Cash Flow Statement
Growth Metrics

Fresenius Medical Care AG (FMS) Debt Ratio (2009 - 2025)

Fresenius Medical Care AG (FMS) posted Debt Ratio of 0.24 for Q4 2025, up 14.28% on a QoQ basis from 0.21 in Q3 2025, and up 15.43% year-over-year from 0.2 in Q4 2024.

Fresenius Medical Care AG (FMS) has 17 years of Debt Ratio data on file, last reported at 0.24 in Q4 2025.

  • In Q4 2025, Debt Ratio rose 15.43% year-over-year to 0.24; the TTM figure through Dec 2025 stood at 0.24 (up 15.43% YoY), while the FY2025 annual figure was 0.24, up 15.43% from the prior year.
  • Debt Ratio rose to 0.24 in Q4 2025, from 0.21 in the prior quarter.
  • Across five years, Debt Ratio topped out at 183.79 in Q4 2022 and bottomed at 0.19 in Q1 2021.
  • A 5-year average of 16.59 and a median of 0.2 in 2024 frame the typical range for Debt Ratio.
  • Annual changes were most pronounced in 2021 — Debt Ratio surged 248.49% — and 2023, when it sank 99.88%.
  • Year by year, Debt Ratio stood at 144.34 in 2021, then climbed by 27.33% to 183.79 in 2022, then sank by 99.88% to 0.22 in 2023, then fell by 7.21% to 0.2 in 2024, then gained by 15.43% to 0.24 in 2025.
  • The last three Debt Ratio figures came in at 0.24 (Q4 2025), 0.21 (Q3 2025), and 0.2 (Q2 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt Ratio (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn 0.78
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 0.42
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 0.61
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 0.35
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 0.03
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 0.30
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 0.24
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 0.06
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 0.01
10 Option Care Health 3.27 Bn 3.09 Bn 262.01 Mn 0.34

Historic Data

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DateValue
Dec 31, 2025 0.24
Sep 30, 2025 0.22
Jun 30, 2025 0.20
Mar 31, 2025 0.21
Dec 31, 2024 0.20
Sep 30, 2024 0.19
Jun 30, 2024 0.20
Mar 31, 2024 0.20
Dec 31, 2023 0.22
Sep 30, 2023 0.20
Jun 30, 2023 0.20
Mar 31, 2023 0.21
Dec 31, 2022 183.79
Sep 30, 2022 0.21
Jun 30, 2022 0.20
Mar 31, 2022 0.21
Dec 31, 2021 144.34
Sep 30, 2021 0.19
Jun 30, 2021 0.20
Mar 31, 2021 0.19
Dec 31, 2020 41.42
Sep 30, 2020 0.21
Jun 30, 2020 0.18
Mar 31, 2020 0.17
Dec 31, 2019 43.18
Sep 30, 2019 0.19
Jun 30, 2019 0.19
Mar 31, 2019 0.18
Dec 31, 2018 0.23
Sep 30, 2018 0.20
Jun 30, 2018 0.22
Mar 31, 2018 0.00
Dec 31, 2017 0.28
Sep 30, 2017 0.24
Jun 30, 2017 0.26
Mar 31, 2017 -0.02
Dec 31, 2016 0.30
Sep 30, 2016 0.30
Jun 30, 2016 -0.20
Mar 31, 2016 0.00
Dec 31, 2015 14.09
Sep 30, 2015 0.35
Jun 30, 2015 -0.16
Mar 31, 2015 0.35
Dec 31, 2014 0.37
Sep 30, 2014 0.36
Jun 30, 2014 0.36
Mar 31, 2014 0.36
Dec 31, 2013 0.36
Sep 30, 2013 0.37
Jun 30, 2013 0.37
Mar 31, 2013 0.36
Dec 31, 2012 0.37
Sep 30, 2012 0.38
Jun 30, 2012 0.40
Mar 31, 2012 0.40
Dec 31, 2011 0.36
Sep 30, 2011 0.35
Jun 30, 2011 0.32
Dec 31, 2010 0.27
Sep 30, 2010 0.27
Mar 31, 2010 0.29
Dec 31, 2009 0.31
Jun 30, 2009 0.31