Cash Flow Statement
Growth Metrics

Fresenius Medical Care AG (FMS) Non-cash Items (2019 - 2025)

Fresenius Medical Care AG (FMS) posted Non-cash Items of $520.3 million for Q4 2025, down 3.02% on a QoQ basis from $536.5 million in Q2 2025, and up 8.21% year-over-year from $480.9 million in Q4 2024.

Fresenius Medical Care AG (FMS) has 7 years of Non-cash Items data on file, last reported at $520.3 million in Q4 2025.

  • In Q4 2025, Non-cash Items rose 8.21% year-over-year to $520.3 million; the TTM figure through Dec 2025 stood at $520.3 million (up 8.21% YoY), while the FY2025 annual figure was $520.3 million, up 8.21% from the prior year.
  • Non-cash Items declined to $520.3 million in Q4 2025, from $536.5 million in the prior quarter.
  • Across five years, Non-cash Items topped out at $545.4 million in Q1 2024 and bottomed at $143.0 million in Q4 2021.
  • A 5-year average of $428.0 million and a median of $455.0 million in 2024 frame the typical range for Non-cash Items.
  • Annual changes were most pronounced in 2021 — Non-cash Items tumbled 51.83% — and 2022, when it surged 128.31%.
  • Year by year, Non-cash Items stood at $143.0 million in 2021, then surged by 128.31% to $326.5 million in 2022, then soared by 34.79% to $440.1 million in 2023, then rose by 9.27% to $480.9 million in 2024, then advanced by 8.21% to $520.3 million in 2025.
  • The last three Non-cash Items figures came in at $520.3 million (Q4 2025), $536.5 million (Q2 2025), and $454.4 million (Q1 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn
10 Option Care Health 3.27 Bn 3.09 Bn 262.01 Mn

Historic Data

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DateValue
Dec 31, 2025 520.33 Mn
Dec 31, 2025 520.33 Mn
Jun 30, 2025 536.55 Mn
Jun 30, 2025 536.55 Mn
Mar 31, 2025 454.41 Mn
Mar 31, 2025 454.41 Mn
Dec 31, 2024 480.87 Mn
Dec 31, 2024 480.87 Mn
Sep 30, 2024 377.79 Mn
Sep 30, 2024 377.79 Mn
Jun 30, 2024 455.52 Mn
Jun 30, 2024 455.52 Mn
Mar 31, 2024 545.35 Mn
Mar 31, 2024 545.35 Mn
Dec 31, 2023 440.06 Mn
Dec 31, 2023 440.06 Mn
Dec 31, 2022 326.48 Mn
Dec 31, 2022 326.48 Mn
Dec 31, 2021 143.00 Mn
Dec 31, 2021 143.00 Mn
Dec 31, 2020 296.88 Mn
Dec 31, 2020 296.88 Mn
Dec 31, 2019 121.76 Mn
Dec 31, 2019 121.76 Mn