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Fresenius Medical Care (FME) investor relations material
Fresenius Medical Care Q3 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 revenue was €4,937m, up 1% reported, down 1% at constant currency and up 0.1% organically; adjusted operating income fell 5% reported and 6% at constant currency.
Reported operating income declined 19% to €384m and shareholder net income fell 42% to €160m, with China strategy and other special-item costs affecting results.
FY2026 revenue outlook remained broadly flat; operating income guidance narrowed to flat through negative mid-single-digit growth at constant currency, excluding special items.
Financial highlights
Q3 adjusted operating income was €545m versus €574m, with an 11.0% margin versus 11.7%; reported operating margin was 7.8% versus 9.8%.
Q3 adjusted net income attributable to shareholders was €291m versus €322m; 9M reported net income was €496m, while adjusted net income was €844m versus €836m.
9M revenue was €14,409m, down 1% reported and up 2% at constant currency; adjusted operating income was €1,581m, up 5% reported and 8% at constant currency.
Q3 operating cash flow rose 8% to €798m and free cash flow increased 3% to €564m; 9M operating cash flow was €1,885m and free cash flow €1,229m.
Q3 special items totaled €161m for operating income and €131m for shareholder net income; China strategy refinement costs were €108m.
Outlook and guidance
FY2026 revenue is expected to remain broadly flat and operating income to range from flat to negative mid-single-digit growth, at constant currency and excluding special items.
FY2026 TDAPA headwind is expected at €50m; Q4 headwind is estimated at €140m after a Q3 headwind slightly above €60m.
FY2027 TDAPA-related and base-business pressures are expected to create a €300m–€350m operating income headwind versus 2026; detailed guidance is due in February.
FY2026 inflation headwinds are expected to exceed the previously stated €300m upper end; FME25+ savings remain on track at €250m for the year.
FME25+ is expected to deliver €250m of savings and €350m of related one-time costs in 2026; cumulative savings target is €1.2bn by end-2027.
- Revenue guidance fell to 5–7%, while 2018 earnings-growth guidance held at 13–15%.FME
Q1 2018 - Revenue grew, but COVID mortality and higher costs cut earnings; 2022 guidance held.FME
Q1 2022 - Q3 growth continued as 9M reported earnings absorbed the prior-year divestiture comparison.FME
Q3 2019 - COVID-19 and inflation pressured earnings, while 2021 guidance stayed intact at its lower end.FME
Q3 2021 - Revenue grew 9%, but COVID-19 costs and uneven regional profits clouded the outlook.FME
Q1 2020 - Constant-currency revenue grew in Q2, but COVID-19 pressures drove steep earnings declines.FME
Q2 2021 - Nine-month earnings grew, FY 2020 targets held, and COVID-19’s net impact was immaterial.FME
Q3 2020 - Q2 adjusted operating income rose 23% as outlook held amid volume and cost pressures.FME
Q2 2026 - Organic growth and adjusted earnings improved as reported results faced transformation costs; FY 2026 guidance held.FME
Q1 2026
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Next Fresenius Medical Care earnings date
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