Fresenius Medical Care AG
XMUN:FME
Cash Flow Statement
Cash Flow Statement
Fresenius Medical Care AG
Mar-2014 | Jun-2014 | Sep-2014 | Dec-2014 | Mar-2015 | Jun-2015 | Sep-2015 | Dec-2015 | Mar-2016 | Jun-2016 | Sep-2016 | Dec-2016 | Mar-2017 | Jun-2017 | Sep-2017 | Dec-2017 | Mar-2018 | Jun-2018 | Sep-2018 | Dec-2018 | Mar-2019 | Jun-2019 | Sep-2019 | Dec-2019 | Mar-2020 | Jun-2020 | Sep-2020 | Dec-2020 | Mar-2021 | Jun-2021 | Sep-2021 | Dec-2021 | Mar-2022 | Jun-2022 | Sep-2022 | Dec-2022 | Mar-2023 | Jun-2023 | Sep-2023 | Dec-2023 | Mar-2024 | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Operating Cash Flow | ||||||||||||||||||||||||||||||||||||||||||
Net Income |
890
|
867
|
887
|
943
|
1 013
|
1 091
|
1 160
|
1 211
|
1 248
|
1 295
|
1 347
|
1 420
|
1 522
|
1 528
|
1 530
|
1 555
|
1 507
|
2 225
|
2 202
|
2 226
|
2 224
|
1 483
|
1 526
|
1 439
|
1 461
|
1 573
|
1 602
|
1 436
|
1 390
|
1 243
|
1 154
|
1 219
|
1 127
|
1 053
|
1 004
|
894
|
816
|
805
|
669
|
732
|
717
|
|
Depreciation & Amortization |
494
|
495
|
505
|
528
|
562
|
603
|
631
|
648
|
657
|
665
|
679
|
702
|
726
|
740
|
742
|
735
|
721
|
715
|
716
|
725
|
912
|
1 119
|
1 349
|
1 593
|
1 631
|
1 655
|
1 638
|
1 786
|
1 773
|
1 759
|
1 768
|
1 624
|
1 654
|
1 682
|
1 781
|
1 838
|
1 857
|
1 869
|
1 821
|
1 752
|
1 827
|
|
Change in Deffered Taxes |
38
|
26
|
32
|
87
|
43
|
24
|
(3)
|
(37)
|
(3)
|
1
|
6
|
0
|
(6)
|
26
|
(2)
|
(203)
|
(194)
|
(203)
|
(88)
|
89
|
151
|
110
|
50
|
64
|
(19)
|
84
|
48
|
111
|
134
|
30
|
84
|
67
|
64
|
41
|
20
|
(41)
|
(55)
|
(37)
|
(71)
|
(122)
|
(144)
|
|
Other Non-Cash Items |
(6)
|
(8)
|
(6)
|
26
|
(2)
|
3
|
(9)
|
(10)
|
(20)
|
(28)
|
(28)
|
(28)
|
(14)
|
(3)
|
5
|
(127)
|
(89)
|
(939)
|
(722)
|
(825)
|
(746)
|
186
|
(25)
|
305
|
285
|
239
|
286
|
215
|
154
|
169
|
142
|
232
|
247
|
334
|
219
|
127
|
101
|
(9)
|
146
|
202
|
221
|
|
Cash Taxes Paid |
424
|
459
|
510
|
519
|
517
|
508
|
469
|
493
|
486
|
578
|
609
|
541
|
643
|
627
|
590
|
675
|
575
|
498
|
438
|
358
|
385
|
387
|
442
|
388
|
344
|
244
|
172
|
302
|
308
|
422
|
440
|
345
|
348
|
333
|
311
|
335
|
324
|
292
|
388
|
410
|
396
|
|
Cash Interest Paid |
277
|
275
|
287
|
286
|
300
|
303
|
310
|
342
|
346
|
362
|
367
|
350
|
354
|
356
|
340
|
339
|
306
|
311
|
313
|
312
|
339
|
390
|
410
|
470
|
447
|
445
|
408
|
380
|
373
|
346
|
326
|
342
|
317
|
308
|
325
|
351
|
348
|
399
|
397
|
395
|
401
|
|
Change in Working Capital |
(40)
|
(124)
|
(89)
|
(229)
|
54
|
17
|
(51)
|
(46)
|
(350)
|
(146)
|
(344)
|
(162)
|
(290)
|
(73)
|
162
|
232
|
33
|
(47)
|
(216)
|
(153)
|
(359)
|
(520)
|
(407)
|
(834)
|
(283)
|
991
|
845
|
685
|
405
|
(742)
|
(744)
|
(653)
|
(651)
|
(839)
|
(788)
|
(650)
|
(568)
|
(221)
|
(56)
|
65
|
(7)
|
|
Cash from Operating Activities |
1 375
N/A
|
1 256
-9%
|
1 328
+6%
|
1 355
+2%
|
1 670
+23%
|
1 737
+4%
|
1 728
-1%
|
1 767
+2%
|
1 533
-13%
|
1 788
+17%
|
1 660
-7%
|
1 932
+16%
|
1 938
+0%
|
2 217
+14%
|
2 436
+10%
|
2 192
-10%
|
1 977
-10%
|
1 750
-11%
|
1 892
+8%
|
2 062
+9%
|
2 182
+6%
|
2 379
+9%
|
2 494
+5%
|
2 567
+3%
|
3 075
+20%
|
4 542
+48%
|
4 420
-3%
|
4 233
-4%
|
3 857
-9%
|
2 459
-36%
|
2 405
-2%
|
2 489
+4%
|
2 441
-2%
|
2 271
-7%
|
2 237
-2%
|
2 167
-3%
|
2 152
-1%
|
2 407
+12%
|
2 509
+4%
|
2 629
+5%
|
2 613
-1%
|
|
Investing Cash Flow | ||||||||||||||||||||||||||||||||||||||||||
Capital Expenditures |
(600)
|
(620)
|
(658)
|
(720)
|
(754)
|
(804)
|
(839)
|
(888)
|
(937)
|
(952)
|
(964)
|
(943)
|
(914)
|
(896)
|
(912)
|
(971)
|
(995)
|
(1 066)
|
(1 055)
|
(1 142)
|
(1 118)
|
(1 133)
|
(1 198)
|
(1 163)
|
(1 243)
|
(1 235)
|
(1 238)
|
(1 085)
|
(1 057)
|
(1 000)
|
(1 043)
|
(887)
|
(762)
|
(727)
|
(530)
|
(770)
|
(672)
|
(641)
|
(645)
|
(711)
|
(707)
|
|
Other Items |
(386)
|
(553)
|
(859)
|
(1 259)
|
(1 169)
|
(1 032)
|
(625)
|
(14)
|
(86)
|
(109)
|
(88)
|
(303)
|
(381)
|
(493)
|
(514)
|
(21)
|
(41)
|
1 676
|
1 231
|
897
|
(744)
|
(2 376)
|
(1 949)
|
(2 123)
|
(339)
|
(251)
|
(184)
|
(250)
|
(190)
|
(215)
|
(185)
|
(310)
|
(422)
|
(405)
|
(402)
|
36
|
(15)
|
18
|
(28)
|
167
|
258
|
|
Cash from Investing Activities |
(986)
N/A
|
(1 173)
-19%
|
(1 517)
-29%
|
(1 979)
-30%
|
(1 922)
+3%
|
(1 836)
+4%
|
(1 464)
+20%
|
(902)
+38%
|
(1 022)
-13%
|
(1 061)
-4%
|
(1 052)
+1%
|
(1 246)
-18%
|
(1 295)
-4%
|
(1 389)
-7%
|
(1 426)
-3%
|
(992)
+30%
|
(1 036)
-4%
|
610
N/A
|
176
-71%
|
(245)
N/A
|
(1 862)
-660%
|
(3 509)
-88%
|
(3 147)
+10%
|
(3 286)
-4%
|
(1 582)
+52%
|
(1 487)
+6%
|
(1 421)
+4%
|
(1 335)
+6%
|
(1 247)
+7%
|
(1 215)
+3%
|
(1 228)
-1%
|
(1 196)
+3%
|
(1 183)
+1%
|
(1 132)
+4%
|
(933)
+18%
|
(735)
+21%
|
(687)
+7%
|
(622)
+9%
|
(673)
-8%
|
(544)
+19%
|
(449)
+17%
|
|
Financing Cash Flow | ||||||||||||||||||||||||||||||||||||||||||
Net Issuance of Common Stock |
(274)
|
(96)
|
91
|
81
|
91
|
99
|
77
|
85
|
73
|
57
|
67
|
47
|
50
|
61
|
44
|
(10)
|
(14)
|
(75)
|
(42)
|
10
|
(80)
|
(247)
|
(450)
|
(584)
|
(710)
|
(652)
|
(487)
|
(353)
|
(137)
|
9
|
8
|
7
|
7
|
21
|
21
|
20
|
19
|
0
|
0
|
0
|
0
|
|
Net Issuance of Debt |
(66)
|
212
|
434
|
940
|
840
|
471
|
144
|
(298)
|
(60)
|
112
|
18
|
(213)
|
(190)
|
(182)
|
(361)
|
(308)
|
(155)
|
(696)
|
(231)
|
161
|
59
|
887
|
137
|
319
|
(181)
|
(823)
|
(443)
|
(1 266)
|
(1 026)
|
(673)
|
(595)
|
(359)
|
(1 102)
|
(1 195)
|
(1 281)
|
(1 118)
|
(535)
|
(569)
|
(612)
|
(1 190)
|
(1 555)
|
|
Cash Paid for Dividends |
0
|
(232)
|
(232)
|
(232)
|
0
|
(237)
|
(237)
|
(237)
|
0
|
(244)
|
(244)
|
(244)
|
0
|
(294)
|
(294)
|
(294)
|
0
|
(325)
|
0
|
(325)
|
0
|
(30)
|
(355)
|
(355)
|
0
|
0
|
(351)
|
(351)
|
0
|
(744)
|
(392)
|
(392)
|
0
|
(396)
|
(396)
|
(396)
|
0
|
(329)
|
(329)
|
(329)
|
0
|
|
Other |
222
|
81
|
(93)
|
(164)
|
(369)
|
(242)
|
(178)
|
(458)
|
(368)
|
(519)
|
(457)
|
(110)
|
(93)
|
(306)
|
(185)
|
(186)
|
(144)
|
(246)
|
(380)
|
(528)
|
48
|
41
|
417
|
153
|
(174)
|
(616)
|
(979)
|
(694)
|
(955)
|
(231)
|
(256)
|
(280)
|
233
|
(72)
|
(199)
|
(124)
|
(437)
|
(425)
|
(292)
|
(340)
|
(266)
|
|
Cash from Financing Activities |
(348)
N/A
|
(35)
+90%
|
200
N/A
|
625
+213%
|
330
-47%
|
91
-72%
|
(194)
N/A
|
(907)
-369%
|
(593)
+35%
|
(595)
0%
|
(617)
-4%
|
(520)
+16%
|
(478)
+8%
|
(721)
-51%
|
(796)
-10%
|
(799)
0%
|
(607)
+24%
|
(1 342)
-121%
|
(978)
+27%
|
(682)
+30%
|
(297)
+56%
|
326
N/A
|
(250)
N/A
|
(467)
-87%
|
(1 420)
-204%
|
(2 092)
-47%
|
(2 260)
-8%
|
(2 664)
-18%
|
(2 468)
+7%
|
(1 640)
+34%
|
(1 235)
+25%
|
(1 024)
+17%
|
(1 255)
-23%
|
(1 641)
-31%
|
(1 855)
-13%
|
(1 617)
+13%
|
(1 349)
+17%
|
(1 323)
+2%
|
(1 233)
+7%
|
(1 859)
-51%
|
(2 150)
-16%
|
|
Change in Cash | ||||||||||||||||||||||||||||||||||||||||||
Effect of Foreign Exchange Rates |
(43)
|
(24)
|
10
|
26
|
85
|
56
|
18
|
25
|
(42)
|
(1)
|
18
|
38
|
50
|
(38)
|
(49)
|
(132)
|
(158)
|
(82)
|
(66)
|
32
|
89
|
68
|
114
|
48
|
20
|
3
|
(105)
|
(160)
|
(120)
|
(85)
|
22
|
131
|
98
|
119
|
102
|
(23)
|
(66)
|
(125)
|
(143)
|
(73)
|
(46)
|
|
Net Change in Cash |
(1)
N/A
|
24
N/A
|
21
-12%
|
27
+29%
|
163
+502%
|
49
-70%
|
88
+81%
|
(17)
N/A
|
(124)
-616%
|
131
N/A
|
10
-93%
|
204
+2 027%
|
216
+6%
|
70
-68%
|
165
+136%
|
269
+63%
|
176
-35%
|
937
+432%
|
1 025
+9%
|
1 168
+14%
|
112
-90%
|
(735)
N/A
|
(789)
-7%
|
(1 138)
-44%
|
93
N/A
|
967
+935%
|
634
-34%
|
74
-88%
|
21
-71%
|
(481)
N/A
|
(37)
+92%
|
400
N/A
|
100
-75%
|
(383)
N/A
|
(448)
-17%
|
(208)
+54%
|
51
N/A
|
337
+566%
|
461
+37%
|
153
-67%
|
(32)
N/A
|
|
Free Cash Flow | ||||||||||||||||||||||||||||||||||||||||||
Free Cash Flow |
776
N/A
|
636
-18%
|
670
+5%
|
635
-5%
|
917
+44%
|
934
+2%
|
888
-5%
|
878
-1%
|
596
-32%
|
836
+40%
|
696
-17%
|
989
+42%
|
1 024
+4%
|
1 321
+29%
|
1 524
+15%
|
1 221
-20%
|
982
-20%
|
684
-30%
|
837
+22%
|
920
+10%
|
1 065
+16%
|
1 246
+17%
|
1 296
+4%
|
1 404
+8%
|
1 832
+30%
|
3 307
+80%
|
3 182
-4%
|
3 148
-1%
|
2 800
-11%
|
1 458
-48%
|
1 361
-7%
|
1 603
+18%
|
1 679
+5%
|
1 544
-8%
|
1 707
+11%
|
1 397
-18%
|
1 480
+6%
|
1 767
+19%
|
1 865
+6%
|
1 918
+3%
|
1 906
-1%
|