Fresenius Medical Care AG (FMS) Cash from Operations (2009 - 2025)

Fresenius Medical Care AG (FMS) recorded quarterly Cash from Operations of 1166371601.73 in Q4 2025, up 34.54% quarter-over-quarter from 866923324.49 in Q3 2025, and up 31.19% on a YoY basis from 889071372.94 in Q4 2024.

Fresenius Medical Care AG (FMS) Cash from Operations (2009 - 2025) Analysis & Trends

Fresenius Medical Care AG's Cash from Operations history runs 17 years deep, the most recent figure standing at 1166371601.73 for Q4 2025.

  • In Q4 2025, Cash from Operations rose 31.19% year-over-year to 1166371601.73; the TTM figure through Dec 2025 stood at 3081835716.39 (up 19.23% YoY), while the FY2025 annual figure was 3120800662.91, up 22.4% from the prior year.
  • Cash from Operations was 1166371601.73 for Q4 2025 at Fresenius Medical Care AG, up from 866923324.49 in the prior quarter.
  • In the past five years, Cash from Operations ranged from a high of 1166371601.73 in Q4 2025 to a low of 137967944.42 in Q1 2024.
  • Historically, Cash from Operations has averaged 685693568.93 across 5 years, with a median of 787480183.71 in 2022.
  • The sharpest annual moves came in 2021 and 2025: Cash from Operations tumbled 61.09% in 2021, then jumped 84.31% in 2025.
  • A 5-year view of Cash from Operations shows it stood at 765316566.31 in 2021, then retreated by 20.01% to 612148419.18 in 2022, then grew by 26.37% to 773600794.56 in 2023, then rose by 14.93% to 889071372.94 in 2024, then surged by 31.19% to 1166371601.73 in 2025.
  • The last three Cash from Operations figures came in at 1166371601.73 (Q4 2025), 866923324.49 (Q3 2025), and 877268758.19 (Q2 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Cash from Ops. (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn 2.01 Bn
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 1.64 Bn
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn 320.83 Mn
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 313.10 Mn
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 100.15 Mn
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 401.63 Mn
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 1.17 Bn
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 88.22 Mn
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 236.34 Mn
10 Concentra Group Holdings Parent 3.59 Bn 3.54 Bn 170.47 Mn 21.02 Mn

Historic Data

Download Data
DateValue
Dec 31, 2025 1.17 Bn
Dec 31, 2025 1.17 Bn
Sep 30, 2025 866.92 Mn
Sep 30, 2025 866.92 Mn
Jun 30, 2025 877.27 Mn
Jun 30, 2025 877.27 Mn
Mar 31, 2025 171.27 Mn
Mar 31, 2025 171.27 Mn
Dec 31, 2024 889.07 Mn
Dec 31, 2024 889.07 Mn
Sep 30, 2024 1.08 Bn
Sep 30, 2024 1.08 Bn
Jun 30, 2024 475.98 Mn
Jun 30, 2024 475.98 Mn
Mar 31, 2024 137.97 Mn
Mar 31, 2024 137.97 Mn
Dec 31, 2023 773.60 Mn
Dec 31, 2023 773.60 Mn
Sep 30, 2023 827.33 Mn
Sep 30, 2023 827.33 Mn