Quarterly Report • Nov 6, 2025
Quarterly Report
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Q3 | 2025
3 Fresenius Group figures at a glance 20 Fresenius Kabi 28 Consolidated financial statements
9 Healthcare industry
11 Earnings
15 Investments
18 Asset and liability structure
20 Business segments
22 Fresenius Helios 28 Consolidated statement of income
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.
| € 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 % |
| Sep . 30 , 20 25 |
Dec . 31 , 20 24 |
|
|---|---|---|
| 2,5 Ne t d ebt /E BIT DA |
3.0 | 3.0 |
| 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
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.

| Nu mb of sha (S 30 /D 31 ) er res ep. ec. |
56 3, 23 7, 27 7 |
563 237 277 , , |
0% |
|---|---|---|---|
| n1 Sto ck han tio in € ota exc ge qu |
|||
| Hig h |
48 .07 |
34 .85 |
38 % |
| Low | 31 .60 |
24 .54 |
29 % |
| iod ati sin ric Per d q clo uot -en on g p e |
47 .40 |
33 .54 |
41 % |
| Ø T rad ing lum e ( mb of sha ad ing da ) r tr vo nu er res pe y |
96 4, 39 0 |
1, 004 890 , |
-4% |
| 2 in Ma rke ital iza tio illio n € (S 30 /D 31 ) t ca p n m ep. ec. |
26 69 7 , |
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.
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.
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:
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.
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.
The healthcare sector is one of the world's largest industries and we are convinced that it demonstrates excellent growth opportunities.
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.
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.
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.
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.
| € 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 wth gro |
Acq uisi tion s |
Div esti ture / s Oth ers |
f to % o tal reve nue |
|---|---|---|---|---|---|---|---|---|---|
| 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 % |
| € 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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 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 wth gro |
Acq uisi tion s |
Div esti ture / s Oth ers |
f to % o tal reve nue |
|---|---|---|---|---|---|---|---|---|---|
| No rth 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
| € 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:
The special items shown within the reconciliation tables are reported in the ''Corporate /Other'' segment.
| Gro wth rat e in c tant ons |
Gro wth rat e in c tant ons |
|||||||
|---|---|---|---|---|---|---|---|---|
| € i illio n m ns |
Q3 / 202 5 |
Q3 / 202 4 |
Gro wth rat e |
cur ren cy |
Q1- 3/ 2 025 |
Q1- 3 /2 024 |
Gro wth rat e |
cur ren cy |
| (af eci ite ) Re ed al ort ter ve nu e r ep sp ms |
5, 485 |
5, 315 |
3% | 5% | 16, 717 |
16, 105 |
4% | 5% |
| Leg rtfo lio adj ust nts acy po me |
0 | – | -1 | -30 | ||||
| ius nsf ati Fre tra sen orm on |
-8 | -12 | -37 | -75 | ||||
| Re (be for ial ite ) ven ue e s pec ms |
5, 47 7 |
5, 30 3 |
3% | 5% | 16, 67 9 |
16, 00 0 |
4% | 6% |
| EB IT ed (af eci al ite ) ort ter rep sp ms |
46 6 |
49 0 |
-5% | -3% | 713 1, |
648 1, |
4% | 5% |
| Co nd eff icie st a ncy pr og ram s |
43 | 31 | 96 | 57 | ||||
| rtfo lio adj Leg ust nts acy po me |
9 | 4 | 20 | 12 | ||||
| Re du ctio f p icip ati in Fre ius M ed ica l C art n o on sen are |
-4 | – | -76 | – | ||||
| Fre ius nsf ati tra sen orm on |
50 | 27 | 119 | 126 | ||||
| Leg al a nd ula tor att reg y m ers |
10 | – | 10 | – | ||||
| ial ite EB IT (be for ) e s pec ms |
574 | 552 | 4% | 6% | 1, 882 |
1, 843 |
2% | 3% |
| t in eci ite 1 Ne ed (af al ) ort ter com e r ep sp ms |
344 | 32 6 |
6% | 8% | 903 | 23 1 |
||
| Co eff icie nd st a ncy pr og ram s |
36 | 22 | 79 | 49 | ||||
| Leg rtfo lio adj ust nts acy po me |
8 | 4 | 17 | 24 | ||||
| Fre ius nsf ati tra sen orm on |
53 | -1 | 35 8 |
777 | ||||
| Re du ctio f p icip ati in Fre ius M ed ica l C art n o on sen are |
-31 | – | -63 | – | ||||
| Leg al a nd ula tor att reg y m ers |
7 | – | 7 | – | ||||
| Sp eci al i ius ica l C s F M ed tem res en are |
44 | 37 | 142 | 195 | ||||
| 1 Ne t in e ( bef eci al ite ) com ore sp ms |
46 1 |
38 8 |
19 % |
21 % |
1, 443 |
1, 276 |
13 % |
14 % |
1 Net income attributable to shareholders of Fresenius SE&Co. KGaA
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.
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.
| € i illio n m ns |
Q1- 3/ 2 025 |
Q1- 3 /2 024 |
f pr The rty, reo ope plan d t an ipm ent equ |
The f reo uisi tion acq s |
Gro wth |
% o f to tal |
|---|---|---|---|---|---|---|
| Fre ius Ka bi sen |
237 | 247 | 216 | 21 | -4% | 32 % |
| Fre ius He lios sen |
1 6 44 |
35 0 |
32 1 |
125 | 27 % |
60 % |
| Co e/O the rat rpo r |
66 | 36 | 65 | 1 | 83 % |
8% |
| To tal |
749 | 633 | 602 | 147 | 18 % |
100 % |
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/
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.
| € 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
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
| Cas iva h a nd h e len ts cas qu Tra de d o the cei vab les les llow nts acc ou an r re s a anc es , for ted ed it lo ex pec cr sse s Inv ori ent es |
364 2, 3, 849 2, 57 6 |
2, 282 3, 50 0 |
|---|---|---|
| 2, 573 |
||
| Oth fin ial ets er anc ass |
629 1, |
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 |
11, 44 6 |
| Pro lan nd uip ty, t a nt per p eq me |
8, 36 7 |
8, 569 |
| Rig ht- of- set use as s |
1, 250 |
1, 32 1 |
| Go ill odw |
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 |
||
| d f usi the uity 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 |
42 46 0 , |
43 55 0 , |
| € i illio n m ns |
Sep ber 30 tem , 202 5 |
Dec ber 31, 202 em 4 |
|---|---|---|
| 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 |
626 1, |
854 1, |
| Oth fin ial liab ilit ies er anc |
2, 382 |
1, 549 |
| Oth liab ilit ies er |
2, 148 |
2, 094 |
| Pro vis ion 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 |
332 | 424 |
| set as r sa A. To tal sh lia bil itie ort -te |
9, 564 |
9, 009 |
| rm s De bt |
1, 183 |
1, 740 |
| Lea liab ilit ies se |
264 1, |
32 8 1, |
| 1 Bo nds |
8, 35 0 |
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 |
| fer De red ta xes |
679 | 627 |
| B. To tal lo lia bil itie -te ng rm s |
13, 627 |
14, 25 1 |
| l lia bil itie I. T ota s |
23, 191 |
26 23, 0 |
| A. No oll ing in ntr ter est nco s |
647 | 748 |
| Su bsc rib ed ital cap |
563 | 563 |
| Ca ital p re ser ve |
315 4, |
315 4, |
| Oth er res erv es |
14, 283 |
14, 038 |
| ive in Ac ula ted her reh e ( los s) ot cum co mp ens com |
-53 9 |
626 |
| ' e B. To tal Fr niu s S E& Co . K Ga A s ha reh old ity ese ers qu |
18, 622 |
19, 542 |
| rs' uit II. To tal sh ho lde are eq y |
269 19, |
20, 29 0 |
| ' eq To tal lia bil itie nd sha reh old uit s a ers y |
42 46 0 , |
43 55 0 , |
1 This includes the exchangeable bond issued.
20
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.
| € i illio n m ns |
Q3 / 202 5 |
Q3 / 202 4 |
Gro wth |
Gro wth in c tant ons cur ren cy |
Q1- 3/ 2 025 |
Q1- 3 /2 024 |
Gro wth |
Gro wth in c tant ons cur ren cy |
|---|---|---|---|---|---|---|---|---|
| Rev en ue |
2, 141 |
2, 114 |
1% | 6% | 6, 39 8 |
6, 266 |
2% | 5% |
| 3 Org ic r th an eve nue gr ow |
7% | 11 % |
6% | 10 % |
||||
| A1 EB ITD |
48 7 |
46 0 |
6% | 9% | 1, 43 8 |
1, 372 |
5% | 6% |
| in1 EB ITD A m arg |
22 .7% |
21 .8% |
22 .5% |
21 .9% |
||||
| IT1 EB |
35 8 |
335 | 7% | 10 % |
1, 064 |
979 | 9% | 10 % |
| in1 EB IT ma rg |
16. 7% |
15. 9% |
16. 6% |
15. 6% |
||||
| 1,2 Ne t in com e |
23 1 |
226 | 2% | 5% | 720 | 62 1 |
16 % |
18 % |
| Em loy p ees (Se 30 /D 31 ) p. ec. |
41 236 , |
41 58 6 , |
-1% |
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 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.
| € i illio n m ns |
Q3 / 202 5 |
Q3 / 202 4 |
Gro wth |
Gro wth in c tant ons cur ren cy |
Q1- 3/ 2 025 |
Q1- 3 /2 024 |
Gro wth |
Gro wth in c tant ons cur ren cy |
|---|---|---|---|---|---|---|---|---|
| 1 Rev en ue |
3, 240 |
3, 082 |
5% | 5% | 10, 004 |
9, 46 6 |
6% | 6% |
| Org ic r th an eve nue gr ow |
5% | 8% | 6% | 7% | ||||
| A1 EB ITD |
37 7 |
37 1 |
2% | 2% | 1, 31 1 |
1, 33 0 |
-1% | -1% |
| in1 EB ITD A m arg |
6% 11. |
12. 0% |
13. 1% |
14. 1% |
||||
| IT1 EB |
242 | 244 | -1% | 0% | 912 | 949 | -4% | -3% |
| in1 EB IT ma rg |
7.5 % |
7.9 % |
9.1 % |
10. 0% |
||||
| 1,2 Ne t in com e |
139 | 131 | 6% | 5% | 55 7 |
555 | 0% | 1% |
| Em loy p ees (Se 30 /D 31 ) p. ec. |
130 117 , |
128 55 8 , |
1% |
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
As of September 30, 2025, the number of employees was 177,356 (Dec. 31, 2024: 176,486).
| Nu mb of loy er em p ees |
Sep . 30 , 20 25 |
Dec . 31 , 20 24 |
Gro wth |
|---|---|---|---|
| Fre ius Ka bi sen |
41 236 , |
41 58 6 , |
-1% |
| Fre ius He lios sen |
130 117 , |
128 55 8 , |
1% |
| Co e/O the rat rpo r |
6, 003 |
6, 34 2 |
-5% |
| To tal |
177 35 6 , |
176 48 6 , |
0% |
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:
Apart from new products, we are concentrating on developing optimized or completely new therapies, treatment methods, and services.
BY BUSINESS SEGMENT
| € i illio n m ns |
Q1- 3/ 202 5 |
Q1- 3 / 202 4 |
Gro wth |
|---|---|---|---|
| 1 Fre ius Ka bi sen |
46 0 |
9 45 |
0% |
| Fre ius He lios sen |
1 | 2 | -50 % |
| Co rat rpo e |
1 | 1 | 0% |
| 1 To tal |
46 2 |
46 2 |
0% |
1 Before special items
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 h |
|
|---|---|---|---|
| Co it r ati red rat rpo e c ng |
BB B |
Baa 3 |
BB B - |
| Ou tlo ok |
ble sta |
ble sta |
ble sta |
On August 14, 2025, Fitch confirmed the corporate credit rating at BBB- with a stable outlook.
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.
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.
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:
| Tar s 20 25 get |
Bas e 20 24 |
|
|---|---|---|
| €2 1, 526 m |
||
| Rev h wt en ue gro |
(or ic gan |
|
| ic) (or gan |
5 7% |
h 8 %) wt gro |
| €2 48 9 m , |
||
| 4 8% |
in c (gr th ow on |
|
| h1 EB IT wt gro |
(pr evi ous : |
sta nt cur ren cy: |
| (in ) sta nt con cur ren cy |
3 ) 7% |
10 %) |
1 Before special items
Organic growth rate adjusted for accounting effects related to Argentina hyperinflation
In 2025, we expect revenue and earnings development in our Operating Companies as shown in the table below:
| 1 Op tin Co ies era g mp an |
Tar get s 20 25 |
Bas e 20 24 |
|---|---|---|
| Fre ius Ka bi sen |
||
| Rev h wt en ue gro (or ic) gan |
Mi d-t o-h ig h-s ing le-d ig it th tag per cen e g row |
€8 414 m , |
| Wi thi he of n t ran ge 16 %- -16 .5% |
||
| in (str l m uct ura arg |
€1 31 9 m , |
|
| EB IT in ma rg |
ban d: 16 %- -18 %) |
(m in: 15. 7% ) arg |
| ius lios Fre He sen |
||
| Rev h wt en ue gro ic) (or gan |
Mi d-s ing le-d ig it p er th tag cen e g row |
€1 2, 739 m |
| EB IT in ma rg |
Aro und 10 % in (str l m uct ura arg ban d: 10 %- -12 %) |
€1 288 m , (m in: 10. 1% ) arg |
1 Before special items
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%).
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
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.
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%).
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%).
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%.
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).
| € i illio n m ns |
Q3 / 202 5 |
ed¹ Q3 / 202 4 re stat |
Q3 / revi 202 4 p ous |
Q1 3/ 202 5 |
d¹ Q1 – 3/2 024 tate res |
Q1 – viou 3/2 024 pre s |
|---|---|---|---|---|---|---|
| Rev en ue |
48 5, 5 |
315 5, |
36 6 5, |
16, 717 |
16, 105 |
16, 203 |
| Co of sts re ven ue |
-4, 185 |
-3, 957 |
-4, 003 |
-12 54 8 , |
-11 908 , |
-12 240 , |
| Gr ofi t oss pr |
1, 30 0 |
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 |
-2, 193 |
| Res ch and de vel nt ear op me exp ens es |
-15 9 |
-17 0 |
-17 0 |
-46 3 |
-46 4 |
-46 4 |
| Oth tin lt er op era g r esu |
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.
| € 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 |
| € 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 , |
| € 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
| € i illio n m ns |
Q1 3/ 202 5 |
d¹ 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.
| € i illio n m ns |
Q1 3/ 202 5 |
d¹ 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.
THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES – CONTINUING OPERATIONS
| € i illio n m ns |
Q1 3/ 202 5 |
d¹ 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 usa |
Am t oun € in mi llion s |
Cap ital rese rve € in mi llion s |
Oth er rese rves € in mi llion s |
|||
| As of De be r 3 1, 202 3 cem |
563 237 , |
563 237 , |
563 | 4, 32 6 |
14, 092 |
||
| Div ide nds id pa |
|||||||
| Oth cha s in uit fro inv est nts er nge eq m me y d f usi the uity eth od nte acc ou or ng eq m |
-1 | -97 | |||||
| Tra ctio wit h n llin int ith lo of l tro sts out tro nsa ns on con g ere ss con w |
|||||||
| No olli int du han in lida tio ntr sts e t nco ng ere o c ges co nso n g rou p |
|||||||
| Put tio n l iab ilit ies op |
-15 | ||||||
| Rec las sifi ion of lati ins /lo f e ity inv cat est nts cu mu ve ga sse s o qu me fin efit nsi and de ed ben lan pe on p s |
4 | ||||||
| Co reh ive in e ( los s) mp ens com |
|||||||
| t in Ne com e |
23 1 |
||||||
| Oth hen siv e in e ( los s) er com pre com |
|||||||
| Ca sh flow he dg es |
|||||||
| Ch f F VO CI uity in tm ent ang e o eq ves s |
|||||||
| For eig nsl ati tra n c urr enc y on |
|||||||
| ria ins fin efit nsi Ac l ga de ed ben lan tua on pe on p s |
|||||||
| Eq uity eth od inv har f co reh ive in est m ees - s e o mp ens com e |
|||||||
| Co ive in reh e ( los s) mp ens com |
23 1 |
||||||
| As of Se be r 3 0, 202 4 tem p |
563 237 , |
563 237 , |
563 | 4, 325 |
14, 215 |
| 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 usa |
Am t oun € in mi llion s |
Cap ital rese rve € in mi llion s |
Oth er rese rves € in mi llion s |
|||
| As of De be r 3 202 1, 4 cem |
563 237 , |
563 237 , |
563 | 315 4, |
038 14, |
||
| Div ide nds id pa |
-56 3 |
||||||
| Oth s in uit fro inv cha est nts er nge eq y m me d f usi the uity eth od nte acc ou or ng eq m |
-10 2 |
||||||
| ctio wit llin int ith of Tra h n lo l tro sts out tro nsa ns on con g ere w ss con |
|||||||
| No olli int du han in lida tio ntr sts e t nco ng ere o c ges co nso n g rou p |
|||||||
| tio iab ilit ies Put n l op |
-6 | ||||||
| Rec las sifi ion of lati ins /lo f e ity inv cat est nts cu mu ve ga sse s o qu me , def ine d b fit sio lan nd sha of uity eth od inv est ene pen n p s a re eq m ees |
13 | ||||||
| Co reh ive in e ( los s) mp ens com |
|||||||
| Ne t in com e |
903 | ||||||
| Oth hen siv e in e ( los s) er com pre com |
|||||||
| Ca sh flow he dg es |
|||||||
| Ch f F VO CI uity in tm ent ang e o eq ves s |
|||||||
| For eig nsl ati tra n c urr enc on y |
|||||||
| Ac ria l ga ins de fin ed ben efit nsi lan tua on pe on p s |
|||||||
| De bt ins tru nts me |
|||||||
| Eq uity eth od inv har f co reh ive in est m ees - s e o mp ens com e |
|||||||
| Co reh ive in e ( los s) 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 ( los s) ot cum co mp ens com |
||||||||
|---|---|---|---|---|---|---|---|---|
| For eig n cur ren cy slat ion tran € 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 € in 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 tua 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 reh e ( los s) ot cum co mp ens com |
||||||||
|---|---|---|---|---|---|---|---|---|
| For eig n cur ren cy ion tran slat € 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 € in mi llion s |
ity m Equ eth od inve stee s sha f re o hen sive 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 trol ling 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 4 cem |
736 | -56 | -15 1 |
-33 | 130 | 19, 542 |
748 | 20, 29 0 |
| Div ide id nds pa |
-56 3 |
-12 4 |
-68 7 |
|||||
| Oth cha s in uit fro inv est nts er nge eq m me y d f usi uity 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 /lo f e ity inv cat est nts cu mu ve ga sse s o qu me , def ine d b fit sio lan nd sha of uity eth od inv 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 - s 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, |
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.
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.
42 V. Recent pronouncements, not yet applied 50 13. Debt 59 23. Subsequent events
40 1. Principles 48 8. Trade accounts and other receivables 54 18. Legal and regulatory matters
53 15. Bonds exchangeable bond
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
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:
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 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.
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 |
The prior year figures have been adjusted in the notes on the consolidated statement of income due to the gradual exit from Fresenius Vamed.
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 |
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 g 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 g 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.
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).
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.
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.
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.
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 |
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 |
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.
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.
| € 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 |
| € 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 |
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.
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.
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).
| 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
| 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 d L l 1 AD R ons ore eve |
| Re bo l ute rs s ym |
FR EG .de |
Rat io |
4 A DR 1 s har e = |
| Ma in t rad ing lo ion cat |
Fra nkf / X urt etr a |
Tra din latf g p orm |
OT C |
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.
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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