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Fresenius Medical Care AG & Co. KGaA (DE:FME)
XETRA:FME
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Fresenius Medical Care AG & Co. KGaA (FME) AI Stock Analysis

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DE:FME

Fresenius Medical Care AG & Co. KGaA

(XETRA:FME)

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Neutral 57 (OpenAI - 5.2)
Rating:57Neutral
Price Target:
€39.00
▲(0.80% Upside)
Action:Reiterated
Date:05/09/26
The score is held back primarily by weak technicals (price below all major moving averages with negative MACD and sub-50 RSI). Financial performance is steady with improving leverage and strong free cash flow, providing support, while valuation is neutral overall with a solid dividend yield offset by a mid-to-high P/E.
Positive Factors
Strong free cash flow generation
Sustained free cash flow near €1.8B and operating cash flow strength provide durable funding for capex, dividends, debt reduction, and strategic investments. High cash conversion (~65% of net income) supports financial flexibility across business cycles and cushions reimbursement pressures.
Negative Factors
Stagnant top‑line growth
A flat-to-declining revenue trend constrains long‑term operating leverage and scale benefits, forcing reliance on cost control, price/reimbursement improvements, or M&A to drive growth. Over 2–6 months this structural weak top‑line limits upside potential and strategic flexibility.
Read all positive and negative factors
Positive Factors
Negative Factors
Strong free cash flow generation
Sustained free cash flow near €1.8B and operating cash flow strength provide durable funding for capex, dividends, debt reduction, and strategic investments. High cash conversion (~65% of net income) supports financial flexibility across business cycles and cushions reimbursement pressures.
Read all positive factors

Fresenius Medical Care AG & Co. KGaA (FME) vs. iShares MSCI Germany ETF (EWG)

Fresenius Medical Care AG & Co. KGaA Business Overview & Revenue Model

Company Description
Fresenius Medical Care AG & Co. KGaA provides dialysis care and related dialysis care services in Germany, North America, and internationally. It offers dialysis treatment and related laboratory and diagnostic services through a network of outpati...
How the Company Makes Money
FME primarily makes money through two broad, complementary business activities: (1) providing dialysis and related clinical services to patients, and (2) selling dialysis products to dialysis providers and healthcare systems. On the services side,...

Fresenius Medical Care AG & Co. KGaA Financial Statement Overview

Summary
Financials are steady with cash flow as the clearest strength. TTM revenue is slightly down (~-1.4%) with a largely flat multi-year trend, which limits the score despite improving profitability (TTM net margin ~4.9%, EBIT margin ~9.8%). Balance sheet leverage is moderate but improving (debt ~0.78x equity vs ~1.03x in 2025), and FCF is solid (~€1.79B) with reasonable cash conversion (~65% of net income), though cash flow and margins have shown some historical volatility.
Income Statement
67
Positive
Balance Sheet
63
Positive
Cash Flow
72
Positive
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue19.36B19.63B19.34B19.45B19.40B17.62B
Gross Profit5.02B5.03B4.76B4.93B5.31B5.08B
EBITDA3.47B3.34B3.21B2.93B3.22B3.42B
Net Income945.07M978.00M537.91M499.00M673.40M969.31M
Balance Sheet
Total Assets31.47B31.00B33.57B33.93B35.75B34.37B
Cash, Cash Equivalents and Short-Term Investments1.24B1.73B1.45B1.54B1.44B1.62B
Total Debt11.03B13.70B10.98B12.05B13.21B13.32B
Total Liabilities17.26B16.72B17.80B19.10B20.30B20.39B
Stockholders Equity13.24B13.31B14.58B13.62B15.45B13.98B
Cash Flow
Free Cash Flow1.79B1.77B1.69B1.94B1.44B1.64B
Operating Cash Flow2.75B2.68B2.39B2.63B2.17B2.49B
Investing Cash Flow-767.31M-693.55M-84.94M-544.23M-734.73M-1.20B
Financing Cash Flow-1.72B-1.43B-2.57B-1.86B-1.62B-1.02B

Fresenius Medical Care AG & Co. KGaA Technical Analysis

Technical Analysis Sentiment
Positive
Last Price38.69
Price Trends
50DMA
37.08
Positive
100DMA
37.38
Negative
200DMA
39.30
Negative
Market Momentum
MACD
0.05
Negative
RSI
54.26
Neutral
STOCH
37.67
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DE:FME, the sentiment is Positive. The current price of 38.69 is above the 20-day moving average (MA) of 36.32, above the 50-day MA of 37.08, and below the 200-day MA of 39.30, indicating a neutral trend. The MACD of 0.05 indicates Negative momentum. The RSI at 54.26 is Neutral, neither overbought nor oversold. The STOCH value of 37.67 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for DE:FME.

Fresenius Medical Care AG & Co. KGaA Peers Comparison

Overall Rating
UnderperformOutperform
Sector (55)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
70
Outperform
€56.52B17.728.77%1.82%-1.69%-10.15%
66
Neutral
€2.37B36.106.69%1.50%-0.06%-38.81%
61
Neutral
€39.19B20.1711.59%2.13%-0.33%0.15%
57
Neutral
€10.00B22.497.16%3.54%-0.69%55.62%
55
Neutral
$6.65B3.83-15.92%6.20%10.91%7.18%
55
Neutral
€37.73B3.50-7.52%0.31%-2.87%33.72%
49
Neutral
€14.58B65.096.05%0.30%3.20%70.35%
* General Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DE:FME
Fresenius Medical Care AG & Co. KGaA
37.31
-11.96
-24.27%
DE:BAYN
Bayer
37.82
13.22
53.75%
DE:AFX
Carl Zeiss Meditec
26.40
-30.57
-53.66%
DE:MRK
Merck KGaA
128.35
15.27
13.50%
DE:SRT3
Sartorius
233.00
14.55
6.66%
DE:SHL
Siemens Healthineers AG
34.62
-11.37
-24.73%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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: May 09, 2026