v3.26.3
Notes to the consolidated statements of income (Tables)
9 Months Ended
Sep. 30, 2026
Notes to the consolidated statements of income  
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

​

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

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.

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.

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.

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.
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

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.