Fresenius Medical Care AG (FMS) Net Cash Flow (2009 - 2025)

Fresenius Medical Care AG (FMS) recorded quarterly Net Cash Flow of $437.0 million in Q4 2025, up 183.49% quarter-over-quarter from -$523.4 million in Q3 2025, and up 262.02% on a YoY basis from $120.7 million in Q4 2024.

Fresenius Medical Care AG (FMS) Net Cash Flow (2009 - 2025) Analysis & Trends

Fresenius Medical Care AG's Net Cash Flow history runs 17 years deep, the most recent figure standing at $437.0 million for Q4 2025.

  • In Q4 2025, Net Cash Flow rose 262.02% year-over-year to $437.0 million; the TTM figure through Dec 2025 stood at $631.1 million (up 323.17% YoY), while the FY2025 annual figure was $646.4 million, up 325.49% from the prior year.
  • Net Cash Flow was $437.0 million for Q4 2025 at Fresenius Medical Care AG, up from -$523.4 million in the prior quarter.
  • In the past five years, Net Cash Flow ranged from a high of $806.1 million in Q2 2025 to a low of -$523.4 million in Q3 2025.
  • Historically, Net Cash Flow has averaged $34.8 million across 5 years, with a median of -$41.2 million in 2023.
  • The sharpest annual moves came in 2024 and 2025: Net Cash Flow sank 1168.86% in 2024, then soared 1128.01% in 2025.
  • A 5-year view of Net Cash Flow shows it stood at -$127.4 million in 2021, then surged by 304.4% to $260.3 million in 2022, then slumped by 150.9% to -$132.5 million in 2023, then sank by 103.53% to -$269.7 million in 2024, then soared by 262.02% to $437.0 million in 2025.
  • The last three Net Cash Flow figures came in at $437.0 million (Q4 2025), -$523.4 million (Q3 2025), and $806.1 million (Q2 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn -98.00 Mn
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 84.00 Mn
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn -31.60 Mn
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 60.50 Mn
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 35.62 Mn
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn -17.85 Mn
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 436.96 Mn
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn -57.66 Mn
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 41.66 Mn
10 Concentra Group Holdings Parent 3.59 Bn 3.54 Bn 170.47 Mn -18.20 Mn

Historic Data

Download Data
DateValue
Dec 31, 2025 436.96 Mn
Dec 31, 2025 436.96 Mn
Sep 30, 2025 -523.38 Mn
Sep 30, 2025 -523.38 Mn
Jun 30, 2025 806.15 Mn
Jun 30, 2025 806.15 Mn
Mar 31, 2025 -88.57 Mn
Mar 31, 2025 -88.57 Mn
Dec 31, 2024 -269.69 Mn
Dec 31, 2024 -269.69 Mn
Sep 30, 2024 316.27 Mn
Sep 30, 2024 316.27 Mn
Jun 30, 2024 -78.42 Mn
Jun 30, 2024 -78.42 Mn
Mar 31, 2024 -250.98 Mn
Mar 31, 2024 -250.98 Mn
Dec 31, 2023 -132.51 Mn
Dec 31, 2023 -132.51 Mn
Sep 30, 2023 213.98 Mn
Sep 30, 2023 213.98 Mn