Annual Report 2024

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Group in figures

Fresenius is a global healthcare company. Comitted to life – the health and well-being of patients is Fresenius’ top priority. For more than 100 years, we have been combining cutting-edge technology with a focus on patients, paving the way for the therapies of the future. We save and improve lives and health. We provide access to affordable and innovative medical products and clinical care of the highest quality.

Group in figures

€ in millions

 

2024

 

2023

 

2022

 

2021

 

2020

Revenue and earnings

 

 

 

 

 

 

 

 

 

 

Revenue1

 

21,526

 

20,307

 

21,532

 

19,969

 

18,476

EBITDA1,2

 

3,614

 

3,319

 

3,315

 

3,353

 

3,042

EBIT1,2

 

2,489

 

2,266

 

2,190

 

2,337

 

2,113

Net income1,2,3

 

1,749

 

1,543

 

1,729

 

1,867

 

1,796

Depreciation and amortization1,2

 

1,125

 

1,145

 

1,125

 

1,016

 

929

Earnings per share in €1,2,3

 

3.11

 

2.74

 

3.08

 

3.35

 

3.22

Cash flow and balance sheet

 

 

 

 

 

 

 

 

 

 

Operating cash flow1

 

2,447

 

2,131

 

2,031

 

2,589

 

2,316

Free cash flow before acquisitions, dividends and lease liabilities1

 

1,623

 

1,130

 

942

 

1,401

 

986

Free cash flow after acquisitions, dividends and lease liabilities1

 

1,730

 

188

 

-318

 

388

 

18

Cash conversion rate1

 

1.0

 

1.0

 

0.9

 

0.9

 

0.8

Total assets

 

43,550

 

45,284

 

76,400

 

71,962

 

66,646

Non-current assets

 

32,104

 

32,764

 

58,121

 

54,501

 

50,874

Equity4

 

20,290

 

19,651

 

32,218

 

29,288

 

26,023

Equity ratio4

 

47%

 

43%

 

42%

 

41%

 

39%

Net debt1

 

11,295

 

13,268

 

13,316

 

12,650

 

13,021

Net debt / EBITDA1,2,5

 

3.0

 

3.8

 

3.8

 

3.6

 

4.1

Investments1,6

 

1,035

 

1,346

 

2,015

 

1,635

 

1,841

Profitability

 

 

 

 

 

 

 

 

 

 

EBIT margin1,2

 

11.6%

 

11.2%

 

10.2%

 

11.7%

 

11.4%

Return on invested capital (ROIC)1,2

 

6.2%

 

5.2%

 

5.6%

 

6.2%

 

5.9%

Dividend per share in €

 

1.007

 

 

0.92

 

0.92

 

0.88

Employees (December 31)1

 

176,486

 

193,865

 

188,876

 

185,827

 

178,140

1

Prior-year figures have been adjusted due to divestments and the deconsolidation of Fresenius Medical Care

2

Before special items

3

Net income attributable to shareholders of Fresenius SE & Co. KGaA; before special items

4

Including noncontrolling interests

5

At average exchange rates for both net debt and EBITDA; pro forma closed acquisitions / divestitures, including lease liabilities, including Fresenius Medical Care dividend

6

Investments in property, plant and equipment, and intangible assets, acquisitions

7

Proposal

For a detailed overview of special items please see the reconciliation table.

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