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Fresenius Medical Care (FMS) AI Stock Analysis
Fresenius Medical Care
(NYSE:FMS)
The score is driven mainly by improving financial performance—accelerating revenue growth, stronger operating margins, and sharply higher free cash flow—tempered by leverage and modest net margins. Technicals are weak with the stock trading below major moving averages, while valuation is a plus due to a moderate P/E and ~4% dividend yield. The latest earnings call adds caution given lowered 2026 operating-income guidance, higher inflation pressure, and a sizable expected 2027 TDAPA-related headwind despite ongoing savings and rollout progress.
Fresenius Medical Care (FMS) vs. SPDR S&P 500 ETF (SPY)
- Market Cap
- $12.34B
- Dividend Yield
- 3.73%
- Average Volume (3M)
- 950.04K
- Price to Earnings (P/E)
- 12.3
- Beta (1Y)
- 0.38
- Revenue Growth
- 6.76%
- EPS Growth
- 57.96%
- Country
- US
- Employees
- 109,698
- Sector
- Healthcare
- Sector Strength
- 51
- Industry
- Medical - Care Facilities
Fresenius Medical Care Business Overview & Revenue Model
Company Description
Fresenius Medical Care AG & Co. KGaA specializes in comprehensive kidney dialysis treatment and associated services, operating across Germany, North America, and numerous international territories. Through an extensive network of outpatient clinics,...
How the Company Makes Money
Fresenius Medical Care makes money mainly by combining recurring clinical-service revenue from treating dialysis patients with product-and-technology revenue from supplying dialysis equipment and consumables. 1) Care Delivery (dialysis services reven...
Fresenius Medical Care Earnings Call Summary
The call presented a mixed but generally constructive picture. Current operations showed stable group revenue, improving underlying profitability, strong Care Enablement growth, transformation savings, positive HV-HDF rollout progress, strong cash flow, and a solid leverage position. However, these positives were offset by a 6% decline in quarterly operating income excluding special items, a 1.1% decline in U.S. same-market treatments, higher-than-expected inflation, FDA audit findings, a lowered 2026 operating-income outlook, and an expected EUR 300 million-EUR 350 million 2027 TDAPA-related operating-income headwind. With meaningful operational progress but substantial reimbursement and execution challenges, the overall sentiment is balanced.
Q3-2026 Updates
Positive Updates
Negative Updates
Company Guidance
For 2026, management continues to expect broadly flat revenue development for the financial year on a constant currency basis and now expects operating income growth to be between flat and a negative mid-single-digit percentage growth rate compared to prior year; U.S. same market treatment growth is expected to decline approximately 0.9% for the full year, with Q4 expected to be slightly better than Q3 assuming a normal kind of flu season, while TDAPA is expected to be around a EUR 50 million headwind for the full year, including roughly about EUR 140 million in Q4, and inflation headwinds are now expected to exceed the EUR 300 million top end of the original range; the 5008X rollout is on track to convert 20% of our install base by the end of the year, FME25+ remains fully on track to deliver EUR 250 million in sustainable savings for the full year, China’s 2026 impact is expected to be around the EUR 50 million previously communicated, and ACA remains expected to be a EUR 50 million headwind in 2026; for 2027, management expects an operating income headwind between EUR 300 million and EUR 350 million based on the expiry that are TDAPA-related, an about a 1% contribution from the overall rate, and will provide a fuller outlook and assumptions with full year results in February.
Fresenius Medical Care Financial Statement Overview
Summary
Operating momentum is improving with strong TTM revenue growth (+26.7%) and better operating margins (EBIT ~10.8%, EBITDA ~18.3%), supported by sharply higher free cash flow (~$1.78B, +57.9%). Offsets include only modest net margin (~4.8%), meaningful leverage (debt ~0.87x equity), and operating cash flow covering a modest portion of total debt (~39%), which limits flexibility.
Income Statement
62PositiveBalance Sheet
56NeutralCash Flow
64Positive| Breakdown | TTM | Dec 2025 | Dec 2024 | Dec 2023 | Dec 2022 | Dec 2021 |
|---|---|---|---|---|---|---|
Income Statement | ||||||
| Total Revenue | 19.48B | 19.63B | 19.34B | 19.45B | 19.40B | 17.62B |
| Gross Profit | 5.15B | 5.03B | 4.76B | 4.93B | 4.89B | 4.77B |
| EBITDA | 2.97B | 3.40B | 3.21B | 3.21B | 3.42B | 3.55B |
| Net Income | 822.76M | 978.37M | 537.91M | 499.00M | 673.40M | 969.31M |
Balance Sheet | ||||||
| Total Assets | 31.45B | 31.00B | 33.57B | 33.93B | 35.75B | 34.37B |
| Cash, Cash Equivalents and Short-Term Investments | 1.10B | 1.60B | 1.34B | 1.56B | 1.46B | 1.64B |
| Total Debt | 10.89B | 10.79B | 11.00B | 12.08B | 13.21B | 13.32B |
| Total Liabilities | 17.69B | 16.72B | 17.80B | 19.10B | 20.30B | 20.39B |
| Stockholders Equity | 12.79B | 14.28B | 14.58B | 13.62B | 13.99B | 12.70B |
Cash Flow | ||||||
| Free Cash Flow | 1.78B | 1.70B | 1.69B | 1.94B | 1.44B | 1.64B |
| Operating Cash Flow | 2.86B | 2.58B | 2.39B | 2.63B | 2.17B | 2.49B |
| Investing Cash Flow | -1.05B | -666.18M | -84.94M | -544.23M | -734.73M | -1.20B |
| Financing Cash Flow | -1.99B | -1.38B | -2.57B | -1.86B | -1.62B | -1.02B |
Fresenius Medical Care Technical Analysis
Price Trends
Market Momentum
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For FMS, the sentiment is Positive. The current price of 23.19 is above the 20-day moving average (MA) of 22.04, above the 50-day MA of 22.33, and above the 200-day MA of 22.62, indicating a bullish trend. The MACD of 0.12 indicates Negative momentum. The RSI at 57.58 is Neutral, neither overbought nor oversold. The STOCH value of 60.80 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for FMS.
Fresenius Medical Care Risk Analysis
Fresenius Medical Care disclosed 26 risk factors in its most recent earnings report. Fresenius Medical Care reported the most risks in the "Legal & Regulatory" category.
Latest Risks Added
2 New RisksFresenius Medical Care Peers Comparison
Overall Rating
THC87Outperform
EHC79Outperform
UHS76Outperform
HCA64Neutral
DVA62Neutral
FMS60Neutral
Financial Indicators
| Name | Overall Rating | Market Cap | P/E Ratio | ROE | Dividend Yield | Revenue Growth | EPS Growth |
|---|---|---|---|---|---|---|---|
| 87Outperform | $21.23B | 8.42 | 60.60% | ― | 6.23% | 136.09% | |
| 79Outperform | $13.30B | 21.76 | 25.17% | 0.55% | 9.36% | 20.78% | |
| 76Outperform | $10.44B | 8.15 | 19.54% | 0.41% | 8.00% | 13.14% | |
| 64Neutral | $96.69B | 16.87 | -100.45% | 0.60% | 5.82% | 16.59% | |
| 62Neutral | $11.46B | 14.79 | -133.21% | ― | 6.38% | 36.05% | |
| 60Neutral | $11.67B | 12.32 | 7.21% | 3.73% | 6.76% | 57.96% | |
| Sector * | 51Neutral | $7.86B | -0.30 | -43.30% | 2.27% | 22.53% | -2.21% |
* Healthcare Sector Average
Performance Comparison
| Show on chart | Ticker | Company Name | Price | Change | % Change |
|---|---|---|---|---|---|
| FMS | Fresenius Medical Care | 23.19 | -0.45 | -1.90% | |
| DVA | DaVita Inc. | 192.66 | 71.13 | 58.53% | |
| HCA | Hca Healthcare | 510.70 | 42.54 | 9.09% | |
| EHC | Encompass Health | 141.03 | 26.81 | 23.47% | |
| THC | Tenet Healthcare Corp. | 292.25 | 88.06 | 43.13% | |
| UHS | Universal Health Services | 196.46 | -28.95 | -12.84% |
Fresenius Medical Care Corporate Events
Fresenius Medical Care Reports September 2026 Interim Review and Segment Reclassification
On November 3, 2026, Fresenius Medical Care reported financial condition and operating results for the three and nine months ended September 30, 2026, alongside comparative 2025 periods. The release included management analysis and unaudited consolid...
Fresenius Medical Care Reports Stable Revenue as Q3 Profit Falls
Fresenius Medical Care is a global provider of kidney-care products and services, including dialysis treatment, equipment and related technologies. Its operations are organized around Care Delivery, Care Enablement and Value-Based Care, serving patie...
Fresenius Medical Care Names Shervin Korangy CEO as Transformation Phase Gives Way to Growth
Fresenius Medical Care announced on October 7, 2026 that Shervin J. Korangy will assume the roles of Chief Executive Officer and Chair of the Management Board on October 12, 2026, succeeding long-serving leader Helen Giza. The move transitions the co...
Fresenius Medical Care Overhauls China Dialysis Portfolio to Drive Long-Term Growth
On September 25, 2026, Fresenius Medical Care announced a refined commercial strategy in China aimed at long-term growth and market leadership through a more localized portfolio and focused go-to-market approach. The company has strengthened local le...
Fresenius Medical Care Study Links High-Volume Hemodiafiltration to Lower Mortality
Fresenius Medical Care announced on August 27, 2026, the publication of a large multinational real-world evidence study in the Journal of the American Society of Nephrology comparing high-volume hemodiafiltration with conventional high-flux hemodialy...
Fresenius Medical Care Refines Segment Reporting and Affirms Controls in Latest Form 6-K
Fresenius Medical Care AG has filed an August 2026 Form 6-K with the U.S. Securities and Exchange Commission, providing an interim report on its financial condition and results for the three and six months ended June 30, 2026 and 2025. The filing det...
Disclaimer
This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.
Date of analysis: Nov 04, 2026