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Fresenius SE & Co. KGaA

Quarterly Report Nov 6, 2025

166_rns_2025-11-06_96777737-2a99-4cb4-bb9d-335b672487b0.pdf

Quarterly Report

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QUARTERLY FINANCIAL REPORT

Q3 | 2025

  • 3 Fresenius Group figures at a glance 20 Fresenius Kabi 28 Consolidated financial statements

  • 9 Healthcare industry

  • External factors
  • 10 Results of operations, financial position, assets and liabilities 39 Notes
  • 10 Revenue
  • 11 Earnings

  • 15 Investments

  • 15 Divestments
  • 17 Cash flow
  • 18 Asset and liability structure

  • 20 Business segments

  • 22 Fresenius Helios 28 Consolidated statement of income

  • 24 Employees 29 Consolidated statement of comprehensive income
  • 4 Shareholder information 24 Research and development 30 Consolidated statement of financial position
  • 24 Rating 31 Consolidated statement of cash flows
  • 25 Opportunities and risk report 33 Consolidated statement of changes in equity
  • 6 Interim Group Management Report 26 Outlook 2025 37 Consolidated segment reporting first three quarters of 2025
  • 6 Strategy and goals 38 Consolidated segment reporting third quarter of 2025
  • 14 Reconciliation 60 Financial Calendar

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a global healthcare company. Committed to life – the health and wellbeing of patients is Fresenius' top priority. For more than 100 years, we have been combining cutting-edge technology with a focus on patients, paving the way for the therapies of the future.

REVENUE AND EARNINGS

€ i
illio
n m
ns
Q3 /
202
5
Gro
wth
Gro
wth
in c
tant
ons
1
cur
ren
cy
Q1-
3/ 2
025
Gro
wth
Gro
wth
in c
tant
ons
1
cur
ren
cy
2
Rev
en
ue
5,
47
7
3% 5% 16,
679
4% 6%
3
Org
ic g
th
an
row
6% 6%
2
EB
IT
574 4% 6% 1,
882
2% 3%
2
EB
IT
in
ma
rg
10.
5%
11.
3%
2,4
Ne
t in
com
e
46
1
19
%
21
%
3
1,
44
13
%
14
%
2,4
Ear
nin
sh
gs
per
are
0.8
2
19
%
21
%
2.5
6
13
%
14
%

LEVERAGE RATIO

Sep
. 30
, 20
25
Dec
. 31
, 20
24
2,5
Ne
t d
ebt
/E
BIT
DA
3.0 3.0

RETURNS

Q1-
3/ 2
025
Q1-
3 /2
024
Ca
sh
Co
rsio
n R
(C
CR
);
LT
M
ate
nve
1.0 1.2
2,6
Ret
in
ted
ita
l (R
OIC
)
urn
on
ves
ca
p
6.3
%
6.2
%

1 Growth rate adjusted for the hyperinflation in Argentina

2 Before special items

3 Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

4 Net income attributable to shareholders of Fresenius SE&Co. KGaA

5 At LTM average exchange rates for both net debt and EBITDA; pro forma acquisitions /divestitures; before special items including lease liabilities, including Fresenius Medical Care dividend; net debt adjusted for the valuation effect of the equity-neutral exchangeable bond

6 2024: annual return FY/24

SHAREHOLDER INFORMATION

The Fresenius stock surged around 41% in the first nine months of the fiscal year, outperforming the leading German and U.S. indices in a macro environment that remained volatile.

KEY DATA OF THE FRESENIUS SHARE

Nu
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sha
(S
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Low 31
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%
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Ø T
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Ma
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)
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18,
890
41
%

1 Xetra closing price on the Frankfurt Stock Exchange

The European Central Bank (ECB) revised its global growth forecasts for 2025 slightly upwards in September. Compared to its June 2025forecasts (3.1% for real gross domestic product (GDP) growth excluding the euro area), the ECB now forecasts 3.3% for 2025, as the global downturn is less steep than expected, supported by fiscal expansion in the United States, easing trade policy uncertainties and loose global financing conditions, which are mitigating the impact of U.S. tariff increases. For the euro area, however, the ECB's forecasts have been raised to 1.2% (previously: 0.9%). For 2025, the ECB expects average headline inflation (Harmonized Index of Consumer Prices) for the euro area to be 2.1% (previously 2.0%). In January 2025, March 2025, April 2025 and June 2025, the ECB lowered the key interest rate for the euro area by 0.25 percentage points to 2% in order to further support economic growth. Q1-3/ 20252024 Growth

Fresenius | Quarterly Financial Report | 1st -- 3rd Quarter and 3rd Quarter 2025

2 Total number of ordinary shares multiplied by the respective Xetra period-end quotation on the Frankfurt Stock Exchange

In September 2025, the Federal Reserve (FED) raised its forecast for real GDP growth in the United States for 2025 to 1.6% (previously: 1.4%). This adjustment reflects a slight improvement over previous expectations, despite ongoing uncertainties due to trade policy concerns and a deterioration in business and household sentiment, which are partially mitigated by positive data surprises and fiscal expansion.

The inflation forecast (PCE headline) for 2025 was left unchanged at 3.0% in the third quarter of 2025, primarily due to uncertainties caused by tariffs and persistent core inflation. In view of the prevailing uncertainties, the FED decided in October 2025 to lower the key interest rate range by 0.25 percentage points to 3.75% --4.00%.

In this economic environment, both the DAX in Germany and the S&P 500 in the United States reached new record highs.

The DAX rose by around 20% in the first nine months, while the leading U.S. index increased by around 14%. Fresenius shares performed even better during the same period. They closed at €47.40 on September 30, 2025, representing an increase of around 41% since the beginning of the year.

INTERIM GROUP MANAGEMENT REPORT

Disciplined execution drives continued strong performance – guidance raised

  • ►Q3/ 2025: Strong organic revenue and excellent EPS growth, EBIT growth guidance raised
  • ►Group revenue1 at €5,477 million with organic growth of 6%1,2 driven by consistent delivery across Fresenius Kabi and Fresenius Helios
  • ► Group EBIT1 at €574 million with 6%3 growth in constant currency; growth accelerated from the second quarter of 2025 driven by the strong operating performance at Fresenius Kabi, and a solid development at Fresenius Helios despite usual seasonality in Spain and the high prior-year base due to energy relief payments in Germany; Group EBIT margin1 improved to 10.5%.
  • ►Core EPS1,4 increased by excellent 14%3 in constant currency to €0.62 based on strong operating results and significantly decreased interest expense.
  • ►Net debt/EBITDA ratio at 3.0x1,5 within the self-imposed target corridor driven by strong cash flow delivery

STRATEGY AND GOALS

COMMITTED TO LIFE

At Fresenius, we live up to our promise of being committed to life. We save and improve human lives with affordable, accessible, and innovative healthcare products and the highest quality in clinical care. In doing so, we consider significant paradigm shifts in the healthcare environment with regards to biologic products and therapies, technological change, and new forms of data generation, processing, and usage.

Patients are always in the focus of our activities. Our vision is to be the trusted, market-leading healthcare company that unites cutting-edge technology and human care to shape next-level therapies.

Our portfolio targets three platforms: (Bio)Pharma -- including clinical nutrition, MedTech, and Care Provision. With these platforms, we cater to major trends in healthcare and are becoming a more therapy-focused company. The health and quality of life of our patients is at the core. At the same time, our platforms address attractive value pools in healthcare, which will provide opportunities for future profitable growth. The composition of our business portfolio enables a strong focus on margins and capital returns,

and the highest ambitions for operational excellence and competitiveness.

Fresenius operates in key healthcare areas. We continuously develop our business segments and strive to assume leading positions in system-critical healthcare markets and segments.

At the same time, we hold ourselves accountable to the highest standards of quality and integrity. All of our business segments make an overall contribution to increasing the quality, affordability, and efficiency of healthcare as

1 Before special items

2 Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

3 Growth rate adjusted for Argentina hyperinflation

4 Excluding Fresenius Medical Care

5 At average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures, including lease liabilities, including Fresenius Medical Care dividend, net debt adjusted for the valuation effect of the equity-neutral exchangeable bond

well as patient satisfaction. At the same time, we care for our environment by protecting nature and using its resources carefully.

Fresenius Kabi's commitment is to improving the quality of life of its patients. The quality and safety of its products and services is thus of paramount importance to Fresenius Kabi.

Fresenius Helios' hospitals are characterized by high standards of treatment quality, hygiene, patient safety, and quality of care.

At Fresenius, we combine our medical expertise with extensive production capacities, and clinical practice with technology know-how to continuously improve therapies for our patients. We will continue building on our strength in technology, our competence and quality in patient care, and our ability to manufacture cost-effectively. Developing products and systems that provide a high level of safety and user-friendliness and enable tailoring to individual patient needs is an inherent part of our strategy of sustainable and profitable growth. We plan to develop more effective products and treatment methods in order to offer best-in-class medical standards. Digitalization is playing an increasingly important role -- whether it is in healthcare facilities or in production. It drives innovative technologies and treatment concepts and can contribute to solving numerous challenges in the healthcare system.

The commitment of our more than 177,000 employees worldwide is key for the success and sustained growth of Fresenius. We firmly believe in a culture of diversity, as we are convinced that different perspectives, opinions, experiences, and values enable Fresenius to continue successfully growing as a global healthcare company.

To tackle the upcoming challenges and be able to continue to grow as a company, attracting new employees is key. Not only do we try to attract new talent, but also do everything we can to retain and develop our employees over the long term. We offer a variety of flexible workingtime models and incentive programs to ensure that our long-term needs for highly qualified employees are met. Furthermore, we offer our employees attractive opportunities to develop their careers in an international and dynamic environment.

EXECUTING SEGMENT STRATEGIES

The Fresenius Group offers a broad spectrum of systemcritical products and services for the health and quality of life of our patients. Our business segments hold leading positions in key areas of healthcare, and all of them are continuing to execute their respective strategic priorities to sustain leadership and contribute significantly to the benefit of healthcare systems. At the level of the Fresenius Group, we manage the strategic direction of the Group, and orient our portfolio towards value-maximizing business areas and maximum patient impact.

With its Vision 2026, Fresenius Kabi has developed a strategic plan to transform the company for the next decade and to better capture new growth opportunities. Fresenius Kabi will continue to focus on high-quality products and services for critically and chronically ill patients. Within this clear direction, Fresenius Kabi has defined three growth vectors, alongside the strengthening of the

resilience of our volume businesses (3+1 strategy). The growth vectors are:

  • ►the broadening of our biopharmaceutical offering,
  • ►further rollout of clinical nutrition,
  • ►expansion in the MedTech area.

We consistently pursued our segment strategy in fiscal year 2024. Fresenius Kabi and mAbxience form a complete, vertically integrated biopharmaceutical business, that holds a strong portfolio and pipeline, provides extensive and costefficient manufacturing, and is strengthening the targeted commercial footprint in Fresenius Kabi's and mAbxience's target regions. In addition, Fresenius Kabi and mAbxience continue to strengthen the biopharma business and strategic network through new agreements and partnerships.

Successful market launches have made Fresenius Kabi the leading provider of intravenous lipid nutrition in North America. This strengthens the global clinical nutrition business beyond its solid base in Europe, Latin America, and Asia-Pacific.

Our MedTech business has been further strengthened by Ivenix. With the award-winning Ivenix infusion system, we are entering the infusion therapy market in the United States. The design of the Ivenix infusion system is easier to use than conventional systems and increases the safety of infusions. The pump also works seamlessly with other systems.

In parallel, Fresenius Kabi has continued to build resilience in its volume-driven IV business and is extending the portfolio with continued launches in all regions.

Fresenius Helios wants to further strengthen its position as the leading private healthcare service provider in Europe.

Helios Germany will continue to focus its offerings on cross-sector healthcare, further specialize hospitals, and coordinate their respective medical service portfolios within regional structures. In regional competence centers, we are already pooling expertise in various specialist areas in order to achieve the best treatment results for our patients. We will continue to drive this clustering forward in the future in order to further enhance medical quality. We intend to exploit the growth potential in the outpatient sector by linking our medical care centers (MVZs) even more closely with hospitals. In addition, we will seize the newly created regulatory opportunity of daytime inpatient treatment as a further form of care. We also aim to increase the efficiency of our energy consumption in the interests of sustainability and climate protection.

In Spain, we expect demand for hospital and other healthcare services to continue to rise. We aim to integrate our diverse range of inpatient and outpatient services even better and further expand them across the entire network of sites. We will selectively consider building new clinics and expanding existing hospital sites.

Fresenius Helios consistently puts focus on the strategic factors of medical excellence, innovation, and service quality in order to attract patients. Our focus here is on optimal treatment quality as well as patient satisfaction.

Fresenius Helios is constantly advancing its digitalization agenda in order to further improve patient care and service, building on our already extensive digital offering in particular through the Quirónsalud patient portal and app. Alongside the digitalization of our documents and internal processes, we will focus even more strongly on the digitalization of direct clinical processes and clinical decision support in the future. In doing so, we also want to make responsible use of the opportunities offered by artificial intelligence.

#FUTUREFRESENIUS

In fiscal year 2024, we further advanced our #FutureFresenius program in order to transform our Group and position it for the coming decades. We continued to make great progress in fiscal year 2024, in both the structural and financial progression of the Group, and kept the transformation momentum.

The healthcare industry has a long runway for growth, which will be accelerated by quickly evolving technologies, new therapies such as biopharmaceuticals, more and more professional steering of patient journeys, and an in-depth digital revolution. We want Fresenius to be at the forefront of these trends and have thus charted our course for continued system relevance in our businesses.

The first step of this journey was a Reset: strengthening our return focus, driving structural productivity, and creating change momentum across the organization. The next step in the journey was the Revitalize phase, with continuous portfolio optimization and the pursuit of growth verticals. In fiscal year 2025, we started the rejuvenate phase, in which we aim to grow profitably along our strategic platforms. In addition to the disciplined continued development of our portfolio, we will also succeed in driving forward future-oriented innovations.

After the deconsolidation of Fresenius Medical Care and targeted divestments in fiscal year 2023, we further sharpened the focus of the portfolio in 2024 with a structured exit from Fresenius Vamed, achieving structural simplification. Financial progression was further driven based on the clear structures and responsibilities defined with the new operating model as well as rigorous productivity measures. The Fresenius Financial Framework enabled us to steer and enhance performance more effectively and will continue to guide us in the future.

HEALTHCARE INDUSTRY

The healthcare sector is one of the world's largest industries and we are convinced that it demonstrates excellent growth opportunities.

The main growth factors are:

  • ►rising medical needs deriving from aging populations,
  • ► the growing number of chronically ill and multimorbid patients,
  • ► stronger demand for innovative products and therapies,
  • ►advances in medical technology,
  • ► the growing health consciousness, which increases the demand for healthcare services and facilities, and
  • ► the increasing demand for digital health services for patients.

In the emerging countries, additional drivers are:

  • ► expanding availability and correspondingly greater demand for basic healthcare, and
  • ► increasing national incomes and hence higher spending on healthcare.

In order to limit the constantly rising expenditure in the healthcare system, cost bearers are increasingly reviewing care structures to identify potential savings. However, rationalization alone cannot compensate for the rise in costs. For this reason, market-based incentives for cost-and quality-conscious action in the healthcare sector should also be created. In this way, treatment costs can be reduced by improving the overall quality of care. As a result, prevention programs are becoming just as important as innovative remuneration models that are linked to the quality of treatment. The digitalization of the healthcare system in particular can also contribute to improved patient care and greater cost efficiency.

The industry-specific framework for the operating business of the Fresenius Group remained essentially unchanged in the reporting period.

EXTERNAL FACTORS

In the period under review, the overall challenging macroeconomic environment continued to be characterized by geopolitical tensions, and easing trade policy uncertainties.

Despite the challenging market environment, the structural growth drivers in the non-cyclical healthcare markets are in place.

The legal framework for the operating business of the Fresenius Group remained essentially unchanged in the period under review.

Currency exchange rate effects can be found in the statement of comprehensive income on page 29. The extraordinarily high inflation in Argentina and the associated devaluation of the Argentinian peso had a negative impact on the consolidated income statement.

In the period under review, the Fresenius Group was involved in various legal disputes resulting from business operations. Although it is not possible to predict the outcome of these disputes, none is expected to have a significant adverse impact on the assets and liabilities, financial position, and results of operations of the Group.

We carefully monitor and evaluate country-specific, political, legal, and financial conditions regarding their impact on our business activities. This also applies to the potential impact of inflation and currency risks.

RESULTS OF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

Organic growth rates and growth at constant rates of Fresenius Kabi are adjusted. Adjustments relate to the hyperinflation in Argentina. Accordingly, growth rates of the Fresenius Group are also adjusted.

With the gradual exit from Vamed, results of operations and financial position of the Fresenius Group are adjusted.

REVENUE

Group revenue before special items increased by 3% (5% in constant currency) to €5,477 million (Q3/ 2024: €5,303 million). Organic growth was 6% driven by consistent delivery across Fresenius Kabi and Fresenius Helios. In total, currency translation had a negative effect of -2 percentage points on revenue growth.

In the first three quarters of 2025, Group revenue before special items increased by 4% (6% in constant currency) to €16,679 million (Q1-- 3/ 2024: €16,000 million). Organic growth was 6%. In total, currency translation had a negative effect of -2 percentage point on revenue growth.

REVENUE BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q3 /
202
5
Q3 /
202
4
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
tes1
stan
t ra
con
Org
anic
1
wth
gro
Acq
uisi
tion
s
Div
esti
/
ture
s
Oth
ers
% o
f to
tal
reve
nue
Fre
ius
Ka
bi
sen
2,
141
2,
114
1% -5% 6% 7% 0% -1% 39
%
Fre
ius
He
lios
sen
3,
240
3,
082
5% 0% 5% 5% 0% 0% 59
%
Co
e/O
the
rat
rpo
r
96 107 n.a n.a n.a n.a n.a n.a 2%
To
tal
5,
47
7
303
5,
3% -2% 5% 6% 0% -1% 100
%
€ i
illio
n m
ns
Q1-
3/ 2
025
Q1-
3 /2
024
Gro
wth
Cur
ren
cy
ion
tran
slat
effe
cts
Gro
wth
at
tes1
stan
t ra
con
Org
anic
1
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gro
Acq
uisi
tion
s
Div
esti
ture
/
s
Oth
ers
f to
% o
tal
reve
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Fre
ius
Ka
bi
sen
6,
39
8
6,
266
2% -3% 5% 6% 0% -1% 38
%
ius
lios
Fre
He
sen
10,
004
46
6
9,
6% 0% 6% 6% 0% 0% 60
%
Co
e/O
the
rat
rpo
r
277 268 n.a n.a n.a n.a n.a n.a 2%
To
tal
16,
679
16,
000
4% -2% 6% 6% 0% 0% 100
%

REVENUE BY REGION

€ i
illio
n m
ns
Q3 /
202
5
Q3 /
202
4
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
tes1
stan
t ra
con
Org
anic
1
wth
gro
Acq
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tion
s
Div
esti
/
ture
s
Oth
ers
% o
f to
tal
reve
nue
eri
No
rth
Am
ca
643 68
1
-6% -7% 1% 1% 0% 0% 12
%
Eu
rop
e
4,
055
3,
823
6% 0% 6% 6% 0% 0% 74
%
As
ia-
Pac
ific
383 40
6
-6% -6% 0% 0% 0% 0% 7%
Lat
in A
ric
me
a
35
1
353 -1% -13
%
12
%
%
14
0% -2% 6%
Afr
ica
45 40 13
%
-2% 15
%
15
%
0% 0% 1%
To
tal
5,
47
7
5,
303
3% -2% 5% 6% 0% -1% 100
%
€ i
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ns
Q1-
3/ 2
025
Q1-
3 /2
024
Gro
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% o
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No
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Am
eri
ca
2,
014
2,
002
1% -3% 4% 4% 0% 0% 12
%
Eu
rop
e
12,
364
11,
602
7% 0% 7% 7% 0% 0% 74
%
As
ia-
Pac
ific
137
1,
21
1,
1
-6% -3% -3% -3% 0% 0% 7%
Lat
in A
ric
me
a
1,
042
1,
073
-3% -13
%
10
%
13
%
0% -3% 6%
Afr
ica
122 112 9% -1% 10
%
10
%
0% 0% 1%
To
tal
16,
679
16,
000
4% -2% 6% 6% 0% 0% 100
%

1 Growth rate adjusted for accounting effects related to Argentina hyperinflation

In the first three quarters of 2025, Group EBITDA before special items increased by 1% (2% in constant currency) to €2,683 million (Q1-- 3/ 2024: €2,652 million). Reported Group EBITDA was €2,519 million (Q1-- 3/ 2024: €2,507 million).

Group EBIT before special items increased by 4% (6% in constant currency) to €574 million (Q3/ 2024: €552 million) despite the absence of energy relief payments at Helios Germany, the usual seasonality at the Spanish hospital business in the third quarter, and the impact of the Volumebased Procurement of the nutrition product Ketosteril in China at Fresenius Kabi. The strong development in the third quarter of 2025 was additionally supported by positive phasing effects.

The EBIT margin before special items was 10.5% (Q3/ 2024: 10.4%). Reported Group EBIT was €466 million (Q3/ 2024: €490 million).

In the first three quarters of 2025, Group EBIT before special items increased by 2% (3% in constant currency) to €1,882 million (Q1--3/2024: €1,843 million) despite of the headwinds from ceased energy relief payments at Helios Germany and negative impact of the Volume-based Procurement of Ketosteril in China at Fresenius Kabi. The EBIT margin before special items was 11.3% (Q1--3/2024: 11.5%). Reported Group EBIT was €1,713 million (Q1--3/2024: €1,648 million).

Group net interest before special items was -€81 million (Q3/ 2024: -€116 million) mainly driven by a strong cash flow development and financial debt reduction. Reported Group net interest (including other financial result) was -€53 million (Q3/ 2024: -€115 million).

In the first three quarters of 2025, Group net interest before special items was -€247million (Q1-- 3/ 2024: -€336 million) mainly driven by a strong cash flow development and financial debt reduction. Reported Group net interest (including other financial result) was -€254 million (Q1-- 3/ 2024: -€335 million).

Group tax rate before special items was 24.7% (Q3/ 2024: 24.5%). Reported Group tax rate was 24.2% (Q3/ 2024: 16.2%).

In the first three quarters of 2025, Group tax rate before special items was 25.0% (Q1-- 3/ 2024: 25.1%). Reported Group tax rate was 25.4% (Q1-- 3/ 2024: 31.4%).

Noncontrolling interests from continuing operations before special items were -€20 million (Q3/ 2024: -€17 million). Reported noncontrolling interests were -€20 million (Q3/ 2024: -€19 million).

In the first three quarters of 2025, noncontrolling interests from continuing operations before special items were -€48 million (Q1-- 3/ 2024: -€58 million). Reported noncontrolling interests were -€48 million (Q1-- 3/ 2024: -€29 million).

Net income1 from deconsolidated Fresenius Medical Care operations before special items increased by 45% (50% in constant currency) to €110 million (Q3/ 2024: €76 million).

In the first three quarters of 2025, net income1from deconsolidated Fresenius Medical Care operations before special items increased by 29% (31% in constant currency) to €264 million (Q1-- 3/ 2024: €205 million).

Reported net income from discontinued operations1 was €1 million (Q3/ 2024 -€2 million).

In the first three quarters of 2025, reported net income from discontinued operations1 was -€228 million (Q1-- 3/ 2024: -€647 million).

Group net income1 before special items increased by 19% (21% in constant currency) to €461 million (Q3/2024: €388 million). The good operating performance of the core businesses, further productivity gains at Fresenius Kabi and strict cost discipline at Fresenius Helios drove this strong performance, that was supported by the significantly decreased year-over-year interest expenses. Reported Group net income1 increased to €344 million (Q3/ 2024: €326 million).

In the first three quarters of 2025, Group net income1 before special items increased by 13% (14% in constant currency) to €1,443 million (Q1-- 3/ 2024: €1,276 million) based on excellent operating performance and significantly decreased interest expenses. Reported Group net income1 increased to €903 million (Q1-- 3/ 2024: €231 million).

Earnings per share1 before special items increased by 19% (21% in constant currency) to €0.82 (Q3/ 2024: €0.69). Reported earnings per share1 were €0.62 (Q3/ 2024: €0.58).

In the first three quarters of 2025, earnings per share1 before special items increased by 13% (14% in constant currency) to €2.56 (Q1-- 3/ 2024: €2.27). Reported earnings per share1 were €1.61 (Q1-- 3 / 2024: €0.41).

Fresenius | Quarterly Financial Report | 1st -- 3rd Quarter and 3rd Quarter 2025

1 Net income attributable to shareholders of Fresenius SE&Co. KGaA

Table of contents

KEY FINANCIAL FIGURES (BEFORE SPECIAL ITEMS)

€ in millions Q3/2025 03/2024 Growth Growth
cc 5
01-3/2025 01-3/2024 Growth Growth
cc 5
Revenue 5,477 5,303 3% 5% 16,679 16,000 4% 6%
Fresenius Kabi 2,141 2,114 1% 6% 6,398 6,266 2% 5%
Fresenius Helios 3,240 3,082 5% 5% 10,004 9,466 6% 6%
Corporate/Other 96 107 - 277 268 - -
Operating income (EBIT) 574 552 4% 6% 1,882 1,843 2% 3%
Fresenius Kabi 358 335 7% 10% 1,064 979 9% 10%
Fresenius Helios 242 244 -1% 0% 912 949 -4% -3%
Corporate/Other -26 -27 - - -94 -85 - -
Financial result -81 -116 30% 30% -247 -336 26% 26%
Income before income taxes 493 436 13% 17% 1,635 1,507 8% 11%
Income taxes -122 -107 -14% -19% -408 -378 -8% -10%
Net income 371 329 13% 16% 1,227 1,129 9% 11%
less noncontrolling interests -20 -17 -18% -35% -48 -58 17% 7%
Net income from deconsolidated Fresenius Medical Care operations 1 110 76 45% 50% 264 205 29% 31%
Net income 1 461 388 19% 21% 1,443 1,276 13% 14%
EBITDA 847 814 4% 6% 2,683 2,652 1% 2%
EBITDA margin 15.5% 15.3% - 16.1% 16.6%
Depreciation and amortization 273 262 4% 6% 801 809 -1% 0%
EBIT margin 10.5% 10.4% 11.3% 11.5%
Operating cash flow from continuing operations 2 759 778 -2% 1,266 1,492 -15%
as % of revenue (continuing operations) 2 13.9% 14.7% - 7.6% 9.3%
Cash flow before acquisitions and dividends (continuing operations) 2 525 547 -4% 763 1,037 -26%
as % of revenue (continuing operations) 2 9.6% 10.3% 4.6% 6.5%
ROIC 3 _ 6.3% 6.2%
Net debt/EBITDA 4 2.97 3.03

<sup>1 Net income attributable to shareholders of Fresenius SE&Co. KGaA

2 Prior year figures have been adjusted due to the gradual exit from Fresenius Vamed.
3 The underlying pro forma EBIT does not include special items; 2024: annual return FY/24

4 At LTM average exchange rates for both net debt and EBITDA; pro forma acquisitions/divestitures; including lease liabilities;

including Fresenius Medical Care dividend; net debt adjusted for the valuation effect of the equity-neutral exchangeable bond; 2024: December 31 5 Growth rates adjusted for hyperinflation in Argentina

€ in millions Q3/2025 Q3/2024
restated 1
Q3/2024
previous
Growth Q1-3/2025 Q1-3/2024
restated 1
Q1-3/2024
previous
Growth
Revenue 5,485 5,315 5,366 3% 16,717 16,105 16,203 4%
Costs of revenue -4,185 -3,957 -4,003 -6% -12,548 -11,908 -12,240 -5%
Gross profit 1,300 1,358 1,363 -4% 4,169 4,197 3,963 -1%
Selling, general and administrative expenses -676 -700 -706 3% -2,059 -2,090 -2,193 1%
Research and development expenses -159 -170 -170 6% -463 -464 -464 0%
Other operating result 1 2 5 -50% 66 5 7
Operating income (EBIT) 466 490 492 -5% 1,713 1,648 1,313 4%
Income from investments accounted for using the equity method 66 39 39 69% 122 10 10
Interest result -81 -115 -116 30% -248 -335 -336 26%
Other financial result 28 _ _ -6 -
Income before income taxes 479 414 415 16% 1,581 1,323 987 20%
Income taxes -116 -67 -96 -73% -402 -416 -391 3%
Net income from continuing operations 363 347 319 5% 1,179 907 596 30%
Noncontrolling interests in continuing operations 20 19 14 5% 48 29 -41 66%
Net income from continuing operations 2 343 328 305 5% 1,131 878 637 29%
Net income from discontinued operations 2 1 -2 21 150% -228 -647 -406 65%
Net income 364 344 344 6% 951 58 58
Noncontrolling interests in net income 20 18 18 11% 48 -173 -173 128%
Net income 2 344 326 326 6% 903 231 231
Earnings per ordinary share (€) 0.62 0.58 0.58 6% 1.61 0.41 0.41

Financial Calendar/Contact

$^1$ Prior year figures have been adjusted due to the gradual exit from Fresenius Vamed. $^2$ Net income attributable to shareholders of Fresenius SE 8 Co. KGaA

To present the underlying operational business performance and in order to compare the results with the scope of the guidance provided for fiscal year 2025, key figures are presented before special items.

Consolidated results for the third quarter of 2025 and 2024 as well as the first three quarters of 2025 and 2024 include special items.

These concern:

  • ►Cost and efficiency programs
  • ►Legacy portfolio adjustments
  • ► Fresenius transformation (discontinued operations Vamed, Vamed transformation and Vamed exit, IT-transformation, legal form conversion costs Fresenius Medical Care, amongst others)
  • ►Reduction of participation in Fresenius Medical Care
  • ► Special items Fresenius Medical Care (impact of PPA equity method Fresenius Medical Care, special items at Fresenius Medical Care (September 30, 2025: ~29%))
  • ►Legal&regulatory matters

The special items shown within the reconciliation tables are reported in the ''Corporate /Other'' segment.

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1 Net income attributable to shareholders of Fresenius SE&Co. KGaA

INVESTMENTS

In the first three quarters of 2025, spending on property, plant and equipment was €602 million corresponding to 3.6% of revenue (Q1-- 3/ 2024: €582 million; 3.6% of revenue). These investments served primarily for the modernization and expansion of production facilities as well as hospitals.

In the first three quarters of 2025, total acquisition spending was €147 million (Q1-- 3/ 2024: €51 million). Of this amount, €124 million was used to buy back own receivables. Furthermore, acquisition spending contains milestone payments in the biosimilars business at Fresenius Kabi.

DIVESTMENTS

On May 2, 2024, the Fresenius Group announced that it would sell a majority stake in Fresenius Vamed's rehabilitation business to PAI Partners, an international private equity firm. Subsequent to the sale in September 2024, the Fresenius Group held a 30% stake in the business through an investment in Aceso Topco 1 S.à r.l. accounted for using the equity method. Due to a capital increase at Aceso Topco 1 S.à r.l. in June 2025, the Fresenius Group's stake was decreased to 23.4%. The rehabilitation business which also includes specialized healthcare services in the areas of prevention, acute care and nursing, was Fresenius Vamed's largest business unit. With approximately 13,000 employees, it provides inpatient and outpatient rehabilitation services to approximately 100,000 patients every year in various European countries.

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

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1 Of this amount, €124 million was used to buy back own receivables.

On May 8, 2024, the Fresenius Group announced that it initiated the structured exit from its Investment Company Fresenius Vamed. The original agreement to sell activities of Fresenius Vamed in its Austrian home market to an Austrian consortium of construction companies Porr and Strabag has been replaced by a direct contract with Porr for the sale of the Austrian project business and the thermal spas operations of VAMED Vitality World. The new agreement is subject to regulatory approval. In-depth talks are also ongoing with Strabag regarding remaining parts of Vamed's Austrian activities -- primarily the operations business of the Vienna General Hospital (AKH Wien). An agreement on the sale of the international project business of the Health Tech Engineering (HTE) business unit to Worldwide Hospitals Group (WWH) was reached on January 31, 2025. The transaction was closed at March 31, 2025 and involved the transfer of liquidity and future payment obligations. The sale resulted in a negative special item of €210 million, which is reported in net income from discontinued operations. Thereof, €201 million will be cash-effective in future periods up to 2027. Taking into account the expenses already incurred in fiscal year 2024, the total special items for the exit from the project business are therefore in the expected high three-digit million euro range. The Fresenius Group also holds bank guarantees for performance

commitments in connection with the divested international project business in the low three-digit million euro range.

The business units earmarked for sale of Fresenius Vamed are reported as separate items (discontinued operations and assets held for sale and liabilities directly associated with the assets held for sale, respectively) in the relevant periods.

On March 4, 2025, the Fresenius Group announced the sale of 10.6 million existing shares of Fresenius Medical Care AG at a placement price of €44.50 per share. Furthermore, the Fresenius Group announced the placement of senior unsecured bonds due in 2028 with an aggregate principal amount of €600 million exchangeable into shares of Fresenius Medical Care AG. In total, the Fresenius Group received gross proceeds of approximately €1.1 billion.

Following the initiation of a share buy-back program by Fresenius Medical Care AG in August 2025, the Fresenius Group has started selling shares of Fresenius Medical Care AG on a pro-rata basis in order to maintain the stake at about 29%. Fresenius Medical Care intends to redeem the repurchased shares primarily or use them to a significantly lesser extent in the context of performance-based compensation plans.

On April 8, 2025, the Fresenius Group signed an agreement to transfer its plant in Anápolis, Brazil, to EMS, a multinational pharmaceutical company. The plant has been classified as held for sale as of March 31, 2025. The transaction is subject to the necessary regulatory approvals and is expected to be completed in the fourth quarter of 2025.

01 2/202/

CASH FLOW

Group operating cash flow (continuing operations) decreased to €759 million (Q3/2024: €778 million). Group operating cash flow margin was 13.9% (Q3/2024: 14.7%).

Shareholder Information

Cash flow before acquisitions, dividends and lease liabilities (continuing operations) decreased to €525 million (03/2024: €547 million).

Free cash flow after acquisitions and dividends (continuing operations) decreased to €482 million (Q3/2024: €564 million).

Free cash flow after acquisitions, dividends and lease liabilities (continuing operations) decreased to €435 million (03/2024: €522 million).

In the first three quarters of 2025, Group operating cash flow (continuing operations) decreased to €1,266 million (Q1-3/2024: €1,492 million). Group operating cash flow margin was 7.6% (Q1-3/2024: 9.3%).

In the first three guarters of 2025, cash flow before acquisitions, dividends and lease liabilities (continuing operations) decreased to €763 million (Q1-3/2024: €1,037 million).

In the first three quarters of 2025, free cash flow after acquisitions and dividends (continuing operations) decreased to €446 million (Q1-3/2024: €1,229 million).

In the first three quarters of 2025, free cash flow after acquisitions, dividends and lease liabilities (continuing operations) decreased to €319 million (O1 – 3/2024: €1,099 million) based on the suspension of the dividend payment in the prior year.

In 2025, the dividend payment includes €121 million. that was made to the minority shareholders of a company in which Fresenius holds a majority interest.

CASH FLOW STATEMENT (SUMMARY)

€ in millions Q3/2025 Q3/2024
adjusted 1
Growth Q1-3/2025 Q1-3/2024
adjusted 1
Growth
Net income 363 347 5% 1,179 907 30%
Depreciation and amortization 276 265 4% 806 859 -6%
Income/Expense from the investments accounted for using the equity method -66 -39 -69% -122 -10
Change working capital and others 186 205 -9% -597 -264 -126%
Operating cash flow – continuing operations 759 778 -2% 1,266 1,492 -15%
Operating cash flow – discontinued operations -3 1 -36 -3
Operating cash flow 756 779 -3% 1,230 1,489 -17%
Capital expenditure, net -234 -231 -1% -624 -567 -10%
Dividends received from Fresenius Medical Care 0 0 121 112 8%
Cash flow before acquisitions, dividends and lease liabilities – continuing operations 525 547 -4% 763 1,037 -26%
Cash flow before acquisitions, dividends and lease liabilities – discontinued operations -3 -9 67% -36 -23 -57%
Cash flow before acquisitions, dividends and lease liabilities 522 538 -3% 727 1,014 -28%
Cash used for acquisitions/proceeds from divestitures -15 17 -188% 367 192 91%
Dividends paid -28 0 -684 _
Payments from lease liabilities -47 -42 -12% -127 -130 2%
Free cash flow after acquisitions, dividends and lease liabilities – continuing operations 435 522 -17% 319 1,099 -71%
Free cash flow after acquisitions, dividends and lease liabilities – discontinued operations -28 67 -142% -282 52
Free cash flow after acquisitions, dividends and lease liabilities 407 589 -31% 37 1,151 -97%
Cash provided by/used in financing activities 704 -147 -185 -2,114 91%
Effect of exchange rates on change in cash and cash equivalents 2 -6 133% -33 -13 -154%
Net change in cash and cash equivalents 1,141 369 101 -1,028 110%

<sup>1 Prior year figures have been adjusted due to the gradual exit from Fresenius Vamed.

In the first three quarters of 2025, free cash flow after acquisitions, dividends and lease liabilities decreased to €37 million (Q1-3/2024: €1,151 million). The suspension of the dividend payment inflated the prior year. In addition, free cash flow after acquisitions and dividends decreased due to negative cash flow from discontinued operations.

The cash conversion rate (CCR), which is defined as the ratio of adjusted free cash flow1 to EBIT before special items, was 1.0 (LTM) in the first three quarters of 2025.

<sup>1 Cash flow before acquisitions and dividends; before interest, tax, and special items

ASSET AND LIABILITY STRUCTURE

Total assets decreased by -3% (0% in constant currency) to €42,460 million (Dec. 31, 2024: €43,550 million).

Current assets increased by 5% (8% in constant currency) to €12,060 million (Dec. 31, 2024: €11,446 million).

Non-current assets decreased by -5% (-3% in constant currency) to €30,400 million (Dec. 31, 2024: €32,104 million).

Assets held for sale were €239 million (Dec. 31, 2024: €310 million).

Liabilities directly associated with the assets held for sale were €332 million (Dec. 31, 2024: €424 million).

Total shareholders' equity decreased by -5% (0% in constant currency) to €19,269 million (Dec. 31, 2024: €20,290 million). The equity ratio was 45.4% (Dec. 31, 2024: 46.6%).

Group debt remained stable (change: 0%; 0% in constant currency) at €13,539 million (Dec. 31, 2024: €13,577 million).

Group net debt2 decreased by -1% (-1% in constant currency) to €11,175 million (Dec. 31, 2024: €11,295 million).

As of September 30, 2025, the net debt/EBITDA ratio was 3.0x1,2 (Dec. 31, 2024: 3.0x1,2).

On September 30, 2025, ROIC2 was 6.3% (Dec. 31, 2024: 6.2%).

18

1 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; before special items; including lease liabilities; including Fresenius Medical Care dividend; net debt adjusted for the valuation effect of the equity-neutral exchangeable bond

2 Before special items

ASSETS

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LIABILITIES AND SHAREHOLDERS' EQUITY

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20

BUSINESS SEGMENTS

FRESENIUS KABI

Fresenius Kabi specializes in products for the therapy and care of critically and chronically ill patients. The portfolio includes biopharmaceuticals, clinical nutrition, MedTech products, intravenously administered generic drugs (generic IV drugs), and IV fluids.

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Revenue of Fresenius Kabi increased by 1% (6% in constant currency) to €2,141 million (Q3/2024: €2,114 million). Organic growth was 7%3, clearly driven by the Growth Vectors, also benefitting from some inflation related pricing effects in Argentina. The disciplined execution on product rollouts led to contributions already realized in the third quarter of 2025, that were originally expected for the fourth quarter of 2025.

In the first three quarters of 2025, revenue of Fresenius Kabi increased by 2% (5% in constant currency) to €6,398 million (Q1-- 3/ 2024: €6,266 million). Organic growth was 6%3, clearly driven by the development of all business units, particularly the Growth Vectors.

Revenue of the Growth Vectors (MedTech, Nutrition and Biopharma) increased by 5% (11% in constant currency) to €1,221 million (Q3/2024: €1,158 million). Organic growth was 11%3.

In the first three quarters of 2025, revenue of the Growth Vectors (MedTech, Nutrition and Biopharma) increased by 6% (10% in constant currency) to €3,585 million (Q1-- 3/ 2024: €3,396 million). Organic growth was 10%3.

Revenue in MedTech increased by 3% (7% in constant currency) to €394 million (Q3/ 2024: €384 million). Organic growth was 7%3. The broad-based growth across all regions continued; both Transfusion&Cell Therapy and Infusion and Nutrition Systems showed solid growth.

In the first three quarters of 2025, revenue in MedTech increased by 4% (6% in constant currency) to €1,185 million (Q1-- 3/ 2024: €1,144 million). Organic growth was 6%3 driven by broad-based growth.

Revenue in Nutrition increased by 1% (7% in constant currency, organic growth: 7%3) to €601 million (Q3/ 2024: €597 million), driven by strong growth in all regions except China. In the United States, business was driven by continued strong market demand for lipid emulsions. China declined albeit slightly less than anticipated with respect to the Volume-based Procurement (VBP) tender impact on nutrition product Ketosteril.

In the first three quarters of 2025, revenue in Nutrition remained stable (growth: 0%; increased 5% in constant currency, organic growth: 5%3) at €1,794 million

1 Before special items

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

3 Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

(Q1-- 3/ 2024: €1,785 million) and benefited from the good development in Europe, Latin America and in the United States. The tender system from the Volume-based Procurement (VBP) on Ketosteril in China had a negative impact.

Revenue in Biopharma increased by 27% (37% in constant currency; organic growth: 37%3) to €226 million (Q3/ 2024: €177 million) mainly driven by the Tocilizumab biosimilar Tyenne ramp up in Europe and the United States. Furthermore the first delivery of Tyenne vials for the EU market was shipped from the fully vertically integrated supply chain. Beyond that, an exclusive distribution contract for the Ustekinumab biosimilar Otulfi was signed with CivicaScript in the United States with first sales expected in the fourth quarter of 2025.

In the first three quarters of 2025, revenue in Biopharma increased by 30% (36% in constant currency; organic growth: 36%3) to €606 million (Q1-- 3/ 2024: €466 million). This is mainly due to the ramp up of Tyenne biosimilar in Europe and the United States.

Revenue in the Pharma (IV Drugs&Fluids) business decreased by -4% (0% in constant currency; organic growth: increased by 2%3) and amounted to €920 million (Q3/ 2024: €957 million). This organic growth recorded good volume demand and disciplined pricing in Europe as well as continued growth in I.V. solutions in the United States, despite a strong prior year base.

In the first three quarters of 2025, revenue in the Pharma (IV Drugs&Fluids) business decreased by -2% (0% in constant currency; organic growth: increased by 2%3) and amounted to €2,813 million (Q1-- 3/ 2024:

€2,870 million) and recorded good volume demand and disciplined pricing in Europe as well as continued growth in I.V. solutions in the United States, despite a strong prior year base.

EBIT1 of Fresenius Kabi increased by 7% (10% in constant currency) to €358 million (Q3/ 2024: €335 million) driven by operating leverage and productivity gains despite the effects of the tender for Ketosteril in China. EBIT margin1 was 16.7% (Q3/ 2024: 15.9%) mainly driven by the significant margin expansion of the Growth Vectors compared to the prior year quarter and the excellent profitability at Pharma. The strong performance year-to-date gives the scope to deliberately take some targeted investments in the fourth quarter of 2025,for example in R&D.

In the first three quarters of 2025, EBIT1 of Fresenius Kabi increased by 9% (10% in constant currency) to €1,064 million (Q1 -- 3/ 2024: €979 million) driven by the strong organic revenue development, especially of the Growth Vectors, and ongoing improvements in the cost base. EBIT margin1 was 16.6% (Q1-- 3/ 2024: 15.6%).

EBIT1 of the Growth Vectors increased by 15% (20% in constant currency) to €194 million (Q3/ 2024: €168 million). EBIT margin1 was 15.9% (Q3/ 2024: 14.5%) and thus improved by 140 bps compared to the prior year quarter, moving close to the structural margin band.

In the first three quarters of 2025, EBIT1 of the Growth Vectors increased by 18% (constant currency: 20%) to €544 million (Q1-- 3/ 2024: €462 million) driven by strong EBIT growth in Biopharma and MedTech. EBIT margin1 was 15.2% (Q1-- 3/ 2024: 13.6%).

EBIT1 in the Pharma (IV Drugs&Fluids) business increased by 11% (constant currency: 17%) to €202 million (Q3/ 2024: €182 million) especially driven by Europe and the United States as well as by ongoing productivity gains. EBIT margin1 was 22.0% (Q3 / 2024: 19.0%).

In the first three quarters of 2025, EBIT1 in the Pharma (IV Drugs&Fluids) business increased by 9% (constant currency: 12%) to €624 million (Q1-- 3/ 2024: €573 million) especially driven by Europe as well as by ongoing productivity gains and cost savings. EBIT margin1 was 22.2% (Q1-- 3/ 2024: 20.0%).

Net income1,2 increased by 2% (constant currency: 5%) to €231 million (Q3/ 2024: €226 million).

In the first three quarters of 2025, net income1,2 increased by 16% (constant currency: 18%) to €720 million (Q1-- 3/ 2024: €621 million).

Operating cash flow was €443 million (Q3/ 2024: €374 million) with a margin of 20.7% (Q3/ 2024: 17.7%).

In the first three quarters of 2025, operating cash flow was €770 million (Q1-- 3/ 2024: €790 million) with a margin of 12.0% (Q1-- 3/ 2024: 12.6%).

Fresenius Kabi expects organic revenue growth in a mid-to high-single-digit percentage range4 in 2025. The EBIT margin1 is expected to be in the range of 16% to 16.5%5 (structural margin band: 16% to 18%).

1 Before special items

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

3 Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

4 FY/2024 base: €8,414 million

5 FY/2024 base: EBIT margin: 15.7%, before special items; FY/2025 before special items

FRESENIUS HELIOS

Fresenius Helios is Europe's leading private health care provider. The company comprises Helios Germany and Helios Spain. Helios Germany operates 84 hospitals, more than 200 outpatient centers, 30 occupational health centers and 6 prevention centers. Helios Spain operates 50 hospitals, around 100 outpatient centers and more than 300 occupational risk prevention centers. In addition, the company is active in Latin America with 7 hospitals and as a provider of medical diagnostics.

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Revenue increased by 5% (5% in constant currency) to €3,240 million (Q3 / 2024: €3,082 million). Organic growth was strong at 5% driven by both, Helios Germany and Helios Spain, mainly resulting from year-over-year activity levels increase as well as positive price effects.

In the first three quarters of 2025, revenue1 increased by 6% (6% in constant currency) to €10,004 million (Q1-- 3/ 2024: €9,466 million). Organic growth was 6% and hence at the upper end of the structural growth band.

Revenue of Helios Germany increased by 4% (organic growth: 4%) to €2,019 million (Q3/ 2024: €1,940 million), reflecting strong admission growth and positive price effects, despite the elevated prior year revenue base resulting from technical reclassifications.

In the first three quarters of 2025, revenue of Helios Germany increased by 6% (organic growth: 6%) to €6,066 million (Q1-- 3/ 2024: €5,725 million). The growth was driven by positive price effects and admission growth.

Revenue of Helios Spain increased by 7% (7% in constant currency) to €1,221 million (Q3/ 2024: €1,142 million), driven by good activity growth year-over-year, particularly in the ORP business, and price effects. Organic growth was 7%.

In the first three quarters of 2025, revenue of Helios Spain increased by 5% (6% in constant currency) to €3,938 million (Q1 -- 3/ 2024: €3,741 million). Organic growth was 6%, driven by solid activity levels and price increases.

EBIT1 decreased by -1% (0% in constant currency) to €242 million (Q3 / 2024: €244 million). Overall the EBIT development was impacted by the high prior year base related to the energy relief payments in Germany as well as to the usual seasonality in Spain in the third quarter. This was partially compensated by the advancements of the performance program in Germany. EBIT margin1 was at 7.5% (Q3/ 2024: 7.9%).

In the first three quarters of 2025, EBIT1 decreased by -4% (-3% in constant currency) to €912 million (Q1-- 3/ 2024: €949 million), impacted by the absence of energy relief funds in Germany versus the previous year. This expected softness was partially compensated by savings at Helios Germany. The EBIT margin1 was 9.1% (Q1-- 3/ 2024: 10.0%).

1 Before special items

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

EBIT1 of Helios Germany decreased by -5% to €161 million (Q3/ 2024: €170 million) against the high prior year base which included energy relief funds. EBIT margin1 was at 8.0% (Q3/ 2024: 8.8%).

In the first three quarters of 2025, EBIT1 of Helios Germany decreased by -12% to €468 million (Q1--3/2024: €532 million), against the high prior year base which included energy relief funds. The EBIT margin1 was 7.7% (Q1-- 3/ 2024: 9.3%).

EBIT1 of Helios Spain increased by 10% (10% in constant currency) to €80 million (Q3/ 2024: €73 million) due to good operating performance despite the expected lower seasonal demand. The EBIT margin1 was 6.6% (Q3/ 2024: 6.4%).

In the first three quarters of 2025, EBIT1 of Helios Spain increased by 6% (7% in constant currency) to €445 million (Q1-- 3/ 2024: €418 million), driven by strong activity growth of hospitals in Spain. The EBIT margin1 was 11.3% (Q1-- 3/ 2024: 11.2%).

Net income1,2 increased by 6% (5% in constant currency) to €139 million (Q3/ 2024: €131 million).

In the first three quarters of 2025, net income1,2 remained stable (growth: 0%; 1% in constant currency) at €557 million (Q1-- 3/ 2024: €555 million).

Operating cash flow was €332 million (Q3/ 2024: €454 million). The decline reflects the high prior year base, which was elevated by the energy relief funding and the issue of a new factoring tranche in Germany. The operating cash flow margin was 10.2% (Q3/ 2024: 14.7%).

In the first three quarters of 2025, operating cash flow was €672 million (Q1-- 3/ 2024: €941 million) The operating cash flow margin was 6.7% (Q1-- 3/ 2024: 9.9%).

For FY/2025, Fresenius Helios expects organic revenue3 growth in a mid-single-digit percentage range. The EBIT margin4 is expected to be around 10% (structural margin band: 10% to 12%).

1 Before special items

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

3 FY/2024 base: €12,739 million

4 FY/2024 base: EBIT margin: 10.1%, before special items, FY/2025 before special items

EMPLOYEES

As of September 30, 2025, the number of employees was 177,356 (Dec. 31, 2024: 176,486).

NUMBER OF EMPLOYEES

Nu
mb
of
loy
er
em
p
ees
Sep
. 30
, 20
25
Dec
. 31
, 20
24
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,
41
58
6
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He
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117
,
128
55
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tal
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35
6
,
176
48
6
,
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RESEARCH AND DEVELOPMENT

New product and process development and the improvement of therapies are at the core of our strategy. Research and development activities mainly take place in the Fresenius Kabi business segment. We focus our R&D efforts on our core competencies in the following areas:

  • ►Generic IV drugs
  • ►Biopharmaceuticals
  • ►Infusion and nutrition therapies
  • ►Medical devices

Apart from new products, we are concentrating on developing optimized or completely new therapies, treatment methods, and services.

RESEARCH AND DEVELOPMENT EXPENSES

BY BUSINESS SEGMENT

€ i
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Q1-
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RATING

Fresenius is covered by the rating agencies Standard & Poor's, Moody's, and Fitch.

The following table shows the corporate credit rating of Fresenius SE&Co. KGaA:

Sta
nda
rd&
r's
Poo
's
Mo
ody
Fitc
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Co
it r
ati
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sta
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sta
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sta

On August 14, 2025, Fitch confirmed the corporate credit rating at BBB- with a stable outlook.

OPPORTUNITIES AND RISK REPORT

Compared to the presentation in the consolidated financial statements and the Group management report as of December 31, 2024, applying section 315e HGB in accordance with IFRS, there have been the following important developments in Fresenius Group's overall opportunities and risk situation until September 30, 2025.

At the end of July 2025, the United States and the European Union reached an agreement in the tariff dispute. The new agreement provides for a base tariff rate of 15% on European exports to the United States. At this point in time, there are still uncertainties as to whether, when, and to what extent additional potential tariffs may be imposed on pharmaceutical and medical device products. The potential impact on our product portfolio can not be specifically assessed at this early stage of analysis. Reactions from U.S. trading partners, particularly from China and the EU, could also have a negative impact on the U.S. business and the supply chains of the Fresenius Group. Those risks led to an increase in the risk group Economies&Market Conditions.

While the potential impact on the business of Fresenius Group is continuously monitored, alternative production and procurement strategies for the affected products are analyzed.

In addition, as previously reported, significant progress was made regarding the structured exit from Fresenius Vamed. In the course of the sale of Vamed's international project business to the Worldwide Hospitals Group, bank guarantees for performance commitments in connection with the divested international project business of Vamed have been reassessed. This led to an increase in the risk group Acquisitions, Investments&Transformations. To the contrary, related significant project risks are no longer part of the risk reporting. These consist in particular of risks

from ongoing large-scale projects resulting in a reduction of the risk group Production&Services.

The Fresenius Group is also accelerating and simplifying the divestment of Vamed's Austrian activities by a sale in two independent steps. The original agreement to sell to an Austrian consortium consisting of the construction companies Porr and Strabag has now been replaced by a direct contract with Porr for the sale of the Austrian project business and the thermal spas operations of VAMED Vitality World. In addition, Fresenius is conducting in-depth discussions with Strabag regarding the remaining parts of Vamed's Austrian activities.

Apart from this, the risk situation across the remaining top 10 risk groups remains essentially unchanged and can be summarized as follows.

For the risk group Healthcare Financing, Innovation and Competition, national tenders in China as part of the National Volume-based Procurement (NVBP) and Provincial Volumebased Procurement (PVBP) as well as planning uncertainties surrounding the Hospital Reform and the Nursing Staff Strengthening Act in Germany continue to be significant risk drivers. In addition, the Fresenius Group continues to be confronted with an intense competitive environment particularly in the United States and with regard to the development of new products, technologies and services.

The development of customer dependencies in the United States as well as potential delays in market entry and market sales deficits for new products for Fresenius Kabi continue to be relevant risks within the risk group Sales, Customers and Product Strategy.

In the ordinary course of Fresenius Group's operations, the Fresenius Group is subject to litigation, arbitration as well as external and internal investigations relating to various aspects of its business. Legal proceedings are reported on page 54 in the notes of this report.

Currency and interest rate risks continue to be relevant for the Group. In addition, errors in financial or non-financial reporting can have a material impact on the Fresenius Group.

Compliance risks, particularly with regard to the constantly changing regulatory environment, continue to be relevant for the Fresenius Group. Other potential risks are also regularly examined as part of compliance investigations.

In addition, the Fresenius Group continues to face a very pronounced general cyber security threat situation, especially in relation to healthcare facilities and production sites. The war in Ukraine and the tension between the Russian government and the countries that support Ukraine's efforts continue to be an influential factor. Developments in this context are continuously monitored and plans and measures for a possible escalation are developed.

The Fresenius Group is continuously working to improve its business continuity management and is constantly expanding production capacities in order to be able to react to potential manufacturing interruptions and delivery delays.

This also applies to risks in connection with drug approval or the quality of products and services.

Overall, the above-mentioned factors can have a negative impact on our net assets, financial position, and results of operations.

OUTLOOK 2025

ASSUMPTIONS FOR GUIDANCE FY/25

Trends towards a changing geopolitical order have been observable since the beginning of fiscal year 2025. The potential implications of this for tariffs, taxes, regulation, administration and political decision-making, for example, may have direct and indirect negative effects on the industry environment and the business activities of the Fresenius Group, although these cannot be estimated at present.

When Fresenius gave guidance in February, the company acknowledged the fast-moving macro-economic and geopolitical environment, resulting in a higher level of operational uncertainty. Fresenius' guidance continues to reflect current factors and known uncertainties, such as potential impacts from tariffs -- to the extent they can currently be assessed. It does not take account of potential extreme scenarios from the fast-moving macro-economic and geopolitical environment, that could affect the company, its peers, and the healthcare sector as a whole.

Regardless of this, the Management Board assesses the business prospects for the Group as positive and expects a successful fiscal year 2025.

Fresenius will continue to closely monitor the potential impact of increased volatility and reduced visibility on its business and balance sheet.

All of these assumptions are subject to considerable uncertainty.

GROUP REVENUE AND EARNINGS

Based on the strong earnings growth in the first three quarters of 2025, Fresenius raised the Group EBIT guidance. The strong performance in the first three quarters of 2025 gives the scope to deliberately take some investments in the fourth quarter of 2025,for example in R&D. This is in line with Fresenius' strategic roadmap for the Rejuvenate phase to upgrade core and scale platforms and with a view on future performance, i.e. investing in further long-term profitable growth.

In 2025, we expect revenue and earnings development of the Group as shown in the table below:

GROUP FINANCIAL TARGETS 2025

Tar
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Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

REVENUE AND EARNINGS OF THE OPERATING COMPANIES

In 2025, we expect revenue and earnings development in our Operating Companies as shown in the table below:

FINANCIAL TARGETS OF THE OPERATING COMPANIES 2025

1
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EXPENSES

For fiscal year 2025, we expect selling, general, and administrative expenses (before special items) as a percentage of consolidated net revenue to slightly increase compared to 2024 (2024: 11.8%).

TAX RATE

For fiscal year 2025, we expect a tax rate between 25% and 26% (2024: 25.9%).

Organic growth rate adjusted for accounting effects related to Argentina hyperinflation

LIQUIDITY AND CAPITAL MANAGEMENT

For fiscal year 2025, we expect a cash conversion rate of around 1.0.

In addition, undrawn credit lines under syndicated or bilateral credit facilities from banks provide us with sufficient financial headroom.

Net interest expenses are now expected to be in the range of €330 million to €340 million (previously: around €350 million).

In fiscal year 2025, deleveraging will remain a key priority for us. In February 2025, we have adjusted our target corridor which is set at 2.5x to 3.0x.

Without further acquisitions and divestments, Fresenius expects the net debt/EBITDA1 ratio at the end of 2025 to be within the new self-imposed target corridor of 2.5× to 3.0× (December 31, 2024: 3.0×).

Other than that, there are no significant changes in the financing strategy planned for 2025.

INVESTMENTS

In 2025, we expect to invest about 5% of revenue in property, plant and equipment. About 56% of the capital expenditure planned will be invested at Fresenius Helios and about 38% at Fresenius Kabi.

Fresenius Helios will primarily invest in measures at the individual hospital locations in Germany and in new hospital buildings and expansions in Spain.

Fresenius Kabi will mainly invest in expansion and maintenance in 2025. This includes, in particular, the expansion of production facilities and in-licensing projects for biosimilars molecules.

With a share of around 88%, Europe is the regional focus of investment in the planning period. Around 8% of the investments are planned for North America and around 2% for Asia-Pacific, Latin America, and Africa. About 43% of total funds will be invested in Germany.

For 2025, we expect return on invested capital (ROIC) to be above 6% (2024: 6.2%).

CAPITAL STRUCTURE

For fiscal year 2025, we expect the equity ratio to increase about 2 percentage points compared to fiscal year 2024 (2024: 47%). Furthermore, we expect that financial liabilities in relation to total assets will slightly decrease in fiscal year 2025 (2024: 31%).

DIVIDEND

Fresenius is committed to generating attractive and predictable dividend yields as set out in the Fresenius Financial Framework. As part of the full-year reporting in February 2025, Fresenius defined a new dividend policy. Our target is to distribute ~30% - 40% of core net income (net income excluding Fresenius Medical Care, before special items). The new dividend policy reflects the capital allocation priorities in line with the #FutureFresenius strategy. It also underscores our intention to reinvest in growth, reduce leverage, maintain a solid investment grade rating and provide attractive shareholder returns.

For fiscal year 2024, a dividend of €1.00 per share was proposed to the Annual General Meeting. The payout to the shareholders of Fresenius SE&Co. KGaA amounted to €563 million or 32% of consolidated net income. Based on the 2024 year-end share price, the dividend yield was 3.0%.

NON-FINANCIAL TARGETS

The KPIs cover the key sustainability topics of medical quality and employees and these quantitative ESG KPIs are reflected in the short-term variable Management Board compensation (Short-Term Incentive -- STI).

The topic of Employees is measured with the key figure of the Employee Engagement Index (EEI) for the Fresenius Group. Fresenius is aiming for an EEI of 4.33 (achieved 2024: 4.02) for fiscal year 2025 (corresponds to 100% target achievement).

The Medical Quality topic is composed of equally weighted key figures that are defined at the business segment level. The indicators are based on the respective relevance for the business model.

Fresenius Kabi aims for an Audit&Inspection Score of at most 2.3 (achieved 2024: 1.7; 100% target achievement).

Helios Germany aims to achieve an Inpatient Quality Indicator (G-IQI) score of at least 88% (achieved 2024: 90.7%; 100% target achievement), and Helios Spain aims to achieve a score of at least 75% (achieved 2024: 73.3%; 100% target achievement).

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF INCOME (UNAUDITED)

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1,
35
8
363
1,
169
4,
4,
197
963
3,
Se
llin
al a
nd
ad
mi
nis
tive
tra
g,
ge
ner
ex
pen
ses
-67
6
-70
0
-70
6
-2,
059
-2,
090
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193
Res
ch
and
de
vel
nt
ear
op
me
exp
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-15
9
-17
0
-17
0
-46
3
-46
4
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4
Oth
tin
lt
er
op
era
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1 2 5 66 5 7
tin
inc
Op
e (
EB
IT)
era
g
om
46
6
49
0
49
2
1,
713
1,
648
1,
313
e f
in
for
ing
ity
Inc
ed
th
tho
d
tm
ent
unt
om
rom
ves
s a
cco
us
e e
qu
me
66 39 39 122 10 10
Ne
t in
ter
est
-81 -11
5
-11
6
-24
8
-33
5
-33
6
Oth
fin
ial
ult
er
anc
res
28 -6
Inc
e b
efo
inc
e t
om
re
om
axe
s
9
47
414 415 58
1,
1
323
1,
987
Inc
e ta
om
xes
-11
6
-67 -96 -40
2
-41
6
-39
1
Ne
t in
e f
nti
ing
tio
com
rom
co
nu
op
era
ns
363 34
7
31
9
179
1,
907 59
6
No
olli
int
in
nti
ing
tio
ntr
sts
nco
ng
ere
co
nu
op
era
ns
20 19 14 48 29 -41
t in
nti
ing
tio
rib
Ne
e f
ble
att
uta
to
com
rom
co
nu
op
era
ns
sha
reh
old
of
Fr
niu
s S
E&
Co
. K
Ga
A
ers
ese
343 32
8
305 1,
131
878 637
Ne
t in
e f
di
nti
d o
ati
com
rom
sco
nue
per
ons
1 -3 25 -22
8
-84
9
-53
8
No
olli
int
in
di
nti
d o
ati
ntr
sts
nco
ng
ere
sco
nue
per
ons
0 -1 4 0 -20
2
-13
2
Ne
t in
e f
di
nti
ed
tio
rib
ble
att
uta
com
rom
sco
nu
op
era
ns
niu
sha
reh
old
of
Fr
s S
E&
Co
. K
Ga
A
to
ers
ese
1 -2 21 -22
8
-64
7
6
-40
Ne
t in
com
e
364 344 344 95
1
58 58
olli
int
in
t in
No
ntr
sts
nco
ng
ere
ne
com
e
20 18 18 48 -17
3
-17
3
t in
ibu
niu
Ne
tab
le t
ha
reh
old
of
Fr
s S
E&
Co
. K
Ga
A
ttr
com
e a
o s
ers
ese
344 32
6
32
6
903 23
1
23
1
Ea
rni
sha
in €
(b
asi
nd
dil
d)
ute
ng
s p
er
re
c a
0.6
2
0.5
8
0.5
8
1.6
1
0.4
1
0.4
1
the
f b
d o
inc
e f
nti
ing
tio
et
reo
ase
n n
om
rom
co
nu
op
era
ns
0.6
1
0.5
8
0.5
4
2.0
1
1.5
6
1.1
3
the
f b
d o
inc
e f
di
nti
d o
ati
et
reo
ase
n n
om
rom
sco
nue
per
ons
0.0
1
0.0
0
0.0
4
-0.
40
-1.
15
-0.
72

1 Prior-year figures have been adjusted due to the gradual exit from Fresenius Vamed.

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME (UNAUDITED)

€ i
illio
n m
ns
Q3 /
202
5
Q3 /
202
4
Q1
3/
202
5
Q1 –
3/2
024
t in
Ne
com
e
364 344 95
1
58
Ot
nsi
inc
e (
s)
he
he
los
r c
om
pre
ve
om
Po
sit
ion
hic
h w
ill
be
las
sif
ied
in
in
e i
ub
to
net
nt
s w
rec
com
n s
seq
ue
yea
rs
For
eig
nsl
ati
tra
n c
urr
enc
y
on
3 -34
9
-82
5
-20
9
Ca
sh
flow
he
dg
es
-11 5 6 11
FV
OC
I de
bt
ins
tru
nts
me
1 0
uity
inv
f co
ive
in
Eq
eth
od
har
reh
est
m
ees
- s
e o
mp
ens
com
e
-11 -15
8
-42
3
-83
Inc
siti
hic
h w
ill b
ecl
ifie
d
e ta
om
xes
on
po
ons
e r
ass
w
2 -3 0 -4
sit
ion
hic
ill
ssi
fie
d i
t in
e i
Po
h w
be
cla
ub
not
nto
nt
s w
re
ne
com
n s
seq
ue
yea
rs
Ac
ria
l ga
ins
(lo
s) o
n d
efi
ned
be
nef
it p
ion
lan
tua
sse
ens
p
s
19 -27 61 5
FV
OC
I eq
uity
in
tm
ent
ves
s
0 3 -1
Eq
uity
eth
od
inv
har
f co
reh
ive
in
est
m
ees
- s
e o
mp
ens
com
e
-2 -5 16 3
Inc
siti
hic
h w
ill n
be
las
sifi
ed
e ta
ot
om
xes
on
po
ons
w
rec
-5 10 -18 0
Ot
nsi
he
he
los
et
r c
om
pre
ve
s, n
-4 -52
7
-1,
180
-27
8
To
tal
reh
siv
e i
(lo
ss)
co
mp
en
nco
me
36
0
-18
3
-22
9
-22
0
siv
e i
tri
llin
int
Co
reh
(lo
ss)
bu
tab
le t
at
tro
sts
mp
en
nco
me
o n
on
con
g
ere
18 17 20 -16
1
Co
reh
siv
e i
(lo
ss)
tri
bu
tab
le t
ha
reh
old
of
Fr
niu
s S
E&
Co
. K
Ga
A
at
mp
en
nco
me
o s
ers
ese
342 -20
0
-24
9
-59

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF FINANCIAL POSITION (UNAUDITED)

ASSETS

€ i
illio
n m
ns
Sep
ber
30
, 20
25
tem
Dec
ber
31,
202
4
em
Cas
h a
nd
h e
iva
len
ts
cas
qu
2,
364
2,
282
cei
Tra
de
d o
the
vab
les
les
llow
nts
acc
ou
an
r re
s a
anc
es
,
for
ted
ed
it lo
ex
pec
cr
sse
s
3,
849
3,
50
0
ori
Inv
ent
es
6
2,
57
2,
573
Oth
fin
ial
ets
er
anc
ass
1,
629
1,
42
2
Oth
ets
er
ass
1,
129
1,
145
Inc
iva
ble
e ta
om
x r
ece
s
274 214
As
s h
eld
fo
le
set
r sa
239 31
0
I. T
l cu
ota
nt
ets
rre
ass
12,
060
6
11,
44
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
8,
36
7
8,
569
Rig
of-
ht-
set
use
as
s
1,
250
1,
32
1
Go
odw
ill
14,
545
15,
085
Oth
int
ible
set
er
ang
as
s
2,
225
2,
42
2
Fre
ius
M
ed
ica
l C
in
tm
ent
sen
are
ves
usi
uity
d f
the
eth
od
nte
acc
ou
or
ng
eq
m
2,
829
3,
639
Oth
fin
ial
ets
er
anc
ass
46
8
42
6
Oth
ets
er
ass
26
1
23
1
De
fer
red
ta
xes
45
5
41
1
II.
To
tal
ent
set
no
n-c
urr
as
s
30
40
0
,
32
104
,
To
tal
set
as
s
46
42
0
,
43
55
0
,

LIABILITIES

€ i
illio
n m
ns
Sep
ber
30
, 20
25
tem
Dec
ber
31,
202
4
em
Tra
de
ble
nts
acc
ou
pa
ya
1,
082
1,
35
9
De
bt
952 746
Lea
liab
ilit
ies
se
164 172
Bo
nds
1,
626
1,
854
Oth
fin
ial
liab
ilit
ies
er
anc
2,
382
549
1,
Oth
liab
ilit
ies
er
2,
148
2,
094
vis
ion
Pro
s
679 663
Inc
x l
iab
ilit
ies
e ta
om
199 148
Lia
bil
itie
s d
ire
ctly
iate
d w
ith
as
soc
the
s h
eld
fo
le
set
332 424
as
r sa
lia
bil
itie
A.
To
tal
sh
ort
-te
564 009
rm
s
De
bt
9,
183
9,
740
Lea
liab
ilit
ies
1,
264
1,
32
8
se
1
Bo
nds
1,
8,
35
0
1,
7,
737
Oth
fin
ial
liab
ilit
ies
er
anc
325 965
Oth
liab
ilit
ies
er
233 252
Pen
sio
n l
iab
ilit
ies
552 605
Pro
vis
ion
s
684 717
Inc
x l
iab
ilit
ies
e ta
om
35
7
280
De
fer
red
ta
xes
679 627
lia
bil
itie
B.
To
tal
lo
-te
ng
rm
s
627
13,
14,
25
1
I. T
l lia
bil
itie
ota
s
23,
191
23,
26
0
ing
in
A.
No
oll
ntr
ter
est
nco
s
647 748
Su
bsc
rib
ed
ita
l
cap
563 563
Ca
ital
p
re
ser
ve
4,
315
4,
315
Oth
er
res
erv
es
283
14,
038
14,
Ac
ula
ted
her
reh
ive
in
e (
los
s)
ot
cum
co
mp
ens
com
-53
9
626
niu
' e
ity
B.
To
tal
Fr
s S
E&
Co
. K
Ga
A s
ha
reh
old
ese
ers
qu
622
18,
19,
542
rs'
II.
To
tal
sh
ho
lde
uit
are
eq
y
19,
269
20,
29
0
lia
bil
itie
' eq
uit
To
tal
nd
sha
reh
old
s a
ers
y
42
46
0
,
43
55
0
,

1 See notes 14, Bonds and 15, Bonds -- exchangeable bond

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED)

€ i
illio
n m
ns
Q1
3/
202
5

Q1 –
3/2
024
tate
res
Q1 –
3/2
024
viou
pre
s
Op
tin
cti
vit
ies
era
g a
tin
cti
vit
ies
tin
uin
ion
Op
rat
era
g a
con
g o
pe
s
Ne
t in
e f
nti
ing
tio
com
rom
co
nu
op
era
ns
179
1,
907 59
6
jus
nci
inc
nti
ing
tio
Ad
le n
e f
h a
nd
tm
ent
s t
et
to
o r
eco
om
rom
co
nu
op
era
ns
cas
h e
iva
len
vid
ed
by
tin
cti
vit
ies
ts
cas
qu
pro
op
era
g a
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
806 859 878
Ch
e in
fer
de
red
ta
ang
xes
-4 60 43
Ga
in o
ale
of
fix
ed
d o
f in
nd
div
itu
ets
tm
ent
est
n s
ass
an
ves
s a
res
-82 0 0
Ga
in f
in
for
ed
tm
ent
unt
rom
ves
s a
cco
usi
the
uity
eth
od
ng
eq
m
-12
2
-10 -10
Ch
s in
liab
ilit
ies
nd
of
set
et
nts
an
ge
as
s a
, n
am
ou
fro
bu
sin
uir
ed
dis
ed
of
m
ess
es
acq
or
pos
cei
Tra
de
d o
the
vab
les
nts
acc
ou
an
r re
-53
3
-29
1
6
-33
Inv
ori
ent
es
-18
9
-10
8
-95
Oth
nd
t a
ent
set
er
cur
ren
no
n-c
urr
as
s
-24
4
-24 68
Ac
cei
vab
le f
/pa
ble
late
d p
ies
nts
to
art
cou
re
rom
ya
re
-2 -20
Tra
de
ble
isio
and
her
sh
d lo
liab
ilit
ies
nts
ot
ort
-te
ter
acc
ou
pa
ya
, p
rov
ns
rm
an
ng-
m
35
7
29 210
iab
ilit
ies
Inc
x l
e ta
om
100 90 90
Ne
ash
ide
d b
ing
tiv
itie
nti
ing
tio
t c
rat
pr
ov
y o
pe
ac
s
co
nu
op
era
ns
1,
266
1,
49
2
1,
444
in/
vid
tin
cti
vit
ies
dis
tin
tio
Ne
ash
ed
ed
by
ued
t c
us
pro
op
era
g a
con
op
era
ns
-36 -3 45
Ne
ash
ide
d b
ing
tiv
itie
t c
rat
pr
ov
y o
pe
ac
s
1,
23
0
1,
48
9
1,
48
9
ing
tiv
itie
Inv
est
ac
s
Inv
ing
tiv
itie
nti
ing
tio
est
ac
s
co
nu
op
era
ns
Pu
rch
of
lan
nd
ipm
ert
t a
ent
ase
pr
op
y, p
equ
ital
ize
and
d d
lop
nt
ts
ca
p
eve
me
cos
-62
5
-56
9
0
-57
Pro
ds
fro
ale
f p
lan
nd
ipm
ert
t a
ent
cee
m s
s o
rop
y, p
equ
1 2 2
isit
ion
inv
Ac
nd
est
nts
qu
s a
me
and
rch
f in
ible
tan
set
pu
ase
s o
g
as
s
-14
7
-57 -57
fro
of
in
div
itu
Pro
ds
ale
nd
tm
ent
est
cee
m s
ves
s a
res
514 249 365
Div
ide
nds
cei
ved
fro
Fre
ius
M
ed
ica
l C
re
m
sen
are
121 112 112
in
inv
ing
tiv
itie
nti
ing
tio
Ne
ash
ed
t c
est
us
ac
s
co
nu
op
era
ns
6
-13
-26
3
-14
8
Ne
ash
ed
in/
vid
ed
by
inv
ing
tiv
itie
di
nti
ed
tio
t c
est
us
pro
ac
s
sco
nu
op
era
ns
-24
6
96 -19
in
in
tin
cti
vit
ies
Ne
sed
t u
ves
g a
-38
2
-16
7
-16
7

1 Prior-year figures have been adjusted due to the gradual exit from Fresenius Vamed.

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED)

€ i
illio
n m
ns
Q1
3/
202
5

Q1 –
3/2
024
tate
res
Q1 –
3/2
024
viou
pre
s
Fin
cin
cti
vit
ies
an
g a
Fin
cin
cti
vit
ies
tin
uin
ion
rat
an
g a
con
g o
pe
s
Pro
ds
fro
ho
de
bt
rt-t
cee
m s
erm
78 10 10
Re
of
sh
de
bt
nts
ort
-te
pay
me
rm
-86 -46
9
-46
9
Pro
ds
fro
lon
m d
ebt
ter
cee
m
g-
9 5 5
Re
of
lo
m d
ebt
nts
ter
pay
me
ng-
-26
4
-52
7
-48
6
of
liab
ilit
ies
Re
lea
nts
pay
me
se
-12
7
-13
0
-13
1
Pro
ds
fro
he
iss
of
bon
ds
m t
cee
uan
ce
1,
000
of
lia
bil
itie
s fr
Re
bo
nds
nts
pay
me
om
-1,
250
-70
0
-70
0
Pro
ds
fro
he
iss
of t
he
han
ble
bo
nd
m t
cee
uan
ce
exc
gea
609
Re
of
rtib
le b
ds
nts
pay
me
co
nve
on
-50
0
-50
0
Div
ide
nds
id
pa
-68
4
Ch
e in
olli
int
ntr
sts
et
ang
no
nco
ng
ere
, n
1 -9 -9
in
fin
cin
cti
vit
ies
tin
uin
ion
Ne
ash
ed
t c
rat
us
an
g a
con
g o
pe
s
-71
4
-2,
32
0
-2,
28
0
Ne
ash
ide
d b
/us
ed
in
fin
cin
cti
vit
ies
dis
tin
ued
tio
t c
pr
ov
y
an
g a
con
op
era
ns
0 -17 -57
in
fin
cin
cti
vit
ies
Ne
ash
ed
t c
us
an
g a
-71
4
-2,
33
7
-2,
33
7
Eff
of
cha
ch
ash
d c
ash
uiv
ale
ect
ate
nts
ex
ng
e r
an
ge
s o
n c
an
eq
-33 -13 -13
t in
in
uiv
Ne
/de
sh
d c
ash
ale
nts
cre
ase
cre
ase
ca
an
eq
101 -1,
028
-1,
028
Ca
uiv
inn
ing
of
ing
rio
sh
d c
ash
ale
th
e b
th
d
nts
at
ort
an
eq
eg
e r
ep
pe
2,
282
562
2,
562
2,
les
ash
d c
ash
uiv
ale
the
d o
f th
rtin
eri
od
nts
at
s c
an
eq
en
e r
epo
g p
fo
sho
de
r "a
ts h
eld
le"
wn
un
sse
r sa
19 40 40
uiv
rtin
eri
Ca
sh
d c
ash
ale
th
nd
of
the
od
nts
at
an
eq
e e
re
po
g p
2,
364
1,
494
1,
494

1 Prior-year figures have been adjusted due to the gradual exit from Fresenius Vamed.

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES – CONTINUING OPERATIONS

€ i
illio
n m
ns
Q1
3/
202
5

Q1 –
3/2
024
tate
res
Q1 –
3/2
024
viou
pre
s
Rec
eiv
ed
int
st
ere
53 52 52
Pai
d i
nte
t
res
6
-21
-31
2
-31
2
Inc
id
e ta
om
xes
pa
-27
2
-26
6
-26
5

1 Prior-year figures have been adjusted due to the gradual exit from Fresenius Vamed.

Su
bsc
rib
ed
Ca
ital
p
Res
erv
es
Num
ber
of
ord
inar
y sh
are
s
in t
hou
d
san
Am
t
oun
€ in
tho
nds
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Am
t
oun
€ in
mi
llion
s
Cap
ital
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€ in
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llion
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er
rese
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llion
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be
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1,
202
3
cem
563
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563
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6
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092
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ide
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Oth
cha
s in
uit
fro
inv
est
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m
me
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usi
the
uity
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od
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or
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Tra
ctio
wit
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l
tro
sts
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tro
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ns
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g
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int
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ges
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ies
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las
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ion
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est
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qu
me
fin
efit
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and
de
ed
ben
lan
pe
on
p
s
4
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reh
ive
in
e (
los
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mp
ens
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Ne
com
e
23
1
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
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es
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
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ves
s
For
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nsl
ati
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n c
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Ac
l ga
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lan
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s
Eq
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od
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ive
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est
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mp
ens
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e
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ive
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e (
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23
1
As
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Se
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r 3
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4
tem
p
563
237
,
563
237
,
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325
14,
215
Su
bsc
rib
ed
Ca
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p
Res
erv
es
Num
ber
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Cap
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202
1,
4
cem
563
237
,
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,
563 315
4,
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ide
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3
Oth
s in
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est
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me
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od
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or
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m
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2
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wit
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ith
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Tra
h n
lo
l
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tio
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o c
ges
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n g
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p
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ilit
ies
Put
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op
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Rec
las
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ity
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pen
n p
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m
ees
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Co
reh
ive
in
e (
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ens
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Ne
t in
com
e
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Oth
hen
siv
e in
e (
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com
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com
Ca
sh
flow
he
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Ch
f F
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CI
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in
tm
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ang
e o
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ves
s
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tra
n c
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enc
on
y
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ria
l ga
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ed
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efit
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lan
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on
pe
on
p
s
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bt
ins
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nts
me
Eq
uity
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od
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ive
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est
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ees
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e o
mp
ens
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e
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ive
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e (
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mp
ens
com
903
As
of
Se
be
r 3
0,
202
5
tem
p
563
237
,
563
237
,
563 4,
315
14,
283
Ac
ula
ted
her
reh
ive
in
e (
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cum
co
mp
ens
com
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eig
n
cur
ren
cy
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ion
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€ in
mi
llion
s
Cas
h flo
w
hed
ges
€ in
mi
llion
s
Pen
sion
s
€ in
mi
llion
s
Equ
ity
inve
stm
ents
and
de
bt
inst
ents
rum
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mi
llion
s
Equ
ity m
eth
od
inve
stee
s
sha
f
re o
sive
hen
com
pre
inco
me
€ in
mi
llion
s
Tot
al
Fre
ius
sen
SE&
Co.
KG
aA
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
Non

ling
trol
con
inte
rest
s
€ in
mi
llion
s
Tot
al
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
As
of
De
be
r 3
1,
202
3
cem
313 -65 -15
6
-31 -43 18,
999
652 19,
65
1
Div
ide
nds
id
pa
-6 -6
Oth
cha
s in
uit
fro
inv
est
nts
er
nge
eq
y
m
me
d f
usi
the
uity
eth
od
nte
acc
ou
or
ng
eq
m
-98 -98
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
122 122
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
-43 -43
Put
tio
n l
iab
ilit
ies
op
-15 12 -3
sifi
ion
of
lati
ins
f e
ity
inv
Rec
las
/lo
cat
est
nts
cu
mu
ve
ga
sse
s o
qu
me
and
de
fin
ed
ben
efit
nsi
lan
pe
on
p
s
-4
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
23
1
-17
3
58
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
7 7 7
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
-1 -1 -1
For
eig
nsl
ati
tra
n c
urr
enc
y
on
-22
0
0 -1 -22
1
12 -20
9
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
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on
pe
on
p
s
5 5 5
uity
inv
ive
in
Eq
eth
od
har
f co
reh
est
m
ees
- s
e o
mp
ens
com
e
-80 -80 -80
Co
reh
ive
in
e (
los
s)
mp
ens
com
-22
0
7 4 -1 -80 -59 -16
1
-22
0
As
of
Se
be
r 3
0,
202
4
tem
p
93 -58 -15
6
-32 -12
3
18,
827
57
6
19,
403
ive
in
Ac
ula
ted
her
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e (
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cum
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mp
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ren
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slat
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ity m
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s
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re o
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me
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s
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al
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ius
sen
SE&
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ity
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rest
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olde
ity
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of
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be
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1,
202
4
cem
736 -56 -15
1
-33 130 19,
542
748 20,
29
0
Div
ide
id
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pa
-56
3
-12
4
-68
7
Oth
cha
s in
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fro
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est
nts
er
nge
eq
m
me
y
d f
usi
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the
eth
od
nte
acc
ou
or
ng
eq
m
-10
2
-10
2
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
ss
con
w
-2 -2
olli
int
in
lida
tio
No
du
han
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
5 5
Put
tio
n l
iab
ilit
ies
op
-6 -6
Rec
las
sifi
ion
of
lati
ins
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ity
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est
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cu
mu
ve
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qu
me
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ine
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fit
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lan
nd
sha
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uity
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od
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est
ene
pen
n p
s a
re
eq
m
ees
-3 -2 -8
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
903 48 95
1
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
flow
sh
he
dg
es
6 6 6
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
2 2 2
For
eig
nsl
ati
tra
n c
urr
enc
y
on
-79
9
0 2 -79
7
-28 -82
5
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
43 1 44 44
De
bt
ins
tru
nts
me
0 0 0
Eq
uity
eth
od
inv
har
f co
reh
ive
in
est
m
ees
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e o
mp
ens
com
e
-40
7
-40
7
-40
7
Co
reh
ive
in
e (
los
s)
mp
ens
com
-79
9
6 45 3 -40
7
-24
9
20 -22
9
Se
As
of
be
r 3
0,
202
5
tem
p
-63 -50 -10
9
-32 -28
5
622
18,
647 269
19,

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING FIRST THREE QUARTERS (UNAUDITED)

All figures are reported excluding the discontinued operations of Fresenius Vamed, except for net income.

Fre ius
bi
Ka
sen
Fre ius
lios
He
sen
Co e/O
the
rat
rpo
r Fre ius
Gr
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
52
202
42
202
Gro
wth
52
202
42
202
Gro
wth
53
202
43, 5
202
Gro
wth
202
5
45
202
Gro
wth
Rev
en
ue
6,
39
8
6,
266
2% 10,
004
9,
46
6
6% 315 373 -16
%
16,
717
16,
105
4%
f co
ibu
tio
olid
the
d r
ntr
n t
ate
reo
o c
ons
eve
nue
6,
35
9
6,
228
2% 9,
998
6
9,
44
6% 36
0
43
1
-16
%
16,
717
16,
105
4%
the
f in
ter
reo
com
pan
y r
eve
nue
39 38 3% 6 20 -70
%
-45 -58 22
%
trib
uti
sol
ida
ted
to
con
on
con
re
ven
ue
38
%
39
%
60
%
58
%
2% 3% 100
%
100
%
EB
ITD
A
1,
43
8
1,
372
5% 1,
31
1
1,
33
0
-1% -23
0
-19
5
-18
%
2,
519
2,
50
7
0%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
374 393 -5% 39
9
38
1
5% 33 85 -61
%
806 859 -6%
EB
IT
064
1,
979 9% 912 949 -4% -26
3
-28
0
6% 1,
713
648
1,
4%
Ne
t in
/ot
her
fin
ial
ult
ter
est
anc
res
-76 -10
1
25
%
-16
4
-21
5
24
%
-14 -19 26
%
-25
4
-33
5
24
%
Inc
e ta
om
xes
-22
7
-20
8
-9% -18
4
-17
1
-8% 9 -37 124
%
-40
2
6
-41
3%
No
olli
int
ntr
sts
nco
ng
ere
-41 -49 16
%
-7 -8 13
%
0 28 -10
0%
-48 -29 -66
%
Inc
e f
in
ed
for
ing
th
ity
tho
d
tm
ent
unt
om
rom
ves
s a
cco
us
e e
qu
me
n.a n.a n.a n.a 122 10 122 10
Ne
t in
e f
di
nti
d F
ius
Va
d o
ati
com
rom
sco
nue
res
en
me
per
ons
n.a n.a n.a n.a -22
8
-64
7
65
%
-22
8
-64
7
65
%
Ne
t in
ttri
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
Fre
ius
SE
&C
KG
aA
sen
o.
720 62
1
16
%
55
7
555 0% -37
4
-94
5
60
%
903 23
1
Op
tin
flo
ash
era
g c
w
770 790 -3% 672 94
1
-29
%
-21
2
-24
2
12
%
1,
230
1,
48
9
-17
%
Ca
sh
flow
be
for
isit
ion
nd
div
ide
nds
e a
cqu
s a
53
1
58
7
-10
%
352 594 -41
%
-15
6
-16
7
7% 727 1,
014
-28
%
1
As
xcl
. F
eni
Me
dic
al C
set
s e
res
us
are
640
15,
16,
594
-6% 22,
712
22,
192
2% 279
1,
125
1,
%
14
39,
63
1
39,
91
1
-1%
Fre
ius
M
ed
ica
l C
in
d f
tm
ent
nte
sen
are
ves
ac
cou
or
1
usi
the
uity
eth
od
ng
eq
m
n.a n.a n.a n.a 2,
829
3,
639
-22
%
2,
829
3,
639
-22
%
1
De
bt
3,
216
3,
56
8
-10
%
7,
289
7,
269
0% 3,
034
2,
740
11
%
13,
539
13,
57
7
0%
1
Oth
tin
liab
ilit
ies
er
op
era
g
3,
917
004
4,
-2% 3,
814
3,
573
7% 910 9
1,
47
-38
%
8,
64
1
9,
056
-5%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
216 197 10
%
32
1
35
0
-8% 65 35 86
%
602 582 3%
isit
ion
s /i
Ac
stm
ent
qu
s, g
ros
nve
s
21 50 -58
%
125 0 1 1 0% 147 51 188
%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
46
0
45
9
0% 1 2 -50
%
2 3 -33
%
46
3
464 0%
1
Em
loy
(p
ita
bal
hee
t d
)
ate
p
ees
er
cap
on
anc
e s
236
41
,
58
6
41
,
-1% 130
117
,
128
8
55
,
1% 6,
003
6,
342
-10
%
35
6
177
,
176
48
6
,
0%
fig
Key
ure
s
EB
ITD
A m
in
arg
22
.5%
21
.9%
13.
1%
14.
1%
2
16.
1%
2
16.
6%
EB
IT
in
ma
rg
16.
6%
15.
6%
9.1
%
10.
0%
2
11.
3%
2
11.
5%
De
cia
tio
nd
iza
tio
n i
n %
of
ort
pre
n a
am
re
ven
ue
5.8
%
6.3
%
4.0
%
4.0
%
2
4.8
%
2
5.1
%
Op
tin
ash
flo
w i
n %
of
era
g c
re
ven
ue
12.
0%
12.
6%
6.7
%
9.9
%
2
7.4
%
2
9.3
%
1
RO
IC
8.8
%
8.0
%
5.6
%
5.8
%
4
6.3
%
4
6.2
%

1 2024: December 31

2 Before special items

3 After special items

4 The underlying pro forma EBIT does not include special items.

5 Prior-year figures recognized in earnings have been adjusted due to the gradual exit from Fresenius Vamed.

For information regarding special items, please see note 3, Special items.

The consolidated segment reporting is an integral part of the notes.

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING THIRD QUARTER (UNAUDITED)

All figures are reported excluding the discontinued operations of Fresenius Vamed, except for net income.

Fre ius
bi
Ka
sen
Fre ius
lios
He
sen
Co e/O
the
rat
rpo
r Fre ius
Gr
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
51
202
41
202
Gro
wth
51
202
41
202
Gro
wth
52
202
42, 3
202
Gro
wth
202
5
43
202
Gro
wth
Rev
en
ue
2,
141
2,
114
1% 3,
240
3,
082
5% 104 119 -13
%
5,
48
5
5,
315
3%
the
f co
ibu
tio
olid
d r
ntr
n t
ate
reo
o c
ons
eve
nue
2,
129
2,
102
1% 3,
237
3,
075
5% 119 138 -14
%
5,
48
5
5,
315
3%
the
f in
ter
reo
com
pan
y r
eve
nue
12 12 0% 3 7 %
-57
-15 -19 21
%
trib
uti
sol
ida
ted
to
con
on
con
re
ven
ue
39
%
40
%
59
%
58
%
2% 2% 100
%
100
%
EB
ITD
A
48
7
46
0
6% 37
7
37
1
2% -12
2
-76 -61
%
742 755 -2%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
129 125 3% 135 127 6% 12 13 -8% 276 265 4%
EB
IT
35
8
335 7% 242 244 -1% -13
4
-89 -51
%
46
6
49
0
-5%
Ne
t in
ter
est
-24 -31 23
%
-54 -73 26
%
25 -11 -53 -11
5
54
%
Inc
e ta
om
xes
-85 -64 -33
%
-47 -38 -24
%
16 35 -54
%
-11
6
-67 -73
%
No
olli
int
ntr
sts
nco
ng
ere
-18 -14 -29
%
-2 -2 0% 0 -3 100
%
-20 -19 -5%
Inc
e f
in
ed
for
ing
th
ity
tho
d
tm
ent
unt
om
rom
ves
s a
cco
us
e e
qu
me
n.a n.a n.a n.a 66 39 69
%
66 39 69
%
t in
e f
di
nti
ius
ati
Ne
d F
Va
d o
com
rom
sco
nue
res
en
me
per
ons
n.a n.a n.a n.a 1 -2 150
%
1 -2 150
%
Ne
t in
ttri
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
ius
SE
&C
KG
Fre
aA
sen
o.
23
1
226 2% 139 131 6% -26 -31 16
%
344 6
32
6%
Op
tin
flo
ash
era
g c
w
44
3
374 18
%
332 454 -27
%
-19 -49 61
%
756 779 -3%
Ca
sh
flow
be
for
isit
ion
nd
div
ide
nds
e a
cqu
s a
35
0
303 16
%
217 302 -28
%
-45 -67 33
%
522 53
8
-3%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
91 77 18
%
116 154 -25
%
27 18 50
%
234 249 -6%
Ac
isit
ion
s /i
stm
ent
qu
s, g
ros
nve
s
0 5 -10
0%
58 0 0 1 -10
0%
58 6
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
159 167 -5% -1 1 -20
0%
1 2 -50
%
159 170 -6%
Key
fig
ure
s
EB
ITD
A m
in
arg
22
.7%
21
.8%
11.
6%
12.
0%
1
15.
5%
1
15.
3%
in
EB
IT
ma
rg
16.
7%
15.
9%
7.5
%
7.9
%
1
10.
5%
1
10.
4%
De
cia
tio
nd
iza
tio
n i
n %
of
ort
pre
n a
am
re
ven
ue
6.0
%
5.9
%
4.2
%
4.1
%
1
5.0
%
1
4.9
%
Op
tin
flo
w i
of
ash
n %
era
g c
re
ven
ue
20
.7%
17.
7%
10.
2%
14.
7%
1
13.
8%
1
14.
7%

1 Before special items

For information regarding special items, please see note 3, Special items.

The consolidated segment reporting is an integral part of the notes.

2 After special items

3 Prior-year figures recognized in earnings have been adjusted due to the gradual exit from Fresenius Vamed.

    • 40 I. Group structure 48 9. Inventories 54 19. Financial instruments
  • 42 V. Recent pronouncements, not yet applied 50 13. Debt 59 23. Subsequent events

  • 42 2. Acquisitions and divestitures 52 14. Bonds 59 24. Corporate Governance

45

  • 45 3. Special items
  • 46 4. Revenue
  • 47 5. Research and development expenses
  • 47 6. Taxes
  • 47 7. Earnings per share

40 General Notes 48 Notes on the consolidated statement of financial position 54 Other notes

  • 40 1. Principles 48 8. Trade accounts and other receivables 54 18. Legal and regulatory matters

  • 53 15. Bonds exchangeable bond

  • 53 16. Noncontrolling interests
  • Notes on the consolidated statement of income 53 17. Fresenius SE&Co. KGaA shareholders' equity

  • 41 II. Basis of presentation 48 10. Other financial assets 57 20. Information on capital management

  • 41 III. Summary of significant accounting policies 49 11. Goodwill 57 21. Notes on the consolidated segment reporting
  • 42 IV. Recent pronouncements, applied 49 12. Interests in associates 58 22. Share-based compensation plans

GENERAL NOTES

1.PRINCIPLES

Fresenius is a global healthcare group. As a therapy-focused healthcare company, Fresenius offers system-critical products and services for leading therapies for the treatment of critically and chronically ill patients. Besides the activities of the parent company Fresenius SE&Co. KGaA, Bad Homburg v. d. H., Germany, the activities are organized amongst the following legally independent business segments as of September 30, 2025:

  • ►Fresenius Kabi
  • ►Fresenius Helios

The reporting and functional currency of the Fresenius Group is the euro. In order to improve the clarity of presentation, amounts are generally presented in million euros. Amounts less than €1 million, after rounding, are marked with ''0''.

In May 2024, the Fresenius Group initiated the structured exit from its Investment Company Fresenius Vamed. Based on an overall plan, the exit takes place in the following major steps:

  • ► the sale of a 70% majority stake in the rehabilitation business to PAI Partners. The transaction was completed on March 31, 2025.
  • ► the sale of Vamed's Austrian activities in two independent steps. The original agreement to sell to an Austrian consortium of construction companies Porr and Strabag has been replaced by a direct contract with Porr for the sale of the Austrian project business and the thermal spas operations of VAMED Vitality World. In-depth talks are also ongoing with Strabag regarding remaining parts of Vamed's Austrian activities -- primarily the operations business of the Vienna General Hospital (AKH Wien).
  • ► the sale of the Health Tech Engineering (HTE) unit, which was responsible for the international project business and accounted for approximately 15% of the revenue of Fresenius Vamed, to the Worldwide Hospitals Group. Originally, it was planned to gradually scale back the HTE project business in an orderly manner by 2026. The transaction was closed at March 31, 2025.

The High-End Services (HES) business unit of Fresenius Vamed, which provides services for Fresenius Helios and other hospitals, was transferred to Fresenius and operates under the name Fresenius Health Services (FHS).

Since May 2024, in accordance with IFRS 5, Vamed's Austrian activities have been reported as a separate item (discontinued operations) in the consolidated statement of income and the consolidated statement of cash flows as well as in the consolidated statement of financial position (assets held for sale and liabilities directly associated with the assets held for sale, respectively). For reasons beyond the control of the Fresenius Group, the sale will not be completed within 12 months of classification as held for sale. The original agreement to sell Vamed's Austrian activities was replaced in October 2025 and a simplified disposal process was initiated. The Fresenius Group remains committed to the divestiture plan and continues to consider a divestiture highly probable.

The rehabilitation business was also reported as a separate item in the consolidated statement of income, the consolidated statement of financial position and the consolidated statement of cash flows in accordance with IFRS 5 since May 2024 until its disposal in September 2024. Since October 1, 2024, the investment has been accounted for using the equity method in accordance with IAS 28.

Since January 31, 2025 until the disposal on March 31, 2025, the business unit HTE was reported as discontinued operations in the consolidated statement of income and the consolidated statement of cash flows in accordance with IFRS 5.

The relevant IFRS requires valuation at fair value, which is derived from the purchase prices, if the fair value is below the carrying amount of the net assets.

For the coming years, including the expenses already incurred in fiscal year 2024, the exit from the project business is still expected to result in negative special items in the high three-digit million euro range, most of which are cash-effective. The special items will be recognized in the consolidated financial statements if and to the extent that the respective recognition criteria are met. As a result of the exit from the project business including the wind-down of the remaining activities of Fresenius Vamed, Fresenius Vamed reassessed the business activities and already recognized special items of €473 million in EBIT in fiscal year 2024; further special items of €79 million were recognized in EBIT in the first three quarters of 2025. Moreover, in connection with the sale of the international project business to the Worldwide Hospitals Group, an expense of €223 million, including operating losses, was recognized in the first three quarters of 2025. The expense is reported in net income from discontinued operations and mainly results from future payment obligations in the coming years. Accordingly, the Fresenius Group has recognized an other financial liability of €201 million for these payment obligations.

In order to reflect the application of IFRS 5 for the additional divestitures made in fiscal year 2025, the prior year figures have been adjusted in the consolidated statement of income and the consolidated statement of cash flows.

Fresenius SE&Co. KGaA, as a stock exchange listed company with a domicile in a member state of the European Union (EU), fulfills its obligation to prepare and publish the consolidated financial statements in accordance with the International Financial Reporting Standards (IFRS) as adopted by the EU and applying Section 315e of the German Commercial Code (HGB).

The consolidated interim financial statements and accompanying condensed notes are prepared in accordance with the International Accounting Standard (IAS) 34. The primary financial statements are presented in a format basically consistent with the consolidated financial statements as of December 31, 2024. The consolidated interim financial statements have been prepared in accordance with the Standards and interpretations in effect on the reporting date, and endorsed in the EU, as issued by the International Accounting Standards Board (IASB) and the IFRS Interpretations Committee (IFRS IC).

The interim financial statements have been prepared in accordance with the same general accounting policies applied in the preparation of the consolidated financial statements as of December 31, 2024.

The condensed consolidated financial statements and interim management report for the first three quarters and the third quarter ended September 30, 2025 have not been audited nor reviewed and should be read in conjunction with the notes included and published in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS as adopted by the EU.

Except for the reported sale of the international project business of Fresenius Vamed (see note 2, Acquisitions and divestitures), there have been no other material changes in the Fresenius Group's consolidation structure.

The consolidated financial statements for the first three quarters and the third quarter ended September 30, 2025 include all adjustments that, in the opinion of the Management Board, are of a normal and recurring nature and are necessary to provide a fair presentation of the assets and liabilities, financial position and results of operations of the Fresenius Group.

The results of operations for the first three quarters ended September 30, 2025 are not necessarily indicative of the results of operations for fiscal year 2025.

The prior year figures have been adjusted in the consolidated statement of income, the consolidated statement of cash flows and in the corresponding notes in order to reflect the application of IFRS 5 for the additional divestitures made in fiscal year 2025.

To improve the presentation of cash flows from continuing operations, changes due to purchase prices received or liquidity provided in connection with discontinued operations have been reported under discontinued operations within cash flows from investing activities in the consolidated statement of cash flows starting with the first half of 2025; prior year periods are presented on a comparable basis.

In the first three quarters of 2025, Fresenius Helios used subsidies for investments in property, plant and equipment in the amount of €70 million (Q1 -- 3/ 2024: €69 million), that were offset in the consolidated statement of cash flows in the item purchase of property, plant and equipment.

Due to inflation in Argentina, Fresenius Group's subsidiaries operating in Argentina apply IAS 29, Financial Reporting in Hyperinflationary Economies. For the first three quarters of 2025, the application of IAS 29 resulted in an effect on net income from continuing operations attributable to shareholders of Fresenius SE&Co. KGaA of -€8 million (Q1 -- 3 / 2024: -€18 million) included in selling, general and administrative expenses. The ongoing re-translation effects of hyperinflationary accounting and its impact on comparative amounts are recorded in other comprehensive income (loss) within the consolidated financial statements.

The preparation of consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of income and expenses during the reporting period. Actual results could differ from those estimates.

The Fresenius Group has prepared its consolidated financial statements at and for the first three quarters ended September 30, 2025 in conformity with IFRS, as adopted by the EU, that must be applied for the interim periods starting on or after January 1, 2025.

For the first three quarters of 2025, no new standards relevant for Fresenius Group's business were applied for the first time.

The IASB issued the following new standard relevant for the Fresenius Group's business:

In April 2024, the IASB issued IFRS 18, Presentation and Disclosure in Financial Statements. IFRS 18 amends a number of other standards and replaces IAS 1, Presentation of Financial Statements. However, the new standard carries forward most of its requirements while introducing new guidance to increase transparency and comparability of financial statements. IFRS 18 requires structuring the statement of profit or loss in three newly defined categories and enhanced disclosures for company-specific measures, among others.

IFRS 18 is effective for fiscal years beginning on or after January 1, 2027. Earlier adoption is permitted. The Fresenius Group is currently evaluating the impact of IFRS 18 on the consolidated financial statements.

The EU Commission's endorsement of IFRS 18 is still outstanding.

Generally, the Fresenius Group does not make use of the option of earlier adoption.

In the Fresenius Group's view, there are no other IFRS standards not yet effective that would be expected to have a material impact on the consolidated financial statements.

2.ACQUISITIONS AND DIVESTITURES

The Fresenius Group made acquisitions, investments and purchases of intangible assets of €147 million and €51 million in the first three quarters of 2025 and 2024, respectively. Of this amount, €124 million was used to buy back own receivables. The purchase price payments of €147 million were paid in cash in the first three quarters of 2025.

In the first three quarters of 2025, Fresenius Kabi spent €21 million (Q1 -- 3 / 2024: €50 million) on acquisitions, mainly for milestone payments relating to the acquisition of Merck KGaA's biosimilars business which were already recognized as liabilities as part of the acquisition.

On May 2, 2024, the Fresenius Group announced that it would sell a majority stake in Fresenius Vamed's rehabilitation business to PAI Partners, an international private equity firm. Subsequent to the sale in September 2024, the Fresenius Group held a 30% stake in the business through an investment in Aceso Topco 1 S.à r.l. accounted for using the equity method. Due to a capital increase at Aceso Topco 1 S.à r.l. in June 2025, the Fresenius Group's stake was decreased to 23.4%. The rehabilitation business which also includes specialized healthcare services in the areas of prevention, acute care and nursing, was Fresenius Vamed's largest business unit. With approximately 13,000 employees, it provides inpatient and outpatient rehabilitation services to approximately 100,000 patients every year in various European countries.

On May 8, 2024, the Fresenius Group announced that it initiated the structured exit from its Investment Company Fresenius Vamed. The original agreement to sell activities of Fresenius Vamed in its Austrian home market to an Austrian consortium of construction companies Porr and Strabag has been replaced by a direct contract with Porr for the sale of the Austrian project business and the thermal spas operations of VAMED Vitality World. The new agreement is subject to regulatory approval. In-depth talks are also ongoing with Strabag regarding remaining parts of Vamed's Austrian activities -- primarily the operations business of the Vienna General Hospital (AKH Wien). An agreement on the sale of the international project business of the Health Tech Engineering (HTE) business unit to Worldwide Hospitals Group (WWH) was reached on January 31, 2025. The transaction was closed at March 31, 2025 and involved the transfer of liquidity and future payment obligations.

The sale resulted in a negative special item of €210 million, which is reported in net income from discontinued operations. Thereof, €201 million will be cash-effective in future periods up to 2027. Taking into account the expenses already incurred in fiscal year 2024, the total special items for the exit from the project business are therefore in the expected high three-digit million euro range. The Fresenius Group also holds bank guarantees for performance commitments in connection with the divested international project business in the low three-digit million euro range.

The business units earmarked for sale of Fresenius Vamed are reported as separate items (discontinued operations and assets held for sale and liabilities directly associated with the assets held for sale, respectively) in the relevant periods.

Net income from discontinued operations of Fresenius Vamed (including special items) was comprised of the following:

€ i
illio
n m
ns
Q1
3/
202
5
Q1 –
3/2
024
Rev
en
ue
343 203
1,
Ex
pen
ses
-34
9
-1,
504
Inc
e b
efo
inc
e t
om
re
om
axe
s
-6 -30
1
Inc
e ta
om
xes
-7 24
t in
Ne
com
e
-13 -27
7
Los
s d
sub
of
di
nti
d
to
t re
ent
ue
seq
uen
me
asu
rem
sco
nue
tio
at f
air
lue
les
ll
ost
to
op
era
ns
va
s c
se
and
du
o d
lida
tio
e t
eco
nso
n
-21
5
-57
2
t in
e f
di
nti
ius
Ne
ed
Fre
com
rom
sco
nu
sen
ion
Va
d o
nd
IFR
S 5
rat
me
pe
s u
er
-22
8
-84
9

For a more appropriate presentation of the financial effects, eliminations of intercompany transactions with Fresenius Vamed have been allocated to discontinued Fresenius Vamed operations, taking into account future supply and service relationships. As of September 30, 2025, the cumulative losses recognized in other comprehensive income (loss) relating to the discontinued operations of Fresenius Vamed amounted to €49 million.

The carrying amounts of the main groups of assets and liabilities disposed of as part of the exit from Fresenius Vamed at the time of disposal on March 31, 2025 were as follows:

€ i
illio
n m
ns
Ma
rch
31,
202
5
Ca
sh
and
sh
iva
len
ts
ca
equ
207
Oth
t as
set
er
cur
ren
s
177
No
ent
set
n-c
urr
as
s
109
isp
f
As
s d
d o
set
ose
493
Sh
lia
bil
itie
ort
-te
rm
s
283
Lon
liab
ilit
ies
ter
g-
m
176
Lia
bil
itie
s d
isp
d o
f
ose
9
45

On March 4, 2025, the Fresenius Group announced the sale of 10.6 million existing shares of Fresenius Medical Care AG at a placement price of €44.50 per share. Furthermore, the Fresenius Group announced the placement of senior unsecured bonds due in 2028 with an aggregate principal amount of €600 million exchangeable into shares of Fresenius Medical Care AG (see note 15, Bonds - exchangeable bond). In total, the Fresenius Group received gross proceeds of approximately €1.1 billion.

Following the initiation of a share buy-back program by Fresenius Medical Care AG in August 2025, the Fresenius Group has started selling shares of Fresenius Medical Care AG on a pro-rata basis in order to maintain the stake at about 29%. Fresenius Medical Care intends to redeem the repurchased shares primarily or use them to a significantly lesser extent in the context of performance-based compensation plans.

On April 8, 2025, the Fresenius Group signed an agreement to transfer its plant in Anápolis, Brazil, to EMS, a multinational pharmaceutical company. The plant has been classified as held for sale as of March 31, 2025. The transaction is subject to the necessary regulatory approvals and is expected to be completed in the fourth quarter of 2025.

The following assets and liabilities were classified as held for sale as of September 30, 2025:

€ i
illio
n m
ns
Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
Cu
nt
ets
rre
ass
204 198
No
ent
set
n-c
urr
as
s
35 112
As
s h
eld
fo
ale
set
r s
239 31
0
Sh
lia
bil
itie
ort
-te
rm
s
302 31
1
Lon
liab
ilit
ies
ter
g-
m
30 113
Lia
bil
itie
s h
eld
fo
ale
r s
332 424

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

The prior year figures have been adjusted in the notes on the consolidated statement of income due to the gradual exit from Fresenius Vamed.

3.SPECIAL ITEMS

Revenue in the amount of €16,717 million and net income attributable to shareholders of Fresenius SE&Co. KGaA in the amount of €903 million for the first three quarters of 2025 include special items which impacted the consolidated statement of income as shown in the table below.

Starting with the first quarter of 2025, the special items have been presented in a new, consistent structure to improve comparability. The prior year figures are presented accordingly on a comparable basis.

Correspondingly, all expenses in connection with the Group-wide cost and efficiency program are reported in this item.

Special items concerning legacy portfolio adjustments and in prior year the divestitures of Eugin as well as the hospital in Peru are reported in the item ''Legacy portfolio adjustments''.

The item ''Fresenius transformation'' primarily comprises costs for the exit from Fresenius Vamed in the amount of €325 million and the associated classification as discontinued operations in accordance with IFRS 5 and the Groupwide IT transformation. Furthermore, the discontinued operations of Vamed and the costs of the change in legal form of Fresenius Medical Care are shown in this item.

The position "Reduction of participation in Fresenius Medical Care" includes the income from the sale of 10.6 million existing shares in Fresenius Medical Care AG and the pro-rata sales in connection with the share buy-back

program of Fresenius Medical Care AG; the income is reported in the consolidated statement of income under other operating result. The effects from the measurement of the exchangeable bond at fair value are also included.

''Special items Fresenius Medical Care" summarizes expenses from the amortization of the purchase price allocation in connection with the accounting of the investment in Fresenius Medical Care using the equity method as well as further special items of Fresenius Medical Care.

Starting with the third quarter of 2025, the item "Legal and regulatory matters" will be introduced which includes effects from unusual legal and regulatory matters recognized in profit or loss, such as impairments triggered by the placement of Colombian health insurance providers under state control.

The amounts shown correspond to the effects on earnings recognized in accordance with IFRS.

Net
inc
om
e
ibut
able
attr
to
sha
reh
olde
rs
of F
nius
rese
€ i
illio
n m
ns
Rev
enu
e
EBI
T
SE&
Co.
KG
aA
Ea
rni
s Q
1
3/
202
5,
bef
eci
al
ite
ng
ore
sp
ms
16,
679
1,
882
1,
443
Co
eff
icie
nd
st a
ncy
pr
og
ram
s
-96 -79
Leg
rtfo
lio
adj
ust
nts
acy
po
me
1 -20 -17
Fre
ius
nsf
ati
tra
sen
orm
on
37 -11
9
-35
8
Re
du
ctio
f p
icip
ati
in
Fre
ius
M
ed
ica
l C
art
n o
on
sen
are
76 63
Sp
eci
al i
s F
ius
M
ed
ica
l C
tem
res
en
are
-14
2
Leg
al a
nd
ula
tor
att
reg
y m
ers
-10 -7
Ea
rni
s Q
1
3/
202
5 a
rdi
IFR
S
to
ng
cco
ng
16,
717
1,
713
903

Revenue in the amount of €16,105 million and net income attributable to shareholders of Fresenius SE&Co. KGaA in the amount of €231 million for the first three quarters of 2024 included special items which had the following impact on the consolidated statement of income:

Net income attributable to shareholders of Fresenius

€ i
illio
n m
ns
Rev
enu
e
EBI
T
SE&
Co.
KG
aA
rni
eci
ite
Ea
s Q
1
3/
202
4,
bef
al
ng
ore
sp
ms
16,
000
1,
843
1,
276
Co
nd
eff
icie
st a
ncy
pr
og
ram
s
-57 -49
Leg
rtfo
lio
adj
ust
nts
acy
po
me
30 -12 -24
ius
nsf
ati
Fre
tra
sen
orm
on
75 6
-12
-77
7
Re
du
ctio
f p
icip
ati
in
Fre
ius
M
ed
ica
l C
art
n o
on
sen
are
Sp
eci
al i
ius
ica
l C
s F
M
ed
tem
res
en
are
-19
5
Ea
rni
s Q
3/
202
rdi
IFR
S
1
4 a
to
ng
cco
ng
16,
105
648
1,
23
1

4.REVENUE

Revenue by activity was as follows:

Q
1
3/
202
5
€ i
illio
n m
ns
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Cor
/ Ot
her
ate
por
Fre
ius
sen
Gro
up
Rev
fro
ith
ont
ts w
tom
en
ue
m c
rac
cus
ers
6,
355
9,
989
35
9
16,
703
the
f re
fro
ice
reo
ven
ue
m s
erv
s
146 9,
984
342 10,
2
47
the
f re
fro
du
d r
ela
ted
rvi
cts
reo
ven
ue
m
pro
an
se
ces
6,
164
0 6,
164
f re
fro
ctio
the
lon
du
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
17 17
the
f fu
rth
fro
ith
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
45 5 0 50
Oth
er
rev
en
ue
4 10 14
Re
ve
nu
e
6,
35
9
9,
999
35
9
16,
717
€ i
illio
n m
ns
Q
1
3/
202
4
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Cor
/ Ot
her
ate
por
Fre
ius
sen
Gro
up
Rev
fro
ith
ont
ts w
tom
en
ue
m c
rac
cus
ers
6,
224
9,
42
6
43
1
16,
08
1
the
f re
fro
ice
reo
ven
ue
m s
erv
s
143 9,
424
39
6
9,
963
the
f re
fro
du
d r
ela
ted
rvi
cts
reo
ven
ue
m
pro
an
se
ces
6,
054
2 6,
056
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
33 33
the
f fu
rth
fro
ith
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
27 2 29
Oth
er
rev
en
ue
4 20 24
Re
ve
nu
e
6,
22
8
9,
44
6
43
1
16,
105

Other revenue includes revenue from lease contracts.

5.RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €463 million (Q1-- 3 / 2024: €464 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €34 million (Q1-- 3 / 2024: €30 million). Furthermore, in the first three quarters of 2024, research and development expenses included impairments of €5 million. These related to in-process R& D that were not pursued further. The expenses for the further development of the Biopharma business included in the research and development expenses amounted to €162 million in the first three quarters of 2025 (Q1 -- 3 / 2024: €151 million).

6.TAXES

In the first three quarters of 2025, tax provisions of €58 million were recognized in income tax liabilities. Further information can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS.

7.EARNINGS PER SHARE

The following table shows the earnings per share:

878
-64
7
23
1
237
277
,
1.5
6
-1.
15
0.4
1

There were no dilutive effects from stock options issued on earnings per share in the first three quarters of 2025 and 2024.

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

8.TRADE ACCOUNTS AND OTHER RECEIVABLES

As of September 30, 2025 and December 31, 2024, trade accounts and other receivables were as follows:

Se
be
tem
p
r 3
0,
202
5
De
ber
31
202
4
cem
,
€ i
illio
n m
ns
the
reof
dit
cre
imp
aire
d
the
reof
dit
cre
imp
aire
d
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
4,
179
385 3,
816
38
9
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
33
0
272 31
6
254
Tra
de
d o
the
cei
ble
nts
et
acc
ou
an
r re
va
s, n
3,
849
113 3,
50
0
135

Within trade accounts and other receivables (before allowances) as of September 30, 2025, €4,179 million (December 31, 2024: €3,816 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €330 million (December 31, 2024: €316 million) of allowances for expected credit losses. Trade accounts and other receivables related to other revenue are immaterial.

9. INVENTORIES

As of September 30, 2025 and December 31, 2024, inventories consisted of the following:

€ i
illio
n m
ns
Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
ria
Raw
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
866 883
Wo
rk
in
pro
ces
s
276 274
Fin
ish
ed
ds
goo
1,
59
0
1,
589
les
s r
ese
rve
s
156 173
ori
Inv
ent
t
es,
ne
2,
57
6
2,
573

10.OTHER FINANCIAL ASSETS

Other financial assets include a compensation receivable resulting from German hospital law of €1,477 million (December 31, 2024: €1,281 million) which mainly relates to income equalization claims for hospital services.

In the first half of 2025, an impairment loss in the amount of €37 million was recognized on receivables for certain care services as a result of a ruling.

11.GOODWILL

The carrying amount of goodwill has developed as follows:

€ i
illio
n m
ns
Fre
ius
Kab
i
sen
Fre
ius
Hel
ios
sen
Fre
ius
Vam
ed
sen
Cor
ate
por
ius
Fre
Gro
sen
up
Ca
ing
of
Jan
1,
202
4
nt
rry
am
ou
as
ua
ry
6,
149
626
8,
314 0 15,
089
Ad
dit
ion
s
19 0 19
Dis
als
pos
-18 -18
Im
irm
lo
ent
pa
ss
-18 -18
Re
cla
ssi
fica
tio
ns
-57 57
For
eig
nsl
ati
tra
n c
urr
enc
y
on
252 0 0 252
Re
cla
ssi
fica
tio
"As
s h
eld
fo
le"
to
set
ns
r sa
-23
9
-23
9
ing
Ca
of
De
be
r 3
1,
202
4
nt
rry
am
ou
as
cem
6,
383
645
8,
57 15,
085
Dis
als
pos
-2 -1 -3
For
eig
nsl
ati
tra
n c
urr
enc
y
on
-53
7
0 -53
7
Ca
ing
of
Se
be
r 3
0,
202
5
nt
tem
rry
am
ou
as
p
844
5,
8,
644
57 14,
545

In fiscal year 2024, impairment losses of €18 million were recognized in connection with the original decision to scale back the international project business.

12.INTERESTS IN ASSOCIATES

After the sale of 10.6 million existing shares of Fresenius Medical Care AG at a placement price of €44.50 per share on March 4, 2025 and the pro-rata sales in connection with the share buy-back program of Fresenius Medical Care AG, Fresenius SE &Co. KGaA owned approximately 29% of the subscribed capital of Fresenius Medical Care AG at September 30, 2025. The sales resulted in a gain of €81 million which is included in other operating result. This investment is accounted for using the equity method.

The carrying amount of the investment was €2,829 million at September 30, 2025 (December 31, 2024: €3,639 million), while the fair value based on the quoted market price of €44.66 per share on September 30, 2025 was €3,708 million.

The income from investments accounted for using the equity method reported in the consolidated statement of income mainly includes the income from the investment in Fresenius Medical Care AG.

The following table contains summarized financial information of Fresenius Medical Care AG. The statement of financial position values include fair value adjustments, the amortization of which is shown in the reconciliation table.

€ i
illio
n m
ns
Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
Cu
nt
ets
rre
ass
7,
827
7,
923
No
ent
set
n-c
urr
as
s
20,
995
23,
912
Sh
lia
bil
itie
ort
-te
rm
s
182
5,
697
5,
Lon
liab
ilit
ies
ter
g-
m
12,
298
13,
138
Ne
t a
ts
sse
11,
342
13,
000
Ne
f sh
ho
lde
f
t a
ts o
sse
are
rs o
ius
ica
l C
AG
Fre
M
ed
sen
are
9,
888
314
11,
Ne
of
oll
ing
t a
ts
ntr
sse
no
nco
int
sts
ere
1,
454
686
1,
€ i
illio
n m
ns
Q1
3/
202
5
Q1 –
3/2
024
Rev
en
ue
14,
55
8
9,
49
1
Ne
t in
com
e
787 35
9
Oth
hen
siv
e in
e (
los
s),
net
er
com
pre
com
-1,
44
5
39
1
siv
e i
(lo
ss)
To
tal
reh
co
mp
en
nco
me
-65
8
750
€ i
illio
n m
ns
202
5
202
4
Ca
ing
of
inv
de
nt
est
nt
rry
am
ou
me
un
r
uit
the
eth
od
Jan
1
at
eq
y m
ua
ry
3,
639
3,
50
0
Div
ide
nds
cei
ved
re
-12
1
2
-11
Pro
rtio
inc
ttri
but
ab
le t
he
nat
et
o t
po
e n
om
e a
of
niu
ica
l C
AG
sha
reh
old
Fr
s M
ed
ers
ese
are
189 151
Pro
rtio
the
hen
siv
e in
nat
po
e o
r c
om
pre
com
e
(los
s) a
ttri
but
ab
le t
he
sha
reh
old
of
o t
ers
Fre
ius
M
ed
ica
l C
AG
sen
are
-38
2
-56
Pro
rtio
the
han
in
uity
nat
po
e o
r c
ges
eq
12 -10
Am
iza
tio
f th
ffe
of
th
has
ort
cts
n o
e e
e p
urc
e
ice
al
loc
ati
thr
h p
rof
it o
r lo
pr
on
ou
g
ss
-72 -14
1
Eff
fro
he
sal
f sh
f
ect
m t
e o
are
s o
Fre
ius
M
ed
ica
l C
AG
sen
are
-43
6
n.a
ing
inv
Ca
of
de
nt
est
nt
rry
am
ou
me
un
r
the
uit
eth
od
Se
be
r 3
0
at
tem
eq
y m
p
2,
829
3,
332

Subsequent to the capital increase effected at Aceso Topco 1 S.à r.l, Fresenius SE&Co. KGaA's stake in Vamed's rehabilitation business, via Aceso Topco 1 S.à r.l., was 23.4% at September 30, 2025.

The carrying amount of this investment accounted for using the equity method amounted to €53 million at September 30, 2025 (December 31, 2024: €45 million).

Further investments in equity method investees are not material to the Fresenius Group.

13.DEBT

As of September 30, 2025 and December 31, 2024, debt consisted of the following:

Bo
ok
val
ue
Se
be
tem
p
r 3
0,
202
5
De
ber
cem
31
202
4
,
€ i
illio
n m
ns
the
f cu
nt
reo
rre
the
reof
t
cu
rren
Sch
uld
sch
ein
Lo
ans
257
1,
42
6
37
1,
7
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
70 70 70 70
Loa
n f
th
e E
n I
Ba
nk
stm
ent
rom
uro
pea
nve
40
0
40
0
40
0
40
0
Oth
de
bt
er
39
1
39 62
1
258
iab
ilit
ies
Int
st l
ere
17 17 18 18
De
bt
2,
135
952 2,
48
6
746

Book value

As of September 30, 2025 and December 31, 2024, Schuldschein Loans of the Fresenius Group net of debt issuance costs consisted of the following:

€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
fixe
d/
riab
le
va
Sep
ber
30
, 20
25
tem
Dec
ber
31,
202
4
em
Fre
ius
SE
&C
KG
aA
20
23
/20
26
sen
o.
€3
09
mi
llio
n
Ma
29,
20
26
y
4.4
0%
/ va
ria
ble
30
9
30
9
ius
SE
&C
KG
26
Fre
aA
20
19
/20
sen
o.
mi
llio
€1
17
n
Se
6
t. 2
3,
202
p
0.8
5%
117 117
Fre
ius
SE
&C
KG
aA
20
19
/20
26
sen
o.
€1
21
mi
llio
n
Se
t. 2
3,
202
6
p
iab
le
var
121
Fre
ius
SE
&C
KG
aA
20
17
/20
27
sen
o.
€2
07
mi
llio
n
Jan
. 29
202
7
,
1.9
6%
/ va
ria
ble
207 206
Fre
ius
SE
&C
KG
aA
20
23
/20
28
sen
o.
€4
05
mi
llio
n
Ma
30,
20
28
y
4.6
2%
/ va
ria
ble
404 404
Fre
ius
SE
&C
KG
aA
20
19
/20
29
sen
o.
€8
4 m
illio
n
Se
t. 2
4,
202
9
p
1.1
0%
84 84
ius
SE
&C
KG
Fre
aA
20
23
/20
30
sen
o.
36
mi
llio
€1
n
Ma
31,
20
30
y
ria
4.7
7%
/ va
ble
136 136
Sc
hu
lds
che
in
Loa
ns
1,
257
1,
37
7
Int
st l
iab
ilit
ies
ere
14 16

The variable tranche of €121 million of Fresenius SE&Co. KGaA's Schuldschein Loan in the total amount of €238 million originally due on September 23, 2026 was repaid prior to maturity on September 23, 2025.

As of September 30, 2025, Fresenius SE&Co. KGaA's Schuldschein Loan of €309 million, due on May 29, 2026, and the fixed tranche in the amount of €117 million of Fresenius SE&Co. KGaA's Schuldschein Loan, due on September 23, 2026, are presented under short-term liabilities in the consolidated statement of financial position.

On September 8, 2025, Fresenius SE&Co. KGaA concluded a facility agreement with the European Investment Bank in the amount of €400 million, which can be drawn within 18 months of the conclusion of the agreement.

The syndicated credit facility of Fresenius SE&Co. KGaA in the amount of €2.0 billion which was entered into in July 2021 serves as backup line. In June 2023, the syndicated credit facility was extended by a further year until

July 1, 2028. It was undrawn as of September 30, 2025. In addition, further bilateral facilities are available to the Fresenius Group which have not been utilized, or have only been utilized in part, as of the reporting date.

At September 30, 2025, the available borrowing capacity resulting from unutilized credit facilities was approximately €3.3 billion. Thereof, €2.0 billion related to the syndicated credit facility, approximately €0.9 billion to bilateral facilities with commercial banks and €0.4 billion to the facility agreement with the European Investment Bank.

14.BONDS

As of September 30, 2025 and December 31, 2024, bonds of the Fresenius Group measured at amortized cost net of debt issuance costs consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
Sep
ber
30
, 20
25
tem
Dec
ber
31,
202
4
em
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
025
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
5
,
0.0
0%
50
0
49
9
Fre
ius
Fi
Ire
lan
d P
LC
20
/20
27
17
sen
nan
ce
€7
00
mi
llio
n
Feb
20
27
. 1,
2.1
25
%
699 698
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
028
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
8
,
0.5
0%
49
9
49
8
ius
Fi
LC
Fre
Ire
lan
d P
202
1/2
03
1
sen
nan
ce
mi
llio
€5
00
n
Oc
t. 1
203
1
,
0.8
75
%
49
6
49
6
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
32
sen
nan
ce
€5
00
mi
llio
n
Jan
. 30
203
2
,
3.0
0%
49
7
49
7
Fre
ius
SE
&C
KG
aA
20
19
/20
25
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
5
,
1.8
75
%
50
0
Fre
ius
SE
&C
KG
aA
20
22
/20
25
sen
o.
€7
50
mi
llio
n
Ma
24,
20
25
y
1.8
%
75
750
Fre
ius
SE
&C
KG
aA
20
22
/20
26
sen
o.
€5
00
mi
llio
n
Ma
28,
20
26
y
4.2
5%
49
9
49
9
ius
SE
&C
KG
26
Fre
aA
20
20
/20
sen
o.
mi
llio
€5
00
n
Se
6
t. 2
8,
202
p
0.3
75
%
49
9
49
8
Fre
ius
SE
&C
KG
aA
20
20
/20
27
sen
o.
€7
50
mi
llio
n
Oc
t. 8
202
7
,
1.6
25
%
747 746
Fre
ius
SE
&C
KG
aA
20
20
/20
28
sen
o.
€7
50
mi
llio
n
Jan
. 15
202
8
,
0.7
5%
748 747
Fre
ius
SE
&C
KG
aA
20
23
/20
28
sen
o.
CH
F27
illio
5 m
n
Oc
8,
202
8
t. 1
2.9
6%
293 29
1
Fre
ius
SE
&C
KG
aA
20
19
/20
29
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
9
,
2.8
75
%
49
7
49
7
Fre
ius
SE
&C
KG
aA
20
25
/20
29
sen
o.
€5
00
mi
llio
n
Se
202
9
t. 1
5,
p
2.7
5%
49
6
Fre
ius
SE
&C
KG
aA
20
24
/20
29
sen
o.
CH
F22
5 m
illio
n
Oc
t. 2
4,
202
9
1.5
98
%
238 236
ius
SE
&C
KG
Fre
aA
20
22
/20
29
sen
o.
mi
llio
€5
00
n
No
v. 2
8,
202
9
5.0
0%
49
7
49
7
Fre
ius
SE
&C
KG
aA
20
22
/20
30
sen
o.
€5
50
mi
llio
n
Ma
24,
20
30
y
2.8
75
%
545 544
Fre
ius
SE
&C
KG
aA
20
23
/20
30
sen
o.
€5
00
mi
llio
n
Oc
t. 5
203
0
,
5.1
25
%
49
6
49
5
Fre
ius
SE
&C
KG
aA
20
20
/20
33
sen
o.
€5
00
mi
llio
n
Jan
. 28
203
3
,
25
%
1.1
49
8
49
8
Fre
ius
SE
&C
KG
aA
20
25
/20
34
sen
o.
€5
00
mi
llio
n
Ma
rch
15
203
4
,
3.5
0%
49
5
Bo
nd
s
9,
239
9,
48
6
Int
st l
iab
ilit
ies
ere
128 105

On September 15, 2025, Fresenius SE&Co. KGaA issued bonds with an aggregate volume of €1,000 million. The bonds consist of two tranches with maturities of four and eight and a half years. Bond proceeds were partly used to refinance the bond due on May 28, 2026 of Fresenius SE&Co. KGaA, which was repaid prior to maturity on October 8, 2025.

As of September 30, 2025, the bond of Fresenius Finance Ireland PLC in the amount of €500 million which was due on October 1, 2025, the bond of Fresenius SE&Co. KGaA in the amount of €500 million which was originally due on May 28, 2026 and repaid prior to maturity on October 8, 2025 as well as the bond of Fresenius SE&Co. KGaA in the amount of €500 million which is due on September 28, 2026 are presented under short-term liabilities in the consolidated statement of financial position.

15.BONDS -- EXCHANGEABLE BOND

As of March 11, 2025, Fresenius SE&Co. KGaA placed an exchangeable bond of €600 million with a three year maturity. The bond has been issued at a price of 101.50% of its principal amount and bears no interest, resulting in a yield-to-maturity of -0.50% per annum. Bondholders have the right to exchange their bonds into shares of Fresenius Medical Care AG during the exchange period. The standard exchange period commences 6 months and ends 35 business days prior to the maturity date. The exchange price was initially set at €57.85. Upon exchange, Fresenius SE&Co. KGaA has the flexibility to pay in cash, deliver the relevant underlying shares or deliver and pay a combination thereof. As of September 30, 2025, the book value (fair value) of the exchangeable bond amounted to €609 million. The effect from the measurement at fair value recognized in earnings is shown in other financial result.

16.NONCONTROLLING INTERESTS

As of September 30, 2025 and December 31, 2024, noncontrolling interests in the Fresenius Group were as follows:

€ i
illio
n m
ns
Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
No
olli
int
ntr
sts
nco
ng
ere
in t
he
bus
ine
nts
ss
seg
me
Fre
ius
Ka
bi
sen
549 659
Fre
ius
He
lios
sen
94 89
ius
Co
Fre
rat
sen
rpo
e
4 0
To
tal
oll
ing
in
ntr
ter
est
no
nco
s
647 748

Accumulated other comprehensive income (loss) allocated to noncontrolling interests relates to currency effects from the translation of financial statements denominated in foreign currencies. For changes in noncontrolling interests, please see the consolidated statement of changes in equity.

17. FRESENIUS SE&CO. KGAA SHAREHOLDERS' EQUITY

As of September 30, 2025, the subscribed capital of Fresenius SE&Co. KGaA consisted of 563,237,277 bearer ordinary shares.

Under the German Stock Corporation Act (AktG), the amount of dividends available for distribution to shareholders is based upon the unconsolidated retained earnings of Fresenius SE&Co. KGaA as reported in its statement of financial position determined in accordance with the German Commercial Code (HGB).

In May 2025, a dividend of €1.00 per bearer ordinary share was approved at the Annual General Meeting by Fresenius SE&Co. KGaA's shareholders and subsequently a total dividend of €563 million was paid. Thereby, the Else Kröner-Fresenius-Stiftung was paid the dividend which it is entitled to as a shareholder in the share capital of Fresenius SE&Co. KGaA.

18.LEGAL AND REGULATORY MATTERS

In July 2025, Haemonetics Corporation filed a lawsuit against Fresenius Kabi USA asserting infringement of three patents related to plasma collection systems. In October 2025, Haemonetics Corporation filed a first amended

complaint adding Fresenius Kabi AG and Fenwal, Inc. as additional co-defendants. Fresenius Kabi USA, Fresenius Kabi AG, and Fenwal, Inc. deny that the lawsuit has merit and will vigorously defend against the claims.

Information regarding legal disputes, court proceedings and investigations can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS.

19. FINANCIAL INSTRUMENTS

As of September 30, 2025 and December 31, 2024, the carrying amounts of financial instruments by item of the statement of financial position and structured according to categories were as follows:

Se
be
r 3
0,
202
5
tem
p
Re
lati
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
orti
Am
zed
t
cos
Fair
val
hro
ugh
ue t
pro
1
fit a
nd
loss
Fair
val
ue t
hro
ugh
oth
er
hen
sive
com
pre
me2
inco
Der
ivat
ives
des
igna
ted
ash
flo
as c
w
hed
gin
g
inst
ents
rum
at f
air
valu
e
ion
Put
opt
liab
ilitie
s
ed
mea
sur
at f
air
valu
e
Val
ion
uat
ord
ing
to
acc
S 1
IFR
6 fo
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Val
uati
f
on o
tinu
ing
con
invo
lvem
ent
Fin
cia
l as
set
an
s
Ca
sh
and
sh
iva
len
ts
ca
equ
2,
364
2,
282
82
cei
Tra
de
d o
the
vab
les
nts
acc
ou
an
r re
,
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
3,
849
3,
244
577 23 0 5
Oth
fin
ial
ets
er
anc
ass
2,
097
2,
026
24 8 33 6
Fin
cia
l as
set
an
s
8,
31
0
7,
552
683 31 33 6 5
Fin
cia
l li
ab
ilit
ies
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
082
1,
082
De
bt
2,
135
2,
135
Lea
liab
ilit
ies
se
1,
42
8
1,
42
8
Bo
nds
9,
976
9,
36
7
609
Oth
fin
ial
liab
ilit
ies
er
anc
2,
707
670
1,
32
6
7 694 10
Fin
cia
l li
ilit
ies
ab
an
17,
32
8
14,
254
935 7 694 1,
42
8
10

1 The option to measure the exchangeable bond at fair value through profit and loss was exercised. The own credit risk included in the exchangeable bond in the amount of €108 thousand is recognized in other comprehensive income.

2 The option to measure equity investments at fair value through other comprehensive income has been exercised. The option has been used for €8 million other investments (included in other financial assets).

De
ber
31
202
4
cem
,
Re
lati
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
orti
Am
zed
t
cos
Fair
val
hro
ugh
ue t
pro
1
fit a
nd
loss
Fair
val
hro
ugh
ue t
oth
er
hen
sive
com
pre
me2
inco
Der
ivat
ives
des
igna
ted
ash
flo
as c
w
hed
gin
g
inst
ents
rum
at f
air
valu
e
Put
ion
opt
liab
ilitie
s
ed
mea
sur
at f
air
valu
e
Val
ion
uat
ord
ing
to
acc
IFR
S 1
6 fo
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Val
uati
f
on o
tinu
ing
con
invo
lvem
ent
Fin
cia
l as
set
an
s
Ca
sh
and
sh
iva
len
ts
ca
equ
2,
282
2,
055
227
cei
Tra
de
d o
the
vab
les
nts
acc
ou
an
r re
,
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
3,
50
0
2,
93
1
53
8
14 0 17
Oth
fin
ial
ets
er
anc
ass
1,
847
1,
804
12 10 21
Fin
cia
l as
set
an
s
7,
629
6,
790
777 24 21 0 17
Fin
cia
l li
ab
ilit
ies
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
35
9
1,
35
9
De
bt
2,
48
6
2,
48
6
Lea
liab
ilit
ies
se
1,
50
0
1,
50
0
Bo
nds
9,
59
1
9,
59
1
Oth
fin
ial
liab
ilit
ies
er
anc
2,
514
1,
44
7
333 15 688 31
Fin
cia
l lia
bil
itie
an
s
17,
45
0
14,
883
333 15 688 1,
50
0
31

1 All included financial assets and liabilities are mandatorily measured at fair value through profit and loss according to IFRS 9.

2 The option to measure equity investments at fair value through other comprehensive income has been exercised. The option has been used for €10 million other investments (included in other financial assets).

The following table shows the carrying amounts and the fair value hierarchy levels as of September 30, 2025 and December 31, 2024:

Se
be
r 3
0,
202
5
tem
p
De
ber
31
202
4
cem
,
Fai
alu
r v
e
Fai
lue
r va
€ i
illio
n m
ns
Car
ryin
g am
t
oun
Lev
el 1
Lev
el 2
Lev
el 3
Car
ryin
g amo
unt
Lev
el 1
Lev
el 2
Lev
el 3
Fin
cia
l as
set
an
s
1
Cas
h a
nd
h e
iva
len
ts
cas
qu
82 82 227 227
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
,
1
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
600 600 55
1
55
1
1
Oth
fin
ial
ets
er
anc
ass
uity
in
Eq
tm
ent
ves
s
25 25 16 15 1
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
33 33 21 21
riva
tive
ign
ing
in
De
des
d a
s h
edg
ot
ate
str
ent
s n
um
s
7 7 6 6
Fin
cia
l li
ilit
ies
ab
an
De
bt
2,
135
2,
120
6
2,
48
6
2,
45
Bo
nds
9,
976
9,
794
9,
59
1
9,
363
1
Oth
fin
ial
liab
ilit
ies
er
anc
Put
tio
n li
ab
ilit
ies
op
694 694 688 688
Ac
ed
tin
din
for
isit
ion
t p
ent
uts
tan
cru
con
gen
aym
s o
g
ac
qu
s
314 314 32
6
32
6
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
7 7 15 15
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
12 12 7 7

1 Fair value information is not provided for financial instruments, if the carrying amount is a reasonable estimate of the fair value due to the relatively short period of maturity of these instruments.

Financial instruments are classified according to their measurement basis in the three-tier fair value hierarchy (Level 1 - 3). Short-term financial investments included in cash and cash equivalents and bonds are based on price quotations at the date of the consolidated financial statements (Level 1). Trade accounts receivable from factoring contracts as well as selected equity investments and long-term financial liabilities without quoted prices

are derived from observable market information (Level 2). For individual strategic equity investments, the Fresenius Group makes use of the option to recognize changes in fair value in other comprehensive income (loss). Other equity investments, put options liabilities and accrued contingent payments outstanding for acquisitions are estimated using valuation models (Level 3).

Explanations regarding further significant methods and assumptions used to estimate the fair values of financial instruments and classification of fair value measurements according to the three-tier fair value hierarchy as well as explanations with regard to existing and expected risks from financial instruments and hedging can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS. The following table shows the changes of the fair values of financial instruments classified as level 3 in the first three quarters of 2025:

€ i
illio
n m
ns
Equ
ity i
stm
ents
nve
and
ing
ts o
utst
pay
men
for
uisi
tion
acq
s
Put
ion
liab
iliti
opt
es
of
As
Ja
1,
202
5
nu
ary
1 6
32
688
Ga
in/
los
ize
d i
rof
it o
r lo
s r
eco
gn
n p
ss
7
Ga
in/
los
ize
d i
ity
s r
eco
gn
n e
qu
6
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
-12
Re
cla
ssi
fica
tio
As
s /
Lia
bil
itie
s d
ire
ctly
to
set
ns
"
le''
oci
d w
ith
the
s h
eld
fo
ate
set
ass
as
r sa
-1
As
of
Se
be
r 3
0,
202
5
tem
p
314 694

20.INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of September 30, 2025, the equity ratio was 45.4% and the debt ratio (debt/total assets) was 31.9%. As of September 30, 2025, the leverage ratio (before special items) on the basis of net debt/EBITDA, calculated on the basis of closing rates, was 3.0 (December 31, 2024: 3.0).

The aims of the capital management and further information can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS.

The Fresenius Group is covered by the rating agencies Moody's, Standard&Poor's and Fitch.

The following table shows the corporate credit rating of Fresenius SE&Co. KGaA:

Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
r's
Sta
nda
rd&
Poo
Co
red
it r
ati
rat
rpo
e c
ng
BB
B
BB
B
Ou
tlo
ok
ble
sta
ble
sta
's
Mo
ody
Co
it r
ati
red
rat
rpo
e c
ng
Baa
3
Baa
3
Ou
tlo
ok
ble
sta
ble
sta
Fit
ch
Co
red
it r
ati
rat
rpo
e c
ng
BB
B-
BB
B
Ou
tlo
ok
ble
sta
ble
sta

On August 14, 2025, Fitch affirmed the corporate credit rating at BBB- and the outlook at stable.

21. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

Accrued contingent

The consolidated segment reporting tables shown on pages 37 and 38 of this interim report are an integral part of the notes.

The Fresenius Group has identified the business segments Fresenius Kabi and Fresenius Helios, which corresponds to the internal organizational and reporting structures (Management Approach) at September 30, 2025.

Due to the gradual exit from Fresenius Vamed, the prior year figures in the consolidated statement of income and the consolidated statement of cash flows have been restated and key figures adjusted.

The column Corporate/Other is comprised of all special items (see note 3, Special items), including discontinued operations and in net income the at equity result of Fresenius Medical Care and the 23.4% stake in Aceso Topco 1 S.à r.l. Furthermore, the holding functions of Fresenius SE&Co. KGaA and intersegment consolidation adjustments are

included. Moreover, Corporate/Other includes further activities, in particular Fresenius Digital Technology GmbH, which provides services in the field of information technology, as well as the Fresenius Health Services (FHS) business unit, which provides services for Fresenius Helios and other hospitals.

Revenue, EBIT and net income of the business segment Corporate /Other were composed as follows:

€ i
illio
n m
ns
Q1
3/
202
5
Q1 –
3/2
024
Re
e C
te/
Ot
he
ve
nu
orp
ora
r
315 373
Sp
eci
al i
tem
s
38 105
Gro
fun
ctio
ns /
elim
ina
tio
up
ns
-45 -58
Oth
ine
ivit
ies
bus
act
er
ss
322 6
32
EB
IT
Co
e/O
the
rat
rpo
r
-26
3
-28
0
Sp
eci
al i
tem
s
-16
9
-19
5
Gro
fun
ctio
ns /
elim
ina
tio
up
ns
-10
1
-92
Oth
ine
ivit
ies
bus
act
er
ss
7 7
t in
e C
Ot
Ne
te/
he
com
orp
ora
r
-37
4
-94
5
Sp
eci
al i
tem
s
-54
0
-1,
045
Gro
fun
ctio
ns /
elim
ina
tio
up
ns
-10
1
-91
Oth
bus
ine
ivit
ies
act
er
ss
3 -14
Inc
e f
in
tm
ent
om
rom
ves
s
d f
usi
the
uity
nte
acc
ou
or
ng
eq
tho
d b
efo
cia
l ite
me
re
spe
ms
264 205

The business segments were identified in accordance with IFRS 8, Operating Segments, which defines the segment reporting requirements in the annual financial statements and interim reports with regard to the operating business, product and service businesses and regions. Further explanations with regard to the business segments can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS.

Explanations regarding the notes on the business segments can be found in the consolidated financial statements as of December 31, 2024 applying Section 315e HGB in accordance with IFRS.

RECONCILIATION OF KEY FIGURES TO CONSOLIDATED EARNINGS FROM CONTINUING OPERATIONS

€ i
illio
n m
ns
Q1
3/
202
5
Q1 –
3/2
024
To
tal
EB
IT
of
ing
ort
ent
rep
se
gm
s
1,
976
1,
928
Sp
eci
al i
tem
s
-16
9
-19
5
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e (
EB
IT)
rat
rpo
-94 -85
Gr
EB
IT
ou
p
713
1,
648
1,
Inc
e f
in
tm
ent
om
rom
ves
s
d f
usi
nte
acc
ou
or
ng
the
uity
eth
od
eq
m
122 10
Ne
t in
ter
est
-24
8
-33
5
Oth
fin
ial
ult
er
anc
res
-6
efo
inc
Inc
e b
e t
om
re
om
axe
s
1,
58
1
1,
323

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Sep
t. 3
0, 2
025
Dec
. 31
, 20
24
De
bt
2,
135
2,
48
6
Lea
liab
ilit
ies
se
42
8
1,
50
0
1,
Bo
nds
9,
976
9,
59
1
De
bt
13,
53
9
13,
57
7
les
ash
d c
ash
uiv
ale
nts
s c
an
eq
2,
364
2,
282
Ne
t d
ebt
11,
175
11,
295

22.SHARE-BASED COMPENSATION PLANS

As of September 30, 2025, Fresenius SE&Co. KGaA had three share-based compensation plans in place: the Fresenius SE&Co. KGaA Long Term Incentive Program 2013 (2013 LTIP) which is based on stock options and phantom stocks, the Fresenius Long Term Incentive Plan 2018 (LTIP 2018) which is based on performance shares, and the Fresenius Performance Plan 2023-- 2026 (LTIP 2023), under which cash-settled virtual Fresenius SE& Co. KGaA shares (stock awards) can be granted.

During the first three quarters of 2025, no stock options were exercised.

Since September 13, 2025, the performance shares issued in fiscal year 2021 under the LTIP 2018 have been deemed to be vested. Payment to the plan participants will be made in the fourth quarter of 2025 on the basis of the overall target achievement determined over the four-year measurement period.

On June 20, 2025, retroactive to January 1, 2025, Fresenius SE&Co. KGaA granted 1,021,921 stock awards with a total fair value of €34 million to executives of the Fresenius Group under the LTIP 2023. On March 21, 2025, retroactive to January 1, 2025, Fresenius SE&Co. KGaA granted 227,930 stock awards with a total fair value of €8 million to the Management Board of Fresenius Management SE under the LTIP 2023. The fair value per stock award on the grant date of January 1, 2025 was €33.57.

At September 30, 2025, 562 stock options issued under the 2013 LTIP were outstanding and exercisable. The members of the Fresenius Management SE Management Board did not hold any stock options. At September 30, 2025, 1,110,105 performance shares issued under the LTIP 2018 were outstanding, the Management Board members of Fresenius Management SE held 68,737 performance shares. 3,926,354 stock awards issued under the LTIP 2023 were outstanding on September 30, 2025, of which 702,849 were held by the members of the Fresenius Management SE Management Board.

23.SUBSEQUENT EVENTS

On October 17, 2025, the Fresenius Group entered into an agreement to sell the production sites used by Fresenius Medical Care in Schweinfurt and St. Wendel, Germany, to Fresenius Medical Care for a purchase price of €172 million. The transaction is expected to close at the end of 2025, subject to the satisfaction of certain closing conditions. Upon closing, a positive effect on EBIT is expected which will be reported as a special item.

In October 2025, the Fresenius Group announced the accelerated and simplified divestment of Vamed's Austrian activities in two independent steps. A contract with Porr was signed on the sale of the Austrian project business and the thermal spas operations of VAMED Vitality World. The new agreement is subject to regulatory approval. In-depth talks are also ongoing with Strabag regarding remaining parts of Vamed's Austrian activities -- primarily the operations business of the Vienna General Hospital (AKH Wien).

On October 8, 2025, the bond of Fresenius SE&Co. KGaA in the amount of €500 million which was originally due on May 28, 2026 was repaid prior to maturity.

In October 2025, Fresenius SE&Co. KGaA terminated the variable tranches of the Schuldschein Loans of Fresenius SE&Co. KGaA originally due on May 29, 2026, May 30, 2028 and May 31, 2030. The repayment of these tranches prior to maturity totaling €527 million will take place on November 28, 2025.

Following the end of the third quarter of 2025, no other events of material importance on the assets and liabilities, financial position, and results of operations of the Group have occurred.

24.CORPORATE GOVERNANCE

For each consolidated stock exchange listed entity, the declaration pursuant to Section 161 of the German Stock Corporation Act (Aktiengesetz) has been issued and made available to shareholders on the website of Fresenius SE&Co. KGaA (www.fresenius.com/corporate-governance).

FINANCIAL CALENDAR

Re
n F
Y/2
5
rt o
po
Feb
25,
20
26
rua
ry
Re
n 1
20
26
rt o
st q
ter
po
uar
Ma
6,
202
6
y
An
l G
ral
Me
eti
nua
ene
ng
Ma
22,
20
26
y
Re
n 1
st h
alf
202
6
rt o
po
Au
st 5
202
6
gu
,
6
Re
n 1
- 3
rd
202
rt o
st -
art
po
qu
er
6
No
ber
4,
202
vem

Subject to change

FRESENIUS SHARE/ADR

din
Or
sh
ary
are
AD
R
Sec
uri
tie
s id
ific
ati
ent
on
no.
60
57
8 5
CU
SIP
35
804
M1
05
Tic
ker
mb
ol
sy
FR
E
Tic
ker
mb
ol
sy
FS
NU
Y
ISI
N
DE
000
57
856
04
ISI
N
US
35
804
M1
053
Blo
ber
bo
l
om
g s
ym
FR
E G
R
Str
uct
ure
Sp
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CONTACT

Corporate Headquarters Else-Kröner-Straße 1 Bad Homburg v. d. H.

Germany

Postal address Fresenius SE & Co. KGaA 61346 Bad Homburg v. d. H. Germany

Contact for shareholders Investor Relations Telephone: ++ 49 61 72 6 08-24 87 E-Mail: [email protected]

Contact for journalists Corporate Communications Telephone: ++ 49 61 72 6 08-23 02 E-mail: [email protected]

Commercial Register: Bad Homburg v. d. H.; HRB 11852 Chairman of the Supervisory Board: Wolfgang Kirsch

General Partner: Fresenius Management SE

Registered Office and Commercial Register: Bad Homburg v.d.H.; HRB 11673

Management Board: Michael Sen (Chairman), Pierluigi Antonelli, Sara Hennicken, Robert Möller, Dr. Michael Moser

Chairman of the Supervisory Board: Wolfgang Kirsch

For additional information on the performance indicators used please refer to our website https://www.fresenius.com/alternative-performance-measures.

Forward-looking statements:

This Quarterly Financial Report contains forward-looking statements. These statements represent assessments which we have made on the basis of the information available to us at the time. Should the assumptions on which the statements are based on not occur, or if risks should arise – as mentioned in the consolidated financial statements and the management report as of December 31, 2024 applying Section 315e HBG in accordance with IFRS – the actual results could differ materially from the results currently expected.

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