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Consolidated segment reporting by business segment

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Fresenius Medical Care   Fresenius Kabi   Fresenius Helios Fresenius Vamed   Corporate Fresenius Group
€ in millions  20221 20212 Growth 20223 20214 Growth 20225 20215 Growth 20226 20215 Growth 20227 20218 Growth 2022 2021 Growth
Revenue 19,398 17,619 10% 7,850 7,193 9% 11,716 10,891 8% 2,359 2,297 3% -483 -480 -1% 40,840 37,520 9%
thereof contribution
to consolidated revenue
19,332 17,570 10% 7,779 7,126 9% 11,690 10,862 8% 2,039 1,960 4% 0 2 -100% 40,840 37,520 9%
thereof intercompany revenue 66 49 35% 71 67 6% 26 29 -10% 320 337 -5% -483 -482 0%
contribution to consolidated revenue 47 % 47 % 19 % 19 % 29 % 29 % 5 % 5 % 0 % 0 % 100 % 100 %
EBITDA 3,518 3,501 0% 1,576 1,601 -2% 1,690 1,600 6% 118 191 -38% -608 -68 -- 6,294 6,825 -8%
Depreciation and amortization  1,701 1,586 7% 496 448 11% 505 473 7% 98 90 9% 173 70 147% 2,973 2,667 11%
EBIT 1,817 1,915 -5% 1,080 1,153 -6% 1,185 1,127 5% 20 101 -80% -781 -138 -- 3,321 4,158 -20%
Net interest  -292 -280 -4% -59 -58 -2% -182 -184 1% -13 -10 -30% 39 26 50% -507 -506 0%
Income taxes  -390 -367 -7% -185 -259 29% -220 -199 -11% 0 -20 100% 98 12 -- -697 -833 16%
Net income attributable to shareholders
of Fresenius SE & Co, KGaA 
913 1,018 -10% 780 778 0% 766 728 5% 1 67 -99% -1,088 -773 -41% 1,372 1,818 -25%
Operating cash flow 2,167 2,489 -13% 841 1,203 -30% 1,367 1,204 14% -44 151 -129% -133 31 -- 4,198 5,078 -17%
Cash flow before acquisitions and dividends 1,480 1,660 -11% 323 659 -51% 813 637 28% -25 72 -135% -170 33 -- 2,421 3,061 -21%
Total assets  35,754 34,367 4% 16,745 14,698 14% 21,337 20,891 2% 2,887 2,795 3% -308 -789 61% 76,415 71,962 6%
Debt 13,213 13,320 -1% 4,195 4,159 1% 7,811 8,059 -3% 885 721 23% 1,659 896 85% 27,763 27,155 2%
Other operating liabilities  6,156 6,199 -1% 3,842 3,250 18% 3,424 3,176 8% 994 994 0% 349 385 -9% 14,765 14,004 5%
Capital expenditure, gross  724 854 -15% 509 532 -4% 560 568 -1% 79 80 -1% 14 -2 -- 1,886 2,032 -7%
Acquisitions, gross / investments  746 628 19% 734 1 -- 82 453 -82% 17 1 -- 0 2 -100% 1,579 1,085 46%
Research and development expenses  222 221 0% 629 595 6% 3 3 0% 13 -14 193% 867 805 8%
Employees (per capita
on balance sheet date) 
128,044 130,251 -2% 42,063 41,397 2% 125,700 123,484 2% 20,184 19,721 2% 929 1,225 -24% 316,920 316,078 0%
Key figures
EBITDA margin 18.1% 19.9% 20.1% 22.3% 14.4% 14.7% 5.0% 8.3% 16.7%9 18.3%4
EBIT margin  9.4% 10.9% 13.8% 16.0% 10.1% 10.3% 0.8% 4.4% 9.8%9 11.3%4
Depreciation and amortization
in % of revenue 
8.8% 9.0% 6.3% 6.2% 4.3% 4.3% 4.2% 3.9% 7.3% 7.1%
Operating cash flow in % of revenue 11.2% 14.1% 10.7% 16.7% 11.7% 11.1% -1.9% 6.6% 10.3% 13.5%
ROOA 5.3% 6.2% 7.9% 9.4% 6.0% 5.9% 0.8% 4.3% 5.7%10 6.5%11
1 Before costs related to FME25 program, impacts related to the war in Ukraine, hyperinflation Turkey, remeasurement Humacyte investment and net gain related to InterWell Health
2 Before costs related to FME25 program
3 Before revaluations of biosimilars contingent purchase price liabilities, expenses associated with the Fresenius cost and efficiency program, impacts related to the war in Ukraine, transaction costs mAbxience, Ivenix and hyperinflation Turkey
4 Before revaluations of biosimilars contingent purchase price liabilities and expenses associated with the Fresenius cost and efficiency program
5 Before expenses associated with the Fresenius cost and efficiency program
6 Before expenses associated with the Fresenius cost and efficiency program and impacts related to the war in Ukraine
7 After revaluations of biosimilarsBiosimilarsA ​biosimilar ​is ​a ​drug ​that ​is ​“similar” ​to ​another ​biologic ​drug ​already ​approved. contingent purchase price liabilities, expenses associated with the Fresenius cost and efficiency program, impacts related to the war in Ukraine, transaction costs mAbxience, Ivenix, hyperinflation Turkey, retroactive duties, remeasurement Humacyte investment and net gain related to InterWell Health
8 After revaluations of biosimilars contingent purchase price liabilities and expenses associated with the Fresenius cost and efficiency program
9 Before revaluations of biosimilars contingent purchase price liabilities, expenses associated with the Fresenius cost and efficiency program, impacts related to the war in Ukraine, transaction costs mAbxience, Ivenix, hyperinflation Turkey, retroactive duties, remeasurement Humacyte investment and net gain related to InterWell Health
10 The underlying pro forma EBIT does not include revaluations of biosimilars contingent purchase price liabilities, expenses associated with the Fresenius cost and efficiency program, impacts related to the war in Ukraine, transaction costs mAbxience, Ivenix, hyperinflation Turkey, retroactive duties, remeasurement Humacyte investment and net gain related to InterWell Health
11 The underlying pro forma EBIT does not include revaluations of biosimilars contingent purchase price liabilities and expenses associated with the Fresenius cost and efficiency program.
The consolidated segment reporting by business segment is an integral part of the notes.

Consolidated segment reporting by region

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Europe North America   Asia-Pacific
€ in millions  2022 2021 Growth 2022 2021 Growth 2022 2021 Growth
Revenue 17,877 16,885 6% 16,106 14,354 12% 4,141 3,949 5%
contribution to consolidated revenue 44% 45% 40% 38% 10% 11%
EBIT 413 873 -53% 1,899 2,198 -14% 782 861 -9%
Depreciation and amortization  1,154 1,073 8% 1,494 1,268 18% 219 227 -4%
Total assets  34,003 32,346 5% 34,470 31,787 8% 5,395 5,451 -1%
Capital expenditure, gross  1,071 1,154 -7% 588 635 -7% 119 141 -16%
Acquisitions, gross / investments  590 401 47% 901 652 38% 23 13 77%
Employees (per capita on balance sheet date)  181,017 180,122 0% 77,614 76,740 1% 26,833 27,145 -1%

Consolidated segment reporting by region

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Latin America  Africa Fresenius Group
€ in millions  2022 2021 Growth 2022 2021 Growth 2022 2021 Growth
Revenue 2,182 1,830 19% 534 502 6% 40,840 37,520 9%
contribution to consolidated revenue 5% 5% 1% 1% 100% 100%
EBIT 178 176 1% 49 50 -2% 3,321 4,158 -20%
Depreciation and amortization  94 88 7% 12 11 9% 2,973 2,667 11%
Total assets  2,252 2,082 8% 295 296 0% 76,415 71,962 6%
Capital expenditure, gross  97 86 13% 11 16 -31% 1,886 2,032 -7%
Acquisitions, gross / investments  65 18 -- 0 1 -100% 1,579 1,085 46%
Employees (per capita on balance sheet date)  29,529 30,192 -2% 1,927 1,879 3% 316,920 316,078 0%
The consolidated segment reporting by region is an integral part of the notes.