Fresenius is a healthcare company that owns dialysis clinics and manages hospitals, in addition to manufacturing medicines and medical supplies. It was founded in 1912. In 2016, the company agreed to pay out $250 million in compensation to families of U.S. patients who died of heart attacks after being treated with GranuFlo and NaturaLyte treatments used in dialysis machines to cleanse patients' blood, for failing to warn them about potentially deadly side effects. Fresenius has also been fined $50 million after employees were caught destroying records prior to a 2013 inspection of a plant that manufactured cancer medicines in Kalyani, West Bengal, India.


dialysis services, infusion pumps, cancer drugs, hospital management


Top 5 Offense Groups (Groups Defined)Penalty TotalNumber of Records
government-contracting-related offenses$573,912,4995
competition-related offenses$231,715,2732
safety-related offenses$55,063,35510
consumer-protection-related offenses$3,500,0001
employment-related offenses$1,636,8539

(April 14, 2021) 

Number of Records
Total Penalties
$865,948,427 (April 14, 2021)
Individual Records & Summaries
Fresenius Violation Tracker
Information in this section is drawn from the Violation Tracker database produced by the Corporate Research Project of Good Jobs First in Washington DC. It is the most comprehensive source of data on business violations of laws and regulations in the United States. For specific examples of misconduct, please click on the links.


Videos & Podcasts
Dialysis: Last Week Tonight with John Oliver (HBO)
  • A Healthy Business? World Health and the Pharmaceutical Industry by Andrew Chetley (1990).
  • Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients by Ben Goldacre (2012).
  • Benchmarking AIDS: Evaluating Pharmaceutical Company Responses to the Public Health Crisis in Emerging Markets (Interfaith Center on Corporate Responsibility, 2006).
  • Branding the Cure: A Consumer Perspective on Corporate Social Responsibility, Drug Promotion and the Pharmaceutical Industry in Europe (Consumers International, 2006).
  • Investing for Life: Meeting Poor People’s Needs for Access to Medicines through Responsible Business Practices (Oxfam International, 2007).


Recent & Ongoing Campaigns
People in need of hemodialysis hold rally at Ministry of Health in Bishkek

Ruslan Kharizov | KG | November 11, 2020

Another rally was held near the Ministry of Health of Kyrgyzstan in Bishkek. Patients in need of hemodialysis took part in the peaceful protest.

Unions call on Fresenius to respect trade union rights worldwide- global agreement needed

European Public Service Union | September 25, 2019

he German worldwide operating multinational health company Fresenius is not respecting trade union and workers’ rights in all its operations.

Major Investigations
& Lawsuits
FRESENIUS Failing to care: Global tax dodging by a German healthcare multinational

Centre for International Corporate Tax Accountability | January 14, 2020

Fresenius, through its various divisions, is ranked in the top 260 global corporations. Fresenius Medical Care is the world’s largest dialysis company.

Fresenius Agrees to Pay $5.2 Million to Resolve Allegations that it Overbilled Medicare for Hepatitis B Tests

Department of Justice U.S. Attorney’s Office District of Massachusetts | October 9, 2019

The United States Attorney’s Office announced today that Fresenius Medical Care Holdings, Inc., d/b/a Fresenius Medical Care North America, Inc., the largest operator of kidney dialysis clinics in the United States, has agreed to pay $5.2 million to resolve allegations that the company ...

Fresenius Medical Care to pay $231 million to resolve criminal, civil foreign bribery charges

Sarah N. Lynch, Nate Raymond | Reuters | March 19, 2019

Germany-based dialysis clinic operator Fresenius Medical Care AG will pay about $231 million to resolve criminal and civil allegations that the company paid bribes to public health and government officials in several countries to win or retain business, the U.S. Justice Department said on Friday.

Widow Files Class Action Lawsuit Against Fresenius After Husband Dies Of Heart Attack

Becker Law Office |

Kidney dialysis patients certainly have enough on their minds. They shouldn’t have to be worried that the liquids being used during dialysis are dangerous or defective. Yet they do, at least when it comes to using GranuFlo and NaturaLyte – both of which have been linked to serious side effects.

Employment Practices
Indian drugmaker to pay $50mn in fine for destroying records before FDA inspection

Economic Times | February 10, 2021

An Indian drug manufacturer has agreed to plead guilty to concealing and destroying records prior to a 2013 US Food and Drug Administration's inspection of its plant and pay USD 50 million in fines and forfeiture, the Department of Justice has announced

Unions say Fresenius is in violation of Korean Labor Law

UNI Global Union | February 21, 2020

UNI Global Union Deputy General Secretary Alke Boessiger and UNI Global President Ruben Cortina called on the Korean government to take a hard look at the Korea National Pension Fund’s investments in the German healthcare company Fresenius and the ...

Fresenius: unions launch first-ever global care workers’ alliance

Public Services International | May 15, 2019

More than 50 workers and union representatives from Europe, North and South America and Asia will converge on 16 and 17 May in Frankfurt/Main, Germany – in parallel with Fresenius’ annual general meeting of shareholders. Fresenius directly employs around 280,000 workers in 100 countries.

Birmingham dialysis patients in protest over staff cuts

BBC | March 22, 2012

Kidney patients have staged a protest outside their Birmingham dialysis unit after staff jobs were axed.

Demanding fair treatment for its workers, registered nurses and health care workers from Fresenius dialysis clinics

1199SEIU United Healthcare Workers East |

Demanding fair treatment for its workers, registered nurses and health care workers from Fresenius dialysis clinics leafleted on December 16 at 21 facilities of Fresenius Medical Care (FMC), calling on the largest dialysis company in the U.S. to be fair to its workers.




Corporate Headquarters
Else-Kröner-Straße 1, 61352 Bad Homburg vor der Höhe, Germany
Most Recent Gross Revenue
$39.658 billion (2019) | source
Most Recent Net Revenue
$2.109 billion (2019) | source
Stock Exchange Tickers
Major Shareholders

Click here for the latest list.

Political Spending Profile of Fresenius

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Subsidy Tracker
Subsidy Tracker
Subsidy Tracker is a project of Good Jobs First in Washington DC. It is the most comprehensive source of data on state and federal subsidies in the United States. For more details, click on the links.
Click here for details of subsidies received by Fresenius.
Tax Havens
& Evasion
Union busting, tax avoidance, corruption: International trade unions sharply criticize Fresenius ahead of annual general meeting

IndustriALL | May 20, 2021

Trade unionists from around the world condemn poor working conditions at Fresenius and its international subsidiaries. The German DAX 30 company has long been in the spotlight for tax evasion and corruption.

German healthcare company Fresenius avoids taxes just like Amazon and Google

UNI Global Union | January 22, 2020

German healthcare giant Fresenius has avoided up to €2.9 billion in taxes worldwide through aggressive tax planning, according to a new report by the Centre for International Corporate Tax Accountability & Research (CICTAR) in cooperation with the European and global public service trade union federations EPSU & PSI and the Tax Justice Network.

German companies are among the world’s leading tax avoiders

Wheres the Money Gone? | January 21, 2020

When it comes to tax avoidance, the German DAX 30 company Fresenius is just as aggressive as the often-criticised US tech giants Apple, Amazon and Facebook.

CICTAR Report Reveals Tax Trickery of German Health-multinational Fresenius

CICTAR | Public Services International | January 20, 2020

When it comes to avoiding taxes, German companies are just as tricky as the often-criticised US giants Apple, Amazon or Facebook.

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