Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2023)
Fresenius Medical Care AG (FMS) posted quarterly Free Cash Flow of $1.7 billion for Q4 2025, up 45.24% year-over-year from $1.1 billion in Q4 2024, and up 90.67% on a QoQ basis from $866.9 million in Q3 2025.
Fresenius Medical Care AG (FMS) Free Cash Flow (2009 - 2023) Analysis & Trends
Fresenius Medical Care AG (FMS) has reported Free Cash Flow for 17 consecutive years, with $1.7 billion the latest figure, recorded in 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 $3.6 billion (up 25.9% YoY), while the FY2025 annual figure was $4.2 billion, up 26.99% from the prior year.
- Free Cash Flow came in at $1.7 billion for Q4 2025 at Fresenius Medical Care AG, up from $866.9 million in the prior quarter.
- The five-year high for Free Cash Flow was $1.7 billion in Q4 2025, with the low at $138.3 million in Q1 2024.
- Average Free Cash Flow over 5 years is $761.0 million, with a median of $822.7 million recorded in 2023.
- Across the five-year window, Free Cash Flow sank 73.8% in 2021 and soared 84.11% in 2025, its largest moves.
- Year by year, Free Cash Flow stood at $1.1 billion in 2021, then fell by 23.75% to $818.2 million in 2022, then increased by 25.97% to $1.0 billion in 2023, then gained by 10.41% to $1.1 billion in 2024, then surged by 45.24% to $1.7 billion in 2025.
- According to Business Quant data, Free Cash Flow over the past three periods registered $1.7 billion, $866.9 million, and $877.2 million for Q4 2025, Q3 2025, and Q2 2025 respectively.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 87.94 Bn | 90.32 Bn | 16.26 Bn | 895.00 Mn |
| 2 | Chemed | 18.08 Bn | 18.07 Bn | 215.76 Mn | 71.10 Mn |
| 3 | Tenet Healthcare | 16.59 Bn | 15.76 Bn | 4.41 Bn | 1.46 Bn |
| 4 | Davita | 15.37 Bn | 16.23 Bn | 1.07 Bn | 218.81 Mn |
| 5 | Encompass Health | 10.07 Bn | 10.70 Bn | 1.34 Bn | 150.70 Mn |
| 6 | Ensign | 9.52 Bn | 8.93 Bn | 293.37 Mn | 90.18 Mn |
| 7 | Universal Health Services | 9.19 Bn | 9.15 Bn | 3.21 Bn | 184.47 Mn |
| 8 | Pacs | 6.96 Bn | 6.72 Bn | 345.96 Mn | 149.82 Mn |
| 9 | Ww International | 6.14 Bn | 5.98 Bn | -149.29 Mn | -40.53 Mn |
| 10 | Fresenius Medical Care AG | - | - | 19.45 Bn | - |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2023 | 153.31 Mn |
| Mar 31, 2023 | 153.31 Mn |
| Sep 30, 2022 | 663.05 Mn |
| Sep 30, 2022 | 663.05 Mn |
| Jun 30, 2022 | 801.80 Mn |
| Jun 30, 2022 | 801.80 Mn |
| Mar 31, 2022 | 178.11 Mn |
| Mar 31, 2022 | 178.11 Mn |
| Sep 30, 2021 | 815.69 Mn |
| Sep 30, 2021 | 815.69 Mn |
| Jun 30, 2021 | 1.11 Bn |
| Jun 30, 2021 | 1.11 Bn |
| Mar 31, 2021 | 250.47 Mn |
| Mar 31, 2021 | 250.47 Mn |
| Sep 30, 2020 | 1.16 Bn |
| Sep 30, 2020 | 1.16 Bn |
| Jun 30, 2020 | 2.79 Bn |
| Jun 30, 2020 | 2.79 Bn |
| Mar 31, 2020 | 956.06 Mn |
| Mar 31, 2020 | 956.06 Mn |