Fresenius Medical Care AG (FMS) FCF Payout Ratio (2009 - 2023)

Fresenius Medical Care AG (FMS) posted quarterly FCF Payout Ratio of 0.65 for Q4 2025, up 31.84% year-over-year from 0.5 in Q4 2024, and up 225.02% on a QoQ basis from 0.52 in Q3 2025.

Fresenius Medical Care AG (FMS) FCF Payout Ratio (2009 - 2023) Analysis & Trends

Fresenius Medical Care AG (FMS) has reported FCF Payout Ratio for 17 consecutive years, with 0.65 the latest figure, recorded in Q4 2025.

  • In Q4 2025, FCF Payout Ratio rose 31.84% year-over-year to 0.65; the TTM figure through Dec 2025 stood at 0.14 (up 7.33% YoY), while the FY2025 annual figure was 0.12, up 3.8% from the prior year.
  • FCF Payout Ratio came in at 0.65 for Q4 2025 at Fresenius Medical Care AG, up from 0.52 in the prior quarter.
  • The five-year high for FCF Payout Ratio was 0.77 in Q4 2022, with the low at 0.58 in Q1 2023.
  • Average FCF Payout Ratio over 5 years is 0.02, with a median of 0.1 recorded in 2021.
  • The largest YoY upside for FCF Payout Ratio was 31.84% in 2025 against a maximum downside of 465.9% in 2025.
  • Year by year, FCF Payout Ratio stood at 0.69 in 2021, then climbed by 11.68% to 0.77 in 2022, then decreased by 23.21% to 0.59 in 2023, then dropped by 15.65% to 0.5 in 2024, then soared by 31.84% to 0.65 in 2025.
  • According to Business Quant data, FCF Payout Ratio over the past three periods registered 0.65, 0.52, and 0.07 for Q4 2025, Q3 2025, and Q2 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Cover (Qtr)
1 HCA Healthcare 87.94 Bn 90.32 Bn 16.26 Bn 0.21
2 Chemed 18.08 Bn 18.07 Bn 215.76 Mn 0.11
3 Tenet Healthcare 16.59 Bn 15.76 Bn 4.41 Bn 0.13
4 Davita 15.37 Bn 16.23 Bn 1.07 Bn 0.39
5 Encompass Health 10.07 Bn 10.70 Bn 1.34 Bn 0.38
6 Ensign 9.52 Bn 8.93 Bn 293.37 Mn 0.04
7 Universal Health Services 9.19 Bn 9.15 Bn 3.21 Bn 0.04
8 Pacs 6.96 Bn 6.72 Bn 345.96 Mn 0.00
9 Ww International 6.14 Bn 5.98 Bn -149.29 Mn -
10 Fresenius Medical Care AG - - 19.45 Bn -

Historic Data

Download Data
DateValue
Mar 31, 2023 -0.58
Jun 30, 2022 -0.44
Mar 31, 2022 -0.42
Jun 30, 2021 -0.35
Mar 31, 2021 -0.33
Sep 30, 2020 -0.13
Jun 30, 2020 -0.06
Mar 31, 2020 -0.07
Jun 30, 2019 -0.26
Sep 30, 2018 -0.33
Jun 30, 2018 0.30
Mar 31, 2018 -0.19
Jun 30, 2017 -0.27
Mar 31, 2017 -0.22
Jun 30, 2016 -0.22
Mar 31, 2016 0.95
Dec 31, 2015 -0.10
Sep 30, 2015 -0.10
Mar 31, 2015 -0.30
Dec 31, 2014 -0.05