Notes to the consolidated statements of income (Tables)
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9 Months Ended |
Sep. 30, 2026 |
| Notes to the consolidated statements of income |
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| Schedule of revenue |
Revenue in € K | | | | | | | | | | | | | | | | | | | | Revenue from | | Revenue from | | | | | | | contracts with | | insurance | | Revenue from | | | | | customers | | contracts | | lease contracts | | Total | | | | For the three months ended September 30, 2026 | Healthcare services | | 3,312,626 | | — | | — | | 3,312,626 | Healthcare products | | 1,098,652 | | — | | 21,680 | | 1,120,332 | Insurance contracts | | — | | 503,784 | | — | | 503,784 | Total | | 4,411,278 | | 503,784 | | 21,680 | | 4,936,742 | | | | | | | | | | | | For the three months ended September 30, 2025 | Healthcare services | | 3,219,669 | | — | | — | | 3,219,669 | Healthcare products | | 1,077,194 | | — | | 20,409 | | 1,097,603 | Insurance contracts | | — | | 567,578 | | — | | 567,578 | Total | | 4,296,863 | | 567,578 | | 20,409 | | 4,884,850 |
| | | | | | | | | | | | | | | | | | | | For the nine months ended September 30, 2026 | | | Revenue from | | Revenue from | | | | | | | contracts with | | insurance | | Revenue from | | | | | customers | | contracts | | lease contracts | | Total | Healthcare services | | 9,709,307 | | — | | — | | 9,709,307 | Healthcare products | | 3,165,624 | | — | | 65,349 | | 3,230,973 | Insurance contracts | | — | | 1,469,175 | | — | | 1,469,175 | Total | | 12,874,931 | | 1,469,175 | | 65,349 | | 14,409,455 | | | | | | | | | | | | For the nine months ended September 30, 2025 | Healthcare services | | 9,721,334 | | — | | — | | 9,721,334 | Healthcare products | | 3,214,731 | | — | | 62,735 | | 3,277,466 | Insurance contracts | | — | | 1,559,217 | | — | | 1,559,217 | Total | | 12,936,065 | | 1,559,217 | | 62,735 | | 14,558,017 |
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| Schedule of disaggregation of revenue by categories |
Disaggregation of revenue by categories in € K | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Care Delivery | | 3,491,930 | | 3,401,706 | | 10,263,812 | | 10,229,217 | Thereof: U.S. | | 2,920,216 | | 2,841,894 | | 8,582,459 | | 8,550,486 | Thereof: International | | 571,714 | | 559,812 | | 1,681,353 | | 1,678,731 | Value-Based Care | | 536,600 | | 575,517 | | 1,563,107 | | 1,610,703 | Care Enablement | | 1,451,438 | | 1,360,660 | | 4,121,490 | | 4,075,435 | Inter-segment eliminations | | (543,226) | | (453,033) | | (1,538,954) | | (1,357,338) | Total | | 4,936,742 | | 4,884,850 | | 14,409,455 | | 14,558,017 |
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| Schedule of selling, general and administrative expenses |
Selling, general and administrative expense in € K | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Distribution costs (1) | | 155,785 | | 152,304 | | 454,452 | | 461,677 | General and administrative expense (1) | | 587,818 | | 553,136 | | 1,774,101 | | 1,786,428 | Selling, general and administrative expense | | 743,603 | | 705,440 | | 2,228,553 | | 2,248,105 |
(1) | The Company reclassified €33,818 and €99,190 from “Distribution costs” to “General and administrative expense” for the three and nine months ended September 30, 2025 as a result of a change in accounting policy made to improve the presentation of core administrative functions that support the Company’s operational infrastructure, particularly in relation to patient service-related costs within the revenue cycle management process, including insurance verification, pre-authorizations, coding, claims submission, cash posting, and denial management. |
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| Schedule of amounts included in other operating income |
Other operating income in € K | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Foreign exchange gains | | 72,552 | | 36,200 | | 279,394 | | 301,410 | Gains on right-of-use assets, from the sale of fixed assets, clinics and investments | | 1,961 | | 1,097 | | 15,654 | | 7,668 | Revaluation of certain investments (1) | | 16 | | (178) | | 3,273 | | 7,328 | Income from strategic transactions and programs | | 19,871 | | 2,405 | | 34,135 | | 10,342 | Changes in fair value of the derivatives embedded in Virtual Power Purchase Agreements (vPPAs) | | 10,858 | | 2,010 | | 14,969 | | 30,605 | Other | | 11,107 | | 14,543 | | 47,331 | | 39,883 | Other operating income | | 116,365 | | 56,077 | | 394,756 | | 397,236 |
(1)Primarily driven by the remeasurement of the Company’s investment in Humacyte, Inc. for the three and nine months ended September 30, 2026 and 2025.
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| Schedule of amounts included in other operating expense |
Other operating expense in € K | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Foreign exchange losses | | 79,352 | | 47,958 | | 290,252 | | 338,678 | Losses on right-of-use assets, from the sale of fixed assets, clinics and investments | | 517 | | 5,200 | | 2,900 | | 8,162 | Revaluation of certain investments (1) | | 4,339 | | 5,027 | | 10,719 | | 70,173 | Expenses from strategic transactions and programs | | 119,727 | | 53,225 | | 285,319 | | 94,084 | Changes in fair value of the derivatives embedded in vPPAs | | 8,446 | | 3,797 | | 28,869 | | 14,443 | Other | | 28,429 | | 10,067 | | 75,743 | | 51,304 | Other operating expense | | 240,810 | | 125,274 | | 693,802 | | 576,844 |
(1) | Primarily driven by the remeasurement of the Company’s investment in Humacyte, Inc. for the three and nine months ended September 30, 2026 and 2025. |
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| Schedule of expenses from strategic transactions and programs |
Expenses from strategic transactions and programs in € K | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Impairment of intangible and tangible assets(1) | | 74,531 | | 211 | | 198,226 | | 12,679 | Legacy Portfolio Optimization | | 72,646 | | (150) | | 72,873 | | 11,997 | FME25+ Program | | 1,885 | | 361 | | 125,353 | | 682 | Impairment resulting from the measurement of assets held for sale | | 237 | | (75) | | 237 | | 8,789 | Legacy Portfolio Optimization | | 237 | | (75) | | 237 | | 8,789 | Loss from the sale of business | | (3) | | 43,444 | | 647 | | 43,444 | Legacy Portfolio Optimization | | (3) | | 43,444 | | 647 | | 43,444 | Other(2) | | 44,962 | | 9,645 | | 86,209 | | 29,172 | FME25+ Program | | (513) | | — | | 21,268 | | — | Legacy Portfolio Optimization | | 45,475 | | 9,429 | | 64,941 | | 27,494 | Legal Form Conversion Costs | | — | | 216 | | — | | 1,678 | Expenses from strategic transactions and programs | | 119,727 | | 53,225 | | 285,319 | | 94,084 |
| (1) | For the three and nine months ended September 30, 2026 and 2025, the amounts primarily relate to costs of revenue and, to a lesser extent, to selling, general and administrative expense. |
| (2) | For the three and nine months ended September 30, 2026, the amounts relate primarily to costs of revenue and, to a lesser extent, to selling, general and administrative expense. For the three and nine months ended September 30, 2025, the amounts primarily relate to selling, general and administrative expense and, to a lesser extent, to costs of revenue. |
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| Schedule of reconciliation of basic and diluted earnings per share |
Reconciliation of basic and diluted earnings per share in € K, except share and per share data | | | | | | | | | | | | | | | | | | | | For the three months ended | | For the nine months ended | | | September 30, | | September 30, | | | 2026 | | 2025 | | 2026 | | 2025 | Numerator: | | | | | | | | | Net income attributable to shareholders of FME AG | | 159,777 | | 274,797 | | 495,683 | | 651,289 | | | | | | | | | | Denominators: | | | | | | | | | Weighted average number of shares outstanding | | 262,951,005 | | 292,101,583 | | 268,833,509 | | 292,971,355 | Potentially dilutive shares (see note 11) | | — | | — | | — | | — | | | | | | | | | | Basic earnings per share | | 0.61 | | 0.94 | | 1.84 | | 2.22 | Diluted earnings per share | | 0.61 | | 0.94 | | 1.84 | | 2.22 |
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| Schedule of number of shares acquired in the context of the share buyback programs |
Treasury Stock | | | | | | | | | | | | | | | | | | | | | | | | Total number of | | | | | | | | | shares purchased | | Maximum value of | | | | | | | and retired | | shares that may yet | | | | | | | as part of publicly | | be purchased under | | | Total number of | | Average price per | | announced plans or | | the plans or | Period | | shares purchased | | share | | programs | | programs | | | | | in € | | | | in € K | | | | | | | | | | August 2025 | | 2,084,733 | | 42.68 | | 2,084,733 | | 511,021 | September 2025 | | 1,479,790 | | 42.45 | | 1,479,790 | | 448,210 | October 2025 | | 788,260 | | 46.38 | | 788,260 | | 411,651 | November 2025 | | 4,164,232 | | 41.10 | | 4,164,232 | | 240,485 | December 2025 | | 5,607,549 | | 40.26 | | 5,607,549 | | — | January 2026 | | 2,898,373 | | 37.29 | | 2,898,373 | | 305,474 | February 2026 | | 2,596,794 | | 39.67 | | 2,596,794 | | 202,449 | March 2026 | | 3,705,233 | | 38.72 | | 3,705,233 | | 58,973 | April 2026 | | 1,523,855 | | 38.67 | | 1,523,855 | | — | May 2026 | | 155,000 | | 37.15 | | 155,000 | | 594,242 | June 2026 | | 2,299,945 | | 39.49 | | 2,299,945 | | 503,409 | July 2026 | | 1,178,833 | | 41.86 | | 1,178,833 | | 454,065 | August 2026 | | 3,205,260 | | 40.84 | | 3,205,260 | | 323,153 | September 2026 | | 2,216,227 | | 38.92 | | 2,216,227 | | 236,894 | Total repurchased shares (1) | | 33,904,084 | | 40.17 | | 33,904,084 | | 236,894 | | | | | | | | | | Cancellation of repurchased shares | | 24,848,819 | | 40.19 | | 24,848,819 | | — | | | | | | | | | | Treasury Stock held on September 30, 2026 | | 9,055,265 | | 40.10 | | 9,055,265 | | — |
| (1) | The difference between the maximum value of shares that may yet be purchased under the Company’s share buyback program and the liability for such shares of €1,613 as of September 30, 2026 results from the timing of payments made for share repurchases on a weekly basis. The difference is recorded in the consolidated statements of equity within Additional paid-in capital. |
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