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Fresenius SE & Co (FSNUY)
OTHER OTC:FSNUY

Fresenius SE & Co (FSNUY) AI Stock Analysis

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FSNUY

Fresenius SE & Co

(OTC:FSNUY)

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Neutral 61 (OpenAI - 5.2)
Rating:61Neutral
Price Target:
$13.50
▼(-3.85% Downside)
Action:DowngradedDate:03/28/26
The score is driven mainly by improving fundamentals (profit recovery, deleveraging, and positive cash generation) and supportive 2026 guidance from the earnings call. These positives are offset by weak technicals (bearish trend despite oversold signals) and a demanding valuation (high P/E), which raise near-term risk.
Positive Factors
Deleveraging / Balance Sheet
Meaningful debt reduction and a net-debt/EBITDA ratio inside the stated 2.5–3x corridor materially improve financial flexibility. This lowers refinancing and interest-rate risk, supports capital allocation (capex, dividends) and gives multi-quarter runway to fund strategic investments while sustaining credit metrics.
Negative Factors
Weak Revenue Momentum
Top-line weakness across recent years signals structural demand, portfolio or market-share challenges that cost cutting alone cannot fix. Persistent revenue decline limits operating leverage, constrains long-term margin upside and raises execution risk for management's growth targets over the coming 2–6 months.
Read all positive and negative factors
Positive Factors
Negative Factors
Deleveraging / Balance Sheet
Meaningful debt reduction and a net-debt/EBITDA ratio inside the stated 2.5–3x corridor materially improve financial flexibility. This lowers refinancing and interest-rate risk, supports capital allocation (capex, dividends) and gives multi-quarter runway to fund strategic investments while sustaining credit metrics.
Read all positive factors

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

Fresenius SE & Co Business Overview & Revenue Model

Company Description
Fresenius 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. ...
How the Company Makes Money
Fresenius makes money primarily by delivering healthcare services and selling healthcare products through its operating businesses. A major revenue stream comes from Fresenius Helios, which operates hospitals and outpatient facilities; it generate...

Fresenius SE & Co Earnings Call Summary

Earnings Call Date:Feb 25, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 06, 2026
Earnings Call Sentiment Positive
The call conveyed a predominantly positive operational and financial picture: strong organic growth, double-digit core EPS expansion, substantial cash generation, and meaningful deleveraging. Kabi and Biopharma are clear growth engines with upgraded margin ambitions and tangible commercial wins. Helios showed quarterly improvement but requires further structural work to sustain gains once temporary measures (surcharge, year‑end effects) normalize. Key risks include macro/regulatory uncertainty (tariffs, PBM reforms), ongoing price pressure in pharma, competitive dynamics in biosimilars, and near‑term corporate cost increases. On balance, the company demonstrated momentum and strengthened financial flexibility that offset the identified execution and external risks.
Positive Updates
Full-Year Organic Revenue and EBIT Achievement
Delivered upgraded FY2025 guidance: 7% organic revenue growth and 6% EBIT growth at constant currency, closing the year on a strong note.
Negative Updates
Macroeconomic and Regulatory Uncertainty
Persistent geopolitical and macro volatility noted (recent U.S. Supreme Court ruling on tariffs, evolving PBM reforms). Management acknowledged guidance cannot fully reflect tariff/regulatory uncertainty; FX spot rates could reduce reported metrics by ~1% if unchanged.
Read all updates
Q4-2025 Updates
Negative
Full-Year Organic Revenue and EBIT Achievement
Delivered upgraded FY2025 guidance: 7% organic revenue growth and 6% EBIT growth at constant currency, closing the year on a strong note.
Read all positive updates
Company Guidance
Fresenius guided 2026 group organic revenue growth of 4–7% and Core EPS growth at constant currency of 5–10% (Core EPS defined before special items and excluding FMC), targeting a group EBIT margin of around 11.5%. Segment indications are Kabi mid‑to‑high single‑digit organic growth with an EBIT margin of 16.5–17% (longer‑term structural ambition 17–19%; pharma margin ~20%), and Helios mid‑single‑digit organic growth with an EBIT margin of 10–10.5% (including the 3.25% surcharge for publicly insured patients through end‑Oct 2026 and with a 2.98% DRG inflator in 2026 versus 5.9% in 2025). Financial assumptions include CapEx ~5.5% of revenues (up from 4.4%), a tax rate of 24–25%, interest expense broadly in line with the prior year, an FX headwind of ~‑1% on reported revenue/EBIT/Core EPS at Dec‑31 spot rates, and a commitment to stay within a net debt/EBITDA target corridor of 2.5–3x (net debt/EBITDA at 2.7x).

Fresenius SE & Co Financial Statement Overview

Summary
Profitability has rebounded from 2023 losses and leverage is trending down, supported by consistently positive operating cash flow and free cash flow. Offsetting this, revenue momentum is weak and free cash flow has softened from the 2023 peak, leaving growth and cash flow consistency as key overhangs.
Income Statement
62
Positive
Balance Sheet
70
Positive
Cash Flow
67
Positive
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue21.97B21.83B22.30B40.84B37.52B
Gross Profit5.47B5.38B5.06B10.72B10.31B
EBITDA3.17B3.14B2.73B3.09B6.84B
Net Income1.21B471.00M-594.00M1.37B1.82B
Balance Sheet
Total Assets41.38B43.55B45.28B76.42B71.96B
Cash, Cash Equivalents and Short-Term Investments1.58B2.05B2.56B2.35B2.75B
Total Debt11.93B13.58B15.83B27.76B27.16B
Total Liabilities21.62B23.26B25.63B44.20B42.67B
Stockholders Equity19.10B19.54B19.00B20.41B19.00B
Cash Flow
Free Cash Flow1.15B1.52B3.32B2.28B3.03B
Operating Cash Flow2.59B2.45B4.46B4.20B5.08B
Investing Cash Flow-904.82M-510.00M-3.19B-2.61B-2.82B
Financing Cash Flow-2.32B-2.18B-1.38B-1.60B-1.45B

Fresenius SE & Co Technical Analysis

Technical Analysis Sentiment
Negative
Last Price14.04
Price Trends
50DMA
14.14
Negative
100DMA
14.10
Negative
200DMA
13.64
Negative
Market Momentum
MACD
-0.48
Positive
RSI
30.29
Neutral
STOCH
14.22
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For FSNUY, the sentiment is Negative. The current price of 14.04 is above the 20-day moving average (MA) of 13.35, below the 50-day MA of 14.14, and above the 200-day MA of 13.64, indicating a bearish trend. The MACD of -0.48 indicates Positive momentum. The RSI at 30.29 is Neutral, neither overbought nor oversold. The STOCH value of 14.22 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
$105.52B15.88-140.78%0.61%6.82%15.82%
69
Neutral
$16.68B12.8334.82%-0.56%-53.50%
66
Neutral
$11.24B9.3121.03%0.35%10.21%39.58%
63
Neutral
$10.32B10.44-160.63%5.14%4.37%
61
Neutral
$28.14B90.536.70%1.97%2.59%
60
Neutral
$12.93B12.077.13%3.29%4.09%13.17%
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
12.59
2.12
20.23%
DVA
DaVita
154.43
1.46
0.95%
FMS
Fresenius Medical Care
22.06
-2.37
-9.70%
HCA
HCA Healthcare
471.85
128.61
37.47%
THC
Tenet Healthcare
191.86
57.36
42.65%
UHS
Universal Health
184.04
-3.12
-1.67%
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: Mar 28, 2026