Quarterly Report • Nov 3, 2017
Quarterly Report
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applying International Financial Reporting Standards (IFRS)
1st – 3rd Quarter and 3rd Quarter 2017
53 Financial Calendar
This Quarterly Financial Report was published on November 3, 2017
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 2016, Group sales were € 29.5 billion. As of September 30, 2017, more than 270,000 employees have dedicated themselves to the service of health in about 100 countries worldwide.
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 8,297 | 7,433 | 12% | 25,191 | 21,651 | 16% |
| EBIT 1 |
1,129 | 1,071 | 5% | 3,522 | 3,058 | 15% |
| Net income 1,2 | 413 | 382 | 8% | 1,329 | 1,118 | 19% |
| Adjusted net income 2,3 | 423 | 382 | 11% | 1,339 | 1,118 | 20% |
| Earnings per share in € 1,2 | 0.75 | 0.69 | 8% | 2.40 | 2.04 | 18% |
| Adjusted earnings per share in € 2,3 | 0.77 | 0.69 | 11% | 2.42 | 2.04 | 19% |
| Operating cash fl ow | 1,138 | 940 | 21% | 2,821 | 2,273 | 24% |
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 | Change |
|---|---|---|---|
| Total assets | 53,097 | 46,697 | 14% |
| Non-current assets | 40,227 | 34,953 | 15% |
| Equity 4 | 21,167 | 20,849 | 2% |
| Net debt | 18,024 | 13,201 | 37% |
| Investments 5 | 7,799 | 1,651 | -- |
| Q3 / 2017 | Q3 / 2016 | Q1 – 3 / 2017 | Q1 – 3 / 2016 | |
|---|---|---|---|---|
| EBITDA margin 1 | 17.8% | 18.5% | 18.2% | 18.3% |
| EBIT margin 1 | 13.6% | 14.4% | 14.0% | 14.1% |
| Depreciation and amortization in % of sales | 4.2% | 4.1% | 4.2% | 4.2% |
| Operating cash fl ow in % of sales | 13.7% | 12.6% | 11.2% | 10.5% |
| Equity ratio (September 30 / December 31) |
39.9% | 44.6% | ||
| Net debt / EBITDA (September 30 / December 31) 6 |
2.97 | 3.09 7 |
Equity including noncontrolling interest Investments in property, plant and equipment, and intangible assets, acquisitions (nine months)
Pro forma Quirónsalud
Before acquisition-related expenses
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Consistent with scope of original guidance: before acquisition-related expenses; before expenditures for further development of biosimilars business
6 At LTM average exchange rates for both net debt and EBITDA, pro forma acquisitions, before acquisition-related expenses
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 4,336 | 4,211 | 3% | 13,355 | 12,153 | 10% |
| EBIT | 608 | 611 | 0% | 1,843 | 1,679 | 10% |
| Net income 1 | 309 | 304 | 2% | 886 | 781 | 13% |
| Operating cash fl ow | 612 | 393 | 56% | 1,664 | 1,160 | 43% |
| Investments / Acquisitions | 308 | 296 | 4% | 1,180 | 1,115 | 6% |
| R & D expenses | 28 | 40 | - 30% | 95 | 108 | - 12% |
| Employees (September 30 / December 31) | 120,987 | 116,120 | 4% |
FRESENIUS KABI – IV drugs, Clinical nutrition, Infusion therapy, Medical devices / Transfusion technology
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 1,562 | 1,511 | 3% | 4,764 | 4,457 | 7% |
| EBIT 2 | 283 | 281 | 1% | 905 | 863 | 5% |
| Adjusted EBIT 3 | 297 | 281 | 6% | 919 | 863 | 6% |
| Net income 2, 4 | 165 | 155 | 6% | 544 | 491 | 11% |
| Adjusted net income 3, 4 | 175 | 155 | 13% | 554 | 491 | 13% |
| Operating cash fl ow | 245 | 322 | - 24% | 640 | 661 | - 3% |
| Investments / Acquisitions | 258 | 93 | 177% | 410 | 314 | 31% |
| R & D expenses | 104 | 88 | 18 | 280 | 277 | 1% |
| Employees (September 30 / December 31) | 35,699 | 34,917 | 2% |
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 2,166 | 1,470 | 47% | 6,422 | 4,382 | 47% |
| EBIT | 232 | 175 | 33% | 769 | 507 | 52% |
| Net income 4 | 153 | 140 | 9% | 526 | 402 | 31% |
| Operating cash fl ow | 256 | 207 | 24 % | 560 | 437 | 28% |
| Investments / Acquisitions | 96 | 79 | 22% | 6,186 | 212 | -- |
| Employees (September 30 / December 31) | 105,717 | 72,687 | 45% |
FRESENIUS VAMED – Projects and services for hospitals and other health care facilities
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 267 | 268 | 0% | 748 | 740 | 1% |
| EBIT | 15 | 15 | 0% | 32 | 31 | 3% |
| Net income 5 | 10 | 10 | 0% | 21 | 21 | 0% |
| Operating cash fl ow | 35 | 21 | 67% | 7 | 22 | - 68% |
| Investments / Acquisitions | 3 | 2 | 50% | 10 | 6 | 67% |
| Order intake | 285 | 209 | 36% | 697 | 674 | 3% |
| Employees (September 30 / December 31) | 8,252 | 8,198 | 1% |
1 Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
Before acquisition-related expenses Consistent with scope of original guidance: before acquisition-related expenses; before expenditures for further development of biosimilars business
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Net income attributable to shareholders of VAMED AG
Uncertainty concerning the future development of the U.S. health policy weighed on the share performance of health care stocks during the course of the year. The Fresenius share decreased by 8%, while DAX index grew by 12% in the same period.
The recovery of the global economy continued in the fi rst nine months. The economic growth is driven by domestic demand in most regions of the euro zone. The economy in the euro zone is expected to grow by 2.2% this year, according to the latest ECB forecast. The ECB left its monetary policy unchanged during its September meeting.
The Federal Reserve's latest forecast projects the U.S. economy to grow by 2.4% in 2017. As expected, the U.S. Federal Reserve, did not change the existing interest rates corridor of 1.00% and 1.25% at its September meeting.
Within this economic environment, the DAX increased by 12% in the fi rst nine months of 2017 to 12,829 points. The Fresenius share closed at € 68.25 on September 30, 2017. This represents a decline of 8% over the closing price of 2016.
| Q1 – 3 / 2017 | 2016 | Change | |
|---|---|---|---|
| Number of shares (September 30 / December 31) | 554,536,698 | 547,208,371 | 1% |
| Quarter-end quotation in € | 68.25 | 74.26 | - 8% |
| High in € | 79.65 | 74.26 | 7% |
| Low in € | 67.23 | 53.05 | 27% |
| Ø Trading volume (number of shares per trading day) | 1,034,050 | 1,176,579 | - 12% |
| Market capitalization, € in millions (September 30 / December 31) | 37,847 | 40,636 | - 7% |
We can report another very good quarter, once again boosted by strong sales and earnings growth. The prospects for our businesses remain excellent. We are therefore confirming our guidance for the remainder of the year.
| Q 3 / 2017 | at actual rates |
in constant currency |
|
|---|---|---|---|
| Sales | € 8.3 bn | + 12% | + 15% |
| EBIT 1 |
€ 1,129 m | + 5% | + 9% |
| Net income 2 | € 396 m | + 4% | + 7% |
| Adjusted net income 2, 3 | € 423 m | + 11% | + 14% |
The health care sector is one of the world's largest industries. It is relatively insensitive to economic fl uctuations compared to other sectors and has posted above-average growth over the past years.
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 and the growing health consciousness, which increases the demand for health care services and facilities.
In the emerging countries, drivers are the 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 identifi ed 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 shall 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.
Group sales increased by 16% (16% in constant currency) to € 25,191 million (Q1-3 / 2016: € 21,651 million). Organic sales growth was 6% 4 while acquisitions contributed 10%. In Q3 / 2017, Group sales increased by 12% (15% in constant currency) to € 8,297 million (Q3 / 2016: € 7,433 million). Negative currency translation effects (- 3%) were mainly related to the devaluation of the US dollar. Organic sales growth was 6% while acquisitions contributed 9%.
Before acquisition-related expenses
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Consistent with scope of original guidance: before acquisition-related expenses; before expenditures for further development of biosimilars business
Excluding effects of Fresenius Medical Care's agreement with the United States Departments of Veterans Affairs and Justice (VA agreement)
| € in millions | Q3 / 2017 | Q3 / 2016 | Q1 – 3 / 2017 | Q1 – 3 / 2016 |
|---|---|---|---|---|
| EBIT 1 | 1,129 | 1,071 | 3,522 | 3,058 |
| Net income 2 | 396 | 382 | 1,303 | 1,118 |
| Adjusted net income 2,3 | 423 | 382 | 1,339 | 1,118 |
| Earnings per share 2 | 0.71 | 0.69 | 2.35 | 2.04 |
| Adjusted earnings per share 2,3 | 0.77 | 0.69 | 2.42 | 2.04 |
Group EBITDA1 increased by 16% (16% in constant currency) to € 4,579 million (Q1-3 / 2016: € 3,959 million). Group EBIT 1 increased by 15% (15% in constant currency) to € 3,522 million (Q1-3 / 2016: € 3,058 million) with an EBIT margin 1 of 14.0% (Q1-3/2016: 14.1%). In Q3 / 2017, Group EBIT 1 increased by 5% (9% in constant currency) to € 1,129 million (Q3 / 2016: € 1,071 million) with an EBIT margin 1 of 13.6% (Q3 / 2016: 14.4%).
Group net interest reached -€ 484 million 1 (Q1-3 / 2016: -€ 433 million). The increase is mainly driven by the fi nancing of the Quirónsalud acquisition.
The Group tax rate was 28.1% 1 (Q1-3 / 2016: 28.2%). In Q3 / 2017, the Group tax rate decreased to 27.4% 1 (Q3 / 2016:
27.9%), mainly driven by a re-evaluation of estimated future tax payments at Fresenius Medical Care.
Noncontrolling interest increased to € 854 million (Q1-3 / 2016: € 768 million), of which 95% was attributable to the noncontrolling interest in Fresenius Medical Care.
Adjusted Group net income 2, 3 increased by 20% (20% in constant currency) to € 1,339 million (Q1-3 / 2016: € 1,118 million). Adjusted earnings per share 2,3 increased by 19% (19% in constant currency) to € 2.42 (Q1-3 / 2016: € 2.04). In Q3 / 2017, adjusted Group net income 2,3 increased by 11% (14% in constant currency) to € 423 million (Q3 / 2016: € 382 million). Adjusted earnings per share 2,3 increased by 11% (14% in constant currency) to € 0.77 (Q3 / 2016: € 0.69).
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change at actual rates |
Currency trans lations effects |
Change at constant rates |
Organic growth |
Acquisitions / divestitures |
% of total sales 5 |
|---|---|---|---|---|---|---|---|---|
| North America | 11,394 4 | 10,398 | 10% 4 | 1% 4 | 9% 4 | 7% | 2% 4 | 46% 4 |
| Europe | 10,148 | 8,026 | 26% | - 1% | 27% | 4% | 23% | 40% |
| Asia-Pacifi c | 2,306 | 2,106 | 9% | - 1% | 10% | 7% | 3% | 9% |
| Latin America | 1,057 | 882 | 20% | 2% | 18% | 10% | 8% | 4% |
| Africa | 286 | 239 | 20% | 7% | 13% | 13% | 0% | 1% |
| Total | 25,191 | 21,651 | 16% | 0% | 16% | 6% | 10% | 100% |
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change at actual rates |
Currency trans lations effects |
Change at constant rates |
Organic growth |
Acquisitions / divestitures |
% of total sales 5 |
|---|---|---|---|---|---|---|---|---|
| Fresenius Medical Care | 13,355 4 | 12,153 | 10% 4 | 0% 4 | 10% 4 | 7% | 3% 4 | 53% 4 |
| Fresenius Kabi | 4,764 | 4,457 | 7% | 0% | 7% | 7% | 0% | 19% |
| Fresenius Helios | 6,422 | 4,382 | 47% | 0% | 47% | 4% | 43% | 25% |
| Fresenius Vamed | 748 | 740 | 1% | 0% | 1% | 1% | 0% | 3% |
| Total | 25,191 | 21,651 | 16% | 0% | 16% | 6% | 10% | 100% |
Before acquisition-related expenses
Net income attributable to shareholders of Fresenius SE & Co. KGaA Consistent with scope of original guidance: before acquisition-related expenses; before expenditures for further development of biosimilars business
Group net income before acquisition-related expenses 1,2 increased by 19% (19% in constant currency) to € 1,329 million (Q1-3 / 2016: € 1,118 million). Earnings per share 1,2 increased by 18% (18% in constant currency) to € 2.40 (Q1-3 / 2016: € 2.04). In Q3 / 2017, Group net income 1,2 increased by 8% (11% in constant currency) to € 413 million (Q3 / 2016: € 382 million). Earnings per share 1,2 increased by 8% (11% in constant currency) to € 0.75 (Q3 / 2016: € 0.69).
Group net income 2 increased by 17% (17% in constant currency) to € 1,303 million (Q1-3 / 2016: € 1,118 million). Earnings per share 2 increased by 15% (15% in constant currency) to € 2.35 (Q1-3 / 2016: € 2.04). In Q3 / 2017, Group net income 2 increased by 4% (7% in constant currency) to € 396 million (Q3 / 2016: € 382 million). Earnings per share 2 increased by 3% (6% in constant currency) to € 0.71 (Q3 / 2016: € 0.69).
| Q 3 / 2017 | ||||||||
|---|---|---|---|---|---|---|---|---|
| € in millions | Before acquisition related expenses and before expenditures for further development of biosimilars business |
Expenditures for further development of biosimilars business |
Before acquisition-related expenses |
Acquisition-related expenses |
IFRS reported |
|||
| Sales | 8,297 | 8,297 | 0 | 8,297 | ||||
| EBIT | 1,143 | - 14 | 1,129 | - 15 | 1,114 | |||
| Net interest | - 158 | - 158 | -5 | - 163 | ||||
| Net income before taxes | 985 | - 14 | 971 | - 20 | 951 | |||
| Income taxes | - 270 | 4 | - 266 | 3 | - 263 | |||
| Net income | 715 | - 10 | 705 | - 17 | 688 | |||
| Less noncontrolling interest | - 292 | - 292 | 0 | - 292 | ||||
| Net income attributable to shareholders of Fresenius SE & Co. KGaA |
423 | - 10 | 413 | - 17 | 396 | |||
| Sales Fresenius Kabi | 1,562 | 1,562 | 1,562 | |||||
| EBIT Fresenius Kabi | 297 | - 14 | 283 | - 15 | 268 |
| € in millions | Before acquisition related expenses and before expenditures for further development of biosimilars business |
Expenditures for further development of biosimilars business |
Before acquisition-related expenses |
Acquisition-related expenses |
IFRS reported |
|---|---|---|---|---|---|
| Sales | 25,191 | 25,191 | 0 | 25,191 | |
| EBIT | 3,536 | - 14 | 3,522 | - 25 | 3,497 |
| Net interest | - 484 | - 484 | - 8 | - 492 | |
| Net income before taxes | 3,052 | - 14 | 3,038 | - 33 | 3,005 |
| Income taxes | - 859 | 4 | - 855 | 7 | - 848 |
| Net income | 2,193 | - 10 | 2,183 | - 26 | 2,157 |
| Less noncontrolling interest | - 854 | - 854 | 0 | - 854 | |
| Net income attributable to shareholders of Fresenius SE & Co. KGaA |
1,339 | - 10 | 1,329 | - 26 | 1,303 |
| Sales Fresenius Kabi | 4,764 | 4,764 | 4,764 | ||
| EBIT Fresenius Kabi | 919 | - 14 | 905 | - 25 | 880 |
The acquisition-related expenses are reported in the Group Corporate / Other segment.
| INVESTMENTS BY BUSINESS SEGMENT | |||
|---|---|---|---|
| --------------------------------- | -- | -- | -- |
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 | thereof property, plant and equipment |
thereof acquisitions |
Change | % of total |
|---|---|---|---|---|---|---|
| Fresenius Medical Care | 1,180 | 1,115 | 632 | 548 | 6% | 15% |
| Fresenius Kabi | 410 | 314 | 253 | 157 | 31% | 5% |
| Fresenius Helios | 6,186 | 212 | 229 | 5,957 | -- | 80% |
| Fresenius Vamed | 10 | 6 | 10 | 0 | 67% | 0% |
| Corporate / Other | 13 | 4 | 13 | 0 | -- | 0% |
| Total | 7,799 | 1,651 | 1,137 | 6,662 | -- | 100% |
The reconciliation tables show the adjustments and the reconciliation from net income according to guidance, i.e. before acquisition related-expenses and before expenditures for further development of biosimilars business to net income according to IFRS.
Spending on property, plant and equipment was € 1,137 million (Q1-3 / 2016: € 1,059 million), primarily for the modernization and expansion of dialysis clinics, production facilities as well as hospitals and day clinics. Total acquisition spending of € 6,662 million (Q1-3 / 2016: € 592 million) was mainly related to the acquisitions of Quirónsalud and Merck KGaA's biosimilars business.
Operating cash fl ow increased by 24% to € 2,821 million (Q1-3 / 2016: € 2,273 million). The cash fl ow margin increased to 11.2% (Q1-3 / 2016: 10.5%). In Q3 / 2017, operating cash fl ow increased by 21% to € 1,138 million (Q3 / 2016: € 940 million), with a margin of 13.7% (Q3 / 2016: 12.6%).
Free cash fl ow before acquisitions and dividends increased by 41% to € 1,705 million (Q1-3 / 2016: € 1,206 million). Free cash fl ow after acqui sitions and dividends was -€ 5,233 million (Q1-3 / 2016: € 252 million).
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|
| Net income | 2,157 | 1,886 | 14% |
| Depreciation and amortization | 1,057 | 901 | 17% |
| Change in accruals for pensions | 53 | - 22 | -- |
| Cash fl ow | 3,267 | 2,765 | 18% |
| Change in working capital | - 446 | - 492 | 9% |
| Operating cash fl ow | 2,821 | 2,273 | 24% |
| Property, plant and equipment, investments net | - 1,116 | - 1,067 | -5% |
| Cash fl ow before acquisitions and dividends | 1,705 | 1,206 | 41% |
| Cash used for acquisitions, net | - 6,075 | -304 | -- |
| Dividends paid | -863 | - 650 | - 33% |
| Free cash fl ow paid after acquisitions and dividends | - 5,233 | 252 | -- |
| Cash provided by / used for fi nancing activities | 5,230 | - 117 | -- |
| Effect of exchange rates on change in cash and cash equivalents | - 104 | 6 | -- |
| Net change in cash and cash equivalents | - 107 | 141 | - 176% |
The Group's total assets increased by 14% (20% in constant currency) to € 53,097 million (Dec. 31, 2016: € 46,697 million), mainly due to the acquisition of Quirónsalud. Current assets grew by 10% (16% in constant currency) to € 12,870 million (Dec. 31, 2016: € 11,744 million). Non-current assets increased by 15% (22% in constant currency) to € 40,227 million (Dec. 31, 2016: € 34,953 million).
Total shareholders' equity grew by 2% (10% in constant currency) to € 21,167 million (Dec. 31, 2016: € 20,849 million). The equity ratio was 39.9% (Dec. 31, 2016: 44.6%).
Group debt increased by 32% (37% in constant currency) to € 19,496 million (Dec. 31, 2016: € 14,780 million), mainly driven by the acquisition fi nancing of Quirónsalud. As of September 30, 2017, the net debt / EBITDA ratio was 2.97 1,2 (Dec. 31, 2016: 2.33 1 ; pro forma Quirónsalud 3.09 1 ).
Fresenius Medical Care is the world's largest provider of products and services for individuals with chronic kidney failure. As of September 30, 2017, Fresenius Medical Care was treating 317,792 patients in 3,714 dialysis clinics. Along with its core business, the company seeks to expand the range of medical services in the fi eld of care coordination.
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 4,336 | 4,211 | 3% | 13,355 | 12,153 | 10% |
| EBITDA | 786 | 786 | 0% | 2,397 | 2,192 | 9% |
| EBIT | 608 | 611 | 0% | 1,843 | 1,679 | 10% |
| Net income 1 | 309 | 304 | 2% | 886 | 781 | 13% |
| Employees (Sept. 30 / Dec. 31) | 120,987 | 116,120 | 4% |
Sales increased by 10% (10% in constant currency, 7% organic) to € 13,355 million (Q1-3 / 2016: € 12,153 million). Acquisitions and the agreement with the United States Departments of Veterans Affairs and Justice (VA agreement) contributed 3% in total. In Q3 / 2017, sales increased by 3% (8% in constant currency, 6% organic) to € 4,336 million (Q3 / 2016: € 4,211 million).
Health Care Services sales (dialysis services and care coordination) increased by 11% (10% in constant currency) to € 10,950 million (Q1-3 / 2016: € 9,910 million). Product sales increased by 7% (7% in constant currency) to € 2,404 million (Q1-3 / 2016: € 2,244 million).
In North America, sales increased by 10% (10% in constant currency) to € 9,715 million (Q1-3 / 2016: € 8,828 million). Health Care Services sales grew by 10% (10% in constant currency) to € 9,086 million (Q1-3 / 2016: € 8,224 million).
Product sales increased by 4% (4% in constant currency) to € 629 million (Q1-3 / 2016: € 604 million).
Sales outside North America increased by 9% (10% in constant currency) to € 3,628 million (Q1-3 / 2016: € 3,315 million). Health Care Services sales increased by 11% (11% in constant currency) to € 1,864 million (Q1-3 / 2016: € 1,686 million). Product sales increased by 8% (8% in constant currency) to € 1,764 million (Q1-3 / 2016: € 1,630 million).
EBIT increased by 10% (10% in constant currency) to € 1,843 million (Q1-3 / 2016: € 1,679 million). The EBIT margin was 13.8% (Q1-3 / 2016: 13.8%). In Q3/2017, EBIT was on the prior-year level (increased by 4% in constant currency) at € 608 million (Q3 / 2016: € 611 million). Foreign currency effects, lower contributions from the vascular business, higher costs in the pharmacy services business and natural disaster costs in North America negatively impacted EBIT, while organic growth and lower research and development expenses contributed positively. The EBIT margin was 14.0% (Q3 / 2016: 14.5%).
Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA Excluding effects of VA agreement and natural disaster costs
Net income 1 increased by 13% (14% in constant currency) to € 886 million (Q1-3 / 2016: € 781 million). Consistent with the original scope of guidance, i.e. excluding the effects of the VA agreement and natural disaster costs, net income 1 increased by 8% in constant currency. In Q3 / 2017, net income 1 grew by 2% (6% in constant currency) to € 309 million (Q3 / 2016: € 304 million). Excluding the effects of the VA agreement and natural disaster costs, net income 1 increased by 5% (8% in constant currency).
Operating cash fl ow increased by 43% to € 1,664 million (Q1-3 / 2016: € 1,160 million). The cash fl ow margin increased to 12.5% (Q1-3 / 2016: 9.5%). In Q3 / 2017, operating cash fl ow increased by 56% to € 612 million (Q3 / 2016: € 393
million) with a cash fl ow margin of 14.1% (Q3 / 2016: 9.3%). The increase is primarily attributable to last year's cash contribution to a pension plan in the United States as well as other working capital items.
Fresenius Medical Care confi rms its outlook for 2017. The company expects sales to grow by 8% to 10% 2 in constant currency. Net income 1,3 is expected to increase by 7% to 9% in constant currency.
For further information, please see Fresenius Medical Care's Investor News at www.freseniusmedicalcare.com.
Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
Excluding effects of VA agreement Excluding effects of VA agreement and natural disaster costs
Fresenius Kabi offers infusion therapies, intravenously administered generic drugs and clinical nutrition 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 millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 1,562 | 1,511 | 3% | 4,764 | 4,457 | 7% |
| EBITDA 1 | 352 | 353 | 0% | 1,119 | 1,092 | 2% |
| Adjusted EBIT 2 | 297 | 281 | 6% | 919 | 863 | 6% |
| EBIT 1 | 283 | 281 | 1% | 905 | 863 | 5% |
| Adjusted net income 2, 3 | 175 | 155 | 13% | 554 | 491 | 13% |
| Employees (Sept. 30 / Dec. 31) | 35,699 | 34,917 | 2% |
Sales increased by 7% (7% in constant currency, 7% organic) to € 4,764 million (Q1-3 / 2016: € 4,457 million). Acquisitions / divestitures had no meaningful impact on sales. In Q3 / 2017, sales increased by 3% (7% in constant currency, 7% organic) to € 1,562 million (Q3 / 2016: € 1,511 million). Negative currency translation effects (-4%) were mainly related to the devaluation of the US dollar and the Chinese yuan against the euro.
Sales in Europe increased by 4% (5% organic) to € 1,635 million (Q1-3 / 2016: € 1,569 million). In Q3 / 2017, sales increased by 3% (4% organic) to € 538 million (Q3 / 2016: € 521 million).
Sales in North America increased by 7% (6% organic) to € 1,736 million (Q1-3 / 2016: € 1,628 million). In Q3 / 2017, sales increased by 1% (7% organic) to € 549 million (Q3 / 2016: € 542 million).
Sales in Asia-Pacifi c increased by 9% (11% organic) to € 894 million (Q1-3 / 2016: € 821 million). In Q3 / 2017, sales increased by 8% (12% organic) to € 312 million (Q3 / 2016: € 290 million).
Sales in Latin America / Africa increased by 14% (10% organ ic) to € 499 million (Q1-3 / 2016: € 439 million). In Q3 / 2017, sales increased by 3% (8% organic) to € 163 million (Q3 / 2016: € 158 million).
Adjusted EBIT 2 increased by 6% (7% in constant currency) to € 919 million (Q1-3 / 2016: € 863 million). The adjusted EBIT margin 2 was 19.3% (Q1-3 / 2016: 19.4%). In Q3 / 2017, adjusted EBIT 2 increased by 6% (11% in constant currency) to € 297 million (Q3 / 2016: € 281 million), despite expenses related to hurricane Maria on Puerto Rico. The adjusted EBIT margin 2 increased to 19.0% (Q3 / 2016: 18.6%).
EBIT 1 increased by 5% (6% in constant currency) to € 905 million (Q1-3 / 2016: € 863 million). The EBIT margin 1 was 19.0% (Q1-3 / 2016: 19.4%). In Q3 / 2017, EBIT 1 increased by 1% (6% in constant currency) to € 283 million (Q3 / 2016: € 281 million). Given the € 14 million expenditure for the further development of the biosimilars business, the EBIT margin 1 decreased to 18.1% (Q3 / 2016: 18.6%).
Adjusted net income 2,3 increased by 13% (14% in constant currency) to € 554 million (Q1-3 / 2016: € 491 million). In Q3 / 2017, adjusted net income 2,3 increased by 13% (19% in constant currency) to € 175 million (Q3 / 2016: € 155 million).
Before acquisition-related expenses
Consistent with scope of original guidance: before acquisition-related expenses; before expenditures for further development of biosimilars business
Net income attributable to shareholders of Fresenius SE & Co. KGaA
While operating cash fl ow reached a very strong € 640 million, it could not match the exceptional prior-year fi gure (Q1-3 / 2016: € 661 million). The same applied to the strong margin of 13.4% (Q1-3 / 2016: 14.8%). In Q3 / 2017, operating cash fl ow reached a healthy € 245 million (Q3 / 2016: € 322 million) despite a cash prepayment for the biosimilars business and adverse currency translation effects. The cash fl ow margin
was 15.7% (Q3 / 2016: 21.3%). Excluding the prepayment, operating cash fl ow was € 290 million with a margin of 18.6%.
Fresenius Kabi confi rms its outlook for 2017 and expects 5% to 7% organic sales growth and EBIT growth in constant currency of 6% to 8% 1,2.
Before acquisition-related expenses of ~ €50 m Before expected expenditures for further development of biosimilars business of ~ €60 m
Fresenius Helios is Europe's leading private hospital operator. The company comprises Helios Kliniken in Germany and Quirónsalud in Spain. Helios Kliniken operates 111 hospitals, thereof 88 acute care clinics and 23 post-acute care clinics, and treats more than 5.2 million patients annually. Quirónsalud operates 44 hospitals, 44 outpatient centers and around 300 occupational risk prevention centers, and treats approximately 9.7 million patients per year.
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 2,166 | 1,470 | 47% | 6,422 | 4,382 | 47% |
| EBITDA | 331 | 223 | 48% | 1,042 | 650 | 60% |
| EBIT | 232 | 175 | 33% | 769 | 507 | 52% |
| Net income 1 | 153 | 140 | 9% | 526 | 402 | 31% |
| Employees (Sept. 30 / Dec. 31) | 105,717 | 72,687 | 45% |
Fresenius Helios increased sales by 47% (4% organic) to € 6,422 million (Q1-3 / 2016: € 4,382 million). Acquisitions, mainly Quirónsalud, increased sales by 43%. In Q3 / 2017, sales increased by 47% (4% organic) to € 2,166 million (Q3 / 2016: € 1,470 million).
Sales of Helios Kliniken 2 increased by 4% (4% organic) to € 4,562 million (Q1-3 / 2016: € 4,382 million). In Q3 / 2017, sales of Helios Kliniken 2 increased by 4% (4% organic) to € 1,524 million (Q3 / 2016: € 1,470 million). Quirónsalud has been consolidated since February 1, 2017 and generated sales of € 1,860 million (thereof € 642 million in Q3 / 2017).
Fresenius Helios grew EBIT by 52% to € 769 million (Q1-3 / 2016: € 507 million). The EBIT margin increased to 12.0% (Q1-3 / 2016: 11.6%). In Q3 / 2017, EBIT increased by 33% to € 232 million (Q3 / 2016: € 175 million). The EBIT margin decreased to 10.7% (Q3 / 2016: 11.9%) due to the anticipated lower contribution of Quirónsalud during the summer months.
EBIT of Helios Kliniken 2 increased by 8% to € 549 million (Q1-3 / 2016: € 507 million) with a margin of 12.0% (Q1-3 / 2016: 11.6%). In Q3 / 2017, EBIT of Helios Kliniken 2 increased by 9% to € 190 million (Q3 / 2016: € 175 million) with a margin of 12.5% (Q3 / 2016: 11.9%).
EBIT of Quirónsalud was € 220 million (thereof € 42 million in Q3 / 2017) with a margin of 11.8% (Q3 / 2017: 6.5%).
Fresenius Helios increased net income 1 by 31% to € 526 million (Q1-3 / 2016: € 402 million). In Q3 / 2017, net income 1 increased by 9% to € 153 million (Q3 / 2016: € 140 million).
Operating cash fl ow increased by 28% to € 560 million (Q1-3 / 2016: € 437 million) driven by the fi rst-time consolidation of Quirónsalud. The margin was 8.7% (Q1-3 / 2016: 10.0%).
Fresenius Helios confi rms its outlook for 2017 and projects organic sales growth 2 of 3% to 5% and sales of ~€ 8.6 billion (thereof Quirónsalud ~€ 2.5 billion 3 ). EBIT is expected to increase to € 1,020 to € 1,070 million (thereof Quirónsalud € 300 to 320 million 3).
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Helios Kliniken Germany, excluding Quirónsalud Quirónsalud consolidated for 11 months
Fresenius Vamed manages projects and provides services for hospitals and other health care facilities worldwide. The portfolio ranges along the entire value chain: from project development, planning, and turnkey construction, via maintenance and technical management, to total operational management.
| € in millions | Q3 / 2017 | Q3 / 2016 | Change | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|---|---|---|
| Sales | 267 | 268 | 0% | 748 | 740 | 1% |
| EBITDA | 18 | 18 | 0% | 40 | 39 | 3% |
| EBIT | 15 | 15 | 0% | 32 | 31 | 3% |
| Net income 1 | 10 | 10 | 0% | 21 | 21 | 0% |
| Employees (Sept. 30 / Dec. 31) | 8,252 | 8,198 | 1% |
Sales increased by 1% (1% organic) to € 748 million (Q1-3 / 2016: € 740 million). Sales in the project business decreased by 7% to € 301 million (Q1-3 / 2016: € 325 million). Sales in the service business grew by 8% to € 447 million (Q1-3 / 2016: € 415 million). In Q3 / 2017, sales remained stable at € 267 million (Q3 / 2016: € 268 million).
EBIT increased by 3% to € 32 million (Q1-3 / 2016: € 31 million). The EBIT margin increased to 4.3% (Q1-3 / 2016: 4.2%). In Q3 / 2017, EBIT of € 15 million (margin 5.6%) remained unchanged from previous year's quarter.
Net income 1 remained stable at € 21 million (Q1-3 / 2016: € 21 million). In Q3 / 2017, net income 1 remained unchanged at € 10 million (Q3 / 2016: € 10 million).
Order intake reached a strong € 697 million (Q1-3 / 2016: € 674 million). In Q3 / 2017 order intake increased by 36% to € 285 million. As of September 30, 2017, order backlog grew to an all-time high of € 2,345 million (December 31, 2016: € 1,961 million).
Fresenius Vamed confi rms its outlook for 2017 and expects both organic sales growth and EBIT growth in the range of 5% to 10%.
As of September 30, 2017, the number of employees increased by 17% to 271,676 (Dec. 31, 2016: 232,873).
| Number of employees | Sept. 30, 2017 | Dec. 31, 2016 | Change |
|---|---|---|---|
| Fresenius Medical Care | 120,987 | 116,120 | 4% |
| Fresenius Kabi | 35,699 | 34,917 | 2% |
| Fresenius Helios | 105,717 | 72,687 | 45% |
| Fresenius Vamed | 8,252 | 8,198 | 1% |
| Corporate / Other | 1,021 | 951 | 7% |
| Total | 271,676 | 232,873 | 17% |
On July 21, 2017, Fresenius SE & Co. KGaA announced that the Supervisory Board of Fresenius Management SE has unanimously appointed Rachel Empey (41) as Chief Financial Offi cer of Fresenius, as of August 1, 2017. In this position she will succeed Stephan Sturm (54), who has continued to serve as CFO since his appointment as Chief Executive Offi cer of Fresenius last year.
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:
Apart from new products, we are concentrating on developing optimized or completely new therapies, treatment methods, and services.
Since September 1, 2017 research and development activities include the biosimilars business of Fresenius Kabi.
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 | Change |
|---|---|---|---|
| Fresenius Medical Care | 95 | 108 | - 12% |
| Fresenius Kabi | 280 | 277 | 1% |
| Fresenius Helios | − | − | -- |
| Fresenius Vamed | 0 | 0 | |
| Corporate / Other | 0 | 0 | |
| Total | 375 | 385 | -3 % |
The complex interactions and side effects that lead to kidney failure are better explored today than ever before. Technological advances develop in parallel with medical insights to improve the possibilities for treating patients. Our R & D activities at Fresenius Medical Care aim to translate new insights into novel or improved developments and to bring them to market as quickly as possible, and thus make an important contribution towards rendering the treatment of patients increasingly comfortable, safe, and individualized.
Fresenius Kabi's research and development activities concentrate on products for the therapy and care of critically and chronically ill patients. Our focus is on areas with high medical needs, such as in the treatment of oncology patients. Our products help to support medical advancements in acute and post-acute care and improve the patients' quality of life. We develop new products in areas such as clinical nutrition. In addition, we develop generic drug formulations ready to launch at the time of market formation as well as new formulations for non-patented drugs. Our medical devices signifi cantly contribute to a safe and effective application of infusion solutions and clinical nutrition. In transfusion technology our R & D focus is on medical devices and disposables to support the secure, user-friendly, and effi cient production of blood products.
Compared to the presentation in the consolidated fi nancial statements and the management report as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS, there have been no material changes in Fresenius' overall opportunities and risk situation in the fi rst nine months of 2017.
The recent acquisition of Merck KGaA's biosimilars business as well as the planned acquisition of Akorn, Inc. offer opportunities but also increase Fresenius' risk exposure. This includes primarily the risk that the goal of commercialization of biosimilar products might not be achieved, or might take longer than planned. In the U.S., increased competition at Akorn may continue resulting in declines in both pricing and volumes.
On October 27, 2017, the Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) opened a review procedure which is analyzing the safety of products containing hydroxyethyl-starch (HES). The procedure may result in the partial or complete suspension or revocation of the marketing authorizations in member states of the European Union and any such suspensions and revocations may result in similar measures by authorities elsewhere.
In the ordinary course of Fresenius Group's operations, the Fresenius Group is subject to litigation, arbitration and investigations relating to various aspects of its business. The Fresenius Group regularly analyzes current information about such claims for probable losses and provides accruals for such matters, including estimated expenses for legal services, as appropriate.
In addition, we report on legal proceedings, currency and interest risks on pages 43 to 50 in the Notes of this report.
Fresenius is covered by the rating agencies Moody's, Standard & Poor's and Fitch.
Following Fresenius' announcement on April 24, 2017 to acquire Akorn, Inc. and Merck KGaA's biosimilars business, the rating agencies Standard & Poor's, Moody's and Fitch confi rmed the corporate credit ratings of Fresenius.
The following table shows the company rating of Fresenius SE & Co. KGaA:
| Standard & Poor's |
Moody's | Fitch 1 | |
|---|---|---|---|
| Company rating | BBB - | Baa3 | BBB - |
| Outlook | stable | stable | stable |
On April 24, 2017 Fresenius announced, that Fresenius Kabi has agreed to acquire Akorn, Inc., a U.S.-based manufacturer and marketer of prescription and over-the-counter pharmaceutical products, for approximately US\$ 4.3 billion, or US\$ 34 per share, plus the prevailing net debt at closing of the transaction (Akorn reported net debt of approximately US\$ 0.5 billion as at September 30, 2017). Closing is targeted for 2017.
The transaction is subject to customary closing conditions, including regulatory review under the Hart-Scott-Rodino Antitrust Improvements Act in the United States. Akorn shareholders have approved the transaction at a meeting held on July 19, 2017.
The purchase price will be fi nanced by a broad mix of euro and US dollar denominated long-term debt instruments.
Akorn has experienced lower revenue and earnings in the second and third quarter of 2017. Whilst challenging, Fresenius Kabi has not yet revised its expectations for Akorn`s 2018 fi scal year.
On August 31, 2017, Fresenius Kabi has successfully closed the acquisition of Merck KGaA's biosimilars business. The transaction comprises a development pipeline and about 70 employees located in Aubonne and Vevey, Switzerland. The product pipeline has a focus on oncology and autoimmune diseases. The biosimilars business is consolidated since September 1, 2017.
On January 31, 2017, Fresenius Helios closed the acquisition of 100% of the share capital in IDCSalud Holding S.L.U. (Quirónsalud), Spain's largest private hospital operator. Quirónsalud has been consolidated as of February 1, 2017.
Fresenius confi rms its guidance for 2017. Group sales are expected to increase by 15% to 17% in constant currency. Group net income 1, 2, 3 is expected to grow by 19% to 21% in constant currency.
Including the acquisition of Merck KGaA's biosimilars business and pro forma the acquisition of Akorn, the net debt / EBITDA ratio 4 is expected to be approximately 3.3 at the end of 2017.
Fresenius Medical Care confi rms its outlook for 2017. The company expects sales to grow 5 by 8% to 10% in constant currency. Net income 6 is expected to increase by 7% to 9% in constant currency.
Fresenius Kabi confi rms its outlook for 2017 and expects EBIT growth in constant currency 2,3 of 6% to 8%. The company confi rms its guidance of 5% to 7% organic sales growth.
Fresenius Helios confi rms its outlook for 2017 and projects organic sales growth of 3% to 5% 7 and sales of ~€ 8.6 billion (thereof Quirónsalud: ~€ 2.5 billion 8 ). EBIT is expected to increase to € 1,020 to € 1,070 million (thereof Quirónsalud: € 300 to 320 million 8 ).
Fresenius Vamed confi rms its outlook for 2017 and expects both organic sales growth and EBIT growth of 5% to 10%.
The Group plans to invest around 6% of sales in property, plant and equipment.
The number of employees in the Group will continue to rise in the future, as a result of the expected expansion. We anticipate that the number of employees will increase to approximately 270,000 9 (December 31, 2016: 232,873). The number of employees is expected to increase in all business segments.
Our R & D activities will continue to play a key role in securing the Group's long-term growth through innovations and new therapies.
We plan to increase the Group's R & D spending in 2017. Approximately 5% of our product sales will be reinvested in research and development.
7 Helios Kliniken Germany, excluding Quirónsalud
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Before acquisition-related expenses of ~€ 50 million
Before expected expenditures for further development of biosimilars business of ~€60 m Calculated at expected FY average exchange rates for both net debt and EBITDA; before acquisition-related expenses of ~€ 50 million; excluding further potential acquisitions
Excluding effects of VA-agreement
6 Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA; excluding effects of VA agreement and natural disaster costs
8 Quirónsalud consolidated for 11 months
9 This fi gure includes 27,600 Quirónsalud employees. It does not take into account approximately 7,400 contract employees and independent doctors.
| Previous guidance | New guidance | |
|---|---|---|
| Sales, growth (in constant currency) | 15% – 17% | confi rmed |
| Net income 1 , growth (in constant currency) |
19% – 21% 2 | confi rmed |
Net income attributable to shareholders of Fresenius SE & Co. KGaA
Before acquisition-related expenses of ~ € 50 million; before expected expenditures for further development of biosimilars business of ~€60 million
| Previous guidance | New guidance | ||
|---|---|---|---|
| Fresenius Medical Care | Sales growth 1 (in constant currency) |
8% – 10% | confi rmed |
| Net income 2 growth (in constant currency) |
7% – 9% | confi rmed | |
| Fresenius Kabi | Sales growth (organic) | 5% – 7% | confi rmed |
| EBIT growth (in constant currency) | 6% – 8% 3 | confi rmed | |
| Fresenius Helios | Sales growth (organic) | 3% – 5% 4 | confi rmed |
| Sales | ~ € 8.6 bn 5 | confi rmed | |
| EBIT | € 1,020 – 1,070 m 6 | confi rmed | |
| Fresenius Vamed | Sales growth (organic) | 5% – 10% | confi rmed |
| EBIT, growth | 5% – 10% | confi rmed |
Excluding effects of VA agreement
Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA; excluding effects of VA agreement and natural disaster costs
Before transaction costs of ~ € 50 million; before expected expenditures for further development of biosimilars business of ~€60 million
Helios Kliniken Germany, excluding Quirónsalud Thereof Quirónsalud (consolidated for 11 months): ~ € 2.5 billion
6 Thereof Quirónsalud (consolidated for 11 months): EBIT € 300 to € 320 million
| € in millions | Q3 / 2017 | Q3 / 2016 | Q1 – 3 / 2017 | Q1 – 3 / 2016 |
|---|---|---|---|---|
| Sales | 8,297 | 7,433 | 25,191 | 21,651 |
| Cost of sales | - 5,806 | - 5,038 | - 17,366 | - 14,700 |
| Gross profi t | 2,491 | 2,395 | 7,825 | 6,951 |
| Selling, general and administrative expenses | - 1,245 | - 1,196 | - 3,953 | - 3,508 |
| Research and development expenses | - 132 | - 128 | - 375 | - 385 |
| Operating income (EBIT) | 1,114 | 1,071 | 3,497 | 3,058 |
| Net interest | - 163 | - 142 | - 492 | - 433 |
| Income before income taxes | 951 | 929 | 3,005 | 2,625 |
| Income taxes | - 263 | - 259 | - 848 | - 739 |
| Net income | 688 | 670 | 2,157 | 1,886 |
| Noncontrolling interest | 292 | 288 | 854 | 768 |
| Net income attributable to shareholders of Fresenius SE & Co. KGaA | 396 | 382 | 1,303 | 1,118 |
| Earnings per share in € | 0.71 | 0.69 | 2.35 | 2.04 |
| Fully diluted earnings per share in € | 0.71 | 0.69 | 2.34 | 2.03 |
The following notes are an integral part of the unaudited condensed interim fi nancial statements.
| € in millions | Q3 / 2017 | Q3 / 2016 | Q1 – 3 / 2017 | Q1 – 3 / 2016 |
|---|---|---|---|---|
| Net income | 688 | 670 | 2,157 | 1,886 |
| Other comprehensive income (loss) | ||||
| Positions which will be reclassified into net income in subsequent years | ||||
| Foreign currency translation | - 518 | - 75 | - 1,704 | - 248 |
| Cash flow hedges | 7 | 12 | 37 | 19 |
| Change of fair value of available for sale financial assets | – | – | – | – |
| Income taxes on positions which will be reclassified | 6 | - 2 | 20 | – |
| Positions which will not be reclassified into net income in subsequent years | ||||
| Actuarial gains / losses on defined benefit pension plans | 13 | - 1 | 24 | 12 |
| Income taxes on positions which will not be reclassified | – | - 1 | - 9 | - 4 |
| Other comprehensive loss, net | - 492 | - 67 | - 1,632 | - 221 |
| Total comprehensive income | 196 | 603 | 525 | 1,665 |
| Comprehensive income attributable to noncontrolling interest | 56 | 231 | 114 | 631 |
| Comprehensive income attributable to shareholders of Fresenius SE & Co. KGaA |
131 | 372 | 411 | 1,034 |
| € in millions | September 30, 2017 | December 31, 2016 |
|---|---|---|
| Cash and cash equivalents | 1,472 | 1,579 |
| Trade accounts receivable, less allowance for doubtful accounts | 6,090 | 5,052 |
| Accounts receivable from and loans to related parties | 15 | 13 |
| Inventories | 3,164 | 3,189 |
| Other current assets | 2,129 | 1,911 |
| I. Total current assets | 12,870 | 11,744 |
| Property, plant and equipment | 9,230 | 8,139 |
| Goodwill | 25,262 | 22,901 |
| Other intangible assets | 3,182 | 1,763 |
| Other non-current assets | 1,771 | 1,523 |
| Deferred taxes | 782 | 627 |
| II. Total non-current assets | 40,227 | 34,953 |
| Total assets | 53,097 | 46,697 |
| € in millions | September 30, 2017 | December 31, 2016 |
|---|---|---|
| Trade accounts payable | 1,400 | 1,315 |
| Short-term accounts payable to related parties | 90 | 57 |
| Short-term accrued expenses and other short-term liabilities | 5,850 | 5,514 |
| Short-term debt | 1,881 | 847 |
| Short-term debt from related parties | – | 6 |
| Current portion of long-term debt and capital lease obligations | 387 | 611 |
| Current portion of Senior Notes | 735 | 473 |
| Short-term accruals for income taxes | 304 | 256 |
| A. Total short-term liabilities | 10,647 | 9,079 |
| Long-term debt and capital lease obligations, less current portion | 6,797 | 5,048 |
| Senior Notes, less current portion | 8,384 | 6,941 |
| Convertible bonds | 1,312 | 854 |
| Long-term accrued expenses and other long-term liabilities | 2,155 | 1,615 |
| Pension liabilities | 1,195 | 1,155 |
| Long-term accruals for income taxes | 217 | 221 |
| Deferred taxes | 1,223 | 935 |
| B. Total long-term liabilities | 21,283 | 16,769 |
| I. Total liabilities | 31,930 | 25,848 |
| A. Noncontrolling interest | 7,946 | 8,185 |
| Subscribed capital | 555 | 547 |
| Capital reserve | 3,834 | 3,379 |
| Other reserves | 9,151 | 8,165 |
| Accumulated other comprehensive loss (income) | - 319 | 573 |
| B. Total Fresenius SE & Co. KGaA shareholders' equity | 13,221 | 12,664 |
| II. Total shareholders' equity | 21,167 | 20,849 |
| Total liabilities and shareholders' equity | 53,097 | 46,697 |
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 |
|---|---|---|
| Operating activities | ||
| Net income | 2,157 | 1,886 |
| Adjustments to reconcile net income to cash and cash equivalents provided by operating activities |
||
| Depreciation and amortization | 1,057 | 901 |
| Loss / Gain on sale of investments and divestitures | 4 | - 3 |
| Change in deferred taxes | - 48 | - 46 |
| Gain on sale of fixed assets | - 9 | - 1 |
| Changes in assets and liabilities, net of amounts from businesses acquired or disposed of |
||
| Trade accounts receivable, net | - 569 | - 350 |
| Inventories | - 129 | - 210 |
| Other current and non-current assets | - 122 | - 81 |
| Accounts receivable from / payable to related parties | 25 | 65 |
| Trade accounts payable, accrued expenses and other short-term and long-term liabilities | 418 | 69 |
| Accruals for income taxes | 37 | 43 |
| Net cash provided by operating activities | 2,821 | 2,273 |
| Investing activities | ||
| Purchase of property, plant and equipment | - 1,148 | - 1,087 |
| Proceeds from sales of property, plant and equipment | 32 | 20 |
| Acquisitions and investments, net of cash acquired and net purchases of intangible assets | - 6,107 | - 478 |
| Proceeds from sale of investments and divestitures | 32 | 174 |
| Net cash used in investing activities | - 7,191 | - 1,371 |
| Financing activities | ||
| Proceeds from short-term debt | 1,118 | 952 |
| Repayments of short-term debt | - 67 | - 197 |
| Proceeds from long-term debt and capital lease obligations | 2,688 | 374 |
| Repayments of long-term debt and capital lease obligations | - 1,253 | - 1,023 |
| Proceeds from the issuance of Senior Notes | 2,600 | 0 |
| Repayments of liabilities from Senior Notes | - 449 | - 250 |
| Proceeds from the issuance of convertible bonds | 500 | 0 |
| Changes of accounts receivable securitization program | 22 | - 46 |
| Proceeds from the exercise of stock options | 68 | 68 |
| Dividends paid | - 863 | - 650 |
| Change in noncontrolling interest | 1 | – |
| Exchange rate effect due to corporate financing | 2 | 5 |
| Net cash provided by / used in fi nancing activities | 4,367 | - 767 |
| Effect of exchange rate changes on cash and cash equivalents | - 104 | 6 |
| Net decrease / increase in cash and cash equivalents | - 107 | 141 |
| Cash and cash equivalents at the beginning of the reporting period | 1,579 | 1,044 |
| Cash and cash equivalents at the end of the reporting period | 1,472 | 1,185 |
THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES
| € in millions | Q1 – 3 / 2017 | Q1 – 3 / 2016 |
|---|---|---|
| Received interest | 42 | 30 |
| Paid interest | - 469 | - 479 |
| Income taxes paid | - 834 | - 683 |
| Subscribed Capital | Reserves | ||||
|---|---|---|---|---|---|
| Number of ordinary shares in thousand |
Amount € in thousands |
Amount € in millions |
Capital reserve € in millions |
Other reserves € in millions |
|
| As of December 31, 2015 | 545,728 | 545,728 | 546 | 3,309 | 6,964 |
| Proceeds from the exercise of stock options | 1,205 | 1,205 | 1 | 37 | |
| Compensation expense related to stock options | 20 | ||||
| Dividends paid | - 300 | ||||
| Purchase of noncontrolling interest | |||||
| Noncontrolling interest subject to put provisions | - 50 | ||||
| Comprehensive income (loss) | |||||
| Net income | 1,118 | ||||
| Other comprehensive income (loss) | |||||
| Cash flow hedges | |||||
| Change of fair value of available for sale financial assets |
|||||
| Foreign currency translation | |||||
| Actuarial gains on defined benefit pension plans |
|||||
| Comprehensive income (loss) | 1,118 | ||||
| As of September 30, 2016 | 546,933 | 546,933 | 547 | 3,366 | 7,732 |
| As of December 31, 2016 | 547,208 | 547,208 | 547 | 3,379 | 8,165 |
| Issuance of bearer ordinary shares | 6,108 | 6,108 | 6 | 394 | |
| Proceeds from the exercise of stock options | 1,221 | 1,221 | 2 | 39 | |
| Compensation expense related to stock options | 22 | ||||
| Dividends paid | - 343 | ||||
| Purchase of noncontrolling interest | |||||
| Noncontrolling interest subject to put provisions | 26 | ||||
| Comprehensive income (loss) | |||||
| Net income | 1,303 | ||||
| Other comprehensive income (loss) | |||||
| Cash flow hedges | |||||
| Change of fair value of available for sale financial assets |
|||||
| Foreign currency translation | |||||
| Actuarial gains on defined benefit pension plans |
|||||
| Comprehensive income (loss) | 1,303 | ||||
| As of September 30, 2017 | 554,537 | 554,537 | 555 | 3,834 | 9,151 |
| Accumulated other com prehensive income (loss) € in millions |
Total Fresenius SE & Co. KGaA shareholders' equity € in millions |
Non controlling interest € in millions |
Total shareholders' equity € in millions |
|
|---|---|---|---|---|
| As of December 31, 2015 | 334 | 11,153 | 7,300 | 18,453 |
| Proceeds from the exercise of stock options | 38 | 30 | 68 | |
| Compensation expense related to stock options | 20 | 14 | 34 | |
| Dividends paid | - 300 | - 350 | - 650 | |
| Purchase of noncontrolling interest | 0 | 81 | 81 | |
| Noncontrolling interest subject to put provisions | - 50 | - 112 | - 162 | |
| Comprehensive income (loss) | ||||
| Net income | 1,118 | 768 | 1,886 | |
| Other comprehensive income (loss) | ||||
| Cash flow hedges | 2 | 2 | 10 | 12 |
| Change of fair value of available for sale financial assets |
– | – | – | – |
| Foreign currency translation | - 90 | - 90 | - 151 | - 241 |
| Actuarial gains on defined | ||||
| benefit pension plans | 4 | 4 | 4 | 8 |
| Comprehensive income (loss) | - 84 | 1,034 | 631 | 1,665 |
| As of September 30, 2016 | 250 | 11,895 | 7,594 | 19,489 |
| As of December 31, 2016 | 573 | 12,664 | 8,185 | 20,849 |
| Issuance of bearer ordinary shares | 400 | 0 | 400 | |
| Proceeds from the exercise of stock options | 41 | 27 | 68 | |
| Compensation expense related to stock options | 22 | 9 | 31 | |
| Dividends paid | - 343 | - 520 | - 863 | |
| Purchase of noncontrolling interest | 0 | 74 | 74 | |
| Noncontrolling interest subject to put provisions | 26 | 57 | 83 | |
| Comprehensive income (loss) | ||||
| Net income | 1,303 | 854 | 2,157 | |
| Other comprehensive income (loss) | ||||
| Cash flow hedges | 15 | 15 | 12 | 27 |
| Change of fair value of available for sale financial assets |
– | – | – | – |
| Foreign currency translation | - 913 | - 913 | - 761 | - 1,674 |
| Actuarial gains on defined | ||||
| benefit pension plans | 6 | 6 | 9 | 15 |
| Comprehensive income (loss) | - 892 | 411 | 114 | 525 |
| As of September 30, 2017 | - 319 | 13,221 | 7,946 | 21,167 |
| D) TE DI AU N |
|
|---|---|
| RS (U ARTE U |
|
| REE Q RST TH |
|
| G FI N RTI O |
|
| A A US SE & CO. KG |
T REP N ME G D SE |
| NI FRESE |
ATE D OLI NS |
| CO |
| Fresenius Medical Care | Fresenius Kabi | Fresenius Helios | Fresenius Vamed | Corporate / Other | Fresenius Group | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| by business segment, € in millions | 2017 | 2016 | Change | 2017 2 | 2016 | Change | 2017 | 2016 | Change | 2017 | 2016 | Change | 2017 3 | 2016 | Change | 2017 | 2016 | Change |
| Sales | 13,355 | 12,153 | 10% | 4,764 | 4,457 | 7% | 6,422 | 4,382 | 47% | 748 | 740 | 1% | - 98 | - 81 | - 21% | 25,191 | 21,651 | 16% |
| thereof contribution to consolidated sales |
13,332 | 12,136 | 10% | 4,722 | 4,419 | 7% | 6,422 | 4,382 | 47% | 712 | 711 | 0% | 3 | 3 | 0% | 25,191 | 21,651 | 16% |
| thereof intercompany sales | 23 | 17 | 35% | 42 | 38 | 11% | 0 | 0 | 36 | 29 | 24% | - 101 | - 84 | - 20% | 0 | 0 | ||
| contribution to consolidated sales | 53% | 56% | 19% | 21% | 25% | 20% | 3% | 3% | 0% | 0% | 100% | 100% | ||||||
| EBITDA | 2,397 | 2,192 | 9% | 1,119 | 1,092 | 2% | 1,042 | 650 | 60% | 40 | 39 | 3% | - 44 | - 14 | -- | 4,554 | 3,959 | 15% |
| Depreciation and amortization | 554 | 513 | 8% | 214 | 229 | - 7% | 273 | 143 | 91% | 8 | 8 | 0% | 8 | 8 | 0% | 1,057 | 901 | 17% |
| EBIT | 1,843 | 1,679 | 10% | 905 | 863 | 5% | 769 | 507 | 52% | 32 | 31 | 3% | - 52 | - 22 | - 136% | 3,497 | 3,058 | 14% |
| Net interest | - 274 | - 276 | 1% | - 88 | - 114 | 23% | - 111 | - 28 | -- | - 1 | - 1 | 0% | - 18 | - 14 | - 29% | - 492 | - 433 | - 14% |
| Income taxes | - 484 | - 427 | - 13% | - 244 | - 231 | - 6% | - 124 | - 76 | - 63% | - 9 | - 8 | - 13% | 13 | 3 | -- | - 848 | - 739 | - 15% |
| shareholders of Fresenius SE & Co. KGaA Net income attributable to |
886 | 781 | 13% | 544 | 491 | 11% | 526 | 402 | 31% | 21 | 21 | 0% | - 674 | - 577 | - 17% | 1,303 | 1,118 | 17% |
| Operating cash fl ow | 1,664 | 1,160 | 43% | 640 | 661 | - 3% | 560 | 437 | 28% | 7 | 22 | - 68% | - 50 | - 7 | -- | 2,821 | 2,273 | 24% |
| Cash fl ow before acquisitions and dividends | 1,050 | 502 | 109% | 378 | 438 | - 14% | 334 | 261 | 28% | 5 | 16 | - 69% | - 62 | - 11 | -- | 1,705 | 1,206 | 41% |
| Total assets 1 | 24,250 | 25,504 | - 5% | 11,871 | 11,430 | 4% | 16,302 | 8,696 | 87% | 1,141 | 1,108 | 3% | - 467 | - 41 | -- | 53,097 | 46,697 | 14% |
| Debt 1 | 7,662 | 8,132 | - 6% | 5,149 | 5,155 | 0% | 6,599 | 1,406 | -- | 234 | 176 | 33% | - 148 | - 89 | - 66% | 19,496 | 14,780 | 32% |
| Other operating liabilities 1 | 5,296 | 5,658 | - 6% | 2,843 | 2,153 | 32% | 2,120 | 1,387 | 53% | 533 | 574 | - 7% | 419 | 361 | 16% | 11,211 | 10,133 | 11% |
| Capital expenditure, gross | 632 | 670 | - 6% | 253 | 200 | 27% | 229 | 179 | 28% | 10 | 6 | 67% | 13 | 4 | -- | 1,137 | 1,059 | 7% |
| Acquisitions, gross / investments | 548 | 445 | 23% | 157 | 114 | 38% | 5,957 | 33 | -- | – | – | -- | 0 | 0 | 6,662 | 592 | -- | |
| Research and development expenses | 95 | 108 | - 12% | 280 | 277 | 1% | – | – | -- | 0 | 0 | 0 | 0 | 375 | 385 | - 3% | ||
| (per capita on balance sheet date) 1 Employees |
120,987 | 116,120 | 4% | 35,699 | 34,917 | 2% | 105,717 | 72,687 | 45% | 8,252 | 8,198 | 1% | 1,021 | 951 | 7% | 271,676 | 232,873 | 17% |
| Key fi gures | ||||||||||||||||||
| EBITDA margin | 17.9% | 18.0% | 23.5% | 24.5% | 16.2% | 14.8% | 5.3% | 5.3% | 18.2% 2 | 18.3% | ||||||||
| EBIT margin | 13.8% | 13.8% | 19.0% | 19.4% | 12.0% | 11.6% | 4.3% | 4.2% | 14.0% 2 | 14.1% | ||||||||
| Depreciation and amortization in % of sales |
4.1% | 4.2% | 4.5% | 5.1% | 4.3% | 3.3% | 1.1% | 1.1% | 4.2% | 4.2% | ||||||||
| Operating cash flow in % of sales | 12.5% | 9.5% | 13.4% | 14.8% | 8.7% | 10.0% | 0.9% | 3.0% | 11.2% | 10.5% | ||||||||
| ROOA 1 | 11.1% | 10.6% | 10.8% | 11.7% | 6.9% | 8.5% | 9.3% | 10.5% | 9.6% 4 | 10.0% | ||||||||
| 1 2016: December 31 | The consolidated segment reporting is an integral part of the notes. |
4 The underlying pro forma EBIT does not include acquisition-related expenses.
| D) TE DI AU N R (U |
|
|---|---|
| ARTE U RD Q |
|
| G THI N RTI O |
|
| A A US SE & CO. KG |
T REP N ME G D SE |
| NI FRESE |
ATE D OLI NS CO |
| Fresenius Medical Care | Fresenius Kabi | Fresenius Helios | Fresenius Vamed | Corporate / Other | Fresenius Group | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| by business segment, € in millions | 2017 | 2016 | Change | 2017 1 | 2016 | Change | 2017 | 2016 | Change | 2017 | 2016 | Change | 2017 2 | 2016 | Change | 2017 | 2016 | Change |
| Sales | 4,336 | 4,211 | 3% | 1,562 | 1,511 | 3% | 2,166 | 1,470 | 47% | 267 | 268 | 0% | - 34 | - 27 | - 26% | 8,297 | 7,433 | 12% |
| thereof contribution to consolidated sales |
4,328 | 4,206 | 3% | 1,547 | 1,498 | 3% | 2,166 | 1,470 | 47% | 255 | 258 | - 1% | 1 | 1 | 0% | 8,297 | 7,433 | 12% |
| thereof intercompany sales | 8 | 5 | 60% | 15 | 13 | 15% | 0 | 0 | 12 | 10 | 20% | - 35 | - 28 | - 25% | 0 | 0 | ||
| contribution to consolidated sales | 52% | 57% | 19% | 20% | 26% | 20% | 3% | 3% | 0% | 0% | 100% | 100% | ||||||
| EBITDA | 786 | 786 | 0% | 352 | 353 | 0% | 331 | 223 | 48% | 18 | 18 | 0% | - 21 | - 7 - 200% | 1,466 | 1,373 | 7% | |
| Depreciation and amortization | 178 | 175 | 2% | 69 | 72 | - 4% | 99 | 48 | 106% | 3 | 3 | 0% | 3 | 4 | - 25% | 352 | 302 | 17% |
| EBIT | 608 | 611 | 0% | 283 | 281 | 1% | 232 | 175 | 33% | 15 | 15 | 0% | - 24 | - 11 | - 118% | 1,114 | 1,071 | 4% |
| Net interest | - 86 | - 90 | 4% | - 31 | - 37 | 16% | - 40 | - 8 | -- | 0 | - 1 | 100% | - 6 | - 6 | 0% | - 163 | - 142 | - 15% |
| Income taxes | - 152 | - 152 | 0% | - 75 | - 79 | 5% | - 35 | - 27 | - 30% | - 4 | - 4 | 0% | 3 | 3 | 0% | - 263 | - 259 | - 2% |
| shareholders of Fresenius SE & Co. KGaA Net income attributable to |
309 | 304 | 2% | 165 | 155 | 6% | 153 | 140 | 9% | 10 | 10 | 0% | - 241 | - 227 | - 6% | 396 | 382 | 4% |
| Operating cash fl ow | 612 | 393 | 56% | 245 | 322 | - 24% | 256 | 207 | 24% | 35 | 21 | 67% | - 10 | - 3 | -- | 1,138 | 940 | 21% |
| Cash fl ow before acquisitions and dividends | 386 | 181 | 113% | 149 | 228 | - 35% | 154 | 133 | 16% | 32 | 19 | 68% | - 14 | - 4 | -- | 707 | 557 | 27% |
| Capital expenditure, gross | 228 | 216 | 6% | 102 | 90 | 13% | 91 | 74 | 23% | 3 | 2 | 50% | 4 | 3 | 33% | 428 | 385 | 11% |
| Acquisitions, gross / investments | 80 | 80 | 0% | 156 | 3 | -- | 5 | 5 | 0% | – | 0 | 0 | - 1 | 100% | 241 | 87 | 177% | |
| Research and development expenses | 28 | 40 | - 30% | 104 | 88 | 18% | – | – | -- | 0 | 0 | 0 | 0 | 132 | 128 | 3% | ||
| Key fi gures | ||||||||||||||||||
| EBITDA margin | 18.1% | 18.7% | 22.5% | 23.4% | 15.3% | 15.2% | 6.7% | 6.7% | 17.8% 1 | 18.5% | ||||||||
| EBIT margin | 14.0% | 14.5% | 18.1% | 18.6% | 10.7% | 11.9% | 5.6% | 5.6% | 13.6% 1 | 14.4% | ||||||||
| Depreciation and amortization in % of sales |
4.1% | 4.2% | 4.4% | 4.8% | 4.6% | 3.3% | 1.1% | 1.1% | 4.2% | 4.1% | ||||||||
| Operating cash flow in % of sales | 14.1% | 9.3% | 15.7% | 21.3% | 11.8% | 14.1% | 13.1% | 7.8% | 13.7% | 12.6% | ||||||||
1 Before acquisition-related expenses
2 After acquisition-related expenses
The following notes are an integral part of the unaudited condensed interim fi nancial statements.
The consolidated segment reporting is an integral part of the notes.
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 hospi tal 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., the operating activities were split into the following legally independent business segments as of September 30, 2017:
The reporting currency in the Fresenius Group is the euro. In order to make the presentation clearer, amounts are mostly shown in million euros. Amounts under € 1 million after rounding are marked with "–".
Fresenius SE & Co. KGaA, as a stock exchange listed company with a domicile in a member state of the European Union, fulfi lls its obligation to prepare and publish the consolidated fi nancial statements in accordance with the International Financial Reporting Standards (IFRS) applying Section 315e of the German Commercial Code (HGB). Beginning with the 2017 fi scal year, the Fresenius Group is solely managed in accordance with IFRS and does no longer voluntarily prepare and publish the consolidated fi nancial statements in accordance with the United States Generally Accepted Accounting Principles (U.S. GAAP) which have been provided previously.
The accompanying condensed interim fi nancial statements comply with the International Accounting Standard (IAS) 34. They have been prepared in accordance with the IFRS in force on the reporting date and adopted by the European Union.
The accounting policies underlying these interim fi nancial statements are mainly the same as those applied in the consolidated fi nancial statements as of December 31, 2016.
The condensed consolidated fi nancial statements and management report for the fi rst three quarters and the third quarter ended September 30, 2017 have not been audited nor reviewed and should be read in conjunction with the notes included and published in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
Except for the reported acquisitions (see note 2, Acquisitions and investments), there have been no other major changes in the entities consolidated.
The consolidated fi nancial statements for the fi rst three quarters and the third quarter ended September 30, 2017 include all adjustments that, in the opinion of the Management Board, are of a normal and recurring nature and are necessary to provide an appropriate view of the assets and liabilities, fi nancial position and results of operations of the Fresenius Group.
The results of operations for the fi rst three quarters ended September 30, 2017 are not necessarily indicative of the results of operations for the fi scal year 2017.
The preparation of consolidated fi nancial 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 fi nancial statements and the reported amounts of income and expenses during the reporting period. Actual results could differ from those estimates.
The Fresenius Group has prepared its consolidated fi nancial statements at September 30, 2017 in conformity with IFRS in force for the interim periods on January 1, 2017.
In the fi rst three quarters of 2017, the Fresenius Group did not apply any new standard relevant for its business for the fi rst time.
V. RECENT PRONOUNCEMENTS, NOT YET APPLIED
The International Accounting Standards Board (IASB) issued the following for the Fresenius Group relevant new standards:
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 fi nancial statements. IFRS 17 is effective for fi scal years beginning on or after January 1, 2021. 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 fi nancial statements.
In January 2016, the IASB issued IFRS 16, Leases, which supersedes the current standard on lease accounting, IAS 17, as well as the interpretations IFRIC 4, SIC-15 and SIC-27. IFRS 16 signifi cantly improves lessee accounting. For all leases, a lessee is required to recognize a right-of-use asset representing its right to use the underlying leased asset and a lease liability representing its obligation to make lease payments. Depreciation of the right-of-use asset and interest on the lease liability must be recognized in the income statement for every lease contract. Therefore, straight-line rental expenses will no longer be shown. The lessor accounting requirements in IAS 17 are substantially carried forward. The standard is effective for fi scal years beginning on or after January 1, 2019. Earlier application is permitted for entities that have also adopted IFRS 15, Revenue from Contracts with Customers. The Fresenius Group decided that IFRS 16 will not be adopted early. The Fresenius Group expects a balance sheet extension due to the on balance sheet recognition of right-of-use assets and liabilities for agreed lease payment obligations, currently classifi ed as operating leases, resulting
in particular from leased clinics and buildings. Based on a fi rst impact analysis as of December 31, 2015, using certain assumptions and simplifi cations, the Fresenius Group expects a fi nancial debt increase of approximately € 5 billion. Referring to the consolidated statement of income, the Fresenius Group expects an EBITDA (Earnings before Interest, Taxes, Depreciation and Amortization) as well as an operating income improvement due to the split of rent expenses in depreciation and interest expenses, by having unchanged cash outfl ows. The Leverage Ratio will increase by 0.3 to 0.4. The impact on the Fresenius Group will depend on the contract portfolio at the effective date as well as on the transition method. Based on a fi rst impact analysis, the Fresenius Group decided to apply the modifi ed retrospective method. Currently, the Fresenius Group evaluates accounting policy options of IFRS 16.
In January 2016, the IASB issued Amendments to IAS 7, Statement of Cash Flows. The amendments are intended to improve the information related to the change in a company's debt by providing additional disclosures. The standard is effective for fi scal years beginning on or after January 1, 2017. Earlier application is permitted. The Fresenius Group will initially apply the amendments to IAS 7 in the consolidated fi nancial statements as of December 31, 2017.
In May 2014, the IASB issued IFRS 15, Revenue from Contracts with Customers. This new standard specifi es how and when companies reporting under IFRS will recognize revenue as well as providing users of fi nancial statements with more informative and relevant disclosures. IFRS 15 supersedes IAS 18, Revenue, IAS 11, Construction Contracts and a number of revenue-related interpretations. This standard applies to nearly all contracts with customers, the main exceptions are leases, fi nancial instruments and insurance con tracts. In September 2015, the IASB issued the amendment Effective Date of IFRS 15, which defers the effective date of IFRS 15 by one year to fi scal years beginning on or after January 1, 2018. Earlier adoption is permitted. The Fresenius Group decided that IFRS 15 will not be adopted early and is currently evaluating the impact of IFRS 15, in conjunction with all amendments to the standard, on its consolidated fi nancial statements. Based on fi ndings the Fresenius Group obtained so far, it expects differences from the current accounting
mainly in the calculation of the transaction price for health care services provided. IFRS 15 requires the consideration of implicit price concessions when determining the transaction price. This will lead to a corresponding decrease of revenues from health care services and thus the implicit price concessions will no longer be included in selling, general and administrative expenses as an allowance for doubtful accounts. The fi rst analysis of this issue showed a decrease of revenue by approximately 1% to 2% without any effect on net income. A more detailed quantifi cation of the impact of IFRS 15 is not yet possible. The Fresenius Group expects to implement IFRS 15 using the cumulative effect method and is continuing to evaluate accounting policy options. The Fresenius Group intends to apply IFRS 15 only to open contracts as of January 1, 2018.
In July 2014, the IASB issued a new version of IFRS 9, Financial Instruments. This IFRS 9 version is considered the fi nal and complete version, thus, mainly replacing IAS 39 as soon as IFRS 9 is applied. It includes all prior guidance on the classifi cation and measurement of fi nancial assets and fi nancial liabilities as well as hedge accounting and introduces requirements for impairment of fi nancial instruments as well as modifi ed requirements for the measurement categories of fi nancial assets. The impairment provisions refl ect a model that relies on expected losses (expected loss model). This model comprises a two stage approach: Upon recognition an entity shall recognize losses that are expected within the next 12 months. If credit risk deteriorates signifi cantly, from that point in time impairment losses shall amount to lifetime expected losses. The provisions for classifi cation and measurement are amended by introducing an additional third measurement category for certain debt instruments. Such instruments shall be measured at fair value with changes recognized in other comprehensive income (fair value through
other comprehensive income). The standard is accompanied by additional disclosure requirements and is effective for fi scal years beginning on or after January 1, 2018. Earlier adoption is permitted. The Fresenius Group decided that IFRS 9 will not be adopted early and is currently evaluating the impact on its consolidated fi nancial statements. In accordance with IAS 39, the majority of the non-derivative fi nancial assets are measured at amortized costs. The analysis on the business model and the contractual cash fl ow characteristics of each instrument is still ongoing. The requirements for the classifi cation and measurement of non-derivative fi nancial liabilities have not changed signifi cantly. Thus, the Fresenius Group expects a limited impact on its consolidated fi nancial statements. Derivatives not designated as hedging instruments will continue to be classifi ed and measured at fair value through profi t and loss.
The Fresenius Group intends to implement the simplifi ed method to determine the provisions for risks from trade accounts receivable, receivables from lease contracts and capitalized contract costs according to IFRS 15. A quantifi cation of the impact is not yet possible.
Based on currently available information, derivative fi nancial instruments presently designated as hedging instruments are also qualifi ed for hedge accounting according to the requirements of IFRS 9.
The Fresenius Group also evaluates accounting policy options and transition methods of IFRS 9.
The EU Commission's endorsement of IFRS 16, IFRS 17 and of the amendments to IAS 7 is still outstanding.
In the Fresenius Group's view, all other pronouncements issued by the IASB do not have a material impact on the consolidated fi nancial statements, as expected.
The Fresenius Group made acquisitions, investments and purchases of intangible assets of € 6,662 million and € 592 million in the fi rst three quarters of 2017 and 2016, respectively. Of this amount, € 6,107 million was paid in cash and € 555 million was assumed obligations in the fi rst three quarters of 2017.
In the fi rst three quarters of 2017, Fresenius Medical Care spent € 548 million on acquisitions, mainly on the purchase of dialysis clinics and a care coordination acquisition.
On August 7, 2017 Fresenius Medical Care announced the acquisition of NxStage Medical, Inc. (NxStage), a U.S.-based medical technology and services company, for a total transaction value of approximately US\$ 2.0 billion (€ 1.7 billion). On October 27, 2017, the shareholders of NxStage approved the acquisition. The transaction remains subject to regulatory approvals and other customary closing conditions. Fresenius Medical Care expects the closing of the transaction to occur next year.
In the fi rst three quarters of 2017, Fresenius Kabi spent € 157 million on acquisitions, thereof € 156 million for the acquisition of the biosimilars business of Merck KGaA.
On April 24, 2017 Fresenius announced, that Fresenius Kabi has agreed to acquire Akorn, Inc., a U.S.-based manufacturer and marketer of prescription and over-the-counter pharmaceutical products, for approximately US\$ 4.3 billion, or US\$ 34 per share, plus the prevailing net debt at closing of the transaction (Akorn reported net debt of approximately US\$ 0.5 billion as at September 30, 2017).
The transaction is subject to customary closing conditions, including regulatory review under the Hart-Scott-Rodino Antitrust Improvements Act in the United States. Akorn shareholders have approved the transaction at a meeting held on July 19, 2017. Closing is targeted for 2017.
The purchase price will be fi nanced by a broad mix of euro and U.S. dollar denominated long-term debt instruments.
Akorn has experienced lower revenue and earnings in the second and third quarter of 2017. Whilst challenging, Fresenius Kabi has not yet revised its expectations for Akorn's 2018 fi scal year.
On August 31, 2017, Fresenius Kabi has successfully closed the acquisition of Merck KGaA's biosimilars business. The transaction comprises a development pipeline and about 70 employees located in Aubonne and Vevey, Switzerland. The product pipeline has a focus on oncology and autoimmune diseases. The biosimilars business is consolidated as of September 1, 2017.
The consideration transferred of € 735 million is composed of € 156 million, which were paid in cash upon closing, and risk-adjusted discounted success-related payments expected for the coming years with a current fair value of € 579 million, which are strictly tied to achievements of agreed development and sales targets.
The transaction was accounted for as a business combination. The following table summarizes the current estimated fair values of assets acquired and liabilities assumed at the date of the acquisition. This allocation of the purchase price is based upon the best information available to management at present. Due to the relatively short interval between the closing date of the acquisition and the date of the statement of fi nancial position, this information may be incomplete. Any adjustments to acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill.
€ in millions
| Goodwill Consideration transferred |
391 735 |
|---|---|
| Liabilities | - 4 |
| Intangible assets | 345 |
| Property, plant and equipment and other non-current assets | 2 |
| Working capital and other assets | 1 |
The goodwill in the amount of € 391 million that was acquired as part of the acquisition will be deductible for tax purposes.
Goodwill mainly represents the value of future opportunities due to the acquisition of biosimilars products and their platform. The platform with highly qualifi ed biosimilars experts will enable Fresenius to develop further products in this market segment and bring them on the market in the future. Furthermore, Fresenius acquired the opportunity to sell biosimilars products in other markets.
In the fi rst three quarters of 2017, Fresenius Helios spent € 5,957 million on acquisitions, mainly for the acquisition of 100% of the share capital in IDCSalud Holding S.L.U. (Quirónsalud), Spain.
On January 31, 2017, Fresenius Helios closed the acquisition of 100% of the share capital in IDCSalud Holding S.L.U. (Quirónsalud), Spain's largest private hospital operator. Quirónsalud has been consolidated as of February 1, 2017.
Quirónsalud's network is comprised of 44 hospitals, 44 out patient centers and about 300 Occupational Risk Preven tion centers located in all economically important areas of Spain. The company offers the full spectrum of inpatient and outpatient care. With the acquisition, Fresenius Helios strengthens its position as Europe's largest private hospital operator.
€ 5.36 billion of the total purchase price in the amount of € 5.76 billion had already been fi nanced by means of different debt instruments and paid in cash on January 31, 2017. The balance of € 400 million was paid in the form of 6,108,176 new shares of Fresenius SE & Co. KGaA issued on January 31, 2017 from Authorized Capital excluding sub scription rights.
In April 2017, a compensation payment in the amount of € 174 million was made for working capital taken over.
The transaction was accounted for as a business combination. The following table summarizes the current estimated fair values of assets acquired and liabilities assumed at the date of the acquisition. This allocation of the purchase price is based upon the best information available to management at present. Due to the relatively short interval between the closing date of the acquisition and the date of the statement of fi nancial position, this information may be incomplete. Any adjustments to acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill.
| 812 |
|---|
| 74 |
| 1,759 |
| 1,303 |
| - 1,228 |
| 3,232 |
| - 21 |
| 5,931 |
The goodwill in the amount of € 3,232 million that was acquired as part of the acquisition is not deductible for tax purposes.
Goodwill mainly represents the market position of the acquired hospitals, health centres and health care facilities, the economies of scale of the signifi cantly grown largest private European hospital operator and the know-how of the employees.
The noncontrolling interests acquired as part of the acquisition are stated at fair value.
From February to September 2017, the acquired hospitals and outpatient facilities have contributed € 1,860 million to sales and € 220 million to the operating income (EBIT) of the fi rst three quarters of 2017 of the Fresenius Group.
Net income attributable to shareholders of Fresenius SE & Co. KGaA for the fi rst three quarters of 2017 in the amount of € 1,303 million includes special items due to the announced acquisitions of Merck KGaA's biosimilars business and shares of Akorn, Inc. These mainly comprise transaction costs in the form of legal and consulting expenses as well as fi nancing commitment expenses for the Akorn transaction.
The special items had the following impact on the consolidated statement of income:
| € in millions | EBIT | Interest expenses |
Net income attributable to share holders of Fresenius SE & Co. KGaA |
|---|---|---|---|
| Earnings Q1 – 3 / 2017, adjusted | 3,522 | - 484 | 1,329 |
| Acquisition-related expenses | - 25 | - 8 | - 26 |
| Earnings Q1 – 3 / 2017 according to IFRS |
3,497 | - 492 | 1,303 |
Net income attributable to shareholders of Fresenius SE & Co. KGaA for the fi rst three quarters of 2016 did not include any special items.
Sales by activity were as follows:
| € in millions | Q1 – 3 / 2017 | Q1 –3 / 2016 |
|---|---|---|
| Sales of services | 17,814 | 14,706 |
| Sales of products and related goods | 7,067 | 6,613 |
| Sales from long-term production contracts |
303 | 327 |
| Other sales | 7 | 5 |
| Sales | 25,191 | 21,651 |
Research and development expenses of € 375 million (Q1 – 3 / 2016: € 385 million) included expenditures for research and non- capitalizable development costs as well as depreciation and amortization expenses relating to capitalized development costs of € 11 million (Q1 – 3 / 2016: € 12 million). Furthermore, in the fi rst three quarters of 2016, research and development expenses included impairments on capitalized development expenses of € 32 million. These related to inprocess R & D of product approval projects, which were acquired through the acquisition of Fresenius Kabi USA, Inc.
During the fi rst three quarters of 2017, there were no material changes relating to tax audits, accruals for income taxes as well as recognized and accrued payments for interest and penalties. Explanations regarding the tax audits and further information can be found in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
The following table shows the earnings per share including and excluding the dilutive effect from stock options issued:
| Q1 – 3 / 2017 | Q1 –3 / 2016 |
|---|---|
| 1,303 | 1,118 |
| 1 | – |
| 1,302 | 1,118 |
| 553,946,023 | 546,179,291 |
| 3,555,287 | 3,776,244 |
| 549,955,535 | |
| 2.35 | 2.04 |
| 2.03 | |
| 557,501,310 2.34 |
As of September 30, 2017 and December 31, 2016, cash and cash equivalents were as follows:
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 |
|---|---|---|
| Cash | 1,261 | 1,359 |
| Time deposits and securities (with a maturity of up to 90 days) |
211 | 220 |
| Total cash and cash equivalents | 1,472 | 1,579 |
As of September 30, 2017 and December 31, 2016, earmarked funds of € 84 million and € 61 million, respectively, were included in cash and cash equivalents.
As of September 30, 2017 and December 31, 2016, trade accounts receivable were as follows:
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 |
|---|---|---|
| Trade accounts receivable | 6,901 | 5,752 |
| less allowance for doubtful accounts | 811 | 700 |
| Trade accounts receivable, net | 6,090 | 5,052 |
The increase is mainly attributable to the acquisition of Quirónsalud.
As of September 30, 2017 and December 31, 2016, inventories consisted of the following:
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 |
|---|---|---|
| Raw materials and purchased components |
653 | 667 |
| Work in process | 619 | 620 |
| Finished goods | 2,017 | 2,044 |
| less reserves | 125 | 142 |
| Inventories, net | 3,164 | 3,189 |
At equity investments as of September 30, 2017 in the amount of € 633 million (December 31, 2016: € 598 million) mainly related to the joint venture named Vifor Fresenius Medical Care Renal Pharma Ltd. between Fresenius Medical Care and Galenica Ltd. In the fi rst three quarters of 2017, income of € 51 million (Q1 – 3 / 2016: € 55 million) resulting from this valuation was included in selling, general and administrative expenses in the consolidated statement of income. Securities and long-term loans included € 245 million fi nancial assets available for sale as of September 30, 2017 (December 31, 2016: € 258 million) mainly relating to shares in funds.
As of September 30, 2017 and December 31, 2016, intangible assets, split into amortizable and non-amortizable intangible assets, consisted of the following:
| September 30, 2017 | December 31, 2016 | ||||||
|---|---|---|---|---|---|---|---|
| € in millions | Acquisition cost |
Accumulated amortization |
Carrying amount |
Acquisition cost |
Accumulated amortization |
Carrying amount |
|
| Patents, product and distribution rights | 679 | 382 | 297 | 748 | 392 | 356 | |
| Tradenames | 704 | 43 | 661 | 0 | 0 | 0 | |
| Capitalized development costs | 754 | 227 | 527 | 425 | 232 | 193 | |
| Technology | 432 | 148 | 284 | 462 | 141 | 321 | |
| Customer relationships | 846 | 111 | 735 | 332 | 98 | 234 | |
| Software | 558 | 325 | 233 | 474 | 290 | 184 | |
| Non-compete agreements | 315 | 264 | 51 | 347 | 278 | 69 | |
| Other | 465 | 269 | 196 | 469 | 293 | 176 | |
| Total | 4,753 | 1,769 | 2,984 | 3,257 | 1,724 | 1,533 |
The increase of tradenames and customer relationships mainly results from the acquisition of Quirónsalud.
The increase of capitalized development costs is mainly due to the acquisition of the biosimilars business.
Estimated regular amortization expenses of intangible assets for the next fi ve years are shown in the following table:
| € in millions | Q4 / 2017 | 2018 | 2019 | 2020 | 2021 | Q1 – 3 / 2022 |
|---|---|---|---|---|---|---|
| Estimated amortization expenses | 79 | 301 | 298 | 292 | 284 | 215 |
| September 30, 2017 | December 31, 2016 | |||||
|---|---|---|---|---|---|---|
| € in millions | Acquisition cost |
Accumulated amortization |
Carrying amount |
Acquisition cost |
Accumulated amortization |
Carrying amount |
| Tradenames | 195 | 0 | 195 | 227 | 0 | 227 |
| Management contracts | 3 | 0 | 3 | 3 | 0 | 3 |
| Goodwill | 25,262 | 0 | 25,262 | 22,901 | 0 | 22,901 |
| Total | 25,460 | 0 | 25,460 | 23,131 | 0 | 23,131 |
The carrying amount of goodwill has developed as follows:
| € in millions | Fresenius Medical Care |
Fresenius Kabi |
Fresenius Helios |
Fresenius Vamed |
Corporate / Other |
Fresenius Group |
|---|---|---|---|---|---|---|
| Carrying amount as of January 1, 2016 | 11,962 | 5,142 | 4,437 | 99 | 6 | 21,646 |
| Additions | 586 | 5 | 101 | 0 | – | 692 |
| Disposals | 0 | 0 | – | 0 | – | – |
| Reclassifi cations | 3 | 0 | 0 | 0 | 0 | 3 |
| Foreign currency translation | 405 | 155 | 0 | 0 | 0 | 560 |
| Carrying amount as of December 31, 2016 | 12,956 | 5,302 | 4,538 | 99 | 6 | 22,901 |
| Additions | 463 | 392 | 3,263 | 0 | 0 | 4,118 |
| Disposals | 0 | - 1 | - 1 | 0 | 0 | - 2 |
| Foreign currency translation | - 1,278 | - 477 | 0 | 0 | 0 | - 1,755 |
| Carrying amount as of September 30, 2017 | 12,141 | 5,216 | 7,800 | 99 | 6 | 25,262 |
The increase of goodwill mainly results from the acquisition of Quirónsalud and the biosimilars business.
As of September 30, 2017 and December 31, 2016, the carrying amounts of the other non-amortizable intangible assets were € 181 million and € 202 million, respectively, for Fresenius Medical Care as well as € 17 million and € 28 million for Fresenius Kabi.
As of September 30, 2017 and December 31, 2016, short-term debt consisted of the following:
| Book value | |||
|---|---|---|---|
| € in millions | September 30, 2017 | December 31, 2016 | |
| Fresenius SE & Co. KGaA Commercial Paper Program | 830 | 178 | |
| Fresenius Medical Care AG & Co. KGaA Commercial Paper Program | 853 | 476 | |
| Other short-term debt | 198 | 193 | |
| Short-term debt | 1,881 | 847 |
As of September 30, 2017 and December 31, 2016, long-term debt and capital lease obligations net of debt issuance costs consisted of the following:
| Book value | |||
|---|---|---|---|
| € in millions | September 30, 2017 | December 31, 2016 | |
| Fresenius Medical Care 2012 Credit Agreement | 2,069 | 2,244 | |
| 2013 Credit Agreement | 2,283 | 1,574 | |
| Schuldschein Loans | 1,878 | 1,186 | |
| Accounts Receivable Facility of Fresenius Medical Care | 169 | 165 | |
| Capital lease obligations | 236 | 146 | |
| Other | 549 | 344 | |
| Subtotal | 7,184 | 5,659 | |
| less current portion | 387 | 611 | |
| Long-term debt and capital lease obligations, less current portion | 6,797 | 5,048 |
Fresenius Medical Care AG & Co. KGaA (FMC-AG & Co. KGaA) originally entered into a syndicated credit facility ( Fresenius Medical Care 2012 Credit Agreement) of US\$ 3,850 million and a 5-year period with a large group of banks and institutional investors on October 30, 2012.
On November 26, 2014, the Fresenius Medical Care 2012 Credit Agreement was amended to increase the total credit facility to approximately US\$ 4,400 million and extend the term for an additional two years until October 30, 2019.
On July 11, 2017, FMC-AG & Co. KGaA further amended and extended its syndicated credit agreement resulting in a total credit facility of approximately US\$ 3,900 million with maturities of three and fi ve years on an unsecured basis. The amended Fresenius Medical Care 2012 Credit Agreement now refl ects a simplifi ed, unsecured structure consistent with the investment grade rating of Fresenius Medical Care and lower tiered pricing.
The following tables show the available and outstanding amounts under the Fresenius Medical Care 2012 Credit Agreement at September 30, 2017 and at December 31, 2016:
| September 30, 2017 | |||||
|---|---|---|---|---|---|
| Maximum amount available | Balance outstanding | ||||
| € in millions | € in millions | ||||
| Revolving Credit Facility (in US\$) | US\$ 900 million | 762 | US\$68 million | 58 | |
| Revolving Credit Facility (in €) | € 600 million | 600 | € 0 million | 0 | |
| Term Loan 5 years (in US\$) | US\$ 1,500 million | 1,271 | US\$1,500 million | 1,271 | |
| Term Loan 3 years (in €) | € 400 million | 400 | € 400 million | 400 | |
| Term Loan 5 years (in €) | € 350 million | 350 | € 350 million | 350 | |
| Total | 3,383 | 2,079 | |||
| less fi nancing cost | 10 | ||||
| Total | 2,069 |
| December 31, 2016 | |||||
|---|---|---|---|---|---|
| Maximum amount available | Balance outstanding | ||||
| € in millions | € in millions | ||||
| Revolving Credit Facility (in US\$) | US\$ 1,000 million | 949 | US\$10 million | 10 | |
| Revolving Credit Facility (in €) | € 400 million | 400 | € 0 million | 0 | |
| Term Loan 5 years (in US\$) | US\$ 2,100 million | 1,992 | US\$2,100 million | 1,992 | |
| Term Loan 5 years (in €) | € 252 million | 252 | € 252 million | 252 | |
| Total | 3,593 | 2,254 | |||
| less fi nancing cost | 10 | ||||
| Total | 2,244 |
At September 30, 2017 and December 31, 2016, Fresenius Medical Care had letters of credit outstanding in the amount of approximately US\$ 2 million and US\$ 4 million, respectively, under the U.S. dollar revolving credit facility. The letters of credit were not included in the above mentioned outstanding balances at those dates but reduce available borrowings under the applicable revolving credit facility.
As of September 30, 2017, FMC-AG & Co. KGaA and its subsidiaries were in compliance with all covenants under the Fresenius Medical Care 2012 Credit Agreement.
On December 20, 2012, Fresenius SE & Co. KGaA and various subsidiaries entered into a delayed draw syndicated credit agreement (2013 Credit Agreement) in the original amount of US\$ 1,300 million and € 1,250 million. Since the initial funding of the 2013 Credit Agreement in June 2013, additional
tranches were added. Furthermore, scheduled amortization payments as well as voluntary repayments have been made.
On October 14, 2016, the 2013 Credit Agreement has been increased by an incremental term loan of € 900 million and an incremental revolving facility of € 300 million. The incremental facilities were used to fund the acquisition of IDCSalud Holding S.L.U. (Quirónsalud) by Fresenius Helios. The incremental facilities were funded on January 31, 2017.
On August 22, 2017, the 2013 Credit Agreement was refi nanced. The existing senior secured facilities were replaced with unsecured facilities resulting in a total credit facility of approximately € 3,800 million with maturities in 2021 and 2022. Concurrently, the guarantor structure was aligned, with Fresenius SE & Co. KGaA now being sole guarantor.
The following tables show the available and outstanding amounts under the 2013 Credit Agreement at September 30, 2017 and at December 31, 2016:
| September 30, 2017 | |||||
|---|---|---|---|---|---|
| Maximum amount available | Balance outstanding | ||||
| € in millions | € in millions | ||||
| Revolving Credit Facility (in €) | € 1,000 million | 1,000 | € 0 million | 0 | |
| Revolving Credit Facility (in US\$) | US\$ 500 million | 423 | US\$ 0 million | 0 | |
| Term Loan 4 years (in €) | € 750 million | 750 | € 750 million | 750 | |
| Term Loan 5 years (in €) | € 1,000 million | 1,000 | € 1,000 million | 1,000 | |
| Term Loan 5 years (in US\$) | US\$ 650 million | 551 | US\$ 650 million | 551 | |
| Total | 3,724 | 2,301 | |||
| less fi nancing cost | 18 | ||||
| Total | 2,283 |
| December 31, 2016 | |||||
|---|---|---|---|---|---|
| Maximum amount available | Balance outstanding | ||||
| € in millions | € in millions | ||||
| Revolving Credit Facility (in €) | € 900 million | 900 | € 0 million | 0 | |
| Revolving Credit Facility (in US\$) | US\$ 300 million | 284 | US\$ 0 million | 0 | |
| Term Loan A 5 years (in €) | € 933 million | 933 | € 933 million | 933 | |
| Term Loan A 5 years (in US\$) | US\$ 689 million | 654 | US\$ 689 million | 654 | |
| Total | 2,771 | 1,587 | |||
| less fi nancing cost | 13 | ||||
| Total | 1,574 |
Does not include the incremental facilities in the amount of € 1.2 billion which were funded in January 2017
As of September 30, 2017, the Fresenius Group was in com pliance with all covenants under the 2013 Credit Agreement.
As of September 30, 2017 and December 31, 2016, Schuld schein Loans of the Fresenius Group net of debt issuance costs consisted of the following:
| Book value € in millions |
|||||
|---|---|---|---|---|---|
| Notional amount | Maturity | Interest rate fi xed / variable |
Sept. 30, 2017 | Dec. 31, 2016 | |
| Fresenius SE & Co. KGaA 2013 / 2017 | € 125 million | Aug. 22, 2017 | 2.65% /variable | 0 | 125 |
| Fresenius SE & Co. KGaA 2014 / 2018 | € 97 million | April 2, 2018 | 2.09% | 97 | 97 |
| Fresenius SE & Co. KGaA 2014 / 2018 1 | € 141 million | April 2, 2018 | variable | 0 | 141 |
| Fresenius SE & Co. KGaA 2012 / 2018 | € 72 million | April 4, 2018 | 4.09% | 72 | 72 |
| Fresenius SE & Co. KGaA 2015 / 2018 | € 91 million | October 8, 2018 | 1.07% / variable | 91 | 91 |
| Fresenius SE & Co. KGaA 2014 / 2020 | € 262 million | April 2, 2020 | 2.67% / variable | 262 | 260 |
| Fresenius SE & Co. KGaA 2017 / 2022 | € 372 million | Jan. 31, 2022 | 0.93% / variable | 371 | 0 |
| Fresenius SE & Co. KGaA 2015 / 2022 | € 21 million | April 7, 2022 | 1.61% | 21 | 21 |
| Fresenius SE & Co. KGaA 2017 / 2024 | € 421 million | Jan. 31, 2024 | 1.36% / variable | 420 | 0 |
| Fresenius SE & Co. KGaA 2017 / 2027 | € 207 million | Jan. 29, 2027 | 1.96% / variable | 206 | 0 |
| Fresenius US Finance II, Inc. 2016 / 2021 | US\$ 342 million | March 10, 2021 | 2.66% / variable | 288 | 323 |
| Fresenius US Finance II, Inc. 2016 / 2023 | US\$ 58 million | March 10, 2023 | 3.12% / variable | 50 | 56 |
| Schuldschein Loans | 1,878 | 1,186 |
1 terminated tranches repaid on April 3, 2017
On December 19, 2016, Fresenius SE & Co. KGaA issued € 1,000 million of Schuldschein Loans in tranches of 5, 7 and 10 years with fi xed and variable interest rates. The transaction was closed on January 31, 2017. Proceeds were used for general corporate purposes and to fi nance the acquisition of IDCSalud Holding S.L.U. (Quirónsalud) by Fresenius Helios.
In order to optimize the capital structure and to further reduce fi nancing costs, two existing fl oating rate tranches of Schuldschein Loans due originally on April 2, 2018 in the amount of € 76 million and € 65 million have been terminated and prepaid as per April 3, 2017.
The Schuldschein Loans issued by Fresenius SE & Co. KGaA in the total amount of € 125 million which were due on August 22, 2017 were repaid as scheduled. The Schuldschein Loans issued by Fresenius SE & Co. KGaA in the amount of € 97 million and € 72 million which are due on April 2, 2018 and April 4, 2018 are shown as current portion of long-term debt and capital lease obligations in the consolidated statement of fi nancial position.
As of September 30, 2017, the Fresenius Group was in compliance with all of its covenants under the Schuldschein Loans.
In addition to the fi nancial 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 September 30, 2017, the additional fi nancial cushion resulting from unutilized credit facilities was approximately € 3.6 billion. Thereof approximately € 2.7 billion accounted for syndicated credit facilities.
On April 25, 2017, Fresenius SE & Co. KGaA entered into a Bridge Financing Facility in the amount of US\$ 4,200 million with a tenor of 18 months for the purpose of the acquisition of Akorn, Inc. It is planned to replace or refi nance the facility with a broad mix of euro and U.S. dollar denominated longterm debt instruments.
The Bridge Financing Facility in the original amount of € 3,750 million, which Fresenius SE & Co. KGaA entered into in September 2016 for the purpose of the acquisition of IDCSalud Holding S.L.U. (Quirónsalud), was cancelled prematurely in January 2017 without having been utilized.
As of September 30, 2017 and December 31, 2016, Senior Notes of the Fresenius Group net of debt issuance costs consisted of the following:
| Book value € in millions |
||||||
|---|---|---|---|---|---|---|
| Notional amount | Maturity | Interest rate | Sept. 30, 2017 | Dec. 31, 2016 | ||
| Fresenius Finance Ireland PLC 2017 / 2022 | € 700 million | Jan. 31, 2022 | 0.875% | 695 | 0 | |
| Fresenius Finance Ireland PLC 2017 / 2024 | € 700 million | Jan. 30, 2024 | 1.50% | 695 | 0 | |
| Fresenius Finance Ireland PLC 2017 / 2027 | € 700 million | Feb. 1, 2027 | 2.125% | 692 | 0 | |
| Fresenius Finance Ireland PLC 2017 / 2032 | € 500 million | Jan. 30, 2032 | 3.00% | 494 | 0 | |
| Fresenius SE & Co. KGaA 2014 / 2019 | € 300 million | Feb. 1, 2019 | 2.375% | 299 | 299 | |
| Fresenius SE & Co. KGaA 2012 / 2019 | € 500 million | Apr. 15, 2019 | 4.25% | 498 | 498 | |
| Fresenius SE & Co. KGaA 2013 / 2020 | € 500 million | July 15, 2020 | 2.875% | 498 | 497 | |
| Fresenius SE & Co. KGaA 2014 / 2021 | € 450 million | Feb. 1, 2021 | 3.00% | 445 | 445 | |
| Fresenius SE & Co. KGaA 2014 / 2024 | € 450 million | Feb. 1, 2024 | 4.00% | 450 | 449 | |
| Fresenius US Finance II, Inc. 2014 / 2021 | US\$ 300 million | Feb. 1, 2021 | 4.25% | 253 | 283 | |
| Fresenius US Finance II, Inc. 2015 / 2023 | US\$ 300 million | Jan. 15, 2023 | 4.50% | 252 | 281 | |
| FMC Finance VII S.A. 2011 / 2021 | € 300 million | Feb. 15, 2021 | 5.25% | 297 | 295 | |
| FMC Finance VIII S.A. 2011 / 2018 | € 400 million | Sept. 15, 2018 | 6.50% | 398 | 397 | |
| FMC Finance VIII S.A. 2012 / 2019 | € 250 million | July 31, 2019 | 5.25% | 245 | 244 | |
| Fresenius Medical Care US Finance, Inc. 2007 / 2017 | US\$ 500 million | July 15, 2017 | 6.875% | 0 | 473 | |
| Fresenius Medical Care US Finance, Inc. 2011 / 2021 | US\$ 650 million | Feb. 15, 2021 | 5.75% | 546 | 611 | |
| Fresenius Medical Care US Finance II, Inc. 2011 / 2018 | US\$ 400 million | Sept. 15, 2018 | 6.50% | 337 | 377 | |
| Fresenius Medical Care US Finance II, Inc. 2012 / 2019 | US\$ 800 million | July 31, 2019 | 5.625% | 676 | 757 | |
| Fresenius Medical Care US Finance II, Inc. 2014 / 2020 | US\$ 500 million | Oct. 15, 2020 | 4.125% | 422 | 471 | |
| Fresenius Medical Care US Finance II, Inc. 2012 / 2022 | US\$ 700 million | Jan. 31, 2022 | 5.875% | 590 | 661 | |
| Fresenius Medical Care US Finance II, Inc. 2014 / 2024 | US\$ 400 million | Oct. 15, 2024 | 4.75% | 337 | 376 | |
| Senior Notes | 9,119 | 7,414 |
On January 30, 2017, Fresenius Finance Ireland PLC, a wholly owned subsidiary of Fresenius SE & Co. KGaA, issued Senior Notes with an aggregate volume of € 2.6 billion. The Senior Notes consist of four tranches with maturities of fi ve, seven, ten and fi fteen years. The proceeds were used to fund the acquisition of IDCSalud Holding S.L.U. (Quirónsalud) and for general corporate purposes.
The Senior Notes issued by Fresenius Medical Care US Finance, Inc. were redeemed at maturity on July 17, 2017. As of September 30, 2017, the Senior Notes issued by FMC Finance VIII S.A. in the amount of € 400 million and by Fresenius Medical Care US Finance II, Inc. in the amount of US\$ 400 million due on September 15, 2018 are shown as current portion of Senior Notes in the consolidated statement of fi nancial position.
As of September 30, 2017, the Fresenius Group was in compliance with all of its covenants under the Senior Notes.
As of September 30, 2017 and December 31, 2016, the convertible bonds of the Fresenius Group net of debt issuance costs consisted of the following:
| Book value € in millions |
||||||
|---|---|---|---|---|---|---|
| Notional amount | Maturity | Coupon | Current conversion price |
Sept. 30, 2017 | Dec. 31, 2016 | |
| Fresenius SE & Co. KGaA 2014 / 2019 | € 500 million | Sept. 24, 2019 | 0.000% | € 49.3599 | 481 | 474 |
| Fresenius SE & Co. KGaA 2017 / 2024 | € 500 million | Jan. 31, 2024 | 0.000% | € 107.0979 | 446 | 0 |
| Fresenius Medical Care AG & Co. KGaA 2014 / 2020 | € 400 million | Jan. 31, 2020 | 1.125% | € 73.4408 | 385 | 380 |
| Convertible bonds | 1,312 | 854 |
The fair value of the derivatives embedded in the convertible bonds of Fresenius SE & Co. KGaA was € 238 million at September 30, 2017. The derivative embedded in the convertible bonds of Fresenius Medical Care AG & Co. KGaA (FMC-AG & Co. KGaA) was recognized with a fair value of € 87 million at September 30, 2017. Fresenius SE & Co. KGaA and FMC-AG & Co. KGaA have purchased stock options (call options) to hedge future fair value fl uctuations of these derivatives. As of September 30, 2017, the call options had a corresponding aggregate fair value of € 238 million and € 87 million, respectively.
The conversions will be cash-settled. Any increase of Fresenius' share price and of Fresenius Medical Care's share price above the conversion price would be offset by a corresponding value increase of the call options.
The derivatives embedded in the convertible bonds and the call options are recognized in other non-current liabilities / assets in the consolidated statement of fi nancial position.
On January 31, 2017, Fresenius SE & Co. KGaA issued € 500 million of equity-neutral convertible bonds due 2024. The convertible bonds will not bear any interest. The issue price was fi xed at 101% of the nominal value, corresponding to an annual yield to maturity of - 0.142%. The initial conversion price is € 107.0979. This represents a 45% premium over the reference share price of the Fresenius share of € 73.8606. The proceeds were used to fund the acquisition of IDCSalud Holding S.L.U. (Quirónsalud) and for general corporate purposes.
At September 30, 2017, the pension liability of the Fresenius Group was € 1,216 million. The current portion of the pension liability of € 21 million is recognized in the consolidated statement of fi nancial position within short-term accrued expenses and other short-term liabilities. The non-current portion of € 1,195 million is recorded as pension liability.
Contributions to Fresenius Group's pension fund were € 8 million in the fi rst three quarters of 2017. The Fresenius Group expects approximately € 11 million contributions to the pension fund during 2017.
Defi ned benefi t pension plans' net periodic benefi t costs of € 63 million (Q1 – 3 / 2016: € 66 million) were comprised of the following components:
| € in millions | Q1 – 3 / 2017 | Q1 –3 / 2016 |
|---|---|---|
| Service cost | 45 | 43 |
| Net interest cost | 18 | 23 |
| Net periodic benefi t cost | 63 | 66 |
As of September 30, 2017 and December 31, 2016, noncontrolling interest in the Fresenius Group was as follows:
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 |
|---|---|---|
| Noncontrolling interest in Fresenius Medical Care AG & Co. KGaA |
6,697 | 6,903 |
| Noncontrolling interest in VAMED AG |
59 | 55 |
| Noncontrolling interest in the business segments |
||
| Fresenius Medical Care | 1,003 | 1,073 |
| Fresenius Kabi | 85 | 90 |
| Fresenius Helios | 94 | 57 |
| Fresenius Vamed | 8 | 7 |
| Total noncontrolling interest | 7,946 | 8,185 |
Noncontrolling interest changed as follows:
| € in millions | Q1 – 3 / 2017 |
|---|---|
| Noncontrolling interest as of January 1, 2017 | 8,185 |
| Noncontrolling interest in profi t | 854 |
| Purchase of noncontrolling interest | 74 |
| Stock options | 36 |
| Dividend payments | - 520 |
| Currency effects and other changes | - 683 |
| Noncontrolling interest as of September 30, 2017 | 7,946 |
In the course of the acquisition of Quirónsalud, on January 31, 2017, 6,108,176 new shares of Fresenius SE & Co. KGaA were issued from Authorized Capital excluding subscription rights. These new shares had full dividend entitlement for the fi scal year 2016.
During the fi rst three quarters of 2017, 1,220,151 stock options were exercised. Consequently, as of September 30, 2017, the subscribed capital of Fresenius SE & Co. KGaA consisted of 554,536,698 bearer ordinary shares. The shares are issued as non-par value shares. The proportionate amount of the subscribed capital is € 1.00 per share.
As of December 31, 2016, the general partner, Fresenius Management SE, was authorized, with the approval of the Supervisory Board, until May 15, 2019, to increase Fresenius SE & Co. KGaA's subscribed capital by a total amount of up to € 120,960,000 through a single or multiple issues of new bearer ordinary shares against cash contributions and / or contributions in kind (Authorized Capital I). Thereof, on January 31, 2017, € 6,108,176 was utilized through the issuance of 6,108,176 shares, thereby reducing the Authorized Capital I to € 114,851,824.
The following Conditional Capitals exist in order to fulfi ll the subscription rights under the stock option plans of Fresenius SE & Co. KGaA: Conditional Capital I (Stock Option Plan 2003), Conditional Capital II (Stock Option Plan 2008) and Conditional Capital IV (Stock Option Plan 2013) (see note 24, 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 € | Ordinary shares |
|---|---|
| Conditional Capital I Fresenius AG Stock Option Plan 2003 | 5,017,585 |
| Conditional Capital II Fresenius SE Stock Option Plan 2008 | 5,980,888 |
| Conditional Capital III option bearer bonds and / or convertible bonds | 48,971,202 |
| Conditional Capital IV Fresenius SE & Co. KGaA Stock Option Plan 2013 | 25,200,000 |
| Total Conditional Capital as of January 1, 2017 | 85,169,675 |
| Fresenius AG Stock Option Plan 2003 – options exercised | - 282,502 |
| Fresenius SE Stock Option Plan 2008 – options exercised | - 752,124 |
| Fresenius SE & Co. KGaA Stock Option Plan 2013 – options exercised | - 185,525 |
| Total Conditional Capital as of September 30, 2017 | 83,949,524 |
As of September 30, 2017, the Conditional Capital was composed as follows:
| in € | Ordinary shares |
|---|---|
| Conditional Capital I Fresenius AG Stock Option Plan 2003 | 4,735,083 |
| Conditional Capital II Fresenius SE Stock Option Plan 2008 | 5,228,764 |
| Conditional Capital III option bearer bonds and / or convertible bonds | 48,971,202 |
| Conditional Capital IV Fresenius SE & Co. KGaA Stock Option Plan 2013 | 25,014,475 |
| Total Conditional Capital as of September 30, 2017 | 83,949,524 |
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 fi nancial position determined in accordance with the German Commercial Code (HGB).
In May 2017, a dividend of € 0.62 per bearer ordinary share was approved by Fresenius SE & Co. KGaA's shareholders at the Annual General Meeting and paid. The total dividend payment was € 343 million.
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. For the matters described below in which the Fresenius Group believes a loss is both reasonably possible and estimable, an estimate of the loss or range of loss exposure is provided. 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 diffi cult 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 fi nancial condition.
Further information regarding legal disputes, court proceedings and investigations can be found in detail in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS. In the following, only the changes during the fi rst three quarters ended September 30, 2017 compared to the information provided in the consolidated fi nancial statements are described (except for the description headed "Subpoena "American Kidney Fund" / CMS Litigation" which has been revised and contains information already described in the consolidated fi nancial statements). These changes should be read in conjunction with the overall information in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the
version in force before April 19, 2017) in accordance with IFRS; defi ned terms or abbreviations having the same meaning as in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
On October 12, 2017, the plaintiff committee and Fresenius Medical Care Holdings, Inc. (FMCH) determined that the condition of settlement related to minimum participation has been satisfi ed and are moving forward with implementation of the settlement. Funding of the settlement by FMCH and its insurers is to be made on November 28, 2017. FMCH believes that less than one percent (1%) of cases involved in the litigation will require any further substantive litigation activity for fi nal resolution and that all such cases are pending in the U.S. District Court for Massachusetts (Boston); Los Angeles, California county court; or Birmingham, Alabama county court.
FMCH's affected insurers have agreed to fund US\$ 220 million of the settlement fund, with a reservation of rights regarding certain coverage issues between and among FMCH and its insurers. FMCH has accrued a net expense of US\$ 60 million for consummation of the settlement, including legal fees and other anticipated costs.
Following entry of the agreement in principle, FMCH's insurers in the AIG group and FMCH each initiated litigation against the other, in New York and Massachusetts state courts respectively, relating to the AIG group's coverage obligations under applicable policies. The affected carriers have confi rmed that the coverage litigation does not impact their commitment to fund US\$ 220 million of the settlement with plaintiffs. In the coverage litigation, the AIG group seeks to reduce its obligation to less than US\$ 220 million and to be indemnifi ed by FMCH for a portion of its US\$ 220 million outlay; FMCH seeks to confi rm the AIG group's US\$ 220 million funding obligation, to recover defense costs already incurred by FMCH, and to compel the AIG group to honor defense and indemnifi cation obligations, if any, required for resolution of cases not participating in the settlement.
Although the United States initially declined to intervene in the case, the government subsequently changed position. On April 3, 2017, the court allowed the government to intervene with respect only to certain hepatitis B surface antigen tests performed prior to 2011, when Medicare reimbursement rules for such tests changed. The court rejected the government's request to conduct new discovery, but is allowing Fresenius Medical Care Holdings, Inc. to take discovery against the government as if the government had intervened at the outset.
Fresenius Medical Care has identifi ed and reported to the government, and has taken remedial actions including employee disciplinary actions with respect to, conduct that may result in monetary penalties or other sanctions under the U.S. Foreign Corrupt Practices Act (FCPA) or other anti-bribery laws. In addition, Fresenius Medical Care's ability to conduct business in certain jurisdictions could be negatively impacted. Fresenius Medical Care has recorded in prior periods a non-material accrual for an identifi ed matter. Fresenius Medical Care has substantially concluded its investigations and has entered into discussions toward a possible resolution with the government agencies. There is no timetable for a possible resolution. Given the current status of the resolution discussions and remediation activities, Fresenius Medical Care cannot reasonably estimate the range of possible loss that may result from identifi ed matters or from the resolution or remediation activities.
Fresenius Medical Care continues to implement enhancements to its anti-corruption compliance program, including internal controls related to compliance with international antibribery laws. Fresenius Medical Care continues to be fully committed to FCPA and other anti-bribery law compliance.
On August 31 and November 25, 2015, respectively, Fresenius Medical Care Holdings, Inc. (FMCH) received subpoenas under the False Claims Act from the United States Attorneys for the District of Colorado and the Eastern District of New York inquiring into FMCH's participation in and management of dialysis facility joint ventures in which physicians are partners. On March 20, 2017, FMCH received a subpoena in the Western District of Tennessee inquiring into certain of the operations of dialysis facility joint ventures with the University of Tennessee Medical Group, including joint ventures in which FMCH's interests were divested to Satellite Dialysis in connection with FMCH's acquisition of Liberty Dialysis in 2012. FMCH is cooperating in these investigations.
On August 24, 2017, an additional and more detailed subpoena on the same topics was issued by the United States Attorney for the Eastern District of New York (Brooklyn), which has managed this investigation from its outset. Fresenius Medical Care is cooperating in the government's inquiry.
The terminated employee's conduct may subject Fresenius Medical Care Holdings, Inc. (FMCH) to liability for overpayments and penalties under applicable laws. On September 28, 2017, FMCH announced its agreement to sell to Quest Diagnostics certain Shiel operations that are the subject of this Brooklyn subpoena, including the misconduct reported to the United States Attorney. Under the sale agreement, FMCH retains responsibility for the Brooklyn investigation and its outcome. FMCH continues to cooperate in the ongoing investigation.
On December 14, 2016, the Centers for Medicare & Medicaid Services (CMS), which administer the federal Medicare program, published an Interim Final Rule (IFR) titled "Medicare Program; Conditions for Coverage for End-Stage Renal Disease Facilities-Third Party Payment." The IFR would have amended the Conditions for Coverage for dialysis providers, like Fresenius Medical Care Holdings, Inc. (FMCH) and would have effectively enabled insurers to reject premium payments made by or on behalf of patients who received grants for individual market coverage from the American Kidney Fund (AKF or the Fund). The IFR could thus have resulted in those patients losing individual insurance market coverage. The loss of coverage for these patients would have had a material and adverse impact on the operating results of FMCH.
On January 25, 2017, a federal district court in Texas responsible for litigation initiated by a patient advocacy group and dialysis providers including FMCH preliminarily enjoined CMS from implementing the IFR. Dialysis Patient Citizens v. Burwell, 2017 Civ. 0016 (E.D. Texas, Sherman Div.). The preliminary injunction was based on CMS' failure to follow appropriate notice-and-comment procedures in adopting the IFR. The injunction remains in place and the court retains jurisdiction over the dispute.
On June 22, 2017, CMS requested a stay of proceedings in the litigation pending further rulemaking concerning the IFR. CMS stated, in support of their request, that they expect to publish a Notice of Proposed Rulemaking in the Federal Register and otherwise pursue a notice-and-comment process. Plaintiffs in the litigation, including FMCH, consented to the stay, which was granted by the court on June 27, 2017.
The operation of charitable assistance programs like that of the AKF is also receiving increased attention by state insurance regulators. The result may be a regulatory framework that differs from state to state. Even in the absence of the IFR or similar administrative actions, insurers are likely to continue efforts to thwart charitable premium assistance
to the patients of FMCH for individual market plans and other insurance coverages. If successful, these efforts would have a material adverse impact on FMCH's operating results.
On January 3, 2017, FMCH received a subpoena from the United States Attorney for the District of Massachusetts under the False Claims Act inquiring into FMCH's interactions and relationships with the AKF, including FMCH's charitable contributions to the Fund and the Fund's fi nancial assistance to patients for insurance premiums. FMCH is cooperating in the investigation, which FMCH understands to be part of a broader investigation into charitable contributions in the medical industry.
In early May 2017, the United States Attorney for the Middle District of Tennessee (Nashville) issued identical subpoenas to FMCH and two subsidiaries under the False Claims Act concerning FMCH's retail pharmaceutical business. The investigation is exploring allegations of improper inducements to dialysis patients to fi ll oral prescriptions through FMCH's pharmacy service and of improper billing for returned pharmacy products. FMCH is cooperating in the investigation.
In 2011, Fresenius Medical Care Holdings, Inc. (FMCH) received a subpoena from the United States Attorney for the Eastern District of New York (Brooklyn) requesting information under the False Claims Act concerning an assay manufactured by Bayer Diagnostics. Bayer Diagnostics was later acquired by Siemens. The assay is used to test for the serum content of parathyroid hormone (PTH). The assay has been widely used by FMCH and others in the dialysis industry for assessment of bone mineral metabolism disorder, a common consequence of kidney failure. FMCH responded fully and cooperatively to the subpoena, but concluded that it was not the focus or target of the US Attorney's investigation. On March 16, 2017, the US Attorney elected not to intervene on a sealed relator (whistleblower) complaint fi rst fi led in January 2011 that underlay the investigation. After the US Attorney
declined intervention, the United States District Court for the Eastern District unsealed the complaint and ordered the relator to serve and otherwise proceed on his own. On August 14, 2017, FMCH was dismissed with prejudice from the litigation on relator's motion. The litigation continued against other defendants. Patriarca v. Bayer Diagnostics n / k / a Siemens et alia, 2011 Civ. 00181 (E.D.N.Y.).
Fresenius Kabi has entered into a Tolling Agreement with the DOJ, thereby waiving its statute of limitation defense until July 2018.
Management regularly analyzes current information including, as applicable, the Fresenius Group's defenses and insurance coverage and, as necessary, provides accruals for probable liabilities for the eventual disposition of these matters.
The Fresenius Group, like other health care providers, insurance plans and suppliers, conducts its operations under intense government regulation and scrutiny. It must comply with regulations which relate to or govern the safety and effi cacy of medical products and supplies, the marketing and distribution of such products, the operation of manufacturing facilities, laboratories, clinics and other health care facilities, and environmental and occupational health and safety. With respect to its development, manufacture, marketing and distribution of medical products, if such compliance is not maintained, the Fresenius Group could be subject to signifi cant adverse regulatory actions by the U.S. Food and Drug Administration (FDA) and comparable regulatory authorities outside the United States. These regulatory actions could include warning letters or other enforcement notices from the FDA, and / or comparable foreign regulatory authority, which may require the Fresenius Group to expend signifi cant time and resources in order to implement appro priate corrective actions. If the Fresenius Group does not address matters raised in warning letters or other enforcement notices to the satisfaction of the FDA and / or comparable regulatory authorities outside the United States, these regulatory authorities could take additional actions, including product recalls, injunctions against the distribution of products or operation of manufacturing plants, civil penalties, seizures of Fresenius Group's products and / or criminal prosecution. Fresenius Medical Care Holdings, Inc. and Fresenius Kabi are currently engaged in remediation efforts with respect to one pending FDA warning letter, respectively. The Fresenius Group must also comply with the laws of the United States, including the federal Anti-Kickback Statute, the federal False Claims Act, the federal Stark Law, the federal Civil Monetary Penalties Law and the federal Foreign Corrupt Practices Act as well as other federal and state fraud and abuse laws. Applicable laws or regulations may be amended, or enforcement agencies or courts may make interpretations that differ from Fresenius Group's interpretations or the manner in which it conducts its business. Enforcement has become a high priority for the federal government and some states. In addition, the provisions of the False Claims Act authorizing payment of a portion of any recovery to the party bringing the suit encourage private plaintiffs to commence whistleblower actions. By virtue of this regulatory environment, Fresenius Group's business activities and practices are subject to extensive review by regulatory authorities and private parties, and continuing audits, subpoenas, other inquiries, claims and litigation relating to Fresenius Group's compliance with appli cable laws and regulations. The Fresenius Group may not always be aware that an inquiry or action has begun, particularly in the case of whistleblower actions, which are initially fi led under court seal.
The Fresenius Group operates many facilities and handles protected health information (PHI) of its patients and benefi ciaries throughout the United States and other parts of the world, and engages with other business associates to help it carry out its health care activities. In such a decentralized system, it is often diffi cult to maintain the desired level of oversight and control over the thousands of individuals employed by many affi liated companies and its business associates. On occasion, the Fresenius Group or its business associates may experience a breach under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule when there has been impermissible use, access, or disclosure of unsecured PHI, a breach under the HIPAA Security Rule when the Fresenius Group or its business associates neglect to implement the required administrative, technical and physical safeguards of its electronic systems and devices, or a data breach that results in impermissible use, access or disclosure of personal identifying information of its employees, patients and benefi ciaries. On those occasions, the Fresenius Group must comply with state and federal breach notifi cation requirements. The Fresenius Group relies upon its management structure, regulatory and legal resources, and the effective operation of its compliance program to direct, manage and monitor the activities of its employees. On occasion, the Fresenius Group may identify instances where employees or other agents deliberately, recklessly or inadvertently contravene the Fresenius Group's policies or violate applicable law. The actions of such persons may subject the Fresenius Group
and its subsidiaries to liability under the Anti-Kickback Statute, the Stark Law, the False Claims Act, HIPAA, the Health Information Technology for Economic and Clinical Health Act and the Foreign Corrupt Practices Act, among other laws and comparable state laws or laws of other countries.
As of September 30, 2017, contingent liabilities from future operating leases and rental payments increased by approximately € 0.5 billion due to the acquisition of Quirónsalud. In addition to that and other than those individual contingent liabilities mentioned in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS, the current estimated amount of Fresenius Group's other known individual contingent liabilities is immaterial.
For information regarding the acquisition of Akorn, Inc. announced on April 24, 2017, see note 2, Acquisitions and investments.
The following table presents the carrying amounts and fair values as well as the fair value hierarchy levels of Fresenius Group's fi nancial instruments as of September 30, 2017 and December 31, 2016, classifi ed into classes:
| September 30, 2017 | December 31, 2016 | ||||
|---|---|---|---|---|---|
| € in millions | Fair value hierarchy level |
Carrying amount |
Fair value | Carrying amount |
Fair value |
| Cash and cash equivalents | 1 | 1,472 | 1,472 | 1,579 | 1,579 |
| Assets recognized at carrying amount | 2 | 7,202 | 7,202 | 5,926 | 5,926 |
| Assets recognized at fair value | 1 | 245 | 245 | 258 | 258 |
| Liabilities recognized at carrying amount | 2 | 23,457 | 24,775 | 18,369 | 19,349 |
| Liabilities recognized at fair value | 3 | 1,118 | 1,118 | 586 | 586 |
| Noncontrolling interest subject to put provisions recognized at fair value |
3 | 849 | 849 | 1,029 | 1,029 |
| Derivatives for hedging purposes | 2 | 331 | 331 | 359 | 359 |
Explanations regarding the signifi cant methods and assumptions used to estimate the fair values of fi nancial instruments and classifi cation of fair value measurements according to the three-tier fair value hierarchy as well as explanations with regard to existing and expected risks from fi nancial
instruments and hedging can be found in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
Following is a roll forward of noncontrolling interest subject to put provisions:
| € in millions | Q1 – 3 / 2017 |
|---|---|
| Noncontrolling interest subject to put provisions as of January 1, 2017 |
1,029 |
| Noncontrolling interest subject to put provisions in profi t | 115 |
| Sale of noncontrolling interest subject to put provisions | - 37 |
| Dividend payments | - 123 |
| Currency effects and other changes | - 135 |
| Noncontrolling interest subject to put provisions as of September 30, 2017 |
849 |
As of September 30, 2017, there was no indication for further possible signifi cant risks from fi nancial instruments or that a decrease in the value of Fresenius Group's fi nancing receivables (other current and non-current assets) was probable and the allowances on credit losses of fi nancing receivables are immaterial.
| September 30, 2017 | December 31, 2016 | ||||
|---|---|---|---|---|---|
| € in millions | Assets | Liabilities | Assets | Liabilities | |
| Interest rate contracts (non-current) | 3 | 1 | 5 | 1 | |
| Foreign exchange contracts (current) | 16 | 5 | 14 | 24 | |
| Foreign exchange contracts (non-current) | – | – | – | 1 | |
| Derivatives designated as hedging instruments 1 | 19 | 6 | 19 | 26 | |
| Interest rate contracts (current) | 0 | – | 0 | – | |
| Interest rate contracts (non-current) | 0 | – | – | 1 | |
| Foreign exchange contracts (current) 1 | 19 | 26 | 27 | 23 | |
| Foreign exchange contracts (non-current) 1 | 0 | 0 | – | – | |
| Derivatives embedded in the convertible bonds | 0 | 325 | 0 | 362 | |
| Call options to secure the convertible bonds 1 | 325 | 0 | 362 | 0 | |
| Derivatives not designated as hedging instruments | 344 | 351 | 389 | 386 |
Derivatives designated as hedging instruments, foreign exchange contracts and call options to secure the convertible bonds
not designated as hedging instruments are classifi ed as derivatives for hedging purposes.
Derivative fi nancial instruments are marked to market each reporting period, resulting in carrying amounts equal to fair values at the reporting date.
Derivatives not designated as hedging instruments, which are derivatives that do not qualify for hedge accounting, are also solely entered into to hedge economic business transactions and not for speculative purposes.
Derivatives for hedging purposes as well as the derivatives embedded in the convertible bonds were recognized at gross value within other assets in an amount of € 363 million and other liabilities in an amount of € 357 million.
The current portion of derivatives indicated as assets in the preceding table is recognized within other current assets in the consolidated statement of fi nancial position, while the current portion of those indicated as liabilities is included in short-term accrued expenses and other short-term liabilities. The non-current portions indicated as assets or liabilities are recognized in other non-current assets or in long-term accrued expenses and other long-term liabilities, respectively. The derivatives embedded in the convertible bonds and the call options to secure the convertible bonds are recognized in other long-term liabilities / non-current assets in the consolidated statement of fi nancial position.
| Q1 –3 / 2017 | |||
|---|---|---|---|
| € in millions | Gain or loss recognized in other comprehensive income (loss) (effective portion) |
Gain or loss reclassifi ed from accumulated other comprehensive income (loss) (effective portion) |
Gain or loss recognized in the consolidated statement of income |
| Interest rate contracts | - 1 | 27 | 0 |
| Foreign exchange contracts | 9 | 2 | 0 |
| Derivatives in cash fl ow hedging relationships 1 | 8 | 29 | 0 |
| Q1 – 3 / 2016 | |||
|---|---|---|---|
| € in millions | Gain or loss recognized in other comprehensive income (loss) (effective portion) |
Gain or loss reclassifi ed from accumulated other comprehensive income (loss) (effective portion) |
Gain or loss recognized in the consolidated statement of income |
| Interest rate contracts | 2 | 23 | 0 |
| Foreign exchange contracts | - 7 | 1 | 0 |
| Derivatives in cash fl ow hedging relationships 1 | - 5 | 24 | 0 |
The amount of gain or loss recognized in the consolidated statement
Gain or loss recognized in the consolidated statement of income
| € in millions | Q1 – 3 / 2017 | Q1 –3 / 2016 | ||
|---|---|---|---|---|
| Interest rate contracts | – | – | ||
| Foreign exchange contracts | - 38 | - 26 | ||
| Derivatives embedded in the convertible bonds | 99 | 1 | ||
| Call options to secure the convertible bonds | - 99 | - 1 | ||
| Derivatives not designated as hedging instruments | - 38 | - 26 |
Losses from foreign exchange contracts not designated as hedging instruments recognized in the consolidated statement of income are faced by gains from the under lying transactions in the corresponding amount.
Gains and losses from foreign exchange contracts and the corresponding underlying transactions are accounted for as cost of sales, selling, general and administrative expenses and net interest. Gains and losses resulting from interest rate contracts are recognized as net interest in the consolidated statement of income.
In the fi rst three quarters of 2017 and 2016, losses in an immaterial amount for available for sale fi nancial assets were recognized in other comprehensive income (loss).
Derivative fi nancial instruments
The existing master netting agreements do not provide a basis for offsetting the fair values of derivative fi nancial instruments in the consolidated statement of fi nancial position as the offsetting criteria under International Financial Reporting Standards are not satisfi ed.
At September 30, 2017 and December 31, 2016, the Fresenius Group had € 36 million and € 45 million of derivative fi nancial assets subject to netting arrangements and € 32 million and € 46 million of derivative fi nancial liabilities subject to netting arrangements. Offsetting these derivative fi nancial instruments would have resulted in net assets of € 27 million and € 28 million as well as net liabilities of € 23 million and € 29 million at September 30, 2017 and December 31, 2016, respectively.
As of September 30, 2017, the notional amounts of foreign exchange contracts totaled € 1,857 million. These foreign exchange contracts have been entered into to hedge risks from operational business and in connection with loans in foreign currency. The fair value of the foreign exchange contracts designated as cash fl ow hedges was € 11 million.
As of September 30, 2017, the Fresenius Group was party to foreign exchange contracts with a maximum maturity of 17 months.
As of September 30, 2017, euro denominated interest rate swaps had a notional volume of € 238 million and a fair value of - € 2 million. These euro interest rate swaps expire in the years 2017 to 2022. Furthermore, the Fresenius Group had U.S. dollar denominated interest rate swaps in the amount of US\$ 200 million (€ 169 million) with a fair value of US\$ 4 million (€ 4 million). They expire in 2021. The interest rate options outstanding as of September 30, 2017 with a notional amount of € 200 million and a fair value of € 0 expire in 2018.
At September 30, 2017 and December 31, 2016, the Fresenius Group had losses of € 26 million and € 45 million, respectively, related to settlements of pre-hedges deferred in accumulated other comprehensive income (loss), net of tax.
The Fresenius Group has a solid fi nancial profi le. As of September 30, 2017, the equity ratio was 39.9% and the debt ratio (debt / total assets) was 36.7%. As of September 30, 2017, the leverage ratio (before special items) on the basis of net debt / EBITDA was 2.9.
The aims of the capital management and further information can be found in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) 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:
| Sept. 30, 2017 | Dec. 31, 2016 | |
|---|---|---|
| Standard & Poor's | ||
| Corporate Credit Rating | BBB - | BBB - |
| Outlook | stable | stable |
| Moody's | ||
| Corporate Credit Rating | Baa3 | Baa3 |
| Outlook | stable | stable |
| Fitch | ||
| Corporate Credit Rating | BBB - | BBB - |
| Outlook | stable | stable |
Following Fresenius' announcement on April 24, 2017 to acquire Akorn, Inc. and Merck KGaA's biosimilars business, the rating agencies Standard & Poor's, Moody's and Fitch confi rmed the corporate credit ratings of Fresenius.
| € in millions | Q1 – 3 / 2017 | Q1 –3 / 2016 |
|---|---|---|
| Assets acquired | 7,610 | 583 |
| Liabilities assumed | - 1,271 | - 42 |
| Noncontrolling interest | - 94 | - 53 |
| Notes assumed in connection with acquisitions |
- 162 | - 115 |
| Cash paid | 6,083 | 373 |
| Cash acquired | - 9 | - 23 |
| Cash paid for acquisitions, net | 6,074 | 350 |
| Cash paid for investments, net of cash acquired Cash paid for intangible assets, net |
17 16 |
120 8 |
| Total cash paid for acquisitions and investments, net of cash acquired, and net purchases of intangible assets |
6,107 | 478 |
The consolidated segment reporting shown on pages 26 and 27 of this interim report is an integral part of the notes.
The Fresenius Group has identifi ed the business segments Fresenius Medical Care, Fresenius Kabi, Fresenius Helios and Fresenius Vamed, which corresponds to the internal organi za tional and reporting structures (Management Approach) at September 30, 2017.
The business segments were identifi ed in accordance with IFRS 8, Operating Segments, which defi nes the segment reporting requirements in the annual fi nancial 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 fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
Explanations regarding the notes on the business segments can be found in the consolidated fi nancial statements as of December 31, 2016 applying Section 315a HGB (in the version in force before April 19, 2017) in accordance with IFRS.
| € in millions | Q1 – 3 / 2017 | Q1 –3 / 2016 |
|---|---|---|
| Total EBIT of reporting segments | 3,549 | 3,080 |
| Special items | - 25 | 0 |
| General corporate expenses | ||
| Corporate / Other (EBIT) | - 27 | - 22 |
| Group EBIT | 3,497 | 3,058 |
| Net interest | - 492 | - 433 |
| Income before income taxes | 3,005 | 2,625 |
| € in millions | Sept. 30, 2017 | Dec. 31, 2016 |
|---|---|---|
| Short-term debt | 1,881 | 847 |
| Short-term debt from related parties | – | 6 |
| Current portion of long-term debt and capital lease obligations |
387 | 611 |
| Current portion of Senior Notes | 735 | 473 |
| Long-term debt and capital lease obligations, less current portion |
6,797 | 5,048 |
| Senior Notes, less current portion | 8,384 | 6,941 |
| Convertible bonds | 1,312 | 854 |
| Debt | 19,496 | 14,780 |
| less cash and cash equivalents | 1,472 | 1,579 |
| Net debt | 18,024 | 13,201 |
As of September 30, 2017, Fresenius SE & Co. KGaA had two share-based compensation plans in place: the stock option based Fresenius SE Stock Option Plan 2008 (2008 Plan) and the Fresenius SE & Co. KGaA Long Term Incentive Program 2013 (2013 LTIP) which is based on stock options and phantom stocks. On June 30, 2017, the term of the options granted under the Fresenius AG Stock Option Plan 2003 expired. The 2013 LTIP is the only program under which stock options and phantom stocks can be granted.
On July 31, 2017, Fresenius SE & Co. KGaA awarded 2,370,859 stock options under the 2013 LTIP, including 405,000 options to members of the Management Board of Fresenius Management SE, at an exercise price of € 74.77, a fair value of € 12.59 each and a total fair value of € 30 million, which will be amortized over the four-year vesting period. Fresenius SE & Co. KGaA also awarded 196,712 phantom stocks, including 27,606 phantom stocks granted to members of the Management Board of Fresenius Management SE, at a measurement date (September 30, 2017) fair value of € 65.10 each and a total fair value of € 13 million, which will be revalued if the fair value changes, and amortized over the four-year vesting period.
During the fi rst three quarters of 2017, Fresenius SE & Co. KGaA received cash of € 28 million from the exercise of 1,220,151 stock options.
At September 30, 2017, out of 1,784,827 outstanding and exercisable stock options issued under the 2008 Plan, 133,140 were held by the members of the Fresenius Management SE Management Board. Out of 10,206,722 stock options outstanding issued under the 2013 LTIP 1,350,187 were exercisable at September 30, 2017. The members of the Fresenius Management SE Management Board held 1,451,250 stock options. 1,246,815 phantom stocks issued under the 2013 LTIP were outstanding at September 30, 2017. The members of the Fresenius Management SE Management Board held 229,661 phantom stocks. As of September 30, 2017, 3,135,014 options for ordinary shares were outstanding and exercisable.
On September 30, 2017, total unrecognized compensation cost related to non-vested options granted under the 2013 LTIP was € 65 million. This cost is expected to be recognized over a weighted-average period of 2.9 years.
On July 31, 2017, FMC-AG & Co. KGaA awarded 604,484 performance shares under the LTIP 2016, the equivalent in euros at the grant date being € 45 million, including 73,746 performance shares or € 6 million awarded to the members of the Management Board of FMC Management AG. The fair value per performance share at the grant date was € 75.12.
During the fi rst three quarters of 2017, 739,692 stock options were exercised. Fresenius Medical Care AG & Co. KGaA received cash of € 34.5 million upon exercise of these stock options and € 6.7 million from a related tax benefi t.
There have been no signifi cant changes in the Fresenius Group's operating environment following the end of the fi rst three quarters of 2017. No other events of material importance on the assets and liabilities, fi nancial position, and results of operations of the Group have occurred following the end of the fi rst three quarters of 2017.
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).
| Report on Fiscal Year 2017 | February 27, 2018 |
|---|---|
| Report on 1st quarter 2018 | |
| Conference call, Live webcast | May 3, 2018 |
| Annual General Meeting, Frankfurt am Main | |
| Live webcast of the speech of the Chairman | |
| of the Management Board | May 18, 2018 |
| Report on 1st half 2018 | |
| Conference call, Live webcast | July 31, 2018 |
| Report on 1st – 3rd quarter 2018 | |
| Conference call, Live webcast | October 30, 2018 |
Subject to change
| Ordinary share | ADR | ||
|---|---|---|---|
| Securities identifi cation no. | 578 560 | CUSIP | 35804M105 |
| Ticker symbol | FRE | Ticker symbol | FSNUY |
| ISIN | DE0005785604 | ISIN | US35804M1053 |
| Bloomberg symbol | FRE GR | Structure | Sponsored Level 1 ADR |
| Reuters symbol | FREG.de | Ratio | 4 ADR = 1 Share |
| Main trading location | Frankfurt / Xetra | Trading platform | OTCQX |
Else-Kröner-Straße 1 Bad Homburg v. d. H. Germany
Germany
Investor Relations Telephone: ++ 49 61 72 6 08-24 85 Telefax: ++ 49 61 72 6 08-24 88 E-mail: [email protected]
Corporate Communications Telefon: ++ 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. Francesco De Meo, Rachel Empey, Dr. Jürgen Götz, Mats Henriksson, Rice Powell, 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, 2016 applying Section 315a HBG (in the version in force before April 19, 2017) 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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