Fresenius SE & Co. KGaA

Investor Presentation • Dec 1, 2020

Company Presentation

December 2020

Safe Harbor Statement

This presentation contains forward-looking statements that are subject to various risks and uncertainties. Future results could differ materially from those described in these forward-looking statements due to certain factors, e.g. changes in business, economic and competitive conditions, regulatory reforms, results of clinical trials, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. Fresenius does not undertake any responsibility to update the forward-looking statements contained in this presentation.

Figures for 2020 and 2019 according to IFRS 16 (except otherwise stated).

A Global Leader in Health Care Products and Services

Fresenius Group: Global Sales Base in Growing, Non-Cyclical Markets

Fresenius Group: Strong Track Record of Organic Sales Growth in All Business Segments

Strong and Balanced Health Care Portfolio

Fresenius Medical Care: Global Dialysis Market Leader

• The world's leading provider of dialysis products and services treating ~349,000 patients1 in ~4,000 clinics1
• Provide highest standard of product quality and patient care

Dialysis products

Dialysis services

• Expansion in Care Coordination and global dialysis service opportunities; enter new geographies

Market Dynamics

Global Dialysis Market 2019:

• ~€80 bn
• ~6% patient growth p.a.

Growth Drivers:

• Aging population, increasing incidence of diabetes and high blood pressure, treatment quality improvements

¹ As of September 30, 2020

Fresenius Kabi: A Leading Global Hospital Supplier

• Comprehensive product portfolio for critically and chronically ill patients
• Strong Emerging Markets presence
• Leading market positions

• Focus on organic growth through geographic product rollouts and new product launches
• Development of biosimilars with a focus on oncology and autoimmune diseases

Market Dynamics

Global Addressable Market 2019:

• ~€97 bn

Growth Drivers:

• Patent expirations, rising demand for health care services, higher health care spending in Emerging Markets

Fresenius Helios: Europe's Largest Private Hospital Operator

• Market leader in size and quality with excellent growth prospects
• ~5%1 share in German acute care hospital ~12%1 share in Spanish private hospital market
• Quality is key: defined quality targets, publication of medical treatment results, peer review processes
• Broad revenue base with public and privately insured patients, PPPs, self-pay and Occupational Risk Prevention

Market Dynamics

Hospital Market Size:

• ~€102 bn2 German Acute Care Hospital Market
• ~€15 bn3 Spanish Private Hospital Market

Growth Drivers:

• Aging population, greenfield projects in Spain, potential market consolidation in Germany and Spain

¹ Based on sales

• ² German Federal Statistical Office 2018; total costs, gross of the German hospitals less academic research and teaching
• ³ Market data based on company research. Market definition does neither include Public Private Partnerships (PPP) nor Occupational Risk Prevention centers (ORP)

Acute Care

Outpatient

• Development of new business models to foster digitalization and profit from trend towards outpatient treatments

Fresenius Vamed: Leading Global Hospital Projects and Services Specialist

• Manages hospital construction/expansion projects and provides services for health care facilities worldwide
• Offers project development, planning, turnkey construction, maintenance as well as technical management, and total operational management
• Strong track record: More than 900 projects in over 90 countries completed
• Leading European post-acute care provider operating in five European countries

Market Dynamics

Growth Drivers:

• Emerging Market demand for building and developing hospital infrastructure
• Outsourcing of non-medical services from public to private operators

Global Trends offer Growth Opportunities for Fresenius

Increasing national income Chronically ill patients

Aging Population Growing healthcare sector

Significant savings for healthcare systems

Sources: ¹ UN, 2019 Revision of World Population Prospects (2019) 2 UBS, Longer Term Investments: EM healthcare (2018) 3 IMF (2019) 4 IDF Diabetes Atlas (2017) 5 AAM report (2019) 6 UBS, Longer Term Investments: Generics (2018)

Fresenius Group: Growth Areas

Fresenius Group: Medium-term Growth Targets 2020 – 2023 (CAGRs)

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

Before special items

The Fresenius Strategy

Our ESG Priorities: Patients, Employees and Compliance

ESG Rating Overview: Continuous Improvement through Reporting and Engagement

Current Score	CDP Climate: C CDP Water: C	Prime C	BBB	39/100 DJSI Europe	55/100
Sector Average	CDP Climate: B-	C-	BBB - A	28 / 100	47 – 63/ 100
Previous Score	CDP Climate: D CDP Water: D-	Prime C	BB	33/100	48 /100
Next steps:	• Improve management-level responsibility over ESG-related issues, i.e. implement further emissions reduction and efficiency projects and related targets Intensify dialogue with rating agencies •

Sustainability/ESG: Decisive Steps for 2020

Our Priorities

• "Better medicine for more people"
• Patients: Quality of products and services
• People: Being an attractive employer
• Compliance: Doing the right thing

Sustainability Governance

• CEO sponsors Group sustainability efforts
• New Group Sustainability Board in 2020
• Strategy and KPI alignment program started in 2019, will continue in 2020

Remuneration

• Remuneration proposal planned for AGM 2021
• Based on new German legal framework and German Corporate Governance Code
• Will include ESG performance indicators

Fresenius Group: Capital Deployment Focuses on Sustainable Value Creation

Fresenius Group: Proven Track Record of Deleveraging

Net Debt/EBITDA1

2002-2019 excluding IFRS 16

¹ At actual FX rates from 2002 to 2010 and at average FX rates from 2011 onwards, for both Net Debt and EBITDA; before special items; pro forma closed acquisitions/divestitures ² Pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG ³ Including IFRS 16

Fresenius SE: Earnings-Linked Dividend Policy

0.02 0.23 0.25 0.29 0.32 0.37 0.42 0.44 0.55 0.62 93 08 09 10 11 12 13 14 15 16 17 18 19 25% 24% 21% 20% 21% 21% 22% 21% 22% 23% 24% € per share • Dividend growth aligned to EPS1 growth • Pay-out Ratio: 20% to 25% Dividend distribution (€m) Pay-out Ratio 0.75 2019 Pay-out Ratio: 24% Dividend Policy 114 122 140 155 196 225 238 300 343 416 445 0.80 468 0.84 24% Track record • 27th consecutive dividend increase • CAGR dividend increase +15%

¹ Before special items

Total Shareholder Return – CAGR, Rounded

Source: Bloomberg; dividends reinvested, as of Dec 31, 2019

Review Q3/20

Fresenius Group Q3/20 – Key Messages

• Resilient business model delivers healthy 5% cc sales growth, good cash flow development
• Group-wide cost optimization fostered during the pandemic – benefits to stay in post-COVID world
• Positive net income growth – Fresenius Group has passed the trough
• Fresenius Kabi shows recovery in Europe and return to growth in China whilst headwinds weigh on the US
• Fresenius Helios with significant growth in Spain based on catch-up effects
• Fresenius Vamed continues to be heavily impacted by COVID-19 related project delays; high-end technical services remained robust
• Group guidance confirmed

Fresenius Kabi: Whilst headwinds weigh on the US, Europe sees a recovery and China returns to growth

North America

• Fewer elective treatments and temporary manufacturing issues outweighed extra demand for COVID-19 related products
• Underutilization of capacities impacts profitability
• Incremental COVID-19 related costs and write-down of a receivable weigh on profitability

Europe

• Recovery of elective treatments
• Profitability improvement also driven by better capacity utilization

Emerging Markets

• China with accelerated recovery back to growth in Q3 despite tough prior-year comp
• Recovery in Asia Pacific ex China lagging behind
• Latin America with ongoing dynamic growth despite COVID-19

Fresenius Kabi: Progress of biosimilars business in line with expectations; Medical Devices plowing ahead

Biosimilars

• Fresenius gains traction in European adalimumab market – recent tender wins
• Competitive product offering ongoing further optimization of cost base
• Cooperation with pharmaceutical company medac in the area of rheumatic illnesses started successfully

Medical Devices

• TCT more agile organization after divisionalization
• Competitive product offering sets good base for dynamic growth

Helios Germany: Resilient development with sales growth in Q3 due to recovery of elective procedures

Helios Germany

Recovery of elective procedures

• Clear trend of increasing sequential case numbers - holiday-related dip in August
• Cumulative YoY gap in case numbers still significant
• State-of-the-art hygiene concept supports willingness of patients to proceed with elective procedures

Regulatory framework

• Law to ease financial burden for hospitals expired end of September
• Hospital Future Act (KHZG) expected to cover Q4/20

• Key provisions of KHZG:
  • − Compensate YoY shortfall of revenues due to COVID-19 in FY/20 - details to be determined
  • − Reimbursement of increased costs for protective clothing and other supplies
  • − Digital healthcare fund of €4.3 bn

Helios Spain: Recovery of elective treatments

Helios Spain: Significant growth in Q3 based on catch-up effects

Helios Spain

Recovery of elective procedures

• Pent-up demand led to YoY growth
• Usual holiday pattern with significantly fewer case numbers in Q3 not so pronounced this year
• Dynamic recovery in particular driven by outpatient treatments

Regulatory framework

• Reimbursement negotiations with virtually all private Health Insurance Companies completed; applicable rates at least in line with expectations

Increasing COVID-19 cases

• Fully committed to supporting the national effort against COVID-19 with all available resources
• Well-prepared for second wave experience on how to treat elective cases despite increasing COVID-19 cases

Fresenius Vamed: Ongoing significant COVID-19 headwinds in project and service business

Project Business

• Project order intake continued to be marked by delays and cancellations
• Global execution delays due to travel/ quarantine restrictions and supply chain restraints
• Incremental expenses due to project delays

4 markets: Entry from Austria possible

• 27 markets: Entry from Austria only with restrictions possible
• 22 markets: Entry from Austria only with strong restrictions possible
• 41 markets: Entry from Austria not possible

Service Business

• Lower capacities due to health authority induced capacity restrictions
• Less demand for post-acute care treatments
• We anticipate further decrees to ease the financial burden on post-acute care facilities in other European countries
• High-end technical services not meaningfully impacted by COVID-19, except for sterilization services
• Incremental expenses for protection of patients and employees

Fresenius Group Q3/20: Fresenius in excellent shape to unleash accelerated growth following the COVID-19 pandemic

Trends accelerated by COVID-19 Local production • We produce where we sell • Reliable partner and good citizen Healthcare austerity measures • Generics support savings in healthcare budgets • Preventive medicine offerings Digital healthcare solutions • Digital healthcare offerings for patients with chronic illnesses • Alternative medical pathways (e.g. video doctor consultations, apps) Digital rehab measures • Expansion of digital rehab offerings • Post acute care apps High quality healthcare products and services • Core competence of Fresenius • Long-standing track record • Market-leading positions

Financial Review Q3/20

Fresenius Group: Q3/20 Profit and Loss Statement

Sales	EBIT
+5%	1%
Q3/20: €8,918 m	Q3/20: €1,113 m	Net Income
		1%
Income Tax Rate	Net Interest
22.0%	-€154 m	Q3/20: €427 m
Q3/19: 23.1%	Q3/19: -€171 m

All growth rates in constant currency (cc) Before special items Net income attributable to shareholders of Fresenius SE & Co. KGaA

Fresenius Group: Q3/20 Business Segment Growth

All figures before special items

For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Group: Cash Flow

	Operating CF		Capex (net)		Free Cash Flow1
€m	Q3/2020	LTM Margin	Q3/2020	LTM Margin	Q3/2020	LTM Margin
	746	24.5%	-240	-5.9%	506	18.6%
	225	16.3%	-157	-10.5%	68	5.8%
	275	9.9%	-97	-5.0%	178	4.9%
	-4	0.2%	-18	-4.2%	-22	-4.0%
Corporate/Other	-43	n.a.	-5	n.a.	-48	n.a.
Excl. FMC ²	566	11.7%	-277	-7.3%	289	4.4%
	1,199	17.8%	-517	-6.7%	682	11.1%

¹ Before acquisitions and dividends

² Including FMC dividends

Fresenius Group: FY/20 Financial Outlook by Business Segment (including COVID-19 effects)

€m (except otherwise stated)		FY/19 Base1	Q1-3/20 Actual	FY/20e2	FY/20e2 New
	Sales growth (org)	6,919	5,161	+2% to +5%	confirmed
		EBIT growth (cc)	1,205	859	-6% to -3%	confirmed
		Sales growth (org)	9,234	7,181	+1% to +4%	confirmed
	EBIT growth (cc)	1,025	697	broadly stable	confirmed
	Sales growth (org)	2,206	1,491	~ 10% decline	confirmed
	EBIT growth (cc)	134	-10	~ 50% decline	positive EBIT

¹ Before special items and including IFRS 16 effects

² Before special items and including estimated COVID-19 effects

For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Group: FY/20 Financial Guidance (including COVID-19 effects)

€m (except otherwise stated)		FY/19 Base1	Q1-3/20 Actual2	FY/20e2,3	FY/20e2,3 New
	Sales growth (cc)	35,409	+5%	+3% to +6%	confirmed
	Net income4 growth (cc)	1,879	-4%	-4% to +1%	confirmed

1 Before special items, including IFRS 16 effects, including NxStage operations

² Before special items

³ Including estimated COVID-19 effects

⁴ Net income attributable to shareholders of Fresenius SE & Co.KGaA

For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Attachments

Fresenius Kabi: Q3 & Q1-3/20 Organic Sales Growth by Regions

Total sales	1,694	2%	5,161	3%
Emerging Markets	555	6%	1,556	3%
Europe	581	5%	1,778	5%
North America	558	-5%	1,827	1%
€m	Q3/20	Δ YoY organic	Q1-3/20	Δ YoY organic

Fresenius Kabi: Q3 & Q1-3/20 Organic Sales Growth by Product Segment

€m	Q3/20	Δ YoY organic	Q1-3/20	Δ YoY organic
IV Drugs	687	-2%	2,224	3%
Infusion Therapy	191	-3%	568	-5%
Clinical Nutrition	500	7%	1,417	4%
Medical Devices/ Transfusion Technology	316	5%	952	7%
Total sales	1,694	2%	5,161	3%

Fresenius Kabi: Q3 & Q1-3/20 EBIT Growth

€m	Q3/20	Δ YoY cc	Q1-3/20	Δ YoY cc
North America Margin	167 29.9%	-20% -640 bps	660 36.1%	-6% -260 bps
Europe	86	15%	270	13%
Margin	14.8%	+150 bps	15.2%	+110 bps
Emerging Markets	140	12%	318	-4%
Margin	25.2%	+180 bps	20.4%	-120 bps
Corporate and Corporate R&D	-115	6%	-389	-6%
Total EBIT	278	-4%	859	-5%
Margin	16.4%	-100 bps	16.6%	-130 bps

All figures before special items

Margin growth at actual rates

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Helios: Q3 & Q1-3/20 Key Financials

€m	Q3/20	Δ YoY cc	Q1-3/20	Δ YoY cc
Total sales	2,400	6%1	7,181	3%1
Thereof Helios Germany	1,529	4%1	4,703	5%1
Thereof Helios Spain	870	10%1	2,476	-2%1
Total EBIT Margin	225 9.4%	20% 100 bps	697 9.7%	-5% -90 bps
Thereof Helios Germany Margin	133 8.7%	2% -20 bps	445 9.5%	3% -20 bps
Thereof Helios Spain Margin	95 10.9%	63% 310 bps	261 10.5%	-15% -220 bps
Thereof Corporate	-3	--	-9	--

¹ Organic growth

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Helios: Key Metrics

	Q1-3/20	FY/19	Δ
No. of hospitals Germany - Acute care hospitals	86 83	86 83	0% 0%
No. of hospitals Spain (Hospitals)	53	51	4%
No. of beds Germany - Acute care hospitals	28,852 28,325	28,907 28,380	0% 0%
No. of beds Spain (Hospitals)	7,912	7,288	9%
Admissions Germany (acute care)	789,942	1,206,654
Admissions Spain (including outpatients)	10,704,058	15,396,051

Fresenius Vamed: Q3 & Q1-3/20 Key Financials

€m	Q3/20	Δ YoY cc	Q1-3/20	Δ YoY cc
Total sales Thereof organic sales	517	-8% -10%	1,491	1% -1%
Project business	140	-34%	428	-4%
Service business	377	8%	1,063	4%
Total EBIT	-11	-133%	-10	-115%
Order intake1	188	-22%	362	-51%
Order backlog1			2,786	-3%2

¹ Project business only ² Versus December 31, 2019

Fresenius Group: Q3/20 Key Financials

€m	Q3/201	special items	Q3/20 reported	YoY cc1 Δ
Sales	8,918	-	8,918	5%
EBIT	1,113	-	1,113	1%
Net interest	-154	-	-154	6%
Income taxes	-211	-	-211	4%
Net income2	427	-	427	1%

¹ Before special items

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

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Group: Calculation of Noncontrolling Interests

€m	Q1-3/20	Q1-3/19
Earnings before tax and noncontrolling interests	2,866	2,869
Taxes	-651	-662
Noncontrolling interests, thereof	-913	-834
Fresenius Medical Care net income not attributable to Fresenius (Q3/20: ~68%)	-670	-599
Noncontrolling interest holders in Fresenius Medical Care	-210	-177
Noncontrolling interest holders in Fresenius Kabi (-€31 m), Fresenius Helios (-€5 m), Fresenius Vamed (-€2 m) and due to Fresenius Vamed's 23% external ownership (+€5 m)	-33	-58
Net income attributable to Fresenius SE & Co. KGaA	1,302	1,373

Before special items

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Group: Cash Flow

€m	Q3/20	LTM Margin	Δ YoY
Operating Cash Flow	1,199	17.8%	-19%
Capex (net)	-517	-6.7%	10%
Free Cash Flow	682	11.1%	-25%
(before acquisitions and dividends)
Acquisitions (net)	-77
Dividends	-790
Free Cash Flow (after acquisitions and dividends)	-185	6.2%	-125%

Estimated COVID-19 effects Q3/Q1-3 2020

	Growth cc as reported incl. COVID-19		Estimated COVID-19 impact cc
	Q3/201	Q1-3/201	Q3/201	Q1-3/201
Sales	+5%	+5%	-1% to -2%	-2% to -3%
Net income2	+1%	-4%	-0% to -4%	-6% to -10%

¹ Before special items

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

Fresenius Group: Major Long Term Debt Maturities1 Well-balanced Maturity Profile

Continued strong access to capital markets

• Issuance of €1bn bonds in September to pre-fund Q1/2021 maturities
• 3rd FSE market approach in 2020 to make use of attractive conditions and de-risk refinancing
• Over the last twelve months, average maturity extended to ~4.5 years and average interest rate reduced to 2.0 % p.a.

¹ As of September 30, 2020 and based on utilization of major financing instruments, excl. Commercial Paper of EUR 509m

Financial Calendar / Contact

Financial Calendar

23 February 2021	Results FY/20
06 May 2021	Results Q1/21
21 May 2021	Annual General Meeting
30 July 2021	Results Q2/21
02 November 2021	Results Q3/21

Please note that these dates could be subject to change.

Contact

Investor Relations & Sustainability Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: ir-fre@fresenius.com For further information and current news: www.fresenius.com

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