Fresenius is a healthcare company that owns dialysis clinics and manages hospitals, in addition to manufacturing medicines and medical supplies. 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, 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, health insurance, infusion pumps, cancer drugs, hospital management


government-contracting-related offenses$573,912,4995
safety-related offenses$255,068,6039
competition-related offenses$231,715,2732
consumer-protection-related offenses$3,500,0001
employment-related offenses$1,615,8538

(January 16, 2024) 

Number of Records
Total Penalties
US$1,065,932,675 (January 16, 2024)
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.


Article Archive

USA: AG Platkin Sues Fresenius Vascular Care After Vulnerable Kidney Dialysis Patients Are Allegedly Subjected to Unnecessary Surgeries in Fraud Scheme

Published by
State of New Jersey Office of the Attorney General

TRENTON — Attorney General Matthew J. Platkin, New York Attorney General Letitia James, and Georgia Attorney General Christopher Carr today announced the filing of a civil complaint against Fresenius Vascular Care (FVC), one of its New York-based executives, Dr.

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Videos & Podcasts


United States: DaVita and Fresenius Dialysis Investigative Reporting
United States: Dialysis: Last Week Tonight with John Oliver (HBO)
Colombia: UNI Americas: Julián's Testimony
Anti-Corruption Chamber, Fresenius, Shell Companies
CorpWatch Stories
New CorpWatch Guide to Healthcare Privatization in Europe

Paula Reisdorf | CorpWatch | October 24, 2022

CorpWatch is publishing a guide to over a dozen of the worst companies profiting from healthcare privatization in Europe. Workers are being paid less, clinics are being shut, and worse yet: people's health is suffering and death rates are increasing to line the pockets of investors and top managers.

Quirónsalud Profits From Increasing Healthcare Privatization in Spain

Elena Rogozenska & Elisa Emch | CorpWatch | November 18, 2021

In mid-September Juan Carlos López & María del Carmen Florencio took their four-month-old daughter Valentina to Quirónsalud’s hospital in Málaga, Spain, with a fever. Over the next few days, they returned again and again. Each time, the doctors misdiagnosed her.

Quirónsalud se beneficia de la expansión de la sanidad privada en España

Elena Rogozenska & Elisa Emch | CorpWatch | November 18, 2021

A mediados del pasado mes de septiembre, Juan Carlos López y María del Carmen Florencio llevaron a su hija Valentina de cuatro meses al hospital Quirónsalud de Málaga, España, con fiebre. Volvieron una y otra vez a lo largo de los próximos días. Los médicos se equivocaron de diagnóstico cada vez.

Other Key Sources


Recent & Ongoing Campaigns
Germany: Nurses strike at the Helios Hospital in Erfurt

Andreas Kehrer | MDR | March 9, 2023

According to Verdi, at least 250 employees at the Helios Hospital in Erfurt stopped work on Wednesday. (There have been yearly warning strikes at Fresenius subsidiary Helios' hospitals in Germany called by the unions Ver.di and Marburger Bund as part of the tariff negotiations.)

USA: California dialysis clinic workers push to unionize over short-staffing and low pay

Michael Sainato | The Guardian | February 7, 2023

Two corporations, DaVita and Fresenius, own about 70% of the dialysis clinics in the US and the growth of large corporate chains in the market resulted in increased patient loads of 11.7% per employee, according to a 2019 analysis of 1,200 dialysis clinic acquisitions over a 12-year period.

France: End of the strike movement at Smad: a compromise found

Le Progrès | April 28, 2022

Radoine Doudou, CGT-Smad union representative, commented on the end of the dispute, launched on April 14 on the site of Smad (company that manufactures equipment for dialysis), which belongs to the Fresenius Medical Care group.

Fresenius Workers in Slovenia Organize, Win “Life-Changing” Pay Rise

UNI Global Union | February 2, 2022

After more than 18-months of organizing during a global pandemic, dialysis workers at six Fresenius Medical Care’s Nefrodial hospitals in Slovenia improved conditions and pay through their first company-specific agreement.

Spain: Protest against working conditions in the dialysis service

El Diario Montañés | January 12, 2022

The staff of Fresenius Medical Care, concessionaire of the dialysis service of the Cantabrian Health Service (SCS), have come together in protest this Tuesday to denounce their "precarious" working conditions at the company's headquarters in Santander...

Germany: Fresenius Medical Care: FMC works council announces protest against job cuts

Klinik Einkauf Magazin | November 17, 2021

Employee representatives have announced resistance to the planned reduction of 5,000 jobs at the dialysis group Fresenius Medical Care (FMC). This was announced by the chairwoman of the general works council at FMC on November 15, 2021 in Bad Homburg.

Kyrgyzstan: People in need of hemodialysis hold rally at Ministry of Health in Bishkek

Ruslan Kharizov | KG | November 11, 2020

"That is, the overpayment to Fresenius Medical Care Center is 2,112 soms. At least 127 people in need of hemodialysis could get help for this money," they say.

FMC Korea Union Secures First Collective Bargaining Agreement with German Multinational Fresenius

UNI Global Union | June 5, 2020

“So many years of struggle are finally paying off for our brothers and sisters of FMC Korea,” said UNI Global Union Deputy General Secretary Alke Boessiger.

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.

Workers at Fresenius Kabi in Chile call off strike after reaching agreement

IndustriALL | April 5, 2018

The Fresenius Kabi Chilean Workers Union at the Sanderson Plant achieved an important victory after securing a pay rise on March 22. As a result of this development, the union called off its official strike which began on March 14.

Germany: Bad Schwalbach: protest against the closure of the Helios Hospital

Hannelore Wiedemann | Wiesbadener Kurier | January 20, 2018

"Health before profit" is written on the banner that is set up in front of the entrance to the Helios Hospital. "The closure of the hospital must be prevented" - that is the central demand that the district association of the left wants to underline with a demonstration on Friday afternoon...

South Africa: Workers on strike at another PE drug company

Joseph Chirume | GroundUp | August 26, 2016

Workers at Fresenius Kabi pharmaceutical manufacturing company in Port Elizabeth downed tools on Tuesday, in protest against the use of a labour broker and planned retrenchments.

Campaign Groups










Germany: The oldest hospital in Kassel is now in private hands

Mona Jablonski and Antonia Wolf | Die Dezentrale | September 27, 2021

At the beginning of September this year, the Fresenius healthcare group took over the financially troubled DRK Kliniken... Not only is the average workload demonstrably higher for private hospital operators, the pay is also significantly lower than for non-profit or public hospital operators.

Spain: Who rules the privatized Madrid health system?

Gorka Castillo & Miguel Mora | Contexto y Acción | May 10, 2020

Díaz Ayuso protects companies that do business with health since Aguirre dismantled the public company. Florentino Pérez, the German group Fresenius and the Dutch DIF are the great beneficiaries of this policy.

UK: German company involved in talks to take over NHS hospitals

Randeep Ramesh | The Guardian | September 4, 2011

John Healey, Labour's health spokesman, called on Lib Dems to "join with Labour this week to put a stop to David Cameron's damaging plans for the NHS". He said it looked like there was "a well-worked secret plan for privatising hospitals".

Major Investigations
& Lawsuits
USA: DOJ files False Claims Act case against dialysis giant Fresenius alleging unnecessary vascular procedures

Heather Landi | Fierce Healthcare | July 13, 2022

The whistleblower complaint alleges that from about January 1, 2012 through June 30, 2018, Fresenius routinely performed certain procedures on patients with end stage renal disease (ESRD) who were receiving dialysis, without sufficient clinical indication that the patients needed the procedures.

USA: Fresenius Former General Counsel Files Suit Alleging Retaliatory Firing

Richard Vanderford | Wall Street Journal | April 24, 2022

Fresenius Medical Care AG is being sued by its North American unit’s former general counsel, Douglas Kott, who alleges the healthcare company fired him for reporting possible misconduct.

USA: Complaint Alleges California Dialysis Providers—Including Fresenius—Discriminate Against Latino and Asian Patients

UNI Global Union | January 12, 2022

The complaint, submitted to the department’s Office for Civil Rights, details how the dialysis providers disproportionately subjected Latino and Asian American patients to unsafe and potentially lethal dialysis treatment at a rate approximately 50 per cent higher than that of their white counterparts.

USA: Fresenius Medical Care Settles $6,000,000.00 Lawsuit

Kidney Buzz | October 19, 2021

Two workers filed a private attorney general action and a class-action lawsuit against Fresenius based on its alleged failure to provide legally compliant rest and meal periods, overtime pay, wage statements, final paychecks, and other alleged wage and hour violations of California labor laws.

USA: Indian drugmaker to pay $50mn in fine for destroying records before FDA inspection

Economic Times | February 10, 2021

An Indian drug manufacturer (Fresenius Kabi Oncology Limited (FKOL)) 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...

USA: 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 ...

USA: Whistleblower alleges DaVita, Fresenius involved in kickback scheme

Shelby Livingston | Modern Healthcare | August 2, 2019

A whistleblower has alleged that DaVita Kidney Care and Fresenius and charity organization American Kidney Fund were involved in a years-long kickback scheme in which patients were incentivized to use only those dialysis providers who donated to the charity.

USA: 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.

Chile: The Court for the Defense of Competition fined the Fresenius Kabi and Sanderson laboratories for forming a cartel

Heraldo de Oregón | November 12, 2018

The Court for the Defense of Free Competition (TDLC) decided to fine Fresenius Kabi Chile and Sanderson laboratories for forming a cartel to affect the tenders of the Central Supply of the National Health Services System (Cenabast) to acquire medicine ampoules.

USA: Fresenius agrees to $250 million settlement in class action lawsuits over heart attacks linked to dialysis drugs GranuFlo and NaturaLyte

Charles Miller | HO&P Lawfirm | March 2, 2016

Multiple class action lawsuits had been filed against Fresenius over allegations that the company did not adequately warn patients about a potential increased risk of heart attack or stroke linked to GranuFlo and NaturaLyte.

UK: Runcorn firms fined £500,000 over death of diabetic patient

Liverpool Echo | July 9, 2015

The agency said Fresenius Kabi, of Eastgate Way, Manor Park, Runcorn, was fined a total of £500,000 and ordered to pay a further £5,900 in costs after pleading guilty to breaching Sections 64(1) and 67(2) of the Medicines Act 1968.

Pharma giant threatens Danish scientist

Jeppe Wojcik | Science Nordic | July 24, 2012

Fresenius Kabi is threatening to lodge a compensation claim worth millions after Professor Anders Perner published a study arguing that a common treatment for severe sepsis with the drug hydroxyethyl starch can induce kidney failure and haemorrhages, which in the worst case can kill the patient.

Employment Practices
& Relations
Fresenius’ Philippine Dialysis Centres Slapped with Labour Violations

UNI Global Union | January 20, 2023

Complaints from the Congress of Independent Organizations (CIO PH) and the Fresenius Kidney Care Philippines Workers Solidarity Network about unsafe working conditions, lack of break time, unpaid wages and increased surveillance on employees prompted the inspections at eight facilities.

Germany: Dachau Clinic: "This care is dangerous"

Jessica Schober | Süddeutsche | May 13, 2022

Employees at the Helios Amper Clinic are complaining about scandalous conditions for patients and employees. The accusation: the sick were left without medication, hungry, unwashed and uncared for. The clinic management disagrees.

USA: FDA warns of potential toxic risk from Fresenius hemodialysis machines

Medical Design & Outsourcing | May 9, 2022

The FDA is evaluating the risk of exposure to toxic chemicals from silicone tubing used in Fresenius Medical Care (NYSE: FMS) hemodialysis machines.

Germany: Dividends through job cuts – the Fresenius principle

Marburger Bund | May 21, 2021

The medical group Fresenius continues to make high profits with its Helios clinics, promises shareholders a dividend increase of 5% and at the same time is cutting doctor's positions at many of its clinic locations in order to reduce personnel costs. (There have been almost yearly mass layoffs at Fresenius-run clinics in Germany.)

Fresenius Supervisory Board: Sharp criticism of the lack of diversity

Dachverband Kritischer Aktionäre | May 17, 2021

"Fresenius Medical Care has operations in 120 countries, 80 percent of its revenues come from the USA. A large proportion of the employees and patients there belong to ethnic minorities. But there is no sign of this on the Fresenius Supervisory Board..."

Germany: In Lower Saxony Helios clinics force employees to work "negative hours"  - union offers sharp criticism

FOCUS Online | April 17, 2020

At Helios Kliniken in Salzgitter, Gifhorn and Helmstedt, the employees are now made to save up negative hours. According to a press release from the ver.di services union, plans for this have been submitted to the works councils.

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...

USA: Alabama Fresenius Workers Ratify First Contract

RWDSU | April 29, 2019

“The healthcare workers at Fresenius had one goal in seeking a union contract, care for their patients – and they won, “Randy Hadley, President of the Mid-South Council of the RWDSU said.

Australia: Home dialysis patient takes on German medical giant Fresenius over equipment concerns

James Carmody | ABC News | December 16, 2016

Simone McMahon says Fresenius Medical Care, the sole provider of home dialysis services in WA, has failed to address her concerns about its equipment — something the company denies.

UK: Birmingham dialysis patients in protest over staff cuts

BBC | March 22, 2012

Private company Fresenius, has made 29 health care assistants redundant across the West Midlands. As a result, patient Ian Mead said: "Every night since they made these cuts we've all been getting onto the machines late."

Support the Fresenius Workers on Strike in Antalya, Turkey

MR Online | September 1, 2007

Their working conditions are very bad and male-dominated (patriarchal). For example: female workers are required to apply for permission to marry. Married women should get pregnant and give birth in accordance with the schedule arranged by the management.

Germany: "Divi-Gate": suspected fraud in hospitals still unsolved

MDR Aktuell | December 29, 2021

The Federal Audit Office even presented a report in June in which it supported the suspicion of fraud... Helios Kliniken in particular stands out: During the pandemic, almost 170 million euros flowed into the group’s 20 hospitals in central Germany, 31 million euros into the Helios hospital in Erfurt alone.

Germany: Gross grievances in the hospital? Nurses sound the alarm and "are at their limit"

Abendzeitung München | November 8, 2021

Sales are increasing, but at the Helios hospital in Pasing, employees report gross abuses. Everywhere, the hospital was focused on savings, sometimes even risking the lives of patients.

Germany: Berlin doctors and Helios Kliniken are fighting over jobs

Tagesspiegel | June 13, 2021

Does exaggerated “profit striving” endanger patients? Doctors accuse Helios of saving millions in cutting doctor jobs in hospitals after the pandemic.

Germany: Nienburg: No COVID-19 bonus from Helios

Katrin Köster | Kreiszeitung | June 11, 2021

They were applauded, praised and admired. But the ultimate consequence is missing: the financial recognition of the achievements of the employees of the Helios Niedersachsen hospitals, which, in addition to five others, also include the two houses in Nienburg and Stolzenau.

Germany: Helios Hospitals: Fewer doctors, higher profits

Götz Hamann and Karsten Polke-Majewski | Zeit Online | May 11, 2021

Helios, the largest private hospital chain in Germany, is cutting jobs for medical staff and at the same time making clever use of the COVID-19 state aid. What does that mean for patients?

Germany: Silent protest at the Helios Klinikum Pforzheim - applause does not pay rent

Die Neue Welle | December 18, 2020

"The protection of the population was important to the employees, which is why we put the negotiations on hold. However, while special COVID-19 payments are being made in other hospitals, the employer is simply holding us back here in Pforzheim. The employees are getting tired of it..."

New Report: Chilean Fresenius Workers Lack of Proper PPE While Treating High-Risk Patients

UNI Global Union | May 20, 2020

A new report by Chilean Fundación SOL finds that employees from various clinics owned by the German multinational Fresenius —which operates in Chile under the brand Nephorocare—are risking exposure to the coronavirus without proper personal protective equipment (PPE).


Corporate Headquarters
Else-Kröner-Straße 1, 61352 Bad Homburg vor der Höhe, Germany
Most Recent Gross Revenue
US$43.029 billion (2022) | source
Most Recent Net Revenue
US$1.446 billion (2022) | source
Stock Exchange Tickers
Major Funders
Spain: UGT union warns of the "risk of oligopoly" of investment funds in hospitals

La Vanguardia | April 16, 2021

Agreements with private companies "grew by 25.9% and specialized care agreements (diagnostic tests) grew by 300% in the last legislature", while the budgets of public hospitals grew by 6.4% on average in 2015-2019, according to the report that highlights the "unique agreement with Jiménez Díaz (Quirón Salud-Fresenius Helios) that grew by 26%."

Major Shareholders

Click here for the latest list.

Political Influence


Open Secrets Logo Profile of Fresenius Medical Care (subsidiary of Fresenius)


Spain: The healthcare giant Fresenius promised two million to a former PP deputy to obtain hospital contracts

Ignacio Escolar | El Diario | April 26, 2023

Fresenius Medical Care hired former PP deputy Manuel Milián Mestre as an “intermediary” to obtain awards from the Puigvert Foundation, a private hospital in Barcelona that is contracted by the public network. Both Fresenius and Milián Mestre recognize this agreement but assure that in the end no commission was paid.

USA: Track the money flowing into Prop 29: Kidney dialysis

Gabrielle LaMarr LeMee, Sandhya Kambhampati and Iris Lee | LA Times | April 3, 2023

If approved, dialysis clinics would be required to have a physician, nurse practictioner or physician assistant on premises during treatment hours. It is being opposed by for-profit dialysis companies and supported by the Service Employees International Union-United Healthcare Workers West (SEIU). Committees in the race have raised more than $82.4 million.

In Germany, founders of private hospital companies are bankrolling the pro-business party FDP

Rachel Knaebel | European Network of Corporate Observatories | October 14, 2021

In the past ten years, the FDP received significant amount of funding from men and companies who have played a key role in the emergence of large for-profit hospital groups in Germany.

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.

Major Projects
Germany: Helios Kliniken in Mansfeld-Südharz are being restructured: What exactly does that mean?

Beate Thomashausen | Mitteldeutsche Zeitung | May 27, 2022

The news that there should be no more emergency room in Hettstedt afterwards was a bang.

Germany: Helios/Fresenius: Ver.di criticizes Fresenius plans

Ver.di | April 11, 2022

As the Fresenius health group is planning to sell part of the clinic operator Helios, ver.di criticizes the continued marketization of the healthcare system. "Care and health have become the plaything of short-term profit interests..."

Scandal-Hit NMC Health Sells Fertility Business to Fresenius

Archana Narayanan | Bloomberg News | December 21, 2020

Middle Eastern hospital operator NMC Health, which collapsed earlier this year after uncovering billions in hidden debt, agreed to sell its lucrative fertility business to German health-care company Fresenius SE.

Germany: Duisburg: Loud protest against clinic plans

RP Online | December 5, 2013

At 12 o'clock yesterday it got loud in front of the Helios Klinik St. Johannes in Hamborn. Many employees protested against Helios' plans to outsource around 100 employees to other companies.


Germany: Internal letter reveals: Helios Schwerin owes municipal utilities almost 1 million euros

Marco Dittmer | SVZ | January 11, 2024

Schwerin's largest district heating customer is not paying its bills. According to SVZ information, the Helios clinics have not paid for their district heating for 2023.

Spain: Osakidetza delivers the dialysis service to a multinational that admits to having bribed doctors

Ahoztar Zelaieta | El Salto | November 13, 2023

The husband of a senior official from Osakidetza signed one of the contracts awarded to him by the Ministry of Health as a representative of the private firm Dialbilbo. This is the Basque subsidiary of the German multinational Fresenius, of which two people responsible for the nephrology specialty at the Hospital de Cruces became shareholders.

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