Question · Q4 2025
Veronica Clark sought clarification on the EUR 220 million phosphate binder contribution in 2025 and expectations for its unwinding in 2026 and 2027. She also asked for elaboration on the antimicrobial catheter benefit being year-over-year neutral and the company's outlook on ACA subsidy headwinds for 2027 and 2028.
Answer
CFO Martin Fischer confirmed regulatory headwinds of EUR 150-200 million for 2026, including ACA (EUR 50 million) and phosphate binders. He stated that of the EUR 220 million binder contribution in 2025, EUR 100 million is expected to remain in 2026, leading to a significant reduction. Mr. Fischer clarified that the antimicrobial catheter solution will have no year-over-year effect in 2026. CEO Helen Giza added that the TDAPA period ends in 2026, with payments moving into the bundle, and pricing erosion is expected. She emphasized the underlying operational performance, targeting low teens CAGR excluding binder noise.
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