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

Waste Management is the larger business by last-quarter revenue ($6.2B vs $5.5B, roughly 1.1× Fresenius Medical Care AG). Waste Management runs the higher net margin — 11.6% vs 7.9%, a 3.7% gap on every dollar of revenue. On growth, Waste Management posted the faster year-over-year revenue change (3.5% 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.

Waste management or waste disposal includes the processes and actions required to manage waste from its inception to its final disposal. This includes the collection, transport, treatment, and disposal of waste, together with monitoring and regulation of the waste management process and waste-related laws, technologies, and economic mechanisms.

FMS vs WM — Head-to-Head

Bigger by revenue
WM
WM
1.1× larger
WM
$6.2B
$5.5B
FMS
Growing faster (revenue YoY)
WM
WM
+3.8% gap
WM
3.5%
-0.3%
FMS
Higher net margin
WM
WM
3.7% more per $
WM
11.6%
7.9%
FMS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
FMS
FMS
WM
WM
Revenue
$5.5B
$6.2B
Net Profit
$434.2M
$723.0M
Gross Margin
27.4%
Operating Margin
11.7%
17.9%
Net Margin
7.9%
11.6%
Revenue YoY
-0.3%
3.5%
Net Profit YoY
240.4%
13.5%
EPS (diluted)
$1.79

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
WM
WM
Q1 26
$6.2B
Q4 25
$5.5B
$6.3B
Q3 25
$6.4B
Q2 25
$6.4B
Q1 25
$6.0B
Q4 24
$5.5B
$5.9B
Q3 24
$5.6B
Q2 24
$5.4B
Net Profit
FMS
FMS
WM
WM
Q1 26
$723.0M
Q4 25
$434.2M
$742.0M
Q3 25
$603.0M
Q2 25
$726.0M
Q1 25
$637.0M
Q4 24
$127.6M
$598.0M
Q3 24
$760.0M
Q2 24
$680.0M
Gross Margin
FMS
FMS
WM
WM
Q1 26
Q4 25
27.4%
41.5%
Q3 25
40.5%
Q2 25
40.3%
Q1 25
39.4%
Q4 24
25.0%
39.7%
Q3 24
39.4%
Q2 24
39.1%
Operating Margin
FMS
FMS
WM
WM
Q1 26
17.9%
Q4 25
11.7%
18.3%
Q3 25
15.3%
Q2 25
17.9%
Q1 25
16.8%
Q4 24
5.1%
15.6%
Q3 24
20.0%
Q2 24
18.7%
Net Margin
FMS
FMS
WM
WM
Q1 26
11.6%
Q4 25
7.9%
11.8%
Q3 25
9.4%
Q2 25
11.3%
Q1 25
10.6%
Q4 24
2.3%
10.1%
Q3 24
13.5%
Q2 24
12.6%
EPS (diluted)
FMS
FMS
WM
WM
Q1 26
$1.79
Q4 25
$1.83
Q3 25
$1.49
Q2 25
$1.80
Q1 25
$1.58
Q4 24
$1.49
Q3 24
$1.88
Q2 24
$1.69

Balance Sheet & Financial Strength

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

Metric
FMS
FMS
WM
WM
Cash + ST InvestmentsLiquidity on hand
$1.7B
$158.0M
Total DebtLower is stronger
$22.9B
Stockholders' EquityBook value
$15.4B
$10.0B
Total Assets
$33.5B
$45.7B
Debt / EquityLower = less leverage
2.28×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMS
FMS
WM
WM
Q1 26
$158.0M
Q4 25
$1.7B
$201.0M
Q3 25
$175.0M
Q2 25
$440.0M
Q1 25
$216.0M
Q4 24
$1.3B
$414.0M
Q3 24
$614.0M
Q2 24
$172.0M
Total Debt
FMS
FMS
WM
WM
Q1 26
$22.9B
Q4 25
$22.2B
Q3 25
$22.5B
Q2 25
$23.1B
Q1 25
$22.9B
Q4 24
$22.5B
Q3 24
$16.0B
Q2 24
$16.5B
Stockholders' Equity
FMS
FMS
WM
WM
Q1 26
$10.0B
Q4 25
$15.4B
$10.0B
Q3 25
$9.5B
Q2 25
$9.2B
Q1 25
$8.7B
Q4 24
$17.0B
$8.3B
Q3 24
$8.0B
Q2 24
$7.5B
Total Assets
FMS
FMS
WM
WM
Q1 26
$45.7B
Q4 25
$33.5B
$45.8B
Q3 25
$45.6B
Q2 25
$45.7B
Q1 25
$44.5B
Q4 24
$36.3B
$44.6B
Q3 24
$34.7B
Q2 24
$34.0B
Debt / Equity
FMS
FMS
WM
WM
Q1 26
2.28×
Q4 25
2.22×
Q3 25
2.36×
Q2 25
2.51×
Q1 25
2.65×
Q4 24
2.73×
Q3 24
2.00×
Q2 24
2.21×

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
WM
WM
Operating Cash FlowLast quarter
$2.9B
$1.5B
Free Cash FlowOCF − Capex
$981.0M
FCF MarginFCF / Revenue
15.8%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
6.67×
2.08×
TTM Free Cash FlowTrailing 4 quarters
$3.4B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMS
FMS
WM
WM
Q1 26
$1.5B
Q4 25
$2.9B
$1.7B
Q3 25
$1.6B
Q2 25
$1.5B
Q1 25
$1.2B
Q4 24
$2.6B
$1.5B
Q3 24
$1.4B
Q2 24
$1.2B
Free Cash Flow
FMS
FMS
WM
WM
Q1 26
$981.0M
Q4 25
$810.0M
Q3 25
$816.0M
Q2 25
$813.0M
Q1 25
$377.0M
Q4 24
$396.0M
Q3 24
$577.0M
Q2 24
$487.0M
FCF Margin
FMS
FMS
WM
WM
Q1 26
15.8%
Q4 25
12.8%
Q3 25
12.7%
Q2 25
12.6%
Q1 25
6.3%
Q4 24
6.7%
Q3 24
10.3%
Q2 24
9.0%
Capex Intensity
FMS
FMS
WM
WM
Q1 26
Q4 25
14.1%
Q3 25
12.0%
Q2 25
11.4%
Q1 25
13.8%
Q4 24
18.9%
Q3 24
13.9%
Q2 24
12.3%
Cash Conversion
FMS
FMS
WM
WM
Q1 26
2.08×
Q4 25
6.67×
2.29×
Q3 25
2.64×
Q2 25
2.13×
Q1 25
1.90×
Q4 24
20.20×
2.53×
Q3 24
1.79×
Q2 24
1.70×

Financial Flow Comparison

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

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