Fresenius SE Faces Kabi Challenges in Q4 and Gives Underwhelming 2023 Guidance
Shares remain cheap.
Narrow-moat Fresenius SE’s FRE weak fourth quarter pushed results mildly below our 2022 expectations on weakness in its Kabi (injectable therapies) business, despite Fresenius Medical Care’s (dialysis) stronger-than-expected results. Also, with continued challenges in dialysis and Kabi, Fresenius SE’s 2023 guidance came in below our expectations. However, when considering cash flows generated in recent months, our EUR 52 fair value estimate has not changed materially, and Fresenius SE shares remain significantly undervalued. While we appreciate Fresenius SE’s intention to hold on to its 32% stake in Fresenius Medical Care until that firm’s intrinsic value can be unlocked, Fresenius SE shares declined after these announcements in part because shareholders may have been hoping for a quicker structural change than appears likely.
In the quarter, Fresenius SE turned in weak results, despite Fresenius Medical Care turning in a decent quarter relative to low expectations. Specifically in the quarter, the dialysis company’s revenue grew 2% in constant currency while adjusted EPS declined only 4% year over year, as coronavirus-related challenges appear to be dissipating somewhat. Going forward, the dialysis company is aiming for flat to a high-single-digit decline in profits for the full year, though ongoing labor concerns may continue cutting into operating margins in 2023, despite solid expected demand.
Beyond dialysis, the Helios hospital business looked solid, but Kabi’s injectable therapies turned in weaker results than we anticipated. Even with revenue growth of 8% in constant currency, Kabi’s adjusted operating profits declined by 15% in the quarter related to increased R&D costs, supply chain disruptions, inflationary pressures, and China challenges. Guidance for 2023 suggests that Kabi’s margin challenges may continue, too, despite expected biosimilar launches in the U.S., creating a headwind in one of the key businesses Fresenius SE aims to focus on in the long run.
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