Investor Presentation • Sep 19, 2016
Investor Presentation
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Barclays – High Yield and Leveraged Finance Conference September 19, 2016 – London
This presentation contains forward-looking statements that are subject to various risks and uncertainties. Future results could differ materially from those described in these forward-looking statements due to certain factors, e.g. changes in business, economic and competitive conditions, regulatory reforms, results of clinical trials, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. Fresenius does not undertake any responsibility to update the forward-looking statements contained in this presentation.
1 – Net income incl. attributable to non-controlling interest, 2015 before special items
2 – Incl. attributable to non-controlling interest
3 – 2011 sales were adjusted by -€161 m according to a U.S. GAAP accounting change. This solely relates to Fresenius Medical Care North America
1 – LTM June 30, 2016
2 – Due to project delays in Russia and Ukraine
Sales Net Income 2 EBIT 1 +4% (+6% cc) Q2/15 Q2/16 Q2/15 Q2/16 +10% (+11% cc) 17% (+17% cc) 1,822 2,010 H1/15 H1/16 € million H1/15 H1/16 13,429 14,006 H1/15 H1/16 H1/15 H1/16 1,051 1,228 H1/15 H1/16
1 – 2015 before special items
2 – Incl. attributable to non-controlling interest, 2015 before special items
~6% global patient growth p.a. ~3.8 million patients by 2020 expected
| i de Pr ov r |
ie Pa t ts n |
ie Co tr un s |
|---|---|---|
| 1 8 6, 1 0 0 |
2 | |
| 1 8 5, 2 0 0 |
1 | |
| 2 4, 0 0 0 |
1 | |
| 1 5, 2 0 0 |
1 | |
| 1 3, 8 0 0 |
1 |
| i de Pr ov r |
ie Pa t ts n |
ie Co tr un s |
|---|---|---|
| 5 8, 5 0 0 |
2 6 |
|
| 2 2 0 0 4, |
1 5 |
|
| 1 8, 7 0 0 |
1 | |
| 8, 1 3 0 0 |
2 2 |
|
| 7, 0 0 0 |
1 | |
| O t |
4, 2 9 0 h e r |
4 |
| 7 | 2, 2 9 0 % |
3 |
| Pr i de ov r |
Pa ie t ts n |
Co ie tr un s |
|---|---|---|
| 2 9, 9 2 0 |
7 | |
| 8, 2 7 0 |
3 | |
| 4, 7 3 0 |
3 | |
| 3, 2 5 0 |
1 | |
| 1, 5 3 0 |
2 |
| i de Pr ov r |
ie Pa t ts n |
ie Co tr un s |
|
|---|---|---|---|
| 2 7, 0 0 0 |
1 2 |
||
| 5, 3 0 0 |
6 | ||
| S ho i- Ka i wa |
0 5, 1 5 |
5 | |
| 0 3 0 4, |
1 | ||
| 3, 3 0 0 |
5 | ||
| 5 5 0 |
2 |
1 – Company data and internal estimates, as of June 30, 2015
| \$ i l l i m o n |
/ 2 0 6 H 1 1 |
/ 2 0 H 1 1 5 |
G h t o r w |
|---|---|---|---|
| l l S T t o a a e s |
8 6 2 6 , |
8 9 1 5 , |
1 6 % + |
| E B I T D A |
1 5 5 7 , |
0 8 1 4 , |
% 1 1 + |
| i m a r g n |
1 8 1 % |
1 7 3 % |
|
| E B I T |
8 1 1 1 , |
0 1 5 1 , |
2 % 1 + |
| i m a r g n |
1 3 7 % |
1 2 9 % |
|
| I t t, t n e r e s n e |
8 2 0 - |
2 0 4 - |
2 % - |
| E B T |
9 3 7 |
8 4 7 |
1 % 5 + |
| T a x e s |
3 0 6 - |
2 3 7 - |
2 1 % - |
| l l i i N t t t o n -c o n o n g n e e s r r |
1 4 5 - |
2 1 4 - |
% 1 7 - |
| 2 N t I e n c o m e |
2 2 5 |
0 4 5 |
6 % 1 + |
1 – 7% organic growth, 1% acquisitions, 0% divestitures, -2% currency effects
2 – Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
1 – Adjusted due to debt issuance cost restatement (U.S. GAAP standard ASU 2015-03)
North America€2,153 m
36%
1 – Before special items
2 – LTM June 30, 2016
| € i l l i m o n |
/ H 1 2 0 1 6 |
/ H 1 2 0 1 5 |
h G t r o w |
|---|---|---|---|
| l S a e s |
2 9 4 6 , |
2 9 3 2 , |
1 0 % |
| I. V D r u g s - |
2 1, 5 1 |
9 1, 1 1 |
5 % + |
| l l C i i N i i t t n c a o n u r - |
7 7 0 |
7 7 2 |
0 % |
| f i h I T n u s o n e r a p y - |
9 4 1 |
6 8 4 |
0 % 1 - |
| d l / M i D i e c a e v c e s - |
|||
| f h l T i T a n s s o n e c n o o g r u y - |
5 0 6 |
5 0 1 |
1 % |
| 2 E B I T D A |
7 4 0 |
6 9 1 |
7 % + |
| i m a r g n |
2 % 5 1 |
2 3 % 6 |
|
| 2 E B I T |
6 1 6 |
5 7 1 |
8 % + |
| i m a r g n |
% 2 0 9 |
% 1 9 5 |
|
| 3 N t I e n c o m e |
3 9 5 |
3 0 9 |
6 % 1 + |
1 – 6% organic growth, 0% acquisitions, -2% divestitures, -4% currency effects
2 – 2015 before special items
3 – Net income attributable to shareholders of Fresenius Kabi AG, 2015 before special items
760 health care projects in 78 countries successfully completed
LTM June 30, 2016 Sales by Business
1 – German Federal Statistical Office 2015; total costs, gross of the German hospitals less academic research and teaching
2 – As of June 30, 2016
1 – Before special items
2 – LTM June 30, 2016
| i l l i € m o n |
/ H 1 2 0 1 6 |
/ H 1 2 0 1 5 |
h G t r o w |
|---|---|---|---|
| l l S T t o a a e s |
2 9 2 1 , |
2 7 7 4 , |
1 % 5 + |
| 2 E B I T D A i m a r g n |
4 2 7 % 1 4 7 |
3 9 9 % 1 4 4 |
1 7 % + |
| 2 E B I T i m a r g n |
3 3 2 1 1 4 % |
3 0 7 1 1 1 % |
8 % + |
| 3 N t I e n c o m e |
2 6 2 |
2 2 6 |
6 % 1 + |
1 – 4% organic growth, 1% acquisitions, 0% divestitures, 0% currency effects
2 – 2015 before special items
3 – Net income attributable to shareholders of HELIOS Kliniken GmbH, 2015 before special items
Strong management team with proven track recordand ongoing commitment to Fresenius
New mid-term targets for Fresenius Group as part of its FY 2016 reporting
Average length of stay
Hospital beds
NHS = National Health Care System; HIC = Health Insurance Companies
* Expectation: mid-term CAGR +1.5%
34%12%8%43%3%Other€2,372m RevenuesTotal 2015 Private - HIC• Agreements with all relevant HICs • Full reimbursement of all medical services Self pay • Treatments not covered by HIC/NHS (e.g. plastic surgery, dental and drugs) • Medical tourismPublic – NHS (PPPs) • 5 long-term concession hospitals 4 in Madrid and 1 in Barcelona• Remuneration per capita within assigned coverage area, additional remuneration for "free-choice" patients Occupational Risk Prevention • Only private hospital provider with ORP services in Spain ~300 centers:>4m employees contracted; >1.7m check-ups p.a. •Cross-selling opportunities
HIC = Health Insurance Companies; NHS = National Health Care System
Health care expenditure per capita in Spain below EU average
Close dovetailing of inpatient and outpatient care
Public – NHS (PPPs)
Expansion of existing facilities
Greenfield projects
Acquisition of private hospitals
| i i D t e p e c a o n r |
f l i 4 % F Y 1 6 o s a e s n ; ~ • d f f l l i g o o p o o o o n g e a s r x y r w y r |
|---|---|
| i i A t t m o a o n r z |
1 l l 0 I i i € 1 5 t n a y m p a ~ • |
| f b C D t t o s o e |
2 0 % ~ • |
| T t a a e x r |
2 % 5 • |
| b f. i i E A T t t e a m o r z a o n |
2 0 1 7 € 2 0 0 > e m • |
| C A P E X |
f l i % 6 4 F Y 1 o s a e s n ; • ~ d f f l l i g o o p o o o o n g e a s r x y r w y r |
| l i d i T t t o a c o n s e r a o n |
b ( h d d b f b ) € 6 i 5 7 t- n o n a c a s a n e e e a s s r • 1 0 8 2 0 A 1 E B I T D A 1 7 p p r o x x e • |
|---|---|
| i i F n a n c n g |
f h l d I 6 1 t s s a n c e o m s a r e s a e a u v u ~ • € 0 0 d 4 V i M t t m o o e c r a r a l f h h d b f i d B i t t a a n c e o e p u r c a s e p r c e e n a n c e • - |
| d b / N E B I T D A t t e e |
f 2 0 1 6 3 1 p r o o r m a x ~ • b k i h i 2 0 1 7 2 5 3 0 t e a c w n x r a n g e • ‒ |
1 – based on mid-point of projected 2017 EBITDA range of €520 ‒ €550m
| € i l l i m o n |
/ 2 0 6 H 1 1 |
/ 2 0 H 1 1 5 |
h C a n g e l t t a c a a e s u r |
h C a n g e t t t c o n s a n a e s r |
|---|---|---|---|---|
| S l a e s |
1 4 0 0 6 , |
1 3 4 2 9 , |
1 4 % + |
6 % + |
| 2 E B I T D A |
2, 5 7 6 |
2, 3 6 4 |
9 % + |
1 0 % |
| 2 E B I T |
2, 0 0 1 |
8 2 2 1, |
0 % 1 + |
% 1 1 |
| I t t, t n e r e s n e |
2 9 1 - |
3 3 0 - |
1 2 % + |
1 1 % + |
| 2 E B T |
1, 7 1 9 |
1, 4 9 2 |
1 5 % + |
1 6 % + |
| 2 T a e s x |
9 -4 1 |
4 4 1 - |
% 1 1 - |
2 % 1 - |
| 3 N I t e n c o m e |
1, 2 2 8 |
1, 0 5 1 |
1 7 % + |
1 7 % + |
| l E m p o e e s y |
2 2 8 6 7 5 , |
2 2 0 3 3 9 , |
1 – 6% organic growth, 1% acquisitions, -1% divestitures, -2% currency effects
2 – 2015 before special items
3 – Net income incl. attributable to non-controlling interest, 2015 before special items
| O e p |
i C F t r a n g |
C a p |
( ) t e e x n |
F C e e r |
h l 1 F o a s w |
|
|---|---|---|---|---|---|---|
| € i l l i m o n |
L T M |
L T M M i a g n r |
L T M |
L T M M i a g n r |
L T M |
L T M M i a g n r |
| 8 9 4 |
0 % 1 5. |
3 0 5 - |
% 5. 1 - |
8 9 5 |
9 9 % |
|
| 6 1 7 |
1 0. 8 % |
2 9 2 - |
5. 1 % - |
3 2 5 |
3 5. 7 % |
|
| 8 9 |
8. 7 % |
8 - |
0. 7 % - |
9 0 |
8. 0 % |
|
| C / O h t t o r p o r a e e r |
8 | n. a. |
-1 1 |
n. a. |
-3 | n. a. |
| l. E F M C c x |
1, 6 1 7 |
2 1 3 3 % |
-6 1 6 |
4 8 % - |
1, 0 0 1 |
2 8 5 % |
| 8 9 1, 7 |
% 1 1. 5 |
9 2 1 - |
9 % 5. - |
8 6 8 |
6 % 5. |
|
| G o p r u |
3, 0 6 4 |
2 % 1 1 |
3 1, 5 7 - |
% 5 5 - |
8 6 9 1, |
6 6 % |
1 – Before acquisitions and dividends
2 – Margin incl. FMC dividend
3 – Understated: 6.6% excluding €55 million of capex commitments from acquisitions
| in € i l l io m n |
3 in \$ i l l io m n |
f to % o l c ta ap |
E B I T D A L T M x |
|
|---|---|---|---|---|
| d lve ( \$ ) F S E 2 0 1 3 Cr i Ag Re €, U S- t t: e re em en vo r |
0 | 0 | 0. 0 % |
|
| F S E 2 0 1 3 Cr d i Ag Te Lo A ( €, U S- \$ ) t t: e re em en rm an |
1, 6 5 7 |
4 1, 8 4 0 |
2. 5 % |
|
| ( \$ ) Se io No €, U S- te n r s |
2, 7 3 8 |
3, 0 4 0 |
4. 1 % |
|
| Co b le ds t i Bo nv er n |
3 4 7 |
2 5 5 |
0. % 7 |
|
| Sc hu l ds he in Lo c an s |
1, 1 6 9 |
1, 2 9 8 |
1. 8 % |
|
| Co l ia Pa m m er c p er |
9 0 1 |
2 1 1 |
0. 3 % |
|
| O he de b les l de b iss t t to ta t ts r s ua nc e co s g ro ss , |
5 7 4 |
6 3 7 |
0. 9 % |
|
| l b ( S l. C ), To ta De t F E F M ex c g ro ss |
6, 8 0 1 |
7, 5 5 1 |
0. 2 % 1 |
|
| h ( l. ) Ca F M C s ex c |
4 5 9 |
5 1 0 |
0. 7 % |
|
| l de b ( S l. C ), To ta t F E F M t ex c ne |
6, 3 2 4 |
0 1 7, 4 |
9. % 5 |
|
| l de b To ta F M C t, t ne |
7, 5 3 2 |
8, 3 6 2 |
1 1. 3 % |
|
| Co l i da io A d j t tm ts ns o n us en |
( 1 2 ) |
( 1 3 ) |
||
| l c l i da d de b To ta te t, t on so ne |
3, 8 6 2 1 |
3 9 0 1 5, |
2 0. 8 % |
2. 6x 2 |
| ke l Ma i iza io 1 t c ta t r ap n |
5 2, 6 3 9 |
5 8, 5 9 8 |
7 9. 2 % |
1 0. 0x |
| To l c i l iz io ta ta t ap a n |
6 6, 5 0 1 |
7 3, 9 8 8 |
1 0 0. 0 % |
1 2. 6x |
| 2 F S E G E B I T D A ro up |
5, 2 9 5 |
1 – Based on market capitalization for FSE and FMC as of August 31, 2016
2 – 2015 before special items; pro forma acquisitions
3 – Exchange rate as of as of June 30, 2016, except for market capitalization which uses exchange rate as of as of August 31, 2016
1 – Based on utilization of major financing instruments
Senior NotesSchuldschein Loans Credit Agreement Equity-neutral convertible bonds Commercial Papers
1 – Based on utilization of major financing instruments
Fresenius Medical Care
Fresenius excl. Fresenius Medical Care
1 – Based on utilization of major financing instruments
| h R t e e n e g o v u r w t t t a c o n s a n c e n c u r r y |
% 0 % 7 1 + - |
|
|---|---|---|
| h N t I t e n c o m e g r o w h t t t a c u r r e n e x c a n g e r a e |
1 5 % 2 0 % + - |
1 – Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA (\$1,029 million), including GranuFlo®/NaturaLyte® agreement in principle (+\$37 million) and excluding acquisitions in 2015 of \$9 million
| O l d |
N e w |
||
|---|---|---|---|
| l h S i t a e s g o o g a n c r w r |
l l d i i i t o s n g e g w - |
3 % 5 % – |
|
| E B I T t t c o n s a n c u r r e n c y |
h l f l t r o u g y a |
3 % 5 % – |
|
| S l h t i a e s g r o w o r g a n c |
3 % % 5 – |
h d u n c a n g e |
|
| E B I T |
€ 6 7 0 7 0 0 m – |
h d n c a n g e u |
|
| l h S i t a e s g r o w o r g a n c |
% 0 % 5 1 – |
h d u n c a n g e |
|
| h E B I T t o g r w |
% 1 0 % 5 – |
h d n n g e u c a |
| 2 0 1 5 |
2 0 6 1 |
||||
|---|---|---|---|---|---|
| l A t c a u |
l d O |
N e w |
|||
| l h S t a e s g r o w t t o n s a n e n c c u r r c y |
b € 2 7 6 n |
6 % 8 % – |
h d u n c a n g e |
||
| i 1 N t e n c o m e h t g r o w |
€ 1, 4 2 3 m |
8 % 1 2 % – |
1 1 % 1 4 % – |
||
| t t o n s a n e n c c u r r c y |
1 – Net income attributable to shareholders of Fresenius SE &Co.KGaA; 2015 before special items
At comparable exchange rates
Includes small and mid-size acquisitions
EAT CAGR at mid-point of mid-term target: 10.5% (Previous implied EAT CAGR of mid-term target: 8.4%)
Net income attributable to shareholders of Fresenius SE &Co.KGaA; 2015 before special items
| 6 0 + |
l d l W i 6 0 t + o p o p a o n a g e r u 1 l l h 2 b b 2 0 0 i 5 > w r e a c n y |
|---|---|
| 8 0 + |
l d l 8 0 W t i + o r p o p u a o n a g e l l h i l l i b 1 i 4 0 0 2 0 5 0 e a c m o n w r y ~ |
| f l d l l l l I 2 0 5 0 8 0 % i i n o o e p e o p e e r w v , 1 l d k i D i E i M t n e v e o p n g a n m e r g n g a r e s |
|
| 2 5 m |
h d C h D t t i D i e a s u e o r o n c s e a s e s a r e d f l l j i 3 8 i i t t p o e c e o n c e a s e o m m o n r r r 2 i l l i b i 2 0 1 2 5 2 2 0 3 0 t n o m o n y |
1 - WHO: 10 facts on aging and the life course
2 - WHO: Global status report on non communicable diseases
Increasing health expenditure per capita (2014 vs. 2004 - USA US\$9,403 (+147%), China: US\$420 (+592%), India: US\$75 (+277%)1
1/3
By 2022, one third of all global health expenditure will occur in Emergin g Economies 2
~4%
Health care spendin g in developed countries is growin g steadily (2012-2022 with ~4% p.a. 2)
1 - World Bank: Health expenditure per capita;
2 - World Economic Forum: Health Systems Leapfrogging in Emerging Economies – Project Paper (2014)
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