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Fresenius SE & Co. KGaA

Quarterly Report May 10, 2021

166_10-q_2021-05-10_34086106-7bf2-48a4-ab4e-30eee99203c1.pdf

Quarterly Report

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Q1 2021

QUARTERLY FINANCIAL REPORT

TABLE OF CONTENTS

3 Fresenius Group figures at a glance 6 Management Report 20 Rating

  • 6 Health care industry
  • 8 Results of operations, financial position, assets and liabilities 21 Outlook 2021
    -
    -
  • 10 Reconciliation
  • 10 Investments
  • -
    -
    -
    -

  • 19 Employees
  • 19 Changes to the Management Board
  • 19 Changes to the Supervisory Board 33 Notes proposal to the AGM
  • 19 Research and development
  • 20 Opportunities and risk report 55 Financial Calendar
  • 20 Subsequent events

- 20 Virtual Annual General Meeting

  • 5 Fresenius share 8 Sales 24 Reconciliation table
    • 9 Earnings 24 Estimated COVID-19 effects

10 Cash flow 25 Consolidated financial statements

  • 10 Asset and liability structure 25 Consolidated statement of income
  • 11 Business segments 26 Consolidated statement of comprehensive income
    • 11 Fresenius Medical Care 27 Consolidated statement of financial position
    • 13 Fresenius Kabi 28 Consolidated statement of cash flows
    • 15 Fresenius Helios 30 Consolidated statement of changes in equity
    • 17 Fresenius Vamed 32 Consolidated segment reporting first quarter of 2021

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 March 31, 2021, more than 310,000 employees have dedicated themselves to the service of health in about 100 countries worldwide.

SALES, EARNINGS, AND CASH FLOW

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Sa
les
8,
984
9,
135
-2% 3%
bef
eci
al i
EB
IT
tem
ore
sp
s
006
1,
1,
125
-11
%
-6%
1
t in
Ne
d
rte
com
e r
epo
435 45
9
-5% -1%
1
Ne
t in
e b
efo
cia
l ite
com
re
spe
ms
435 46
5
-6% -2%
1
Ear
nin
sh
in

ed
ort
gs
per
are
rep
0.7
8
0.8
2
-5% -1%
1
Ear
nin
sh
in

bef
eci
al i
tem
gs
per
are
ore
sp
s
0.7
8
0.8
3
-6% -2%
Op
tin
ash
flo
era
g c
w
652 878 -26
%
--

BALANCE SHEET AND INVESTMENTS

€ i
illio
n m
ns
Ma
rch
31
,
202
1
Dec
ber
31,
em
202
0
Cha
nge
To
tal
ets
ass
68,
966
66,
646
3%
No
ent
set
n-c
urr
as
s
52
273
,
50,
874
3%
Eq
uity
27,
514
26,
023
6%
Ne
t d
ebt
24,
63
1
24,
076
2%
Inv
d a
isit
ion
s (Q
1 2
02
1/Q
1 2
020
)
est
nts
me
an
cqu
533 959 %
-44

RATIOS

Q1
/20
21
Q1
/20
20
in1
EB
ITD
A m
arg
18
.1%
19.
2%
in1
EB
IT
ma
rg
11
.2%
12.
3%
1
De
cia
tio
nd
iza
tio
n i
of
les
n %
ort
pre
n a
am
sa
6.9
%
6.9
%
Op
tin
flo
w i
of
ash
n %
les
era
g c
sa
7.3
%
9.6
%
uity
tio
Eq
(M
h 3
1/
De
ber
31
)
ra
arc
cem
39
.9%
39
.0%
1, 2
Ne
t d
ebt
/E
BIT
DA
(M
h 3
1/
De
ber
31
)
arc
cem
3.5
2
3.4
4

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

FRESENIUS-SHARE

Since the beginning of the year, the Fresenius share has moved sideways and closed the first quarter of 2021 at a price of €37.98.

RELATIVE SHARE PRICE PERFORMANCE VS. DAX

Fresenius share

KEY DATA OF THE FRESENIUS SHARE

DAX

Q1
/20
21
202
0
Gro
wth
Nu
mb
of s
har
(M
h 3
1/
De
ber
31
)
er
es
arc
cem
55
7,
54
1,
659
55
7,
54
0,
909
0%
n1
Sto
ck
han
tio
in €
ota
exc
ge
qu
Hig
h
40
.10
50
.32
-20
%
Low 34
.57
25
.66
35
%
iod
ati
sin
ric
e in
Per
d q
clo

uot
-en
on
g p
37
.98
37
.84
0%
Ø
din
din
Tra
olu
(n
ber
of
sh
day
)
tra
g v
me
um
are
s p
er
g
1,
802
020
,
2,
085
926
,
-14
%
2 in
Ma
rke
ital
iza
tio
illio
n €
(M
h 3
1/
De
ber
31
)
t ca
p
n
m
arc
cem
21,
175
21,
097
0%
3
Ear
nin
sh
in

gs
per
are
0.7
8
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

FIRST QUARTER 2021

31.12.2020 = 100

The COVID-19 pandemic marked the first three months of 2021 with persistently high infection rates and the spread of virus mutations slowing down the recovery of the global economy. More stringent containment measures imposed by governments led to a setback in economic activity and employment. Despite a gradual vaccination coverage of the population, the further development of the COVID-19 pandemic and the overall global economy remains uncertain. The capital markets and global investment levels remained stable, benefitting from economic stimulus measures taken by governments and favorable financing conditions.

According to the ECB's current forecast, the economy in the euro zone will grow by 4.0% this year. The ECB left its key interest rate unchanged at 0.00% during its March meeting.

The Federal Reserve's latest forecast projects the U.S. economy to grow by 6.5% in 2021. The U.S. Federal Reserve did not change the existing interest rates corridor of 0% to 0.25% at its March meeting.

Within this economic environment, the DAX increased by 9% in the first three months of 2021 to 15,008 points. The Fresenius share closed at €37.98 on March 31, 2021, almost unchanged over the same period.

MANAGEMENT REPORT

Fresenius with good start to 2021 despite ongoing COVID-19 impact

  • ► Guidance for 2021 confirmed
  • ► Fresenius Medical Care delivers solid first quarter
  • ► Fresenius Kabi shows strong performance in Emerging Markets whilst headwinds continue to impact North American business
  • ► Helios Germany continues to be compensated by government for foregone elective treatments; Helios Spain delivers significant sales and earnings growth given recovery of treatment activity
  • ► Fresenius Vamed continues to suffer from COVID-19 related project delays; technical high-end service business remains robust
  • ► Preparation of Group-wide initiatives to improve efficiency and profitability progressing

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 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. 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.

RESULTSOF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

SALES

Group sales decreased by 2% (increased by 3% in constant currency) to €8,984 million (Q1/20: €9,135 million). Organic growth was 2%. Acquisitions /divestitures contributed net 1% to growth. Currency translation reduced sales growth by 5%. Excluding estimated COVID-19 effects1, Group sales growth would have been 4% to 5% in constant currency (Q1/ 20: 7% to 8%).

GROUP KEY FIGURES

€ i
illio
n m
ns
Q1
/20
21
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Sa
les
8,
984
-2% 3%
2
EB
IT
006
1,
-11
%
-6%
2,3
t in
Ne
com
e
435 -6% -2%

SALES BY REGION

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Cha
nge
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at c
tant
ons
rate
s
Org
anic
sale
owt
h
s gr
Acq
uisi
tion
/
s
dive
stit
ure
s
% o
f to
tal
sale
s
No
rth
Am
eri
ca
3,
445
3,
842
-10
%
-8% -2% -2% 0% 38
%
Eu
rop
e
4,
113
3,
990
3% -1% 4% 2% 2% 46
%
ia-
ific
As
Pac
917 816 12
%
-3% 15
%
16
%
-1% 10
%
in A
ric
Lat
me
a
42
1
384 10
%
-20
%
30
%
23
%
7% 5%
Afr
ica
88 103 -15
%
-3% -12
%
-12
%
0% 1%
To
tal
8,
984
9,
135
-2% -5% 3% 2% 1% 100
%

SALES BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Cha
nge
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at c
tant
ons
rate
s
Org
anic
sale
s
wth
gro
Acq
uisi
tion
/
s
Div
esti
ture
s
% o
f to
tal
s 4
sale
Fre
ius
M
ed
ica
l C
sen
are
21
0
4,
48
8
4,
-6% -7% 1% 1% 0% %
47
ius
bi
Fre
Ka
sen
76
1,
1
1,
789
-2% -6% 4% 3% 1% 20
%
ius
lios
Fre
He
sen
649
2,
46
6
2,
7% -1% 8% 4% 4% 29
%
Fre
ius
Va
d
sen
me
47
7
49
9
-4% 0% -4% -4% 0% 4%
To
tal
8,
984
9,
135
-2% -5% 3% 2% 1% 100
%

1 For estimated COVID-19 effects in Q1/21 and Q1/20 please see table on page 24.

2 Before special items 3 Net income attributable to shareholders of Fresenius SE&Co. KGaA

4 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 and reported Group EBITDA decreased by 7% (-2% in constant currency) to €1,628 million (Q1/ 20: €1,755 million).

Group EBIT before special items and reported Group EBIT decreased by 11% (-6% in constant currency) to €1,006 million (Q1/20: €1,125 million). The constant currency decrease is primarily due to COVID-19 related headwinds. Both the EBIT margin before special items and the reported EBIT margin were 11.2% (Q1/ 20: 12.3%).

Group net interest before special items improved to -€137 million (Q1/201: -€174 million) mainly due to successful refinancing activities, lower interest rates as well as currency translation effects. Reported Group net interest also improved to -€137 million (Q1/ 20: -€182 million).

reported tax rate were 22.8% (Q1/ 20: 22.6%).

reported noncontrolling interests were -€236 million (Q1/ 20: -€271 million) of which 95% were attributable to the noncontrolling interests in Fresenius Medical Care.

Group net income2 before special items decreased by 6% (-2% in constant currency) to €435 million (Q1/ 201: €465 million). The absolute negative COVID-19 effect was more pronounced in Q1/ 21 compared to the prior-year quarter. Excluding estimated COVID-19 effects3, Group net income2 before special items would have grown 0% to 4% in constant currency (Q1/ 20: 6% to 10%). Reported Group net income2 decreased to €435 million (Q1/20: €459 million).

Earnings per share2 before special items decreased by 6% (-2% in constant currency) to €0.78 (Q1/ 201: €0.83). Reported earnings per share2 were also €0.78 (Q1/ 20: €0.82).

Both the Group tax rate before special items and the

Both Noncontrolling interests before special items and

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

EARNINGS

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
IT1
EB
006
1,
1,
125
2
Ne
t in
com
e
435 45
9
2
Ne
t in
e (
bef
eci
al i
s)
tem
com
ore
sp
435 46
5
2
Ear
nin
sh
in

gs
per
are
0.7
8
0.8
2
2
Ear
nin
sh
(b
efo
cia
l ite
) in

gs
per
are
re
spe
ms
0.7
8
0.8
3

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
The
f
reo
plan
ty,
t
pro
per
and
uip
t
eq
men
The
f
reo
uisi
tion
acq
s
Gro
wth
f to
% o
tal
Fre
ius
M
ed
ica
l C
sen
are
315 34
8
184 131 -9% 59
%
Fre
ius
Ka
bi
sen
100 162 99 1 -38
%
19
%
Fre
ius
He
lios
sen
93 9
41
76 17 -78
%
17
%
ius
Fre
Va
d
sen
me
22 26 22 -- -15
%
4%
Co
e/O
the
rat
rpo
r
3 4 3 -- -25
%
1%
To
tal
533 959 384 149 -44
%
100
%

CASH FLOW STATEMENT (Summary)

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Gro
wth
Ne
t in
com
e
67
1
730 -8%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
622 630 -1%
Ch
ork
ing
ital
ang
e w
ca
p
-64
1
-48
2
-33
%
Op
tin
Ca
flo
sh
era
g
w
652 878 -26
%
Ca
ital
dit
et
p
ex
pen
ure
, n
-41
1
-57
3
28
%
Ca
sh
flo
bef
isit
ion
nd
div
ide
nd
w
ore
ac
qu
s a
s
24
1
305 -21
%
Ca
sh
d f
uis
itio
t
use
or
acq
ns,
ne
-63 -28
7
78
%
Div
ide
nds
id
pa
-61 -58 -5%
uis
itio
ivid
Fre
ash
flo
fte
d d
ds
e c
w a
r a
cq
ns
an
en
117 -40 --
Ca
sh
vid
ed
by
/us
ed
for
fin
ing
tiv
itie
pro
anc
ac
s
-12
3
72 --
Eff
of
cha
ch
e in
sh
and
sh
uiv
ale
ect
tes
nts
ex
nge
ra
on
ang
ca
ca
eq
46 -11 --
e i
uiv
Ne
ha
ash
d c
ash
ale
t c
nts
ng
n c
an
eq
40 21 90
%

3 For estimated COVID-19 effects in Q1/21 and Q1/20 please see table on page 24.

RECONCILIATION

Consolidated results for Q1/21 do not include special items. Consolidated results for Q1 / 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 24.

INVESTMENTS

Spending on property, plant and equipment was €384 million corresponding to 4% of sales (Q1/ 20: €547 million; 6% of sales). These investments served primarily for the modernization and expansion of dialysis clinics, production facilities as well as hospitals and day clinics.

Total acquisition spending was €149 million (Q1/ 20: €412 million), mainly for the acquisition of dialysis clinics at Fresenius Medical Care.

CASH FLOW

Group operating cash flow decreased to €652 million (Q1/ 20: €878 million) with a margin of 7.3% (Q1/ 20: 9.6%), driven by a seasonal fluctuation in Fresenius Medical Care's invoicing and working capital movements in North America. Free cash flow before acquisitions and dividends decreased to €241 million (Q1/20: €305 million). Free cash flow after acquisitions and dividends increased to €117 million (Q1/ 20: -€40 million).

ASSET AND LIABILITY STRUCTURE

Group total assets increased by 3% (1% in constant currency) to €68,966 million (Dec. 31, 2020: €66,646 million) given currency translation effects and the expansion of business activities. Current assets increased by 6% (4% in constant currency) to €16,693 million (Dec. 31, 2020: €15,772 million), mainly driven by the increase of trade accounts receivables. Non-current assets increased by 3% (0% in constant currency) to €52,273 million (Dec. 31, 2020: €50,874 million).

Total shareholders' equity increased by 6% (3% in constant currency) to €27,514 million (Dec. 31, 2020: €26,023 million). The equity ratio was 39.9% (Dec. 31, 2020: 39.0%).

Group debt increased by 2% (1% in constant currency) to €26,508 million (Dec. 31, 2020: €25,913 million). Group net debt increased by 2% (1% in constant currency) to €24,631 million (Dec. 31, 2020: €24,076 million).

As of March 31, 2021, the net debt/EBITDA ratio increased to 3.52x1,2 (Dec. 31, 2020: 3.44x1,2) driven by COVID-19 effects weighing on EBITDA as well as increased net debt.

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 March 31, 2021, Fresenius Medical Care was treating 344,476 patients in 4,110 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.

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Sa
les
4,
21
0
4,
48
8
-6% 1%
EB
ITD
A
862 956 -10
%
-3%
EB
IT
474 555 -15
%
-8%
1
t in
Ne
com
e
249 283 -12
%
-6%
Em
loy
(M
31
/D
31
)
p
ees
ar.
ec.
132
854
,
133
129
,
0%
  • ► Organic treatment growth impacted by COVID-19 pandemic as expected
  • ► Reported revenue and earnings continued to be adversely affected by exchange rate effects
  • ► Earnings development supported by phasing and expected lower SG&A expense anticipated to reverse throughout the year
  • ► Financial targets for FY 2021 confirmed

Sales of Fresenius Medical Care decreased by 6% (increased by 1% in constant currency) to €4,210 million (Q1/ 20: €4,488 million). Thus, currency translation had a negative effect of 7%. Organic growth was 1%.

EBIT decreased by 15% (-8% in constant currency) to €474 million (Q1/ 20: €555 million) resulting in a margin of 11.3% (Q1/ 20: 12.4%). The decrease was mainly driven by effects from COVID-19 across all regions, higher personnel expenses and a significant negative exchange rate effect. Additionally, EBIT was negatively affected by a positive prior-year effect from the divestiture of cardiovascular clinics and a prior-year partial reversal of a revenue recognition adjustment. These negative effects were partially offset by

an improved payor mix mainly driven by Medicare Advantage and expected lower SG&A expenses, which are anticipated to reverse in the remainder of the year.

Net income1 decreased by 12% (-6% in constant currency) to €249 million (Q1/ 20: €283 million). Besides the above-mentioned operating earnings effects, net income was supported by a 27% decrease of net interest expense to €76 million (Q1/ 20: €104 million).

The first quarter 2020 included negative COVID-19 effects that reversed in Q2 2020, including the compensation received under the CARES Act, and therewith increase the base for the second quarter 2021. These base effects impact the phasing of net income growth in 2021.

Operating cash flow was €208 million (Q1/ 20: €584 million) with a margin of 4.9% (Q1/ 20: 13.0%). The decline was driven by the seasonality in invoicing and periodic delays in payment of public health care organizations.

For FY / 21, Fresenius Medical Care confirms its outlook as outlined on February 23, 2021. The Company expects revenue1 to grow at a low- to mid-single digit percentage range and net income2,3 to decline at a high-teens to midtwenties percentage range against the 2020 base4.

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

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

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
illio
n m
ns
Q1
/20
21
Q1
/20
20
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Sa
les
76
1
-2% 4%
1, 1,
789
A1
EB
ITD
374 38
8
-4% 2%
IT1
EB
276 289 -4% 2%
1,2
Ne
t in
com
e
190 197 -4% 3%
Em
loy
(M
31
/D
31
)
p
ees
ar.
ec.
40
910
,
40
519
,
1%
  • ► North America performance impacted by COVID-19 and temporary manufacturing issues
  • ► Solid performance in Europe masked by prior-year COVID-19 related demand spike
  • ► Emerging Markets showed strong sales and earnings growth; China with excellent performance given dynamic recovery of elective treatment activity

Sales decreased by 2% (increased by 4% in constant currency) to €1,761 million (Q1/ 20: €1,789 million). Organic growth was 3%. Negative currency translation effects of 6% were mainly related to weakness of the U.S. dollar, the Brazilian real and the Argentinian peso.

Sales in North America decreased by 17% (organic growth: -9%) to €558 million (Q1/ 20: €669 million). The decrease was driven by fewer elective treatments, competitive pressure, missing sales from a customer in Chapter 11 as well as temporary manufacturing issues which outweighed extra demand for COVID-19 related products.

Sales in Europe decreased by 1% (organic growth: -1%) to €626 million (Q1/ 20: €631 million) mainly related to the strong demand for COVID-19 related drugs in the prior year quarter.

Sales in Asia-Pacific increased by 23% (organic growth: 26%) to €392 million (Q1/ 20: €319 million). The growth is mainly due to a dynamic recovery of elective procedures and a meaningful COVID-19 impact lowering the prior year basis in China as well as a growing recovery in other Asian markets.

Sales in Latin America / Africa increased by 9% (organic growth: 28%) to €185 million (Q1/ 20: €170 million) due to ongoing COVID-19 related extra demand.

EBIT1 decreased by 4% (increased by 2% in constant currency) to €276 million (Q1/ 20: €289 million) with an EBIT margin of 15.7% (Q1/ 20:16.2%). The increase in constant currency was tempered by underutilized production capacities in the United States, competitive pressure coupled with selective supply constraints due to temporary

manufacturing issues and the missing contribution from sales to a customer now in Chapter 11. EBIT was supported by positive COVID-19 effects, lower corporate costs due to travel restrictions and phasing of projects.

Net income1,2 decreased by 4% (increased by 3% in constant currency) to €190 million (Q1/ 201: €197 million).

Operating cash flow increased to €278 million (Q1/ 20: €174 million) with a margin of 15.8% (Q1/ 20: 9.7%) mainly due to working capital improvements driven by cash collections.

For FY/ 21, Fresenius Kabi confirms its outlook and expects organic sales1 growth in a low-to-mid single-digit percentage range. Constant currency EBIT2 is expected to show a stable development up to low single-digit percentage growth. Both sales and EBIT outlook include expected COVID-19 effects.

1 FY/20 base: €6,976 million 2 FY/20 base: €1,095 million, before special items; FY/21: before special items

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.

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  • ► Helios Spain delivers significant organic sales and earnings growth given recovery of treatment activity
  • ► Helios Germany continues to be compensated by government for foregone elective treatments
  • ► Growth additionally fueled by contributions from acquisitions in Germany and Latin America

Sales increased by 7% (8% in constant currency) to €2,649 million (Q1 / 20: €2,466 million). Organic growth was 4%. Acquisitions contributed 4% to sales growth.

Sales of Helios Germany increased by 4% (organic growth: 0%) to €1,673 million (Q1/ 20: €1,603 million). COVID-19 effects were mitigated by government compensation in regions with high COVID-19 incidences. The hospital acquisitions from the Order of Malta contributed 4% to sales growth.

Sales of Helios Spain increased by 13% (14% in constant currency) to €976 million (Q1/ 20: €863 million). Organic growth of 11% was driven by a strong recovery of elective procedures, a consistently high level of outpatient treatments and strong demand for occupational risk prevention (ORP) services. In addition, the hospitals in Latin America showed a strong performance. The hospital acquisitions in Colombia contributed 3% to sales growth.

EBIT of Fresenius Helios decreased by 2% (-1% in constant currency) to €268 million (Q1/ 20: €274 million) with an EBIT margin of 10.1% (Q1/ 20: 11.1%).

EBIT of Helios Germany decreased by 9% to €150 million (Q1 / 20: €165 million) with an EBIT margin of 9.0% (Q1/ 20: 10.3%). Government compensation broadly mitigated COVID-19 effects. The decrease was primarily caused by the impact of the carve-out of nursing expenses from the overall DRGs and the positive development of January and February last year.

EBIT of Helios Spain increased by 13% (14% in constant currency) to €126 million (Q1/ 20: €112 million) with an EBIT margin of 12.9% (Q1/ 20: 13.0%). Healthy organic sales growth led to a meaningfully improved coverage of the fixed cost base. The hospital acquisitions in Colombia made an additional contribution.

Net income1 decreased by 2% (-1% in constant currency) to €173 million (Q1/ 20: €176 million).

Operating cash flow increased to €215 million (Q1/ 20: €145 million) with a margin of 8.1% (Q1/ 20: 5.9%), mainly due to working capital improvements driven by cash collections.

For FY/ 21, Fresenius Helios confirms its outlook and expects organic sales2 growth in a low-to-mid single-digit percentage range and constant currency EBIT3 growth in a mid-to-high single-digit percentage range. Both sales and EBIT outlook include expected COVID-19 effects.

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

2 FY/20 base: €9,818 million

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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  • ► Continued significant negative COVID-19 impact
  • ► Project business marked by COVID-19 related delays, cancellations and global supply chain restraints
  • ► Rehabilitation business remains impacted by fewer elective surgeries
  • ► Technical high-end service business remains robust

Sales decreased by 4% (-4% in constant currency) to €477 million (Q1/ 20: €499 million). Organic growth was -4%.

Sales in the service business increased by 2% (2% in constant currency) to €363 million (Q1/ 20: €357 million). Sales in the project business decreased by 20% (-20% in constant currency) to €114 million (Q1/ 20: €142 million), driven by postponements and cancellations of projects.

EBIT decreased by 129% (-129% in constant currency) to -€4 million (Q1 / 20: €14 million) with an EBIT margin of -0.8% (Q1/ 20: 2.8%). Large parts of the post-acute care clinic capacities were left partially empty given a generally lower intake of elective surgery patients from acute-care hospitals. Health-authority-induced restrictions or even closures of facilities also had a negative effect. In the project business, project delays and global supply chain restraints triggered incremental expenses.

Net income1 decreased to -€7 million (Q1/ 20: €7 million).

Order intake was €138 million (Q1 / 20: €124 million). As of March 31, 2021, order backlog was at €3,082 million (December 31, 2020: €3,055 million). Order intake continued to be marked by COVID-19 related cancellations and project delays.

2 FY/20 base: €2,068 million

3 FY/20 base: €29 million; FY/21 before special items

Operating cash flow decreased to -€44 million (Q1/ 20: -€20 million) with a margin of -9.2% (Q1/20: -4.0%), mainly related to the lower net income contribution.

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 negative COVID-19effects.

EMPLOYEES

As of March 31, 2021, the number of employees was 310,842 (Dec. 31, 2020: 311,269).

NUMBER OF EMPLOYEES

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CHANGES TO THE MANAGEMENT BOARD

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

CHANGES TO THE SUPERVISORY BOARD PROPOSAL TO THE AGM

Dr. Gerd Krick (82) will leave the Supervisory Boards of Fresenius Management SE and the listed Fresenius SE&Co. KGaA when his term ends 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, is to take 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 shall be named Honorary Chairman of both Supervisory Boards.

Klaus-Peter Müller (76) will be stepping 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 will stand for reelection to the Supervisory Board at the Annual General Meeting in May with the aim of chairing the Audit Committee for a further year.

The Supervisory Board of Fresenius Management SE also unanimously resolved to propose 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,for election 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 April 30, 2021.

The global COVID-19 pandemic continued to adversely affect our business in the first quarter of 2021. We expect further adverse effects on our business and result of operations for the second quarter of 2021, and also for the second half year of 2021. The further development of the worldwide situation in 2021 remains uncertain and depends on the progress of the vaccination campaigns 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 points 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 47 to 48 in the Notes of this report.

SUBSEQUENT EVENTS

April was characterized worldwide by a regionally varying development of the COVID-19 pandemic with continued high infection numbers as well as an increasing number of virus mutations. Currently, large-scale constraints of public and private life are therefore again enacted in various countries, for example in both Spain and Germany, in order to curtail the spread of COVID-19. The vaccination programs have started 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 quarter 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:

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VIRTUAL ANNUAL GENERAL MEETING

The virtual Annual General Meeting 2021 of Fresenius SE&Co. KGaA will take place on May 21, 2021.

OUTLOOK 2021

COVID-19 ASSUMPTIONS FOR GUIDANCE FY/ 21

Q1/ 21 was characterized by a regionally varying development of the COVID-19 pandemic. Given continued high infection numbers as well as an increasing number of virus mutations, large-scale constraints of public and private life have been re-enacted in various countries. Vaccination programs are progressing worldwide at, however, varying pace.

COVID-19 will continue to impact Fresenius' operations in 2021. Current burdens and constraints caused by COVID-19 are expected to recede only in H2/ 21. The expected improvement in the Group's relevant business environment from H2/21 is heavily dependent on continuously increasing levels of vaccination coverage in Fresenius' relevant markets. These assumptions are subject to considerable uncertainty.

A deterioration of the situation requiring further containment measures in one or more of Fresenius' major markets, although becoming somewhat less likely does remain a risk. Any resulting significant and direct impact on the health care sector without any appropriate compensation is not reflected in the Group's FY/ 21 guidance.

FRESENIUS GROUP

For FY/ 21, Fresenius continues to project sales growth1 in a low-to-mid single-digit percentage range and at least broadly stable net income2,3 year-over-year, both in constant currency. Implicitly, net income2 for the Group excluding Fresenius Medical Care is expected to grow in a mid-tohigh single-digit percentage range in constant currency.

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 23.

EFFICIENCY AND COST SAVING MEASURES

To sustainably enhance profitability, Fresenius is preparing group-wide strategic efficiency initiatives. These initiatives are expected to consist of operational excellence and costsaving measures, targeted strengthening of future growth areas and portfolio optimizations. They are targeted to result in cost savings of at least €100 million p.a. after tax and minority interest in 2023 with some further potential to increase thereafter. Achieving these sustainable efficiencies will require significant up-front expenses. On average for the years 2021 to 2023, those expenses are expected to be in the order of magnitude of €100 million p.a. after tax and minority interest. They will be classified as special items.

EXPENSES

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

1 FY/20 base: €36,277 million

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

3 FY/20 base: €1,796 million, before special items; FY/21: before special items

LIQUIDITY AND CAPITAL MANAGEMENT

For 2021, we expect an operating cash flow margin in the range of 10% to 12%, lower than in FY/20 due to expected repayments of prepayments 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 projects 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 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 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 do not expect the equity ratio 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%).

22

DIVIDEND

The dividend increases provided by Fresenius in the last 27 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.

GROUP FINANCIAL OUTLOOK 2021

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OUTLOOK 2021 BY BUSINESS SEGMENT

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

RECONCILIATION FRESENIUS GROUP Q1

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bef
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)
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-5
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0 t
o 4
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6 t
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o 1

FRESENIUS SE&CO.KGAA CONSOLIDATED STATEMENT OF INCOME (UNAUDITED)

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Sa
les
8,
984
9,
135
Co
f sa
les
st o
-6,
52
6
-6,
47
2
ofi
Gr
t
oss
pr
2,
45
8
2,
663
Se
llin
al a
nd
ad
mi
nis
tive
tra
g,
ge
ner
ex
pen
ses
-1,
266
-1,
352
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-18
6
-18
6
Op
tin
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e (
IT)
EB
era
g
om
006
1,
1,
125
Ne
t in
ter
est
-13
7
-18
2
Inc
e b
efo
inc
e t
om
re
om
axe
s
869 943
Inc
e ta
om
xes
-19
8
-21
3
t in
Ne
com
e
67
1
730
No
olli
int
ntr
sts
nco
ng
ere
236 27
1
t in
ibu
niu
Ne
tab
le t
ha
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old
of
Fr
s S
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Co
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Ga
A
ttr
com
e a
o s
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ese
435 45
9
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0.7
8
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2
Fu
lly
dil
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sha
in €
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arn
s p
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0.7
8
0.8
2

FRESENIUS SE&CO.KGAA CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME (UNAUDITED)

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Ne
t in
com
e
67
1
730
Ot
nsi
inc
e (
s)
he
he
los
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
For
eig
nsl
ati
tra
n c
urr
enc
y
on
797 50
Ca
sh
flow
he
dg
es
1 10
FV
OC
I de
bt
ins
tru
nts
me
-10 0
Inc
siti
hic
h w
ill b
ecl
ifie
d
e ta
om
xes
on
po
ons
e r
ass
w
2 -2
sit
ion
hic
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ssi
fie
d i
t in
e i
Po
h w
be
cla
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not
nto
nt
s w
re
ne
com
n s
seq
ue
yea
rs
Ac
ria
l ga
ins
de
fin
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ben
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nsi
lan
tua
on
pe
on
p
s
91 0
Eq
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eth
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inv
sha
of
OC
I
est
m
ees
re
--
-9 0
FV
OC
I eq
uity
in
tm
ent
ves
s
6 0
Inc
siti
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h w
ill n
be
las
sifi
ed
e ta
ot
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xes
on
po
ons
rec
w
-28 0
nsi
inc
Ot
he
he
net
r c
om
pre
ve
om
e,
850 58
To
tal
reh
siv
e i
co
mp
en
nco
me
52
1,
1
788
Co
siv
e i
tri
llin
int
reh
bu
tab
le t
at
tro
sts
mp
en
nco
me
o n
on
con
g
ere
662 287
Co
reh
siv
e i
tri
bu
tab
le t
at
mp
en
nco
me
o
of
niu
s S
E&
Co
Ga
sha
reh
old
Fr
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A
ers
ese
859 50
1

FRESENIUS SE&CO.KGAA CONSOLIDATED STATEMENT OF FINANCIAL POSITION (UNAUDITED)

ASSETS

€ i
illio
n m
ns
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Cas
h a
nd
h e
iva
len
ts
cas
qu
877
1,
837
1,
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,
59
6
6,
937
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
180 110
Inv
ori
ent
es
4,
092
3,
945
Oth
t as
set
er
cur
ren
s
2,
948
2,
943
I.
To
tal
nt
ets
cu
rre
ass
16,
693
15,
772
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
12,
065
912
11,
Rig
of-
ht-
set
use
as
s
5,
849
69
5,
1
Go
odw
ill
27,
523
26,
599
Oth
int
ible
set
er
ang
as
s
3,
752
3,
736
Oth
ent
set
er
no
n-c
urr
as
s
2,
161
2,
124
De
fer
red
ta
xes
923 812
II.
To
tal
ent
set
no
n-c
urr
as
s
52
273
,
50,
874
To
tal
set
as
s
68,
966
66,
646

LIABILITIES

€ i
illio
n m
ns
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Tra
de
ble
nts
acc
ou
pa
ya
1,
635
1,
816
Sh
ble
late
d p
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ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
84 67
Sh
ovi
sio
lia
bil
itie
and
her
sh
ort
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ot
ort
-te
rm
pr
ns
rm
s
7,
803
7,
43
3
Sh
de
bt
ort
-te
rm
2,
037
245
Sh
de
bt f
late
d p
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-te
art
rm
rom
re
6 5
Cu
rtio
f lo
m d
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nt
ter
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po
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1,
98
1
1,
132
Cu
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nt
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ng-
m
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796 766
Cu
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s
1,
296
1,
522
Sh
als
fo
r in
ort
-te
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rm
ac
cru
com
xes
30
9
230
lia
bil
itie
A.
To
tal
sh
ort
-te
rm
s
15,
947
13,
216
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
3,
195
022
4,
liab
ilit
ies
rtio
Lon
lea
les
ter
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g-
m
se
s c
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po
n
,
5,
58
0
5,
42
2
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Bo
nds
les
ent
s c
urr
po
n
,
11,
141
12,
325
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rtib
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les
rtio
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nve
s,
s c
urr
po
n
6
47
474
Lon
vis
ion
nd
oth
lon
liab
ilit
ies
ter
ter
g-
m
pro
s a
er
g-
m
1,
789
1,
918
Pen
sio
n l
iab
ilit
ies
1,
515
1,
582
Lon
ual
s fo
r in
ter
e ta
g-
m a
ccr
com
xes
283 274
De
fer
red
ta
xes
1,
52
6
1,
39
0
lia
bil
itie
B.
To
tal
lo
-te
ng
rm
s
25,
505
27,
40
7
I.
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tal
lia
bil
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s
2
41
45
,
40
623
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in
A.
No
oll
ntr
ter
est
nco
s
9,
707
9,
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Su
rib
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bsc
ed
l
cap
55
7
55
7
Ca
ital
p
re
ser
ve
3,
992
3,
992
Oth
er
res
erv
es
13,
969
13,
535
Ac
ula
ted
her
reh
ive
lo
ot
cum
co
mp
ens
ss
-71
1
-1,
135
' eq
B.
To
tal
Fr
niu
s S
E&
Co
.K
Ga
A s
ha
reh
old
uit
ese
ers
y
807
17,
16,
949
rs'
II.
To
tal
sh
ho
lde
uit
are
eq
y
27,
514
26,
023
lia
bil
itie
' eq
uit
To
tal
nd
sha
reh
old
s a
ers
y
68,
966
66,
646

FRESENIUS SE&CO.KGAA CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED)

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Op
tin
cti
vit
ies
era
g a
t in
Ne
com
e
67
1
730
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
622 630
Ch
e in
de
fer
red
ta
ang
xes
-24 -44
Ga
in/
los
ale
of
fix
ed
d o
f in
nd
div
itu
ets
tm
ent
est
s o
n s
ass
an
ves
s a
res
-8 18
Ch
s in
nd
liab
ilit
ies
of
set
et
nts
an
ge
as
s a
, n
am
ou
sin
uir
dis
fro
bu
ed
ed
of
m
ess
es
acq
or
pos
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
-52
7
-50
7
Inv
ori
ent
es
-49 -14
5
Oth
nd
t a
ent
set
er
cur
ren
no
n-c
urr
as
s
-62 -17
Ac
cei
vab
le f
/pa
ble
late
d p
ies
nts
to
art
cou
re
rom
ya
re
-40 53
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
-6 83
fo
r in
Ac
als
e ta
cru
com
xes
75 77
Ne
ash
ide
d b
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tiv
itie
t c
rat
pr
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y o
pe
ac
s
652 878
ing
tiv
itie
Inv
est
ac
s
Pu
rch
of
lan
nd
ipm
ert
t a
ent
ase
pr
op
y, p
equ
and
ital
ize
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lop
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ts
ca
p
eve
me
cos
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7
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6
Pro
ds
fro
ale
f p
lan
nd
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t a
ent
cee
m s
s o
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y, p
equ
6 3
isit
ion
inv
Ac
nd
est
nts
qu
s a
me
and
rch
f in
ible
tan
set
pu
ase
s o
g
as
s
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5
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3
Pro
ds
fro
ale
of
in
nd
div
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tm
ent
est
cee
m s
ves
s a
res
72 6
in
inv
ing
tiv
itie
Ne
ash
ed
t c
est
us
ac
s
-47
4
-86
0

FRESENIUS SE&CO.KGAA CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED)

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Fin
cin
cti
vit
ies
an
g a
Pro
ds
fro
ho
de
bt
rt-t
cee
m s
erm
865
1,
553
Re
of
sh
de
bt
nts
ort
-te
pay
me
rm
-64 -38
7
Pro
ds
fro
lon
m d
ebt
ter
cee
m
g-
46
8
20
Re
of
lo
m d
ebt
nts
ter
pay
me
ng-
-64
5
-30
2
Re
of
lea
liab
ilit
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nts
pay
me
se
-22
4
-21
8
Pro
ds
fro
he
iss
of
bon
ds
m t
cee
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ce
0 750
Re
of
lia
bil
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s fr
bo
nds
nts
pay
me
om
535
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0
of
rtib
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le b
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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 -21
6
Pro
ds
fro
he
cei
vab
le f
aci
lity
of
Fr
niu
s M
ed
ica
l C
m t
nts
cee
acc
ou
re
ese
are
12 27
1
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
1 1
Div
ide
nds
id
pa
-61 -58
Ch
e in
olli
int
ntr
sts
et
ang
no
nco
ng
ere
, n
-1 --
in/
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fin
cin
cti
vit
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Ne
ash
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t c
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pro
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4
14
Eff
of
cha
ch
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d c
ash
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ect
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nts
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ng
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ge
s o
n c
an
eq
46 -11
t in
in
uiv
Ne
sh
d c
ash
ale
nts
cre
ase
ca
an
eq
40 21
Ca
sh
d c
ash
uiv
ale
th
e b
inn
ing
of
th
ing
rio
d
nts
at
ort
an
eq
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e r
ep
pe
837
1,
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1,
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sh
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ash
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th
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of
the
od
nts
at
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eq
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re
po
g p
1,
877
1,
675

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES

€ i
illio
n m
ns
Q1
/20
21
Q1
/20
20
Rec
eiv
ed
int
st
ere
20 15
Pai
d i
nte
t
res
-14
3
-17
5
Inc
id
e ta
om
xes
pa
-83 -93

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

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
As
of
De
be
r 3
20
19
1,
cem
38
0
55
7,
38
0
55
7,
55
7
3,
989
12,
42
2
fro
rcis
f st
tio
Pro
ds
he
ock
m t
cee
exe
e o
op
ns
30 30 -- 1
Co
ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
4
Div
ide
nds
id
pa
0
Sa
le o
f n
llin
int
tro
sts
on
con
g
ere
Sh
bu
bac
k p
of
Fr
niu
s M
ed
ica
l C
AG
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o.K
Ga
A
are
rog
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ese
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y-
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3
Put
tio
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op
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Co
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in
e (
los
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mp
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com
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t in
com
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9
45
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hen
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e (
los
s)
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com
pre
com
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flow
sh
he
dg
es
For
eig
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tra
n c
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on
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mp
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com
45
9
As
of
M
h 3
202
0
1,
arc
0
55
7,
41
0
55
7,
41
55
7
3,
994
12,
776
of
As
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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ds
fro
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f st
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exe
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ns
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pa
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Pu
rch
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ase
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op
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e (
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mp
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In
e (
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dg
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Ch
VO
CI
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in
f F
tm
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ang
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eq
ves
s
For
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nsl
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urr
enc
y
on
Ac
ria
l ga
ins
de
fin
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ben
efit
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lan
tua
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pe
on
p
s
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ch
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reh
ive
in
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mp
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com
43
5
As
of
M
h 3
1,
202
1
arc
55
7,
542
55
7,
542
55
7
3,
992
13,
969

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

Ac
ula
ted
her
reh
ive
in
e (
los
s)
ot
cum
co
mp
ens
com
For
eig
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.
KGa
A
rs'
sha
reh
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ity
equ
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mi
llion
s
Non

ling
trol
con
inte
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s
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s
Tot
al
rs'
sha
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ity
equ
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FRESENIUS SE&CO.KGAA CONSOLIDATED SEGMENT REPORTING FIRST QUARTER (UNAUDITED)

ius
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1 2020: December 31

2 Before revaluations of biosimilars contingent purchase price liabilities

3 After revaluations of biosimilars contingent purchase price liabilities

4 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.

TABLES OF CONTENTS NOTES

  • -
    -
    -
    • 35 IV. Recent pronouncements, applied 40 12. Debt 53 21. Share-based compensation plans
    • 35 V. Recent pronouncements, not yet applied 44 13. Bonds 54 22. Subsequent events
  • 36 2. Acquisitions, divestitures and investments

37 Notes on the consolidated statement of income

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

34 General Notes 39 Notes on the consolidated statement of financial position 47 Other notes

  • 34 1. Principles 39 8. Trade accounts and other receivables 47 17. Legal and regulatory matters
    -
    • 34 II. Basis of presentation 39 10. Other current and non-current assets 52 19. Information on capital management
      -
      -
      -
      -
      • 45 15. Noncontrolling interests
      • 46 16. Fresenius SE&Co. KGaA shareholders' equity

  • 34 I. Group structure 39 9. Inventories 49 18. Financial instruments
    -
  • 34 III. Summary of significant accounting policies 40 11. Goodwill 52 20. Notes on the consolidated segment reporting
    -
    -
    • 45 14. Convertible bonds 54 23. Corporate Governance

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 March 31, 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 management report for the first quarter ended March 31, 2021 have not been audited nor reviewed 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 quarter ended March 31, 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 quarter ended March 31, 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 €20 million for the first quarter ended March 31, 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 €24 million for the first quarter ended March 31, 2020, which was previously presented separately, has been included within selling, general and administrative expenses.

Moreover, in the business segment Fresenius Medical Care, in the first quarter of 2020, as a result of further analysis of the contracts related to a multi-currency notional pooling cash management system, cash and cash equivalents and short-term debt associated with this system which were previously presented on a gross basis are presented on a net basis in the consolidated financial statements. In the consolidated statement of cash flows, proceeds from short-term debt and cash and cash equivalents at the end of the reporting period for the three months ended March 31, 2020 decreased by €352 million.

Government grants and impacts of COVID-19 pandemic

In the first quarter 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 quarter 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 quarter 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 quarter of 2021, the German hospitals of the Fresenius Group received total reimbursements and grants of €205 million, of which €196 million were recorded in sales and €9 million as grants in other operating income.

The remaining amount of U.S. government relief funding which Fresenius Medical Care North America received in the United States under the CARES Act (Coronavirus Aid, Relief, and Economic Security Act) recorded in deferred income was US\$17 million (€14 million) and US\$22 million (€18 million) at March 31, 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\$1,046 million (€892 million) and US\$1,046 million (€852 million) as of March 31, 2021 and December 31, 2020, respectively. Beginning on April 1, 2021, the Centers for Medicare and Medicaid Services (CMS) began recouping these accelerated and advance payments from Fresenius Medical Care.

In addition to the programs above, the Fresenius Group also received grants and other reimbursements in the first quarter of 2021 under various other programs from multiple governments around the world in the amount of €24 million. In Spain, the agreements made in 2020 with public and private payers were further clarified in the first quarter 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 three months ended March 31, 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 quarter 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 endorsement of the amendments to IAS 1 is 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 €149 million and €412 million in the first quarter of 2021 and 2020, respectively. Of this amount, €135 million was paid in cash and €14 million was assumed obligations in the first quarter of 2021. There were no individually material transactions which have occurred during the first quarter of 2021.

FRESENIUS MEDICAL CARE

In the first quarter of 2021, Fresenius Medical Care spent €131 million (Q1/ 2020: €66 million) on acquisitions, mainly on the purchase of dialysis clinics.

FRESENIUS KABI

In the first quarter of 2021, Fresenius Kabi spent €1 million (Q1/ 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 quarter of 2021, Fresenius Helios spent €17 million (Q1/ 2020: €329 million) on acquisitions, mainly for subsequent purchase price payments for the Malteser hospital in Duisburg, Germany.

On April 14, 2021, Fresenius Helios has finalized the acquisition of Luarmia S.L. and NMC Eugin US Corporation (together Eugin Group), one of the leading international fertility groups, from NMC Health. The Eugin Group has been consolidated as of 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 quarter of 2021 in the amount of €435 million does not include special items.

Net income attributable to shareholders of Fresenius SE& Co.KGaA for the first quarter of 2020 in the amount of €459 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 quarter of 2020:

€ i
illio
n m
ns
EBI
T
Inte
rest
exp
ens
es
Net
inc
om
e
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able
attr
to
sha
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rs
of F
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s Q
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ng
,
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1,
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4
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ase
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4. SALES

Sales by activity were as follows:

Q
1/2
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1
€ i
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ns
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re
Fre
ius
sen
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Fre
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Fre
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ith
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ts w
tom
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4,
072
1,
744
2,
640
39
6
-- 8,
852
the
f sa
les
of
rvi
reo
se
ces
3,
233
20 2,
639
294 -- 6,
186
the
f sa
les
of
od
nd
rel
d s
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pr
s a
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s
839 72
1,
1
0 0 0 2,
56
0
f sa
fro
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the
les
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ter
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ts
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m

m
pro
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rac
0 0 0 102 0 102
ith
the
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sal
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ts w
tom
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0 3 1 0 0 4
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sal
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es
127 1 3 1 0 132
Sa
les
4,
199
1,
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2,
643
39
7
-- 8,
984
Q
1/2
020
€ i
illio
n m
ns
ius
Fre
sen
Med
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Ca
re
ius
Fre
sen
Kab
i
ius
Fre
sen
Hel
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ius
Fre
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ed
Cor
ate
por
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Fre
sen
Gro
up
Sa
les
fro
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4,
37
6
1,
774
2,
45
8
42
1
-- 9,
029
the
f sa
les
of
rvi
reo
se
ces
3,
51
6
24 2,
45
8
29
1
-- 6,
289
the
f sa
les
of
od
nd
rel
d s
ice
uct
ate
reo
pr
s a
erv
s
860 1,
743
0 0 0 2,
603
the
f sa
les
fro
lon
du
ctio
ter
ont
ts
reo
m

m
pro
n c
rac
0 0 0 130 0 130
the
f fu
rth
sal
fro
ith
ont
ts w
tom
reo
er
es
m c
rac
cus
ers
0 7 0 0 0 7
Oth
sal
er
es
102 1 3 0 0 106
Sa
les
4,
47
8
1,
775
2,
46
1
42
1
-- 9,
135

Other sales include sales from insurance and lease contracts.

Fresenius

1st Quarter 2021 Quarterly Financial Report

5. RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €186 million (Q1/2020: €186 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €5 million (Q1/ 2020: €5 million). The expenses for the further development of the biosimilars business included in the research and development expenses amounted to €34 million in the first quarter of 2021 (Q1 / 2020: €43 million).

6. TAXES

During the first quarter 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:

Q1
/20
21
Q1
/20
20
€ i
illi
Nu
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
o.K
Ga
A
sen
435 45
9
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
435 45
9
mi
in
De
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
159
55
7,
54
1,
39
6,
954
55
7,
Pot
iall
dil
utiv
ent
y
e
ord
ina
sha
ry
res
107
835
,
45
0,
299
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
648
994
55
7,
,
847
253
55
7,
,
sic
rni
in €
Ba
sha
ea
ng
s p
er
re
0.7
8
0.8
2
Fu
lly
dil
d e
ing
sha
in €
ute
arn
s p
er
re
0.7
8
0.8
2

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

8. TRADE ACCOUNTS AND OTHER RECEIVABLES

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

Ma
rch
31
202
1
,
De
ber
31,
20
20
cem
€ i
illio
n m
ns
dit
the
reof
cre
imp
aire
d
dit
the
reof
cre
imp
aire
d
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
8,
009
668 7,
33
8
674
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
413 30
7
40
1
314
cei
Tra
de
d o
the
ble
nts
et
acc
ou
an
r re
va
s, n
7,
59
6
36
1
6,
937
36
0

Within trade accounts and other receivables (before allowances) as of March 31, 2021, €7,903 million (December 31, 2020: €7,248 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €412 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 March 31, 2021 and December 31, 2020, inventories consisted of the following:

€ i
illio
n m
ns
Ma
r. 3
1, 2
021
Dec
. 31
, 20
20
ria
Raw
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
968 913
in
Wo
rk
pro
ces
s
403 363
Fin
ish
ed
ds
goo
2,
859
2,
796
les
s r
ese
rve
s
138 127
Inv
ori
ent
t
es,
ne
092
4,
3,
945

10. OTHER CURRENT AND NON-CURRENT ASSETS

At equity investments as of March 31, 2021 in the amount of €730 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 quarter of 2021, income of €28 million (Q1 / 2020: €20 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 54
8
Dis
als
pos
0 -- 0 -- 0 --
Im
irm
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
152 0 73 0 0 225
For
eig
nsl
ati
tra
n c
urr
enc
y
on
528 171 0 -- 0 699
Ca
ing
of
Ma
rch
31
202
1
nt
rry
am
ou
as
,
639
13,
5,
229
8,
35
1
29
8
6 27,
523

12. DEBT

SHORT-TERM DEBT

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

Bo
ok
val
ue
€ i
illio
n m
ns
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
30
0
30
Fre
ius
M
ed
ica
l C
AG
&C
o.K
Ga
A C
rci
al
Pap
sen
are
om
me
er
684 20
Oth
sho
de
bt
rt­t
er
erm
053
1,
195
Sh
de
bt
ort
-te
rm
2,
037
245

LONG-TERM DEBT

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

€ i
illio
n m
ns
Bo
ok
val
ue
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
M
ed
ica
l C
Cr
ed
it A
ent
sen
are
gre
em
1,
172
1,
162
Fre
ius
Cr
ed
it A
ent
sen
gre
em
1,
39
9
1,
793
Sch
uld
sch
ein
Lo
ans
1,
768
1,
793
Ac
Re
cei
vab
le F
aci
lity
of
Fr
niu
s M
ed
ica
l C
nts
cou
ese
are
13 0
Oth
er
824 40
6
Su
bto
tal
5,
176
5,
154
les
rtio
ent
s c
urr
po
n
1,
98
1
1,
132
rtio
Lo
de
bt,
le
-te
nt
ng
rm
ss
cu
rre
po
n
3,
195
4,
022

The accounts receivable facility of Fresenius Medical Care in the amount of €13 million is shown as current portion of long-term debt in the consolidated statement of financial position as of March 31, 2021.

Fresenius Medical Care Credit Agreement

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

As of March 31, 2021, FMC-AG &Co.KGaA and its subsidiaries were in compliance with all covenants under the Fresenius Medical Care Credit Agreement.

Ma
rch
31
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
\$
ing
Cr
it F
aci
lity
(in
US
Rev
olv
ed
) 2
017
/20
22
\$
US
illio
900
m
n
768 \$
US
illi
0 m
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
1,
080
illio
m
n
92
1
\$
illi
US
1,
080
m
on
92
1
Te
Lo
(in
€)
20
17
/20
22
rm
an
€2
52
mi
llio
n
252 mi
llio
€2
52
n
252
To
tal
2,
54
1
1,
173
les
s fi
cin
ost
nan
g c
1
To
tal
1,
172
De
ber
31,
202
0
cem
Ma
xim
ilab
le
nt
um
am
ou
ava
Ba
lan
din
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
734 \$
illi
US
0 m
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
\$
Te
Lo
(in
US
) 2
017
/20
22
rm
an
\$
US
1,
110
illio
m
n
904 \$
US
1,
110
illi
m
on
904
Te
Lo
(in
€)
20
/20
22
17
rm
an
€2
59
mi
llio
n
259 €2
59
mi
llio
n
25
9
To
tal
2,
49
7
1,
163
les
s fi
cin
ost
nan
g c
1
To
tal
162
1,

Fresenius Credit Agreement

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

Ma
rch
31
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
\$
Rev
olv
ing
Cr
ed
it F
aci
lity
(in
US
) 2
017
/20
22
\$
US
500
illio
m
n
42
6
\$
illi
US
0 m
on
0
Te
Lo
(in
€)
20
17
/20
21
rm
an
€7
50
mi
llio
n
750 mi
llio
€7
50
n
750
Te
Lo
(in
€)
20
17
/20
22
rm
an
€6
50
mi
llio
n
650 €6
50
mi
llio
n
650
To
tal
2,
926
1,
40
0
les
s fi
cin
ost
nan
g c
1
To
tal
39
9
1,

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).

The euro denominated loan in the amount of €750 million originally due on September 28, 2021, is shown as current portion of long-term debt in the consolidated statement of financial position as of March 31, 2021.

As of March 31, 2021, the Fresenius Group was in compliance with all covenants under the Fresenius Credit Agreement.

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

Schuldschein Loans

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

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
fixe
d/
iabl
var
e
Ma
rch
31
, 20
21
Dec
. 31
, 20
20
ius
SE
&C
Ga
Fre
o.K
A 2
017
/20
22
sen
mi
llio
€3
72
n
Jan
. 31
202
2
,
iab
0.9
3%
/
le
var
372 372
ius
SE
&C
Ga
Fre
o.K
A 2
015
/20
22
sen
illio
€2
1 m
n
ril
Ap
7,
202
2
1.6
1%
21 21
Fre
ius
SE
&C
o.K
Ga
A 2
019
/20
23
sen
€3
78
mi
llio
n
Se
t. 2
5,
202
3
p
0.5
5%
/
iab
le
var
37
8
37
7
Fre
ius
SE
&C
o.K
Ga
A 2
017
/20
24
sen
€4
21
mi
llio
n
Jan
. 31
202
4
,
1.4
0%
/
iab
le
var
42
0
42
0
Fre
ius
SE
&C
o.K
Ga
A 2
019
/20
26
sen
€2
38
mi
llio
n
Se
t. 2
3,
202
6
p
0.8
5%
/
iab
le
var
23
8
238
Fre
ius
SE
&C
o.K
Ga
A 2
017
/20
27
sen
€2
07
mi
llio
n
Jan
. 29
202
7
,
1.9
6%
/
iab
le
var
206 207
Fre
ius
SE
&C
o.K
Ga
A 2
019
/20
29
sen
€8
4 m
illio
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
ius
US
Fi
16
Fre
II,
Inc
. 20
/20
23
sen
nan
ce
\$
US
mi
llio
58
n
Ma
rch
10
202
3
,
iab
3.1
2%
/
le
var
49 47
in
Sc
hu
lds
che
Loa
ns
1,
768
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 March 31, 2021, the additional financial cushion resulting from unutilized credit facilities was approximately €4.8 billion. Syndicated credit facilities accounted for €2.9 billion.

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

As of March 31, 2021, the Fresenius Group was in compliance with all of its covenants under the Schuldschein Loans.

13. BONDS

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

Bo
ok
val
ue
€ i
illio
n m
ns
iona
Not
l am
t
oun
urit
Mat
y
Inte
rest
rat
e
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
Fi
Ire
lan
d P
LC
20
/20
22
17
sen
nan
ce
€7
00
mi
llio
n
Jan
. 31
202
2
,
0.8
75
%
699 699
ius
Fi
LC
Fre
Ire
lan
d P
20
17
/20
24
sen
nan
ce
mi
llio
€7
00
n
Jan
. 30
202
4
,
1.5
0%
698 698
ius
Fi
LC
Fre
Ire
lan
d P
20
17
/20
27
sen
nan
ce
mi
llio
€7
00
n
Feb
. 1,
20
27
2.1
25
%
695 694
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%
495 49
5
Fre
ius
SE
&C
o.K
Ga
A 2
014
/20
21
sen
€4
50
mi
llio
n
Feb
. 1,
20
21
3.0
0%
0 45
0
Fre
ius
SE
&C
o.K
Ga
A 2
014
/20
24
sen
€4
50
mi
llio
n
Feb
. 1,
20
24
4.0
0%
44
9
45
0
Fre
ius
SE
&C
o.K
Ga
A 2
019
/20
25
sen
€5
00
mi
llio
n
Feb
. 15
202
5
,
1.8
75
%
49
6
49
6
Fre
ius
SE
&C
o.K
Ga
A 2
020
/20
26
sen
€5
00
mi
llio
n
Se
28,
20
26
p.
0.3
75
%
495 49
5
Fre
ius
SE
&C
o.K
Ga
A 2
020
/20
27
sen
€7
50
mi
llio
n
Oc
t. 8
202
7
,
1.6
25
%
74
1
740
ius
SE
&C
Ga
Fre
o.K
A 2
020
/20
28
sen
mi
llio
€7
50
n
Jan
. 15
202
8
,
0.7
50
%
744 744
ius
SE
&C
Ga
Fre
o.K
A 2
019
/20
29
sen
mi
llio
€5
00
n
Feb
. 15
202
9
,
2.8
75
%
495 49
5
Fre
ius
SE
&C
o.K
Ga
A 2
020
/20
33
sen
€5
00
mi
llio
n
Jan
. 28
203
3
,
1.1
25
%
49
7
49
7
Fre
ius
US
Fi
II,
Inc
. 20
14
/20
21
sen
nan
ce
\$
US
30
0 m
illio
n
Feb
. 1,
20
21
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%
255 243
FM
C F
ina
VI
I S
.A.
20
11
/20
21
nce
€3
00
mi
llio
n
Feb
. 15
202
1
,
5.2
5%
0 299
Fre
ius
M
ed
ica
l C
AG
&C
o.K
Ga
A 2
019
/20
23
sen
are
€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
o.K
Ga
A 2
018
/20
25
sen
are
€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
o.K
Ga
A 2
020
/20
26
sen
are
€5
00
mi
llio
n
Ma
29,
20
26
y
1.0
0%
49
6
49
6
ius
ica
l C
AG
&C
Ga
26
Fre
M
ed
o.K
A 2
019
/20
sen
are
€6
mi
llio
00
n
6
No
v. 3
0,
202
0.6
25
%
594 594
ius
ica
l C
AG
&C
Ga
Fre
M
ed
o.K
A 2
019
/20
29
sen
are
mi
llio
€5
00
n
No
v. 2
9,
202
9
1.2
5%
49
7
49
7
Fre
ius
M
ed
ica
l C
AG
&C
o.K
Ga
A 2
020
/20
30
sen
are
€7
50
mi
llio
n
Ma
29,
20
30
y
1.5
0%
745 745
Fre
ius
M
ed
ica
l C
US
Fi
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
%
59
7
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%
34
0
325
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
019
/20
29
sen
are
nan
ce
\$
US
500
illio
m
n
Jun
e 1
5,
202
9
3.7
5%
41
9
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
%
845 807
Bo
nd
s
12,
43
7
13,
847

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 March 31, 2021, the Fresenius Group was in compliance with all of its covenants under the bonds.

14. CONVERTIBLE BONDS

As of March 31, 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
Ma
rch
31
, 20
21
Dec
ber
31,
202
0
em
Fre
ius
SE
&C
o.K
Ga
A 2
017
/20
24
sen
€5
00
mi
llio
n
Jan
. 31
202
4
,
0.0
00
%
€1
05
.87
91
47
6
474
Co
rtib
le b
ds
nve
on
6
47
474

The fair value of the derivative embedded in the convertible bonds of Fresenius SE&Co.KGaA was €571 thousand at March 31, 2021. 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 March 31, 2021 and December 31, 2020, noncontrolling interests in the Fresenius Group were as follows:

€ i
illio
n m
ns
Ma
r. 3
1, 2
021
Dec
. 31
, 20
20
olli
int
in
No
ntr
sts
nco
ng
ere
Fre
ius
M
ed
ica
l C
AG
&C
o.K
Ga
A
sen
are
8,
132
7,
600
No
olli
int
ntr
sts
nco
ng
ere
in V
tie
haf
AM
ED
Ak
sel
lsc
t
nge
90 91
No
olli
int
ntr
sts
nco
ng
ere
in t
he
bus
ine
nts
ss
seg
me
Fre
ius
M
ed
ica
l C
sen
are
1,
202
1,
116
Fre
ius
Ka
bi
sen
143 129
Fre
ius
He
lios
sen
125 122
ius
Fre
Va
d
sen
me
15 16
To
tal
oll
ing
in
ntr
ter
est
no
nco
s
9,
707
9,
074

Noncontrolling interests changed as follows:

€ i
illio
n m
ns
Q1
/20
21
No
oll
ing
in
f D
mb
31,
20
20
ntr
ter
est
nco
s a
s o
ece
er
9,
074
No
olli
int
in
ofit
ntr
sts
nco
ng
ere
pr
236
of
ing
in
Pu
rch
oll
ntr
ter
est
ase
no
nco
s
35
Sto
ck
tio
op
ns
--
Div
ide
nd
nts
pay
me
-61
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
42
3
No
oll
ing
in
f M
h 3
202
1,
1
ntr
ter
est
nco
s a
s o
arc
9,
707

Fresenius

1st 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 quarter of 2021, 750 stock options were exercised. Consequently, as of March 31, 2021, the subscribed capital of Fresenius SE&Co.KGaA consisted of 557,541,659 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 € 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
4,
735
083
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
ck
Op
tio
n P
lan
20
08
(ex
ire
d)
p
3,
45
2,
937
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
1,
202
,
Co
nd
itio
nal
Ca
ital
IV
Fr
niu
s S
E&
Co
.KG
aA
p
ese
Sto
ck
Op
tio
n P
lan
20
13
23,
786
09
1
,
To
tal
Co
nd
itio
l C
ita
l as
of
Ja
202
1,
1
na
ap
nu
ary
80,
945
313
,
ius
SE
&C
Ga
Fre
o.K
A
sen
Sto
ck
Op
tio
n P
lan
20
13
tio
rcis
ed
-- o
p
ns
exe
-75
0
To
tal
Co
nd
itio
l C
ita
l as
of
M
h 3
202
1,
1
na
ap
arc
80,
944
563
,

As of March 31, 2021, the Conditional Capital was

composed as follows:

in € Ord
ina
ry sha
res
Co
itio
Ca
ital
ius
AG
nd
nal
I F
p
res
en
Sto
ck
Op
tio
n P
lan
20
03
(ex
ire
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
itio
Ca
ital
tio
nd
nal
III
n b
bo
nds
p
op
ear
er
and
/or
rtib
le b
ds
co
nve
on
48
97
1,
202
,
Co
nd
itio
nal
Ca
ital
IV
Fr
niu
s S
E&
Co
.KG
aA
p
ese
Sto
Op
tio
ck
n P
lan
20
13
23,
785
34
1
,
To
tal
Co
nd
itio
l C
ita
l as
of
M
h 3
1,
202
1
na
ap
arc
80,
944
563
,

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).

The general partner and the Supervisory Board of Fresenius SE&Co.KGaA will propose a dividend of €0.88 per bearer ordinary share to the virtual Annual General Meeting taking place on May 21, 2021, i.e. a total dividend payment of €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 quarter ended March 31, 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

FMC-AG &Co.KGaA has agreed to respond and defend if the case is not dismissed on FMCH's motion.

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.

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, and trial is scheduled for the second complaint (Case No. 1:20-cv-00697-MN) 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 indictment in United States v. Surgical Care Affiliates, 3:2021-Cr-0011 (N.D. Tex.). The unnamed co-conspirators described in the Surgical Care Affiliates indictment 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.

18. FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

Carrying amounts of financial instruments

As of March 31, 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:

Ma
rch
31
202
1
,
Re
lati
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
6
for
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
1,
877
1,
43
8
43
9
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,
59
6
7,
46
5
15 43 73
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
180 180
3
Oth
fin
ial
ets
er
anc
ass
2,
055
1,
152
31
6
45
6
9 122
Fin
cia
l as
set
an
s
11,
708
10,
235
770 49
9
9 0 195
Fin
cia
l li
ilit
ies
ab
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
635
1,
635
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
84 84
Sh
de
bt
ort
-te
rm
2,
037
2,
037
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
6 6
Lon
m d
ebt
ter
g-
176
5,
176
5,
liab
ilit
ies
Lon
lea
ter
g-
m
se
6,
6
37
6,
6
37
Bo
nds
12,
43
7
12,
43
7
Co
rtib
le b
ond
nve
s
47
6
47
6
4
Oth
fin
ial
liab
ilit
ies
er
anc
5,
106
3,
534
603 26 943
Fin
cia
l li
ilit
ies
ab
an
33
333
,
25,
385
603 0 26 943 6,
6
37

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 €169 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
,
Re
lati
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
ivat
ives
Der
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
ion
Val
uat
ord
ing
to
acc
IFR
S 1
6
for
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
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
Lon
lea
liab
ilit
ies
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
5,
079
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 March 31, 2021 and December 31, 2020:

Ma
rch
31
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
Cas
h a
nd
h e
iva
len
ts
cas
qu
43
9
43
9
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
,
58 58 79 79
1
Oth
fin
ial
ets
er
anc
ass
ins
De
bt
tru
nts
me
6
35
35
1
5 40
1
6
39
5
uity
in
Eq
tm
ent
ves
s
395 19 175 20
1
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
9 9 8 8
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
21 21 10 10
Fin
cia
l li
ab
ilit
ies
an
Lon
m d
ebt
ter
g-
5,
176
5,
212
5,
154
5,
210
Bo
nds
12,
43
7
13,
183
13,
847
847
14,
Co
rtib
le b
ond
nve
s
6
47
49
6
474 49
0
1
Oth
fin
ial
liab
ilit
ies
er
anc
tio
iab
ilit
ies
Put
n l
op
943 943 90
1
90
1
tin
din
isit
ion
Ac
ed
for
t p
ent
uts
tan
cru
con
gen
aym
s o
g
ac
qu
s
57
8
57
8
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
26 26 15 15
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
25 25 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 quarter 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
dit
ion
Ad
s
0 5 30
Dis
als
pos
0 -3 -9
Ga
in/
los
ize
d i
rof
it o
r lo
s r
eco
gn
n p
ss
-26 -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
8 -1 39
of
As
M
h 3
1,
202
1
arc
20
1
57
8
943

19. INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of March 31, 2021, the equity ratio was 39.9% and the debt ratio (debt/total assets) was 38.4%. As of March 31, 2021, the leverage ratio (before special items) on the basis of net debt/EBITDA was 3.5.

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:

Ma
r. 3
1, 2
021
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
Ba
a3
Baa
3
Ou
tlo
ok
ble
sta
ble
sta
Fit
ch
Co
e C
it R
ati
red
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 table shown on page 32 of this interim report is 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 March 31, 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
Q1
/20
21
Q1
/20
20
To
tal
EB
IT
of
ing
ort
ent
rep
se
gm
s
1,
014
1,
132
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e/O
the
r (E
BIT
)
rat
rpo
-8 -7
Gr
EB
IT
ou
p
1,
006
1,
125
Ne
t in
ter
est
-13
7
-18
2
inc
Inc
e b
efo
e t
om
re
om
axe
s
869 943

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED

STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Ma
r. 3
1, 2
021
Dec
. 31
, 20
20
Sh
de
bt
ort
-te
rm
2,
037
245
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
6 5
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
98
1,
1
132
1,
Cu
rtio
f lo
lea
nt
ter
rre
po
n o
ng-
m
se
liab
ilit
ies
796 766
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
296
1,
522
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
3,
195
4,
022
Lon
lea
liab
ilit
ies
les
ter
g-
m
se
s
,
ion
t p
ort
cur
ren
rtio
Bo
nds
les
ent
s c
urr
po
n
5,
58
0
11,
141
5,
42
2
12,
325
,
Co
rtib
le b
ond
les
rtio
ent
nve
s,
s c
urr
po
n
47
6
474
De
bt
26,
50
8
25,
913
les
ash
d c
ash
uiv
ale
nts
s c
an
eq
1,
877
1,
837
Ne
t d
ebt
63
24,
1
076
24,

21. SHARE-BASED COMPENSATION PLANS

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

As of March 31, 2021, Fresenius SE&Co.KGaA had two share-based 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 quarter of 2021

During the first quarter of 2021, Fresenius SE&Co.KGaA received cash of €24 thousand from the exercise of 750 stock options.

Of the 6,079,524 outstanding stock options issued under the 2013 LTIP 5,596,179 were exercisable at March 31, 2021. The members of the Fresenius Management SE Management Board held 693,281 stock options. 39,653 phantom stocks issued under the 2013 LTIP were outstanding at March 31, 2021. The members of the Fresenius Management SE Management Board held 5,059 phantom stocks. At March 31, 2021, the Management Board members of Fresenius Management SE held 388,434 performance shares and employees of Fresenius SE&Co.KGaA held 1,689,540 performance shares under the LTIP 2018.

On March 31, 2021, total unrecognized compensation cost related to non-vested options granted under the 2013 LTIP was €0.6 million. This cost is expected to be recognized over a weighted-average period of 0.3 years.

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

On March 1, 2021 the members of the Management Board of Fresenius Medical Care Management AG were granted 192,201 performance shares with a total fair value of €10 million under the Fresenius Medical Care Management Board Long Term Incentive Plan 2020. This amount will be amortized over the three-year vesting period. The weighted-average fair value per performance share at the grant date was €54.36.

During the first quarter of 2021, 7,910 stock options were exercised. Fresenius Medical Care AG &Co.KGaA received cash of €0.4 million upon exercise of these stock options.

22. SUBSEQUENT EVENTS

April was characterized worldwide by a regionally varying development of the COVID-19 pandemic with continued high infection numbers as well as an increasing number of virus mutations. Currently, large-scale constraints of public and private life are therefore again enacted in various countries, for example in both Spain and Germany, in order to curtail the spread of COVID-19. The vaccination programs have started 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 quarter of 2021. With the exception of the issuance of bonds as described in note 13, Bonds, 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 quarter 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/ corporate-governance), and of Fresenius Medical Care AG &Co.KGaA (www.freseniusmedicalcare.com).

FINANCIAL CALENDAR

Ma
21,
202
1
y
Re
st h
alf
202
n 1
1
rt o
po
Co
nfe
cal
l,
Liv
ebc
ast
ren
ce
e w
Jul
30,
202
1
y
Re
n 1
- 3
rd
202
1
rt o
st -
art
po
qu
er
Co
nfe
cal
l,
Liv
ebc
ast
ren
ce
e w
No
ber
2,
202
1
vem

Subject to change

FRESENIUS SHARE/ADR

Ord
ina
sha
ry
AD
R
re
Sec
uri
tie
s id
ific
ati
57
8 5
ent
on
no.
60
CU
SIP
35
804
M1
05
Tic
ker
mb
ol
sy
FR
E
Tic
ker
mb
ol
FS
NU
Y
sy
ISI
N
DE
000
856
57
04
ISI
N
US
35
804
M1
053
E G
Blo
ber
bo
l
FR
om
g s
ym
Str
Sp
R
d L
l 1
AD
R
uct
ure
ons
ore
eve
Re
bo
l
FR
EG
ute
rs s
ym
.de
Rat
io
4 A
DR
1 s
har
e
=
Ma
in t
rad
ing
lo
ion
Fra
nkf
/ X
cat
urt
Tra
din
latf
OT
C
etr
a
g p
orm

CONTACT

Corporate Headquarters

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]

Commercial Register: Bad Homburg v. d. H.; HRB 11852 Chairman of the Supervisory Board: Dr. Gerd Krick

General Partner: Fresenius Management SE Registered Offi ce and Commercial Register: Bad Homburg v. d. H.; HRB 11673 Management Board: Stephan Sturm (President and CEO), Dr. Sebastian Biedenkopf, Dr. Francesco De Meo, Rachel Empey, Rice Powell, Michael Sen, Dr. Ernst Wastler Chairman of the Supervisory Board: Dr. Gerd Krick

For additional information on the performance indicators used please refer to our website https://www.fresenius.com/alternative-performance-measures.

Forward-looking statements:

This Quarterly Financial Report contains forward-looking statements. These statements represent assessments which we have made on the basis of the information available to us at the time. Should the assumptions on which the statements are based on not occur, or if risks should arise – as mentioned in the consolidated fi nancial statements and the management report as of December 31, 2020 applying Section 315e HBG in accordance with IFRS and the SEC fi lings of Fresenius Medical Care AG & Co. KGaA – the actual results could differ materially from the results currently expected.

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