Fresenius Medical Care AG & Co. KGaA · FMS · FY2026 Q2 · Calendar Q3 2026

Fresenius Medical Care: Operating Income Growth Meets U.S. Volume Pressure

The supplied analysis points to operating-income growth supported by cost savings and the 5008X rollout, but weaker U.S. treatment growth and regulatory uncertainty in China qualify the growth picture. Execution on clinic referrals, transformation savings and product adoption will be important to sustaining the reported improvement.

Reported Before market openNYSEHealthcare $11.99B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $0.61
EPS surprise — Reported versus consensus
Reported revenue — Consensus $5.47B
Revenue surprise — Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -4.9% Event window
SPY move +1.8% Same window
Abnormal move -6.8% Stock minus SPY
Volume 2.8× Versus trailing sessions
Subsequent drift -5.3% Up to 20 sessions
FMSSPY benchmark

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Transcript intelligence

What changed

Compared with the prior-quarter analysis, the Q2 analysis emphasizes 23% year-over-year operating-income growth and reports 227 clinics converted to 5008X, representing 10% of the machine base. It also identifies a 0.9% decline in U.S. same-market treatment growth tied to a referral-capture gap.

Guidance delta

Management maintained its outlook and reaffirmed flat revenue for the year; the supplied analysis reports no guidance change.

Key takeaways

  • Operating income grew 23% year over year, with margin expansion supported by FME25+ savings.
  • The 5008X rollout reached 227 converted clinics, or 10% of the machine base; the analysis also cites clinical benefits from high-volume HDF.
  • U.S. same-market treatment growth declined 0.9%, with management analysis identifying a referral-capture gap.

Management priorities

  • Continue the 5008X conversion and expand high-volume HDF treatments.
  • Advance FME25+ cost-saving work and the SAP S/4HANA transformation.
  • Scale TherapyWise and kinexus digital offerings and continue value-based care growth.

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Earnings History

Estimate Beat Miss Match
FMS EPS earnings history estimate and actual scatter chart 10 reported fiscal quarters and 4 future estimate-only quarters. Q2 '24 estimate $0.38 Q2 '24 actual $0.38, match Q3 '24 estimate $0.41 Q3 '24 actual $0.45, beat Q2 '25 estimate $0.50 Q2 '25 actual $0.52, beat Q3 '25 estimate $0.59 Q3 '25 actual $0.64, beat Q4 '25 estimate $0.65 Q4 '25 actual $0.83, beat Q1 '26 estimate $0.59 Q1 '26 actual $0.53, miss Q2 '26 estimate $0.62 Q2 '26 actual $0.66, beat Q3 '26 estimate $0.65 Q3 '26 actual $0.64, miss Q4 '26 estimate $0.55 Q1 '27 estimate $0.49 Q2 '27 estimate $0.59 Q3 '27 estimate $0.63
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Analyst Consensus ?

ConsensusHold21 ratings
Bullish523.8%
Neutral1466.7%
Bearish29.5%

Analyst 52W Price Targets

$21.73Current
$11.7Low
$21.73Average
$25.8High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Nov 4, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Truist Securities Hold HoldMaintainOct 12, 2026
Bernstein Market Perform Market PerformMaintainAug 6, 2026
Goldman Sachs Neutral BuyDowngradeJan 20, 2026
B of A Securities Underperform NeutralDowngradeOct 15, 2025
UBS Sell NeutralDowngradeSep 2, 2025
HSBC Hold ReduceUpgradeNov 24, 2023
RBC Capital Sector Perform Sector PerformMaintainNov 17, 2021
Jefferies Hold UnderperformUpgradeNov 11, 2021
SunTrust Robinson Humphrey Buy BuyMaintainMay 21, 2020
CFRA Buy HoldUpgradeFeb 21, 2020
Redburn Partners Neutral BuyDowngradeOct 23, 2019
Redburn Neutral BuyDowngradeOct 23, 2019
BTIG Neutral BuyDowngradeAug 1, 2019
Barclays Overweight Equal WeightUpgradeJun 20, 2019
DZ Bank Hold BuyDowngradeOct 18, 2018
Deutsche Bank Buy HoldUpgradeApr 24, 2018
PiperJaffray Neutral NeutralMaintainOct 30, 2015
Piper Sandler Neutral NeutralMaintainOct 30, 2015
Societe Generale Hold BuyDowngradeAug 13, 2015
Morgan Stanley Overweight Equal WeightUpgradeDec 2, 2013
Exane BNP Paribas Neutral OutperformDowngradeJul 3, 2013
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Named analyst price targets

Upside is calculated against the persisted current price $21.73. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Berenberg BankHarry Gillis$24$22.95 +10.4%Sep 29, 2026
BernsteinSusannah Ludwig$25.8$24.19 +18.7%Aug 6, 2026
Truist FinancialAnalyst unavailable$25$23.58 +15.0%Aug 5, 2026
BNP ParibasAnalyst unavailable$19.9$24.87 -8.4%Jul 28, 2026
Truist FinancialAnalyst unavailable$28$23.51 +28.9%Jan 5, 2026
Truist FinancialDavid MacDonald$24$22.48 +10.4%May 15, 2024
JefferiesJames Vane-Tempest$11.7$16.34 -46.2%Jan 2, 2023
Truist FinancialAnalyst unavailable$27$23.64 +24.3%Jun 22, 2022
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Company context

Snapshot as of publication

Fresenius Medical Care AG & Co. KGaA specializes in comprehensive kidney dialysis treatment and associated services, operating across Germany, North America, and numerous international territories. Through an extensive network of outpatient clinics, it delivers essential dialysis therapy along with laboratory and diagnostic support. For home-based care, the company supplies necessary equipment, provides comprehensive training, and offers ongoing patient assistance, including clinical oversight and coordinating supply deliveries directly to patients. In the United States, Fresenius Medical Care also contracts with hospitals to provide vital dialysis interventions for hospitalized individuals suffering from end-stage renal disease (ESRD) and acute kidney failure. Beyond services, it is a prominent developer, manufacturer, and distributor of a broad range of dialysis products.…

Historical context

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Sources

  1. Earnings call transcript and parsed analysis · 2026-08-04T18:09:06.471000+00:00
  2. FN2 earnings calendar · 2026-08-03T01:23:30.186086+00:00
  3. Polygon adjusted daily market bars · 2026-11-04T02:50:44.228358+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-11-04T02:50:44.225548+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-11-04. For educational purposes only; not investment advice.