| Property, plant and equipment |
11.Property, plant and equipment At December 31, 2025 and 2024, the acquisition or manufacturing costs and the accumulated depreciation and impairment of property, plant and equipment consisted of the following: Acquisition or manufacturing costs in € K | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | December 31, | | | 2025 | | translation | | group | | Additions | | Reclassifications (1) | | Disposals | | 2025 | | | | | | | | | | | | | | | | Land | | 63,134 | | (3,858) | | — | | 10,178 | | 2,549 | | (480) | | 71,523 | Buildings and improvements | | 4,580,202 | | (431,944) | | (5,549) | | 197,168 | | 173,216 | | (107,161) | | 4,405,932 | Machinery and equipment | | 5,525,448 | | (406,550) | | 2,161 | | 271,610 | | 19,024 | | (316,502) | | 5,095,191 | Rental & loaned equipment | | 891,699 | | (30,467) | | (13,310) | | 99,178 | | 65,126 | | (62,528) | | 949,698 | Construction in progress | | 385,659 | | (20,832) | | — | | 246,507 | | (257,694) | | (3,006) | | 350,634 | Property, plant and equipment | | 11,446,142 | | (893,651) | | (16,698) | | 824,641 | | 2,221 | | (489,677) | | 10,872,978 |
| (1) | Includes amounts reclassified as assets held for sale. |
Acquisition or manufacturing costs in € K | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | December 31, | | | 2024 | | translation | | group | | Additions | | Reclassifications (1) | | Disposals | | 2024 | | | | | | | | | | | | | | | | Land | | 65,649 | | (773) | | (452) | | 453 | | (835) | | (908) | | 63,134 | Buildings and improvements | | 4,306,223 | | 199,727 | | (10,821) | | 35,332 | | 173,622 | | (123,881) | | 4,580,202 | Machinery and equipment | | 5,354,640 | | 174,082 | | (24,624) | | 272,238 | | (38,940) | | (211,948) | | 5,525,448 | Rental & loaned equipment | | 873,055 | | 7,820 | | (4,742) | | 87,501 | | 10,862 | | (82,797) | | 891,699 | Construction in progress | | 384,052 | | 1,247 | | (236) | | 250,854 | | (241,893) | | (8,365) | | 385,659 | Property, plant and equipment | | 10,983,619 | | 382,103 | | (40,875) | | 646,378 | | (97,184) | | (427,899) | | 11,446,142 |
| (1) | Includes amounts reclassified as assets held for sale. |
Accumulated depreciation and impairment in € K | | | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | | | December 31, | | | 2025 | | translation | | group | | Additions | | Impairment | | Reclassifications (1) | | Disposals | | 2025 | | | | | | | | | | | | | | | | | | Land | | 457 | | (49) | | — | | — | | 50 | | (3) | | — | | 455 | Buildings and improvements | | 3,199,847 | | (317,718) | | (5,325) | | 242,021 | | 3,545 | | 942 | | (104,047) | | 3,019,265 | Machinery and equipment | | 4,011,144 | | (286,739) | | (3,667) | | 343,864 | | 5,578 | | (11,718) | | (291,384) | | 3,767,078 | Rental & loaned equipment | | 588,568 | | (26,046) | | (7,388) | | 88,685 | | 574 | | 12,680 | | (57,186) | | 599,887 | Construction in progress | | — | | — | | — | | — | | — | | — | | — | | — | Property, plant and equipment | | 7,800,016 | | (630,552) | | (16,380) | | 674,570 | | 9,747 | | 1,901 | | (452,617) | | 7,386,685 |
| (1) | Includes amounts reclassified as assets held for sale. |
Accumulated depreciation and impairment in € K | | | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | | | December 31, | | | 2024 | | translation | | group | | Additions | | Impairment | | Reclassifications (1) | | Disposals | | 2024 | | | | | | | | | | | | | | | | | | Land | | 512 | | (19) | | — | | — | | 340 | | (340) | | (36) | | 457 | Buildings and improvements | | 2,904,572 | | 148,407 | | (4,661) | | 260,168 | | 32,010 | | (24,597) | | (116,052) | | 3,199,847 | Machinery and equipment | | 3,721,399 | | 118,873 | | (7,746) | | 389,972 | | 34,363 | | (39,948) | | (205,769) | | 4,011,144 | Rental & loaned equipment | | 574,305 | | 10,900 | | (4,176) | | 72,685 | | 10,928 | | 2,895 | | (78,969) | | 588,568 | Construction in progress | | 51 | | — | | — | | — | | — | | (51) | | — | | — | Property, plant and equipment | | 7,200,839 | | 278,161 | | (16,583) | | 722,825 | | 77,641 | | (62,041) | | (400,826) | | 7,800,016 |
(1)Includes amounts reclassified as assets held for sale. Book value in € K | | | | | | | December 31, | | December 31, | | | 2025 | | 2024 | | | | | | Land | | 71,068 | | 62,677 | Buildings and improvements | | 1,386,667 | | 1,380,355 | Machinery and equipment | | 1,328,113 | | 1,514,304 | Rental & loaned equipment | | 349,811 | | 303,131 | Construction in progress | | 350,634 | | 385,659 | Property, plant and equipment | | 3,486,293 | | 3,646,126 |
Depreciation expense for property, plant and equipment amounted to €674,570, €722,825, and €759,732 for the years ended December 31, 2025, 2024, and 2023, respectively. These expenses are allocated within costs of revenue, selling, general and administrative and R&D expenses depending upon the area in which the asset is used. Under the terms of certain unconditional purchase agreements, the Company is obligated to purchase approximately €22,003 of property, plant and equipment, of which €19,636 is committed at December 31, 2025 for 2026 (€15,472 and €12,182, respectively, at December 31, 2024 for 2025). The terms of these agreements run 1 to 3 years. Included in rental & loaned equipment are peritoneal dialysis cycler machines which the Company leases to customers with ESRD on a month-to-month basis and hemodialysis machines which the Company leases to physicians under operating leases.
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