

Fresenius SE & Co. KGaA has transformed from a pressured, complex healthcare conglomerate into a cleaner restructuring story, with the share recovering strongly into 2024–2026 and trading at 52.06 as of February 22, 2026.
### Chart behavior 2019–2020
### Perception and price action in 2021
### Narrative and chart 2022
### Perception and technicals in 2023
### Recent chart phases and current context
FRE.XETRA is Fresenius SE & Co. KGaA, a diversified German healthcare group operating hospitals, producing intravenous generics and nutrition products, and providing various healthcare services. This breadth exposes the company to competition across multiple fronts. In intravenous drugs and infusion systems, it faces established global players like Baxter and ICU Medical. Its Helios hospital network competes with both regional operators like Asklepios Kliniken and larger international chains such as Ramsay Health Care. For hospital drug tenders and biosimilars, it's up against major pharmaceutical and generics manufacturers including Pfizer, Sandoz, and Teva. It also overlaps with specialized providers like DaVita and Community Health Systems in dialysis and broader healthcare services. These competitive pressures layer onto regulatory hurdles, reimbursement constraints, and balance sheet considerations—creating a multifaceted challenge to earnings stability and cash generation.
Fresenius SE & Co. KGaA operates across three main pillars—hospital operations through Helios, infusion and clinical nutrition via Kabi, and healthcare facility services through Vamed—making it a genuinely diversified player in global healthcare. Listed on Frankfurt under ISIN DE0005785604, the company sits in a crowded space where large multinational operators, hospital chains, and medical device suppliers all compete for the same territory. The competitive landscape is tightening. Payors are squeezing prices, consolidation is reshaping the industry, and the constant churn of new therapies and technologies means standing still isn't an option. On top of that, Fresenius carries substantial debt—which matters more when your earnings move with economic cycles and regulatory winds. That combination of leverage and exposure to forces outside management's control is worth watching.
| Company | Ticker |
|---|---|
| Fresenius Medical Care AG & Co. KGaA | FME.XETRA |
| Siemens Healthineers AG | SHL.XETRA |
| Cardinal Health, Inc. | CAH.NYSE |
| Baxter International Inc. | BAX.NYSE |
| ICU Medical, Inc. | ICUI.NASDAQ |
| Medtronic plc | MDT.NYSE |
| Terumo Corporation | 4543.TSE |
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Start Free Trial| Period | Fresenius SE & Co. KGaA | vs DAX | vs S&P 500 (SPY) |
|---|---|---|---|
| 1M | +7.63% | +6.64% | +7.60% |
| 3M | +9.23% | +2.06% | +6.79% |
| 6M | +11.72% | +7.14% | +4.49% |
| 1Y | +46.05% | +33.22% | +29.78% |
| 3Y | +109.46% | +44.12% | +28.52% |
| 5Y | +63.02% | -16.91% | -25.50% |
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Start Free TrialHow the company’s key valuation ratios (P/E, P/S, P/B and P/CF) have evolved over time compared to today.
| Period | P/E Ratio | P/S Ratio | P/B Ratio | P/CF Ratio |
|---|---|---|---|---|
| Current | 25.7 | 1.3 | 1.6 | 13.4 |
| 1Y ago | 43.6 | 0.9 | 1.1 | 8.4 |
| 3Y ago | 11.8 | 0.4 | 0.8 | 3.9 |
| 5Y ago | 11.7 | 0.6 | 1.2 | 3.0 |
Long-term record of paid dividends (amount per share and dividend yield at the time of payment).
| Year | Dividend | Yield at payment | Avg. yield |
|---|---|---|---|
| 2025 | 1.00 EUR | 2.32% | 1.68% |
| 2023 | 0.92 EUR | 3.33% | |
| 2022 | 0.92 EUR | 2.70% | |
| 2021 | 0.88 EUR | — | |
| 2020 | 0.84 EUR | 2.13% | |
| 2020 | 0.84 EUR | 1.88% | |
| 2019 | 0.80 EUR | 1.64% | |
| 2018 | 0.75 EUR | — | |
| 2017 | 0.62 EUR | 0.78% | |
| 2016 | 0.55 EUR | — | |
| 2015 | 0.38 EUR | 0.67% | |
| 2014 | 0.42 EUR | 1.12% | |
| 2013 | 0.37 EUR | 1.14% | |
| 2012 | 0.32 EUR | 1.22% | |
| 2011 | 0.29 EUR | 1.18% |
Historical earnings performance shows how consistently the company meets or exceeds analyst expectations. Forward estimates provide insight into expected profitability and growth trajectory.
Selected income statement, balance sheet and cash flow figures. Annual and quarterly, based on reported IFRS/GAAP financials.
| 2024 | 2023 | 2022 | 2021 | 2020 | |
|---|---|---|---|---|---|
| Revenue | 21.83B | 22.30B | 40.84B | 37.52B | 36.28B |
| Operating income (EBIT) | 1.78B | 1.26B | 3.51B | 4.16B | 4.38B |
| Net income | 471.00M | -594.00M | 1.37B | 1.82B | 1.71B |
| Free cash flow | 1.52B | 3.32B | 2.28B | 3.03B | 4.14B |
| Total assets | 43.55B | 45.28B | 76.42B | 71.96B | 66.65B |
| Equity | 19.54B | 19.00B | 20.41B | 19.00B | 16.95B |
| Net debt | 11.53B | 13.27B | 25.59B | 24.55B | 24.08B |