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Fresenius SE & Co. KGaA

Interim / Quarterly Report Aug 2, 2021

166_10-q_2021-08-02_03811657-0518-4795-aee6-e9018ff75c2f.pdf

Interim / Quarterly Report

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H1 2021

HALF-YEAR FINANCIAL REPORT

TABLE OF CONTENTS

3 Fresenius Group figures at a glance 15 Fresenius Medical Care 31 Consolidated financial statements

  • 10 Results of operations, financial position, assets and liabilities 24 Subsequent events

  • 11 Earnings 25 Outlook 2021

  • 13 Cash flow

  • 14 Asset and liability structure

  • 15 Business segments

  • 8 Health care industry 24 Oppotunities and risk report

  • 10 Sales 24 Rating 40 Notes
  • 12 Reconciliation 28 Reconciliation tables
  • 13 Investments 30 Estimated COVID-19 effects 64 Report after review

  • 17 Fresenius Kabi 31 Consolidated statement of income

  • 19 Fresenius Helios 32 Consolidated statement of comprehensive income
  • 4 Shareholder information 21 Fresenius Vamed 33 Consolidated statement of financial position
  • 23 Employees 34 Consolidated statement of cash flows
  • 23 Changes to the Management Board 36 Consolidated statement of changes in equity
  • 7 Management Report 23 Changes to the Supervisory Board 38 Consolidated segment reporting first halt of 2021
  • 7 Strategy and goals 23 Research and development 39 Consolidated segment reporting second quarter of 2020

65 Financial Calendar

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a global health care group providing products and services for dialysis, hospitals, and outpatient medical care. In addition, Fresenius focuses on hospital operations. We also manage projects and provide services for hospitals and other health care facilities. In 2020, Group sales were €36.3 billion. As of June 30, 2021, more than 312,000 employees have dedicated themselves to the service of health in about 100 countries worldwide.

SALES AND EARNINGS

€ i
illio
n m
ns
Q2 /
202
1
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1 /
202
1
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Sa
les
9,
246
4% 8% 18,
230
1% 6%
IT1
EB
1,
030
-8% -4% 2,
039
-9% -5%
1,2
Ne
t in
com
e
474 16
%
20
%
910 4% 8%

BALANCE SHEET

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
. 31
, 20
20
Cha
nge
To
tal
ets
ass
69,
655
66,
646
5%
3
Eq
uity
27,
131
26,
023
4%
3
Eq
uity
tio
ra
39
%
39
%
1,4
Ne
t d
ebt
/E
BIT
DA
3.6
0
3.4
4

PROFITABILITY

Q2 /
202
1
Q2 /
202
0
H1 /
202
1
H1 /
202
0
in1
EB
IT
ma
rg
11.
1%
12.
6%
11.
2%
12.
5%
1,2
uity
af
RO
Ret
x (
E)
ter
ta
urn
on
eq
-- -- 10.
3%
10.
5%
1
Ret
tin
ts (
RO
OA
)
urn
on
op
era
g a
sse
-- -- 6.7
%
7.4
%
1
Ret
in
ted
ita
l (R
OIC
)
urn
on
ves
ca
p
-- -- 6.1
%
6.6
%

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

3 Including noncontrolling interests

4 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestiture

SHAREHOLDER INFORMATION

Since the beginning of the year, the Fresenius share price increased by 16% closing the first half of 2021 at a price of €44.00. The Fresenius share is slightly outperforming the DAX in this timeframe.

KEY DATA OF THE FRESENIUS SHARE

H1
/ 2
021
202
0
Gro
wth
Nu
mb
of
sha
(Ju
30
/D
mb
31)
er
res
ne
ece
er
55
8,
040
523
,
55
7,
54
0,
909
0%
n1
Sto
tio
in €
ck
han
ota
exc
ge
qu
Hig
h
46
.32
50
.32
-8%
Low 34
.57
25
.66
35
%
Per
iod
d q
ati
clo
sin
ric
e in

uot
-en
on
g p
.00
44
37
.84
16
%
Ø T
rad
ing
lum
e (
mb
of
sha
ad
ing
da
)
r tr
vo
nu
er
res
pe
y
1,
614
783
,
2,
085
926
,
-23
%
2 in
ital
iza
tio
illio
Ma
rke
n €
(Ju
30
/D
mb
31
)
t ca
p
n
m
ne
ece
er
24,
554
21,
097
16
%
3
Ear
nin
sh
in

gs
per
are
1.6
3
3.2
2
--

1 Xetra closing price on the Frankfurt Stock Exchange

2 Total number of ordinary shares multiplied by the respective Xetra period-end quotation on the Frankfurt Stock Exchange

3 Net income attributable to shareholders of Fresenius SE&Co. KGaA; before special items

DEVELOPMENT IN FIRST HALF OF 2021

Due to rising vaccination rates in many major markets, government-imposed containment measures were partially eased during Q2 2021. This development strenghtened economic activity and employment in the second quarter of 2021. However, uncertainties remain as the overall global economic outlook continues to depend on the further course of the pandemic, including the spread of virus mutations. The capital markets and global investment levels remained stable, benefitting from economic stimulus measures taken by governments and favourable financing conditions.

According to the ECB's current forecast, the economy in the euro zone will grow by 4.6% this year. The ECB left its key interest rate unchanged at 0.00% during its June meeting.

The Federal Reserve's latest forecast projects the U.S. economy to grow by 7.0% in 2021. The U.S. Federal Reserve did not change the existing interest rates corridor of 0% to 0.25% at its June meeting.

Within this economic environment, the DAX increased by 13% in the first half of 2021 to 15,531 points. The Fresenius share closed at €44.00 on June 30, 2021, an increase of 16% compared to 2020 year-end closing price.

SHAREHOLDER STRUCTURE

The charts opposite show the shareholder structure at the end of the first half of 2021. The Else Kröner-Fresenius-Stiftung was the largest shareholder of Fresenius SE&Co. KGaA, with 26.6% of the shares. According to notifications pursuant to the German Securities Trading Act (WpHG), the shares held by BlackRock, Inc were below 5% and by Allianz Global Investors GmbH below 3%. For further information on notifications, please visit www.fresenius.com/shareholder-structure.

As of June 30, 2021, a shareholder survey identified the ownership of about 95% of our subscribed capital. The shareholder base of Fresenius is solid: a total of over 600 institutional investors held about 330 million shares or 60% (December 31, 2020: 60%) of the subscribed capital; 47.0 million (December 31: 46.1 million) shares were identified as retail holdings.

The 10 largest investors held about 18% (December 31, 2021: 20%) of the share capital. Our shares were mostly held by investors in Germany, the United States, and the United Kingdom.

ANALYST RECOMMENDATIONS

The recommendations published by financial analysts are an important guide for institutional and private investors when making investment decisions. According to our survey, as of June 30, 2021, we were rated with 13 ''buy'', 4 ''hold'', and 1 ''sell'' recommendations. The list of banks that provide regular analyst coverage of Fresenius and their latest recommendations can be found at www.fresenius.com/analysts-and-consensus.

VIRTUAL ANNUAL GENERAL MEETING

The virtual Annual General Meeting 2021 of Fresenius SE&Co. KGaA took place on May 21, 2021. With a large majority of 99.61%, the shareholders approved the proposal of the General Partner and the Supervisory Board to increase the dividend for the 28th consecutive year. Shareholders received €0.88 per ordinary share, representing an increase of 5%. The actions of Management Board and Supervisory Board were approved for the year 2020 with majorities of 99.28 and 91.34 respectively.

At the virtual Annual General Meeting 2021 of Fresenius SE&Co. KGaA, 72.76% of the capital stock was represented.

SUSTAINABILITY PROGRESS

Sustainability is an integral part of Fresenius' business model. The Company is committed to implementing global sustainability standards in its operations around the world and continuously improving its sustainability performance. To this end, Fresenius has continued to drive forward its ESG (Environment, Social, Governance) initiatives in the first half of 2021.

The Fresenius Group Sustainability Board (GSB) met three times. The focus was on the implementation of regulatory requirements such as the EU-Taxonomy, The German Supply Chain Due Diligence Act (Sorgfaltspflichtengesetz) and Sustainable Finance.

The Management Board of Fresenius Management SE worked on sustainability key performance indicators for the Company's five material sustainability topics employees, quality /patients, compliance, environment, and innovation/ digitalization as part of its short-term ESG performance targets. The targets were approved as part of the new Management Board remuneration system by the Company's Annual General Meeting on May 20, 2021. As part of the ESG targets, the Company has performed business segment workshops on the development of climate targets and climate risk assessments.

In July, Fresenius took a further step toward embedding sustainability in all aspects of its business by signing its first sustainability-linked financing instrument. The Company's new EUR 2 billion syndicated revolving credit facility's margin will be adjusted up or down according to changes in Fresenius' sustainability performance.

MANAGEMENT REPORT

Fresenius raises Group earnings guidance after very strong Q2

  • ►Fresenius Medical Care with expected continued COVID-19 impact; patient excess mortality rates significantly reduced
  • ►Fresenius Kabi's strong Emerging Markets business more than offsets persistent headwinds in North America
  • ► Helios Germany with gradually increasing elective treatment volumes; Helios Spain delivers outstanding sales and earnings growth based on strong activity levels and a weak prior-year quarter
  • ►Fresenius Vamed back to growth driven by good performance in the service business; growing order book in the project business
  • ►First savings from initiatives to improve efficiency already expected in 2021

STRATEGY AND GOALS

Our goal is to expand Fresenius' position as a leading global provider of products, services, and therapies for critically and chronically ill people. In line with our corporate purpose ''Forward thinking health care to improve the quality of life of patients'', Fresenius develops innovative, affordable, and profitable solutions for the megatrends of health and demographics. Our mission is to offer better medicine and better health care services to ever more people. Every business decision we make is consistently guided by the wellbeing of our patients. It is at the center of everything we do. At the same time, we want to grow profitably and use our capital efficiently.

Fresenius is living up to its special responsibility as part of the health care system, even under the difficult circumstances of the current COVID-19 pandemic. With our products, services, and therapies, we have made an important contribution combating the pandemic worldwide. In our view, there is no need to adjust our strategy and goals due to the COVID-19 pandemic.

Strategic Roadmap

At the beginning of 2021, Fresenius has defined three phases for the development of the company over the next years: Optimize, Grow, and Accelerate.

Consistent with this strategic roadmap, Fresenius initiated group-wide strategic efficiency initiatives focused on operational excellence and cost-saving measures, targeted strengthening of future growth areas and portfolio optimizations. These measures are expected to gradually result in cost savings of more than €100 million p.a. after tax and minority interest in 2023, with some potential to increase thereafter.

Achieving these sustainable efficiencies will require significant up-front expenses. For the years 2021 to 2023, those expenses are expected to be more than €100 million p.a. after tax and minority interest on average, with the largest portion currently expected to materialize in 2022. They will be classified as special items, consistent with previous practice.

More detailed information on our strategy and performance criteria can be found in our 2020 Annual Report on page 42ff.

HEALTH CARE INDUSTRY

The health care sector is one of the world's largest industries and we are convinced that it shows excellent growth opportunities.

The main growth factors are:

  • ► rising medical needs deriving from aging populations, the growing number of chronically ill and multimorbid patients,
  • ► stronger demand for innovative products and therapies, advances in medical technology,
  • ► the growing health consciousness, which increases the demand for health care services and facilities, and
  • ► the increasing demand for digital health services for patients.

In the emerging countries, additional drivers are:

  • ► expanding availability and correspondingly greater demand for basic health care, and
  • ► increasing national incomes and hence higher spending on health care.

Health care structures are being reviewed and cost-cutting potential identified in order to contain the steadily rising health care expenditures. However, such measures cannot compensate for the cost pressure. Market-based elements are increasingly being introduced into the health care system to create incentives for cost- and quality-conscious behavior. Overall treatment costs will be reduced through improved quality standards.

In addition, ever-greater importance is being placed on disease prevention and innovative reimbursement models linked to treatment quality standards.

The industry-specific framework for the operating business of the Fresenius Group remained essentially unchanged in the first half of 2021.

External factors

The COVID-19 pandemic has a significant impact on the economic environment of the Fresenius Group. We demonstrated our special responsibility as part of the health care system even under the difficult circumstances of the COVID-19 pandemic. With our products, services, and therapies, we have made an important contribution combating the COVID-19 pandemic worldwide. Despite partial government compensation, COVID-19 had an overall negative effect on the business, mainly due to restrictions imposed by the authorities in many of the Group's important markets.

Nevertheless, Fresenius has come through the COVID-19 pandemic in an economically robust manner in the first half of 2021. Once again, our company's business development has proven to be comparatively stable and largely independent of economic cycles. Our diversification into four business segments and our global focus give the Group additional stability.

The legal framework for the operating business of the Fresenius Group remained essentially unchanged.

We carefully monitor and evaluate country-specific, political, legal, and financial conditions.

RESULTS OF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

SALES

Group sales increased by 4% (8% in constant currency) to €9,246 million (Q2/ 20: €8,920 million). Organic growth was 6%. Acquisitions /divestitures contributed net 2% to growth. Currency translation reduced sales growth by 4%. Excluding estimated COVID-19 effects1, Group sales growth would have been 6% to 7% in constant currency. In H1/ 21, Group sales increased by 1% (6% in constant currency) to €18,230 million (H1 / 20: €18,055 million). Organic growth was 4%. Acquisitions /divestitures contributed net 2% to growth. Currency translation reduced sales growth by 5%. Excluding estimated COVID-19 effects1, Group sales growth would have been 5% to 6% in constant currency.

SALES BY REGION

To
tal
9,
246
8,
920
4% -4% 8% 6% 2% 100
%
Afr
ica
117 89 31
%
6% 25
%
25
%
0% 1%
Lat
in A
ric
me
a
43
6
37
6
16
%
-13
%
29
%
25
%
4% 5%
ia-
ific
As
Pac
957 878 9% -2% 11
%
11
%
0% 10
%
Eu
rop
e
4,
232
3,
749
13
%
0% 13
%
11
%
2% 46
%
No
rth
Am
eri
ca
3,
504
3,
828
-8% -8% 0% -1% 1% 38
%
€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
sale
owt
h
s gr
Acq
uisi
tion
s /
dive
stit
ure
s
% o
f to
tal
sale
s
€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Gro
wth
Cur
ren
cy
ion
tran
slat
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
sale
h
owt
s gr
Acq
uisi
tion
s /
dive
stit
ure
s
% o
f to
tal
sale
s
No
rth
Am
eri
ca
6,
949
7,
670
-9% -8% -1% -2% 1% 38
%
Eu
rop
e
8,
345
7,
739
8% 0% 8% 6% 2% 46
%
As
ia-
Pac
ific
1,
874
1,
694
11
%
-2% 13
%
13
%
0% 10
%
Lat
in A
ric
me
a
857 760 13
%
-17
%
30
%
24
%
6% 5%
Afr
ica
205 192 7% 2% 5% 5% 0% 1%
To
tal
18,
23
0
18,
055
1% -5% 6% 4% 2% 100
%

SALES BY BUSINESS SEGMENT2

€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Gro
wth
effe
cts
stan
t ra
tes
con
sale
owt
h
s gr
Div
esti
ture
s
sale
s
Cur
ren
cy
slat
ion
tran
Gro
wth
at
Org
anic
Acq
uisi
tion
s /
% o
f to
tal
To
tal
246
9,
8,
920
4% -4% 8% 6% 2% 100
%
Fre
ius
Va
d
sen
me
55
6
47
5
17
%
0% 17
%
17
%
0% 5%
ius
lios
Fre
He
sen
2,
738
2,
315
18
%
-1% 19
%
14
%
5% 29
%
Fre
ius
Ka
bi
sen
1,
755
1,
678
5% -3% 8% 7% 1% 19
%
Fre
ius
M
ed
ica
l C
sen
are
32
0
4,
4,
55
7
-5% -7% 2% 1% 1% %
47
€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
sale
owt
h
s gr
Acq
uisi
tion
s /
Div
esti
ture
s
% o
f to
tal
sale
s
To
tal
18,
23
0
18,
055
1% -5% 6% 4% 2% 100
%
Fre
ius
Va
d
sen
me
1,
033
974 6% 0% 6% 6% 0% 5%
ius
lios
Fre
He
sen
5,
38
7
4,
78
1
13
%
0% 13
%
9% 4% 29
%
Fre
ius
Ka
bi
sen
3,
51
6
3,
46
7
1% -5% 6% 5% 1% 19
%
Fre
ius
M
ed
ica
l C
sen
are
8,
53
0
9,
045
-6% -8% 2% 1% 1% %
47
€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Gro
wth
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
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anic
sale
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h
s gr
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uisi
tion
s /
Div
esti
ture
s
% o
f to
tal
sale
s

1 For estimated COVID-19effects please see table on page 30.

2 The following description of sales relates to the respective external sales of the business segments. Consolidation effects and corporate entities are not taken into account.

Therefore, aggregation to total Group sales is not possible.

EARNINGS

Group EBITDA before special items decreased by 5% (0% in constant currency) to €1,671 million (Q2/ 20: €1,762 million). Reported Group EBITDA was €1,662 million (Q2/ 20: €1,762 million).

In H1/21, Group EBITDA before special items decreased by 6% (-1% in constant currency) to €3,302 million (H1/20: €3,517 million). Reported Group EBITDA was €3,290 million (H1/ 20: €3,517 million).

Group EBIT before special items decreased by 8% (-4% in constant currency) to €1,030 million (Q2/ 20: €1,123 million). The constant currency decrease is primarily due to COVID-19 related headwinds at Fresenius Medical Care. The EBIT margin before special items was 11.1% (Q2/ 20: 12.6%). Reported Group EBIT was €1,021 million (Q2/ 20: €1,123 million).

In H1/ 21, Group EBIT before special items decreased by 9% (-5% in constant currency) to €2,039 million (H1/20: €2,248 million). The constant currency decrease is primarily due to COVID-19 related headwinds at Fresenius Medical Care. The EBIT margin before special items was 11.2% (Q1/ 20: 12.5%). Reported Group EBIT was €2,027 million (H1/ 20: €2,248 million).

Group net interest before special items and reported net interest improved to -€121 million (Q2 / 202: -€167 million) mainly due to successful refinancing activities, lower interest rates as well as currency translation effects. In H1/21, Group net interest before special items improved to -€258 million (H1/ 202: -€341 million). Reported Group net interest improved to -€258 million (H1/20: -€349 million).

EARNINGS

€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
Gro
wth
H1 /
202
1
H1 /
202
0
Gro
wth
Sa
les
9,
246
8,
920
4% 18,
230
18,
055
1%
Co
of
les
sts
sa
-6,
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-6,
39
1
-4% -13
154
,
863
-12
,
-2%
Gr
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t
oss
pr
2,
618
2,
52
9
4% 5,
076
5,
192
-2%
Se
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ner
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pen
ses
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-1,
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-16
%
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-2,
56
0
-4%
Res
ch
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nt
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me
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e (
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(€)
ng
s p
er
ry
re
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s p
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re
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4
%
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4%
1
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(€)
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re
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6
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pre
n a
am
n
-64
1
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9
0% -1,
263
-1,
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1,
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1,
123
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2,
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2 Before special items

11

Group tax rate before special items was 21.5% (Q2/ 201: 23.5%) while reported Group tax rate was 21.3% (Q2/ 20: 23.4%). In H1/ 21, Group tax rate before special items was 22.1% (H1/ 201: 23.1%) while reported Group tax rate was 22.0% (H1/ 20: 23.0%).

Noncontrolling interests before special items were -€240 million (Q2/ 20: -€321 million) of which 89% were attributable to the noncontrolling interests in Fresenius Medical Care. Reported noncontrolling interests were -€237 million (Q2/ 20: -€321 million). In H1/ 21, noncontrolling interests before special items were -€477 million (H1/ 20: -€592 million) of which 92% were attributable to the noncontrolling interests in Fresenius Medical Care. Reported noncontrolling interests were -€473 million (Q2/ 20: -€592 million).

Group net income2 before special items increased by 16% (20% in constant currency) to €474 million (Q2/ 201: €410 million) driven by Helios Spain, Kabi's Emerging Markets business as well as the favorable net interest development. Excluding estimated COVID-19 effects3, Group net income2 before special items would have grown 10% to 14% in constant currency. Reported Group net income2 increased to €471 million (Q2/ 20: €411 million).

In H1/ 21, Group net income2 before special items increased by 4% (8% in constant currency) to €910 million (H1 / 202: €875 million). Excluding estimated COVID-19 effects3, Group net income2 before special items would have grown 4% to 8% in constant currency. Reported Group net income2 increased to €906 million (H1/20: €870 million).

Earnings per share2 before special items increased by 15% (19% in constant currency) to €0.85 (Q2/ 201: €0.74). Reported earnings per share2 were €0.84 (Q2/ 20: €0.74). In H1 / 21, earnings per share2 before special items increased by 4% (8% in constant currency) to €1.63 (H1/ 201: €1.57). Reported earnings per share2 were €1.62 (H1/ 20: €1.56).

RECONCILIATION

Consolidated results for Q2 / 21 and Q2/ 20 include special items. Consolidated results for H1/ 21 and H1/ 20 include special items. The special items shown in the reconciliations are shown in the Corporate /Other segment. For a detailed overview of special items please see the reconciliation table on page 28.

1 Before special items

2 Net income attributable to shareholders of Fresenius SE&Co. KGaA

3 For estimated COVID-19 effects please see table on page 30.

INVESTMENTS

Spending on property, plant and equipment was €509

million corresponding to 6% of sales (Q2/ 20: €474 million; 5% of sales). These investments served primarily for the modernization and expansion of dialysis clinics, production facilities as well as hospitals and day clinics. In H1/ 21, spending on property, plant and equipment was €893 million corresponding to 5% of sales (H1/ 20: €1,021 million; 6% of sales).

Total acquisition spending was €491 million (Q2/ 20: €97 million) mainly for the acquisition of Eugin Group at Fresenius Helios which has been consolidated since April 1, 2021, and the acquisition of dialysis clinics at Fresenius Medical Care. In H1/ 21, total acquisition spending was €640 million (H1/ 20: €509 million).

CASH FLOW

Group operating cash flow decreased to €1,451 million (Q2/ 20: €3,082 million) with a margin of 15.7% (Q2/ 20: 34.6%). The decline was mainly due to the U.S. federal government's payments in Q2/ 20 under the CARES Act, the start of recoupment of these advanced payments in Q2/ 21 as well as the timing of certain other expense payments in 2021 at Fresenius Medical Care. Free cash flow before acquisitions and dividends decreased correspondingly to €952 million (Q2/ 20: €2,606 million). Free cash flow after acquisitions and dividends decreased to -€359 million (Q2/ 20: €2,374 million).

In H1/21, Group operating cash flow decreased to €2,103 million (H1/ 20: €3,960 million) with a margin of 11.5% (H1/ 20: 21.9%). Free cash flow before acquisitions and dividends decreased to €1,193 million (H1/ 20: €2,911 million). Free cash flow after acquisitions and dividends decreased to -€242 million (H1/ 20: €2,334 million).

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

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CASH FLOW STATEMENT (Summary)

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ASSET AND LIABILITY STRUCTURE

Group total assets increased by 5% (3% in constant currency) to €69,655 million (Dec. 31, 2020: €66,646 million) given the expansion of business activities and currency effects. Current assets increased by 7% (6% in constant currency) to €16,901 million (Dec. 31, 2020: €15,772 million) mainly driven by the increase of trade accounts receivables, cash and cash equivalents and inventories. Non-current assets increased by 4% (2% in constant currency) to €52,754 million (Dec. 31, 2020: €50,874 million).

Total shareholders' equity increased by 4% (2% in constant currency) to €27,131 million (Dec. 31, 2020: €26,023 million). The equity ratio was 39.0% (Dec. 31, 2020: 39.0%).

Group debt increased by 5% (4% in constant currency) to €27,289 million (Dec. 31, 2020: €25,913 million). Group net debt increased by 4% (3% in constant currency) to €25,039 million (Dec. 31, 2020: €24,076 million).

As of June 30, 2021, the net debt/EBITDA ratio increased to 3.60x1,2 (Dec. 31, 2020: 3.44x1,2) driven by COVID-19 effects weighing on EBITDA as well as increased net debt.

BALANCE SHEET

€ i
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Jun
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, 20
21
Dec
. 31
, 20
20
Cha
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set
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Cu
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16,
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646
5%

1 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures 2 Before special items

BUSINESS SEGMENTS

FRESENIUS MEDICAL CARE

Fresenius Medical Care is the world's largest provider of products and services for individuals with renal diseases. As of June 30, 2021, Fresenius Medical Care was treating approximately 346,000 patients in more than 4,100 dialysis clinics. Along with its core business, the Renal Care Continuum, the company focuses on expanding in complementary areas and in the field of critical care.

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  • ► As assumed, COVID-19 pandemic continued to impact organic growth in dialysis and downstream businesses; patient excess mortality rates significantly reduced
  • ►Negative exchange rate effects continue
  • ►Earnings development impacted by phasing and strong prior-year base, as indicated
  • ►Financial targets for FY 2021 confirmed

Sales of Fresenius Medical Care decreased by 5% (increased by 2% in constant currency) to €4,320 million (Q2/ 20: €4,557 million). Thus, currency translation had a negative effect of 7%. Organic growth was 1%. In H1/ 21, sales of Fresenius Medical Care decreased by 6% (increased by 2% in constant currency) to €8,530 million (H1/ 20: €9,045 million). Thus, currency translation had a negative effect of 8%. Organic growth was 1%.

EBIT decreased by 35% (-30% in constant currency) to €424 million (Q2/ 20: €656 million) resulting in a margin of 9.8% (Q2/ 20: 14.4%). EBIT before special items declined

by 34% to €430 million (-29% in constant currency; Q2/20: €656 million), resulting in a margin of 10.0% (Q2 / 20: 14.4%). The decrease was mainly due to the adverse impact of the COVID-19 pandemic, including a high prior-year base as a result of government relief funding, the expected phasing and increase in Sales, General and Administrative expense, negative exchange rate effects and higher direct costs. These effects were partially offset in particular by an improved Medicare Advantage payor mix in the U.S.

In H1 / 21, EBIT decreased by 26% (-20% in constant currency) to €898 million (H1/ 20: €1,211 million) resulting

in a margin of 10.5% (H1/ 20: 13.4%). EBIT before special items decreased by 25% (-19% in constant currency) to €907 million (Q2/ 20: €1,211 million) resulting in an EBIT margin of 10.6% (H1/ 20: 13.4%).

Net income2 decreased by 38% (-33% in constant currency) to €219 million (Q2/20: €351 million). Net income2 before special items decreased by 37% (-31% in constant currency) to €223 million (Q2/ 20: €351 million).

2 Net income attributable to shareholders of Fresenius Medical Care AG&Co. KGaA

In H1/21, net income1 decreased by 26% (-21% in constant currency) to €468 million (H1/20: €634 million). Net income1 before special items decreased by 25% (-20% in constant currency) to €474 million (H1/ 20: €634 million).

Operating cash flow was €921 million (Q2/ 20: €2,319 million) with a margin of 21.3% (Q2/20: 50.9%). The decline was mainly due to the U.S. federal government's payments in Q2/ 20 under the CARES Act, the start of recoupment of these advanced payments in Q2 / 21 as well as the timing of certain other expense payments in 2021. In H1/ 21, operating cash flow was €1,129 million (H1 / 20: €2,903 million) with a margin of 13.2% (H1/20: 32.1%).

For FY/ 21, Fresenius Medical Care confirms its outlook as outlined in February 2021. The Company expects revenue2 to grow at a low-to-mid single-digit percentage range and net income1,3 to decline at a high-teens to mid-twenties percentage range against the 2020 base4. This outlook is based on the assumption of a return to normalized mortality rates in H2/ 21.

For further information, please see Fresenius Medical Care's press release at www.freseniusmedicalcare.com.

1 Net income attributable to shareholders of Fresenius Medical Care AG&Co. KGaA

2 FY/20 base: €17,859 million

3 FY/20 base: €1,359 million, before special items; FY/21: before special items

4 These targets are based on the 2020 results excluding the impairment of goodwill and trade names in the Latin America Segment of €195 million. They are inclusive of anticipated COVID-19 effects, in constant currency and exclude special items. Special items include costs related to FME25 and other effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of giving guidance.

FRESENIUS KABI

Fresenius Kabi offers intravenously administered generic drugs, clinical nutrition and infusion therapies for seriously and chronically ill patients in the hospital and outpatient environments. The company is also a leading supplier of medical devices and transfusion technology products. In the biosimilars business, Fresenius Kabi is developing products with a focus on oncology and autoimmune diseases.

€ i
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Q2 /
202
1
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202
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298 292 2% 7% 574 58
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  • ► North America performance impacted by COVID-19 and competitive pressure; effects of temporary manufacturing issues receding
  • ►Normalizing demand in Europe driving strong growth over a COVID-impacted base
  • ► Very strong Emerging Markets growth; China with strong performance given more normalized elective treatment activity
  • ►Outlook improved to low single-digit constant currency EBIT percentage growth

Sales increased by 5% (8% in constant currency) to €1,755 million (Q2/ 20: €1,678 million). Organic growth was 7%. In H1/21, sales increased by 1% (6% in constant currency) to €3,516 million (H1/20: €3,467 million). Organic growth was 5%. Negative currency translation effects of 3% in Q2 and 5% in H1 were mainly related to the weakness of the US dollar, the Argentinian peso and the Brazilian real.

Sales in North America decreased by 13% (organic growth: -6%) to €522 million (Q2/ 20: €600 million). The decrease was driven by reduced volume demand given fewer elective treatments, consequential competitive pressure and, albeit receding, temporary manufacturing issues. These negative effects outweighed extra demand for COVID-19 related products. In H1/21, sales in North America decreased by 15% (organic growth: -8%) to €1,080 million (H1/ 20: €1,269 million).

Sales in Europe increased by 12% (organic growth: 10%) to €634 million (Q2/ 20: €566 million) supported by a low prior-year basis meaningfully impacted by COVID-19. In H1/ 21, sales in Europe increased by 5% (organic growth: 4%) to €1,260 million (H1/ 20: €1,197 million).

Sales in Asia-Pacific increased by 17% (organic growth: 17%) to €409 million (Q2/ 20: €351 million). The growth is mainly due to more normalized elective treatment activity in China as well as a recovery in other Asian markets. In H1/21, sales in Asia-Pacific increased by 20% (organic growth: 21%) to €801 million (H1/ 20: €670 million).

Sales in Latin America / Africa increased by 18% (organic growth: 24%) to €190 million (Q2/ 20: €161 million) due to ongoing COVID-19 related extra demand. In H1/ 21, sales in Latin America /Africa increased by 13% (organic growth: 26%) to €375 million (H1 / 20: €331 million).

EBIT1 increased by 2% (7% in constant currency) to €298 million (Q2/20: €292 million) with an EBIT margin of 17.0% (Q2/ 20: 17.4%). The increase in constant currency was tempered by underutilized production capacities in the US and competitive pressure coupled with selective supply constraints due to temporary, however receding, manufacturing issues. EBIT was supported by positive COVID-19 effects, lower corporate costs due to travel restrictions and phasing of projects. In H1/ 21, EBIT1 decreased by 1% (increased by 4% in constant currency) to €574 million (H1 / 20: €581 million) with an EBIT margin of 16.3% (H1/ 20: 16.8%).

Net income1,2 increased by 4% (9% in constant currency) to €204 million (Q2/ 201: €196 million). In H1/ 21, net income1,2 remained stable (increased by 6% in constant currency) at €394 million (H1/ 201: €393 million).

Operating cash flow decreased to €197 million (Q2/ 20: €437 million) with a margin of 11.2% (Q2/ 20: 26.0%) mainly due to the phasing of tax payments and payments for legal proceedings. In H1/ 21, operating cash flow decreased to €475 million (H1/20: €611 million) with a margin of 13.5% (H1/20: 17.6%).

For FY/ 21, Fresenius Kabi improves its EBIT outlook. The company now projects EBIT3 to grow in a low singledigit percentage range in constant currency. Previously, Fresenius Kabi expected a stable EBIT3 development up to low single-digit percentage growth. The company continues to expect organic sales growth4 in a low-to-mid singledigit percentage range. Both sales and EBIT outlook include expected COVID-19 effects.

  • 1 Before special items
  • 2 Net income attributable to shareholders of Fresenius SE&Co. KGaA
  • 3 FY/20 base: €1,095 million, before special items; FY/21: before special items
  • 4 FY/20 base: €6,976 million

FRESENIUS HELIOS

Fresenius Helios is Europe's leading private hospital operator. The company comprises Helios Germany and Helios Spain. Helios Germany operates 89 hospitals, ~130 outpatient centers and 6 prevention centers. Helios Spain operates 47 hospitals, 74 outpatient centers and around 300 occupational risk prevention centers. In addition, the company is active in Latin America with 6 hospitals and as a provider of medical diagnostics and reproduction medicine worldwide.

€ i
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Q2 /
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  • ►Gradually recovering elective treatments at Helios Germany
  • ► Excellent treatment activity at Helios Spain results in outstanding organic sales and earnings growth over a weak prior year quarter
  • ► Growth additionally fueled by contributions from acquisitions in Germany and Latin America as well as from the acquired fertility business
  • ►Outlook improved for organic sales and constant currency EBIT growth

Sales increased by 18% (19% in constant currency) to €2,738 million (Q2/20: €2,315 million). Organic growth was 14%. Acquisitions, including the fertility business Eugin, (consolidated as from 1 April 2021), contributed 5% to sales growth. In H1/21, sales increased by 13% (13% in constant currency) to €5,387 million (H1/20: €4,781 million). Organic growth was 9%. Acquisitions contributed 4% to sales growth.

Sales of Helios Germany increased by 7% (organic growth: 3%) to €1,675 million (Q2/20: €1,571 million) driven by a gradual recovery of elective treatments and positive case mix effects. The hospital acquisitions from the Order

of Malta contributed 4% to sales growth. In H1/ 21, sales of Helios Germany increased by 5% (organic growth: 1%) to €3,348 million (H1/20: €3,174 million). COVID-19 effects were mostly mitigated by government compensation.

Sales of Helios Spain increased by 37% (38% in constant currency) to €1,020 million (Q2/ 20: €743 million) over a weak COVID-19 impacted prior-year quarter. Organic growth of 38% was driven by a consistently high level of treatments and ongoing demand for occupational risk prevention (ORP) services. The Latin American hospitals contributed 5% to sales growth. In H1/ 21, sales of Helios Spain increased by 24% (26% in constant currency) to

€1,996 million (H1 / 20: €1,606 million). Organic growth was 24%.

EBIT of Fresenius Helios increased by 51% (51% in constant currency) to €298 million (Q2/ 20: €198 million) with an EBIT margin of 10.9% (Q2/ 20: 8.6%). In H1/ 21, EBIT of Fresenius Helios increased by 20% (20% in constant currency) to €566 million (H1/ 20: €472 million) with an EBIT margin of 10.5% (H1/ 20: 9.9%).

EBIT of Helios Germany increased by 3% to €152 million (Q2/ 20: €147 million) with an EBIT margin of 9.1% (Q2/20: 9.4%). In H1/21, EBIT of Helios Germany decreased by 3% to €302 million (H1/ 20: €312 million) with an EBIT

margin of 9.0% (H1/ 20: 9.8%). Government compensation broadly mitigated COVID-19 effects.

EBIT of Helios Spain increased by 172% (174% in constant currency) to €147 million (Q2/20: €54 million) over a weak COVID-19 impacted prior-year quarter. EBIT margin improved to 14.4% (Q2/ 20: 7.3%). Healthy organic sales growth led to an improved coverage of the fixed cost base. The hospital acquisitions in Colombia contributed nicely. In H1/ 21, EBIT of Helios Spain increased by 64% (66% in constant currency) to €273 million (H1/ 20: €166 million) with an EBIT margin of 13.7% (H1/ 20: 10.3%).

Net income1 increased by 57% (59% in constant currency) to €193 million (Q2/ 20: €123 million). In H1/ 21, net income1 increased by 22% (23% in constant currency) to €366 million (H1/ 20: €299 million).

Operating cash flow decreased to €223 million (Q2/ 20: €295 million) with a margin of 8.1% (Q1/20: 12.7%) resulting from the strong cash collection in Q2/20 related to accelerated payments of treatment invoices under the German law to ease the financial burden on hospitals. In H1 / 21, operating cash flow was on prior year level at €438 million (H1/ 20: €440 million) with a margin of 8.1% (H1/ 20: 9.2%).

For FY/ 21, Fresenius Helios improves its outlook: The company now expects organic sales2 growth in a mid singledigit percentage range. Previously, organic sales2 were expected to grow in a low-to-mid single-digit percentage range. Moreover, Fresenius Helios now projects EBIT3 to grow in a high single-digit percentage range in constant currency. Previously, EBIT3 was expected to grow in a midto-high single-digit percentage range in constant currency. Both sales and EBIT outlook include expected COVID-19 effects.

3 FY/20 base: €1,025 million; FY/21 before special items

FRESENIUS VAMED

Fresenius Vamed manages projects and provides services for hospitals and other health care facilities worldwide and is a post-acute care provider in Central Europe. The portfolio ranges along the entire value chain: from project development, planning, and turnkey construction, via maintenance and technical management, to total operational management.

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  • ►Back to sales and earnings growth despite negative COVID-19 effects
  • ►Project business still marked by COVID-19 but showing clear signs of recovery
  • ► Good performance in the service business; rehabilitation business improving as number of elective surgeries increased
  • ►Excellent order intake

Sales increased by 17% (17% in constant currency) to €556 million (Q2/ 20: €475 million). Organic growth was 17%. In H1/ 21, sales increased by 6% (6% in constant currency) to €1,033 million (H1/ 20: €974 million). Organic growth was 6%.

Sales in the service business improved by 19% (19% in constant currency) to €392 million (Q2/20: €329 million), in particular driven by growing case numbers in the rehabilitation business. Sales in the project business increased by 12% (12% in constant currency) to €164 million (Q2/20: €146 million).

In H1/ 21, sales in the service business increased by 10% (10% in constant currency) to €755 million (H1/ 20: €686 million). Sales in the project business decreased by 3% (-3% in constant currency) to €278 million (H1/ 20: €288 million).

EBIT increased to €16 million (Q2/ 20: -€13 million) with an EBIT margin of 2.9% (Q2/ 20: -2.7%). In H1/ 21, EBIT increased to €12 million (H1 / 20: €1 million) with an EBIT margin of 1.2% (H1/ 20: 0.1%).

Net income1 increased to €11 million (Q2/20: -€15 million). In H1 / 21, net income1 increased to €4 million (H1/ 20: -€8 million).

Order intake was outstanding with €713 million (Q2/20: €50 million) and €851 million in H1 / 21 (H1 / 20: €174 million), particularly driven by a turnkey project for a hospital in Wiener Neustadt, Austria. As of June 30, 2021, order backlog was at €3,635 million (December 31, 2020: €3,055 million).

Operating cash flow increased to €58 million (Q2/ 20: €28 million) with a margin of 10.4% (Q1/ 20: 5.9%) mainly due to payments from the international project business. In H1/21, operating cash flow increased to €14 million (H1/20: €8 million) with a margin of 1.4% (H1/ 20: 0.8%).

For FY/ 21, Fresenius Vamed confirms its outlook and expects organic sales1 growth in a mid-to-high single-digit percentage range and EBIT2 to grow to a high double-digit Euro million amount. Both sales and EBIT outlook include expected COVID-19 effects.

EMPLOYEES

As of June 30, 2021, the number of employees was 312,734 (Dec. 31, 2020: 311,269).

NUMBER OF EMPLOYEES

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CHANGES TO THE MANAGEMENT BOARD

Michael Sen (52) became the new Chief Executive Officer of Fresenius Kabi AG. The Supervisory Board of Fresenius Management SE unanimously appointed him to the Management Board of Fresenius effective on April 12, 2021. He succeeded Mats Henriksson (53), who left the company due to different views on Fresenius Kabi's future direction.

CHANGES TO THE SUPERVISORY BOARD

Dr. Gerd Krick (82) left the Supervisory Boards of Fresenius Management SE and the listed Fresenius SE&Co. KGaA when his term ended at the close of the Annual General Meeting in May 2021.

Wolfgang Kirsch (65), a member of the Supervisory Board of Fresenius Management SE since January 1, 2020, took over from him as Chairman of both Supervisory Boards.

In recognition and deep appreciation of his long decades of accomplishment and invaluable work on behalf of Fresenius, Dr.Krick was named Honorary Chairman of both Supervisory Boards.

Klaus-Peter Müller (76) stepped down from the Supervisory Board of Fresenius Management SE at the end of his term in May 2021. At the listed Fresenius SE&Co. KGaA, Klaus-Peter Müller was reelected to the Supervisory Board at the Annual General Meeting in May. He is chairing the Audit Committee for a further year.

The Annual General Meeting of the Fresenius Management SE elected Susanne Zeidler (60), Chief Financial Officer of Deutsche Beteiligungs AG (DBAG) since November 2012, and Dr.Frank Appel (59), Chief Executive Officer of Deutsche Post DHL Group since February 2008, to the Supervisory Board of Fresenius Management SE.

RESEARCH AND DEVELOPMENT

Product and process development as well as the improvement of therapies are at the core of our growth strategy. Fresenius focuses its R&D efforts on its core competencies in the following areas:

  • ►Dialysis
  • ►Generic IV drugs
  • ►Biosimilars
  • ►Infusion and nutrition therapies
  • ►Medical devices

Apart from new products, we are concentrating on developing optimized or completely new therapies, treatment methods, and services.

RESEARCH AND DEVELOPMENT EXPENSES

BY BUSINESS SEGMENT

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OPPORTUNITIES AND RISK REPORT

Compared to the presentation in the consolidated financial statements and the management report as of December 31, 2020 applying Section 315e HGB in accordance with IFRS, there has been the following important development in Fresenius' overall opportunities and risk situation until August 2, 2021.

The global COVID-19 pandemic, continued to adversely affect our business in the first and second quarter of 2021. We expect further adverse effects on our business and result of operations for the second half of 2021. The further development of the worldwide situation in 2021 remains uncertain and depends on the progress of the vaccination campaigns worldwide as well as the spread of further virus variants. This may result in additional adverse effects on our financial results and our ability to achieve our Guidance.

A potential U.S. federal corporate tax increase of up to 7 percentage point as announced by U.S. President Joe Biden may have a negative impact on our net income in the current and in the coming fiscal years due to Fresenius' high proportion of business in the United States.

In the ordinary course of Fresenius Group's operations, the Fresenius Group is subject to litigation, arbitration as well as external and internal investigations relating to various aspects of its business.

The Fresenius Group regularly analyzes current information about such matters for probable losses and provides accruals for such matters, including estimated expenses for legal services, as appropriate.

We report on legal proceedings on pages 55 to 56 in the Notes of this report.

SUBSEQUENT EVENTS

July was characterized worldwide by a regionally varying development of the COVID-19 pandemic with again rising infection numbers mainly due to the delta version. Largescale constraints of public and private life are still enacted in various countries in order to curtail the spread of COVID-19. The vaccination programs were continued worldwide and the development in each country differs. The further development of the global situation and the impact on Fresenius remain uncertain.

Beyond that, there have been no significant changes in the industry environment. Furthermore, there have been no other events with a significant impact on the net assets, financial position and results of operations since the end of the first half of 2021.

RATING

Fresenius is covered by the rating agencies Moody's, Standard&Poor's and Fitch.

The following table shows the company rating of Fresenius SE&Co. KGaA:

Sta
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OUTLOOK 2021

COVID-19 ASSUMPTIONS FOR GUIDANCE FY/21

Whilst the pandemic exhibited a quite differentiated regional development, negative COVID-effects have -- consistent with expectations -- generally receded during Q2/ 21.

Fresenius had projected that the burdens and constraints caused by the pandemic will recede in the second half of the year. Now, however, the currently rising number of COVID-19 cases, the further evolution of COVID-19 virus mutations as well as stalling vaccination progress could all pose a threat to this assumption, and the company remains vigilant.

Whilst the risk of renewed far-reaching containment measures in one or more of Fresenius' major markets currently appears less likely, it cannot be excluded. Any resulting significant and direct impact on the health care sector without appropriate compensation is not reflected in the Group's FY/ 21 guidance. These assumptions are subject to considerable uncertainty.

FRESENIUS GROUP

Based on the Group's strong Q2 / 21 and the progress in the program to improve Group-wide efficiencies, where the company expects first savings already this year, Fresenius raises its 2021 earnings guidance. The Company now projects net income1,2 to grow in a low single-digit percentage range in constant currency. Previously, Fresenius expected an at least broadly stable net income1,2 development in constant currency. The Company continues to project sales growth3 in a low-to-mid single-digit percentage range in constant currency.

Implicitly, net income1 for the Group excluding Fresenius Medical Care is now expected to grow in a high single-digit percentage range in constant currency. Previously, Fresenius expected mid-to-high single-digit percentage growth in constant currency.

The guidance implies ongoing COVID-19 related headwinds in the second half of the year. It reflects negative pricing effects related to tender activity at Fresenius Kabi in China as well as increasingly noticeable cost inflation effects across selected markets.

Fresenius projects net debt/EBITDA4 to be around the top-end of the self-imposed target corridor of 3.0x to 3.5x by the end of FY/ 21.

SALES AND EARNINGS BY BUSINESS SEGMENT

In 2021, we expect sales and earnings development in our business segments as shown in the table on page 27.

PROGRESS ON EFFICIENCY MEASURES TO SUSTAINABLY IMPROVE PROFITABILITY

To sustainably enhance profitability and operational excellence, Fresenius has launched group-wide efficiency initiatives. These measures are expected to gradually result in cost savings of more than €100 million p.a. after tax and minority interest in 2023, with some potential to increase thereafter.

While an update on the comprehensive operating model review at Fresenius Medical Care is expected to be provided in fall 2021, the three other Fresenius business segments have already identified and launched initiatives in defined areas.

At Fresenius Kabi, these initiatives comprise the optimization of its production network, reduction of product portfolio complexity, centralization of worldwide purchasing and review of organizational and cost structures.

Fresenius Helios will put a focus on its strategic review of the hospital portfolio and ambulatory care network as well as on the reduction of G&A costs.

Fresenius Vamed will implement some dedicated structural and organizational measures, comprising the optimization of its global subsidiary structure, the review of its assets and shareholdings portfolio and the optimization of procurement and G&A costs.

These activities specific to the business segments will be complemented and supported by initiatives on the Fresenius group level, for example, the implementation of new ways of working at the corporate headquarters as well as a group-wide review of the IT operating model.

Achieving these sustainable efficiencies will require significant up-front expenses. For the years 2021 to 2023, those expenses are expected to be more than €100 million p.a. after tax and minority interest on average, with the largest portion currently expected to materialize in 2022. They will be classified as special items, consistent with previous practice.

The company expects significant contributions from all four business segments and from the corporate center in the 2021 to 2023 period. Hence, it is expected that the savings contributed by Fresenius Medical Care will not be overproportional.

For FY/21, initial low double-digit million € savings after tax and minority interest from the Group's above outlined cost and efficiency measures are expected to support the Group's profitability. These savings and efficiency gains derive from activities in all four business segments. 1 Net income attributable to shareholders of Fresenius SE&Co. KGaA 2 FY/20 base: €1,796 million, before special items; FY/21: before special items

3 FY/20 base: €36,277 million

4 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; excluding further potential acquisitions; before special items

EXPENSES

For 2021, we continue to expect selling, general, and administrative expenses as a percentage of consolidated net sales not to change significantly compared to 2020 (2020: 13.7%).

LIQUIDITY AND CAPITAL MANAGEMENT

For 2021, we continue to expect an operating cash flow margin in the range of 10% to 12%, lower than in FY/20 due to expected recoupment of prepaymets received in FY/20 under the CARES-Act in the United States at Fresenius Medical Care.

In addition, unused credit lines under syndicated or bilateral credit facilities from banks provide us with a sufficient financial cushion.

Financing activities in 2021 are largely geared to refinancing existing financial liabilities maturing in 2021 and 2022. A large part of the 2021 maturities, however, was already pre-financed with the issuance of bonds in 2020.

Fresenius continues to project net debt/EBITDA1 to be around the top-end of the self-imposed target corridor of 3.0x to 3.5x by the end of FY/21.

INVESTMENTS

In 2021, we continue to expect to invest about 6% of sales in property, plant and equipment. About 45% of the capital expenditure planned will be invested at Fresenius Medical Care, about 23% at Fresenius Kabi, and around 26% at Fresenius Helios.

At Fresenius Medical Care, investments will primarily be used for the expansion of production capacity, optimizing production costs, and the establishment of new dialysis clinics.

Fresenius Kabi will primarily invest in expanding and maintaining production facilities, as well as in introducing new manufacturing technologies.

At Fresenius Helios, we will primarily invest in the new buildings, in the modernizing and equipping of existing hospitals, and newly acquired hospitals. With a share of around 65%, Europe is the regional focus of investment in the planning period. Around 26% of the investments are planned for North America and around 9% for Asia, Latin America and Africa. About 35% of total funds will be invested in Germany.

We continue to assume that the return on operating assets (ROOA) will decrease by 50 to 100 basis points compared to the level of 2020 (2020: 7.3%) and the return on invested capital (ROIC) will decrease by 40 to 70 basis points compared to the level of 2020 (2020: 6.5%).

CAPITAL STRUCTURE

For 2021, we continue to expect the equity ratio not to change significantly compared to 2020 (2020: 39%). Furthermore, we expect debt in relation to total assets to remain around prior year's level (2020: 39%).

DIVIDEND

The dividend increases provided by Fresenius in the last 28 years show impressive continuity. Our dividend policy aims to align dividends with earnings-per-share growth (before special items) and thus broadly maintains a payout ratio of 20% to 25%. Fresenius intends to increase the dividend for 2021.

1st Half and 2nd Quarter 2021 Quarterly Financial Report Fresenius 26

GROUP FINANCIAL OUTLOOK 2021

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OUTLOOK 2021 BY BUSINESS SEGMENT

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2 Before special items, including estimated COVID-19 effects

3 These targets are based on the 2020 results excluding the impairment of goodwill and trade names in the Latin America Segment of EUR 195 million. They are inclusive of anticipated COVID-19 effects, in constant currency and exclude special items.

Special items include costs related to FME25 and other effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of giving guidance

4 Net income attributable to shareholders of Fresenius Medical Care AG&Co. KGaA

RECONCILIATION FRESENIUS GROUP Q2 /H1

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ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
-- -1 -- 5
Ex
iate
d w
ith
the
Fr
niu
ef
fic
ien
ost
pen
ses
as
soc
ese
s c
cy
pro
gra
m
3 -- 4 --
1
Ne
t in
e (
bef
eci
al
ite
)
com
ore
sp
ms
474 41
0
16
%
20
%
910 875 4% 8%

The special items shown within the reconciliation tables are reported in the Group Corporate /Other segment.

RECONCILIATION FRESENIUS MEDICAL CARE Q2 /H1

€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
H1 /
202
1
H1 /
202
0
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Sa
les
d
rte
re
po
4,
32
0
4,
55
7
-5% 2% 8,
53
0
9,
045
-6% 2%
(af
eci
ite
)
EB
IT
ed
al
ort
ter
rep
sp
ms
424 656 -35
%
-30
%
898 1,
21
1
-26
%
-20
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
6 -- 9 --
ial
ite
EB
IT
(be
for
)
e s
pec
ms
43
0
656 -34
%
-29
%
907 1,
21
1
-25
%
-19
%
1
t in
eci
ite
Ne
ed
(af
al
)
ort
ter
com
e r
ep
sp
ms
219 35
1
-38
%
-33
%
46
8
634 -26
%
-21
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
4 -- 6 --
1
Ne
t in
e (
bef
eci
al
ite
)
com
ore
sp
ms
223 35
1
-37
%
-31
%
474 634 -25
%
-20
%

ESTIMATED COVID-19 EFFECTS Q2 /H1

Re
d g
th
rte
rat
po
row
e
in
sta
nt
con
cu
rre
ncy
inc
lus
ive
CO
VID
-19
-ef
fec
ts
im
Est
d
ate
CO
VID
-19
im
t
pac
in
sta
nt
con
cu
rre
ncy
im
Est
d g
th
ate
rat
row
e
in
sta
nt
con
cu
rre
ncy
lud
ing
CO
VID
-19
-ef
fec
ts
exc
€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
Q2 /
202
1
Q2 /
202
0
Q2 /
202
1
Q2 /
202
0
Sa
les
8% 2% 2 t
o 1
%
-4
-5%
to
6 t
o 7
%
6 t
o 7
%
1
Ne
t in
e (
bef
eci
al i
s)
tem
com
ore
sp
20
%
-13
%
10
6%
to
-13
7%
to
-1
10
%
to
14
0 t
%
o 4
Re
d g
th
rte
rat
po
row
e
in
sta
nt
con
cu
rre
ncy
inc
lus
ive
CO
VID
-19
-ef
fec
ts
Est
im
d
ate
CO
VID
-19
im
t
pac
in
sta
nt
con
cu
rre
ncy
Est
im
d g
th
ate
rat
row
e
in
sta
nt
con
cu
rre
ncy
lud
ing
CO
VID
-19
-ef
fec
ts
exc
€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
H1 /
202
1
H1 /
202
0
H1 /
202
1
H1 /
202
0
Sa
les
6% 5% 1 t
o 0
%
-2
-3%
to
5 t
o 6
%
7 t
o 8
%
1
Ne
t in
e (
bef
eci
al i
s)
tem
com
ore
sp
8% -6% 4 t
o 0
%
-9
-13
%
to
4 t
o 8
%
3 t
o 7
%

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF INCOME

€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
H1 /
202
1
H1 /
202
0
Sa
les
246
9,
8,
920
18,
230
18,
055
Co
f sa
les
st o
-6,
628
-6,
39
1
-13
154
,
-12
863
,
ofi
Gr
t
oss
pr
2,
618
2,
52
9
5,
076
5,
192
Se
llin
al a
nd
ad
mi
nis
tive
tra
g,
ge
ner
ex
pen
ses
40
0
-1,
208
-1,
-2,
666
-2,
56
0
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-19
7
-19
8
-38
3
-38
4
Op
tin
inc
e (
IT)
EB
era
g
om
1,
02
1
1,
123
2,
027
2,
24
8
Ne
t in
ter
est
-12
1
-16
7
-25
8
-34
9
efo
inc
Inc
e b
e t
om
re
om
axe
s
900 956 769
1,
1,
899
Inc
e ta
om
xes
-19
2
-22
4
-39
0
-43
7
t in
Ne
com
e
708 732 1,
37
9
1,
46
2
olli
int
No
ntr
sts
nco
ng
ere
237 32
1
47
3
592
t in
ibu
niu
Ne
tab
le t
ha
reh
old
of
Fr
s S
E&
Co
. K
Ga
A
ttr
com
e a
o s
ers
ese
47
1
41
1
906 870
Ea
rni
sha
in €
ng
s p
er
re
0.8
4
0.7
4
1.6
2
1.5
6
Fu
lly
dil
d e
ing
sha
in €
ute
arn
s p
er
re
0.8
4
0.7
4
1.6
2
1.5
6

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

€ i
illio
n m
ns
Q2 /
202
1
Q2 /
202
0
H1 /
202
1
H1 /
202
0
t in
Ne
com
e
708 732 1,
37
9
1,
46
2
Ot
he
he
nsi
inc
e (
los
s)
r c
om
pre
ve
om
sit
ion
hic
ill
sif
ied
in
in
e i
Po
h w
be
las
ub
to
net
nt
s w
rec
com
n s
seq
ue
yea
rs
eig
ati
For
nsl
tra
n c
urr
enc
y
on
-18
7
-42
4
610 -37
4
Ca
sh
flow
he
dg
es
-8 2 -7 12
FV
OC
I de
bt
ins
tru
nts
me
3 31 -7 31
Inc
siti
hic
h w
ill b
ecl
ifie
d
e ta
om
xes
on
po
ons
e r
ass
w
3 -6 5 -8
sit
ion
hic
ill
ssi
fie
d i
t in
e i
Po
h w
be
cla
ub
not
nto
nt
s w
re
ne
com
n s
seq
ue
yea
rs
ria
ins
fin
efit
nsi
Ac
l ga
de
ed
ben
lan
tua
on
pe
on
p
s
-4 46 87 46
Eq
uity
eth
od
inv
har
f O
CI
est
m
ees
- s
e o
-41 51 -50 51
OC
uity
in
FV
I eq
tm
ent
ves
s
19 19 25 19
Inc
siti
hic
h w
ill n
be
las
sifi
ed
e ta
ot
om
xes
on
po
ons
rec
w
-6 -17 -34 -17
nsi
/in
Ot
he
he
(lo
ss)
net
r c
om
pre
ve
com
e,
-22
1
-29
8
629 -24
0
To
tal
reh
siv
e i
co
mp
en
nco
me
48
7
434 2,
008
222
1,
siv
e i
tri
llin
int
Co
reh
bu
tab
le t
at
tro
sts
mp
en
nco
me
o n
on
con
g
ere
112 131 774 41
8
Co
siv
e i
tri
reh
bu
tab
le t
at
mp
en
nco
me
o
niu
sha
reh
old
of
Fr
s S
E&
Co
. K
Ga
A
ers
ese
375 303 1,
234
804

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF FINANCIAL POSITION

ASSETS

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
Cas
h a
nd
h e
iva
len
ts
cas
qu
2,
250
1,
837
cei
Tra
de
d o
the
vab
les
les
llow
nts
acc
ou
an
r re
s a
anc
es
,
for
ted
ed
it lo
ex
pec
cr
sse
s
7,
36
9
6,
937
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
128 110
Inv
ori
ent
es
4,
197
3,
945
Oth
t as
set
er
cur
ren
s
2,
957
2,
943
I. T
l cu
ota
nt
ets
rre
ass
16,
90
1
15,
772
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
12,
129
11,
912
Rig
ht-
of-
set
use
as
s
81
5,
1
69
5,
1
Go
odw
ill
27,
675
26,
599
Oth
int
ible
set
er
ang
as
s
3,
754
736
3,
Oth
ent
set
er
no
n-c
urr
as
s
2,
210
2,
124
fer
De
red
ta
xes
1,
175
812
II.
To
tal
ent
set
no
n-c
urr
as
s
52
754
,
50
874
,
To
tal
set
as
s
69,
655
66,
646

LIABILITIES

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
Tra
de
ble
nts
acc
ou
pa
ya
1,
669
1,
816
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
68 67
Sh
ovi
sio
and
her
sh
lia
bil
itie
ort
-te
ot
ort
-te
rm
pr
ns
rm
s
929
7,
43
3
7,
Sh
de
bt
ort
-te
rm
2,
738
245
Sh
bt f
ies
de
late
d p
ort
-te
art
rm
rom
re
3 5
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
45
8
1,
132
Cu
rtio
f lo
lea
liab
ilit
ies
nt
ter
rre
po
n o
ng-
m
se
787 766
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
288
1,
522
Sh
als
fo
r in
ort
-te
e ta
rm
ac
cru
com
xes
264 230
A.
To
tal
sh
lia
bil
itie
ort
-te
rm
s
204
15,
13,
216
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
2,
135
4,
022
liab
ilit
ies
rtio
Lon
lea
les
ter
ent
g-
m
se
s c
urr
po
n
,
5,
545
5,
42
2
Bo
nds
les
rtio
ent
s c
urr
po
n
,
13,
857
12,
325
Co
rtib
le b
ond
nve
s
47
8
474
Lon
vis
ion
nd
oth
lon
liab
ilit
ies
ter
ter
g-
m
pro
s a
er
g-
m
73
1,
1
918
1,
Pen
sio
n l
iab
ilit
ies
1,
53
6
1,
582
s fo
r in
Lon
ual
ter
e ta
g-
m a
ccr
com
xes
288 274
De
fer
red
ta
xes
1,
750
1,
39
0
lia
bil
itie
B.
To
tal
lo
-te
ng
rm
s
27,
32
0
27,
40
7
I. T
l lia
bil
itie
ota
s
42
524
,
40
623
,
ing
in
A.
No
oll
ntr
ter
est
nco
s
9,
43
2
9,
074
Su
bsc
rib
ed
ita
l
cap
8
55
55
7
Ca
ital
p
re
ser
ve
4,
010
3,
992
Oth
er
res
erv
es
13,
938
13,
535
Ac
ula
ted
her
reh
ive
lo
ot
cum
co
mp
ens
ss
-80
7
-1,
135
niu
' e
ity
B.
To
tal
Fr
s S
E&
Co
. K
Ga
A s
ha
reh
old
ese
ers
qu
699
17,
16,
949
rs'
II.
To
tal
sh
ho
lde
uit
are
eq
y
27,
131
26,
023
lia
bil
itie
' eq
uit
To
tal
nd
sha
reh
old
s a
ers
y
69,
655
66,
646

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS

€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Op
tin
cti
vit
ies
era
g a
Ne
t in
com
e
1,
37
9
1,
46
2
Ad
jus
nci
le n
inc
ash
d
tm
ent
s t
et
e t
o r
eco
om
o c
an
iva
vid
tin
cti
vit
ies
h e
len
ed
by
ts
cas
qu
pro
op
era
g a
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
263
1,
269
1,
Ch
e in
de
fer
red
ta
ang
xes
-38 7
Ga
in o
of
fix
f in
div
itu
ale
ed
d o
nd
ets
tm
ent
est
n s
ass
an
ves
s a
res
-4 -34
Ch
s in
nd
liab
ilit
ies
of
set
et
nts
an
ge
as
s a
, n
am
ou
fro
sin
uir
dis
of
bu
ed
ed
m
ess
es
acq
or
pos
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
-31
7
-94
ori
Inv
ent
es
-16
0
-47
1
Oth
nd
t a
ent
set
er
cur
ren
no
n-c
urr
as
s
-61 66
Ac
cei
vab
le f
/pa
ble
late
d p
ies
nts
to
art
cou
re
rom
ya
re
-18 38
isio
liab
ilit
ies
Tra
de
ble
and
her
sh
d lo
nts
ot
ort
-te
ter
acc
ou
pa
ya
, p
rov
ns
rm
an
ng-
m
22 1,
582
Ac
als
fo
r in
e ta
cru
com
xes
37 135
ide
ing
tiv
itie
Ne
ash
d b
t c
rat
pr
ov
y o
pe
ac
s
2,
103
960
3,
Inv
ing
tiv
itie
est
ac
s
Pu
rch
of
lan
nd
ipm
ert
t a
ent
ase
pr
op
y, p
equ
and
ital
ize
d d
lop
nt
ts
ca
p
eve
me
cos
-92
4
-1,
055
Pro
ds
fro
ale
f p
lan
nd
ipm
ert
t a
ent
cee
m s
s o
rop
y, p
equ
14 6
Ac
isit
ion
nd
inv
est
nts
qu
s a
me
and
rch
f in
ible
tan
set
pu
ase
s o
g
as
s
-61
7
-37
9
Pro
ds
fro
ale
of
in
nd
div
itu
tm
ent
est
cee
m s
ves
s a
res
98 13
in
inv
ing
tiv
itie
Ne
ash
ed
t c
est
us
ac
s
-1,
42
9
-1,
415

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS

€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Fin
cin
cti
vit
ies
an
g a
Pro
ds
fro
ho
de
bt
rt-t
cee
m s
erm
2,
928
234
Re
of
sh
de
bt
nts
ort
-te
pay
me
rm
-42
6
-1,
286
Pro
ds
fro
lon
m d
ebt
ter
cee
m
g-
47
7
27
Re
of
lo
m d
ebt
nts
ter
pay
me
ng-
-3,
112
-96
3
Re
of
lea
liab
ilit
ies
nts
pay
me
se
-47
0
-49
4
fro
iss
of
Pro
ds
he
bon
ds
m t
cee
uan
ce
2,
714
2,
74
1
Re
of
lia
bil
itie
s fr
bo
nds
nts
pay
me
om
-1,
535
0
Re
of
rtib
le b
ds
nts
pay
me
co
nve
on
0 -40
0
Pay
fo
r th
har
e b
bac
k p
of
Fr
niu
s M
ed
ica
l C
nts
me
e s
uy-
rog
ram
ese
are
0 -36
6
Pay
fo
r th
iva
ble
fa
cili
of
Fre
ius
M
ed
ica
l C
nts
unt
ty
me
e a
cco
s r
ece
sen
are
-- -38
7
fro
rcis
f st
tio
Pro
ds
he
ock
m t
cee
exe
e o
op
ns
21 12
Div
ide
nds
id
pa
-91
6
-21
1
Ch
e in
olli
int
ntr
sts
et
ang
no
nco
ng
ere
, n
-9 -3
Ne
ash
ed
in
fin
cin
cti
vit
ies
t c
us
an
g a
-32
8
-1,
096
uiv
Eff
of
cha
ch
ash
d c
ash
ale
ect
ate
nts
ex
ng
e r
an
ge
s o
n c
an
eq
67 -30
Ne
t in
in
sh
d c
ash
uiv
ale
nts
cre
ase
ca
an
eq
413 9
1,
41
uiv
inn
ing
ing
rio
Ca
sh
d c
ash
ale
th
e b
of
th
d
nts
at
ort
an
eq
eg
e r
ep
pe
1,
837
1,
654
Ca
uiv
of
rtin
eri
sh
d c
ash
ale
th
nd
the
od
nts
at
an
eq
e e
re
po
g p
2,
25
0
3,
073

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES

€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
Rec
eiv
ed
int
st
ere
36 30
Pai
d i
nte
t
res
-25
6
-30
9
Inc
id
e ta
om
xes
pa
-42
8
-22
9

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

Su bsc
rib
ed
Ca
ital
p
Res erv
es
Num
ber
of
ord
inar
y sh
are
s
in t
hou
d
san
Am
t
oun
€ in
tho
nds
usa
Am
t
oun
€ in
mi
llion
s
Cap
ital
rese
rve
€ in
mi
llion
s
Oth
er
rese
rves
€ in
mi
llion
s
of
As
De
be
r 3
1,
20
19
cem
55
7,
38
0
55
7,
38
0
55
7
3,
989
12,
42
2
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
74 74 -- 6
Co
ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
7
Div
ide
nds
id
pa
0
Pu
rch
of
olli
int
ntr
sts
ase
no
nco
ng
ere
Sh
bu
bac
k p
of
Fr
niu
s M
ed
ica
l C
AG
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KG
aA
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ram
ese
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o.
8
-11
Put
tio
n l
iab
ilit
ies
op
-4
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
870
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
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ati
For
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tra
n c
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on
Ac
ria
l ga
ins
de
fin
ed
ben
efit
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lan
tua
on
pe
on
p
s
Fai
lue
ch
r va
ang
es
Co
reh
ive
in
e (
los
s)
mp
ens
com
870
As
of
Ju
30,
20
20
ne
55
7,
454
55
7,
454
55
7
4,
002
13,
170
As
of
De
be
r 3
1,
202
0
cem
55
7,
54
1
55
7,
54
1
55
7
3,
992
13,
535
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tio
Pro
ds
fro
he
f st
ock
m t
cee
exe
e o
op
ns
50
0
50
0
1 17
Co
ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
1
Div
ide
nds
id
pa
-49
1
Pu
rch
of
olli
int
ntr
sts
ase
no
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ng
ere
Put
tio
n l
iab
ilit
ies
op
-12
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
906
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
For
eig
nsl
ati
tra
n c
urr
enc
y
on
Ac
ria
l ga
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de
fin
ed
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efit
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lan
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on
pe
on
p
s
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lue
ch
r va
ang
es
Co
reh
ive
in
e (
los
s)
mp
ens
com
906
As
of
Ju
30,
20
21
ne
55
8,
04
1
55
8,
04
1
55
8
4,
010
13,
938

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

Ac
ula
ted
her
reh
ive
in
e (
los
s)
ot
cum
co
mp
ens
com
eig
For
n
cur
ren
cy
slat
ion
tran
€ in
mi
llion
s
Cas
h flo
w
hed
ges
€ in
mi
llion
s
Pen
sion
s
€ in
mi
llion
s
Equ
ity
inve
stm
ents
€ in
mi
llion
s
Fair
val
ue
cha
nge
s
€ in
mi
llion
s
Tot
al
Fre
ius
sen
SE&
Co.
KG
aA
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
Non
trol
ling
con
inte
rest
s
€ in
mi
llion
s
Tot
al
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
of
As
De
be
r 3
1,
20
19
cem
294 -65 -42
9
10 0 16,
778
9,
802
26,
58
0
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
6 6 12
Co
ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
7 -- 7
Div
ide
nds
id
pa
0 -21
1
-21
1
Pu
rch
of
oll
ing
in
ntr
ter
est
ase
no
nco
s
0 19 19
Sh
bu
bac
k p
of
Fr
niu
s M
ed
ica
l C
AG
&C
KG
aA
are
y-
rog
ram
ese
are
o.
8
-11
-24
8
-36
6
Put
tio
n l
iab
ilit
ies
op
-4 -7 -11
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
870 592 1,
46
2
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
6 6 4 10
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
5 5 12 17
eig
ati
For
nsl
tra
n c
urr
enc
y
on
-13
1
-1 1 1 -13
0
-24
4
-37
4
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
29 29 2 31
Fai
lue
ch
r va
ang
es
24 24 52 76
Co
reh
ive
in
e (
los
s)
mp
ens
com
-13
1
5 30 6 24 804 8
41
222
1,
As
of
Ju
30,
20
20
ne
163 -60 -39
9
16 24 17,
473
9,
779
27,
252
As
of
De
be
r 3
1,
202
0
cem
-70
4
-62 -40
5
9 27 16,
949
9,
074
26,
023
fro
rcis
f st
tio
Pro
ds
he
ock
m t
cee
exe
e o
op
ns
18 3 21
Co
ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
1 -- 1
Div
ide
nds
id
pa
-49
1
-42
5
-91
6
Pu
rch
of
oll
ing
in
ntr
ter
est
ase
no
nco
s
0 33 33
Put
tio
n l
iab
ilit
ies
op
-12 -27 -39
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
906 47
3
1,
37
9
Oth
siv
e in
hen
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
-4 -4 -1 -5
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
5 5 12 17
For
eig
nsl
ati
tra
n c
urr
enc
y
on
31
0
-- -2 -- 30
8
304 612
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
37 37 24 61
Fai
lue
ch
r va
ang
es
-18 -18 -38 -56
Co
reh
ive
in
e (
los
s)
mp
ens
com
31
0
-4 35 5 -18 1,
234
774 2,
008
As
of
Ju
30,
20
21
ne
-39
4
-66 -37
0
14 9 699
17,
9,
43
2
27,
131

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING FIRST HALF

Fre
sen
ius
M
ed
ica
l C
are
Fre ius
Ka
sen
bi Fre ius
He
sen
lios Fre ius
Va
sen
d
me
Co
rat
rpo
e
Fre ius
Gr
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
12
202
202
0
Gro
wth
202
1
03
202
Gro
wth
202
1
202
0
Gro
wth
202
1
202
0
Gro
wth
14
202
05
202
Gro
wth
202
1
202
0
Gro
wth
Sa
les
8,
53
0
9,
045
-6% 3,
51
6
3,
46
7
1% 5,
38
7
4,
78
1
13
%
1,
033
974 6% -23
6
-21
2
-11
%
18,
230
18,
055
1%
the
f co
ibu
tio
ntr
n t
reo
o
ida
sol
ted
les
con
sa
8,
50
7
9,
024
-6% 3,
484
3,
43
8
1% 5,
375
4,
772
13
%
863 82
1
5% 1 0 18,
230
18,
055
1%
the
f in
ale
ter
reo
com
pan
y s
s
23 21 10
%
32 29 10
%
12 9 33
%
170 153 11
%
-23
7
-21
2
-12
%
0 0
trib
uti
sol
ida
ted
les
to
con
on
con
sa
47
%
50
%
19
%
19
%
29
%
26
%
5% 5% 0% 0% 100
%
100
%
EB
ITD
A
69
1,
1
2,
022
-16
%
780 778 0% 793 69
1
%
15
55 41 34
%
-29 -15 -93
%
3,
290
3,
51
7
-6%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
784 81
1
-3% 206 197 5% 227 219 4% 43 40 8% 3 2 50
%
1,
263
1,
269
0%
EB
IT
907 1,
21
1
-25
%
574 58
1
-1% 56
6
47
2
20
%
12 1 -- -32 -17 -88
%
2,
027
2,
248
-10
%
Ne
t in
ter
est
-14
5
-19
6
26
%
-33 -44 25
%
-89 -92 3% -4 -10 60
%
13 -7 -- -25
8
-34
9
26
%
Inc
e ta
om
xes
-17
2
-23
7
28
%
-11
8
-12
7
7% -10
2
-79 -29
%
-2 1 -- 4 5 -20
%
-39
0
-43
7
11
%
Ne
t in
ttri
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
Fre
ius
SE
&C
KG
aA
sen
o.
474 634 -25
%
394 393 0% 36
6
299 22
%
4 -8 150
%
-33
2
-44
8
26
%
906 870 4%
Op
tin
ash
flo
era
g c
w
1,
129
2,
903
-61
%
47
5
61
1
-22
%
43
8
44
0
0% 14 8 75
%
47 -2 -- 2,
103
3,
960
-47
%
Ca
sh
flow
be
for
isit
ion
e a
cqu
s
and
di
vid
end
s
749 2,
40
7
-69
%
229 272 -16
%
208 282 -26
%
-33 -37 11
%
40 -13 -- 1,
193
2,
91
1
-59
%
1
To
tal
ets
ass
32,
987
31,
689
4% 14,
191
13,
59
1
4% 20,
35
7
19,
24
1
6% 2,
798
2,
716
3% -67
8
-59
1
-15
%
69,
655
66,
646
5%
1
De
bt
116
13,
12,
38
0
6% 286
4,
4,
181
3% 7,
778
7,
47
2
4% 729 686 6% 1,
38
0
1,
194
16
%
27,
289
25,
913
5%
1
Oth
tin
liab
ilit
ies
er
op
era
g
6,
259
6,
192
1% 3,
191
3,
225
-1% 2,
775
2,
585
7% 97
1
933 4% 289 385 -25
%
13,
48
5
13,
32
0
1%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
394 50
0
-21
%
216 30
6
-29
%
230 159 45
%
47 46 2% 6 10 -40
%
893 1,
02
1
-13
%
Ac
isit
ion
s /i
stm
ent
qu
s, g
ros
nve
s
210 149 41
%
1 12 -92
%
42
9
342 25
%
0 6 -10
0%
0 0 640 509 26
%
Res
ch
and
de
vel
nt
ear
me
ens
es
101 96 4% 28
1
287 -2% 2 1 100
%
0 0 -1 383 384 0%
op
exp
Em
loy
ees
-- --
p
1
ita
(pe
bal
hee
t d
)
ate
r c
ap
on
anc
e s
131
264
33,
129
1
-1% 41
145
40
519
2% 19,
1
54
1
116
952
2% 19,
52
7
19,
414
1% 257
1,
255
1,
0% 3
12,
734
3
269
11,
0%
, , , ,
fig
Key
ure
s
EB
ITD
A m
in
arg
19.
8%
22
.4%
22
.2%
22
.4%
14.
7%
14.
5%
5.3
%
4.2
%
6
18.
1%
19.
5%
EB
IT
in
ma
rg
10.
6%
13.
4%
16.
3%
16.
8%
10.
5%
9.9
%
1.2
%
0.1
%
6
11.
2%
12.
5%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
in
%
of
sal
es
9.2
%
9.0
%
5.9
%
5.7
%
4.2
%
4.6
%
4.2
%
4.1
%
6.9
%
7.0
%
Op
tin
ash
flo
w i
n %
of
les
era
g c
sa
13.
2%
32
.1%
13.
5%
6%
17.
8.1
%
9.2
%
%
1.4
0.8
%
5%
11.
21
.9%
1
RO
OA
7.0
%
8.2
%
8.9
%
9.2
%
6.0
%
5.7
%
1.7
%
1.3
%
7
6.7
%
8
7.3
%

1 2020: December 31

2 Before costs related to FME25 program

3 Before revaluations of biosimilars contingent purchase price liabilities

4 After expenses associated with the Fresenius cost efficiency program

5 After revaluations of biosimilars contingent purchase price liabilities

6 Before expenses associated with the Fresenius cost efficiency program

7 The underlying pro forma EBIT does not include revaluations of biosimilars contingent purchase price liabilities, impairment of goodwill at FMC Latin America and expenses associated with the Fresenius cost efficiency program.

8 The underlying pro forma EBIT does not include revaluations of biosimilars contingent purchase price liabilities and impairment of goodwill at FMC Latin America.

The consolidated segment reporting is an integral part of the notes.

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING SECOND QUARTER

Fre
ius
M
ed
ica
l C
Fre
ius
Ka
bi
sen
are
sen
Fre
ius
He
lios
Fre
sen
ius
Va
d
sen
me
Co
rat
rpo
e
Fre
ius
Gr
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
11
202
202
0
Gro
wth
202
1
02
202
Gro
wth
202
1
202
0
Gro
wth
202
1
202
0
Gro
wth
13
202
04
202
Gro
wth
202
1
202
0
Gro
wth
Sa
les
4,
32
0
4,
55
7
-5% 1,
755
678
1,
5% 2,
738
2,
315
18
%
6
55
47
5
17
%
-12
3
-10
5
-17
%
246
9,
8,
920
4%
the
f co
ibu
tio
ntr
n t
reo
o
ida
sol
ted
les
con
sa
4,
30
8
4,
54
7
-5% 1,
739
663
1,
5% 2,
732
2,
31
1
18
%
46
6
40
0
17
%
1 -1 200
%
246
9,
8,
920
4%
the
f in
ale
ter
reo
com
pan
y s
s
12 10 20
%
16 15 7% 6 4 50
%
90 75 20
%
-12
4
-10
4
-19
%
0 0
trib
uti
ida
sol
ted
les
to
con
on
con
sa
47
%
51
%
19
%
19
%
29
%
26
%
5% 4% 0% 0% 100
%
100
%
EB
ITD
A
826 1,
066
-23
%
40
6
39
0
4% 41
3
30
9
34
%
38 7 -- -21 -10 -11
0%
1,
662
1,
762
-6%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
39
6
41
0
-4% 108 98 10
%
115 111 4% 22 20 10
%
0 0 64
1
639 0%
EB
IT
43
0
656 -34
%
298 292 2% 298 198 %
51
16 -13 -- -21 -10 0%
-11
02
1,
1
123
1,
-9%
Ne
t in
ter
est
-69 -92 25
%
-16 -21 24
%
-45 -47 4% -1 -5 80
%
10 -2 -- -12
1
-16
7
28
%
Inc
e ta
om
xes
-77 -13
7
44
%
-59 -64 8% -54 -28 -93
%
-3 3 -20
0%
1 2 -50
%
-19
2
-22
4
14
%
Ne
t in
ttri
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
ius
SE
&C
KG
Fre
aA
sen
o.
223 35
1
-37
%
204 196 4% 193 123 57
%
11 -15 173
%
-16
0
-24
4
34
%
47
1
41
1
15
%
Op
tin
ash
flo
era
g c
w
92
1
2,
31
9
-60
%
197 43
7
-55
%
223 295 -24
%
58 28 107
%
52 3 -- 1,
45
1
3,
082
-53
%
Ca
sh
flow
be
for
isit
ion
nd
e a
cqu
s a
div
ide
nds
720 2,
103
-66
%
83 276 -70
%
70 226 -69
%
33 5 -- 46 -4 -- 952 606
2,
-63
%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
210 218 -4% 117 156 -25
%
154 69 123
%
25 24 4% 3 7 -57
%
509 474 7%
isit
ion
s /i
Ac
stm
ent
qu
s, g
ros
nve
s
79 83 -5% 0 0 41
2
13 -- 0 2 -10
0%
0 -1 100
%
49
1
97 --
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
52 50 3% 144 147 -2% 1 1 0% 0 0 -- -- -- 197 198 -1%
Key
fig
ure
s
EB
ITD
A m
in
arg
19.
1%
23
.4%
23
.1%
23
.2%
1%
15.
13.
3%
6.8
%
%
1.5
5
18.
1%
19.
8%
EB
IT
in
ma
rg
10.
0%
14.
4%
17.
0%
17.
4%
10.
9%
8.6
%
2.9
%
-2.
7%
5
11.
1%
12.
6%
cia
tio
iza
tio
De
nd
ort
pre
n a
am
n
in
%
of
sal
es
9.2
%
9.0
%
6.2
%
5.8
%
4.2
%
4.8
%
4.0
%
4.2
%
6.9
%
7.2
%
Op
tin
ash
flo
w i
of
les
n %
era
g c
sa
21
.3%
50
.9%
2%
11.
26
.0%
8.1
%
12.
7%
10.
4%
5.9
%
15.
7%
34
.6%

1 Before costs related to FME25 program

2 Before revaluations of biosimilars contingent purchase price liabilities

3 After expenses associated with the Fresenius cost efficiency program

4 After revaluations of biosimilars contingent purchase price liabilities

5 Before expenses associated with the Fresenius cost efficiency program

The consolidated segment reporting is an integral part of the notes.

TABLE OF CONTENTS NOTES

  • 42 IV. Recent pronouncements, applied 48 12. Debt 61 21. Share-based compensation plans
  • 42 V. Recent pronouncements, not yet applied 52 13. Bonds 61 22. Subsequent events
  • 43 2. Acquisitions, divestitures and investments 53 14. Convertible bonds 61 23. Corporate Governance

44 Notes on the consolidated statement of income

  • 44 3. Special items
  • 44 4. Sales
  • 45 5. Research and development expenses
  • 45 6. Taxes
  • 45 7. Earnings per share

41 General Notes 46 Notes on the consolidated statement of financial position 55 Other notes

  • 41 1. Principles 46 8. Trade accounts and other receivables 55 17. Legal and regulatory matters
  • 41 II. Basis of presentation 46 10. Other current and non-current assets 60 19. Information on capital management

  • 53 15. Noncontrolling interests

  • 54 16. Fresenius SE&Co. KGaA shareholders' equity

  • 41 I. Group structure 46 9. Inventories 57 18. Financial instruments

  • 41 III. Summary of significant accounting policies 47 11. Goodwill 60 20. Notes on the consolidated segment reporting

GENERAL NOTES

1.PRINCIPLES

I.GROUP STRUCTURE

Fresenius is a global health care group with products and services for dialysis, hospitals and outpatient medical care. In addition, the Fresenius Group focuses on hospital operations and also manages projects and provides services for hospitals and other health care facilities worldwide. Besides the activities of the parent company Fresenius SE&Co. KGaA, Bad Homburg v. d. H., Germany, the operating activities are organized amongst the following legally independent business segments as of June 30, 2021:

  • ►Fresenius Medical Care
  • ►Fresenius Kabi
  • ►Fresenius Helios
  • ►Fresenius Vamed

The reporting and functional currency of the Fresenius Group is the euro. In order to improve the clarity of presentation, amounts are generally presented in million euros. Amounts less than €1 million, after rounding, are marked with ''--''.

II.BASIS OF PRESENTATION

Fresenius SE&Co. KGaA, as a stock exchange listed company with a domicile in a member state of the European Union (EU), fulfills its obligation to prepare and publish the consolidated financial statements in accordance with the

International Financial Reporting Standards (IFRS) as adopted by the EU and applying Section 315e of the German Commercial Code (HGB).

The consolidated interim financial statements and accompanying condensed notes are prepared in accordance with the International Accounting Standard (IAS) 34. The primary financial statements are presented in the format consistent with the consolidated financial statements as of December 31, 2020. The consolidated interim financial statements have been prepared in accordance with the Standards and interpretations in effect on the reporting date, and endorsed in the EU, as issued by the International Accounting Standards Board (IASB) and the IFRS Interpretations Committee (IFRS IC).

The interim financial statements have been prepared in accordance with the same general accounting policies applied in the preparation of the consolidated financial statements as of December 31, 2020.

III. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of consolidation

The condensed consolidated financial statements and interim management report for the first half and the second quarter ended June 30, 2021 have been reviewed by our auditor PricewaterhouseCoopers GmbH Wirtschaftsprüfungsgesellschaft, Frankfurt am Main, and should be read in conjunction with the notes included and published in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS as adopted by the EU.

Except for the reported acquisitions (see note 2, Acquisitions, divestitures and investments), there have been no other material changes in the Fresenius Group's consolidation structure.

The consolidated financial statements for the first half and the second quarter ended June 30, 2021 include all adjustments that, in the opinion of the Management Board, are of a normal and recurring nature and are necessary to provide a fair presentation of the assets and liabilities, financial position and results of operations of the Fresenius Group.

The results of operations for the first half and the second quarter ended June 30, 2021 are not necessarily indicative of the results of operations for the fiscal year 2021.

Classifications

Comparative information for certain items have been reclassified to conform with current year's presentation.

In the business segment Fresenius Medical Care, in the consolidated statement of income, selling, general and administrative expenses related to the amortization of acquired technology and other costs in the amount of €42 million for the first half ended June 30, 2020 have been reclassified to cost of sales.

Furthermore, in the business segment Fresenius Medical Care, in the consolidated statement of income, gain related to divestitures of Care Coordination activities in the amount of €29 million for the first half ended June 30, 2020, which was previously presented separately, has been included within selling, general and administrative expenses.

Government grants and impacts of COVID-19 pandemic

In the first half of 2021, the Fresenius Group received reimbursement payments and funding from various governments due to the COVID-19 pandemic. They have been accounted for in accordance with terms and regulations set forth in by the local laws and regulations.

The developments of the most significant programs in the first half of 2021 which have impacted the Fresenius Group's business are in Germany and the United States as follows:

The hospitals of the Fresenius Group in Germany have also in the first half of 2021 received reimbursements and grants under the revised COVID-19 Hospital Relief Act (''Gesetz zum Ausgleich COVID-19 bedingter finanzieller Belastungen der Krankenhäuser und weiterer Gesundheitseinrichtungen''). Since January 1, 2021, the compensation received for reserved beds is based on incidence values and is also linked to the sales in 2019.

In the first half of 2021, the German hospitals of the Fresenius Group received total reimbursements and grants of €388 million (H1 / 2020: €300 million), of which €365 million were recorded in sales and €23 million as grants in other operating income, respectively.

The remaining amount of U.S. government relief funding which Fresenius Medical Care North America received in the United States under the Coronavirus Aid, Relief, and Economic Security Act of 2020 (CARES Act) recorded in deferred income was US\$7 million (€6 million) and US\$22 million (€18 million) at June 30, 2021 and December 31, 2020, respectively. In 2020, the Fresenius Group also recorded a contract liability for advance payments received

under the CMS Accelerated and Advance Payment program within short-term provisions and other short-term liabilities and long-term provisions and other long-term liabilities. Contract liabilities related to the CMS Accelerated and Advance Payment program were US\$854 million (€719 million) and US\$1,046 million (€852 million) as of June 30, 2021 and December 31, 2020, respectively.

In addition to the programs above, the Fresenius Group also received grants and other reimbursements in the first half of 2021 under various other programs from multiple governments around the world in the amount of €32 million (H1 / 2020: €17 million). In Spain, the agreements made in 2020 with public and private payers were further clarified in the first half of 2021.

Use of estimates

The preparation of consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of income and expenses during the reporting period. Actual results could differ from those estimates.

IV.RECENT PRONOUNCEMENTS, APPLIED

The Fresenius Group has prepared its consolidated financial statements at and for the six months ended June 30, 2021 in conformity with IFRS, as adopted by the EU, that must be applied for the interim periods starting on or after January 1, 2021.

For the first half of 2021, there were no recently implemented accounting pronouncements that had a material effect on the Fresenius Group's consolidated financial statements.

V.RECENT PRONOUNCEMENTS, NOT YET APPLIED

The IASB issued the following new standards relevant for the Fresenius Group's business:

In January 2020, the IASB issued Amendments to IAS 1, Classification of Liabilities as Current and Noncurrent. The amendments clarify under which circumstances debt and other liabilities with an uncertain settlement date should be classified as current or non-current. Among others, the amendments state that liabilities shall be classified depending on rights that exist at the end of the reporting period and define under which conditions liabilities might be settled by cash, other economic resources or equity. On July 15, 2020, the IASB deferred the effective date by one year to provide companies with more time to implement any classification changes resulting from the amendments. The amendments to IAS 1 are now effective for fiscal years beginning on or after January 1, 2023. Earlier adoption is permitted. The Fresenius Group is currently evaluating the impact of the amendments to IAS 1 on the consolidated financial statements.

In May 2017, the IASB issued IFRS 17, Insurance Contracts. IFRS 17 establishes principles for the recognition, measurement, presentation and disclosure related to the issuance of insurance contracts. IFRS 17 replaces IFRS 4, Insurance Contracts, which was brought in as an interim

standard in 2004. IFRS 4 permitted the use of national accounting standards for the accounting of insurance contracts under IFRS. As a result of the varied application for insurance contracts, there was a lack of comparability among peer groups. IFRS 17 eliminates this diversity in practice by requiring all insurance contracts to be accounted for using current values. The frequent updates to the insurance values are expected to provide more useful information to users of financial statements. On June 25, 2020, the IASB issued amendments to IFRS 17, which among others, defer the effective date to fiscal years beginning on or after January 1, 2023. Earlier adoption is permitted for entities that have also adopted IFRS 9, Financial Instruments, and IFRS 15, Revenue from Contracts with Customers. The Fresenius Group is currently evaluating the impact of IFRS 17 on the consolidated financial statements.

The EU Commission's endorsements of IFRS 17 and of the amendments to IAS 1 are still outstanding.

In the Fresenius Group's view, there are no other IFRS standards or interpretations not yet effective that would be expected to have a material impact on the consolidated financial statements.

2. ACQUISITIONS, DIVESTITURES AND INVESTMENTS

The Fresenius Group made acquisitions, investments and purchases of intangible assets of €640 million and €509 million in the first half of 2021 and 2020, respectively. Of this amount, €617 million was paid in cash and €23 million was assumed obligations in the first half of 2021.

FRESENIUS MEDICAL CARE

In the first half of 2021, Fresenius Medical Care spent €210 million (H1/ 2020: €149 million) on acquisitions, mainly on the purchase of dialysis clinics.

FRESENIUS KABI

In the first half of 2021, Fresenius Kabi spent €1 million (H1/ 2020: €12 million) on acquisitions, mainly for already planned acquisition related milestone payments relating to the acquisition of the biosimilars business.

FRESENIUS HELIOS

In the first half of 2021, Fresenius Helios spent €429 million (H1/ 2020: €342 million) on acquisitions, mainly for the purchase of the Eugin Group. Furthermore, subsequent purchase price payments for the Malteser hospital in Duisburg, Germany were made.

Acquisition of the Eugin Group

On April 14, 2021, Fresenius Helios has finalized the complete acquisition of Luarmia S.L., Spain, holding company of all worldwide activities of the Eugin group, and of NMC Eugin US Corporation from NMC Health (together the Eugin Group), one of the leading international fertility groups. The purchase price is based on a valuation of €430 million. It includes acquired noncontrolling interests and debt of approximately €80 million. The noncontrolling interests are held by the respective senior doctors. The Eugin Group has been consolidated as of April 1, 2021.

Eugin Group's network comprises 31 clinics and additional 34 sites across 9 countries on 3 continents. With about 1,300 employees, the company offers a wide spectrum of state-of-the-art services in the field of fertility treatments. With the acquisition of the Eugin Group, Fresenius Helios becomes a leading player in the dynamically growing market for fertility services and establishes a strong basis for further expansion.

The acquisition was financed through available cash and credit facilities. The purchase price was paid in cash.

The transaction was accounted for as a business combination whereby assets and liabilities and noncontrolling interests are recognized at their fair values. The allocation of the purchase price is based upon the best information available to management at present.

Due to the relatively short time frame between closing of the acquisition and the date of the statement of financial position, certain information may be incomplete. Based on a preliminary purchase price allocation, intangible assets in the amount of €42 million and a goodwill of €340 million which is not deductible for tax purposes were recorded for the initial statement of financial position of the Eugin Group. Any adjustments to acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill. Goodwill mainly represents the market position of the acquired fertility hospitals and employee know-how.

As of January 1, 2022, the Eugin Group will form a new and separate Fresenius Helios business and reporting unit, Helios Fertility, alongside Helios Germany and Helios Spain.

In the first half of 2021, the Eugin Group has contributed €42 million to sales and €5 million to the operating income (EBIT) of the Fresenius Group since April 1, 2021.

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

3.SPECIAL ITEMS

Net income attributable to shareholders of Fresenius SE&Co. KGaA for the first half of 2021 in the amount of €906 million includes special items relating to the Fresenius cost efficiency program (inclusive of FME25 program).

The special items had the following impact on the consolidated statement of income of the first half of 2021:

€ i
illio
n m
ns
EBI
T
Inte
rest
exp
ens
es
Net
inc
om
e
ibut
able
attr
to
sha
reh
olde
rs
of F
nius
rese
SE&
Co.
KG
aA
rni
Ea
s H
1/2
021
ng
,
bef
eci
al
ite
ore
sp
ms
2,
039
-25
8
910
iate
ith
Ex
d w
the
pen
ses
as
soc
Fre
ius
ffic
ien
st e
sen
co
cy
pro
gra
m
(in
siv
f F
clu
ME
25
m)
e o
pro
gra
-12 0 -4
rni
rdi
Ea
s H
1/2
02
1 a
ng
cco
ng
IFR
S
to
2,
027
-25
8
906

4.SALES

Sales by activity were as follows:

H1
/20
21
€ i
illio
n m
ns
Fre
ius
sen
Med
ical
Ca
re
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Vam
ed
Cor
ate
por
Fre
ius
sen
Gro
up
Sa
les
fro
ith
ont
ts w
tom
m c
rac
cus
ers
8,
256
3,
48
0
5,
36
9
86
1
1 17,
967
the
f sa
les
of
rvi
reo
se
ces
6,
539
30 5,
363
615 1 12,
54
8
the
f sa
les
of
od
nd
rel
d s
ice
uct
ate
reo
pr
s a
erv
s
1,
717
3,
44
7
0 0 0 5,
164
the
f sa
les
fro
lon
du
ctio
ter
ont
ts
reo
m

m
pro
n c
rac
0 0 0 246 0 246
the
f fu
rth
sal
fro
ith
ont
ts w
tom
reo
er
es
m c
rac
cus
ers
0 3 6 0 0 9
Oth
sal
er
es
25
1
4 6 2 0 263
Sa
les
8,
50
7
3,
484
5,
375
863 1 18,
23
0

Net income attributable to shareholders of Fresenius SE&Co. KGaA for the first half of 2020 in the amount of €870 million included special items relating to the revaluation of biosimilars contingent purchase price liabilities.

The special items had the following impact on the consolidated statement of income of the first half of 2020:

€ i
illio
n m
ns
EBI
T
Inte
rest
exp
ens
es
Net
inc
om
e
ibut
able
attr
to
sha
reh
olde
rs
of F
nius
rese
SE&
Co.
KG
aA
rni
Ea
s H
1/2
020
ng
,
bef
eci
al
ite
ore
sp
ms
2,
24
8
-34
1
875
Rev
alu
ati
of
bi
osi
mi
lars
ons
tin
rch
ice
nt
con
ge
pu
ase
pr
liab
ilit
ies
0 -8 -5
Ea
rni
s H
1/2
020
din
ng
ac
cor
g
S
IFR
to
2,
24
8
-34
9
870
H1
/20
20
€ i
illio
n m
ns
Fre
ius
sen
Med
ical
Ca
re
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Vam
ed
Cor
ate
por
Fre
ius
sen
Gro
up
Sa
les
fro
ith
ont
ts w
tom
m c
rac
cus
ers
8,
815
3,
43
6
4,
766
82
1
-- 17,
838
f sa
of
rvi
the
les
reo
se
ces
7,
05
1
33 765
4,
555 -- 12,
404
the
f sa
les
of
od
nd
rel
d s
ice
uct
ate
reo
pr
s a
erv
s
1,
764
3,
393
0 0 0 5,
157
the
f sa
les
fro
lon
du
ctio
ter
ont
ts
reo
m

m
pro
n c
rac
0 0 0 266 0 266
the
f fu
rth
sal
fro
ith
ont
ts w
tom
reo
er
es
m c
rac
cus
ers
0 10 1 0 0 11
Oth
sal
er
es
209 2 6 0 0 217
Sa
les
9,
024
3,
43
8
4,
772
82
1
-- 18,
055

Other sales include sales from insurance and lease contracts.

5.RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €383 million (H1/ 2020: €384 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €10 million (H1/ 2020: €10 million). Furthermore, research and development expenses included reversals of write-downs on capitalized development expenses of €4 million and impairments of €10 million. These related to in-process R&D of product approval projects, which were acquired through the acquisition of Fresenius Kabi USA, Inc. The expenses for the further development of the biosimilars business included in the research and development expenses amounted to €73 million in the first half of 2021 (H1/ 2020: €88 million).

6.TAXES

During the first half of 2021, there were no material changes relating to accruals for income taxes as well as recognized and accrued payments for interest and penalties. Further information can be found in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

7.EARNINGS PER SHARE

The following table shows the earnings per share including and excluding the dilutive effect from stock options issued:

H1
/ 2
021
H1 /
202
0
Nu
€ i
illi
rat
me
ors
n m
on
s
,
Ne
t in
ttri
but
ab
le t
com
e a
o
sha
reh
old
of
ers
Fre
ius
SE
&C
KG
aA
sen
o.
906 870
les
ffe
ct f
di
lut
ion
du
e to
s e
rom
Fre
ius
M
ed
ica
l C
sh
sen
are
are
s
-- --
Inc
vai
lab
le t
om
e a
o
all
ord
ina
sha
ry
res
906 870
De
mi
in
mb
of
sha
nat
no
ors
nu
er
res
We
ig
hte
d­a
mb
of
ver
age
nu
er
ord
ina
sha
nd
ing
tsta
ry
res
ou
55
7,
656
126
,
55
7,
41
3,
756
Pot
iall
dil
utiv
ent
y
e
ord
ina
sha
ry
res
162
717
,
38
6,
809
We
ig
hte
d­a
mb
of
ord
ina
ver
age
nu
er
ry
sha
nd
ing
ing
di
lut
ion
tsta
res
ou
as
sum
55
7,
818
843
,
55
7,
800
565
,
Ba
sic
rni
sha
in €
ea
ng
s p
er
re
1.6
2
1.5
6
dil
ing
in €
Fu
lly
d e
sha
ute
arn
s p
er
re
1.6
2
1.5
6

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

8.TRADE ACCOUNTS AND OTHER RECEIVABLES

As of June 30, 2021 and December 31, 2020, trade accounts and other receivables were as follows:

Jun
e 3
0,
202
1
De
ber
31
202
0
cem
,
€ i
illio
n m
ns
the
reof
dit
cre
imp
aire
d
the
reof
dit
cre
imp
aire
d
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
7,
79
1
704 7,
33
8
674
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
42
2
32
8
40
1
314
cei
Tra
de
d o
the
ble
nts
et
acc
ou
an
r re
va
s, n
7,
36
9
37
6
6,
937
36
0

Within trade accounts and other receivables (before allowances) as of June 30, 2021, €7,686 million (December 31, 2020: €7,248 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €421 million (December 31, 2020: €400 million) of allowances for expected credit losses. Further trade accounts and other receivables, net, relate to other sales.

9. INVENTORIES

As of June 30, 2021 and December 31, 2020, inventories consisted of the following:

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
. 31
, 20
20
Raw
ria
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
957 913
Wo
rk
in
pro
ces
s
42
1
363
Fin
ish
ed
ds
goo
2,
946
2,
796
les
s r
ese
rve
s
127 127
ori
Inv
ent
t
es,
ne
4,
197
3,
945

10.OTHER CURRENT AND NON-CURRENT ASSETS

At equity investments as of June 30, 2021 in the amount of €712 million (December 31, 2020: €764 million) mainly related to the equity method investee of Fresenius Medical Care named Vifor Fresenius Medical Care Renal Pharma Ltd. In the first half of 2021, income of €50 million (H1/ 2020: €24 million) resulting from this equity investment was included in selling, general and administrative expenses in the consolidated statement of income.

11.GOODWILL

The carrying amount of goodwill has developed as follows:

€ i
illio
n m
ns
Fre
ius
sen
Med
ical
Ca
re
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Vam
ed
Cor
ate
por
Fre
ius
sen
Gro
up
ing
Ca
of
Jan
1,
202
0
nt
rry
am
ou
as
ua
ry
14,
017
5,
43
1
7,
98
8
295 6 27,
737
Ad
dit
ion
s
254 0 290 4 0 8
54
Dis
als
pos
0 -- 0 -- 0 --
irm
Im
lo
ent
pa
ss
-19
5
0 0 0 0 -19
5
For
eig
nsl
ati
tra
n c
urr
enc
on
y
-1,
117
-37
3
0 -1 0 -1,
49
1
ing
Ca
of
De
be
r 3
1,
202
0
nt
rry
am
ou
as
cem
12,
959
5,
058
8,
27
8
298 6 26,
59
9
Ad
dit
ion
s
170 0 414 0 0 584
For
eig
nsl
atio
tra
n c
urr
enc
y
n
36
7
124 0 1 0 49
2
Ca
ing
of
Jun
e 3
0,
202
1
nt
rry
am
ou
as
13,
49
6
182
5,
8,
692
299 6 27,
675

The increase of goodwill mainly relates to foreign currency translation and the acquisition of the Eugin Group in the segment Fresenius Helios.

12.DEBT

SHORT-TERM DEBT

As of June 30, 2021 and December 31, 2020, short-term debt consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
815 30
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
Co
ial
Pap
sen
are
o.
mm
erc
er
775 20
Oth
sho
de
bt
rt­t
er
erm
148
1,
195
Sh
de
bt
ort
-te
rm
2,
738
245

LONG-TERM DEBT

As of June 30, 2021 and December 31, 2020, long-term debt net of debt issuance costs consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
M
ed
ica
l C
Cr
ed
it A
ent
sen
are
gre
em
0 1,
162
Fre
ius
Cr
ed
it A
ent
sen
gre
em
0 1,
793
Sch
ein
uld
sch
Lo
ans
768
1,
1,
793
Ac
Re
cei
vab
le F
aci
lity
of
Fr
niu
s M
ed
ica
l C
nts
cou
ese
are
0 0
Oth
er
825 6
40
Su
bto
tal
2,
593
5,
154
les
rtio
ent
s c
urr
po
n
45
8
1,
132
Lo
de
bt,
le
rtio
-te
nt
ng
rm
ss
cu
rre
po
n
2,
135
022
4,

Fresenius Medical Care Credit Agreement

On July 1, 2021, Fresenius Medical Care AG&Co. KGaA (FMC-AG &Co. KGaA) entered into a new syndicated revolving credit facility of €2,000 million with a group of 34 core relationship banks (FMC Syndicated Credit Facility). It has a term of five years plus two one-year extension options and can be drawn in different currencies. The new credit facility replaces the US\$900 million and €600 million

revolving credit facilities (Fresenius Medical Care Credit Agreement), initially signed in 2012 and amended from time to time, and will serve as a backup line for general corporate purposes. Additionally, a sustainability component has been embedded in the credit facility. Based on this structure, the credit facility's margin may rise or fall depending on the company's sustainability performance.

The following tables show the available and outstanding amounts under the Fresenius Medical Care Credit Agreement at June 30, 2021 and at December 31, 2020:

Jun
e 3
0,
202
1
Ma
xim
ilab
le
nt
um
am
ou
ava
din
Ba
lan
tst
ce
ou
an
g
€ in
mi
llion
s
€ in
mi
llio
ns
\$
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
US
) 2
017
/20
22
\$
US
900
illio
m
n
757 \$
US
0 m
illi
on
0
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
€)
20
17
/20
22
€6
00
mi
llio
n
600 €0
illi
m
on
0
To
tal
1,
35
7
0
les
s fi
cin
ost
nan
g c
0
To
tal
0
De
ber
31
202
0
cem
,
Ma
xim
um
am
ou
ilab
le
nt
ava
din
tst
an
g
€ in
mi
llion
s
€ in
mi
llio
ns
\$
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
US
) 2
017
/20
22
\$
US
900
illio
m
n
734 \$
US
0 m
illi
on
0
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
€)
20
17
/20
22
€6
00
mi
llio
n
600 illi
€0
m
on
0
\$
Te
Lo
(in
US
) 2
017
/20
22
rm
an
\$
US
110
illio
1,
m
n
904 \$
US
110
illi
1,
m
on
904
Te
Lo
(in
€)
20
17
/20
22
rm
an
€2
59
mi
llio
n
259 mi
llio
€2
59
n
25
9
To
tal
2,
49
7
163
1,
les
s fi
cin
ost
nan
g c
1
To
tal
162
1,

The U.S. dollar denominated loan and the euro denominated loan of the Fresenius Medical Care Credit Agreement were prematurely redeemed at May 20, 2021.

As of June 30, 2021, FMC-AG&Co. KGaA and its subsidiaries were in compliance with all covenants under the Fresenius Medical Care Credit Agreement.

Fresenius Credit Agreement

On July 1, 2021, Fresenius SE&Co. KGaA entered into a new syndicated revolving credit facility of €2,000 million with a group of 29 core relationship banks (FSE Syndicated Credit Facility). It has a maturity of five years with two oneyear extension options and can be drawn in various currencies. The new credit facility replaces the €1,100 million and US\$500 million revolving credit facilities (Fresenius Credit

Agreement), originally entered into in 2012 and amended from time to time, and will serve as a backup line for general corporate purposes. Emphasizing Fresenius' commitment to embed sustainability in all aspects of its business, a sustainability component has been embedded in the credit facility. Correspondingly, the credit facility's margin can be adjusted up or down according to changes in Fresenius' sustainability performance.

The following tables show the available and outstanding amounts under the Fresenius Credit Agreement at June 30, 2021 and at December 31, 2020:

Jun
e 3
0,
202
1
Ma
xim
ilab
le
nt
um
am
ou
ava
Ba
lan
tst
ce
ou
din
an
g
€ in
mi
llion
s
€ in
mi
llio
ns
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
€)
20
17
/20
22
€1
100
illio
m
n
,
1,
100
illi
€0
m
on
0
\$
ing
Cr
it F
aci
lity
(in
US
Rev
olv
ed
) 2
017
/20
22
\$
US
illio
500
m
n
42
1
\$
US
illi
0 m
on
0
To
tal
1,
52
1
0
les
s fi
cin
ost
nan
g c
0
To
tal
0
De
ber
31
202
0
cem
,
Ma
xim
um
am
ou
ilab
le
nt
ava
Ba
lan
tst
ce
ou
din
an
g
€ in
mi
llion
s
€ in
mi
llio
ns
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
€)
20
/20
22
17
€1
100
illio
m
n
,
100
1,
€0
illi
m
on
0
\$
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
US
) 2
017
/20
22
\$
US
500
illio
m
n
40
7
\$
US
0 m
illi
on
0
(in
Te
Lo
€)
20
17
/20
21
rm
an
mi
llio
€7
50
n
750 mi
llio
€7
50
n
750
Te
Lo
(in
€)
20
17
/20
22
rm
an
€6
75
mi
llio
n
675 €6
75
mi
llio
n
675
\$
Te
Lo
(in
US
) 2
017
/20
22
rm
an
\$
US
45
5 m
illio
n
37
1
\$
illi
US
45
5 m
on
37
1
To
tal
3,
303
796
1,
les
s fi
cin
ost
nan
g c
3
To
tal
1,
793

The U.S. dollar denominated loan was prematurely redeemed at March 29, 2021 and refinanced through bilateral loans with a maturity of up to three years.

The euro denominated loans were prematurely redeemed at April 1, 2021 through the issuance proceeds of bonds (see note 13, Bonds).

As of June 30, 2021, the Fresenius Group was in compliance with all covenants under the Fresenius Credit Agreement.

Schuldschein Loans

As of June 30, 2021 and December 31, 2020, Schuldschein Loans of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
€ i
n m
val
ue
illio
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
fixe
d/
riab
le
va
Jun
e 30
, 20
21
Dec
. 31
, 20
20
Fre
ius
SE
&C
KG
aA
20
17
/20
22
sen
o.
€3
72
mi
llio
n
Jan
. 31
202
2
,
0.9
3%
/ v
ari
ab
le
372 372
Fre
ius
SE
&C
KG
aA
20
15
/20
22
sen
o.
€2
1 m
illio
n
Ap
ril
7,
202
2
1.6
1%
21 21
Fre
ius
SE
&C
KG
aA
20
19
/20
23
sen
o.
€3
78
mi
llio
n
Se
t. 2
202
3
5,
p
0.5
5%
/ v
ari
ab
le
37
8
37
7
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€4
21
mi
llio
n
Jan
. 31
202
4
,
1.4
0%
/ v
ari
ab
le
42
0
42
0
ius
SE
&C
KG
26
Fre
aA
20
19
/20
sen
o.
mi
llio
€2
38
n
Se
6
t. 2
3,
202
p
ari
0.8
5%
/ v
ab
le
238 238
Fre
ius
SE
&C
KG
aA
20
17
/20
27
sen
o.
€2
07
mi
llio
n
Jan
. 29
202
7
,
1.9
6%
/ v
ari
ab
le
206 207
ius
SE
&C
KG
Fre
aA
20
19
/20
29
sen
o.
illio
€8
4 m
n
Se
t. 2
4,
202
9
p
1.1
0%
84 84
Fre
ius
US
Fi
II,
Inc
. 20
16
/20
21
sen
nan
ce
\$
US
33
mi
llio
n
Ma
rch
10
202
1
,
2.6
6%
0 27
Fre
ius
US
Fi
II,
Inc
. 20
16
/20
23
sen
nan
ce
\$
US
58
mi
llio
n
Ma
rch
10
202
3
,
3.1
2%
/ v
ari
ab
le
49 47
Sc
in
hu
lds
che
Loa
ns
768
1,
1,
793

CREDIT LINES

In addition to the financial liabilities described before, the Fresenius Group maintains additional credit facilities which have not been utilized, or have only been utilized in part, as of the reporting date. At June 30, 2021, the additional financial cushion resulting from unutilized credit facilities was approximately €4.0 billion. Syndicated credit facilities accounted for €2.9 billion. On July 1, 2021, the Syndicated Credit Facilities, which refinanced the Fresenius Medical Care Credit Agreement and the Fresenius Credit Agreement, accounted for €4.0 billion of unutilized credit facilities.

As of June 30, 2021, the Schuldschein Loans of Fresenius SE&Co. KGaA in the amount of €372 million due on January 31, 2022 and in the amount of €21 million due on April 7, 2022, are shown as current portion of long-term debt in the consolidated statement of financial position.

As of June 30, 2021, the Fresenius Group was in compliance with all of its covenants under the Schuldschein Loans.

13.BONDS

As of June 30, 2021 and December 31, 2020, bonds of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
val
€ i
illio
n m
ue
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
ius
Fi
LC
Fre
Ire
lan
d P
20
17
/20
22
sen
nan
ce
mi
llio
€7
00
n
Jan
. 31
202
2
,
0.8
75
%
699 699
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
24
sen
nan
ce
€7
00
mi
llio
n
Jan
. 30
202
4
,
1.5
0%
698 698
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
025
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
5
,
0.0
0%
49
7
0
Fre
ius
Fi
Ire
lan
d P
LC
20
/20
27
17
sen
nan
ce
€7
00
mi
llio
n
Feb
20
27
. 1,
2.1
25
%
695 694
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
028
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
8
,
0.5
0%
49
7
0
ius
Fi
LC
Fre
Ire
lan
d P
202
1/2
03
1
sen
nan
ce
mi
llio
€5
00
n
Oc
t. 1
203
1
,
0.8
75
%
49
5
0
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
32
sen
nan
ce
€5
00
mi
llio
n
Jan
. 30
203
2
,
3.0
0%
49
5
49
5
Fre
ius
SE
&C
KG
aA
20
14
/20
21
sen
o.
€4
50
mi
llio
n
Feb
. 1,
20
21
3.0
0%
0 45
0
Fre
ius
SE
&C
KG
aA
20
/20
24
14
sen
o.
€4
50
mi
llio
n
Feb
20
24
. 1,
4.0
0%
9
44
0
45
Fre
ius
SE
&C
KG
aA
20
19
/20
25
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
5
,
1.8
75
%
49
6
49
6
Fre
ius
SE
&C
KG
aA
20
20
/20
26
sen
o.
€5
00
mi
llio
n
Se
28,
20
26
p.
0.3
75
%
49
5
49
5
Fre
ius
SE
&C
KG
aA
20
20
/20
27
sen
o.
€7
50
mi
llio
n
Oc
t. 8
202
7
,
1.6
25
%
74
1
740
ius
SE
&C
KG
Fre
aA
20
20
/20
28
sen
o.
mi
llio
€7
50
n
Jan
. 15
202
8
,
0.7
50
%
744 744
Fre
ius
SE
&C
KG
aA
20
19
/20
29
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
9
,
2.8
75
%
49
5
49
5
Fre
ius
SE
&C
KG
aA
20
20
/20
33
sen
o.
€5
00
mi
llio
n
Jan
. 28
203
3
,
1.1
25
%
49
7
49
7
Fre
ius
US
Fi
II,
Inc
. 20
/20
21
14
sen
nan
ce
\$
US
30
0 m
illio
n
Feb
20
21
. 1,
4.2
5%
0 244
Fre
ius
US
Fi
II,
Inc
. 20
15
/20
23
sen
nan
ce
\$
US
30
0 m
illio
n
Jan
. 15
202
3
,
4.5
0%
252 243
C F
ina
I S
FM
VI
.A.
20
11
/20
21
nce
mi
llio
€3
00
n
Feb
. 15
202
1
,
5.2
5%
0 299
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
23
sen
are
o.
€6
50
mi
llio
n
No
v. 2
9,
202
3
0.2
5%
648 648
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
18
/20
25
sen
are
o.
€5
00
mi
llio
n
Jul
11,
20
25
y
1.5
0%
49
7
49
7
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
0/2
026
sen
are
o.
€5
00
mi
llio
n
Ma
29,
20
26
y
1.0
0%
49
6
49
6
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
26
sen
are
o.
€6
00
mi
llio
n
No
v. 3
0,
202
6
0.6
25
%
595 594
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
29
sen
are
o.
€5
00
mi
llio
n
No
v. 2
9,
202
9
1.2
5%
49
7
49
7
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
0/2
030
sen
are
o.
€7
50
mi
llio
n
Ma
29,
20
30
y
1.5
0%
745 745
ius
ica
l C
US
Fi
Fre
M
ed
In
c. 2
01
1/2
02
1
sen
are
nan
ce,
\$
US
650
illio
m
n
Feb
. 15
202
1
,
5.7
5%
0 529
Fre
ius
M
ed
ica
l C
US
Fi
II,
Inc
. 20
12
/20
22
sen
are
nan
ce
\$
US
700
illio
m
n
Jan
. 31
202
2
,
5.8
75
%
589 57
0
Fre
ius
M
ed
ica
l C
US
Fi
II,
Inc
. 20
14
/20
24
sen
are
nan
ce
\$
US
40
0 m
illio
n
Oc
t. 1
5,
202
4
4.7
5%
335 325
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
019
/20
29
sen
are
nan
ce
\$
US
50
0 m
illio
n
Jun
202
9
e 1
5,
3.7
5%
414 40
0
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
020
/20
31
sen
are
nan
ce
\$
US
1,
000
illio
m
n
Feb
. 16
203
1
,
2.3
75
%
834 807
ius
ica
l C
US
Fi
026
Fre
M
ed
III,
In
c. 2
02
1/2
sen
are
nan
ce
\$
US
illio
850
m
n
6
De
c. 1
202
,
1.8
75
%
709 0
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
02
1/2
03
1
sen
are
nan
ce
\$
US
650
illio
m
n
De
c. 1
203
1
,
3.0
0%
54
0
0
Bo
nd
s
15,
144
13,
847

On May 18, 2021, Fresenius Medical Care US Finance III, Inc. placed bonds with an aggregate volume of US\$1,500 million. The bonds consist of two tranches with maturities of five years and seven months and ten years and seven months.

On April 1, 2021, Fresenius Finance Ireland PLC placed bonds with an aggregate volume of €1,500 million. The bonds consist of three tranches with maturities of four and a half, seven and a half and ten and a half years.

As of June 30, 2021, the Fresenius Group was in compliance with all of its covenants under the bonds.

14.CONVERTIBLE BONDS

As of June 30, 2021 and December 31, 2020, the convertible bonds of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
€ i
n m
val
ue
illio
ns
Not
iona
l am
t
oun
Mat
urit
y
Cou
pon
Cur
t
ren
ion
pric
con
vers
e
Jun
e 30
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€5
00
mi
llio
n
Jan
. 31
202
4
,
0.0
00
%
€1
05
.26
03
47
8
474
Co
rtib
le b
ds
nve
on
47
8
474

The fair value of the derivative embedded in the convertible bonds of Fresenius SE&Co. KGaA was €692 thousand and €117 thousand at June 30, 2021 and December 31, 2020, respectively. Fresenius SE&Co. KGaA purchased stock options (call options) with a corresponding fair value to hedge future fair value fluctuations of this derivative.

Potential conversions are always cash-settled. Any increase of Fresenius' share price above the conversion price would be offset by a corresponding value increase of the call options.

15.NONCONTROLLING INTERESTS

As of June 30, 2021 and December 31, 2020, noncontrolling interests in the Fresenius Group were as follows:

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
. 31
, 20
20
olli
int
in
No
ntr
sts
nco
ng
ere
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
sen
are
o.
7,
885
7,
600
olli
int
No
ntr
sts
nco
ng
ere
in V
AM
ED
Ak
tie
sel
lsc
haf
t
nge
90 91
olli
int
No
ntr
sts
nco
ng
ere
in t
he
bus
ine
nts
ss
seg
me
ius
ica
l C
Fre
M
ed
sen
are
1,
180
116
1,
Fre
ius
Ka
bi
sen
137 129
ius
lios
Fre
He
sen
123 122
Fre
ius
Va
d
sen
me
17 16
ing
in
To
tal
oll
ntr
ter
est
no
nco
s
9,
43
2
9,
074

Noncontrolling interests changed as follows:

€ i
illio
n m
ns
H1
/ 2
021
ing
in
No
oll
f D
mb
31,
20
20
ntr
ter
est
nco
s a
s o
ece
er
9,
074
olli
int
in
ofit
No
ntr
sts
nco
ng
ere
pr
47
3
Pu
rch
of
oll
ing
in
ntr
ter
est
ase
no
nco
s
33
Sto
tio
ck
op
ns
3
Div
ide
nd
nts
pay
me
-42
5
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
274
No
oll
ing
in
f Ju
30,
20
21
ntr
ter
est
nco
s a
s o
ne
9,
43
2

Fresenius

1st Half and 2nd Quarter 2021 Quarterly Financial Report

16. FRESENIUS SE&CO. KGAA SHAREHOLDERS' EQUITY

SUBSCRIBED CAPITAL

As of January 1, 2021, the subscribed capital of Fresenius SE&Co. KGaA consisted of 557,540,909 bearer ordinary shares.

During the first half of 2021, 499,614 stock options were exercised. Consequently, as of June 30, 2021, the subscribed capital of Fresenius SE&Co. KGaA consisted of 558,040,523 bearer ordinary shares. The shares are issued as non-par value shares. The proportionate amount of the subscribed capital is €1.00 per share.

CONDITIONAL CAPITAL

In order to fulfill the subscription rights under the current stock option plan 2013 of Fresenius SE&Co. KGaA, Conditional Capital IV exists (see note 21, Share-based compensation plans). Another Conditional Capital III exists for the authorization to issue option bearer bonds and / or convertible bonds.

The following table shows the development of the Conditional Capital:

in € ina
Ord
ry sha
res
Co
nd
itio
nal
Ca
ital
I F
ius
AG
p
res
en
Sto
Op
tio
ire
ck
n P
lan
20
03
(ex
d)
p
4,
735
083
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
Op
tio
ire
ck
n P
lan
20
08
(ex
d)
p
3,
45
2,
937
Co
nd
itio
nal
Ca
ital
III
tio
n b
bo
nds
p
op
ear
er
rtib
and
/or
le b
ds
co
nve
on
48
97
1,
202
,
Co
nd
itio
nal
Ca
ital
IV
Fr
niu
s S
E&
Co
. K
Ga
A
p
ese
Sto
Op
tio
ck
n P
lan
20
13
23,
786
09
1
,
To
tal
Co
nd
itio
l C
ita
l as
of
Ja
1,
202
1
na
ap
nu
ary
80,
945
313
,
ius
SE
&C
KG
Fre
aA
sen
o.
Sto
ck
Op
tio
n P
lan
20
13
tio
rcis
ed
-- o
p
ns
exe
-49
9,
614
Co
itio
l C
ita
of
To
tal
nd
l as
Ju
30,
20
21
na
ap
ne
699
80,
445
,

As of June 30, 2021, the Conditional Capital was composed as follows:

in € Ord
ina
ry sha
res
Co
nd
itio
nal
Ca
ital
I F
ius
AG
p
res
en
Sto
ck
Op
tio
n P
lan
20
03
(ex
ire
d)
p
735
083
4,
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
Op
tio
ire
ck
n P
lan
20
08
(ex
d)
p
3,
2,
937
45
Co
nd
itio
nal
Ca
ital
III
tio
n b
bo
nds
p
op
ear
er
and
/or
rtib
le b
ds
co
nve
on
48
97
202
1,
,
Co
nd
itio
nal
Ca
ital
IV
Fr
niu
s S
E&
Co
. K
Ga
A
p
ese
Sto
ck
Op
tio
n P
lan
20
13
23,
286
47
7
,
itio
ita
To
tal
Co
nd
l C
l as
of
Ju
30,
20
21
na
ap
ne
80,
445
699
,

DIVIDENDS

Under the German Stock Corporation Act (AktG), the amount of dividends available for distribution to shareholders is based upon the unconsolidated retained earnings of Fresenius SE&Co. KGaA as reported in its statement of financial position determined in accordance with the German Commercial Code (HGB).

In May 2021, a dividend of €0.88 per bearer ordinary share was approved by Fresenius SE&Co. KGaA's shareholders at the Annual General Meeting and paid afterwards. The total dividend payment was €491 million.

OTHER NOTES

17.LEGAL AND REGULATORY MATTERS

The Fresenius Group is routinely involved in claims, lawsuits, regulatory and tax audits, investigations and other legal matters arising, for the most part, in the ordinary course of its business of providing health care services and products. Legal matters that the Fresenius Group currently deems to be material or noteworthy are described below. The Fresenius Group records its litigation reserves for certain legal proceedings and regulatory matters to the extent that the Fresenius Group determines an unfavorable outcome is probable and the amount of loss can be reasonably estimated. For the other matters described below, the Fresenius Group believes that the loss probability is remote and/ or the loss or range of possible losses cannot be reasonably estimated at this time. The outcome of litigation and other legal matters is always difficult to predict accurately and outcomes that are not consistent with Fresenius Group's view of the merits can occur. The Fresenius Group

believes that it has valid defenses to the legal matters pending against it and is defending itself vigorously. Nevertheless, it is possible that the resolution of one or more of the legal matters currently pending or threatened could have a material adverse effect on its business, results of operations and financial condition.

Further information regarding legal disputes, court proceedings and investigations can be found in detail in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS. In the following, only changes as far as content or wording are concerned during the first half ended June 30, 2021 compared to the information provided in the consolidated financial statements are described. These changes should be read in conjunction with the overall information in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS; defined terms or abbreviations having the same meaning as in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

INTERNAL REVIEW/FCPA COMPLIANCE

After both FMCH and FMC-AG&Co. KGaA moved to dismiss the complaint, the plaintiff moved on June 23, 2021 to dismiss the complaint voluntarily without prejudice. The court granted plaintiff's motion the same day.

PRODUCT LIABILITY LITIGATION

Discovery in the litigation is complete.

SUBPOENAS "COLORADO AND NEW YORK''

The court unsealed the complaint, allowing the relator to proceed on its own. On January 27, 2021, the Magistrate Judge recommended dismissal of the complaint with prejudice and without leave to amend. The relator is appealing the Magistrate Judge's recommendation.

SUBPOENA ''AMERICAN KIDNEY FUND'' / CMS LITIGATION

The subpoenas, and the subsequent investigation in which FMCH cooperated, were apparently predicated on but were not limited to a complaint filed on November 6, 2015 by two former employees. United States ex rel. Keasler et al. v. Fresenius Medical Care Rx, LLC, 03:15-Civ-01183 (M.D. Tenn. 2015). On July 9, 2021, the United States declined to intervene in the matter. On July 13, 2021, the Court allowed the relators' complaint to be unsealed. The relators may elect to serve the complaint.

VIFOR PATENT INFRINGEMENT FRESENIUS MEDICAL CARE (DELAWARE)

In relation to the remaining pending cases and the defendant Teva, trial took place for the first complaint (Case No. 1:18-cv-00390-MN) between January 19 and 22, 2021.

Another patent newly listed in the Orange Book was added to the second complaint (Case No. 1:20-cv-00911-MN) on June 23, 2021. Trial is scheduled for the second complaint for June 2022.

SUBPOENA NORTHERN DISTRICT OF TEXAS (DALLAS)

On March 25, 2021, FMCH received a grand jury subpoena issued from the United States District Court for the Northern District of Texas (Dallas). The subpoena seeks documents comprising communications between employees of FMCH and DaVita and partially overlaps in content the 2018 Denver subpoena. The Dallas subpoena is part of a separate investigation by the Anti-Trust Division of the Department of Justice into possible employee ''no poaching'' and similar agreements to refrain from competition

and is related to the indictments in United States v. Surgical Care Affiliates, 3:2021-Cr-0011 (N.D. Tex.) and United States v. DaVita, Inc. et al., 1:21-cr00229 (D. Col.). The unnamed co-conspirators described in the Surgical Care Affiliates and DaVita indictments do not include FMCH, FMC-AG &Co. KGaA, or any of their employees. FMCH is cooperating in the investigation.

SUBPOENA ''NEVADA''

The final agreement has received court sentencing and was implemented accordingly.

PATENT DISPUTE FRESENIUS KABI FRANCE

In March 2021, Fresenius Kabi and Eli Lilly have entered into a pan-European settlement pursuant to which, among other provisions, Fresenius Kabi undertakes to make a payment of US\$68.5 million to Lilly less the amount of €28 million already paid during the proceedings in France. In parallel, all court proceedings pending in Europe in relation to the patent in dispute are discontinued by the parties, including the proceedings in France. As of June 30, 2021, Fresenius Kabi has made all payments required under the settlement agreement.

GENERAL RISKS

FMCH completed remediation efforts with respect to one pending FDA warning letter and is awaiting confirmation as to whether the letter is now closed.

18.FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

Carrying amounts of financial instruments

As of June 30, 2021 and December 31, 2020, the carrying amounts of financial instruments by item of the statement of financial position and structured according to categories were as follows:

Jun
e 3
0,
202
1
lati
Re
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
Am
orti
zed
t
cos
Fair
val
hro
ugh
ue t
pro
1
fit a
nd
loss
Fair
val
hro
ugh
ue t
oth
er
hen
sive
com
pre
me2
inco
Der
ivat
ives
des
igna
ted
ash
flo
as c
w
gin
hed
g
inst
ents
rum
at f
air
valu
e
Put
ion
opt
liab
ilitie
s
ed
mea
sur
at f
air
valu
e
Val
ion
uat
ord
ing
to
acc
IFR
S 1
fo
6
r
ing
leas
ivab
les
and
rece
liab
ilitie
s
Fin
cia
l as
set
an
s
Cas
h a
nd
h e
iva
len
ts
cas
qu
2,
250
494
1,
756
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
7,
36
9
7,
249
12 32 76
cei
le f
ies
Ac
vab
d lo
late
d p
nts
to
art
cou
re
rom
an
ans
re
128 128
3
Oth
fin
ial
ets
er
anc
ass
2,
122
1,
161
33
7
49
6
7 121
Fin
cia
l as
set
an
s
869
11,
10,
032
1,
105
52
8
7 0 197
Fin
cia
l li
ilit
ies
ab
an
Tra
de
ble
nts
acc
ou
pa
ya
669
1,
669
1,
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
68 68
Sh
de
bt
ort
-te
rm
2,
738
2,
738
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
3 3
Lon
m d
ebt
ter
g-
2,
593
2,
593
Lon
lea
liab
ilit
ies
ter
g-
m
se
6,
332
6,
332
Bo
nds
15,
145
15,
145
Co
rtib
le b
ond
nve
s
47
8
47
8
4
Oth
fin
ial
liab
ilit
ies
er
anc
5,
269
3,
67
1
59
1
22 985
Fin
cia
l li
ilit
ies
ab
an
34
295
,
26,
365
59
1
0 22 985 6,
332

1 All included financial assets and liabilities are mandatorily measured at fair value through profit and loss according to IFRS 9.

2 The option to measure equity instruments at fair value through other comprehensive income has been exercised. The option has been used for €191 million other investments (included in other financial assets).

3 Other financial assets are included in the item other current and non-current assets in the consolidated statement of financial position.

4 Other financial liabilities are included in the items short-term provisions and other short-term liabilities and long-term provisions and other long-term liabilities in the consolidated statement of financial position.

De
ber
31
202
0
cem
,
lati
Re
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
Am
orti
zed
t
cos
Fair
val
hro
ugh
ue t
pro
1
fit a
nd
loss
Fair
val
hro
ugh
ue t
oth
er
sive
hen
com
pre
me2
inco
ivat
ives
Der
des
igna
ted
ash
flo
as c
w
hed
gin
g
inst
ents
rum
at f
air
valu
e
Put
ion
opt
liab
ilitie
s
ed
mea
sur
at f
air
valu
e
ion
Val
uat
ord
ing
to
acc
IFR
S 1
fo
6
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Fin
cia
l as
set
an
s
Cas
iva
h a
nd
h e
len
ts
cas
qu
1,
837
1,
27
1
56
6
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
6,
937
6,
783
45 34 75
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
110 110
3
Oth
fin
ial
ets
er
anc
ass
2,
111
190
1,
35
7
44
7
8 109
Fin
cia
l as
set
an
s
10,
995
9,
354
968 48
1
8 0 184
Fin
cia
l li
ab
ilit
ies
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
816
1,
816
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
67 67
Sh
de
bt
ort
-te
rm
245 245
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
5 5
Lon
m d
ebt
ter
g-
5,
154
5,
154
liab
ilit
ies
Lon
lea
ter
g-
m
se
6,
188
6,
188
Bo
nds
13,
847
13,
847
Co
rtib
le b
ond
nve
s
474 474
4
Oth
fin
ial
liab
ilit
ies
er
anc
079
5,
3,
509
654 15 90
1
Fin
cia
l li
ilit
ies
ab
an
32
875
,
25,
117
654 0 15 90
1
6,
188

1 All included financial assets and liabilities are mandatorily measured at fair value through profit and loss according to IFRS 9.

2 The option to measure equity instruments at fair value through other comprehensive income has been exercised. The option has been used for €149 million other investments (included in other financial assets).

3 Other financial assets are included in the item other current and non-current assets in the consolidated statement of financial position.

4 Other financial liabilities are included in the items short-term provisions and other short-term liabilities and long-term provisions and other long-term liabilities in the consolidated statement of financial position.

Fair value of financial instruments

The following table shows the carrying amounts and the fair value hierarchy levels as of June 30, 2021 and December 31, 2020:

Jun
e 3
0,
202
1
De
ber
31
202
0
cem
,
€ i
illio
n m
ns
Fai
alu
r v
e
Fai
lue
r va
Car
ryin
g am
t
oun
Lev
el 1
Lev
el 2
Lev
el 3
Car
ryin
g amo
unt
Lev
el 1
Lev
el 2
Lev
el 3
Fin
cia
l as
set
an
s
1
Ca
sh
and
sh
iva
len
ts
ca
equ
756 756 56
6
56
6
1
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
44 44 79 79
1
Oth
fin
ial
ets
er
anc
ass
De
bt
ins
tru
nts
me
382 37
7
5 40
1
39
6
5
uity
in
Eq
tm
ent
ves
s
41
7
42 185 190 393 12 162 219
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
7 7 8 8
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
34 34 10 10
Fin
cia
l li
ilit
ies
ab
an
Lon
m d
ebt
ter
g-
2,
593
63
2,
1
5,
154
5,
210
Bo
nds
15,
145
15,
946
13,
847
14,
847
Co
rtib
le b
ond
nve
s
47
8
49
8
474 49
0
1
Oth
fin
ial
liab
ilit
ies
er
anc
Put
tio
n l
iab
ilit
ies
op
985 985 90
1
90
1
Ac
ed
tin
din
for
isit
ion
t p
ent
uts
tan
cru
con
gen
aym
s o
g
ac
qu
s
57
7
57
7
58
1
58
1
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
22 22 15 15
riva
tive
ign
ing
in
De
des
d a
s h
edg
ot
ate
str
ent
s n
um
s
14 14 73 73

1 Fair value information is not provided for financial instruments, if the carrying amount is a reasonable estimate of the fair value due to the relatively short period of maturity of these instruments.

Explanations regarding the significant methods and assumptions used to estimate the fair values of financial instruments and classification of fair value measurements according to

the three-tier fair value hierarchy as well as explanations with regard to existing and expected risks from financial instruments and hedging can be found in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

The following table shows the changes of the fair values of financial instruments classified as level 3 in the first half of 2021:

€ i
illio
n m
ns
ity i
Equ
stm
ents
nve
Acc
d co
ntin
t
rue
gen
and
ing
ts o
utst
pay
men
for
uisi
tion
acq
s
ion
liab
iliti
Put
opt
es
As
of
Ja
202
1,
1
nu
ary
219 58
1
90
1
Ad
dit
ion
s
0 6 57
Dis
als
pos
0 -7 -18
Ga
in/
los
ize
d i
rof
it o
r lo
s r
eco
gn
n p
ss
-35 -4 --
Ga
in/
los
ize
d i
ity
s r
eco
gn
n e
qu
0 0 18
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
6 1 27
As
of
Ju
30,
20
21
ne
190 57
7
985

19.INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of June 30, 2021, the equity ratio was 39.0% and the debt ratio (debt/total assets) was 39.2%. As of June 30, 2021, the leverage ratio (before special items) on the basis of net debt/EBITDA was 3.6.

The aims of the capital management and further information can be found in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

The Fresenius Group is covered by the rating agencies Moody's, Standard&Poor's and Fitch.

The following table shows the company rating of Fresenius SE&Co. KGaA:

Jun
e 30
, 20
21
Dec
. 31
, 20
20
r's
Sta
nda
rd&
Poo
Co
e C
red
it R
ati
rat
rpo
ng
BB
B
BB
B
Ou
tlo
ok
ble
sta
ble
sta
's
Mo
ody
Co
e C
red
it R
ati
rat
rpo
ng
Baa
3
Baa
3
Ou
tlo
ok
ble
sta
ble
sta
Fit
ch
Co
e C
red
it R
ati
rat
rpo
ng
BB
B-
BB
B
Ou
tlo
ok
ble
sta
ble
sta

20. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting tables shown on pages 38 to 39 of this interim report are an integral part of the notes.

The Fresenius Group has identified the business segments Fresenius Medical Care, Fresenius Kabi, Fresenius Helios and Fresenius Vamed, which corresponds to the internal organizational and reporting structures (Management Approach) at June 30, 2021.

The business segments were identified in accordance with IFRS 8, Operating Segments, which defines the segment reporting requirements in the annual financial statements and interim reports with regard to the operating business, product and service businesses and regions. Further explanations with regard to the business segments can be found in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

NOTES ON THE BUSINESS SEGMENTS

Explanations regarding the notes on the business segments can be found in the consolidated financial statements as of December 31, 2020 applying Section 315e HGB in accordance with IFRS.

RECONCILIATION OF KEY FIGURES TO

CONSOLIDATED EARNINGS

€ i
illio
n m
ns
H1
/ 2
021
H1 /
202
0
To
tal
EB
IT
of
ing
ort
ent
rep
se
gm
s
2,
059
2,
265
Sp
eci
al i
tem
s
-12 0
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e (
EB
IT)
rat
rpo
-20 -17
Gr
EB
IT
ou
p
2,
027
2,
24
8
Ne
t in
ter
est
-25
8
-34
9
Inc
e b
efo
inc
e t
om
re
om
axe
s
1,
769
1,
899

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Jun
e 30
, 20
21
Dec
. 31
, 20
20
Sh
de
bt
ort
-te
rm
2,
738
245
Sh
bt f
ies
de
late
d p
ort
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art
rm
rom
re
3 5
Cu
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m d
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po
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45
8
1,
132
Cu
rtio
f lo
lea
nt
ter
rre
po
n o
ng-
m
se
liab
ilit
ies
787 766
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
288
1,
522
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
2,
135
022
4,
Lon
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ilit
ies
les
ter
g-
m
se
s
,
ion
t p
ort
cur
ren
5,
545
5,
42
2
Bo
nds
les
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s c
urr
po
n
,
13,
857
12,
325
Co
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s
47
8
474
De
bt
27,
289
25,
913
uiv
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ash
d c
ash
ale
nts
s c
an
eq
2,
250
1,
837
Ne
t d
ebt
25,
039
24,
076

21.SHARE-BASED COMPENSATION PLANS

SHARE-BASED COMPENSATION PLANS OF FRESENIUS SE&CO. KGAA

As of June 30, 2021, Fresenius SE&Co. KGaA had two sharebased compensation plans in place: the Fresenius SE&Co. KGaA Long Term Incentive Program 2013 (2013 LTIP) which is based on stock options and phantom stocks and the Long Term Incentive Plan 2018 (LTIP 2018) which is solely based on performance shares. Currently, solely LTIP 2018 can be used to grant performance shares.

Transactions during the first half of 2021

During the first half of 2021, Fresenius SE &Co. KGaA received cash of €16 million from the exercise of 499,614 stock options.

Of the 5,511,960 outstanding stock options issued under the 2013 LTIP 5,039,040 were exercisable at June 30, 2021. The members of the Fresenius Management SE Management Board held 648,281 stock options. 39,424 phantom stocks issued under the 2013 LTIP were outstanding at June 30, 2021. The members of the Fresenius Management SE Management Board held 5,059 phantom stocks. At June 30, 2021, the Management Board members of Fresenius Management SE held 388,434 performance shares and employees of Fresenius SE&Co. KGaA held 1,678,699 performance shares under the LTIP 2018.

On June 30, 2021, total unrecognized compensation cost related to non-vested options granted under the 2013 LTIP was €0.1 million. This cost is expected to be recognized over a weighted-average period of 0.1 years.

SHARE-BASED COMPENSATION PLANS OF FRESENIUS MEDICAL CARE AG&CO. KGAA

During the first half of 2021, 102,599 stock options were exercised. Fresenius Medical Care AG&Co. KGaA received cash of €5.1 million upon exercise of these stock options.

22.SUBSEQUENT EVENTS

July was characterized worldwide by a regionally varying development of the COVID-19 pandemic with again rising infection numbers mainly due to the delta version. Largescale constraints of public and private life are still enacted in various countries in order to curtail the spread of COVID-19. The vaccination programs were continued worldwide and the development in each country differs. The further development of the global situation and the impact on Fresenius remain uncertain.

Beyond that, there have been no significant changes in the Fresenius Group's operating environment following the end of the first half of 2021. With the exception of the entering into new revolving credit facilities as described in note 12, Debt, no other events of material importance on the assets and liabilities, financial position, and results of operations of the Group have occurred following the end of the first half of 2021.

23.CORPORATE GOVERNANCE

For each consolidated stock exchange listed entity, the declaration pursuant to Section 161 of the German Stock Corporation Act (Aktiengesetz) has been issued and made available to shareholders on the website of Fresenius SE&Co. KGaA (www.fresenius.com/ corporategovernance), and of Fresenius Medical Care AG&Co. KGaA (www.freseniusmedicalcare.com).

Bad Homburg v. d. H., August 2, 2021

Fresenius SE&Co. KGaA, represented by: Fresenius Management SE, its general partner

The Management Board

R. Powell M. Sen Dr.E. Wastler

RESPONSIBILITY STATEMENT

''To the best of our knowledge, and in accordance with the applicable reporting principles for interim financial reporting, the interim consolidated financial statements give a

true and fair view of the assets, liabilities, financial position and profit or loss of the Group, and the interim Group management report includes a fair review of the development and performance of the business and the position of the

Group, together with a description of the principal opportunities and risks associated with the expected development of the Group for the remaining months of the financial year.''

Bad Homburg v. d. H., August 2, 2021

Fresenius SE&Co. KGaA, represented by: Fresenius Management SE, its General Partner

The Management Board

S. Sturm Dr.S. Biedenkopf Dr.F. De Meo R. Empey

R. Powell M. Sen Dr.E. Wastler

REPORT AFTER REVIEW

To Fresenius SE&Co. KGaA, Bad Homburg v. d. Höhe

We have reviewed the condensed consolidated interim financial statements - comprising the consolidated statement of financial position, consolidated statement of income, consolidated statement of comprehensive income, consolidated statement of cash flows, consolidated statement of changes in equity and selected explanatory notes - and the interim group management report of Fresenius SE&Co. KGaA, Bad Homburg v. d. Höhe, for the period from 1 January 2021 to 30 June 2021 which are part of the half-year financial report pursuant to § [Article] 115 WpHG [Wertpapierhandelsgesetz: German Securities Trading Act]. The preparation of the condensed consolidated interim financial statements in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and of the interim group management report in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports is the responsibility of the Management Board of Fresenius Management SE (the general partner). Our responsibility is to issue a review report on the condensed consolidated interim financial statements and on the interim group management report based on our review.

We conducted our review of the condensed consolidated interim financial statements and the interim group management report in accordance with German generally accepted standards for the review of financial statements promulgated by the Institut der Wirtschaftsprüfer [Institute of Public Auditors in Germany] (IDW) and additionally observed the International Standard on Review Engagements "Review of Interim Financial Information Performed by the Independent Auditor of the Entity" (ISRE 2410). Those standards require that we plan and perform the review so that we can preclude through critical evaluation, with moderate assurance, that the condensed consolidated interim financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports. A review is limited primarily to inquiries of company personnel and analytical procedures and therefore does not provide the assurance attainable in a financial statement audit. Since, in accordance with our engagement, we have not performed a financial statement audit, we cannot express an audit opinion.

Based on our review, no matters have come to our attention that cause us to presume that the condensed consolidated interim financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU nor that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports.

Frankfurt am Main, August 2, 2021

PricewaterhouseCoopers GmbH Wirtschaftsprüfungsgesellschaft

Dr.Ulrich Störk Dr.Bernd Roese Wirtschaftsprüfer Wirtschaftsprüfer (German Public Auditor) (German Public Auditor)

FINANCIAL CALENDAR

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CONTACT

Else-Kröner-Straße 1 Bad Homburg v. d. H. Germany

Postal address

Fresenius SE & Co. KGaA 61346 Bad Homburg v. d. H. Germany

Contact for shareholders

Investor Relations & Sustainability Telephone: ++ 49 61 72 6 08-24 87 Telefax: ++ 49 61 72 6 08-24 88 E-Mail: [email protected]

Contact for journalists

Corporate Communications Telephone: ++ 49 61 72 6 08-23 02 Telefax: ++ 49 61 72 6 08-22 94 E-mail: [email protected]

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