SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 6-K

 

REPORT OF FOREIGN PRIVATE ISSUER

 

Pursuant to Rule 13a-16 or 15d-16 of the

Securities Exchange Act of 1934

 

For the month of February 2025

 

Commission file number: 001-32749

 

FRESENIUS MEDICAL CARE AG

(Translation of registrant's name into English)

 

Else-Kröner Strasse 1

61346 Bad Homburg

Germany

(Address of principal executive offices)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F x                                                 Form 40-F ¨

 

 

 

 

 

 

On February 25, 2025, Fresenius Medical Care AG (the “Company”) issued a Press Release announcing its fourth quarter and full year results for the period ending December 31, 2024. A copy of the Press Release is furnished as Exhibit 99.1 and the corresponding financial figures as Exhibit 99.2.

 

The attached Press Release contains non-GAAP financial measures. For purposes of Regulation G, a non-GAAP financial measure is a numerical measure of a company’s performance, financial position, or cash flows that either excludes or includes amounts that are not normally excluded or included in the most directly comparable measure calculated and presented in accordance with generally accepted accounting principles. To supplement our fourth quarter and full year 2024 consolidated financial results presented in accordance with International Financial Reporting Standards, or IFRS, we have used non-GAAP financial measures, including (a) EBITDA, or operating income excluding interest, taxes, depreciation and amortization, (b) free cash flow, (c) net leverage ratio (ratio of net debt to adjusted EBITDA) and (d) results presented in constant currency and as adjusted for special items identified in the Press Release and associated tables. These non-GAAP measures are provided to enhance the user’s overall understanding of our current financial performance and our prospects for the future. In addition, because we have historically reported certain non-GAAP financial measures in our financial results, we believe the inclusion of these non-IFRS financial measures provides consistency and comparability in our financial reporting to prior periods for which these non-GAAP financial measures were previously reported. These non-GAAP financial measures should not be used as a substitute for or be considered superior to GAAP financial measures. Reconciliation of the non-GAAP financial measures to the most comparable IFRS financial measures are included in the attached Financial Statements. As the reconciliation of amounts stated in Constant Currency is inherent in the disclosure included in the Press Release, we believe that a separate reconciliation would not provide any additional benefit.

 

The Exhibits attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities and Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall they be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, regardless of any general incorporation language in such filing.

 

EXHIBITS

 

The following exhibits are being furnished with this Report:

 

Exhibit 99.1 Press release issued on February 25, 2025.
   
Exhibit 99.2 Complete overview of the fourth quarter 2024 and full year 2024.

 

 

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

DATE: February 25, 2025

 

  Fresenius Medical Care AG
     
  By: /s/ Helen Giza
  Name: Helen Giza
  Title: Chief Executive Officer and Chair of the Management Board
     
  By: /s/ Martin Fischer
  Name: Martin Fischer
  Title: Chief Financial Officer and member of the Management Board

 

 

 

 

Exhibit 99.1

 

 

 

Press Release Media contact
Christine Peters
T +49 160 60 66 770
christine.peters@freseniusmedicalcare.com

Contact for analysts and investors
Dr. Dominik Heger
T +49 6172 609-2601
dominik.heger@freseniusmedicalcare.com

www.freseniusmedicalcare.com

 

Fresenius Medical Care delivers 18% earnings growth in 2024 and continues the acceleration momentum into 2025

 

·Organic revenue growth1 of 4% driven by Care Enablement and Care Delivery
  
·Underlying U.S. same market treatment growth further accelerated in Q4 and turned positive for the full year
  
·Accumulated savings of the FME25 program already reached EUR 567 million and 2025 target raised to EUR 750 million
  
·With 18% operating income2 growth top end of the 2024 outlook range reached
  
·Reported operating income grew by 2%, reported net income3 by +8%
  
·Net financial leverage ratio reduced from 3.2x to 2.9x and dividend is planned to be raised by 21%
  
·High teens to high twenties percent earnings growth in 2025, translating into an 11 to 12% margin

 

Bad Homburg, Germany (February 25, 2025) – “Fresenius Medical Care has again delivered against its commitments and we met the top end of our 2024 target to profitably grow our business. We successfully executed against our strategic turnaround and transformation plan, advancing our legacy portfolio optimization and realizing significant FME25 savings ahead of plan. The momentum we have created enables us to further raise our FME25 savings target from EUR 650 million to EUR 750 million”, said Helen Giza, Chief Executive Officer of Fresenius Medical Care AG. “Our continued focus on improving operational performance resulted in meaningful progress in the operating income margin towards our 2025 margin targets. Over the course of the past financial year, both business segments contributed to the positive development.” Giza added: “In Care Delivery, a key milestone was underlying U.S. same market treatment growth remaining positive for the second consecutive quarter and turning positive for the full year. Care Enablement recorded accelerated volume growth alongside continued positive pricing momentum. The strong operating income improvement of Care Enablement is testimony to delivering on our ambitious transformation plan. We are confident in the continued execution of our 2025 strategy. We have set the course to significantly grow earnings, raising the implied operating income margin to around 11 to 12 percent in 2025. I would like to thank our employees for their unwavering commitment in providing high quality of patient care worldwide, every day.”

 

 

1 At constant currency, adjusted for certain reconciling items including revenues from acquisitions, closed or sold operations and differences in dialysis days

 

2 Revenue and operating income outlook, as referred to in the 2024 outlook, are both at constant currency, excluding special items as well as the business impact from closed divestitures in 2023 and the settlement agreement with the U.S. government (Tricare) in 2023. For FY 2023 and 2024, special items include costs related to the FME25 program, the Humacyte remeasurements, the legal form conversion costs and effects from legacy portfolio optimization. For further details please see the reconciliation attached to the Press Release.

 

3 Net income attributable to shareholders of Fresenius Medical Care AG

 

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Key figures Q4 and FY 2024

 

   Q4 2024   Q4 2023   Growth   Growth   FY 2024   FY 2023   Growth   Growth 
   EUR m   EUR m   yoy   yoy, cc   EUR m   EUR m   yoy   yoy, cc 
Revenue   5,085    4,988    +2%   +2%   19,336    19,454    -1%   0%
on outlook base2   5,069    4,834         +5%   19,454    19,049         +2%
                                         
Operating income   259    428    -39%   -39%   1,392    1,369    +2%   +3%
on outlook base2   489    373         +31%   1,812    1,540         +18%
                                         
Net income3   67    188    -64%   -62%   538    499    +8%   +9%
on outlook base2   266    154         +73%   912    644         +42%
                                         
Basic EPS (EUR)   0.23    0.64    -64%   -62%   1.83    1.70    +8%   +9%
on outlook base2   0.91    0.52         +73%   3.11    2.19         +42%

 

yoy = year-on-year, cc = at constant currency, EPS = earnings per share

 

Execution against the strategic plan translates into strong financial performance and further momentum

 

Fresenius Medical Care, the world’s leading provider of products and services for individuals with renal diseases, successfully finished year two of a three-year strategic turnaround and transformation plan.

 

Operational efficiency: In 2024, the FME25 transformation program accelerated its momentum, delivering EUR 221 million additional sustainable savings for the full year 2024, ahead of the upgraded full year target of around EUR 200 million. Accumulated savings of the entire program reached EUR 567 million. Related one-time costs were EUR 180 million in 2024, adding up to EUR 599 million since the start of the program in 2021. The program is unfolding a strong momentum, which allows to raise the target for sustainable annual savings by EUR 100 million to now EUR 750 million by the end of the current year. The Company assumes related one-time costs of EUR 700 million to EUR 750 million for the total FME25 transformation program.

 

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Portfolio Optimization: Fresenius Medical Care continues the execution of its portfolio optimization plan to exit non-core and dilutive assets. During 2024, the exit of clinic operations in multiple markets were announced and, except for Brazil, also closed. Those exits include all Latin American countries, Sub-Saharan Africa, and Türkiye, as well as the divestments of Cura Day Hospitals Group in Australia and select assets of Spectra Laboratories, our U.S. laboratory testing services business. All assets divested during 2024 include 230 facilities, 8,200 employees and around 33,800 dialysis patients. Divestitures closed or held for sale in 2024 negatively impacted revenue by EUR 306 million and resulted in a negative effect on operating income of EUR 288 million in the full year 2024, treated as special items to operating income. As announced, the Company used the proceeds from divestitures to further improve the leverage ratio.

 

Capital Allocation: During 2024, Fresenius Medical Care strictly followed its disciplined financial policy. An increase of 10% in Free Cash Flow after investing activities, mainly due to proceeds from divestitures, was used to further reduce its net financial debt by 9% to EUR 9.8 billion. The corresponding net leverage ratio (net debt/EBITDA) decreased to 2.9x at the end of 2024, compared to 3.2x at the end of 2023. The Company adheres to its dividend policy of developing dividends in line with the development of net income excluding special items. Consequently, the planned dividend proposal for fiscal year 2024 of EUR 1.44 per share corresponds to an increase by 21% compared to prior year’s dividend.

 

Revenue development driven by robust organic growth1

 

In the fourth quarter 2024, Group revenue increased by 2% to EUR 5,085 million (+2% at constant currency, +7% organic1). Revenue on outlook base2 increased by 5% to EUR 5,069 million compared to prior year. Divestitures realized as part of the portfolio optimization plan affected the revenue development by -250 basis points.

 

Care Delivery revenue decreased by 1% to EUR 3,945 million (-1% at constant currency, +6% organic1) and increased by 3% on outlook base2. Divestitures realized as part of the portfolio optimization plan affected the revenue development by -370 basis points.

 

In Care Delivery U.S., revenue increased by 1% (+1% at constant currency, +7% organic1) and by 8% on outlook base2. Growth in the U.S. was driven by the value-based care business and an overall increase in treatment volumes, higher reimbursement rates and a favorable payor mix shift, partially offset by the absence, in 2024, of the Tricare Settlement. U.S. same market treatment growth further improved sequentially. Adjusted for the exit from less profitable acute care contracts (-0.1%), underlying U.S. same market treatment growth remained positive (+0.5%) compared to prior year for the second consecutive quarter.

 

In Care Delivery International, revenue decreased by 10% (-10% at constant currency, +4% organic1) and by 17% on outlook base2. This development was driven by divestments realized as part of the portfolio optimization plan (-1,980 basis points), partially offset by organic growth1 and an increase in dialysis days. International same market treatment growth was positive at 1.5%.

 

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Care Enablement revenue grew by 11% to EUR 1,537 million (+11% at constant currency, +10% organic1) and by 10% on outlook base2, driven by volume growth in all our geographical regions as well as positive pricing momentum. Volume-based procurement in China developed in line with expectations and was supportive of volume growth, yet a headwind to price development.

 

Within Inter-segment eliminations, revenue for products transferred between the operating segments at fair market value increased by 8% to EUR 397 million (+8% at constant currency)4.

 

In the full year 2024, Group revenue decreased by 1% to EUR 19,336 million (stable at constant currency, +4% organic1). On outlook base2, revenue increased by 2%, in line with the full year outlook. Divestitures realized as part of the portfolio optimization plan impacted the revenue development by -160 basis points. Care Delivery revenue decreased by 2% to EUR 15,275 million (-2% at constant currency, +4% organic1). Care Delivery U.S. grew by 1% (+1% at constant currency, +4% organic1) and Care Delivery International decreased by 15% (-13% at constant currency, +4% organic1). Divestitures realized as part of the portfolio optimization plan affected the revenue development of Care Delivery by -230 basis points and the revenue development of Care Delivery International by -1,230 basis points. Adjusted for the exit from less profitable acute care contracts (-0.2%), underlying U.S. same market treatment growth turned positive at 0.1%. Care Enablement revenue increased by 4% to EUR 5,557 million (+5% at constant currency, +5% organic1). Inter-segment eliminations increased by 2% to EUR 1,496 million (+2% at constant currency)4.

 

Strong operating income growth supported by both segments

 

In the fourth quarter 2024, Group operating income decreased by 39% to EUR 259 million (-39% at constant currency), resulting in a margin2 of 5.1% (Q4 2023: 8.6%). Operating income on outlook base2 increased by 31% to EUR 489 million, resulting in a margin2 of 9.6% (Q4 2023: 7.7%). Divestitures realized as part of the portfolio optimization plan had a neutral effect on operating income2 margin development in the fourth quarter.

 

Operating income in Care Delivery decreased by 51% to EUR 253 million (-51% at constant currency), resulting in a margin of 6.4% (Q4 2023: 13.0%). Previous year’s quarter included the positive impact of the Tricare settlement in the net amount of EUR 181 million. Operating income on outlook base2 increased by 10%, resulting in a margin2 of 10.7% (Q4 2023: 10.0%). This growth was mainly driven by a lower negative contribution from the value-based care business, positive volume and price effects as well as savings associated with the FME25 program. The positive development was partly offset by the phasing of a consent agreement on certain pharmaceuticals and higher personnel expenses.

 

 

4The company transfers products between segments at fair market value. The associated internal revenues and expenses and all other consolidation of transactions are included within “Inter-segment eliminations”.

 

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Operating income in Care Enablement significantly increased to EUR 71 million (Q4 2023: EUR -42 million), resulting in a margin of 4.6% (Q4 2023: -3.1%). Operating income on outlook base2 grew by more than sixfold compared to prior year, resulting in a margin2 of 7.8% (Q4 2023: 1.3%). This strong increase was driven by positive volume and price effects as well as savings from the FME25 program, compensating inflationary cost increases as well as negative price impacts from volume-based procurement in China.

 

Operating income for Corporate amounted to EUR -57 million (Q4 2023: EUR -44 million). The development includes the negative valuation effects of virtual power purchase agreements (EUR -7 million). Operating income on outlook base2 amounted to EUR -42 million (Q4 2023: EUR -26 million).

 

In the full year 2024, Group operating income increased by 2% to EUR 1,392 million (+3% at constant currency), resulting in a margin of 7.2% (FY 2023: 7.0%). Operating income on outlook base2 increased by 18% to EUR 1,812 million, reaching the upper end of the tightened full year outlook and resulting in a margin of 9.3% (FY 2023: 8.1%). Divestitures realized during the full year were neutral on operating income margin development. In Care Delivery, operating income declined by 22% to EUR 1,190 million (-21% at constant currency), resulting in a margin of 7.8% (FY 2023: 9.7%). Operating income margin on outlook base2 improved to 10.3% (FY 2023: 9.7%). In Care Enablement, operating income significantly increased to EUR 267 million (FY 2023: EUR -67 million), resulting in a margin of 4.8% (Q4 2023: -1.2%). Operating income margin on outlook base2 increased to 6.1% (FY 2023: 2.3%). Operating income for Corporate amounted to EUR -48 million (FY 2023: -67 million).

 

Net income3 in the fourth quarter 2024 decreased by 64% to EUR 67 million (-62% at constant currency). Previous year’s quarter included the positive impact of the Tricare settlement in the net amount of EUR 110 million. Net income on outlook base2 strongly increased by 73%.

 

In the full year 2024, net income3 increased by 8% to EUR 538 million (+9% at constant currency). Net income on outlook base2 increased by 42%.

 

Basic earnings per share (EPS) decreased by 64% to EUR 0.23 in the fourth quarter 2024 (-62% at constant currency). EPS on outlook base2 increased by 73% to EUR 0.91.

 

In the full year 2024, EPS increased by 8% to EUR 1.83 (+9% at constant currency). EPS on outlook base2 increased by 42% to EUR 3.11.

 

Lower net financial debt and improved net leverage ratio driven by robust cash flow development

 

Fresenius Medical Care improved operating cash flow by 16% to EUR 832 million (Q4 2023: EUR 719 million) in the fourth quarter 2024, resulting in a margin of 16.4% (Q4 2023: 14.4%). Operating cash flow increased mainly due to a favorable working capital development, which was partially offset by the absence, in 2024, of the Tricare settlement.

 

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In the full year 2024, operating cashflow decreased by 9% to EUR 2,386 million (FY 2023: EUR 2,629 million), resulting in a margin of 12.3% (FY 2023: 13.5%). The decline was mainly driven by a negative impact from the phasing of dividend payments received from equity method investments and the absence, in 2024, of the Tricare settlement.

 

Free cash flow5 increased by 25% to EUR 599 million in the fourth quarter (Q4 2023:
EUR 480 million), resulting in a margin of 11.8% (Q4 2023: 9.6%). In the full year 2024, free cash flow decreased by 13% to EUR 1,701 million (FY 2023: EUR 1,960 million), resulting in a margin of 8.8% (FY 2023: 10.1%).

 

Total net debt and lease liabilities were further reduced to EUR 9,803 million (Q4 2023: EUR 10,760 million). The net leverage ratio (net debt/EBITDA) improved from 3.2x in Q4 2023 to 2.9x in Q4 2024.

 

Patients, clinics and employees

 

As of December 31, 2024, Fresenius Medical Care treated 299,352 patients in 3,675 dialysis clinics worldwide and had 111,513 employees (headcount) globally, compared to 119,845 employees as of December 31, 2023.

 

Outlook 2025

 

In 2025, Fresenius Medical Care expects revenue growth to be positive to a low-single digit percent rate compared to prior year.

 

The Company expects operating income to grow by a high-teens to high-twenties percent rate compared to prior year.

 

The expected growth rates for 2025 are at constant currency, excluding special items2 in operating income. The 2024 basis for the revenue outlook is EUR 19,336 million and for the operating income outlook is EUR 1,797 million.

 

Press conference

 

Fresenius Medical Care will host a virtual press conference to discuss the results of the fourth quarter and the full year 2024 today, February 25, 2024, at 10:00 a.m. CET / 4:00 a.m. EST. The press conference will be webcasted in the “Media” section (Link: Events | Fresenius Medical Care). A replay will be available shortly after the conference.

 

 

5 Net cash provided by / used in operating activities, after capital expenditures, before acquisitions/divestitures, investments, and dividends

 

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Investor conference call

 

Fresenius Medical Care will host a conference call for analysts and investors to discuss the results of the fourth quarter and the full year 2024 today, February 25, 2025, at 2:00 p.m. CET / 8:00 a.m. ET. Details are available on the Fresenius Medical Care website in the “Investors” section. A replay and a transcript will be available shortly after the call.

 

Please refer to our statement of earnings included at the end of this news and to the attachments as separate PDF files for a complete overview of the results of the fourth quarter and full year 2024. Our 20-F disclosure provides more details.

 

About Fresenius Medical Care:

 

Fresenius Medical Care is the world’s leading provider of products and services for individuals with renal diseases of which around 4.2 million patients worldwide regularly undergo dialysis treatment. Through its network of 3,675 dialysis clinics, Fresenius Medical Care provides dialysis treatments for approx. 299,000 patients around the globe. Fresenius Medical Care is also the leading provider of dialysis products such as dialysis machines or dialyzers. Fresenius Medical Care is listed on the Frankfurt Stock Exchange (FME) and on the New York Stock Exchange (FMS).

 

For more information visit the company’s website at www.freseniusmedicalcare.com.

 

Disclaimer:

 

This release contains forward-looking statements that are subject to various risks and uncertainties. Actual results could differ materially from those described in these forward-looking statements due to various factors, including, but not limited to, changes in business, economic and competitive conditions, legal changes, regulatory approvals, results of clinical studies, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These and other risks and uncertainties are detailed in Fresenius Medical Care’s reports filed with the U.S. Securities and Exchange Commission. Fresenius Medical Care does not undertake any responsibility to update the forward-looking statements in this release.

 

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Statement of earnings

 

   Three months ended December 31,     
in € million, except share data  2024   2023   Change   Change
at cc
 
Revenue  5,085   4,988   1.9%   1.6% 
Revenue (outlook base)1   5,069    4,834         4.9%
                     
Costs of revenue   3,814    3,638    4.8%   4.5%
Selling, general and administrative expense   840    845    -0.7%   -0.8%
Research and development expense   50    66    -24.1%   -24.3%
Income from equity method investees   (32)   (23)   37.6%   37.6%
Other operating income   (228)   (257)   -11.5%   -11.3%
Other operating expense   382    291    30.9%   29.3%
Operating income   259    428    -39.5%   -38.7%
Operating income (outlook base)1   489    373         31.0%
                     
Interest expense, net   80    85    -5.7%   -6.4%
Income before taxes   179    343    -47.8%   -46.6%
Income tax expense   61    86    -29.4%   -28.6%
Net income   118    257    -54.0%   -52.7%
Net income attributable to noncontrolling interests   51    69    -25.4%   -25.9%
Net income2   67    188    -64.4%   -62.5%
Net income2 (outlook base)1   266    154         72.9%
                     
Weighted average number of shares   293,413,449    293,413,449           
                     
Basic earnings per share  0.23   0.64    -64.4%   -62.5%
Basic earnings per share (outlook base)1  0.91   0.52         72.9%
                     
In percent of revenue                    
Operating income margin   5.1%   8.6%          
Operating income margin (outlook base)1   9.6%   7.7%          

 

 

1 Outlook base as referred to the 2024 outlook, presented at constant currency, excluding special items, business impacts from closed divestitures in 2023 and the Tricare settlement. For a reconciliation, please refer to the table at the end of the press release.

 

2 Attributable to shareholders of FME AG.

 

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Statement of earnings

 

   Twelve months ended December 31,     
in € million, except share data  2024   2023   Change   Change
at cc
 
Revenue   19,336    19,454    -0.6%   0.0%
Revenue (outlook base)1   19,454    19,049         2.1%
                     
Costs of revenue   14,579    14,529    0.3%   1.0%
Selling, general and administrative expense   3,143    3,196    -1.7%   -1.2%
Research and development expense   183    232    -20.9%   -20.9%
Income from equity method investees   (135)   (122)   10.7%   10.7%
Other operating income   (760)   (515)   47.5%   47.8%
Other operating expense   934    765    22.1%   22.5%
Operating income   1,392    1,369    1.7%   2.6%
Operating income (outlook base)1   1,812    1,540         17.6%
                     
Interest expense, net   335    336    -0.3%   -0.2%
Income before taxes   1,057    1,033    2.3%   3.5%
Income tax expense   316    301    5.2%   6.3%
Net income   741    732    1.1%   2.3%
Net income attributable to noncontrolling interests   203    233    -13.1%   -12.8%
Net income2   538    499    7.8%   9.4%
Net income2 (outlook base)1   912    644         41.6%
                     
Weighted average number of shares   293,413,449    293,413,449           
                     
Basic earnings per share  1.83   1.70    7.8%   9.4%
Basic earnings per share (outlook base)1  3.11   2.19         41.6%
                     
In percent of revenue                    
Operating income margin   7.2%   7.0%          
Operating income margin (outlook base)1   9.3%   8.1%          

 

 

1 Outlook base as referred to the 2024 outlook, presented at constant currency, excluding special items, business impacts from closed divestitures in 2023 and the Tricare settlement. For a reconciliation, please refer to the table at the end of the press release.

 

2 Attributable to shareholders of FME AG.

 

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Reconciliation of non-IFRS financial measures to the most directly comparable IFRS Accounting Standards financial measures for comparability with the Company’s outlook (outlook base)

 

   Three months ended
December 31,
   Twelve months ended
December 31,
 
in € million  2024   2023   2024   2023 
Operating performance (outlook base)                    
These items are excluded to ensure comparability of the figures presented with the Company’s financial targets which have been defined excluding special items and at constant currency.                    
                     
Revenue   5,085    4,988    19,336    19,454 
Divestitures1       37        (214)
Tricare settlement       (191)       (191)
Revenue excl. 2023 divestitures and Tricare settlement   5,085    4,834    19,336    19,049 
Currency translation effects   (16)       118    - 
Revenue (outlook base)   5,069    4,834    19,454    19,049 
                     
Operating income   259    428    1,392    1,369 
FME25 Program   73    52    180    153 
Legal Form Conversion Costs   4    17    9    30 
Legacy Portfolio Optimization2   146    57    288    204 
Humacyte Remeasurements   7    1    (72)   (15)
Sum of special items:   230    127    405    372 
Divestitures1       (1)       (20)
Tricare settlement       (181)   -    (181)
Sum of special items, 2023 divestitures and Tricare settlement   230    (55)   405    171 
Operating income excl. special items, 2023 divestitures and Tricare settlement   489    373    1,797    1,540 
Currency translation effects   0        15     
Operating income (outlook base)   489    373    1,812    1,540 
                     
Net income3   67    188    538    499 
FME25 Program   53    37    130    109 
Legal Form Conversion Costs   3    12    7    21 
Legacy Portfolio Optimization2   138    21    282    138 
Humacyte Remeasurements   5    1    (54)   (11)
Sum of special items:   199    71    365    257 
Divestitures1       5        (2)
Tricare settlement       (110)       (110)
Sum of special items, 2023 divestitures and Tricare settlement   199    (34)   365    145 
Net income3 excl. special items, 2023 divestitures and Tricare settlement   266    154    903    644 
Currency translation effects   0        9      
Net income3 (outlook base)   266    154    912    644 

 

 

1 Business impacts from closed divestitures in 2023.

 

2 2024: mainly comprise gains and losses from divestitures, impairment losses resulting from the measurement of assets held for sale or from write-downs of related non-current assets; 2023: mainly comprise the derecognition of capitalized development costs and the impairment of intangible assets (licenses and distribution rights) as well as termination costs (including certain contractual obligation expenses) related to a dialysis cycler development program which was discontinued in the first quarter of 2023 and other impacts related to agreed-upon divestitures in 2023.

 

3 Attributable to shareholders of FME AG.

 

Page 10/10

 

 

Exhibit 99.2

 

 

 

 

 

Fresenius Medical Care AG

 

COMPLETE OVERVIEW OF THE FOURTH QUARTER AND FULL YEAR 2024

 

February 25, 2025

 

 

 

Investor Relations

 

phone: +49 6172 609 2525

 

email: ir@freseniusmedicalcare.com

 

Content:  
   
Statement of earnings page 2
Segment information page 3
Balance sheet page 4
Cash flow page 5
Revenue development by segment page 6
Key metrics page 7
Reconciliation results (outlook base) page 8
Outlook 2025 page 9

 

Disclaimer

 

This release contains forward-looking statements that are subject to various risks and uncertainties. Actual results could differ materially from those described in these forward-looking statements due to various factors, including, but not limited to, changes in business, economic and competitive conditions, legal changes, regulatory approvals, impacts related to COVID-19, results of clinical studies, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These and other risks and uncertainties are detailed in Fresenius Medical Care AG’s reports filed with the U.S. Securities and Exchange Commission. Fresenius Medical Care AG does not undertake any responsibility to update the forward-looking statements in this release.

 

Rounding adjustments applied to individual numbers and percentages may result in these figures differing immaterially from their absolute values. Furthermore, totals and subtotals in tables may differ slightly from unrounded figures due to rounding in accordance with commercial rounding conventions.

 

 

Copyright by Fresenius Medical Care AG

 

 

 

 

 

 

Statement of earnings

 

   Three months ended December 31,       Twelve months ended December 31, 
in € million, except share data  2024   2023   Change  Change
at cc
   2024   2023   Change  Change
at cc
Total revenue   5,085    4,988    1.9%   1.6%   19,336    19,454    -0.6%   0.0%
Total revenue (outlook base) 1   5,069    4,834         4.9%   19,454    19,049         2.1%
                                         
Costs of revenue   3,814    3,638    4.8%   4.5%   14,579    14,529    0.3%   1.0%
Selling, general and administrative expense   840    845    -0.7%   -0.8%   3,143    3,196    -1.7%   -1.2%
Research and development expense   50    66    -24.1%   -24.3%   183    232    -20.9%   -20.9%
Income from equity method investees   (32)   (23)   37.6%   37.6%   (135)   (122)   10.7%   10.7%
Other operating income   (228)   (257)   -11.5%   -11.3%   (760)   (515)   47.5%   47.8%
Other operating expense   382    291    30.9%   29.3%   934    765    22.1%   22.5%
Operating income   259    428    -39.5%   -38.7%   1,392    1,369    1.7%   2.6%
Operating income (outlook base) 1   489    373         31.0%   1,812    1,540         17.6%
                                         
Interest income   (21)   (27)   -21.0%   -24.1%   (72)   (88)   -18.9%   -17.7%
Interest expense   101    112    -9.4%   -10.6%   407    424    -4.1%   -3.8%
Interest expense, net   80    85    -5.7%   -6.4%   335    336    -0.3%   -0.2%
Income before income taxes   179    343    -47.8%   -46.6%   1,057    1,033    2.3%   3.5%
Income tax expense   61    86    -29.4%   -28.6%   316    301    5.2%   6.3%
Net income   118    257    -54.0%   -52.7%   741    732    1.1%   2.3%
Net income attributable to noncontrolling interests   51    69    -25.4%   -25.9%   203    233    -13.1%   -12.8%
Net income attributable to shareholders of FME AG   67    188    -64.4%   -62.5%   538    499    7.8%   9.4%
Net income attributable to shareholders of FME AG
(outlook base) 1
   266    154         72.9%   912    644         41.6%
                                         
Weighted average number of shares   293,413,449    293,413,449              293,413,449    293,413,449           
                                         
Basic earnings per share  0.23   0.64    -64.4%   -62.5%  1.83   1.70    7.8%   9.4%
Basic earnings per ADS  0.11   0.32    -64.4%   -62.5%  0.92   0.85    7.8%   9.4%
                                         
Operating income   259    428    -39.5%   -38.7%   1,392    1,369    1.7%   2.6%
Depreciation, amortization and impairment loss   477    426    12.0%   11.0%   1,743    1,752    -0.6%   0.0%
EBITDA   736    854    -13.8%   -13.9%   3,135    3,121    0.4%   1.1%
                                         
In percent of revenue                                        
Operating income margin   5.1%   8.6%             7.2%   7.0%          
Operating income margin (outlook base) 1   9.6%   7.7%             9.3%   8.1%          
EBITDA margin   14.5%   17.1%             16.2%   16.0%          

 

 

1 Outlook base as referred to the 2024 outlook, presented at constant currency, excluding special items, business impacts from closed divestitures in 2023 and the Tricare settlement. For a reconciliation, please refer to the table on page 8.

 

Statement of earningspage 2 of 9February 25, 2025

 

 

 

 

Segment information

 

   Three months ended December 31,       Twelve months ended December 31,     
                                 
   2024   2023   Change   Change
at cc
  2024   2023   Change   Change
at cc
Total                                        
Revenue in € million   5,085    4,988    1.9%   1.6%   19,336    19,454    -0.6%   0.0%
Revenue in € million (outlook base) 1   5,069    4,834         4.9%   19,454    19,049         2.1%
Operating income in € million   259    428    -39.5%   -38.7%   1,392    1,369    1.7%   2.6%
Operating income in € million (outlook base) 1   489    373         31.0%   1,812    1,540         17.6%
Operating income margin   5.1%   8.6%             7.2%   7.0%          
Operating income margin (outlook base) 1   9.6%   7.7%             9.3%   8.1%          
Days sales outstanding (DSO) 2                       63    67           
Employees (headcount)                       111,513    119,845           
                                         
Care Delivery segment                                        
Revenue in € million   3,945    3,976    -0.8%   -1.2%   15,275    15,578    -1.9%   -1.5%
Revenue in € million (outlook base) 1   3,929    3,812         3.1%   15,337    15,158         1.2%
Operating income in € million   253    515    -50.9%   -50.8%   1,190    1,516    -21.5%   -21.1%
Operating income in € million (outlook base) 1   419    382         9.7%   1,572    1,477         6.4%
Operating income margin   6.4%   13.0%             7.8%   9.7%          
Operating income margin (outlook base) 1   10.7%   10.0%             10.3%   9.7%          
Days sales outstanding (DSO) 2                       53    59           
                                         
Care Enablement segment                                        
Revenue in € million   1,537    1,380    11.3%   11.3%   5,557    5,345    3.9%   5.1%
Revenue in € million (outlook base) 1   1,536    1,398         9.9%   5,618    5,353         5.0%
Operating income in € million   71    (42)   n.a.    n.a.    267    (67)   n.a.    n.a. 
Operating income in € million                                        
(outlook base)1   120    18         548.0%   344    121         184.4%
Operating income margin   4.6%   -3.1%             4.8%   -1.2%          
Operating income margin (outlook base) 1   7.8%   1.3%             6.1%   2.3%          
Days sales outstanding (DSO) 2                       95    97           
                                         
Inter-segment eliminations 3                                        
Revenue in € million   (397)   (368)   8.0%   7.8%   (1,496)   (1,469)   1.8%   2.1%
Revenue in € million (outlook base) 1   (396)   (376)        5.5%   (1,501)   (1,462)        2.7%
Operating income in € million   (8)   (1)   748.3%   797.7%   (17)   (13)   30.4%   24.5%
Operating income in € million (outlook base) 1   (8)   (1)        809.9%   (24)   (13)        89.8%
                                         
Corporate                                        
Operating income in € million   (57)   (44)   29.6%   27.4%   (48)   (67)   -28.6%   -27.8%
Operating income in € million (outlook base) 1   (42)   (26)        55.3%   (80)   (45)        77.1%

 

 

1 Outlook base as referred to the 2024 outlook, presented at constant currency, excluding special items, business impacts from closed divestitures in 2023 and the Tricare settlement. For a reconciliation, please refer to the table on page 8.

2 Includes receivables related to assets held for sale.

3 The Company transfers products between segments at fair market value. The associated internal revenues and expenses and all other consolidation of transactions are included within “Inter-segment eliminations”.

 

cc = constant currency. Changes in revenue, operating income and net income attributable to shareholders of FME AG include the impact of changes in foreign currency exchange rates. We calculate and present these financial measures using both IFRS Accounting Standards and at constant exchange rates to show changes in these metrics and other items without giving effect to period-to-period currency fluctuations. Under IFRS Accounting Standards, amounts received in local (non-euro) currency are translated into euro at the average exchange rate for the period presented. Once we translate the local currency for the constant currency, we then calculate the change, as a percentage, of the current period using the prior period exchange rates versus the prior period. The single quarter results are calculated as the variance between the current year- to-date results less the preceding quarter’s year-to-date which makes the single quarter subject to further foreign exchange fluctuation. This resulting percentage is a non-IFRS measure referring to a change as a percentage at constant currency. These currency-adjusted financial measures are identifiable by the designated term “Constant Currency”.

 

Segment informationpage 3 of 9February 25, 2025

 

 

 

 

Balance sheet

 

   December 31,   December 31, 
in € million, except for net leverage ratio   2024    2023 
Assets          
Cash and cash equivalents   1,180    1,403 
Trade accounts and other receivables from unrelated parties   3,367    3,471 
Inventories   2,068    2,179 
Other current assets   1,308    1,648 
Goodwill and intangible assets   16,541    16,012 
Right-of-use assets   3,612    3,671 
Other non-current assets   5,491    5,546 
Total assets   33,567    33,930 
           
Liabilities and equity          
Accounts payable to unrelated parties   904    762 
Other current liabilities   4,756    5,350 
Non-current liabilities   12,138    12,991 
Total equity   15,769    14,827 
Total liabilities and equity   33,567    33,930 
           
Equity/assets ratio   47%   44%
           
Debt and lease liabilities          
Short-term debt from unrelated parties   2    457 
Current portion of long-term debt   575    487 
Current portion of lease liabilities from unrelated parties   616    593 
Current portion of lease liabilities from related parties   25    24 
Long-term debt, less current portion   6,261    6,960 
Lease liabilities from unrelated parties, less current portion   3,412    3,419 
Lease liabilities from related parties, less current portion   88    110 
Debt and lease liabilities included within liabilities directly associated with assets held for sale   9    137 
Total debt and lease liabilities   10,988    12,187 
Minus: Cash and cash equivalents1   (1,185)   (1,427)
Total net debt and lease liabilities   9,803    10,760 
           
Reconciliation of adjusted EBITDA and net leverage ratio to the most directly comparable IFRS Accounting Standards financial measure          
Net income   741    732 
Income tax expense   316    301 
Interest income   (72)   (88)
Interest expense   407    424 
Depreciation and amortization   1,536    1,613 
Adjustments2   450    409 
Adjusted EBITDA   3,378    3,391 
           
Net leverage ratio   2.9    3.2 

 

 

1 Includes cash and cash equivalents included within assets held for sale.

 

2 Acquisitions and divestitures made for the last twelve months with a purchase price above a €50 M threshold as defined in the Syndicated Credit Facility (2024: -€23 M; 2023: -€35 M), non-cash charges, primarily related to pension expense (2024: €52 M; 2023: €56 M), impairment loss (2024: €207 M; 2023: €139 M) and special items, including costs related to the FME25 Program (2024: €164 M; 2023: €106 M), Legal Form Conversion Costs (2024: €9 M; 2023: €30 M), Legacy Portfolio Optimization (2024: €113 M; 2023: €128 M) and Humacyte Remeasurements (2024: -€72 M; 2023: -€15 M).

 

Balance sheetpage 4 of 9February 25, 2025

 

 

 

 

Cash flow statement

 

   Three months ended December 31,   Twelve months ended December 31, 
in € million  2024   2023   2024   2023 
Operating activities                    
Net income   118    257    741    732 
Depreciation, amortization and impairment loss   477    426    1,743    1,752 
Change in trade accounts and other receivables from unrelated parties   30    39    (198)   (126)
Change in inventories   96    42    108    (13)
Change in other working capital and non-cash items   111    (45)   (8)   284 
Net cash provided by (used in) operating activities   832    719    2,386    2,629 
In percent of revenue   16.4%   14.4%   12.3%   13.5%
                     
Investing activities                    
Purchases of property, plant and equipment and capitalized development costs   (241)   (250)   (699)   (685)
Proceeds from sale of property, plant and equipment   8    11    14    16 
Capital expenditures, net   (233)   (239)   (685)   (669)
                     
Free cash flow   599    480    1,701    1,960 
In percent of revenue   11.8%   9.6%   8.8%   10.1%
                     
Acquisitions and investments, net of cash acquired, and purchases of intangible assets   (5)   (14)   (23)   (35)
Investments in debt securities   (17)   (4)   (82)   (102)
Proceeds from divestitures, net of cash disposed   128    147    630    172 
Proceeds from sale of debt securities   8    14    75    90 
Free cash flow after investing activities   713    623    2,301    2,085 

 

Cash flowpage 5 of 9February 25, 2025

 

 

 

 

Revenue development by segment

 

                       Same market 
               Change   Organic   treatment 
in € million  2024   2023   Change   at cc   growth   growth1 
Three months ended December 31,                              
Total revenue   5,085    4,988    1.9%   1.6%   7.4%     
                               
Care Delivery segment   3,945    3,976    -0.8%   -1.2%   6.3%   0.7%
Thereof: U.S.   3,359    3,321    1.1%   0.5%   6.8%   0.4%
Thereof: International   586    655    -10.3%   -9.7%   3.6%   1.5%
                               
Care Enablement segment   1,537    1,380    11.3%   11.3%   9.7%     
                               
Inter-segment eliminations   (397)   (368)   8.0%   7.8%          
                               
Twelve months ended December 31,                              
Total revenue   19,336    19,454    -0.6%   0.0%   4.1%     
                               
Care Delivery segment   15,275    15,578    -1.9%   -1.5%   3.7%   0.3%
Thereof: U.S.   12,798    12,665    1.0%   1.2%   3.7%   -0.1%
Thereof: International   2,477    2,913    -14.9%   -13.3%   3.8%   1.4%
                               
Care Enablement segment   5,557    5,345    3.9%   5.1%   4.8%     
                               
Inter-segment eliminations   (1,496)   (1,469)   1.8%   2.1%          

 

1 Same market treatment growth = organic growth less price effects.

 

Health care services and health care products revenue by segment

 

 2024 2023 
    Care   Care   Inter-        Care   Care   Inter-     
   Delivery   Enablement   segment       Delivery   Enablement   segment     
in € million  segment   segment   eliminations   Total   segment   segment   eliminations   Total 
Three months ended December 31,                                        
Health care services revenue   3,892            3,892    3,925            3,925 
Health care products revenue   53    1,140        1,193    51    1,012        1,063 
Inter-segment revenue       397    (397)           368    (368)    
Revenue   3,945    1,537    (397)   5,085    3,976    1,380    (368)   4,988 
                                         
Twelve months ended December 31,                                        
Health care services revenue   15,085            15,085    15,394            15,394 
Health care products revenue   190    4,061        4,251    184    3,876        4,060 
Inter-segment revenue       1,496    (1,496)           1,469    (1,469)    
Revenue   15,275    5,557    (1,496)   19,336    15,578    5,345    (1,469)   19,454 

 

Revenue development by segmentpage 6 of 9February 25, 2025

 

 

 

 

Key metrics Care Delivery segment

 

   Twelve months ended December 31, 2024 
       Growth   Net change       Growth       Growth 
   Clinics   in %   in clinics 1   Patients   in %   Treatments   in % 
Total   3,675    -6%   (250)   299,352    -10%   47,617,071    -8%
Thereof: U.S.   2,624    0%   9    206,436    1%   31,213,447    0%
Thereof: International   1,051    -20%   (259)   92,916    -27%   16,403,624    -20%

 

1 Net change in clinics (acquired, de novo, combined, closed and sold).

 

Key metricspage 7 of 9February 25, 2025

 

 

 

 

Reconciliation of non-IFRS financial measures to the most directly comparable IFRS Accounting Standards financial measures for comparability with the Company´s outlook (outlook base)

 

     Special items                 Special items                     
                                                                   Sum of         
                                                                   special         
               Legacy           Result       Results               Legacy               items,    Results   Change 
           Legal Form   Portfolio   Humacyte       2024   Currency   2024           Legal Form   Portfolio   Humacyte           divestitures   2023   at cc 
   Results   FME25   Conversion   Optimiza-   Remeasure-   Sum of   excl. special   translation   (outlook   Results   FME25   Conversion   Optimiza-   Remeasure-       Tricare   and Tricare   (outlook   (outlook 
in € million, except share data  2024   Program   Costs   tion1   ments   special items   items   effects   base)   2023   Program   Costs   tion1   ments   Divestitures2   settlement   settlement   base)   base) 
Three months ended December 31,                                                                                               
Total revenue   5,085                        5,085    (16)   5,069    4,988                    37    (191)   (154)   4,834    4.9%
Care Delivery segment   3,945                        3,945    (16)   3,929    3,976                    27    (191)   (164)   3,812    3.1%
Thereof: U.S.   3,359                        3,359    (21)   3,338    3,321                    (27)   (191)   (218)   3,103    7.5%
Thereof: International   586                        586    5    591    655                    54        54    709    -16.5%
Care Enablement segment   1,537                        1,537    (1)   1,536    1,380                    18        18    1,398    9.9%
Inter-segment eliminations   (397)                       (397)   1    (396)   (368)                   (8)       (8)   (376)   5.5%
                                                                                                
EBITDA   736    68    4    69    7    148    884    (2)   882    854    31    17    57    1    (1)   (181)   (76)   778    13.5%
                                                                                                
Total operating income   259    73    4    146    7    230    489    0    489    428    52    17    57    1    (1)   (181)   (55)   373    31.0%
Care Delivery segment   253    29        141        170    423    (4)   419    515    25        32        (4)   (186)   (133)   382    9.7%
Care Enablement segment   71    42    0    5    0    47    118    2    120    (42)   27        25        5    3    60    18    548.0%
Inter-segment eliminations   (8)           0        0    (8)   0    (8)   (1)                               (1)   809.9%
Corporate   (57)   2    4    0    7    13    (44)   2    (42)   (44)       17    0    1    (2)   2    18    (26)   55.3%
                                                                                                
Interest expense, net   80                        80    (1)   79    85                    (2)       (2)   83    -4.2%
                                                                                                
Income tax expense   61    20    1    16    2    39    100    1    101    86    15    5    36    0    0    (47)   9    95    6.0%
                                                                                                
Net income attributable to noncontrolling interests   51            (8)       (8)   43    0    43    69            0        (4)   (24)   (28)   41    3.6%
                                                                                                
Net income3   67    53    3    138    5    199    266    0    266    188    37    12    21    1    5    (110)   (34)   154    72.9%
                                                                                                
Basic earnings per share  0.23   0.18   0.01   0.47   0.02   0.68   0.91   0.00   0.91   0.64   0.13   0.04   0.07   0.00   0.01   (0.37)  (0.12)  0.52    72.9%
                                                                                                
Twelve months ended December 31,                                                                                               
Total revenue   19,336                        19,336    118    19,454    19,454                    (214)   (191)   (405)   19,049    2.1%
Care Delivery segment   15,275                        15,275    62    15,337    15,578                    (229)   (191)   (420)   15,158    1.2%
Thereof: U.S.   12,798                        12,798    14    12,812    12,665                    (141)   (191)   (332)   12,333    3.9%
Thereof: International   2,477                        2,477    48    2,525    2,913                    (88)       (88)   2,825    -10.6%
Care Enablement segment   5,557                        5,557    61    5,618    5,345                    8        8    5,353    5.0%
Inter-segment eliminations   (1,496)                       (1,496)   (5)   (1,501)   (1,469)                   7        7    (1,462)   2.7%
                                                                                                
EBITDA   3,135    164    9    113    (72)   214    3,349    22    3,371    3,121    106    30    128    (15)   (20)   (181)   48    3,169    6.4%
                                                                                                
Total operating income   1,392    180    9    288    (72)   405    1,797    15    1,812    1,369    153    30    204    (15)   (20)   (181)   171    1,540    17.6%
Care Delivery segment   1,190    74        301        375    1,565    7    1,572    1,516    75        96        (24)   (186)   (39)   1,477    6.4%
Care Enablement segment   267    104    0    (7)   (28)   69    336    8    344    (67)   78        108        (1)   3    188    121    184.4%
Inter-segment eliminations   (17)           (7)       (7)   (24)   0    (24)   (13)                               (13)   89.8%
Corporate   (48)   2    9    1    (44)   (32)   (80)   0    (80)   (67)   0    30    0    (15)   5    2    22    (45)   77.1%
                                                                                                
Interest expense, net   335                        335    1    336    336                    2        2    338    -0.6%
                                                                                                
Income tax expense   316    50    2    14    (18)   48    364    5    369    301    44    9    65    (4)   (7)   (47)   60    361    2.0%
                                                                                                
Net income attributable to noncontrolling interests   203            (8)       (8)   195    0    195    233            1        (13)   (24)   (36)   197    -1.0%
                                                                                                
Net income3   538    130    7    282    (54)   365    903    9    912    499    109    21    138    (11)   (2)   (110)   145    644    41.6%
                                                                                                
Basic earnings per share  1.83   0.44   0.02   0.97   (0.18)  1.25   3.08   0.03   3.11   1.70   0.38   0.07   0.47   (0.04)  (0.02)  (0.37)  0.49   2.19    41.6%

 

1 2024: mainly comprise gains and losses from divestitures, impairment losses resulting from the measurement of assets held for sale or from write-downs of related non-current assets; 2023: mainly comprise the derecognition of capitalized development costs and the impairment of intangible assets (licenses and distribution rights) as well as termination costs (including certain contractual obligation expenses) related to a dialysis cycler development program which was discontinued in the first quarter of 2023 and other impacts related to agreed-upon divestitures in 2023. 

2 Business impacts from closed divestitures in 2023. 

3 Attributable to shareholders of FME AG.

 

Reconciliation results (outlook base)page 8 of 9February 25, 2025

 

 

 

 

Outlook 2025

 

         Outlook 2025
     Results 2024   (at Constant Currency)
Revenue1    €19,336 M   Positive to a low-single digit percentage rate growth
Operating income1    €1,797 M   High-teens to high-twenties percentage rate growth

 

1 Outlook 2025 is based on the assumptions outlined in the earnings release for the fourth quarter and full year of 2024 and excludes special items. Special items include the costs related to the FME25 Program, the impacts from Legacy Portfolio Optimization, the Legal Form Conversion Costs and the Humacyte Remeasurements and other effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of providing the outlook. The growth rates are based on the results 2024 excluding the costs related to the FME25 Program (€180 M for operating income), the impacts from Legacy Portfolio Optimization (€288 M for operating income), the Legal Form Conversion Costs (€9 M for operating income) and the Humacyte Remeasurements (-€72 M for operating income).

 

Outlook 2025page 9 of 9February 25, 2025

 


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