The company maintains a debt-to-equity ratio of 0.78, while total assets have contracted to $31.5 billion from $34.3 billion in 2024Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 |
|---|
| Total Current Assets | 8.11B | 7.9B | 7.92B | 8.7B | 8.2B | 7.97B | 7.28B | 7.17B | 7.85B | 6.37B | 6.88B | 6.19B | 5.52B | 4.55B | 4.63B | 4.39B | 3.87B | 3.3B | 3.03B | 2.65B | 2.59B | 2.08B | 1.8B | 1.75B | 1.74B | 2B | 1.68B | 1.53B | 1.21B |
| Cash & Short-Term Investments | 1.62B | 1.6B | 1.34B | 1.56B | 1.46B | 1.64B | 1.26B | 1.16B | 2.27B | 993.57M | 974.72M | 770.42M | 678.57M | 530.94M | 520.25M | 352.82M | 393.15M | 210.24M | 159.17M | 167.83M | 120.48M | 71.83M | 43.5M | 38.45M | 61.75M | 69.2M | 68.76M | 34.54M | 27.2M |
| Cash Only | 1.24B | 1.6B | 1.18B | 1.4B | 1.27B | 1.48B | 1.08B | 1.01B | 2.15B | 978.11M | 708.88M | 505.95M | 523.66M | 495.8M | 520.25M | 352.82M | 393.15M | 210.24M | 159.17M | 167.83M | 120.48M | 71.83M | 43.5M | 38.45M | 61.75M | 69.2M | 68.76M | 34.54M | 27.2M |
| Short-Term Investments | 384.2M | 0 | 163.09M | 154.37M | 187.83M | 159.18M | 179.26M | 155.55M | 119.51M | 15.46M | 265.84M | 264.47M | 154.91M | 35.14M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 3.72B | 3.14B | 3.41B | 3.64B | 3.72B | 3.58B | 3.26B | 3.59B | 3.43B | 3.5B | 3.7B | 3.33B | 2.92B | 2.41B | 2.67B | 2.56B | 2.02B | 1.79B | 1.69B | 1.46B | 1.51B | 1.27B | 1.12B | 1.02B | 910.69M | 1.04B | 857.09M | 766.04M | 544.17M |
| Days Sales Outstanding | 62.99 | 58.43 | 64.35 | 68.26 | 69.99 | 74.17 | 66.7 | 75.02 | 75.67 | 71.85 | 79.31 | 79.31 | 81.86 | 83.19 | 93.49 | 94.52 | 81.37 | 83.04 | 80.89 | 79.85 | 85.55 | 81.06 | 88.77 | 84.52 | 68.61 | 69.24 | 69.93 | 73.26 | 66.45 |
| Inventory | 2.3B | 2.14B | 2.07B | 2.18B | 2.3B | 2.04B | 1.9B | 1.66B | 1.47B | 1.29B | 1.34B | 1.23B | 921.61M | 796.66M | 783.97M | 746.47M | 608.36M | 573.48M | 507.9M | 436.37M | 396.98M | 363.81M | 326.73M | 353.14M | 354.72M | 389.31M | 340.97M | 299.43M | 253.58M |
| Days Inventory Outstanding | 54.28 | 53.53 | 51.77 | 54.75 | 57.78 | 57.91 | 56.14 | 50.25 | 47 | 39.99 | 42.32 | 43.19 | 37.75 | 40.68 | 41.14 | 42.68 | 37.34 | 40.44 | 36.95 | 36.49 | 34.02 | 35.43 | 39.03 | 43.89 | 39.63 | 39.26 | 42.74 | 51.38 | 56.34 |
| Other Current Assets | 466.17M | 1.02B | 1.06B | 1.28B | 682.6M | 672.58M | 817.6M | 700.46M | 603.63M | 516.11M | 800.16M | 832.98M | 968.72M | 781.73M | 560.76M | 618.03M | 263.29M | 221.13M | 232.83M | 244.46M | 222.06M | 151.61M | 136.75M | 142.64M | 180.95M | 255.37M | 188.56M | 431.62M | 389.32M |
| Total Non-Current Assets | 23.36B | 23.1B | 25.64B | 25.23B | 27.55B | 26.4B | 24.41B | 25.77B | 18.4B | 17.65B | 18.62B | 17.01B | 15.35B | 12.19B | 12.25B | 10.68B | 8.98B | 7.74B | 7.69B | 7.07B | 7.3B | 4.66B | 4.07B | 4.21B | 4.73B | 5.32B | 4.68B | 4.19B | 3.63B |
| Property, Plant & Equipment | 6.44B | 3.01B | 7.26B | 7.45B | 8.34B | 8.55B | 8.19B | 8.52B | 3.84B | 3.49B | 3.58B | 3.15B | 2.72B | 2.25B | 2.22B | 2.03B | 1.9B | 1.69B | 1.61B | 1.41B | 1.31B | 1.03B | 871.88M | 864.81M | 874.7M | 942.49M | 786.83M | 638.13M | 538.45M |
| Fixed Asset Turnover | 3.46x | 6.51x | 2.66x | 2.61x | 2.33x | 2.06x | 2.18x | 2.05x | 4.31x | 5.09x | 4.76x | 4.85x | 4.79x | 4.71x | 4.69x | 4.87x | 4.77x | 4.65x | 4.75x | 4.73x | 4.93x | 5.57x | 5.27x | 5.08x | 5.54x | 5.79x | 5.69x | 5.98x | 5.55x |
| Goodwill | 13.85B | 0 | 15.17B | 14.65B | 15.79B | 14.36B | 12.96B | 14.02B | 12.21B | 12.1B | 12.99B | 11.92B | 10.76B | 8.44B | 8.64B | 7.09B | 6.12B | 5.24B | 5.25B | 4.97B | 5.22B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 1.26B | 14.83B | 1.37B | 1.36B | 1.52B | 1.46B | 1.38B | 1.43B | 681.33M | 683.06M | 805.55M | 759.62M | 714.97M | 548.84M | 536.95M | 529.79M | 520.72M | 599.68M | 608.07M | 473.22M | 501.11M | 3.41B | 2.99B | 3.07B | 3.57B | 4.14B | 3.7B | 3.42B | 2.97B |
| Long-Term Investments | 3.42B | 0 | 1.12B | 1.08B | 1.2B | 786.9M | 761.11M | 696.87M | 649.78M | 647.01M | 598.15M | 593.62M | 559.16M | 482.49M | 481.94M | 533.93M | 188.26M | 4.04M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 233.4M | 5.26B | 720.02M | 681.83M | 702.46M | 1.24B | 1.13B | 1.11B | 1.02B | 725.15M | 683.12M | 610.72M | 614.8M | 479.79M | 302.01M | 427.94M | 179.12M | 162.47M | 159.75M | 163.13M | 222.86M | 192.66M | 168.43M | 239.84M | 249.36M | 203.52M | 166.41M | 129.49M | 119.3M |
| Total Assets | 31.47B | 31B | 33.57B | 33.93B | 35.75B | 34.37B | 31.69B | 32.93B | 26.24B | 24.03B | 25.5B | 23.2B | 20.87B | 16.74B | 16.88B | 15.07B | 12.85B | 11.04B | 10.72B | 9.72B | 9.88B | 6.74B | 5.87B | 5.96B | 6.46B | 7.32B | 6.37B | 5.72B | 4.84B |
| Asset Turnover | 0.62x | 0.63x | 0.58x | 0.57x | 0.54x | 0.51x | 0.56x | 0.53x | 0.63x | 0.74x | 0.67x | 0.66x | 0.62x | 0.63x | 0.62x | 0.66x | 0.71x | 0.71x | 0.71x | 0.69x | 0.65x | 0.85x | 0.78x | 0.74x | 0.75x | 0.75x | 0.70x | 0.67x | 0.62x |
| Asset Growth % | -24.19% | -7.64% | -1.07% | -5.1% | 4.04% | 8.45% | -3.78% | 25.5% | 9.23% | -5.8% | 9.93% | 11.15% | 24.66% | -0.82% | 12.02% | 17.25% | 16.4% | 3.03% | 10.27% | -1.67% | 46.64% | 14.76% | -1.42% | -7.79% | -11.77% | 15.04% | 11.36% | 18.05% | - |
| Total Current Liabilities | 6.73B | 6.25B | 5.66B | 6.11B | 6.47B | 7.26B | 6.06B | 7.06B | 6.27B | 5.3B | 5.3B | 3.8B | 2.86B | 2.57B | 2.4B | 3.29B | 2.85B | 1.82B | 2.26B | 2.08B | 1.8B | 1.33B | 1.43B | 1.12B | 1.23B | 1.55B | 1.48B | 1.76B | 831.86M |
| Accounts Payable | 890.43M | 738M | 984.32M | 885.15M | 951.58M | 857.53M | 827.39M | 835.19M | 795.05M | 737.84M | 839.63M | 714.21M | 587.1M | 482.68M | 563.81M | 503.55M | 316.28M | 252.95M | 262.92M | 226.28M | 418.86M | 261.11M | 225.73M | 243.39M | 177.2M | 222.86M | 299.4M | 280.82M | 127.47M |
| Days Payables Outstanding | 20.42 | 18.45 | 24.64 | 22.24 | 23.95 | 24.37 | 24.51 | 25.23 | 25.47 | 22.86 | 26.57 | 24.99 | 24.05 | 24.65 | 29.59 | 28.79 | 19.41 | 17.84 | 19.13 | 18.92 | 35.89 | 25.43 | 26.96 | 30.25 | 19.8 | 22.48 | 37.53 | 48.19 | 28.32 |
| Short-Term Debt | 1.8B | 1.61B | 577.38M | 944.6M | 1.34B | 1.92B | 1.09B | 2.62B | 2.5B | 1.65B | 1.3B | 725M | 371.26M | 484.77M | 345.23M | 1.32B | 710.05M | 338.1M | 818.62M | 208.92M | 375.77M | 250.03M | 483.25M | 166.57M | 146.15M | 307.25M | 616.57M | 570.3M | 183.15M |
| Deferred Revenue (Current) | 0 | 0 | 82.17M | 85.82M | 105.72M | 518.03M | 606.3M | 30.94M | 0 | 275.13M | 218.13M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 249.3M | 0 | 0 | 0 |
| Other Current Liabilities | 3.3B | 3.31B | 2.84B | 2.99B | 2.86B | 2.75B | 2.42B | 2.44B | 2.9B | 2.48B | 1.98B | 765.91M | 793.54M | 700.59M | 642.25M | 716.96M | 873.33M | 22.98M | 20.58M | 474.88M | 100.03M | 113.2M | 173.86M | 162.13M | 281.8M | 308.74M | 147.51M | 908.08M | 521.23M |
| Current Ratio | 1.20x | 1.26x | 1.40x | 1.42x | 1.27x | 1.10x | 1.20x | 1.02x | 1.25x | 1.20x | 1.30x | 1.63x | 1.93x | 1.77x | 1.93x | 1.34x | 1.36x | 1.81x | 1.34x | 1.28x | 1.44x | 1.56x | 1.26x | 1.56x | 1.41x | 1.29x | 1.14x | 0.87x | 1.46x |
| Quick Ratio | 0.86x | 0.92x | 1.03x | 1.07x | 0.91x | 0.82x | 0.89x | 0.78x | 1.02x | 0.96x | 1.05x | 1.31x | 1.61x | 1.46x | 1.61x | 1.11x | 1.15x | 1.50x | 1.11x | 1.07x | 1.22x | 1.29x | 1.03x | 1.25x | 1.12x | 1.04x | 0.91x | 0.70x | 1.15x |
| Cash Conversion Cycle | 96.86 | 93.51 | 91.48 | 100.77 | 103.83 | 107.72 | 98.34 | 100.04 | 97.19 | 88.99 | 95.06 | 97.51 | 95.56 | 99.22 | 105.04 | 108.41 | 99.3 | 105.64 | 98.71 | 97.42 | 83.68 | 91.06 | 100.83 | 98.16 | 88.44 | 86.03 | 75.14 | 76.45 | 94.47 |
| Total Non-Current Liabilities | 10.53B | 10.47B | 12.14B | 12.99B | 13.84B | 13.13B | 13.3B | 12.65B | 7.07B | 7.9B | 9.15B | 9.8B | 9.77B | 7.3B | 7.52B | 5.56B | 4.35B | 4.48B | 4.06B | 3.82B | 4.34B | 2.04B | 1.75B | 2.25B | 2.53B | 2.81B | 2.01B | 1.95B | 1.98B |
| Long-Term Debt | 5.74B | 5.69B | 6.26B | 6.96B | 7.17B | 6.65B | 6.8B | 6.46B | 5.05B | 5.79B | 6.83B | 7.18B | 7.41B | 5.61B | 5.93B | 4.24B | 3.24B | 3.09B | 2.84B | 2.75B | 2.9B | 597.01M | 402.46M | 882.66M | 1.04B | 826.94M | 700.42M | 649.72M | 921.81M |
| Capital Lease Obligations | 11.91B | 2.91B | 3.5B | 3.53B | 4B | 4.09B | 3.88B | 4.07B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6.28M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 1.32B | 0 | 708.89M | 750.29M | 936.48M | 868.45M | 785.89M | 739.7M | 626.52M | 467.54M | 661.92M | 571.21M | 661.68M | 538.35M | 502.08M | 453.52M | 381.14M | 298.4M | 306.23M | 259.6M | 286.78M | 253.85M | 208.22M | 198.86M | 161.41M | 160.55M | 187.91M | 166.99M | 162.01M |
| Other Non-Current Liabilities | 1.19B | 1.88B | 1.63B | 1.74B | 1.72B | 1.53B | 1.83B | 1.38B | 1.4B | 1.63B | 1.66B | 2.05B | 1.69B | 1.15B | 1.09B | 869.24M | 725.17M | 1.09B | 911.43M | 813.47M | 1.15B | 1.19B | 1.14B | 1.17B | 1.33B | 1.82B | 1.12B | 1.13B | 900.25M |
| Total Liabilities | 17.26B | 16.72B | 17.8B | 19.1B | 20.3B | 20.39B | 19.36B | 19.71B | 13.34B | 13.2B | 14.45B | 13.6B | 12.63B | 9.87B | 9.92B | 8.85B | 7.2B | 6.3B | 6.32B | 5.9B | 6.14B | 3.37B | 3.18B | 3.37B | 3.76B | 4.36B | 3.49B | 3.71B | 2.82B |
| Total Debt | 11.03B | 10.79B | 11B | 12.08B | 13.21B | 13.32B | 12.38B | 13.82B | 7.58B | 7.52B | 8.13B | 7.96B | 7.82B | 6.12B | 6.27B | 5.56B | 3.95B | 3.43B | 3.66B | 2.96B | 3.28B | 847.04M | 885.71M | 1.05B | 1.18B | 1.13B | 1.32B | 1.22B | 1.1B |
| Net Debt | 9.79B | 9.2B | 9.82B | 10.67B | 11.94B | 11.84B | 11.3B | 12.81B | 5.43B | 6.55B | 7.42B | 7.46B | 7.3B | 5.62B | 5.75B | 5.21B | 3.56B | 3.22B | 3.5B | 2.79B | 3.16B | 775.21M | 842.21M | 1.01B | 1.12B | 1.06B | 1.25B | 1.19B | 1.08B |
| Debt / Equity | 0.78x | 0.76x | 0.70x | 0.81x | 0.86x | 0.95x | 1.00x | 1.04x | 0.59x | 0.69x | 0.74x | 0.83x | 0.95x | 0.89x | 0.90x | 0.89x | 0.70x | 0.72x | 0.83x | 0.77x | 0.87x | 0.25x | 0.33x | 0.41x | 0.44x | 0.38x | 0.46x | 0.61x | 0.55x |
| Debt / EBITDA | 3.19x | 3.30x | 3.51x | 3.87x | 3.94x | 3.83x | 3.03x | 3.58x | 2.01x | 2.43x | 2.53x | 2.86x | 3.22x | 2.91x | 2.94x | 2.74x | 2.16x | 2.22x | 2.44x | 2.22x | 2.66x | 0.84x | 1.11x | 1.36x | 1.37x | 1.44x | 1.35x | 1.45x | 1.69x |
| Net Debt / EBITDA | 2.83x | 2.81x | 3.13x | 3.42x | 3.56x | 3.41x | 2.76x | 3.32x | 1.44x | 2.11x | 2.31x | 2.68x | 3.01x | 2.67x | 2.70x | 2.56x | 1.95x | 2.08x | 2.33x | 2.09x | 2.56x | 0.77x | 1.05x | 1.31x | 1.30x | 1.35x | 1.28x | 1.41x | 1.65x |
| Interest Coverage | 10.17x | - | 3.60x | 3.43x | 4.39x | 5.45x | 5.72x | 4.75x | 4.87x | 5.80x | 5.79x | 4.88x | 4.72x | 5.13x | 5.11x | 5.99x | 6.38x | 5.53x | 4.69x | 4.03x | 3.60x | - | - | - | - | - | - | - | - |
| Total Equity | 14.2B | 14.28B | 15.77B | 14.83B | 15.45B | 13.98B | 12.33B | 13.23B | 12.9B | 10.83B | 11.05B | 9.6B | 8.25B | 6.87B | 6.96B | 6.22B | 5.66B | 4.75B | 4.4B | 3.82B | 3.75B | 3.37B | 2.69B | 2.59B | 2.7B | 2.96B | 2.87B | 2.01B | 2.03B |
| Equity Growth % | -29.44% | -9.42% | 6.35% | -4.03% | 10.52% | 13.36% | -6.77% | 2.52% | 19.15% | -2.02% | 15.11% | 16.41% | 20.06% | -1.34% | 11.94% | 9.94% | 19.22% | 7.88% | 15.02% | 2.05% | 11.28% | 24.96% | 4.17% | -4.07% | -9.01% | 3.09% | 42.92% | -0.75% | - |
| Book Value per Share | 25.81 | 24.53 | 26.87 | 25.27 | 13.17 | 11.93 | 13.90 | 14.91 | 21.00 | 17.62 | 18.04 | 15.72 | 13.61 | 11.28 | 11.34 | 10.19 | 9.37 | 7.95 | 7.38 | 6.44 | 6.33 | 5.72 | 4.18 | 6.16 | 6.42 | 7.06 | 5.33 | 4.25 | 4.83 |
| Total Shareholders' Equity | 13.24B | 14.28B | 14.58B | 13.62B | 13.99B | 12.7B | 11.22B | 11.96B | 11.76B | 9.82B | 9.98B | 9.04B | 7.77B | 6.69B | 6.76B | 6.1B | 5.55B | 4.66B | 4.28B | 3.82B | 3.69B | 3.36B | 2.68B | 2.58B | 2.68B | 2.94B | 2.85B | 1.99B | 2.01B |
| Common Stock | 293.41M | 14.28B | 293.41M | 293.41M | 293.41M | 293M | 292.88M | 304.44M | 307.88M | 308.11M | 360.92M | 354.12M | 316.79M | 276.93M | 283.49M | 0 | 0 | 145.92M | 0 | 0 | 229.29M | 193.76M | 169.29M | 182.23M | 218.7M | 257.93M | 244.35M | 228.07M | 195.43M |
| Retained Earnings | 12.3B | 0 | 11.27B | 10.92B | 10.71B | 10.83B | 10.25B | 9.45B | 8.83B | 7.14B | 8.4B | 7.2B | 5.84B | 4.62B | 4.21B | 3.59B | 2.9B | 2.17B | 1.76B | 1.29B | 1.03B | 823.52M | 485.32M | 300.15M | 147.32M | -65.69M | -59.65M | -215.52M | 68.3M |
| Treasury Stock | -940.59M | 0 | 0 | 0 | 0 | 0 | 0 | -370.5M | -50.99M | -108.93M | -50.99M | -464.99M | -417.22M | -366.72M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | -1.44B | 0 | -328.55M | -975.17M | -388.47M | -1.31B | -2.21B | -1.04B | -1.2B | -1.49B | -1.25B | -1.22B | -894.52M | -398.72M | -372.11M | -374.79M | -145.9M | -34.71M | -108.67M | 69.19M | -4.1M | -120.55M | -50.85M | -138.8M | -365.33M | -403.57M | -205.46M | -134.57M | -64.8M |
| Minority Interest | 962.88M | 0 | 1.19B | 1.21B | 1.46B | 1.28B | 1.12B | 1.27B | 1.14B | 1.01B | 616.47M | 556.9M | 481.13M | 181.38M | 200.19M | 316.34M | 110.27M | 145.71M | 0 | 72.57M | 56.95M | 12.16M | 13.3M | 11.2M | 21.46M | 22.74M | 22.65M | 21.64M | 16.97M |
Regulatory reimbursement and labor costs
According to recent financial statements, FMS has seen total assets decline from $34.3 billion in 2024Q1 to $31.5 billion in 2026Q1, reflecting a broader trend of balance sheet contraction as the company navigates a challenging environment of stagnant volume growth and persistent operational margin pressure.
The reduction in total assets suggests a strategic pivot toward asset optimization, likely driven by the FMG25 transformation program. Investors should monitor whether this shrinkage represents a healthy shedding of non-core assets or a forced retreat from underperforming clinical markets.
Based on reported figures, FMS maintained a debt-to-equity ratio of 0.78 in 2026Q1, a level that has remained relatively stable despite the company's ongoing operational difficulties and the significant volatility observed in its quarterly cash flow generation and net income performance.
While the debt load appears manageable, the reliance on debt to fund shareholder returns during periods of operational contraction warrants caution. The company's ability to service this debt remains tethered to the stability of government reimbursement rates, which currently offer little room for margin expansion.
As reported in recent filings, goodwill accounts for $13.8 billion of the $31.5 billion total asset base in 2026Q1, indicating that a significant portion of the company's valuation is tied to intangible assets acquired through historical, aggressive expansion into global dialysis service markets.
The high concentration of goodwill relative to total assets suggests that any sustained decline in the profitability of the Care Delivery segment could trigger impairment charges. This reliance on intangibles highlights the potential for future balance sheet volatility if the company fails to achieve its targeted operational efficiencies.
Data from the last ten quarters indicates that the current ratio has tightened to 1.20 in 2026Q1 from a peak of 1.50 in 2024Q1, suggesting that the company's immediate liquidity buffer is narrowing as it manages ongoing working capital outflows and administrative billing friction.
The decline in the current ratio may indicate that the company is utilizing more of its liquid resources to cover operational costs and debt obligations. Investors should monitor whether this trend continues, as a further reduction in liquidity could limit the company's flexibility to respond to unexpected regulatory or labor-related shocks.
Quick answers to the most common questions about buying FMS stock.
As of 2025, Fresenius Medical Care AG & Co. KGaA (FMS) had total assets of $31.00B including $7.90B in current assets.
Fresenius Medical Care AG & Co. KGaA (FMS) carries total debt of $10.79B, offset by $1.60B in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Fresenius Medical Care AG & Co. KGaA (FMS) has total shareholders' equity (book value) of $14.28B ($24.53 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Fresenius Medical Care AG & Co. KGaA (FMS) reported a current ratio of 1.26x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.