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Fresenius SE & Co. KGaA (DE:FRE)
XETRA:FRE

Fresenius SE & Co. KGaA (FRE) AI Stock Analysis

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DE:FRE

Fresenius SE & Co. KGaA

(XETRA:FRE)

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Neutral 62 (OpenAI - 4o)
Rating:62Neutral
Price Target:
€51.00
▲(1.96% Upside)
Action:ReiteratedDate:12/18/25
Fresenius SE & Co. KGaA's overall score is driven by strong financial performance, particularly in revenue growth and profitability. However, technical indicators show mixed signals, and valuation metrics suggest the stock is fairly valued. The absence of earnings call data and corporate events limits additional insights.
Positive Factors
Revenue Growth
The company's strong revenue growth indicates a robust demand for its healthcare products and services, supporting long-term business expansion and market presence.
Market Position
Fresenius's leading position in the dialysis market provides a competitive edge, ensuring steady revenue streams and reinforcing its market dominance.
Profitability
Sustained profitability margins reflect efficient cost management and pricing power, supporting long-term financial health and shareholder value.
Negative Factors
Cash Flow Conversion
The decline in free cash flow growth could limit the company's ability to fund new investments or return capital to shareholders, impacting long-term growth potential.
Operational Efficiency
Opportunities for enhancing operational efficiency could impact profitability if not addressed, potentially affecting competitive positioning and cost structure.
Shareholder Returns
The modest return on equity indicates that there is room to enhance shareholder returns, which could be a focus area for management to improve investor confidence.

Fresenius SE & Co. KGaA (FRE) vs. iShares MSCI Germany ETF (EWG)

Fresenius SE & Co. KGaA Business Overview & Revenue Model

Company DescriptionFresenius SE & Co. KGaA, a health care company, provides products and services for dialysis, hospitals, and outpatient medical care. It operates through four segments: Fresenius Medical Care, Fresenius Kabi, Fresenius Helios, and Fresenius Vamed. The Fresenius Medical Care segment offers products and services for patients with chronic kidney failure. This segment provides dialyzers, hemodialysis machines, and related disposable products, as well as dialysis-related services. The Fresenius Kabi segment engages in the therapy and care of therapy and care ill patients. This segment offers IV drugs, including intravenously administered generic drugs for oncology, anesthetics, analgesics, anti-infectives, and critical care; parenteral and enteral nutrition products; infusion solutions and blood volume substitutes for infusion therapy; biosimilars, a biological medicine for autoimmune and oncology diseases; medical devices and disposal used to administer IV generic drugs, infusion therapies, and clinical nutrition products; and transfusion products for collection of blood components and corporeal therapies. The Fresenius Helios segment operates 90 hospitals, approximately 130 outpatient clinics, and 6 prevention centers in Germany; and 49 hospitals, 88 outpatient clinics, and approximately 300 risk prevention centers in Spain. This segment also provides services in the field of fertility treatments through 33 clinics and additional 39 sites across 10 countries on 3 continents. The Fresenius Vamed segment manages projects and offers services for hospitals and other health care facilities. This segment provides project development, planning, and turnkey construction services, as well as maintenance, technical management, and operational management services. The company was formerly known as Fresenius SE and changed its name to Fresenius SE & Co. KGaA in January 2011. Fresenius SE & Co. KGaA was founded in 1912 and is headquartered in Bad Homburg vor der Höhe, Germany.
How the Company Makes MoneyFresenius generates revenue through multiple key segments. Fresenius Medical Care is the largest revenue contributor, driven by the sale of dialysis machines, dialyzers, and related services, providing treatment to patients with chronic kidney failure. Fresenius Kabi earns revenue from intravenous (IV) solutions, infusions, and nutrition products, catering to hospitals and healthcare providers. Fresenius Helios operates a network of private hospitals in Germany, earning revenue through patient care services and hospital stays. Additionally, Fresenius Vamed generates income through healthcare facility management and development projects. The company also engages in strategic partnerships and collaborations in the healthcare sector, which enhance its market reach and product offerings, further contributing to its earnings.

Fresenius SE & Co. KGaA Financial Statement Overview

Summary
Fresenius SE & Co. KGaA demonstrates strong revenue growth and profitability with a solid income statement. The balance sheet is stable with manageable leverage, but cash flow conversion needs improvement.
Income Statement
75
Positive
Fresenius SE & Co. KGaA shows a solid income statement performance with a consistent revenue growth trajectory, as evidenced by a 53.5% revenue growth in the TTM period. The company maintains a healthy gross profit margin of 25.4% and a net profit margin of 5.1% in the TTM, indicating strong profitability. However, the EBIT and EBITDA margins, while improving, suggest room for operational efficiency improvements.
Balance Sheet
68
Positive
The balance sheet reflects a moderate debt-to-equity ratio of 0.70 in the TTM, indicating a balanced leverage position. Return on equity is at 5.9%, showing profitability but with potential for improvement. The equity ratio stands at 43.9%, suggesting a stable financial structure, though the company should focus on enhancing shareholder returns.
Cash Flow
60
Neutral
Cash flow analysis reveals a decline in free cash flow growth, with a negative growth rate of -2.18% in the TTM. The operating cash flow to net income ratio is 1.91, indicating strong cash generation relative to net income. However, the free cash flow to net income ratio of 0.56 suggests potential challenges in converting earnings into free cash flow.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue22.35B21.83B22.30B40.84B37.52B36.28B
Gross Profit5.58B5.38B5.06B10.72B10.31B10.32B
EBITDA3.34B2.95B2.73B3.09B6.84B7.19B
Net Income1.14B471.00M-594.00M1.37B1.82B1.71B
Balance Sheet
Total Assets42.46B43.55B45.28B76.42B71.96B66.65B
Cash, Cash Equivalents and Short-Term Investments2.36B2.05B2.56B2.35B2.75B2.00B
Total Debt13.54B13.58B15.83B27.76B27.16B25.91B
Total Liabilities23.19B23.26B25.63B44.20B42.67B40.62B
Stockholders Equity18.62B19.54B19.00B20.41B19.00B16.95B
Cash Flow
Free Cash Flow1.21B1.52B3.32B2.28B3.03B4.14B
Operating Cash Flow2.19B2.45B4.46B4.20B5.08B6.55B
Investing Cash Flow-725.00M-510.00M-3.19B-2.61B-2.82B-3.01B
Financing Cash Flow-560.00M-2.18B-1.38B-1.60B-1.45B-3.12B

Fresenius SE & Co. KGaA Technical Analysis

Technical Analysis Sentiment
Positive
Last Price50.02
Price Trends
50DMA
49.22
Positive
100DMA
48.61
Positive
200DMA
46.34
Positive
Market Momentum
MACD
0.87
Negative
RSI
62.73
Neutral
STOCH
71.15
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DE:FRE, the sentiment is Positive. The current price of 50.02 is above the 20-day moving average (MA) of 49.92, above the 50-day MA of 49.22, and above the 200-day MA of 46.34, indicating a bullish trend. The MACD of 0.87 indicates Negative momentum. The RSI at 62.73 is Neutral, neither overbought nor oversold. The STOCH value of 71.15 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for DE:FRE.

Fresenius SE & Co. KGaA Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
€55.89B18.9110.32%1.82%1.47%9.64%
64
Neutral
€11.74B16.475.41%3.54%2.10%9.19%
62
Neutral
€28.89B25.537.50%2.05%0.63%
58
Neutral
€46.31B21.9411.45%2.13%4.53%10.12%
54
Neutral
€45.00B-226.18-0.66%0.31%-1.87%77.51%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
€14.61B84.695.01%0.39%5.82%59.90%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DE:FRE
Fresenius SE & Co. KGaA
50.36
14.65
41.02%
DE:BAYN
Bayer
42.34
19.81
87.92%
DE:FME
Fresenius Medical Care AG & Co. KGaA
38.28
-4.73
-10.99%
DE:MRK
Merck KGaA
125.50
-9.16
-6.80%
DE:SRT
Sartorius
190.00
2.59
1.38%
DE:SHL
Siemens Healthineers AG
42.00
-10.95
-20.68%
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: Dec 18, 2025