Fresenius Medical Care ((FMS)) has held its Q3 earnings call. Read on for the main highlights of the call.
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The recent earnings call of Fresenius Medical Care reflected an overall positive sentiment, driven by strong organic revenue and operating income growth. The company reported significant contributions from phosphate binders and continued savings from the FME25+ program. However, challenges such as low U.S. same-market treatment growth, earnings fluctuations in Value-Based Care, and unfavorable foreign exchange impacts were also highlighted.
Strong Organic Revenue Growth
In the third quarter, Fresenius Medical Care achieved a robust organic revenue growth of 10%, with all three operating segments contributing positively. This growth underscores the company’s ability to effectively leverage its diverse portfolio and market presence.
Operating Income Growth
The company reported a third consecutive quarter of operating income growth, which accelerated to 28%. This impressive increase has driven a significant step change in profitability, with the operating income margin expanding from 9.9% to 11.7%.
Phosphate Binders Contribution
The contribution from phosphate binders in the pharma business is expected to reach around EUR 180 million for the full year, significantly surpassing the initial expectation of EUR 100 million. This highlights the strong demand and strategic importance of this segment.
FME25+ Program Savings
Fresenius Medical Care’s FME25+ program continues to generate substantial savings, with an additional EUR 47 million in sustainable savings achieved in the quarter. This brings the total savings for 2025 to EUR 174 million, demonstrating the program’s effectiveness in cost management.
Share Buyback Program
The company announced an initial share buyback of EUR 1 billion, with a first tranche of up to EUR 600 million having commenced in August. This move reflects Fresenius Medical Care’s confidence in its financial health and commitment to returning value to shareholders.
Improved Patient Care Initiatives
Fresenius Medical Care has made significant strides in improving patient care, with treatment adherence improving and antimicrobial interventions reducing infection rates by 70%. Additionally, flu vaccination rates increased by 34% compared to the previous year.
U.S. Same-Market Treatment Growth
The U.S. same-market treatment growth was slightly positive at 0.1%, reflecting the carryover effect from elevated mortality and improving admissions. This indicates a slow but steady recovery in the U.S. market.
Value-Based Care Earnings Fluctuations
The Value-Based Care segment faced challenges due to delays by CMS in providing reporting data for the CKCC program, leading to quarterly earnings fluctuations and a slightly more negative operating income contribution.
Foreign Exchange Rate Impact
Unfavorable foreign exchange rates resulted in a negative EUR 24 million translational impact on the financial results, highlighting the challenges of operating in a global market.
Elevated Medical Benefit Costs
Higher labor costs, driven by elevated medical benefit costs, have influenced the overall cost structure, posing a challenge to maintaining profitability.
Forward-Looking Guidance
During the third quarter of 2025, Fresenius Medical Care reported strong financial performance, with a 10% organic revenue growth and a 28% increase in operating income. The company maintained its guidance for 2025, expecting to achieve the top end of its low single-digit revenue growth range and reaffirming its operating income growth target of high teens to high 20s percent. This optimistic outlook reflects confidence in the company’s strategic initiatives and market position.
In summary, the earnings call of Fresenius Medical Care painted a picture of robust growth and strategic progress, despite some external challenges. The company’s strong revenue and income growth, coupled with effective cost management and strategic initiatives, position it well for future success. Investors and stakeholders can remain optimistic about Fresenius Medical Care’s ability to navigate market challenges and capitalize on growth opportunities.

