4%
VMD

Income Statement — Q4 2025 vs Q4 2025

Metric
FMS
FMS
VMD
VMD
Revenue
$5.5B
$76.2M
Net Profit
$434.2M
$5.6M
Gross Margin
27.4%
57.9%
Operating Margin
11.7%
11.0%
Net Margin
7.9%
7.4%
Revenue YoY
-0.3%
25.5%
Net Profit YoY
240.4%
30.7%
EPS (diluted)
$0.14

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
VMD
VMD
Q4 25
$5.5B
$76.2M
Q3 25
$71.9M
Q2 25
$63.1M
Q1 25
$59.1M
Q4 24
$5.5B
$60.7M
Q3 24
$58.0M
Q2 24
$55.0M
Q1 24
$50.6M
Net Profit
FMS
FMS
VMD
VMD
Q4 25
$434.2M
$5.6M
Q3 25
$3.5M
Q2 25
$3.2M
Q1 25
$2.6M
Q4 24
$127.6M
$4.3M
Q3 24
$3.9M
Q2 24
$1.5M
Q1 24
$1.6M
Gross Margin
FMS
FMS
VMD
VMD
Q4 25
27.4%
57.9%
Q3 25
57.5%
Q2 25
58.3%
Q1 25
56.3%
Q4 24
25.0%
59.5%
Q3 24
59.3%
Q2 24
59.8%
Q1 24
58.9%
Operating Margin
FMS
FMS
VMD
VMD
Q4 25
11.7%
11.0%
Q3 25
7.8%
Q2 25
8.1%
Q1 25
6.5%
Q4 24
5.1%
10.6%
Q3 24
9.7%
Q2 24
6.6%
Q1 24
4.4%
Net Margin
FMS
FMS
VMD
VMD
Q4 25
7.9%
7.4%
Q3 25
4.9%
Q2 25
5.0%
Q1 25
4.4%
Q4 24
2.3%
7.1%
Q3 24
6.7%
Q2 24
2.7%
Q1 24
3.2%
EPS (diluted)
FMS
FMS
VMD
VMD
Q4 25
$0.14
Q3 25
$0.09
Q2 25
$0.08
Q1 25
$0.06
Q4 24
$0.10
Q3 24
$0.10
Q2 24
$0.04
Q1 24
$0.04

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
VMD
VMD
Cash + ST InvestmentsLiquidity on hand
$1.7B
$13.5M
Total DebtLower is stronger
Stockholders' EquityBook value
$15.4B
$141.5M
Total Assets
$33.5B
$199.2M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
VMD
VMD
Q4 25
$1.7B
$13.5M
Q3 25
$11.1M
Q2 25
$20.0M
Q1 25
$10.2M
Q4 24
$1.3B
$17.5M
Q3 24
$11.3M
Q2 24
$8.8M
Q1 24
$7.3M
Stockholders' Equity
FMS
FMS
VMD
VMD
Q4 25
$15.4B
$141.5M
Q3 25
$133.6M
Q2 25
$139.7M
Q1 25
$134.8M
Q4 24
$17.0B
$131.4M
Q3 24
$125.0M
Q2 24
$119.4M
Q1 24
$116.3M
Total Assets
FMS
FMS
VMD
VMD
Q4 25
$33.5B
$199.2M
Q3 25
$202.4M
Q2 25
$184.6M
Q1 25
$178.1M
Q4 24
$36.3B
$177.1M
Q3 24
$169.5M
Q2 24
$163.9M
Q1 24
$154.9M

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
VMD
VMD
Operating Cash FlowLast quarter
$2.9B
$18.4M
Free Cash FlowOCF − Capex
$9.7M
FCF MarginFCF / Revenue
12.7%
Capex IntensityCapex / Revenue
11.5%
Cash ConversionOCF / Net Profit
6.67×
3.27×
TTM Free Cash FlowTrailing 4 quarters
$11.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
VMD
VMD
Q4 25
$2.9B
$18.4M
Q3 25
$18.4M
Q2 25
$12.3M
Q1 25
$2.9M
Q4 24
$2.6B
$15.0M
Q3 24
$12.7M
Q2 24
$10.2M
Q1 24
$1.2M
Free Cash Flow
FMS
FMS
VMD
VMD
Q4 25
$9.7M
Q3 25
$10.7M
Q2 25
$4.1M
Q1 25
$-12.6M
Q4 24
$3.2M
Q3 24
$1.7M
Q2 24
$1.2M
Q1 24
$-4.8M
FCF Margin
FMS
FMS
VMD
VMD
Q4 25
12.7%
Q3 25
14.9%
Q2 25
6.5%
Q1 25
-21.4%
Q4 24
5.2%
Q3 24
3.0%
Q2 24
2.3%
Q1 24
-9.5%
Capex Intensity
FMS
FMS
VMD
VMD
Q4 25
11.5%
Q3 25
10.6%
Q2 25
12.9%
Q1 25
26.2%
Q4 24
19.5%
Q3 24
19.0%
Q2 24
16.3%
Q1 24
11.9%
Cash Conversion
FMS
FMS
VMD
VMD
Q4 25
6.67×
3.27×
Q3 25
5.23×
Q2 25
3.88×
Q1 25
1.09×
Q4 24
20.20×
3.47×
Q3 24
3.29×
Q2 24
6.94×
Q1 24
0.73×

Financial Flow Comparison

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

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