Fresenius Medical Care AG (FMS) Cash from Operations (2009 - 2025)
Fresenius Medical Care AG (FMS) posted Cash from Operations of 1166371601.73 for Q4 2025, up 34.59% on a QoQ basis from 866635736.94 in Q3 2025, and up 31.19% year-over-year from 889071372.94 in Q4 2024.
Fresenius Medical Care AG (FMS) has 17 years of Cash from Operations data on file, last reported at 1166371601.73 in 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 3081733260.5 (up 19.23% YoY), while the FY2025 annual figure was 3120800662.91, up 22.4% from the prior year.
- Cash from Operations grew to 1166371601.73 in Q4 2025, from 866635736.94 in the prior quarter.
- Across five years, Cash from Operations topped out at 1166371601.73 in Q4 2025 and bottomed at 137967944.42 in Q1 2024.
- A 5-year average of 685676071.45 and a median of 787480183.71 in 2022 frame the typical range for Cash from Operations.
- Annual changes were most pronounced in 2021 — Cash from Operations slumped 61.15% — and 2025, when it surged 84.31%.
- Year by year, Cash from Operations 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), 866635736.94 (Q3 2025), and 877268758.19 (Q2 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Cash from Operations (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 84.64 Bn | 87.02 Bn | 16.26 Bn | 2.01 Bn |
| 2 | Tenet Healthcare | 15.22 Bn | 14.39 Bn | 4.41 Bn | 1.64 Bn |
| 3 | Davita | 13.10 Bn | 13.96 Bn | 1.07 Bn | 320.83 Mn |
| 4 | Encompass Health | 10.50 Bn | 11.12 Bn | 1.34 Bn | 313.10 Mn |
| 5 | Ensign | 9.69 Bn | 9.09 Bn | 293.37 Mn | 100.15 Mn |
| 6 | Universal Health Services | 8.92 Bn | 8.88 Bn | 3.21 Bn | 401.63 Mn |
| 7 | Fresenius Medical Care AG | 7.31 Bn | 4.93 Bn | 22,843.10 Bn | 1.17 Bn |
| 8 | Chemed | 5.83 Bn | 5.81 Bn | 215.76 Mn | 88.22 Mn |
| 9 | Pacs | 5.76 Bn | 5.51 Bn | 345.96 Mn | 236.34 Mn |
| 10 | Option Care Health | 3.27 Bn | 3.09 Bn | 262.01 Mn | -12.11 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Dec 31, 2025 | 1.17 Bn |
| Dec 31, 2025 | 1.17 Bn |
| Sep 30, 2025 | 866.64 Mn |
| Sep 30, 2025 | 866.64 Mn |
| Jun 30, 2025 | 877.27 Mn |
| Jun 30, 2025 | 877.27 Mn |
| Mar 31, 2025 | 171.46 Mn |
| Mar 31, 2025 | 171.46 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 |
| Jun 30, 2023 | 1.10 Bn |
| Jun 30, 2023 | 1.10 Bn |
| Mar 31, 2023 | 153.49 Mn |
| Mar 31, 2023 | 153.49 Mn |
| Dec 31, 2022 | 612.15 Mn |
| Dec 31, 2022 | 612.15 Mn |
| Sep 30, 2022 | 663.44 Mn |
| Sep 30, 2022 | 663.44 Mn |
| Jun 30, 2022 | 801.36 Mn |
| Jun 30, 2022 | 801.36 Mn |
| Mar 31, 2022 | 178.11 Mn |
| Mar 31, 2022 | 178.11 Mn |
| Dec 31, 2021 | 765.32 Mn |
| Dec 31, 2021 | 765.32 Mn |
| Sep 30, 2021 | 816.07 Mn |
| Sep 30, 2021 | 816.07 Mn |
| Jun 30, 2021 | 1.11 Bn |
| Jun 30, 2021 | 1.11 Bn |
| Mar 31, 2021 | 250.47 Mn |
| Mar 31, 2021 | 250.47 Mn |
| Dec 31, 2020 | 696.30 Mn |
| Dec 31, 2020 | 696.30 Mn |
| Sep 30, 2020 | 871.39 Mn |
| Sep 30, 2020 | 871.39 Mn |
| Jun 30, 2020 | 2.55 Bn |
| Jun 30, 2020 | 2.55 Bn |
| Mar 31, 2020 | 644.77 Mn |
| Mar 31, 2020 | 644.77 Mn |
| Dec 31, 2019 | 853.41 Mn |
| Dec 31, 2019 | 853.41 Mn |
| Sep 30, 2019 | 965.85 Mn |
| Sep 30, 2019 | 965.85 Mn |
| Jun 30, 2019 | 957.12 Mn |
| Jun 30, 2019 | 957.12 Mn |
| Mar 31, 2019 | 86.38 Mn |
| Mar 31, 2019 | 86.38 Mn |
| Dec 31, 2018 | 796.69 Mn |
| Dec 31, 2018 | 796.69 Mn |
| Sep 30, 2018 | 876.30 Mn |
| Sep 30, 2018 | 876.30 Mn |
| Jun 30, 2018 | 782.90 Mn |
| Jun 30, 2018 | 782.90 Mn |
| Mar 31, 2018 | -55.05 Mn |
| Mar 31, 2018 | -55.05 Mn |
| Dec 31, 2017 | 621.68 Mn |
| Dec 31, 2017 | 621.68 Mn |
| Sep 30, 2017 | 719.14 Mn |
| Sep 30, 2017 | 719.14 Mn |
| Jun 30, 2017 | 970.90 Mn |
| Jun 30, 2017 | 970.90 Mn |
| Mar 31, 2017 | 180,688.75 |
| Mar 31, 2017 | 180,688.75 |
| Dec 31, 2016 | 844.00 Mn |
| Dec 31, 2016 | 844.00 Mn |
| Sep 30, 2016 | 438.66 Mn |
| Sep 30, 2016 | 438.66 Mn |
| Jun 30, 2016 | 682.44 Mn |
| Jun 30, 2016 | 682.44 Mn |
| Mar 31, 2016 | 179.80 Mn |
| Mar 31, 2016 | 179.80 Mn |
| Dec 31, 2015 | 548.00 Mn |
| Dec 31, 2015 | 548.00 Mn |
| Sep 30, 2015 | 579.27 Mn |
| Sep 30, 2015 | 579.27 Mn |
| Mar 31, 2015 | 832.45 Mn |
| Mar 31, 2015 | 832.45 Mn |
| Dec 31, 2014 | 588.00 Mn |
| Dec 31, 2014 | 588.00 Mn |
| Sep 30, 2014 | 712.21 Mn |
| Sep 30, 2014 | 712.21 Mn |
| Jun 30, 2014 | 449.31 Mn |
| Jun 30, 2014 | 449.31 Mn |
| Mar 31, 2014 | 112.29 Mn |
| Mar 31, 2014 | 112.29 Mn |
| Dec 31, 2013 | 589.00 Mn |
| Dec 31, 2013 | 589.00 Mn |
| Sep 30, 2013 | 605.48 Mn |
| Sep 30, 2013 | 605.48 Mn |
| Jun 30, 2013 | 525.12 Mn |
| Jun 30, 2013 | 525.12 Mn |
| Mar 31, 2013 | 315.42 Mn |
| Mar 31, 2013 | 315.42 Mn |
| Dec 31, 2012 | 572.00 Mn |
| Dec 31, 2012 | 572.00 Mn |
| Sep 30, 2012 | 535.41 Mn |
| Sep 30, 2012 | 535.41 Mn |
| Jun 30, 2012 | 450.78 Mn |
| Jun 30, 2012 | 450.78 Mn |
| Mar 31, 2012 | 481.18 Mn |
| Mar 31, 2012 | 481.18 Mn |
| Dec 31, 2011 | 496.78 Mn |
| Dec 31, 2011 | 496.78 Mn |
| Sep 30, 2011 | 463.14 Mn |
| Sep 30, 2011 | 463.14 Mn |
| Jun 30, 2011 | 311.24 Mn |
| Jun 30, 2011 | 311.24 Mn |
| Mar 31, 2011 | 175.32 Mn |
| Mar 31, 2011 | 175.32 Mn |
| Dec 31, 2010 | 340,991.00 |
| Dec 31, 2010 | 340,991.00 |
| Sep 30, 2010 | 383,671.00 |
| Sep 30, 2010 | 383,671.00 |
| Jun 30, 2010 | 643.46 Mn |
| Jun 30, 2010 | 643.46 Mn |
| Mar 31, 2010 | 349.00 |
| Mar 31, 2010 | 349.00 |
| Dec 31, 2009 | 458,132.00 |
| Dec 31, 2009 | 458,132.00 |
| Sep 30, 2009 | 443,168.00 |
| Sep 30, 2009 | 443,168.00 |
| Jun 30, 2009 | 281.00 Mn |
| Jun 30, 2009 | 281.00 Mn |
| Mar 31, 2009 | 156.00 Mn |
| Mar 31, 2009 | 156.00 Mn |