Fresenius
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Fresenius (FRE) investor relations material

Fresenius Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary5 Aug, 2026

Executive summary

  • Achieved highest capital returns in a decade and strong operational momentum, with Core EPS up 14% at constant currency and upgraded FY 2026 guidance for Core EPS growth to 10–15% (previously 5–10%).

  • Transformation initiatives and strategic focus on scaling (Bio)Pharma, MedTech, and Care Provision platforms have resulted in a more focused business mix and increased innovation-led growth.

  • Leverage ratio stable at 2.6x, at the lower end of the 2.5–3.0x target corridor, reflecting financial strength and strategic flexibility.

Financial highlights

  • Q2 2026 revenue reached €5,864 million (+6% organic), EBIT before special items was €719 million (+10% YOY), and EBIT margin expanded by 60 bps to 12.3%.

  • Core EPS was €0.83 in Q2 (+14% constant currency); net income before special items was €560 million (+14% YOY).

  • ROIC improved to 6.9%, up ~200 bps since 2022.

  • Operating cash flow for Q2 was €344 million; last 12 months' operating cash flow reached €2.8 billion; cash conversion rate at 1.2.

Outlook and guidance

  • FY 2026 guidance: organic revenue growth of 4–7%, Core EPS growth of 10–15% at constant currency, and EBIT margin of ~11.5%.

  • Fresenius Kabi: organic revenue growth in mid- to high-single digits, EBIT margin at upper end of 16.5–17.0% range; Helios: mid-single-digit organic revenue growth, EBIT margin 10.0–10.5%.

  • Net debt/EBITDA expected within 2.5–3.0x by year-end; tax rate between 24–25%.

  • Guidance assumes current macroeconomic and geopolitical volatility, excluding extreme scenarios.

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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.