Strong full-year profitability and margin expansion
2025 operating income grew 27% and the group delivered a 2025 group margin of 11.3%; Q4 margin jumped to 13.9% (a 430 basis point YoY improvement), driven by contributions across all three segments.
Exceptional fourth-quarter revenue and earnings growth
Q4 organic revenue growth was 8% (7% at constant currency) and adjusted operating income increased ~53% on a constant currency basis; EPS grew ~68% in Q4, supported by share buybacks.
Cash generation and capital returns
Operating cash flow in 2025 was EUR 2.7 billion. Company repurchased ~EUR 585 million of shares in 2025 (first tranche of EUR 1bn program) and initiated an additional tranche (~EUR 414 million in Jan). Proposed dividend for 2025 is EUR 1.49 (+3% vs 2024, ~33% payout).
FME25+ transformation savings and program progress
Accumulated sustainable savings reached EUR 804 million; 2025 delivered EUR 238 million incremental sustainable savings (ahead of ~EUR 220m target). Company expects incremental savings of EUR 250 million in 2026 and total sustainable savings of EUR 1.2 billion by end-2027 (with EUR 400 million costs across 2026–27).
Value-Based Care turnaround
Value-Based Care achieved 42% organic revenue growth in Q4, produced positive operating income of EUR 29 million in Q4, and finished 2025 at breakeven (EUR 3 million operating income vs a EUR 28 million loss in 2024).
Care Delivery operational progress and product rollout
Care Delivery achieved 7% organic revenue growth (8% in U.S.), Q4 margin improved to 16.4% (up 440 bps). Company launched the 5008X CAREsystem soft launch in the U.S. in 2025 and initiated large-scale rollout in 2026 targeting ~20% of installed base replacement this year (training ~7,200 staff, transitioning ~36,000 patients).
Leverage and balance sheet improvement
Net leverage improved from 3.4x at end-2022 to 2.5x at end-2025, moving to the lower end of the target corridor (target band 2.5x–3x); net debt and lease liabilities reduced ~6% vs prior period.