Annual Report 2025

Change report

Information relating to Fresenius SE & Co. KGaA

The management report of Fresenius SE & Co. KGaA has been combined with the management report of the Fresenius Group for the first time for fiscal year 2025.

Fresenius SE & Co. KGaA acts as a holding company that holds the shares of the Fresenius Group management companies. Fresenius SE & Co. KGaA collects income from service contracts, and in a higher amount, income from participations.

The financial statements of Fresenius SE & Co. KGaA are prepared in accordance with the principles of the German Commercial Code (HGB) and the German Stock Corporation Act (AktG), while the consolidated financial statements are prepared in accordance with IFRS Accounting Standards (IFRS) as adopted by the EU.

Corporate performance criteria

The key performance indicator for Fresenius SE & Co. KGaA as group parent company is retained earnings. The goal is to implement our long-term, earnings-driven dividend policy by means of profit transfers and distributions from affiliates.

Employees

The number of employees of Fresenius SE & Co. KGaA at the end of 2025 was 749 (December 31, 2024: 694).

Results of operations, financial position, assets and liabilities

Results of operations

Statement of income of Fresenius SE & Co. KGaA in accordance with German Commercial Code (condensed)

€ in millions

 

2025

 

2024

Income from participations

 

396

 

18

Revenues and other operating income

 

1,294

 

344

Other operating expenses

 

-670

 

-1,203

Net interest

 

-132

 

-141

Income taxes

 

-78

 

-10

After tax profit

 

810

 

-992

Other taxes

 

-6

 

-1

Net income / loss

 

804

 

-993

Retained earnings brought forward

 

 

Increase / Decrease of other reserves

 

-213

 

1,556

Retained earnings

 

591

 

563

Net income of Fresenius SE & Co. KGaA in the fiscal year 2025 was €804 million (2024: net loss of €993 million). The increase in net result is mainly due to extraordinary gains, which in the previous year was offset by extraordinary expenses in connection with the exit from the former business segment Fresenius Vamed.

In fiscal year 2025, extraordinary income of €510 million was generated from the sale of shares in Fresenius Medical Care AG and from the reversal of provisions of impending losses from financial commitments to VIACAMA companies and from warranties in the amount of €496 million.

All the following companies have profit and loss transfer agreements with Fresenius SE & Co. KGaA: Fresenius Kabi AG, Fresenius ProServe GmbH and Fresenius Versicherungsvermittlungs GmbH.

Fresenius ProServe GmbH contributed with earnings of €30 million (2024: loss of €546 million) to the net income from participations. The increase mainly results from €445 million lower extraordinary expenses than in the previous year related to the exit from the former business segment Fresenius Vamed and from included income of €113 million from the sale of the Schweinfurt and St. Wendel production sites to Fresenius Medical Care Deutschland GmbH.

The profit and loss transfer agreement with Fresenius Kabi AG yielded earnings of €243 million (2024: €471 million). The decrease in relation to the previous year mainly results from lower dividend income from foreign Fresenius Kabi affiliated companies.

Other significant income from participations came from a €121 million Fresenius Medical Care AG dividend (2024: €112 million).

In addition to earnings from dividends and from profit and loss transfer agreements, Fresenius SE & Co. KGaA receives €84 million of income from rents and from providing personnel services (2024: €82 million). Other operating income includes €135 million (2024: €213 million) of foreign currency gains while €137 million (2024: €210 million) of foreign currency losses are included in other operating expenses.

The decrease in other operating expenses is mainly due to €549 million lower extraordinary expenses than in the prior year in connection with the exit from the former business segment Fresenius Vamed.

The general partner and the Supervisory Board of Fresenius SE & Co. KGaA will propose to the Annual General Meeting a dividend of €1.05 per ordinary share to be paid to shareholders for fiscal year 2025. Accordingly, the total dividend distribution amounts to €591 million (2024: no dividend distribution).

Financial position

The following paragraphs “financial position” and “investments, divestments, and acquisitions” describe material positions of the cash flow statements in more detail.

Fresenius believes that its existing credit facilities, as well as the operating cash flows, income from transfer agreements and additional sources of short-term funding, are sufficient to meet the Company’s foreseeable liquidity needs. More information on credit facilities can be found in the notes to the financial statements.

As of December 31, 2025, Fresenius SE & Co. KGaA complied with the covenants under all the credit agreements.

Statement of cash flows of Fresenius SE & Co. KGaA in accordance with German Commercial Code (condensed)

€ in millions

 

2025

 

2024

Net Income / Net loss

 

804

 

-993

Depreciation and amortization on intangible assets and on property, plant and equipment

 

8

 

9

Write-ups of financial assets

 

-12

 

Compounding of loans to subsidiaries

 

-4

 

-4

Increase in pension liabilities

 

 

2

Interest result

 

132

 

141

Loss from participations

 

-396

 

-18

Cash flow

 

532

 

-863

 

 

 

 

 

Decrease / Increase in accruals for income taxes and other accrued expenses

 

-287

 

646

Increase / Decrease in trade accounts payable

 

12

 

-5

Decrease in other operating assets and liabilities

 

-45

 

-9

Decrease / Increase in working capital

 

-320

 

632

Cash flows from operating activities

 

212

 

-231

 

 

 

 

 

Payments for purchasing shares of subsidiaries, for contributions to equity of subsidiaries and for loans to subsidiaries

 

-446

 

-1,227

Proceeds from merger of subsidiaries and from disposal of shares in subsidiaries

 

53

 

25

Proceeds from loans to subsidiaries

 

519

 

750

Payments for investments in intangible assets and property plant and equipment

 

-17

 

-6

Proceeds from the disposal of intangible and tangible fixed assets

 

-1

 

3

Payments for investments in short-term time deposits

 

-300

 

Interest received

 

234

 

335

Dividends received

 

27

 

362

Cash flows from investing activities

 

69

 

242

 

 

 

 

 

Proceeds from bank loans

 

2,000

 

260

Repayment of bank loans

 

-2,823

 

-1,094

Change in financing activities with related parties

 

884

 

1,025

Interest paid

 

-366

 

-392

Dividends paid

 

-563

 

Cash flows from financing activities

 

-868

 

-201

Change of cash and cash equivalents

 

-587

 

-190

 

 

 

 

 

Cash and cash equivalents at the beginning of the year

 

1,318

 

1,508

Cash and cash equivalents at the end of the year

 

731

 

1,318

Assets and liabilities

Statement of financial position of Fresenius SE & Co. KGaA in accordance with German Commercial Code (condensed)

€ in millions

 

Dec. 31, 2025

 

Dec. 31, 2024

Intangible assets

 

2

 

3

Tangible assets

 

123

 

112

Financial assets

 

12,200

 

12,310

Fixed Assets

 

12,325

 

12,425

Accounts receivable from related parties

 

4,423

 

4,448

Other assets

 

461

 

129

Cash and cash equivalents

 

731

 

1,318

Current Assets

 

5,615

 

5,895

Deferred expense

 

58

 

21

Total Assets

 

17,998

 

18,341

Shareholders’ equity

 

5,602

 

5,361

Accruals

 

851

 

1,138

Senior notes and exchangeable bonds

 

6,674

 

6,824

Bank loans

 

1,441

 

2,114

Accounts payable to related parties

 

3,272

 

2,782

Other liabilities

 

158

 

122

Deferred income

 

0

 

0

Total Liabilities and Shareholders’ equity

 

17,998

 

18,341

Total assets of Fresenius SE & Co. KGaA decreased by €343 million to €17,998 million (December 31, 2024: €18,341 million).

On the asset side, other increased from €129 million to €461 million mainly due to fixed-term deposits with a maturity of more than 3 months in the amount of €300 million.

In addition, financial assets decreased due to significant changes described in chapter Investments, divestments, and acquisitions.

On the liability side, accruals have decreased from €1,138 million to €851 million, mainly due to a €420 million decrease in provisions for onerous contracts from financial commitments to VIACAMA companies and from warranties in connection with the exit from the former business segment Fresenius Vamed.

Moreover, liabilities have decreased from €11,842 million to €11,545 million, mainly due to following transactions:

  • In the fiscal year 2025, bonds in the amount of €1,750 million and Schuldschein loans in the amount of €648 million were repaid early and as scheduled.

  • This was partly offset by the Issuance of bonds in the amount of €1,000 million and the exchangeable bond in the amount of €600 million.

  • Utilisation of intercompany loans and financing accounts with Helios Health GmbH and VIACAMA subsidiaries in the context of and inhouse banking (cash pool) increased.

The equity ratio increased from 29.2% to 31.1%.

Investments, divestments, and acquisitions

Total investments in property, plant and equipment and intangible assets were €17 million in 2025.

Changes in the financial assets in the fiscal year 2025 mainly resulted from following transactions:

  • As part of the ongoing exit from the Fresenius Vamed business segment, Fresenius SE & Co. KGaA has made contributions to the capital reserves of Fresenius ProServe GmbH and to the capital reserves of Fresenius Immobilien-Verwaltungs-GmbH & Co. Objekt Friedberg 2 KG.

  • In fiscal year 2025, the company sold shares of Fresenius Medial Care AG and generated income of €510 million.

  • In addition, loans to Fresenius Finance Ireland PLC in the amount of €42 million were granted, and €12 million of the loans granted to VIACAMA AG and fully impaired in the previous year were repaid.

Outlook, opportunities and risk report

The income from investments and, with it, the result of operations, financial position, and the assets and liabilities are highly dependent on the performance of the whole Group.

The business development is essentially based on the same assumptions regarding the development of the economic environment as well as the same risks and opportunities as those underlying the Fresenius Group.

For fiscal year 2026, the Company expects a net income in the mid-three-digit million euro range. Retained earnings are expected to be similar to those in fiscal year 2025.

Cash flow
Financial key figure that shows the net balance of incoming and outgoing payments during a reporting period.
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Operating cash flow
Operating cash flow is a financial measure showing cash inflows from operating activities during a period. Operating cash flow is calculated by subtracting non-cash income and adding non-cash expenses to net income.
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