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Filing Flows › Fresenius Medical Care AG (FMS) › Takeover & LBO

Is Fresenius Medical Care AG (FMS) a takeover target?

A leveraged buyout at today's price plus 30% ($30.42 a share) would return about 17% a year to a private-equity buyer over 5 years; the most a buyer could pay for a 20% return is $27.18 a share (16% against today's $23.40).

Share price$23.40
Offer at +30%$30.42
Buyer's IRR17%
Most for 20%$27.18
EV / EBITDA4.1×
Buyout debt3.0× EBITDA

The buyout, step by step

EntryAmountHow
Offer price a share$30.42today's $23.40 plus 30%
× shares279.3 million
= Equity value$8.5B
+ Debt refinanced$7.8B
− Cash$930M
= Enterprise value$15.4B4.7× EBITDA of $3.3B
Fees$307M2% of the price
New debt$10.0B3.0× EBITDA at 7.65% a year; the limit that binds: 65% of the price
Buyer's own money$5.7B36% of the cost

5 years under the buyer

Fresenius Medical Care AG: buyout debt left, year by yearFresenius Medical Care AG: buyout debt left, year by year$10.0BEntry$8.7BYear 1$7.4BYear 2$5.9BYear 3$4.2BYear 4$2.5BYear 5
Free cash flow after interest and tax repays the debt; a shortfall is borrowed.
YearRevenueEBITDAInterestFree cash flowDebt left
Year 1$19.9B$3.3B$764M$1.3B$8.7B
Year 2$20.3B$3.4B$667M$1.4B$7.4B
Year 3$20.8B$3.5B$562M$1.5B$5.9B
Year 4$21.3B$3.6B$448M$1.6B$4.2B
Year 5$21.9B$3.7B$324M$1.8B$2.5B

The exit and the buyer's return

ExitAmount
Exit multiple4.1× EBITDAtoday's trading multiple, before any premium
Enterprise value at exit$15.0B
− Debt left$2.5B
= Buyer's equity$12.5B
Money multiple2.20×on $5.7B put in
Buyer's yearly return (IRR)17.1%

Price against return

What the buyer makes at other premiums over today's $23.40; the IRR reaches 20% at $27.18 a share.

PremiumPrice a shareBuyer's IRR
10%$25.7421.3%
20%$28.0819.2%
30%$30.4217.1%
40%$32.7615.1%
50%$35.1013.0%

The figures used

FigureAmount
Revenue, last 12 months$19.6B
EBITDA, last 12 months$3.3B16.8% of revenue
Depreciation and amortization$1.5B
Capital spending$1.0B
Debt$7.8B
Cash$930M
Share price$23.40on Nov 6, 2026

Fixed rules, the same as the interactive view's starting point: the shares are bought at today's price plus 30%, the company's debt is refinanced and fees take 2%. New debt is the least of 5.5× EBITDA, 65% of the price and the amount whose interest EBITDA covers 2 times, at 7.65% a year (SOFR 3.89% plus the high-yield B spread 3.26% plus 0.5%, rates of Oct 15, 2026). Revenue grows 1.5% in the first year — the company's own rate, held between −3% and +8% — fading to 3% by year 5; the EBITDA margin, depreciation and capital spending stay at today's share of revenue; working capital takes 10% of each year's added revenue; tax is 21% of profit after interest. Every dollar of free cash flow repays debt. After 5 years the buyer sells at today's multiple of EBITDA.

What a takeover could cost

Takeovers in its sector paid a median premium of 35% over the share price before the deal (the middle half 22% to 45%), according to the 15 merger proxies and tender-offer responses on EDGAR that state a premium. At the median, Fresenius Medical Care AG would cost about $31.59 a share, $8.8B for all its shares.

Premium%Price a shareAll shares
Low end (a quarter of deals paid less)22%$28.55$8.0B
Median35%$31.59$8.8B
High end (a quarter paid more)45%$33.93$9.5B

Fresenius Medical Care AG's latest quarter

Fresenius Medical Care AG, Q3 2026: revenue $4.9B (+1% year over year), operating margin 7.8%, net earnings $160M, operating cash flow $798M. The chart follows the revenue to costs, profit and cash.

Questions

Is Fresenius Medical Care AG being acquired?

No headline, 8-K or 13D about a sale is on file in the last year.

Could private equity buy Fresenius Medical Care AG?

A leveraged buyout at today's price plus 30% ($30.42 a share) would return about 17% a year to a private-equity buyer over 5 years; the most a buyer could pay for a 20% return is $27.18 a share (16% against today's $23.40).

What would a takeover of Fresenius Medical Care AG cost?

Takeovers in its sector paid a median premium of 35% over the share price before the deal (the middle half 22% to 45%), according to the 15 merger proxies and tender-offer responses on EDGAR that state a premium. At the median, Fresenius Medical Care AG would cost about $31.59 a share, $8.8B for all its shares.

Open the interactive view →

Updated Nov 9, 2026. Read automatically from SEC filings and public data; errors are possible. Not investment advice.