Fresenius Medical Care AG (FMS) FCF Payout Ratio (2009 - 2025)

Fresenius Medical Care AG (FMS) posted quarterly FCF Payout Ratio of 0.6 for Q4 2025, down 9.24% year-over-year from 0.66 in Q4 2024, and up 228.78% quarter-over-quarter from 0.46 in Q2 2025.

Fresenius Medical Care AG (FMS) FCF Payout Ratio (2009 - 2025) Analysis & Trends

Fresenius Medical Care AG's FCF Payout Ratio history runs 17 years deep, the most recent figure standing at 0.6 for Q4 2025.

  • In Q4 2025, FCF Payout Ratio fell 9.24% year-over-year to 0.6; the TTM figure through Dec 2025 stood at 0.14 (up 9.69% YoY), while the FY2025 annual figure was 0.12, up 3.8% from the prior year.
  • FCF Payout Ratio for Q4 2025 stood at 0.6, up from 0.46 in the prior quarter.
  • The five-year high for FCF Payout Ratio was 0.99 in Q4 2022, with the low at 0.66 in Q2 2024.
  • The 5-year median for FCF Payout Ratio is 0.35 (2021), against an average of 0.04.
  • The sharpest annual moves came in 2021 and 2023: FCF Payout Ratio tumbled 457.01% in 2021, then surged 44.43% in 2023.
  • Fresenius Medical Care AG's FCF Payout Ratio stood at 0.84 in 2021, then gained by 17.88% to 0.99 in 2022, then tumbled by 30.45% to 0.69 in 2023, then slipped by 4.42% to 0.66 in 2024, then decreased by 9.24% to 0.6 in 2025.
  • Business Quant data shows FMS's FCF Payout Ratio at 0.6 in Q4 2025, 0.46 in Q2 2025, and 0.4 in Q1 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Cover (Qtr)
1 HCA Healthcare 88.19 Bn 90.61 Bn 15.19 Bn 0.15
2 Tenet Healthcare 21.59 Bn 21.56 Bn 4.45 Bn 0.02
3 Encompass Health 12.19 Bn 12.86 Bn 1.34 Bn 0.30
4 Davita 11.52 Bn 12.39 Bn 1.16 Bn 0.20
5 Ensign 10.59 Bn 10.27 Bn 306.24 Mn 0.03
6 Universal Health Services 8.79 Bn 8.72 Bn 3.29 Bn 0.06
7 Pacs 7.04 Bn 6.88 Bn 338.46 Mn -
8 Chemed 6.96 Bn 6.92 Bn 221.47 Mn 0.11
9 Concentra Group Holdings Parent 4.52 Bn 4.38 Bn 192.10 Mn 0.07
10 Fresenius Medical Care AG 2.11 Bn 422.92 Mn 1.52 Bn -

Historic Data

Download Data
DateValue
Dec 31, 2025 0.60
Jun 30, 2025 -0.46
Mar 31, 2025 -0.40
Dec 31, 2024 0.66
Jun 30, 2024 -0.66
Mar 31, 2024 -0.45
Dec 31, 2023 0.69
Jun 30, 2023 -0.24
Mar 31, 2023 -0.58
Dec 31, 2022 0.99
Jun 30, 2022 -0.44
Mar 31, 2022 -0.42
Dec 31, 2021 0.84
Jun 30, 2021 -0.35
Mar 31, 2021 -0.33
Dec 31, 2020 0.79
Sep 30, 2020 -0.13
Jun 30, 2020 -0.06
Mar 31, 2020 -0.07
Dec 31, 2019 0.64