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Fresenius Se (FSNUY)
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Fresenius SE & Co (FSNUY) AI Stock Analysis

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FSNUY

Fresenius SE & Co

(OTC:FSNUY)

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Neutral 67 (OpenAI - 4o)
Rating:67Neutral
Price Target:
$15.00
▲(6.84% Upside)
Fresenius SE & Co's overall stock score is driven by strong earnings call performance and stable financials, despite valuation concerns and cash flow challenges. The company's strategic focus and operational execution are positive indicators for future growth.
Positive Factors
EBIT Guidance Upgrade
The EBIT guidance upgrade indicates strong operational execution and strategic success, suggesting continued profitability improvements.
Kabi's Performance
Kabi's robust EBIT margin and product launches highlight its competitive edge in IV generics and biosimilars, supporting long-term growth.
Strong Cash Flow
Strong cash flow generation enhances financial flexibility, enabling strategic investments and debt reduction, bolstering long-term stability.
Negative Factors
Cash Flow Challenges
Persistent cash flow challenges may limit the company's ability to invest in growth opportunities and manage financial obligations effectively.
DRG Inflator in Germany
A lower DRG inflator could impact revenue growth in Germany, affecting the profitability of Fresenius's hospital operations in the region.
Impact of U.S. Tariffs
Ongoing U.S. tariffs pose a risk to cost structures and margins, particularly affecting the MedTech segment, potentially hindering profitability.

Fresenius SE & Co (FSNUY) vs. SPDR S&P 500 ETF (SPY)

Fresenius SE & Co Business Overview & Revenue Model

Company DescriptionFresenius SE & Co. KGaA is a global healthcare group based in Germany, operating in the sectors of dialysis, hospital management, and pharmaceuticals. The company is primarily known for its medical devices and services related to renal care, particularly through its Fresenius Medical Care division, which is the world's largest provider of dialysis products and services. Additionally, Fresenius operates in the pharmaceutical sector via Fresenius Kabi, focusing on injectable drugs and clinical nutrition, and in hospital management through Fresenius Helios, which manages a network of hospitals in Germany.
How the Company Makes MoneyFresenius generates revenue through multiple streams primarily from its three divisions: Fresenius Medical Care, Fresenius Kabi, and Fresenius Helios. Fresenius Medical Care makes money by providing dialysis services and selling dialysis products, including machines and consumables to healthcare facilities and home patients. Fresenius Kabi earns revenue from its portfolio of generic injectable drugs, infusion therapies, and clinical nutrition products, often selling to hospitals and healthcare providers. Fresenius Helios contributes by operating hospitals and outpatient facilities, generating revenue from patient care services. Additionally, strategic partnerships with healthcare organizations and a focus on expanding their product offerings in emerging markets further enhance their revenue potential.

Fresenius SE & Co Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 25, 2026
Earnings Call Sentiment Positive
Fresenius demonstrated strong performance across its core businesses, with significant EPS growth and an EBIT guidance upgrade. Despite facing macroeconomic and geopolitical challenges, the company maintained strong operational execution, particularly in its Kabi and biopharma segments. The DRG inflator in Germany and U.S. tariffs present potential headwinds, but the overall momentum remains positive.
Q3-2025 Updates
Positive Updates
EBIT Guidance Upgrade
Fresenius raised its full-year EBIT growth guidance from 3%-7% to 4%-8%, reflecting successful execution of its strategy and strong momentum.
Strong Core EPS Growth
Core EPS grew by an impressive 14%, significantly outpacing top-line growth, highlighting effective cost management and operational execution.
Kabi's Performance
Kabi achieved an excellent 16.7% EBIT margin with strong contributions from newly launched products and pipeline progress, particularly in IV generics and biosimilars.
Biopharma Growth
Biopharma reported a 37% organic growth with strong market traction, and achieved key milestones such as FDA interchangeability designation for denosumab.
Strong Cash Flow
Operating cash flow reached EUR 2.2 billion, supporting the company's deleveraging efforts and capital allocation framework.
Negative Updates
Macroeconomic and Geopolitical Challenges
The company faced ongoing macroeconomic volatility and geopolitical tensions, although it managed to navigate these challenges effectively.
DRG Inflator in Germany
The projected DRG inflator for 2026 is anticipated to be lower than expected due to methodology changes, potentially impacting future revenue growth in Germany.
Impact of U.S. Tariffs
Kabi continued to absorb adverse effects from U.S. tariffs, particularly affecting MedTech, despite the potential exemption for generics and biosimilars.
Company Guidance
In the recent earnings call, Fresenius provided an optimistic update, raising its full-year EBIT growth guidance from 3%-7% to 4%-8%. This upgrade reflects the company's strong performance, particularly in the third quarter, where core EPS grew by an impressive 14%, significantly outpacing top-line growth. Key drivers of this success include Kabi's robust profitability with a 16.7% EBIT margin, driven by newly launched products and pipeline progress, especially in IV generics and biosimilars. Helios also delivered a solid quarter, maintaining a strong EBIT margin. The company highlighted its strategic focus on its "Rejuvenate" phase, which aims to upgrade core operations and scale platforms to achieve long-term growth. This strategy is supported by strong cash flow delivery, enabling Fresenius to stay within its target leverage corridor. The call also addressed the impact of macroeconomic factors, such as geopolitical tensions and tariffs, but emphasized the company's adaptive and focused strategy to navigate these challenges effectively.

Fresenius SE & Co Financial Statement Overview

Summary
Fresenius SE & Co demonstrates stable financial performance with moderate growth and profitability. The balance sheet shows improved leverage and a strong equity position, but cash flow challenges persist with negative free cash flow growth.
Income Statement
65
Positive
Fresenius SE & Co shows a mixed performance in its income statement. The TTM (Trailing-Twelve-Months) data indicates a slight improvement in revenue growth at 0.547%, recovering from a negative trend in the previous year. Gross profit margin remains stable at around 24%, but the net profit margin is relatively low at 1.91%, indicating potential cost pressures. EBIT and EBITDA margins are moderate, suggesting operational efficiency but room for improvement in profitability.
Balance Sheet
70
Positive
The balance sheet reflects a stable financial position with a debt-to-equity ratio of 0.70, which is an improvement from previous years, indicating better leverage management. Return on equity is modest at 2.20%, suggesting limited returns on shareholder investments. The equity ratio stands at approximately 44.23%, showing a solid equity base relative to total assets.
Cash Flow
60
Neutral
Cash flow analysis reveals challenges with a negative free cash flow growth rate of -25.88% in the TTM period, highlighting potential cash generation issues. The operating cash flow to net income ratio is 0.31, indicating adequate cash flow generation relative to net income. The free cash flow to net income ratio is 0.64, suggesting that a significant portion of net income is converted into free cash flow.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue22.23B21.83B22.30B40.84B37.52B36.28B
Gross Profit5.65B5.38B5.06B10.72B10.31B10.32B
EBITDA3.48B3.14B2.73B3.09B6.84B7.19B
Net Income1.13B471.00M-594.00M1.37B1.82B1.71B
Balance Sheet
Total Assets41.32B43.55B45.28B76.42B71.96B66.65B
Cash, Cash Equivalents and Short-Term Investments1.39B2.05B2.56B2.35B2.75B2.00B
Total Debt12.85B13.58B15.83B27.76B27.16B25.91B
Total Liabilities22.38B23.26B25.63B44.20B42.67B40.62B
Stockholders Equity18.28B19.54B19.00B20.41B19.00B16.95B
Cash Flow
Free Cash Flow1.24B1.52B3.32B2.28B3.03B4.14B
Operating Cash Flow2.21B2.45B4.46B4.20B5.08B6.55B
Investing Cash Flow-559.00M-510.00M-3.19B-2.61B-2.82B-3.01B
Financing Cash Flow-1.51B-2.18B-1.38B-1.60B-1.45B-3.12B

Fresenius SE & Co Technical Analysis

Technical Analysis Sentiment
Positive
Last Price14.04
Price Trends
50DMA
13.93
Negative
100DMA
13.53
Positive
200DMA
12.47
Positive
Market Momentum
MACD
-0.06
Negative
RSI
50.16
Neutral
STOCH
92.56
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For FSNUY, the sentiment is Positive. The current price of 14.04 is above the 20-day moving average (MA) of 13.83, above the 50-day MA of 13.93, and above the 200-day MA of 12.47, indicating a neutral trend. The MACD of -0.06 indicates Negative momentum. The RSI at 50.16 is Neutral, neither overbought nor oversold. The STOCH value of 92.56 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for FSNUY.

Fresenius SE & Co Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$14.70B10.9819.97%0.35%10.21%39.58%
73
Outperform
$18.46B14.4034.51%-0.56%-53.50%
72
Outperform
$111.06B18.810.58%6.82%15.82%
67
Neutral
$30.89B24.507.22%2.05%2.59%
65
Neutral
$13.90B17.425.31%3.39%4.09%13.17%
60
Neutral
$8.29B12.095.14%4.37%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
FSNUY
Fresenius SE & Co
13.85
5.05
57.39%
DVA
DaVita
117.39
-40.67
-25.73%
FMS
Fresenius Medical Care
23.25
-0.29
-1.23%
HCA
HCA Healthcare
486.70
170.77
54.05%
THC
Tenet Healthcare
210.00
68.99
48.93%
UHS
Universal Health
231.08
39.02
20.32%

Fresenius SE & Co Corporate Events

Fresenius SE Reports Strong Q3 2025 Performance
Nov 6, 2025

Fresenius SE & Co. KGaA is a global healthcare company based in Germany, specializing in biopharmaceuticals, clinical nutrition, medical technology, and hospital management, with significant operations in Germany and Spain.

Fresenius SE Earnings Call: Growth Amid Challenges
Aug 13, 2025

Fresenius SE’s recent earnings call presented a mixed sentiment, balancing strong growth in core EPS and revenue guidance upgrades with challenges in specific markets. The positive performance in the Kabi and Biopharma divisions was tempered by concerns over the Keto tender impact in China, Helios Germany’s headwinds, and uncertainties related to FX and tariffs.

Fresenius SE Reports Strong Q2 2025 Earnings
Aug 7, 2025

Fresenius SE & Co. KGaA is a global healthcare company based in Germany, operating through its subsidiaries Fresenius Kabi and Fresenius Helios, and is known for its extensive hospital network and diverse pharmaceutical offerings.

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: Nov 06, 2025