Fresenius
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Fresenius (FRE) investor relations material

Fresenius Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary4 Nov, 2026

Executive summary

  • Q3 organic revenue grew 5%; EBIT before special items rose 11% to €638m and margin expanded 50 bps to 11.0%.

  • Core EPS was €0.72, up 14% at constant currency; ROIC reached 7.0%, its highest level in a decade.

  • FY 2026 Core EPS growth guidance moved to the upper half of the 10%–15% range; EBIT margin indication increased to above 11.5%.

Financial highlights

  • Q3 revenue before special items was €5,803m, up 5% organically; EBIT before special items was €638m.

  • Net income attributable to shareholders before special items was €486m; reported net income was €371m, up 8%.

  • Q3 operating cash flow was €633m; LTM free cash flow from continuing operations was €1.880bn versus €911m a year earlier.

  • Net interest expense fell to €75m from €81m in Q3 2025.

Outlook and guidance

  • FY 2026 organic revenue growth guidance remains 4%–7%; Core EPS growth at constant currency is expected in the upper half of the 10%–15% range.

  • Group EBIT margin indication increased to above 11.5%; Kabi expects its margin at the upper end of 16.5%–17.0%.

  • Helios FY 2026 guidance is mid-single-digit organic revenue growth and a 10.0%–10.5% EBIT margin.

  • FY indications include interest expense below €300m, tax rate of 24%–25%, CAPEX of 5.5% of revenue and ROIC above 6.5%.

  • Year-end net debt/EBITDA is expected within 2.5x–3.0x, assuming no further acquisitions or divestments.

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Frequently asked questions

Fresenius SE & Co. KGaA operates as a health care group that provides products and services for dialysis, hospitals, and outpatient medical care worldwide. The company offers infusion therapies and clinical nutrition products; medical devices and services comprising renal, hospital, and surgical products; dialysis services through a network of independent subsidiary Fresenius Medical Care clinics; assistance with the promotion of healthy lifestyles, disease prevention services, and homecare services; hospital management and care management as well as hospital construction planning and financing services; and consulting, engineering, environmental, healthcare infrastructure development, project logistics/supply chain management/product testing, rail vehicle maintenance/IT security infrastructure support/e-learning platform operations in Germany.