Fresenius SE & Co. KGaA

TickerFRE.XETRA
Current Price
Fresenius SE & Co. KGaA – stock chart

5-year stock timeline

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.

2019–2020: From Quality Compounder to Stressed Defensives

  • Entering 2019, Fresenius was still broadly viewed as a solid defensive European healthcare group with a respectable long-term track record, though sentiment had already weakened due to margin pressure at Fresenius Medical Care (FMC) and U.S. generics pricing headwinds at Kabi.
  • COVID-19 in 2020 shifted the narrative to "pandemic-distorted defensives": Helios hospitals and Vamed's project business suffered from postponed elective procedures and project delays, while FMC faced rising mortality among dialysis patients. This weighed on group earnings and reinforced the perception of an overly complex conglomerate.

### Chart behavior 2019–2020

  • Through 2019 and into early 2020, the stock moved sideways to mildly upward, consistent with a mature defensive name, before a sharp COVID-19 decline in Q1 2020. It partially recovered as hospital activity normalized and policy support arrived.
  • The recovery stalled into late 2020 as investors focused on structural issues at FMC and Kabi, shifting the narrative from "defensive compounder" to "value with complications" and capping rallies below prior highs.

2021: Guidance Raises Amid Structural Doubts

  • In 2021, Fresenius raised group earnings guidance after a very strong Q2, citing improved performance across Kabi, Helios, and Vamed, along with early savings from efficiency initiatives.
  • The group raised FY21 guidance again after solid Q3 results, though management highlighted stronger-than-expected COVID-19 headwinds at FMC, reinforcing investor concern that a structurally challenged FMC was masking healthier underlying businesses.

### Perception and price action in 2021

  • The narrative shifted to "operationally solid, structurally messy": investors acknowledged resilient Kabi and Helios businesses but worried that capital allocation, conglomerate complexity, and FMC exposure would limit valuation improvement.
  • Technically, the stock spent much of 2021 in a choppy sideways range with failed breakouts on positive guidance news and sharp pullbacks when pandemic or FMC headlines deteriorated, establishing a ceiling that would later define the top of the multi-year trading range.

2022: Guidance Cuts and Value-Trap Concerns

  • In July 2022, Fresenius revised FY22 group guidance downward, driven by significantly worsening headwinds at Fresenius Medical Care, while keeping the outlook for Kabi, Helios, and Vamed intact.
  • Global macro shocks—energy prices, inflation, and interest-rate hikes in Europe and the U.S.—simultaneously pressured hospital and staffing costs, reinforcing concerns about profitability and leverage at a complex healthcare group.

### Narrative and chart 2022

  • This combination of FMC-driven downgrades and macro cost pressure shifted perception decisively toward "value trap / broken conglomerate": investors questioned whether earnings and returns would ever justify even a low-teens multiple without structural change.
  • On the chart, 2022 was a major downtrend year, with the share breaking below its prior multi-year range and eventually touching the low-20s; five-year statistics show a trough around 19.69 EUR, consistent with capitulation levels for long-term holders.

2023: FutureFresenius and FMC Deconsolidation

  • Under CEO Michael Sen, Fresenius launched the "#FutureFresenius" program, targeting portfolio simplification, cost savings, and clearer focus on Kabi and Helios as core franchises while addressing the FMC overhang.
  • On November 30, 2023, Fresenius completed the deconsolidation of Fresenius Medical Care, a landmark step that reduced complexity and improved flexibility. Fresenius remained the largest shareholder with 32% of FMC's share capital.

### Perception and technicals in 2023

  • The deconsolidation reframed the story from "value trap" to "turnaround / self-help": investors began focusing on the cash-generative, less volatile Kabi and Helios businesses and the potential for higher returns from a simpler group structure.
  • Technically, 2023 marked a major bottoming and reversal: after basing near prior lows, the stock broke its downtrend and rallied strongly. By October 2023 it was trading in the high-40s, with price records showing around 48.97 EUR on October 25, 2023.

2024–Early 2026: Re-rating, Execution, and Strong Recovery

  • In 2024, Fresenius delivered improving results, with Q2 earnings beating operating profit expectations on strong performance at Kabi and Helios and progress in group-wide cost savings, reinforcing the credibility of the restructuring program.
  • As profitability improved and complexity declined, the narrative evolved into a "turnaround with defensive healthcare backbone": investors increasingly viewed Fresenius as a self-help recovery story with scope for multiple expansion and more predictable earnings from its core units.

### Recent chart phases and current context

  • Five- and ten-year price statistics show that from a 3-year low in the low-20s, the share has staged a powerful multi-year rally, with the 5-year high just above 50 EUR, illustrating a decisive break from the prior value-trap zone.
  • From 2024 into early 2026, the chart shows a sustained uptrend with higher highs and higher lows, punctuated by brief pullbacks and consolidations. At 52.06 in February 2026, the stock reflects a full recovery and clear re-rating versus the 2022 trough.

Key risks and downside factors

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.

  • Powerful global competitors and regional hospital operators are putting pressure on pricing in hospital and infusion therapy services, which could squeeze margins across Fresenius's Helios and Kabi segments.[16][17][22][25]
  • Fresenius faces meaningful exposure to regulatory risk across its key European markets—Germany, Spain, and others—where reimbursement systems and government or insurer budgets drive revenue. Tariff cuts, DRG adjustments, and cost-containment measures can shift quickly enough to materially compress margins.[10][14][23]
  • A leveraged balance sheet paired with substantial ongoing capital requirements for hospital upgrades and manufacturing expansion could constrain financial flexibility and expose the company to refinancing and interest-rate risk should operating performance deteriorate.[5][9][11]
  • Operational and execution risks across multi-country hospital networks and global pharmaceutical manufacturing—quality issues, regulatory scrutiny, integration challenges—could surface as fines, reputational damage, or costly remediation efforts.[2][10][22][23]

Competitive landscape

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.

Private competitors

  • Xeltis
  • Strive Health
  • Invizius

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Performance Figures of Fresenius SE & Co. KGaA

in EUR

1M High / Low
52.96 / 46.30
52W High / Low
52.96 / 31.60
5Y High / Low
52.96 / 19.69
1M
+7.63%
3M
+9.23%
6M
+11.72%
1Y
+46.05%
3Y
+109.46%
5Y
+63.02%

Relative Performance vs Benchmarks

PeriodFresenius 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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Historical valuation trends

How the company’s key valuation ratios (P/E, P/S, P/B and P/CF) have evolved over time compared to today.

PeriodP/E RatioP/S RatioP/B RatioP/CF Ratio
Current25.71.31.613.4
1Y ago43.60.91.18.4
3Y ago11.80.40.83.9
5Y ago11.70.61.23.0

Key Metrics

Market Capitalization
29.32B EUR
P/E Ratio
25.40
Analyst Target Price

Valuation Metrics

P/S Ratio
1.31
P/B Ratio
1.57

Profitability Metrics

Profit Margin
5.09%
Operating Margin
8.50%
Return on Equity
5.89%
Return on Assets
2.61%

Growth Metrics

Revenue Growth
Earnings Growth

Dividend history

Long-term record of paid dividends (amount per share and dividend yield at the time of payment).

YearDividendYield at paymentAvg. yield
20251.00 EUR2.32%1.68%
20230.92 EUR3.33%
20220.92 EUR2.70%
20210.88 EUR
20200.84 EUR2.13%
20200.84 EUR1.88%
20190.80 EUR1.64%
20180.75 EUR
20170.62 EUR0.78%
20160.55 EUR
20150.38 EUR0.67%
20140.42 EUR1.12%
20130.37 EUR1.14%
20120.32 EUR1.22%
20110.29 EUR1.18%

Earnings history & estimates

Historical earnings performance shows how consistently the company meets or exceeds analyst expectations. Forward estimates provide insight into expected profitability and growth trajectory.

Historical earnings performance

63.3%
Beat estimate
25%
Miss estimate
+8.34%
Avg surprise when beat
-20.48%
Avg surprise when miss

Reports analyzed: 60

Upcoming earnings report

February 25, 2026
Next earnings date

Analyst estimates for upcoming periods

Next year
December 31, 2026
Consensus3.72
Range3.35 – 3.95
14 analysts
Est. growth vs prior: 9.97%
Revisions: 7d ↑0 ↓0 · 30d ↑0 ↓9
Next quarter
March 31, 2026
Consensus0.95
Range0.95 – 0.95
1 analysts
Est. growth vs prior: 9.51%

Key financial figures

All figures in EUR

Selected income statement, balance sheet and cash flow figures. Annual and quarterly, based on reported IFRS/GAAP financials.

20242023202220212020
Revenue21.83B22.30B40.84B37.52B36.28B
Operating income (EBIT)1.78B1.26B3.51B4.16B4.38B
Net income471.00M-594.00M1.37B1.82B1.71B
Free cash flow1.52B3.32B2.28B3.03B4.14B
Total assets43.55B45.28B76.42B71.96B66.65B
Equity19.54B19.00B20.41B19.00B16.95B
Net debt11.53B13.27B25.59B24.55B24.08B
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