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

Fresenius Medical Care AG (FMS) recorded quarterly FCF Payout Ratio of 0.6 in Q4 2025, up 253.22% quarter-over-quarter from 0.39 in Q2 2025, and down 9.24% on a YoY basis from 0.66 in Q4 2024.

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 0.13 (up 18.23% YoY), while the FY2025 annual figure was 0.12, up 3.8% from the prior year.
  • FCF Payout Ratio was 0.6 for Q4 2025 at Fresenius Medical Care AG, up from 0.39 in the prior quarter.
  • In the past five years, FCF Payout Ratio ranged from a high of 0.99 in Q4 2022 to a low of 0.49 in Q2 2024.
  • Historically, FCF Payout Ratio has averaged 0.06 across 5 years, with a median of 0.21 in 2023.
  • The sharpest annual moves came in 2021 and 2023: FCF Payout Ratio plunged 357.29% in 2021, then soared 41.03% in 2023.
  • A 5-year view of FCF Payout Ratio shows it stood at 0.84 in 2021, then advanced by 17.88% to 0.99 in 2022, then plunged by 30.45% to 0.69 in 2023, then dropped by 4.42% to 0.66 in 2024, then slipped by 9.24% to 0.6 in 2025.
  • The last three FCF Payout Ratio figures came in at 0.6 (Q4 2025), 0.39 (Q2 2025), and 0.21 (Q1 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Cover (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn 0.21
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 0.13
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn 0.39
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 0.38
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 0.04
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 0.04
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 0.60
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 0.11
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 0.00
10 Concentra Group Holdings Parent 3.59 Bn 3.54 Bn 170.47 Mn 0.81

Historic Data

Download Data
DateValue
Dec 31, 2025 0.60
Jun 30, 2025 -0.39
Mar 31, 2025 -0.21
Dec 31, 2024 0.66
Jun 30, 2024 -0.49
Mar 31, 2024 -0.22
Dec 31, 2023 0.69
Jun 30, 2023 -0.21
Mar 31, 2023 -0.29
Dec 31, 2022 0.99
Jun 30, 2022 -0.36
Mar 31, 2022 -0.21
Dec 31, 2021 0.84
Jun 30, 2021 -0.29
Mar 31, 2021 -0.18
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