Fresenius Medical Care AG (FMS) Net Cash Flow (2009 - 2025)
Fresenius Medical Care AG (FMS) posted Net Cash Flow of $437.0 million for Q4 2025, up 183.44% on a QoQ basis from -$523.7 million in Q3 2025, and up 262.02% year-over-year from $120.7 million in Q4 2024.
Fresenius Medical Care AG (FMS) has 17 years of Net Cash Flow data on file, last reported at $437.0 million in 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 $631.0 million (up 323.13% YoY), while the FY2025 annual figure was $646.4 million, up 325.49% from the prior year.
- Net Cash Flow improved to $437.0 million in Q4 2025, from -$523.7 million in the prior quarter.
- Across five years, Net Cash Flow topped out at $806.1 million in Q2 2025 and bottomed at -$523.7 million in Q3 2025.
- A 5-year average of $34.7 million and a median of -$41.4 million in 2023 frame the typical range for Net Cash Flow.
- Annual changes were most pronounced in 2024 — Net Cash Flow plunged 1180.33% — and 2025, when it jumped 1128.01%.
- Year by year, Net Cash Flow stood at -$127.4 million in 2021, then surged by 304.4% to $260.3 million in 2022, then plunged by 150.9% to -$132.5 million in 2023, then tumbled 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), -$523.7 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 | 84.64 Bn | 87.02 Bn | 16.26 Bn | -98.00 Mn |
| 2 | Tenet Healthcare | 15.22 Bn | 14.39 Bn | 4.41 Bn | 84.00 Mn |
| 3 | Davita | 13.10 Bn | 13.96 Bn | 1.07 Bn | -31.60 Mn |
| 4 | Encompass Health | 10.50 Bn | 11.12 Bn | 1.34 Bn | 60.50 Mn |
| 5 | Ensign | 9.69 Bn | 9.09 Bn | 293.37 Mn | 35.62 Mn |
| 6 | Universal Health Services | 8.92 Bn | 8.88 Bn | 3.21 Bn | -17.85 Mn |
| 7 | Fresenius Medical Care AG | 7.31 Bn | 4.93 Bn | 22,843.10 Bn | 436.96 Mn |
| 8 | Chemed | 5.83 Bn | 5.81 Bn | 215.76 Mn | -57.66 Mn |
| 9 | Pacs | 5.76 Bn | 5.51 Bn | 345.96 Mn | 41.66 Mn |
| 10 | Option Care Health | 3.27 Bn | 3.09 Bn | 262.01 Mn | -55.30 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Dec 31, 2025 | 436.96 Mn |
| Dec 31, 2025 | 436.96 Mn |
| Sep 30, 2025 | -523.67 Mn |
| Sep 30, 2025 | -523.67 Mn |
| Jun 30, 2025 | 806.15 Mn |
| Jun 30, 2025 | 806.15 Mn |
| Mar 31, 2025 | -88.39 Mn |
| Mar 31, 2025 | -88.39 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 |
| Jun 30, 2023 | 186.31 Mn |
| Jun 30, 2023 | 186.31 Mn |
| Mar 31, 2023 | -19.60 Mn |
| Mar 31, 2023 | -19.60 Mn |
| Dec 31, 2022 | 260.30 Mn |
| Dec 31, 2022 | 260.30 Mn |
| Sep 30, 2022 | 55.13 Mn |
| Sep 30, 2022 | 55.13 Mn |
| Jun 30, 2022 | -186.67 Mn |
| Jun 30, 2022 | -186.67 Mn |
| Mar 31, 2022 | -358.32 Mn |
| Mar 31, 2022 | -358.32 Mn |
| Dec 31, 2021 | -127.35 Mn |
| Dec 31, 2021 | -127.35 Mn |
| Sep 30, 2021 | 121.71 Mn |
| Sep 30, 2021 | 121.71 Mn |
| Jun 30, 2021 | 396.77 Mn |
| Jun 30, 2021 | 396.77 Mn |
| Mar 31, 2021 | -63.11 Mn |
| Mar 31, 2021 | -63.11 Mn |
| Dec 31, 2020 | -523.34 Mn |
| Dec 31, 2020 | -523.34 Mn |
| Sep 30, 2020 | -274.28 Mn |
| Sep 30, 2020 | -274.28 Mn |
| Jun 30, 2020 | 955.95 Mn |
| Jun 30, 2020 | 955.95 Mn |
| Mar 31, 2020 | 44.38 Mn |
| Mar 31, 2020 | 44.38 Mn |
| Dec 31, 2019 | 72.91 Mn |
| Dec 31, 2019 | 72.91 Mn |
| Sep 30, 2019 | -10.87 Mn |
| Sep 30, 2019 | -10.87 Mn |
| Jun 30, 2019 | -26.54 Mn |
| Jun 30, 2019 | -26.54 Mn |
| Mar 31, 2019 | -1.38 Bn |
| Mar 31, 2019 | -1.38 Bn |
| Dec 31, 2018 | 398.16 Mn |
| Dec 31, 2018 | 398.16 Mn |
| Sep 30, 2018 | 104.29 Mn |
| Sep 30, 2018 | 104.29 Mn |
| Jun 30, 2018 | 959.43 Mn |
| Jun 30, 2018 | 959.43 Mn |
| Mar 31, 2018 | -130.97 Mn |
| Mar 31, 2018 | -130.97 Mn |
| Dec 31, 2017 | 357.90 Mn |
| Dec 31, 2017 | 357.90 Mn |
| Sep 30, 2017 | 20.61 Mn |
| Sep 30, 2017 | 20.61 Mn |
| Jun 30, 2017 | -97.28 Mn |
| Jun 30, 2017 | -97.28 Mn |
| Mar 31, 2017 | -41,549.80 |
| Mar 31, 2017 | -41,549.80 |
| Dec 31, 2016 | 135.99 Mn |
| Dec 31, 2016 | 135.99 Mn |
| Sep 30, 2016 | -99.40 Mn |
| Sep 30, 2016 | -99.40 Mn |
| Jun 30, 2016 | 200.60 Mn |
| Jun 30, 2016 | 200.60 Mn |
| Mar 31, 2016 | -42.39 Mn |
| Mar 31, 2016 | -42.39 Mn |
| Dec 31, 2015 | -66.59 Mn |
| Dec 31, 2015 | -66.59 Mn |
| Sep 30, 2015 | 57.01 Mn |
| Sep 30, 2015 | 57.01 Mn |
| Mar 31, 2015 | -38.92 Mn |
| Mar 31, 2015 | -38.92 Mn |
| Dec 31, 2014 | 78.03 Mn |
| Dec 31, 2014 | 78.03 Mn |
| Sep 30, 2014 | -64.58 Mn |
| Sep 30, 2014 | -64.58 Mn |
| Jun 30, 2014 | 66.04 Mn |
| Jun 30, 2014 | 66.04 Mn |
| Mar 31, 2014 | -103.42 Mn |
| Mar 31, 2014 | -103.42 Mn |
| Dec 31, 2013 | 91.54 Mn |
| Dec 31, 2013 | 91.54 Mn |
| Sep 30, 2013 | 16.31 Mn |
| Sep 30, 2013 | 16.31 Mn |
| Jun 30, 2013 | 61.84 Mn |
| Jun 30, 2013 | 61.84 Mn |
| Mar 31, 2013 | -148.26 Mn |
| Mar 31, 2013 | -148.26 Mn |
| Dec 31, 2012 | 67.75 Mn |
| Dec 31, 2012 | 67.75 Mn |
| Sep 30, 2012 | -68.95 Mn |
| Sep 30, 2012 | -68.95 Mn |
| Jun 30, 2012 | 111.08 Mn |
| Jun 30, 2012 | 111.08 Mn |
| Mar 31, 2012 | 116.59 Mn |
| Mar 31, 2012 | 116.59 Mn |
| Dec 31, 2011 | 51.18 Mn |
| Dec 31, 2011 | 51.18 Mn |
| Sep 30, 2011 | -33.71 Mn |
| Sep 30, 2011 | -33.71 Mn |
| Jun 30, 2011 | -203.58 Mn |
| Jun 30, 2011 | -203.58 Mn |
| Mar 31, 2011 | 79.88 Mn |
| Mar 31, 2011 | 79.88 Mn |
| Dec 31, 2010 | -378.96 Mn |
| Dec 31, 2010 | -378.96 Mn |
| Sep 30, 2010 | -428.56 Mn |
| Sep 30, 2010 | -428.56 Mn |
| Jun 30, 2010 | 813.40 Mn |
| Jun 30, 2010 | 813.40 Mn |
| Mar 31, 2010 | 147.00 |
| Mar 31, 2010 | 147.00 |
| Dec 31, 2009 | -557.67 Mn |
| Dec 31, 2009 | -557.67 Mn |
| Sep 30, 2009 | 442,886.00 |
| Sep 30, 2009 | 442,886.00 |
| Jun 30, 2009 | 281.00 Mn |
| Jun 30, 2009 | 281.00 Mn |
| Mar 31, 2009 | 156.00 Mn |
| Mar 31, 2009 | 156.00 Mn |