Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2025)
Fresenius Medical Care AG (FMS) recorded quarterly Free Cash Flow of $1.7 billion in Q4 2025, up 90.67% quarter-over-quarter from $866.9 million in Q3 2025, and up 45.24% on a YoY basis from $1.1 billion in Q4 2024.
Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2025) Analysis & Trends
Fresenius Medical Care AG's Free Cash Flow history runs 17 years deep, the most recent figure standing at $1.7 billion for Q4 2025.
- In Q4 2025, Free Cash Flow rose 45.24% year-over-year to $1.7 billion; the TTM figure through Dec 2025 stood at $3.9 billion (up 16.8% YoY), while the FY2025 annual figure was $4.2 billion, up 26.99% from the prior year.
- Free Cash Flow was $1.7 billion for Q4 2025 at Fresenius Medical Care AG, up from $866.9 million in the prior quarter.
- In the past five years, Free Cash Flow ranged from a high of $1.7 billion in Q4 2025 to a low of $278.1 million in Q1 2024.
- Historically, Free Cash Flow has averaged $884.2 million across 5 years, with a median of $977.4 million in 2022.
- The sharpest annual moves came in 2021 and 2025: Free Cash Flow tumbled 51.65% in 2021, then soared 62.88% in 2025.
- A 5-year view of Free Cash Flow shows it stood at $1.1 billion in 2021, then slipped by 23.75% to $818.2 million in 2022, then advanced by 25.97% to $1.0 billion in 2023, then grew by 10.41% to $1.1 billion in 2024, then surged by 45.24% to $1.7 billion in 2025.
- The last three Free Cash Flow figures came in at $1.7 billion (Q4 2025), $866.9 million (Q3 2025), and $1.0 billion (Q2 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Free Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 83.85 Bn | 86.23 Bn | 16.26 Bn | 895.00 Mn |
| 2 | Tenet Healthcare | 14.98 Bn | 14.15 Bn | 4.41 Bn | 1.46 Bn |
| 3 | Davita | 13.99 Bn | 14.84 Bn | 1.07 Bn | 218.81 Mn |
| 4 | Encompass Health | 9.72 Bn | 10.34 Bn | 1.34 Bn | 150.70 Mn |
| 5 | Ensign | 8.90 Bn | 8.31 Bn | 293.37 Mn | 90.18 Mn |
| 6 | Universal Health Services | 8.59 Bn | 8.55 Bn | 3.21 Bn | 184.47 Mn |
| 7 | Fresenius Medical Care AG | 7.67 Bn | 5.29 Bn | -4.26 Bn | 1.65 Bn |
| 8 | Chemed | 5.97 Bn | 5.96 Bn | 215.76 Mn | 71.10 Mn |
| 9 | Pacs | 5.74 Bn | 5.50 Bn | 345.96 Mn | 149.82 Mn |
| 10 | Concentra Group Holdings Parent | 3.59 Bn | 3.54 Bn | 170.47 Mn | 9.93 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Dec 31, 2025 | 1.65 Bn |
| Dec 31, 2025 | 1.65 Bn |
| Sep 30, 2025 | 866.92 Mn |
| Sep 30, 2025 | 866.92 Mn |
| Jun 30, 2025 | 1.04 Bn |
| Jun 30, 2025 | 1.04 Bn |
| Mar 31, 2025 | 320.64 Mn |
| Mar 31, 2025 | 320.64 Mn |
| Dec 31, 2024 | 1.14 Bn |
| Dec 31, 2024 | 1.14 Bn |
| Sep 30, 2024 | 1.27 Bn |
| Sep 30, 2024 | 1.27 Bn |
| Jun 30, 2024 | 640.75 Mn |
| Jun 30, 2024 | 640.75 Mn |
| Mar 31, 2024 | 278.11 Mn |
| Mar 31, 2024 | 278.11 Mn |
| Dec 31, 2023 | 1.03 Bn |
| Dec 31, 2023 | 1.03 Bn |
| Sep 30, 2023 | 973.20 Mn |
| Sep 30, 2023 | 973.20 Mn |