Financials · FMS

Fresenius Medical Care AG (FMS) financials

For fiscal 2025 (ended Dec 31, 2025), Fresenius Medical Care AG reported €19.63B of revenue and €978.37M of net income. Figures are in EUR, the currency of its SEC filings.

Revenue, FY2025
€19.63B
Revenue growth, YoY
+1.5%
Net income, FY2025
€978.37M
Net income growth, YoY
+81.9%
Net margin
5.0%
EPS, diluted, FY2025
€3.36
EPS growth, YoY
+83.6%
Cash
€1.60B
Total debt
€5.69B
Annual revenue€19.63B
FY2016FY2025
Annual net income€978.37M
FY2016FY2025
Annual free cash flow€1.44B
FY2016FY2019

FMS revenue and earnings growth

FMS revenueFY2025€19.63B

FY YoY
+1.5%
5Y CAGR
+1.9%
10Y CAGR
+2.4%

FMS revenue was €19.63B for fiscal 2025 (ended Dec 31, 2025), up 1.5% from fiscal 2024. Compound annual growth was +1.9% over 5 years and +2.4% over 10 years. It rose in 7 of the last 10 fiscal years. Fiscal 2025 is the highest of the 11 fiscal years on file.

FMS net incomeFY2025€978.37M

FY YoY
+81.9%
5Y CAGR
-3.4%
10Y CAGR
+0.2%

FMS net income was €978.37M for fiscal 2025 (ended Dec 31, 2025), up 81.9% from fiscal 2024. Compound annual growth was -3.4% over 5 years and +0.2% over 10 years. It rose in 5 of the last 10 fiscal years.

FMS EPSFY2025€3.36

FY YoY
+83.6%
5Y CAGR
-3.2%

FMS diluted EPS was €3.36 for fiscal 2025 (ended Dec 31, 2025), up 83.6% from fiscal 2024. Compound annual growth was -3.2% over 5 years.

Income statement

Income statement
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue€19.63B€19.34B€19.45B€19.40B€17.62B€17.86B€17.48B€16.55B€17.78B€16.57B
Cost of revenue€14.60B€14.58B€14.53B€14.50B€12.85B€12.32B€12.08B€11.39B€11.77B€10.95B
Gross profit€5.03B€4.76B€4.93B€5.31B€5.08B€5.54B€5.40B€5.15B€6.02B€5.62B
Research and development€157.97M€183.49M€231.97M€228.62M€220.78M€193.77M€168.03M€114.07M€111.00M€146.51M
Selling, general and admin€3.03B€3.14B€3.20B€3.17B€2.77B€3.13B€3.03B€2.89B€3.64B€3.13B
Operating income€1.83B€1.39B€1.37B€1.51B€1.85B€2.30B€2.27B€3.04B€2.36B€2.41B
Interest expense€375.22M€393.32M€424.64M€360.14M€353.60M€409.98M€491.06M€448.47M€416.20M-€363.41M
Pre-tax income€1.51B€1.06B€1.03B€1.22B€1.57B€1.94B€1.84B€2.74B€2.00B€2.05B
Income tax€320.97M€316.06M€300.56M€324.95M€352.83M€500.56M€401.61M€511.08M€443.08M€625.44M
Net income€978.37M€537.91M€499.00M€673.40M€969.31M€1.16B€1.20B€1.98B€1.28B€1.14B
EPS, basic€3.36€1.83€1.70€2.30€3.31€3.96€3.96€6.47€4.17€3.74
EPS, diluted€3.36€1.83€1.70€2.30€3.31€3.96€3.96€6.45€4.16€3.73
Diluted shares291.2M293.4M293.4M293.2M292.9M294.1M302.7M306.5M306.6M305.75B

Balance sheet

Balance sheet
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Cash and equivalents€1.60B€1.18B€1.40B€1.27B€1.48B€1.08B€1.01B€2.15B€978.11M€708.88M
Receivables------€3.42B€3.23B--
Inventory€2.14B€2.07B€2.18B€2.30B€2.04B€1.90B€1.66B€1.47B€1.29B€1.34B
Current assets€7.90B€7.92B€8.70B€8.20B€7.97B€7.28B€7.17B€7.85B€6.37B€6.88B
Goodwill€13.57B€15.17B€14.65B€15.79B€14.36B€12.96B€14.02B€12.21B€12.10B€12.96B
Total assets€31.00B€33.57B€33.93B€35.75B€34.37B€31.69B€32.93B€26.24B€24.03B€25.50B
Current liabilities€6.25B€5.66B€6.11B€6.47B€7.26B€6.06B€7.06B€6.27B€5.30B€5.30B
Long-term debt€5.69B€6.26B€6.96B€7.17B€6.65B€6.80B€6.46B€5.05B€5.79B€6.83B
Total debt€5.69B€6.26B€6.96B€7.17B€6.65B€6.80B€6.46B€5.05B€5.79B€6.83B
Total liabilities€16.72B€17.80B€19.10B€20.30B€20.39B€19.36B€19.71B€13.34B€13.20B€14.45B
Shareholders' equity€13.31B€14.58B€14.83B€15.45B€13.98B€12.33B€13.23B€12.90B€10.83B€11.05B

Cash flow

Cash flow
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Operating cash flow€2.68B€2.39B€2.63B€2.17B€2.49B€4.23B€2.57B€2.06B€2.19B€1.93B
Capital expenditures------€1.12B€1.06B€944.46M-€930.52M
Free cash flow------€1.44B€1.00B€1.25B€1.00B
Investing cash flow-€722.53M-€84.94M-€544.23M-€734.73M-€1.20B-€1.33B-€3.29B-€245.04M-€991.54M-€1.25B
Financing cash flow-€1.40B-€2.57B-€1.86B-€1.62B-€1.02B-€2.66B-€466.63M-€681.74M-€798.63M-€519.72M
Dividends paid------€354.64M€324.84M€293.97M-€244.25M
Share repurchases€585.28M----€365.99M€599.80M€37.22M€57.94M€0
Stock-based compensation------€1.99M€10.74M€46.81M€27.43M
Depreciation and amortization-------€724.85M€735.48M€701.54M

Key ratios

Key ratios
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue growth, YoY1.5%-0.6%0.3%10.1%-1.3%2.2%5.6%-7.0%7.3%7.2%
Net income growth, YoY81.9%7.8%-25.9%-30.5%-16.8%-2.9%-39.5%54.9%11.9%19.8%
EPS growth, YoY83.6%7.6%-26.1%-30.5%-16.4%0.0%-38.6%55.0%--
Gross margin25.6%24.6%25.3%27.4%28.8%31.0%30.9%31.2%33.8%33.9%
Operating margin9.3%7.2%7.0%7.8%10.5%12.9%13.0%18.4%13.3%14.5%
Net margin5.0%2.8%2.6%3.5%5.5%6.5%6.9%12.0%7.2%6.9%
Free cash flow margin------8.3%6.1%7.0%6.0%
Return on equity7.4%3.7%3.4%4.4%6.9%9.4%9.1%15.4%11.8%10.4%
Return on assets3.2%1.6%1.5%1.9%2.8%3.7%3.6%7.6%5.3%4.5%
Current ratio1.261.401.421.271.101.201.021.251.201.30
Debt to equity0.430.430.470.460.480.550.490.390.540.62

Source: XBRL data Fresenius Medical Care AG files with the SEC, latest filing dated Feb 24, 2026 (see filings on SEC EDGAR). Provided for information only, not investment advice. Check the filing before relying on a number.

Per-share figures are as filed. The filings show no stock split in these periods.

EPS growth is left out where the share count moved enough to suggest a split the filings do not show. Growth rates need a positive starting figure. CAGR is compound annual growth between fiscal years. The CSV holds every period on file, in full figures, from the same SEC filings.

Foreign private issuers file annual reports with the SEC, so there are no quarterly statements here.

FMS peers

CompanyRevenueGrowthNet incomeNet marginMarket cap
FMS€19.63B+1.5%€978.37M5.0%$13.07B
DVA$14.17B+6.4%$920.08M6.5%$12.04B
SHC$1.23B+6.9%$173.47M14.1%$4.57B
PGNY$1.34B+5.5%$91.02M6.8%$2.67B
AGL$6.00B+2.0%-$87.10M-1.5%$1.90B
VMD$310.37M+21.8%$15.89M5.1%$346.0M
CCEL$31.13M-2.0%-$1.95M-6.2%$39.4M
NIVF$23.71M+336.3%$9.88M41.7%$4.5M

FMS FAQ

8 questions
  • What is FMS revenue?
    Fresenius Medical Care AG (FMS) reported €19.63B of revenue for fiscal 2025 (ended Dec 31, 2025). That is up 1.5% from the year before.
  • Is FMS profitable?
    Yes. Fresenius Medical Care AG earned €978.37M in net income for fiscal 2025 (ended Dec 31, 2025), a net margin of 5.0%.
  • How much cash and debt does FMS have?
    Fresenius Medical Care AG reported €1.60B in cash and cash equivalents and €5.69B of debt on its most recent balance sheet in SEC filings.
  • How fast is FMS revenue growing?
    Fresenius Medical Care AG's revenue changed +1.5% in fiscal 2025, to €19.63B. Its compound annual growth rate was +1.9% over 5 years and +2.4% over 10 years.
  • What is FMS gross margin?
    Fresenius Medical Care AG's gross profit was €5.03B on €19.63B of revenue for fiscal 2025 (ended Dec 31, 2025), a gross margin of 25.6%.
  • What is FMS earnings per share?
    Diluted earnings per share were €3.36 for fiscal 2025 (ended Dec 31, 2025), from SEC filings, restated for any stock split those filings show.
  • When did FMS last report financial results?
    The latest statements here come from Fresenius Medical Care AG's 20-F filed on Feb 24, 2026, covering the period ended Dec 31, 2025.
  • Where does this FMS financial data come from?
    Quantisnow builds these statements from the structured XBRL data Fresenius Medical Care AG files with the SEC. It is provided for information only and is not investment advice.