Cash Flow Statement
Growth Metrics

Fresenius Medical Care AG (FMS) Debt to Equity (2009 - 2025)

Fresenius Medical Care AG (FMS) posted Debt to Equity of $0.55 for Q4 2025, up 11.59% on a QoQ basis from $0.49 in Q3 2025, and up 26.31% year-over-year from $0.43 in Q4 2024.

Fresenius Medical Care AG (FMS) has 17 years of Debt to Equity data on file, last reported at $0.55 in Q4 2025.

  • In Q4 2025, Debt to Equity rose 26.31% year-over-year to $0.55; the TTM figure through Dec 2025 stood at $0.55 (up 26.31% YoY), while the FY2025 annual figure was $0.55, up 26.31% from the prior year.
  • Debt to Equity improved to $0.55 in Q4 2025, from $0.49 in the prior quarter.
  • Across five years, Debt to Equity topped out at $0.55 in Q4 2025 and bottomed at $0.43 in Q4 2024.
  • A 5-year average of $0.49 and a median of $0.49 in 2024 frame the typical range for Debt to Equity.
  • Annual changes were most pronounced in 2021 — Debt to Equity retreated 17.36% — and 2025, when it advanced 26.31%.
  • Year by year, Debt to Equity stood at $0.52 in 2021, then decreased by 2.71% to $0.51 in 2022, then decreased by 1.34% to $0.5 in 2023, then dropped by 13.69% to $0.43 in 2024, then climbed by 26.31% to $0.55 in 2025.
  • The last three Debt to Equity figures came in at $0.55 (Q4 2025), $0.49 (Q3 2025), and $0.48 (Q2 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt/Equity (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -16.13
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 2.74
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn -22.31
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 0.78
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 0.06
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 0.63
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 0.55
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 0.11
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 0.05
10 Option Care Health 3.27 Bn 3.09 Bn 262.01 Mn 0.86

Historic Data

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DateValue
Dec 31, 2025 0.55
Sep 30, 2025 0.53
Jun 30, 2025 0.48
Mar 31, 2025 0.47
Dec 31, 2024 0.43
Sep 30, 2024 0.46
Jun 30, 2024 0.49
Mar 31, 2024 0.50
Dec 31, 2023 0.50
Dec 31, 2022 0.51
Dec 31, 2021 0.52
Dec 31, 2020 0.63
Dec 31, 2019 0.60
Dec 31, 2018 0.48
Dec 31, 2017 0.62
Dec 31, 2016 0.68
Dec 31, 2015 0.80
Dec 31, 2014 0.92
Dec 31, 2013 0.86
Dec 31, 2012 2.30
Dec 31, 2011 0.88
Dec 31, 2010 0.61
Dec 31, 2009 0.72