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 Biopharma, MedTech, and Care Provision platforms have resulted in a more focused business mix and disciplined capital allocation.

  • Both Fresenius Kabi and Helios contributed to EBIT growth and margin expansion, reflecting a structurally higher quality business profile.

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, up 14% at constant currency; Core net income increased 14% to €560 million.

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

  • Net debt/EBITDA ratio stable at 2.6x, at the lower end of the 2.5–3.0x target corridor.

  • Operating cash flow for Q2 was €344 million; LTM operating cash flow at €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: mid- to high-single-digit organic revenue growth, EBIT margin at upper end of 16.5–17%.

  • Fresenius Helios: mid-single-digit organic revenue growth, EBIT margin 10.0–10.5%.

  • Guidance assumes continued macroeconomic and geopolitical volatility and does not account for extreme scenarios.

  • Cash conversion rate expected slightly below 1.0; tax rate between 24–25%.

Kabi Pharma manufacturing adjustment impacts
Helios Germany patient invoice surcharge impact
Biopharma margin scaling and milestone timing
Impact of Melrose Park OAI status on 2027
Plan to double Biopharma sales by 2030
Helios 2027 EBIT under GKV Stabilization Act
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