Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2026)
Fresenius Medical Care AG's Free Cash Flow was $2.18 billion in the quarter ended Sep 30, 2026, up 239.7% from $642.21 million a year earlier and up 202.8% from the prior quarter.
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Analysis
Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2026) Analysis & Trends
On a trailing twelve-month basis, Fresenius Medical Care AG's Free Cash Flow was $3.62 billion through Sep 30, 2026, up 81.5% year-over-year; for the year ended Dec 31, 2025, it came in at $1.99 billion, up 9.3% from the prior year.
- Free Cash Flow shows a five-year compound annual growth rate of -11.3% (years ended Dec 2020 to Dec 2025).
- In earlier years, Free Cash Flow was $1.83 billion in the year ended Dec 31, 2024 (-13.2%), $2.1 billion in the year ended Dec 31, 2023 (+38.2%), $1.52 billion in the year ended Dec 31, 2022 (-21.4%) and $1.94 billion in the year ended Dec 31, 2021 (-46.7%).
- The figure for the quarter ended Sep 30, 2026 marks the highest quarterly Free Cash Flow since the quarter ended Jun 30, 2020.
- Compared with a year earlier, Free Cash Flow has increased for four straight quarters, with growth averaging 73.7% over the last seven quarters.
- The best year-over-year quarter for Free Cash Flow over five years was the quarter ended Sep 30, 2026 (growth of 239.7%); the worst was the quarter ended Jun 30, 2024 (a decline of 67.1%).
- Per Business Quant data, FMS's Free Cash Flow in the three quarters before the quarter ended Sep 30, 2026 was $720.55 million (quarter ended Jun 30, 2026), $43.11 million (quarter ended Mar 31, 2026) and $673.6 million (quarter ended Dec 31, 2025).
Peer Set
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 108.20 Bn | 104.30 Bn | - | 3.10 Bn |
| 2 | Natera | 46.17 Bn | 41.80 Bn | 513.47 Mn | 5.25 Mn |
| 3 | Labcorp Holdings | 29.69 Bn | 27.77 Bn | 1.11 Bn | 412.20 Mn |
| 4 | Quest Diagnostics | 28.14 Bn | 25.91 Bn | 1.04 Bn | 445.00 Mn |
| 5 | Tenet Healthcare | 23.04 Bn | 12.35 Bn | - | 1.08 Bn |
| 6 | Guardant Health | 21.32 Bn | 16.94 Bn | 236.15 Mn | -37.19 Mn |
| 7 | Tempus AI | 14.79 Bn | 11.95 Bn | 266.70 Mn | -122,000.00 |
| 8 | BrightSpring Health Services | 14.35 Bn | 12.11 Bn | 518.55 Mn | 182.23 Mn |
| 9 | Encompass Health | 13.83 Bn | 13.46 Bn | - | 127.50 Mn |
| 10 | Fresenius Medical Care AG | 6.62 Bn | -983.94 Mn | 1.47 Bn | 643.77 Mn |
Historic Data
Download Data
Historic Data
| Date | Value |
|---|---|
| Sep 30, 2026 | 2.18 Bn |
| Jun 30, 2026 | 720.55 Mn |
| Mar 31, 2026 | 43.11 Mn |
| Dec 31, 2025 | 673.60 Mn |
| Sep 30, 2025 | 642.21 Mn |
| Jun 30, 2025 | 702.43 Mn |
| Mar 31, 2025 | 17.95 Mn |
| Dec 31, 2024 | 631.55 Mn |
| Sep 30, 2024 | 899.84 Mn |
| Jun 30, 2024 | 304.77 Mn |
| Mar 31, 2024 | -7.16 Mn |
| Dec 31, 2023 | 504.39 Mn |
| Sep 30, 2023 | 678.17 Mn |
| Jun 30, 2023 | 927.48 Mn |
| Mar 31, 2023 | 755,632.64 |
| Dec 31, 2022 | 377.77 Mn |
| Sep 30, 2022 | 501.39 Mn |
| Jun 30, 2022 | 618.07 Mn |
| Mar 31, 2022 | -3.80 Mn |
| Dec 31, 2021 | 460.89 Mn |
API Access
Fresenius Medical Care AG Free Cash Flow API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=free-cash-flow&ticker=FMS&period=max&api_key=YOUR_API_KEYimport requests
url = "https://data.businessquant.com/historic"
params = {"slug": "free-cash-flow", "ticker": "FMS", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()const res = await fetch("https://data.businessquant.com/historic?slug=free-cash-flow&ticker=FMS&period=max&api_key=YOUR_API_KEY");
const data = await res.json();