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Fresenius SE & Co. KGaA

Quarterly Report May 9, 2014

166_10-q_2014-05-09_99b826bc-04e9-423d-8a1c-3abe51ed08e5.pdf

Quarterly Report

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Quarterly Financial Report of Fresenius Group

applying United States Generally Accepted Accounting Principles (U.S. GAAP)

1st Quarter 2014

TABLE OF CONTENTS

3 Fresenius Group fi gures at a glance

5 Fresenius share

6 Management Report

  • 6 Health care industry
  • 6 Results of operations, fi nancial position, assets and liabilities
  • 6 Sales
  • 7 Earnings
  • 8 Investments
  • 8 Cash fl ow
  • 9 Asset and liability structure
  • 10 Business segments
  • 10 Fresenius Medical Care
  • 11 Fresenius Kabi
  • 12 Fresenius Helios
  • 13 Fresenius Vamed
  • 14 Employees
  • 15 Research and development
  • 15 Opportunities and risk report
  • 15 Subsequent events
  • 15 Rating
  • 15 Outlook 2014

17 Consolidated fi nancial statements

  • 17 Consolidated statement of income
  • 17 Consolidated statement of comprehensive income
  • 18 Consolidated statement of fi nancial position
  • 19 Consolidated statement of cash fl ows
  • 20 Statement of changes in equity
  • 22 Consolidated segment reporting fi rst quarter of 2014

23 Notes

47 Financial Calendar

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a global health care group providing products and services for dialysis, hospitals, and outpatient medical care. In addition, Fresenius focuses on hospital operations. We also manage projects and provide services for hospitals and other health care facilities. In 2013, Group sales were € 20.3 billion. As of March 31, 2014, more than 200,000 employees have dedicated themselves to the service of health in about 100 countries worldwide.

SALES, EARNINGS, AND CASH FLOW

€ in millions Q1 / 2014 Q1 / 2013 Change
Sales 5,212 4,890 7%
EBIT 1 643 696 - 8%
Net income 2 228 224 2%
Earnings per share in € 2 1.27 1.26 1%
Operating cash fl ow 140 444 - 68%

BALANCE SHEET AND INVESTMENTS

€ in millions March 31, 2014 Dec. 31, 2013 Change
Total assets 34,284 32,758 5%
Non-current assets 25,628 24,786 3%
Equity 3 13,619 13,260 3%
Net debt 12,940 11,940 8%
Investments 4 1,158 258 --

RATIOS

€ in millions Q1 / 2014 Q1 / 2013
EBITDA margin 1 16.6% 18.4 %
EBIT margin 1 12.3% 14.2 %
Depreciation and amortization in % of sales 4.3 4.1
Operating cash fl ow in % of sales 2.7 9.1
Equity ratio
(March 31 / December 31)
39.7% 40.5%
Net debt / EBITDA
(March 31 / December 31) 5
3.2 2.5

€ 248 million. 2013 before Fenwal integration costs (€ 5 million) Equity including noncontrolling interest

2014 pro forma including acquired hospitals from Rhön-Klinikum AG; before Fenwal integration costs and book gain from the divestment of two HELIOS hospitals; 2013 pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG; before Fenwal integration costs

2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hospitals (€ 22 million); 2013 before Fenwal integration costs (€ 7 million) Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hos-

pitals (€ 21 million); including these effects, net income attributable to shareholders of Fresenius SE & Co. KGaA increased by 13% (+14% in constant currency) to

Investments in property, plant and equipment, and intangible assets, acquisitions (Q1)

INFORMATION BY BUSINESS SEGMENT

FRESENIUS MEDICAL CARE – Dialysis products, Dialysis services

US\$ in millions Q1 / 2014 Q1 / 2013 Change
Sales 3,564 3,464 3%
EBIT 445 493 - 10%
Net income 1 205 225 - 9%
Operating cash fl ow 112 315 - 64%
Investments / Acquisitions 401 223 79%
R & D expenses 30 30 - 1%
Employees, per capita on balance sheet date (March 31 / December 31) 96,573 95,637 1%

FRESENIUS KABI – Infusion therapy, IV drugs, Clinical nutrition,

Medical devices / Transfusion technology

€ in millions Q1 / 2014 Q1 / 2013 Change
Sales 1,213 1,260 - 4%
EBIT 2 201 237 - 15%
Net income 3 106 119 - 11%
Operating cash fl ow 42 132 - 68%
Investments / Acquisitions 71 58 22%
R & D expenses 59 53 11%
Employees, per capita on balance sheet date (March 31 / December 31) 32,325 31,961 1%

FRESENIUS HELIOS – Hospital operations

€ in millions Q1 / 2014 Q1 / 2013 Change
Sales 1,227 841 46%
EBIT 4 114 87 31%
Net income 5 77 56 38%
Operating cash fl ow 77 33 133%
Investments / Acquisitions 792 23 --
Employees, per capita on balance sheet date (March 31 / December 31) 64,867 42.913 51%

FRESENIUS VAMED – Projects and services for hospitals and other health care facilities

€ in millions Q1 / 2014 Q1 / 2013 Change
Sales 191 184 4%
EBIT 6 5 20%
Net income 6 4 3 33%
Operating cash fl ow - 54 45 --
Investments / Acquisitions 3 8 - 63%
Order intake 115 93 24%
Employees, per capita on balance sheet date (March 31 / December 31) 7,342 7.010 5%

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

Before Fenwal integration costs

Net income attributable to shareholders of Fresenius Kabi AG; before Fenwal integration costs 2014 before book gain from the divestment of two HELIOS hospitals (€ 22 million)

Net income attributable to shareholders of HELIOS Kliniken GmbH; 2014 before book gain from the divestment of two HELIOS hospitals (€ 21 million)

6 Net income attributable to shareholders of VAMED AG

FRESENIUS SHARE

After a positive start to the year, the Fresenius share reached a new all-time high of € 119.70 on February 17. Later in the quarter, the equity markets were influenced by geopolitical tensions and moved sideways. The Fresenius share followed this trend. Since the beginning of the year, the share price increased by 2%.

FIRST QUARTER OF 2014

After a strong start to the year, the equity markets were infl uenced later in the quarter by geopolitical tensions and economic uncertainty in the emerging markets. At the same time, the Eurozone economy continued to recover and, according to current ECB estimates, will grow by 1.2% this year. In support of this positive trend, the ECB continues to keep interest rates low. Growth of about 3% is forecast for the US. As a result, the US Federal Reserve announced a further reduction in its bond purchases and did not rule out an increase in interest rates in the medium term.

On January 17, the DAX reached an all-time high of 9,742. The Fresenius share also initially continued its upward trend, reaching a new all-time high of € 119.70 on February 17. Later in the quarter, tensions between Russia and Ukraine led to a sharp increase in volatility and sideways movements on the equity markets. The closing price of the Fresenius share on March 31, 2014 was € 113.60. This represents an increase of 2% over the 2013 closing price. At 9,556, the DAX was nearly unchanged compared to its level at year-end.

KEY DATA OF THE FRESENIUS SHARE

Q1 / 2014 2013 Change
Number of shares (March 31 / December 31) 179,824,079 179,694,829
Quarter-end quotation in € 113.60 111.60 2%
High in € 119.70 111.95 7%
Low in € 105.00 81.91 28%
Ø Trading volume (number of shares per trading day) 427,639 423,064 1%
Market capitalization, € in millions (March 31 / December 31) 20,428 20,054 2%

MANAGEMENT REPORT

The moderate start of Fresenius into the year was expected. We are therefore fully on track to achieve our growth targets for 2014. The integration of the hospitals acquired from Rhön-Klinikum AG is progressing well. Our expansion in fast-growing emerging markets continues unabated.

FRESENIUS REPORTS EXPECTED MODERATE Q1 2014, FULLY CONFIRMS FY 2014 OUTLOOK

Q1 / 2014 at actual
rates
in constant
currency
Sales € 5.2 bn + 7% + 11%
EBIT 1 € 643 m - 8% - 6%
Net income 2 € 228 m + 2% + 3%

HEALTH CARE INDUSTRY

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 several 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.

RESULTS OF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

SALES

Group sales increased by 7% (11% in constant currency) to € 5,212 million (Q1 2013: € 4,890 million). Organic sales growth was 2%. Acquisitions contributed 9%. Divestitures had a marginal effect on sales growth.

Organic sales growth was 3% in North America and 2% in Europe. In Asia-Pacifi c organic sales growth was 2% impacted by a slow start in China for Fresenius Medical Care and Fresenius Kabi. In Latin America organic sales growth

2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hospitals (€ 22 million); 2013 before Fenwal integration costs (€ 7 million) Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hospitals (€ 21 million); including these effects, net income attributable to shareholders of Fresenius SE & Co. KGaA increased by 13% (+14% in constant currency) to € 248 million. 2013 before Fenwal integration costs (€ 5 million)

was 8%. In Africa, the decline in sales is mainly due to fl uctuations in the project business at Fresenius Vamed.

Adverse currency translation effects weighed on Group sales in all regions, particularly in Latin America (- 21%), Asia-Pacifi c (- 7%), Africa (- 7%) and North America (- 4%).

EARNINGS

Group EBITDA1 decreased by 3% (- 1% in constant currency) to € 867 million (Q1 2013: € 898 million). Group EBIT 1 decreased by 8% (- 6% in constant currency) to € 643 million (Q1 2013: € 696 million). This decrease is mainly attributable to the year-over-year comparison of issues at Fresenius Medical Care and Fresenius Kabi which occurred in 2013. The EBIT margin was 12.3% (Q1 2013: 14.2%).

Group net interest was - € 138 million (Q1 2013: - € 163 million). Improved fi nancing terms as well as favorable currency effects contributed to the decrease. In addition, net interest in Q1 2013 included € 14 million one-time costs resulting from the early redemption of a Senior Note.

The Group tax rate4 improved to 26.3% (Q1 2013: 29.1%) due to a one-time effect at Fresenius Medical Care.

SALES BY REGION

EARNINGS

Q1 / 2014 Q1 / 2013
643 696
228 224
248 219
1.27 1.26
1.38 1.23

Noncontrolling interest was € 144 million (Q1 2013: € 154 million), of which 93% was attributable to the noncontrolling interest in Fresenius Medical Care.

Group net income 2 increased by 2% (3% in constant currency) to € 228 million (Q1 2013: € 224 million). Earnings per share 2 increased by 1% to € 1.27 (Q1 2013: € 1.26).

Group net income attributable to shareholders of Fresenius SE & Co. KGaA including integration costs for Fenwal and a book gain from the divestment of two HELIOS hospitals increased by 13% (+ 14% in constant currency) to € 248 million. Earnings per share increased by 12% (+ 13% in constant currency) to € 1.38. There were no integration costs related to the newly acquired hospitals from Rhön-Klinikum AG in the fi rst quarter.

€ in millions Q1 / 2014 Q1 / 2013 Change at
actual rates
Currency
trans lations
effects
Change
at constant
rates
Organic
growth
Acquisitions /
divestitures
% of
total sales
North America 2,100 2,102 0% - 4% 4% 3% 1% 40%
Europe 2,358 1,974 19% - 1% 20% 2% 18% 45%
Asia-Pacifi c 439 454 - 3% - 7% 4% 2% 2% 9%
Latin America 247 276 - 11% - 21% 10% 8% 2% 5%
Africa 68 84 - 19% - 7% - 12% - 13% 1% 1%
Total 5,212 4,890 7% - 4% 11% 2% 9% 100%

SALES BY BUSINESS SEGMENT

€ in millions Q1 / 2014 Q1 / 2013 Change at
actual rates
Currency
trans lations
effects
Change
at constant
rates
Organic
growth
Acquisitions /
divestitures
% of
total sales
Fresenius Medical Care 2,602 2,623 - 1% - 5% 4% 3% 1% 50%
Fresenius Kabi 1,213 1,260 - 4% - 5% 1% 1% 0% 23%
Fresenius Helios 1,227 841 46% 0% 46% 4% 42% 23%
Fresenius Vamed 191 184 4% 0% 4% - 2% 6% 4%

2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hospitals (€ 22 million);

2013 before Fenwal integration costs (€ 7 million)

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2014 before Fenwal integration costs (€ 1 million) and book gain from the divestment of two HELIOS hospitals (€ 21 million); including these effects, net income attributable to shareholders of Fresenius SE & Co. KGaA increased by 13% (+14% in constant currency) to

€ 248 million. 2013 before Fenwal integration costs (€ 5 million)

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

2014 before book gain from the divestment of two HELIOS hospitals; 2013 before Fenwal integration costs

RECONCILIATION

The Group's U.S. GAAP fi nancial results as of March 31, 2014 and March 31, 2013 comprise special items. Net income attributable to shareholders of Fresenius SE & Co. KGaA excludes integration costs for Fenwal and the book gain from the divestment of two HELIOS hospitals. There were no integration costs for the newly acquired hospitals from Rhön-Klinikum AG in the fi rst quarter. Adjusted earnings represent the Group's business operations in the reporting period.

INVESTMENTS

The Fresenius Group spent € 234 million on property, plant and equipment (Q1 2013: € 179 million). Investments were mainly used for the equipment of new, and the expansion of existing dialysis clinics as well as the modernization and expansion of production facilities and hospitals.

Acquisition spending was € 924 million (Q1 2013: € 79 million), thereof € 759 million as a further payment for the acquisition of hospitals from Rhön-Klinikum AG.

CASH FLOW

Operating cash fl ow was € 140 million (Q1 2013: € 444 million) with a margin of 2.7% (Q1 2013: 9.1%). The decrease was mainly attributable to the payment for the W.R. Grace bankruptcy settlement of US\$ 115 million 1 , increased working capital at Fresenius Medical Care and Fresenius Kabi as well as a change from annual to monthly upfront payments to Fresenius Vamed for a technical management contract.

Net capital expenditure increased to € 243 million (Q1 2013: € 188 million). Free cash fl ow before acquisitions

RECONCILIATION

€ in millions Q1 / 2014
before
special items
Fenwal
integration
costs
book gain from
divestment of
two HELIOS
hospitals
Q1 / 2014
according to
U.S. GAAP
(incl. special
items)
Q1 / 2013
before
special items
Fenwal
integration
costs
Q1 / 2013
according to
U.S. GAAP
(incl. special
items)
Sales 5,212 5,212 4,890 4,890
EBIT 643 - 1 22 664 696 - 7 689
Interest result - 138 - 138 - 163 - 163
Net income before taxes 505 - 1 22 526 533 - 7 526
Income taxes - 133 - - 1 - 134 - 155 2 - 153
Net income 372 - 1 21 392 378 - 5 373
Less noncontrolling interest - 144 - 144 - 154 - 154
Net income attributable to shareholders
of Fresenius SE & Co. KGaA
228 - 1 21 248 224 - 5 219

INVESTMENTS BY BUSINESS SEGMENT

€ in millions Q1 / 2014 Q1 / 2013 thereof property,
plant and
equipment
thereof
acquisitions
Change % of total
Fresenius Medical Care 293 169 146 147 73% 25%
Fresenius Kabi 71 58 54 17 22% 6%
Fresenius Helios 792 23 32 760 -- 69%
Fresenius Vamed 3 8 2 1 -63% 0%
Corporate / Other - 1 - 1 -- 0%
Total 1,158 258 234 924 -- 100%

and dividends was - € 103 million (Q1 2013: € 256 million). Free cash fl ow after acquisitions and dividends was - € 1,006 million (Q1 2013: 229 million).

ASSET AND LIABILITY STRUCTURE

The Group's total assets increased by 5% (at actual rates and in constant currency) to € 34,284 million (Dec. 31, 2013: € 32,758 million). This increase is mainly attributable to the fi rst-time consolidation of hospitals acquired from Rhön-Klinikum AG. Current assets grew by 9% to € 8,656 million

(Dec. 31, 2013: € 7,972 million). Non-current assets increased by 3% to € 25,628 million (Dec. 31, 2013: € 24,786 million).

Total shareholders' equity increased by 3% to € 13,619 million (Dec. 31, 2013: € 13,260 million). The equity ratio was 39.7% (Dec. 31, 2013: 40.5%).

Group debt was € 13,769 million (Dec. 31, 2013: € 12,804 million). Net debt was € 12,940 million (Dec. 31, 2013: € 11,940 million).

As of March 31, 2014, the net debt / EBITDA ratio was 3.21 1 (Dec. 31, 2013: 2.51 2 ). The increase is mainly due to the acquisition of hospitals from Rhön-Klinikum AG.

CASH FLOW STATEMENT (SUMMARY)

€ in millions Q1 / 2014 Q1/ 2013 Change
Net income 392 373 5%
Depreciation and amortization 224 202 11%
Change in accruals for pensions - 3 15 -120%
Cash fl ow 613 590 4%
Change in working capital - 473 - 146 --
Operating cash fl ow 140 444 -68%
Property, plant and equipment - 246 -190 -29%
Proceeds from the sale of property, plant and equipment 3 2 50%
Cash fl ow before acquisitions and dividends - 103 256 -140%
Cash used for acquisitions, net - 875 23 --
Dividends paid - 28 - 50 44%
Free cash fl ow paid after acquisitions and dividends - 1,006 229 --
Cash provided by / used for fi nancing activities 976 - 277 --
Effect of exchange rates on change in cash and cash equivalents - 5 13 -138%
Net change in cash and cash equivalents - 35 - 35 0%

Pro forma including acquired hospitals from Rhön-Klinikum AG; before Fenwal integration costs and book gain from the divestment of two HELIOS hospitals Pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG; before Fenwal integration costs

BUSINESS SEGMENTS

FRESENIUS MEDICAL CARE

Fresenius Medical Care is the world's leading provider of services and products for patients with chronic kidney failure. As of March 31, 2014, Fresenius Medical Care was treating 270,570 patients in 3,263 dialysis clinics.

US\$ in millions Q1 / 2014 Q1 / 2013 Change
Sales 3,564 3,464 3%
EBITDA 612 650 - 6%
EBIT 445 493 - 10%
Net income 1 205 225 - 9%
Employees (March 31 / December 31) 96,573 95,637 1%

FIRST QUARTER OF 2014

  • ▶ Sales growth in line with full year guidance
  • ▶ Earnings impacted by sequestration and rebasing in the United States
  • ▶ 2014 guidance confi rmed

Sales increased by 3% (4% in constant currency) to US\$ 3,564 million (Q1 2013: US\$ 3,464 million). Organic sales growth was 3%. Acquisitions contributed 1%. Adverse currency effects reduced sales by 1%.

Sales in dialysis services increased by 4% (5% in constant currency) to US\$ 2,782 million (Q1 2013: US\$ 2,678 million). Dialysis product sales decreased by 1% (0% in constant currency) to US\$ 782 million (Q1 2013: US\$ 786 million).

In North America sales grew by 5% to US\$ 2,393 million (Q1 2013: US\$ 2,287 million). Dialysis services sales increased by 5% to US\$ 2,201 million (Q1 2013: US\$ 2,104 million). Dialysis product sales grew by 5% to US\$ 192 million (Q1 2013: US\$ 183 million).

Sales outside North America ("International" segment) decreased by 1% (4% increase in constant currency) to US\$ 1,161 million (Q1 2013: US\$ 1,169 million) impacted inter alia by the reorganization of the distribution network in China. Sales in dialysis services increased by 1% (8% in constant currency) to US\$ 581 million (Q1 2013: US\$ 574 million).

Dialysis product sales decreased by 2% (-1% in constant currency) to US\$ 580 million (Q1 2013: US\$ 595 million).

EBIT decreased by 10% to US\$ 445 million (Q1 2013: US\$ 493 million). The EBIT margin was 12.5% (Q1 2013: 14.2%). As expected, EBIT was impacted by sequestration and rebasing of Medicare's reimbursement rate in the United States.

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA decreased by 9% to US\$ 205 million (Q1 2013: US\$ 225 million).

Operating cash fl ow was US\$ 112 million (Q1 2013: US\$ 315 million) with a margin of 3.2% (Q1 2013: 9.1%). The decrease was mainly attributable to the payment for the W.R. Grace bankruptcy settlement of US\$ 115 million and increased working capital.

Please see page 15 of the Management Report for the 2014 outlook of Fresenius Medical Care.

For further information, please see Fresenius Medical Care's Investor News at www.fmc-ag.com.

FRESENIUS KABI

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 Q1 / 2014 Q1 / 2013 Change
Sales 1,213 1,260 - 4%
EBITDA 1 253 288 - 12%
EBIT 1 201 237 - 15%
Net income 2 106 119 - 11%
Employees (March 31 / December 31) 32,325 31,961 1%

FIRST QUARTER OF 2014

  • ▶ EBIT margin of 16.6% in line with guidance
  • ▶ Currency-adjusted sales increase
  • ▶ 2014 guidance narrowed

Sales decreased by 4% (1% increase in constant currency) to € 1,213 million (Q1 2013: € 1,260 million). Organic sales growth was 1%. Adverse currency translation effects weighed on sales (- 5%), mainly due to the weaker currencies in the United States, Brazil, Argentina and South Africa against the Euro.

Sales in Europe decreased by 3% (organic sales growth: - 2%) to € 500 million (Q1 2013: € 517 million) mainly due to lower HES sales (blood volume substitutes) and changes in Fresenius Kabi's Russian distribution model. Sales in North America decreased by 5% (organic sales growth: 0%) to € 382 million (Q1 2013: € 401 million). Asia-Pacifi c sales were € 222 million (organic sales growth: + 3%;Q1 2013: € 223 million) infl uenced by the 2013 price cut and the discontinuation of HES200 in China as well as delayed tenders in Australia and Vietnam. Sales in Latin America / Africa decreased by 8% (organic sales growth: + 11%) to € 109 million (Q1 2013: € 119 million).

EBIT 1 was € 201 million (Q1 2013: € 237 million), a decrease of 13% in constant currency. EBIT was impacted by lower HES sales and the 2013 price cuts in China. The EBIT margin of 16.6% (Q1 2013: 18.8%) was in line with expectations and our guidance range.

Net income2 decreased by 11% to € 106 million (Q1 2013: € 119 million).

Fresenius Kabi's operating cash fl ow was € 42 million (Q1 2013: € 132 million) with a margin of 3.5% (Q1 2013: 10.5%), mainly due to temporarily higher working capital requirements. Cash fl ow before acquisitions and dividends was - € 23 million (Q1 2013: € 76 million).

Integration costs for Fenwal were € 1 million (pre-tax). These costs are reported in the Group Corporate / Other segment. The vast majority of planned integration costs of € 40 – 50 million are expected to accrue towards the end of 2014.

Please see page 15 of the Management Report for the 2014 outlook of Fresenius Kabi.

FRESENIUS HELIOS

Fresenius Helios is Germany's largest hospital operator. HELIOS owns 109 hospitals, thereof 85 acute care clinics including six maximum care hospitals in Berlin-Buch, Duisburg, Erfurt, Krefeld, Schwerin and Wuppertal and 24 post-acute care clinics. HELIOS treats more than 4.2 million patients per year, thereof more than 1.2 million inpatients, and operates more than 33,000 beds.

€ in millions Q1 / 2014 Q1 / 2014 Change
Sales 1,227 841 46%
EBITDA1 158 114 39%
EBIT1 114 87 31%
Net income 2 77 56 38%
Employees (March 31 / December 31) 64,867 42,913 51%

FIRST QUARTER OF 2014

  • ▶ 4% organic sales growth fully in line with guidance
  • ▶ Integration of new hospitals progresses as planned
  • ▶ 2014 guidance fully confi rmed

Sales increased by 46% to € 1,227 million (Q1 2013: € 841 million). The strong increase in sales is mainly due to the newly acquired hospitals from Rhön-Klinikum AG. Organic sales growth was 4%. The divestment of two HELIOS hospitals reduced sales growth by 2%.

EBIT 1 grew by 31% to € 114 million (Q1 2013: € 87 million). The EBIT margin was 9.3% (Q1 2013: 10.3%). The margin decline is due to the consolidation of the newly acquired hospitals from Rhön-Klinikum AG.

Net income 2 increased by 38% to € 77 million (Q1 2013: € 56 million).

Sales of the established hospitals grew by 4% to € 857 million. EBIT improved by 4% to € 88 million. The EBIT margin was unchanged at 10.3%.

Sales of the acquired hospitals were € 370 million, EBIT was € 26 million.

In the fi rst quarter, approximately 90% of the acquisition of hospitals from Rhön-Klinikum AG was closed. Approximately 70% of the acquired business was consolidated as of January 1, 2014, and approximately 20% as of March 1, 2014. For HSK Dr. Horst Schmidt Kliniken in Wiesbaden, the municipal shareholder approval is still pending. Fresenius Helios expects to close this part of the acquisition at the latest by the end of June.

The integration of the newly acquired hospitals is progressing as planned. The acquisition was EPS accretive in the fi rst quarter. No integration costs accrued in the fi rst quarter.

Please see page 16 of the Management Report for the 2014 outlook of Fresenius Helios.

2014 before book gain from the divestment of two HELIOS hospitals (€ 22 million)

Net income attributable to shareholders of HELIOS Kliniken GmbH; 2014 before book gain from the divestment of two HELIOS hospitals (€ 21 million)

FRESENIUS VAMED

Fresenius Vamed manages projects and provides services for hospitals and other health care facilities worldwide.

€ in millions Q1 / 2014 Q1 / 2013 Change
Sales 191 184 4%
EBITDA 8 7 14%
EBIT 6 5 20%
Net income 1 4 3 33%
Employees (March 31 / December 31) 7,342 7,010 5%

FIRST QUARTER OF 2014

  • ▶ 24 % increase in order intake
  • ▶ EBIT in line with guidance
  • ▶ 2014 guidance fully confi rmed

Sales increased by 4% to € 191 million (Q1 2013: € 184 million). Organic sales growth was -2%. Acquisitions contributed 6%, e.g. the acquisition of two hospitals in the Czech Republic in 2013. Sales in the project business decreased by 2% to € 80 million (Q1 2013: € 82 million). Sales in the service business grew by 9% to € 111 million (Q1 2013: € 102 million).

EBIT was € 6 million (Q1 2013: € 5 million) with a margin of 3.1% (Q1 2013: 2.7%).

Net income 1 increased to € 4 million (Q1 2013: € 3 million).

Order intake increased by 24% to € 115 million (Q1 2013: € 93 million). As of March 31, 2014, order backlog was € 1,170 million (Dec. 31, 2013: € 1,139 million).

Please see page 16 of the Management Report for the 2014 outlook of Fresenius Vamed.

EMPLOYEES

As of March 31, 2014, the number of employees increased by 13% to 201,924 (Dec. 31, 2013: 178,337). This is almost entirely due to the acquisition of hospitals from Rhön-Klinikum AG.

EMPLOYEES BY BUSINESS SEGMENT

Number of employees March 31,
2014
Dec 31, 2013 Change
Fresenius Medical Care 96,573 95,637 1%
Fresenius Kabi 32,325 31,961 1%
Fresenius Helios 64,867 42,913 51%
Fresenius Vamed 7,342 7,010 5%
Corporate / Other 817 816 0%
Total 201,924 178,337 13%

RESEARCH AND DEVELOPMENT

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

  • ▶ Dialysis
  • ▶ Infusion and nutrition therapies
  • ▶ Generic IV drugs
  • ▶ Medical devices

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

RESEARCH AND DEVELOPMENT EXPENSES BY BUSINESS SEGMENT

€ in millions Q1 / 2014 Q1 / 2013 Change
Fresenius Medical Care 22 23 - 4%
Fresenius Kabi 59 53 11%
Fresenius Helios --
Fresenius Vamed 0 0
Corporate / Other 0 1 - 100 %
Total 81 77 5%

DIALYSIS

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.

INFUSION THERAPIES, CLINICAL NUTRITION, GENERIC IV DRUGS, AND MEDICAL DEVICES

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.

OPPORTUNITIES AND RISK REPORT

Compared to the presentation in the 2013 annual report, there have been no material changes in Fresenius' overall opportunities and risk situation in the fi rst quarter of 2014.

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 38 to 44 in the Notes of this report.

SUBSEQUENT EVENTS

There were no signifi cant changes in the Group position or the health care sector since the end of the fi rst quarter of 2014.

RATING

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

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

Standard &
Poor's
Moody's Fitch
Company rating BB + Ba1 BB +
Outlook positive negative positive

On March 20, 2014, Fitch confi rmed the BB+ rating of Fresenius with positive outlook. The rating confi rmation refl ects the performance in 2013 as well as the completion and fi nancing of the acquisition of hospitals from Rhön-Klinikum AG. Fitch had placed Fresenius on rating watch in September 2013 following Rhön transaction announcement.

OUTLOOK 2014

FRESENIUS GROUP

Fresenius fully confi rms its guidance for 2014 1 . Sales are expected to increase by 12% to 15% in constant currency. Net income 2 is expected to increase by 2% to 5% in constant currency. The earnings forecast primarily refl ects lower reimbursement rates for Medicare dialysis patients and substantial uncertainties regarding the IV drug shortage situation in the U.S. market.

The net debt / EBITDA ratio is expected to be in the range of 3.0 to 3.25.

FRESENIUS MEDICAL CARE

Fresenius Medical Care confi rms its outlook for 2014. Fresenius Medical Care expects sales to grow to approximately US\$ 15.2 billion. Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA is expected in the range of US\$ 1.0 to US\$ 1.05 billion. The company has initiated a global effi ciency program designed to enhance its performance over a multi-year period. Potential cost savings before income taxes of up to US\$ 60 million generated from this program are not included in the outlook for 2014.

FRESENIUS KABI

Fresenius Kabi narrows its 2014 outlook and now projects organic sales growth of 4% to 6% (previously: 3% to 7%) and an EBIT margin of 16.5% to 18% (previously: 16% to 18%). These ranges primarily refl ect substantial uncertainties regarding the IV drug shortage situation in the U.S. market as well as full-year effects from the restrictions on the use of our blood volume substitutes.

Includes contributions from the acquisition of hospitals from Rhön-Klinikum AG

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2014 before integration costs for Fenwal (€ 30-40 million) and the hospitals acquired from Rhön-Klinikum AG and net of book gain from the divestment of two HELIOS hospitals (€ 21 million); 2013 before Fenwal integration costs (€ 40 million)

FRESENIUS HELIOS

Fresenius Helios fully confi rms its outlook for 2014. Fresenius Helios projects organic sales growth of 3 to 5%. EBIT (excluding the hospitals acquired from Rhön-Klinikum AG) is expected to increase to € 390 to € 410 million. Fresenius Helios will provide an outlook for all its hospitals (including HSK) with the announcement of Q2 results.

FRESENIUS VAMED

Fresenius Vamed fully confi rms its outlook for 2014 and expects to achieve organic sales growth of 5% to 10% and EBIT growth of 5% to 10%.

INVESTMENTS

The Group plans to invest around 6% of sales in property, plant and equipment.

EMPLOYEES

The number of employees in the Group will continue to rise in the future as a result of the expected expansion. We expect the number of employees to be more than 200,000 in 2014. This is mainly the result of the acquisition of hospitals from Rhön-Klinikum AG. The number of employees is expected to increase in all business segments.

GROUP FINANCIAL OUTLOOK 2014 1

RESEARCH AND DEVELOPMENT

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 2014. About 4% to 5% of our product sales will be reinvested in research and development.

Market-oriented research and development with strict time-to-market management processes is crucial for the success of new products. We continually review our R & D results using clearly defi ned milestones. Innovative ideas, product development, and therapies with a high level of quality will continue to be the basis for future market-leading positions. Given the continued cost-containment efforts in the health care sector, cost effi ciency combined with a strong quality focus is acquiring ever-greater importance in product development, and in the improvement of treatment concepts.

Previous guidance New guidance
Sales, growth (constant currency) 12% – 15% confi rmed
Net income 2
, growth (in constant currency)
2% – 5% confi rmed

Includes contributions from the acquisition of hospitals from Rhön-Klinikum AG

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2014 before integration costs for Fenwal (€ 30 - 40 million) and the hospitals acquired from Rhön-Klinikum

AG and net of book gain from the divestment of two HELIOS hospitals (€ 21 million); 2013 before Fenwal integration costs (€ 40 million)

OUTLOOK 2014 BY BUSINESS SEGMENT

Previous guidance New guidance
Fresenius Medical Care Sales ~ US\$ 15.2 bn confi rmed
Net income 1 US\$ 1.0 bn – US\$ 1.05 bn confi rmed
Fresenius Kabi Sales growth (organic) 3% – 7% 4% – 6%
EBIT margin 16% – 18% 16.5% – 18%
Fresenius Helios Sales growth (organic) 2 3% – 5% confi rmed
EBIT 2 € 390 m – € 410 m confi rmed
Fresenius Vamed Sales growth 5% – 10% confi rmed
EBIT, growth 5% – 10% confi rmed

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

Excluding hospitals acquired from Rhön-Klinikum AG

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

€ in millions Q1 / 2014 Q1 / 2013
Sales 5,212 4,890
Cost of sales - 3,694 - 3,362
Gross profi t 1,518 1,528
Selling, general and administrative expenses - 773 - 762
Research and development expenses - 81 - 77
Operating income (EBIT) 664 689
Net interest - 138 - 163
Income before income taxes 526 526
Income taxes - 134 - 153
Net income 392 373
Less noncontrolling interest 144 154
Net income attributable to shareholders of Fresenius SE & Co. KGaA 248 219
Earnings per ordinary share in € 1.38 1.23
Fully diluted earnings per ordinary share in € 1.37 1.22

The following notes are an integral part of the unaudited condensed interim fi nancial statements.

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

€ in millions Q1 / 2014 Q1 / 2013
Net income 392 373
Other comprehensive income (loss)
Foreign currency translation - 62 220
Cash flow hedges 4 12
Change of fair value of available for sale financial assets 14 9
Actuarial gains on defined benefit pension plans 3 - 3
Income taxes related to components of other comprehensive income (loss) - 6 - 7
Other comprehensive income (loss), net - 47 231
Total comprehensive income 345 604
Comprehensive income attributable to noncontrolling interest
subject to put provisions
19 29
Comprehensive income attributable to noncontrolling interest
not subject to put provisions
100 271
Comprehensive income attributable to
shareholders of Fresenius SE & Co. KGaA
226 304

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

ASSETS

€ in millions March 31, 2014 December 31, 2013
Cash and cash equivalents 829 864
Trade accounts receivable, less allowance for doubtful accounts 3,733 3,474
Accounts receivable from and loans to related parties 18 28
Inventories 2,180 2,014
Other current assets 1,563 1,261
Deferred taxes 333 331
I. Total current assets 8,656 7,972
Property, plant and equipment 6,099 5,082
Goodwill 16,674 14,826
Other intangible assets 1,229 1,241
Other non-current assets 1,385 3,433
Deferred taxes 241 204
II. Total non-current assets 25,628 24,786
Total assets 34,284 32,758

LIABILITIES AND SHAREHOLDERS' EQUITY

€ in millions March 31, 2014 December 31, 2013
Trade accounts payable 812 885
Short-term accounts payable to related parties 1 2
Short-term accrued expenses and other short-term liabilities 3,208 3,057
Short-term debt 297 959
Short-term loans from related parties 4 6
Current portion of long-term debt and capital lease obligations 1,053 855
Short-term accruals for income taxes 266 211
Deferred taxes 56 48
A. Total short-term liabilities 5,697 6,023
Long-term debt and capital lease obligations, less current portion 5,432 5,871
Senior Notes 6,529 5,113
Convertible bonds 454 0
Long-term accrued expenses and other long-term liabilities 500 434
Pension liabilities 708 714
Long-term accruals for income taxes 176 180
Deferred taxes 709 691
B. Total long-term liabilities 14,508 13,003
I. Total liabilities 20,205 19,026
II. Noncontrolling interest subject to put provisions 460 472
A. Noncontrolling interest not subject to put provisions 5,182 5,065
Subscribed capital 180 180
Capital reserve 3,330 3,314
Other reserves 5,300 5,052
Accumulated other comprehensive loss - 373 - 351
B. Total Fresenius SE & Co. KGaA shareholders' equity 8,437 8,195
III. Total shareholders' equity 13,619 13,260
Total liabilities and shareholders' equity 34,284 32,758

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

€ in millions Q1 / 2014 Q1 / 2013
Operating activities
Net income 392 373
Adjustments to reconcile net income to cash and
cash equivalents provided by operating activities
Depreciation and amortization 224 202
Gain on sale of investments and divestitures - 21 - 40
Change in deferred taxes - 14 - 31
Gain / loss on sale of fixed assets 1
Changes in assets and liabilities, net of amounts
from businesses acquired or disposed of
Trade accounts receivable, net - 80 - 89
Inventories - 121 - 92
Other current and non-current assets - 30 64
Accounts receivable from / payable to related parties 7 - 4
Trade accounts payable, accrued expenses
and other short-term and long-term liabilities
- 268 - 17
Accruals for income taxes 51 77
Net cash provided by operating activities 140 444
Investing activities
Purchase of property, plant and equipment - 246 - 190
Proceeds from sales of property, plant and equipment 3 2
Acquisitions and investments, net of cash acquired
and net purchases of intangible assets
- 872 - 72
Proceeds from sale of investments and divestitures - 3 95
Net cash used in investing activities - 1,118 - 165
Financing activities
Proceeds from short-term loans 97 540
Repayments of short-term loans - 810 - 54
Proceeds from short-term loans from related parties
Repayments of short-term loans from related parties
Proceeds from long-term debt and capital lease obligations 1,357 134
Repayments of long-term debt and capital lease obligations - 1,648 - 130
Proceeds from the issuance of Senior Notes 1,420 500
Repayments of liabilities from Senior Notes 0 - 1,150
Proceeds from the issuance of Convertible Bonds 500 0
Changes of accounts receivable securitization program 50 - 123
Proceeds from the exercise of stock options 10 7
Dividends paid - 28 - 50
Change in noncontrolling interest - 1
Exchange rate effect due to corporate financing
Net cash provided by / used in fi nancing activities 948 - 327
Effect of exchange rate changes on cash and cash equivalents - 5 13
Net decrease in cash and cash equivalents - 35 - 35
Cash and cash equivalents at the beginning of the reporting period 864 885
Cash and cash equivalents at the end of the reporting period 829 850

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

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, 2012 178,188 178,188 178 3,225 4,358
Proceeds from the exercise of stock options 83 83 4
Compensation expense related to
stock options
6
Dividends paid
Sale of noncontrolling interest
not subject to put provisions
Change in fair value of noncontrolling
interest subject to put provisions
- 7
Comprehensive income (loss)
Net income 219
Other comprehensive income (loss)
Cash flow hedges
Change of fair value of
available for sale financial assets
Foreign currency translation
Actuarial losses on defined
benefit pension plans
Comprehensive income 219
As of March 31, 2013 178,271 178,271 178 3,228 4,577
As of December 31, 2013 179,695 179,695 180 3,314 5,052
Proceeds from the exercise of stock options 129 129 7
Compensation expense related to
stock options
6
Dividends paid
Purchase of noncontrolling interest
not subject to put provisions
Change in fair value of noncontrolling
interest subject to put provisions
3
Comprehensive income (loss)
Net income 248
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) 248
As of March 31, 2014 179,824 179,824 180 3,330 5,300

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

Accumulated
other com
prehensive
income (loss)
€ in millions
Total Fresenius
SE & Co. KGaA
shareholders'
equity
€ in millions
Non controlling
interest not
subject to
put provisions
€ in millions
Total
shareholders'
equity
€ in millions
As of December 31, 2012 - 128 7,633 5,125 12,758
Proceeds from the exercise of stock options 4 3 7
Compensation expense related to
stock options 6 3 9
Dividends paid 0 - 28 - 28
Sale of noncontrolling interest
not subject to put provisions
0 - 2 - 2
Change in fair value of noncontrolling
interest subject to put provisions
- 7 - 14 - 21
Comprehensive income (loss)
Net income 219 135 354
Other comprehensive income (loss)
Cash flow hedges 4 4 4 8
Change of fair value of
available for sale financial assets 9 9 9
Foreign currency translation 73 73 133 206
Actuarial losses on defined
benefit pension plans
- 1 - 1 - 1 - 2
Comprehensive income 85 304 271 575
As of March 31, 2013 - 43 7,940 5,358 13,298
As of December 31, 2013 - 351 8,195 5,065 13,260
Proceeds from the exercise of stock options 7 3 10
Compensation expense related to
stock options
6 3 9
Dividends paid 0 - 7 - 7
Purchase of noncontrolling interest
not subject to put provisions
0 11 11
Change in fair value of noncontrolling
interest subject to put provisions
3 7 10
Comprehensive income (loss)
Net income 248 125 373
Other comprehensive income (loss)
Cash flow hedges 1 1 2 3
Change of fair value of
available for sale financial assets
10 10 10
Foreign currency translation - 34 - 34 - 28 - 62
Actuarial gains on defined
benefit pension plans
1 1 1 2
Comprehensive income (loss) - 22 226 100 326
As of March 31, 2014 - 373 8,437 5,182 13,619
N
ME
G
D SE
ATE
D
OLI
NS
CO
T REP RTI
O
G FI
N
RST Q U ARTE N
R (U
DI
AU
D)
TE
Fresenius Medical Care Fresenius Kabi Fresenius Helios Fresenius Vamed Corporate / Other Fresenius Group
by business segment, € in millions 2014 2013 Change 2014 2 2013 2 Change 2014 3 2013 Change 2014 2013 Change 2014 4,5 2013 4 Change 2014 2013 Change
Sales 2,602 2,623 - 1% 1,213 1,260 - 4% 1,227 841 46% 191 184 4% - 21 - 18 - 17% 5,212 4,890 7%
thereof contribution to
consolidated sales
2,596 2,618 - 1% 1,205 1,249 - 4% 1,227 841 46% 183 175 5% 1 7 - 86% 5,212 4,890 7%
thereof intercompany sales 6 5 20% 8 11 - 27% 0 0 8 9 - 11% - 22 - 25 12% 0 0
contribution to consolidated sales 50% 54% 23% 25% 23% 17% 4% 4% 0% 0% 100% 100%
EBITDA 447 492 - 9% 253 288 - 12% 158 114 39% 8 7 14% 22 - 10 -- 888 891 0%
Depreciation and amortization 122 118 3% 52 51 2% 44 27 63% 2 2 0% 4 4 0% 224 202 11%
EBIT 325 374 - 13% 201 237 - 15% 114 87 31% 6 5 20% 18 - 14 -- 664 689 - 4%
Net interest - 70 - 79 11% - 48 - 66 27% - 16 - 15 - 7% - 1 - 1 0% - 3 - 2 - 50% - 138 - 163 15%
Income taxes - 74 - 98 24% - 42 - 45 7% - 18 - 14 - 29% - 1 - 1 0% 1 5 - 80% - 134 - 153 12%
shareholders of Fresenius SE & Co. KGaA
Net income attributable to
150 171 - 12% 106 119 - 11% 77 56 38% 4 3 33% - 89 - 130 32% 248 219 13%
Operating cash fl ow 82 239 - 66% 42 132 - 68% 77 33 133% - 54 45 -- - 7 - 5 - 40% 140 444 - 68%
Cash fl ow before acquisitions
and dividends
- 62 128 - 148% - 23 76 - 130% 46 14 - 55 44 - 9 - 6 - 50% - 103 256 - 140%
-- --
Total assets 1 16,988 16,764 1% 8,616 8,598 0% 7,920 6,597 20% 686 726 - 6% 74 73 1% 34,284 32,758 5%
Debt 1 6,244 6,103 2% 4,726 4,735 0% 1,496 3,538 - 58% 117 117 0% 1,186 - 1,689 170% 13,769 12,804 8%
Capital expenditure, gross 146 112 30% 54 45 20% 32 20 60% 2 1 100% 0 1 - 100% 234 179 31%
Acquisitions, gross / investments 147 57 158% 17 13 31% 760 3 -- 1 7 - 86% - 1 - 1 0% 924 79 --
Research and development expenses 22 23 - 4% 59 53 11% -- 0 0 0 1 - 100% 81 77 5%
(per capita on balance sheet date) 1
Employees
96,573 95,637 1% 32,325 31,961 1% 64,867 42,913 51% 7,342 7,010 5% 817 816 0% 201,924 178,337 13%
Key fi gures
EBITDA margin 17.2% 18.8% 20.9% 22.9% 12.9% 13.6% 4.2% 3.8% 16.6% 2,3 18.4% 2

FRESENIUS SE & CO. KGAA

1 2013: December 31 2 Before Fenwal integration costs

Depreciation and amortization

3 Before book gain from the divestment of two HELIOS hospitals

4 After Fenwal integration costs

5 After book gain from the divestment of two HELIOS hospitals

6 The underlying pro forma EBIT does not include Fenwal integration costs and book gain from the divestment of two HELIOS hospitals. 7 The underlying pro forma EBIT does not include Fenwal integration costs.

The consolidated segment reporting is an integral part of the notes. The following notes are an integral part of the unaudited condensed interim fi nancial statements.

EBIT margin 12.5% 14.2% 16.6% 18.8% 9.3% 10.3% 3.1% 2.7% 12.3% 2,3 14.2% 2

in % of sales 4.7% 4.5% 4.3% 4.0% 3.6% 3.2% 1.0% 1.1% 4.3% 4.1% Operating cash flow in % of sales 3.2% 9.1% 3.5% 10.5% 6.3% 3.9% - 28.3% 24.5% 2.7% 9.1% ROOA 1 10.2% 10.5% 11.2% 11.9% 7.2% 9.3% 11.4% 11.6% 9.6% 6 10.6% 7

TABLE OF CONTENTS NOTES

24 General notes

  • 24 1. Principles
  • 24 I. Group structure
  • 24 II. Basis of presentation
  • 24 III. Summary of signifi cant accounting policies
  • 24 IV. Recent pronouncements, applied
  • 26 V. Recent pronouncements, not yet applied
  • 26 2. Acquisitions, divestitures and investments

27 Notes on the consolidated statement of income

  • 27 3. Special items
  • 27 4. Sales
  • 27 5. Taxes
  • 28 6. Earnings per share

28 Notes on the consolidated statement of fi nancial position

  • 28 7. Cash and cash equivalents
  • 28 8. Trade accounts receivable
  • 28 9. Inventories
  • 28 10. Other current and non-current assets
  • 29 11. Goodwill and other intangible assets
  • 30 12. Debt and capital lease obligations
  • 34 13. Senior Notes
  • 34 14. Convertible bonds
  • 35 15. Pensions and similar obligations
  • 35 16. Noncontrolling interest
  • 36 17. Fresenius SE & Co. KGaA shareholders' equity
  • 37 18. Other comprehensive income (loss)

38 Other notes

  • 38 19. Legal and regulatory matters
  • 40 20. Financial instruments
  • 44 21. Supplementary information on capital management
  • 44 22. Supplementary information on the consolidated statement of cash fl ows
  • 44 23. Notes on the consolidated segment reporting
  • 45 24. Stock options
  • 46 25. Related party transactions
  • 46 26. Subsequent events
  • 46 27. Corporate Governance

GENERAL NOTES

1. PRINCIPLES

I. GROUP STRUCTURE

Fresenius is a global health care group with products and services for dialysis, hospitals and outpatient medical care. In addition, the Fresenius Group focuses on 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 (subgroups) as of March 31, 2014:

  • ▶ Fresenius Medical Care
  • ▶ Fresenius Kabi
  • ▶ Fresenius Helios
  • ▶ Fresenius Vamed

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 "–".

II. BASIS OF PRESENTATION

The accompanying condensed consolidated fi nancial statements have been prepared in accordance with the United States Generally Accepted Accounting Principles (U.S. GAAP).

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 315a of the German Commercial Code (HGB). Simultaneously, the Fresenius Group voluntarily prepares and publishes the consolidated fi nancial statements in accordance with U.S. GAAP.

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, 2013.

III. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of consolidation

The condensed consolidated fi nancial statements and management report for the fi rst quarter ended March 31, 2014 have not been audited nor reviewed and should be read in conjunction with the notes included in the consolidated fi nancial statements as of December 31, 2013, published in the 2013 Annual Report.

Except for the reported acquisitions (see note 2, Acquisitions, divestitures and investments), there have been no other major changes in the entities consolidated.

The consolidated fi nancial statements for the fi rst quarter ended March 31, 2014 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 quarter ended March 31, 2014 are not necessarily indicative of the results of operations for the fi scal year 2014.

Classifi cations

Certain items in the consolidated fi nancial statements for the fi rst quarter of 2013 and for the year 2013 have been reclassifi ed to conform with the current year's presentation.

Use of estimates

The preparation of consolidated fi nancial statements in conformity with U.S. GAAP 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.

IV. RECENT PRONOUNCEMENTS, APPLIED

The Fresenius Group has prepared its consolidated fi nancial statements at March 31, 2014 in conformity with U.S. GAAP in force for interim periods on January 1, 2014.

The Fresenius Group applied the following standards, as far as they are relevant for Fresenius Group's business, for the fi rst time:

In July 2013, the "Financial Accounting Standards Board" (FASB) issued Accounting Standards Update 2013-11 (ASU 2013-11), FASB "Accounting Standards Codifi cation" (ASC) Topic 740, Income Taxes – Presentation of an Unrecognized Tax Benefi t When a Net Operating Loss Carryforward,

a Similar Tax Loss, or a Tax Credit Carryforward Exists. The purpose of ASU 2013-11 is to align the fi nancial statement presentation of an unrecognized tax benefi t when a net operating loss carryforward, a similar tax loss or a tax credit carryforward exists. In most cases, the unrecognized tax benefi t should be presented as a reduction to a deferred tax asset for a net operating loss carryforward, a similar tax loss or a tax credit carryforward. The update is effective for fi scal years, and interim periods within those years, beginning on or after December 15, 2013. The Fresenius Group adopted ASU 2013- 11 as of January 1, 2014. ASU 2013-11 does not have a material impact on the consolidated fi nancial statements of the Fresenius Group.

In July 2013, the FASB issued Accounting Standards Update 2013-10 (ASU 2013-10), FASB ASC Topic 815, Derivatives and Hedging – Inclusion of the Fed Funds Effective Swap Rate (or Overnight Index Swap Rate) as a Benchmark Interest Rate for Hedge Accounting Purposes. The purpose of ASU 2013-10 is to provide the inclusion of the Fed Funds Effective Swap Rate as a U.S. benchmark interest rate for hedge accounting purposes. This rate will now be available to use along with the U.S. government interest rates and the London Interbank Offered Rate. This update is effective prospectively for new or designated hedging relationships entered into on or after July 17, 2013. Currently, the Fresenius Group does not intend to utilize the newly available Fed Funds Effective Swap Rate for its hedge accounting.

In March 2013, the FASB issued Accounting Standards Update 2013-05 (ASU 2013-05), FASB ASC Topic 830, Foreign Currency Matters – Parent's Accounting for the Cumulative Translation Adjustment upon Derecognition of Certain Subsidiaries or Groups of Assets within a Foreign Entity or of an Investment in a Foreign Entity. The purpose of ASU 2013- 05 is to provide clarifi cation and further refi nement regarding the treatment of the release of a cumulative translation adjustment into net income. This occurs in instances where the parent sells either a part or all of its investment in a foreign entity, as well as when a company ceases to hold a controlling interest in a subsidiary or group of assets that is a nonprofi t activity or business within a foreign entity. The update is effective for fi scal years, and interim periods within those

years, beginning on or after December 15, 2013. The Fresenius Group adopted ASU 2013-05 as of January 1, 2014. ASU 2013-05 does not have a material impact on the consolidated fi nancial statements of the Fresenius Group.

In February 2013, the FASB issued Accounting Standards Update 2013-04 (ASU 2013-04), FASB ASC Topic 405, Liabilities – Obligations Resulting from Joint and Several Liability Arrangements for which the Total Amount of the Obligations is Fixed at the Reporting Date. ASU 2013-04's objective is to provide guidance and clarifi cation on the recognition, measurement and disclosure of obligations resulting from joint and several liability arrangements such as debt arrangements, other contractual obligations and settled litigation and judicial rulings. The update is effective for fi scal years, and interim periods within those years, beginning on or after December 15, 2013. The Fresenius Group adopted ASU 2013-04 as of January 1, 2014. ASU 2013-04 does not have a material impact on the consolidated fi nancial statements of the Fresenius Group.

In July 2011, the FASB issued Accounting Standards Update 2011-06 (ASU 2011-06), FASB ASC Topic 720, Other Expenses – Fees Paid to the Federal Government by Health Insurers. The amendments in ASU 2011-06 address how health insurers should recognize and classify their income statement fees mandated by the Health Care and Educational Affordability Reconciliation Act. These amendments require that the liability for the fee be estimated and recorded in full once the entity provides qualifying health insurance in the applicable calendar year in which the fee is payable. In conjunction, the corresponding deferred cost is amortized to expense using a straight-line allocation method unless another method better allocates the fee over the entire calendar year for which it is payable. In addition, the ASU states that this fee does not meet the defi nition of an acquisition cost. The disclosures required under ASU 2011-06 are effective for calendar years beginning after December 31, 2013, when the fee initially becomes effective. The Fresenius Group adopted ASU 2011-06 effective January 1, 2014. ASU 2011-06 does not have a material impact on the consolidated fi nancial statements of the Fresenius Group.

V. RECENT PRONOUNCEMENTS, NOT YET APPLIED

The FASB issued the following relevant new standards for the Fresenius Group:

In January 2014, the FASB issued Accounting Standards Update 2014-05 (ASU 2014-05), FASB ASC Topic 853, Service Concession Arrangements. ASU 2014-05's objective is to specify that an operating entity should not account for a service concession arrangement that is within the scope of ASU 2014-05 as a lease. The update is effective for fi scal years and interim periods within those years beginning on or after December 15, 2014. The Fresenius Group is currently evaluating the impact of ASU 2014-05 on its consolidated fi nancial statements.

In April 2014, the FASB issued Accounting Standards Update 2014-08 (ASU 2014-08), FASB ASC Topic 205, Presentation of Financial Statements and FASB ASC Topic 360, Property, Plant, and Equipment – Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity. ASU 2014-08's objective is to reduce the complexity and diffi culty in applying guidance for discontinued operations. ASU 2014-08's main focus is to limit the presentation to disposals representing a strategic shift that has a major effect on operations or fi nancial results. The update is effective for fi scal years and interim periods within those years beginning on or after December 15, 2014. The Fresenius Group is currently evaluating the impact of ASU 2014-08 on its consolidated fi nancial statements.

2. ACQUISITIONS, DIVESTITURES AND INVESTMENTS

The Fresenius Group made acquisitions and investments of € 924 million and € 79 million in the fi rst quarter of 2014 and 2013, respectively. Of this amount, € 872 million was paid in cash and € 52 million was assumed obligations in the fi rst quarter of 2014.

FRESENIUS MEDICAL CARE

In the fi rst quarter of 2014, Fresenius Medical Care spent € 147 million on acquisitions, mainly for the short-term investment in available for sale securities.

FRESENIUS KABI

In the fi rst quarter of 2014, Fresenius Kabi spent € 17 million on acquisitions, mainly for the purchase of further shares in Fresenius Kabi Oncology Ltd., India.

FRESENIUS HELIOS

Fresenius Helios spent € 760 million on acquisitions in the fi rst quarter of 2014. Thereof, € 759 million related to the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG, Germany. Taking into account the advance payment of € 2,178 million made at the end of the year 2013 in conjunction with this acquisition, the transaction amount added up to € 2,937 million.

In connection with the acquisition of hospitals of Rhön-Klinikum AG, Fresenius Helios sold two hospitals in Borna and Zwenkau in the fi rst quarter of 2014 due to antitrust authority requirements. The corresponding book gain in the amount of € 22 million before tax is included in selling, general and administrative expenses in the consolidated statement of income.

Acquisition of hospitals of Rhön-Klinikum AG

On February 27 and March 6, 2014, Fresenius Helios completed the acquisition of 39 hospitals and 11 outpatient facilities of Rhön-Klinikum AG, Germany. In most instances, 100% of the share capital was purchased, only in a few cases 94% to 99% of the share capital was acquired.

The transaction strengthens Fresenius Helios' position as Europe's largest hospital operator and provides the basis for offering nationwide care models across Germany.

Due to contractual conditions, the Fresenius Group was primary benefi ciary of the majority of the acquired hospitals and outpatient facilities for the period from January 1, 2014 until the closing of the majority of the transaction on February 27, 2014. During this period, the Fresenius Group therefore fully consolidated these companies according to regulations for variable interest entities. All other acquired companies have been fully consolidated as of February 27, 2014.

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
Trade accounts receivable 205
Working capital and other assets 266
Assets 1,035
Liabilities - 370
Goodwill 1,879
Noncontrolling interest - 14
Consideration transferred 3,001
Net cash acquired - 64
Transaction amount 2,937

The goodwill in the amount of € 1,879 million that was acquired as part of the acquisition is not deductible for tax purposes.

Goodwill is an asset representing the future economic benefi ts arising from other assets acquired in a business combination that are not individually identifi ed and separately recognized. Goodwill arises principally due to the fair value placed on an established stream of future cash fl ows versus building a similar business.

The noncontrolling interests acquired as part of the acquisition are stated at fair value.

In the fi rst quarter of 2014, the acquired hospitals and outpatient facilities have contributed € 370 million to sales and € 26 million to the operating income (EBIT) of the Fresenius Group.

FRESENIUS VAMED

In the fi rst quarter of 2014, Fresenius Vamed spent € 1 million on acquisitions.

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

3. SPECIAL ITEMS

Net income attributable to shareholders of Fresenius SE & Co. KGaA for the fi rst quarter of 2014 in the amount of € 248 million includes special items relating to the integration of Fenwal and the divestment of two HELIOS hospitals.

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

€ in millions EBIT Net income
attributable to
share holders
of Fresenius
SE & Co. KGaA
Earnings Q1 2014, adjusted 228
Fenwal integration costs - 1 - 1
Book gain from the divestment of two
HELIOS hospitals
22 21
Earnings Q1 2014 according to
U.S. GAAP 248

4. SALES

Sales by activity were as follows:

€ in millions Q1 / 2014 Q1 / 2013
Sales of services 3,414 3,019
less patient service bad debt provision - 46 - 49
Sales of products and related goods 1,761 1,834
Sales from long-term
production contracts
81 83
Other sales 2 3
Sales 5,212 4,890

5. TAXES

During the fi rst quarter of 2014, there were no material changes relating to tax audits, accruals for income taxes, unrecognized tax benefi ts 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 in the 2013 Annual Report.

6. EARNINGS PER SHARE

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

Q1 / 2014 Q1 / 2013
Numerators, € in millions
Net income attributable to
shareholders of
Fresenius SE & Co. KGaA 248 219
less effect from dilution due to
Fresenius Medical Care shares
Income available to
all ordinary shares 248 219
Denominators in number of shares
Weighted-average number of
ordinary shares outstanding 179,803,512 178,236,155
Potentially dilutive
ordinary shares 1,667,274 1,838,889
Weighted-average number
of ordinary shares outstanding
assuming dilution 181,470,786 180,075,044
Basic earnings per
ordinary share in € 1.38 1.23
Fully diluted earnings
per ordinary share in € 1.37 1.22

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

7. CASH AND CASH EQUIVALENTS

As of March 31, 2014 and December 31, 2013, cash and cash equivalents were as follows:

€ in millions March 31, 2014 Dec. 31, 2013
Cash 807 846
Time deposits and securities
(with a maturity of up to 90 days) 22 18
Total cash and cash equivalents 829 864

As of March 31, 2014 and December 31, 2013, earmarked funds of € 29 million and € 22 million, respectively, were included in cash and cash equivalents.

8. TRADE ACCOUNTS RECEIVABLE

As of March 31, 2014 and December 31, 2013, trade accounts receivable were as follows:

€ in millions March 31, 2014 Dec. 31, 2013
Trade accounts receivable 4,231 3,961
less allowance for doubtful accounts 498 487
Trade accounts receivable, net 3,733 3,474

9. INVENTORIES

As of March 31, 2014 and December 31, 2013, inventories consisted of the following:

€ in millions March 31, 2014 Dec. 31, 2013
Raw materials and
purchased components
499 445
Work in process 349 323
Finished goods 1,417 1,314
less reserves 85 68
Inventories, net 2,180 2,014

10. OTHER CURRENT AND NON-CURRENT ASSETS

The purchase price deposit in the amount of € 2,178 million, that was shown under other non-current assets as of December 31,2013, was offset in the course of the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG in the fi rst quarter of 2014.

As of March 31, 2014, investments, securities and long-term loans were comprised of investments of € 533 million (December 31, 2013: € 482 million), mainly regarding the joint venture between Fresenius Medical Care and Galenica Ltd., that were accounted for under the equity method. In the fi rst quarter of 2014, income of € 9 million (Q1 2013: € 4 million) resulting from this valuation was included in selling, general and administrative expenses in the consolidated statement of

income. Moreover, investments, securities and long-term loans included € 285 million fi nancial assets available for sale as of March 31, 2014 (December 31, 2013: € 197 million). These mainly refer to shares in Rhön-Klinikum AG with acquisition costs of € 124 million and a fair value of € 161 million. Furthermore, investments and long-term loans included € 121 million as of March 31, 2014 that Fresenius Medical Care loaned to a middle-market dialysis provider.

11. GOODWILL AND OTHER INTANGIBLE ASSETS

As of March 31, 2014 and December 31, 2013, intangible assets, split into amortizable and non-amortizable intangible assets, consisted of the following:

AMORTIZABLE INTANGIBLE ASSETS

March 31, 2014 Dec. 31, 2013
€ in millions Acquisition
cost
Accumulated
amortization
Carrying
amount
Acquisition
cost
Accumulated
amortization
Carrying
amount
Patents, product and distribution rights 571 241 330 571 235 336
Technology 304 53 251 303 48 255
Non-compete agreements 238 179 59 237 174 63
Other 789 387 402 771 371 400
Total 1,902 860 1,042 1,882 828 1,054

Estimated regular amortization expenses of intangible assets for the next fi ve years are shown in the following table:

€ in millions Q2 – 4 / 2014 2015 2016 2017 2018 Q1 / 2019
Estimated amortization expenses 103 131 122 118 115 27

NON-AMORTIZABLE INTANGIBLE ASSETS

March 31, 2014 December 31, 2013
€ in millions Acquisition
cost
Accumulated
amortization
Carrying
amount
Acquisition
cost
Accumulated
amortization
Carrying
amount
Tradenames 182 0 182 182 0 182
Management contracts 5 0 5 5 0 5
Goodwill 16,674 0 16,674 14,826 0 14,826
Total 16,861 0 16,861 15,013 0 15,013

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, 2013 8,657 4,123 2,151 77 6 15,014
Additions 195 138 14 8 0 355
Disposals 0 - 4 0 0 0 - 4
Reclassifi cations 0 0 0 0
Foreign currency translation - 398 - 141 0 0 0 - 539
Carrying amount as of December 31, 2013 8,454 4,116 2,165 85 6 14,826
Additions 9 1,879 0 0 1,888
Disposals 0 0 - 25 0 0 - 25
Reclassifi cations 0 0 0 0
Foreign currency translation - 16 1 0 0 0 - 15
Carrying amount as of March 31, 2014 8,447 4,117 4,019 85 6 16,674

The goodwill additions in the segment Fresenius Helios in the fi rst quarter of 2014 resulted from the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG.

As of March 31, 2014 and December 31, 2013, the carrying amounts of the other non-amortizable intangible assets were € 158 million, respectively, for Fresenius Medical Care as well as € 29 million, respectively, for Fresenius Kabi.

12. DEBT AND CAPITAL LEASE OBLIGATIONS

SHORT-TERM DEBT

The Fresenius Group had short-term debt of € 297 million and € 959 million at March 31, 2014 and December 31, 2013, respectively. As of March 31, 2014, this debt consisted of borrowings by certain entities of the Fresenius Group under lines of credit with commercial banks of € 292 million. Furthermore, € 5 million were outstanding under the commercial paper program of Fresenius SE & Co. KGaA, which was increased to € 1,000 million in March 2014.

LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS

As of March 31, 2014 and December 31, 2013, long-term debt and capital lease obligations consisted of the following:

€ in millions March 31, 2014 Dec. 31, 2013
Fresenius Medical Care 2012 Credit Agreement 2,111 1,963
2013 Senior Credit Agreement 2,868 1,709
Bridge Financing Facility 0 1,410
Euro Notes 859 859
European Investment Bank Agreements 48 188
Accounts receivable facility of Fresenius Medical Care 304 255
Capital lease obligations 95 94
Other 200 248
Subtotal 6,485 6,726
less current portion 1,053 855
Long-term debt and capital lease obligations, less current portion 5,432 5,871

Fresenius Medical Care 2012 Credit Agreement Fresenius Medical Care AG & Co. KGaA (FMC-AG & Co. KGaA) entered into a syndicated credit facility ( Fresenius Medical Care 2012 Credit Agreement) of initially US\$ 3,850 million

with a large group of banks and institutional investors (collectively, the Lenders) on October 30, 2012 which replaced a prior credit agreement.

The following tables show the available and outstanding amounts under the Fresenius Medical Care 2012 Credit Agreement at March 31, 2014 and at December 31, 2013:

March 31, 2014
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit (in US\$) US\$ 600 million 435 US\$336 million 244
Revolving Credit (in €) € 500 million 500 € 90 million 90
Term Loan A US\$ 2,450 million 1,777 US\$ 2,450 million 1,777
Total 2,712 2,111
December 31, 2013
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit (in US\$) US\$ 600 million 435 US\$138 million 100
Revolving Credit (in €) € 500 million 500 € 50 million 50
Term Loan A US\$ 2,500 million 1,813 US\$2,500 million 1,813
Total 2,748 1,963

In addition, at March 31, 2014 and December 31, 2013, Fresenius Medical Care had letters of credit outstanding in the amount of US\$ 7 million and US\$ 9 million, respectively, which were not included above as part of the balance outstanding at those dates but which reduce available borrowings under the Revolving Credit Facility.

As of March 31, 2014, FMC-AG & Co. KGaA and its subsidiaries were in compliance with all covenants under the Fresenius Medical Care 2012 Credit Agreement.

2013 Senior Credit Agreement

On December 20, 2012, Fresenius SE & Co. KGaA and various subsidiaries entered into a delayed draw syndicated credit agreement (2013 Senior Credit Agreement) in the initial amount of US\$ 1,300 million and € 1,250 million. The 2013 Senior Credit Agreement was funded on June 28, 2013 and

replaced the 2008 Senior Credit Agreement. On August 7, 2013, the 2013 Senior Credit Agreement was extended by a term loan B facility in the amount of US\$ 500 million.

The 2013 Senior Credit Agreement allows for establishment of incremental facilities if certain conditions are met. In line with these provisions, the 2013 Senior Credit Agreement has been increased on November 27, 2013 by facilities in the initial amount of € 1,200 million, which consisted initially of an incremental term loan facility A of € 600 million, an incremental term loan facility B of € 300 million and an incremental revolving facility of € 300 million. These incremental facilities were drawn down on February 27, 2014 and were used to fund the acquisition of hospitals from Rhön-Klinikum AG.

The following tables show the available and outstanding amounts under the 2013 Senior Credit Agreement at March 31, 2014 and at December 31, 2013:

March 31, 2014
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit Facilities (in €) € 900 million 900 € 300 million 300
Revolving Credit Facilities (in US\$) US\$ 300 million 218 US\$ 0 million 0
Term Loan A (in €) € 1,212 million 1,212 € 1,212 million 1,212
Term Loan A (in US\$) US\$ 960 million 696 US\$ 960 million 696
Term Loan B (in €) € 299 million 299 € 299 million 299
Term Loan B (in US\$) US\$ 498 million 361 US\$ 498 million 361
Total 3,686 2,868
December 31, 2013
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit Facilities (in €) € 600 million 600 € 0 million 0
Revolving Credit Facilities (in US\$) US\$ 300 million 218 US\$ 0 million 0
Term Loan A (in €) € 637 million 637 € 637 million 637
Term Loan A (in US\$) US\$ 980 million 710 US\$ 980 million 710
Term Loan B (in US\$) US\$ 499 million 362 US\$ 499 million 362
Total 2,527 1,709

As of March 31, 2014, the Fresenius Group was in compliance with all covenants under the 2013 Senior Credit Agreement.

Bridge Financing Facility

On October 15, 2013, Fresenius SE & Co. KGaA entered into a Bridge Financing Facility in the amount of € 1,800 million with a group of banks. The Bridge Financing Facility was guaranteed by Fresenius ProServe GmbH and Fresenius Kabi AG. The Bridge Financing Facility had been drawn in an amount of € 1,500 million on December 30, 2013. The proceeds were used for advances made in the amount of € 2,178 million under a fi duciary arrangement for the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG. The majority of the transaction was closed on February 27, 2014.

The Bridge Financing Facility initially had a one year tenor and had to be mandatorily reduced by the net proceeds of any capital markets transaction. In line with these provisions, the facility has been reduced by the net proceeds of the € 1,200 million Senior Notes issuances as well as the US\$ 300 million Senior Notes issuance that were made in January and February 2014. For more information, see note 13, Senior Notes. Due to the refi nancing, this portion of the Bridge Financing Facility in the amount of € 1,410 million is shown under longterm debt in the consolidated statement of fi nancial position at December 31, 2013. On February 27, 2014, the Bridge Financing Facility was voluntarily cancelled before maturity and the remaining outstanding amount of € 90 million was prepaid.

Euro Notes

As of March 31, 2014 and December 31, 2013, Euro Notes (Schuldscheindarlehen) of the Fresenius Group consisted of the following:

Book value / nominal value
€ in millions
Maturity Interest rate March 31, 2014 Dec. 31, 2013
Fresenius Finance B.V. 2008 / 2014 April 2, 2014 5.98% 112 112
Fresenius Finance B.V. 2008 / 2014 April 2, 2014 variable 88 88
Fresenius Finance B.V. 2007 / 2014 July 2, 2014 5.75% 38 38
Fresenius Finance B.V. 2007 / 2014 July 2, 2014 variable 62 62
Fresenius SE & Co. KGaA 2012 / 2016 April 4, 2016 3.36% 156 156
Fresenius SE & Co. KGaA 2012 / 2016 April 4, 2016 variable 129 129
Fresenius SE & Co. KGaA 2013 / 2017 Aug. 22, 2017 2.65% 51 51
Fresenius SE & Co. KGaA 2013 / 2017 Aug. 22, 2017 variable 74 74
Fresenius SE & Co. KGaA 2012 / 2018 April 4, 2018 4.09% 72 72
Fresenius SE & Co. KGaA 2012 / 2018 April 4, 2018 variable 43 43
Fresenius Medical Care AG & Co. KGaA 2009 / 2014 Oct. 27, 2014 8.38% 11 11
Fresenius Medical Care AG & Co. KGaA 2009 / 2014 Oct. 27, 2014 variable 23 23
Euro Notes 859 859

All Euro Notes due in 2014 are shown as current portion of long-term debt and capital lease obligations in the consolidated statement of fi nancial position.

The Euro Notes issued by Fresenius Finance B.V. in the amount of € 200 million, which were due on April 2, 2014, were repaid as scheduled. Fresenius SE & Co. KGaA issued Euro Notes in the amount of € 334 million for the refi nancing of the € 200 million Euro Notes as well as for general corporate purposes on April 2, 2014. In addition, an agreement for the issuance of further Euro Notes in an amount of € 166 million was reached. These additional Euro Notes will be issued on July 2, 2014. The new Euro Notes are guaranteed by Fresenius Kabi AG and Fresenius ProServe GmbH.

As of March 31, 2014, the Fresenius Group was in compliance with all of its covenants under the Euro Notes.

European Investment Bank Agreements

The following table shows the amounts outstanding under the European Investment Bank (EIB) facilities as of March 31, 2014 and December 31, 2013:

Book value
€ in millions
Maturity March 31, 2014 Dec. 31, 2013
Fresenius Medical Care AG & Co. KGaA 2013 / 2014 0 140
HELIOS Kliniken GmbH 2019 48 48
Loans from EIB 48 188

The loans borrowed by FMC-AG & Co. KGaA, which were due on February 3 and 17, 2014, respectively, were repaid as scheduled.

As of March 31, 2014, the Fresenius Group was in compliance with the respective covenants.

CREDIT LINES

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 March 31, 2014, the additional fi nancial cushion resulting from unutilized credit facilities was approximately € 2.3 billion.

13. SENIOR NOTES

As of March 31, 2014 and December 31, 2013, Senior Notes of the Fresenius Group consisted of the following:

Book value
€ in millions
Notional amount Maturity
Feb. 1, 2019
Interest rate March 31, 2014 Dec. 31, 2013
Fresenius Finance B.V. 2014 / 2019 € 300 million 2.375% 299 0
Fresenius Finance B.V. 2012 / 2019 € 500 million Apr. 15, 2019 4.25% 500 500
Fresenius Finance B.V. 2013 / 2020 € 500 million July 15, 2020 2.875% 500 500
Fresenius Finance B.V. 2014 / 2021 € 450 million Feb. 1, 2021 3.00% 444 0
Fresenius Finance B.V. 2014 / 2024 € 450 million Feb. 1, 2024 4.00% 453 0
Fresenius US Finance II, Inc. 2009 / 2015 € 275 million July 15, 2015 8.75% 271 270
Fresenius US Finance II, Inc. 2009 / 2015 US\$ 500 million July 15, 2015 9.00% 358 357
Fresenius US Finance II, Inc. 2014 / 2021 US\$ 300 million Feb. 1, 2021 4.25% 216 0
FMC Finance VI S.A. 2010 / 2016 € 250 million July 15, 2016 5.50% 249 249
FMC Finance VII S.A. 2011 / 2021 € 300 million Feb. 15, 2021 5.25% 295 295
FMC Finance VIII S.A. 2011 / 2016 € 100 million Oct. 15, 2016 variable 100 100
FMC Finance VIII S.A. 2011 / 2018 € 400 million Sept. 15, 2018 6.50% 396 396
FMC Finance VIII S.A. 2012 / 2019 € 250 million July 31, 2019 5.25% 243 243
Fresenius Medical Care US Finance, Inc. 2007 / 2017 US\$ 500 million July 15, 2017 6.875% 361 360
Fresenius Medical Care US Finance, Inc. 2011 / 2021 US\$ 650 million Feb. 15, 2021 5.75% 468 468
Fresenius Medical Care US Finance II, Inc. 2011 / 2018 US\$ 400 million Sept. 15, 2018 6.50% 288 287
Fresenius Medical Care US Finance II, Inc. 2012 / 2019 US\$ 800 million July 31, 2019 5.625% 580 580
Fresenius Medical Care US Finance II, Inc. 2012 / 2022 US\$ 700 million Jan. 31, 2022 5.875% 508 508
Senior Notes 6,529 5,113

On January 23, 2014, Fresenius Finance B.V. issued unsecured Senior Notes of € 750 million. The € 300 million tranche due 2019 has a coupon of 2.375% and was issued at a price of 99.647%. The € 450 million tranche which has a coupon of 3.00% was issued at a price of 98.751% and is due in 2021.

Moreover, Fresenius Finance B.V. placed € 300 million of unsecured Senior Notes with a maturity of 10 years on January 28, 2014. The Senior Notes have a coupon of 4.00% and were placed at par. On February 6, 2014, these Senior Notes were increased by an amount of € 150 million at a price of 102%. The Senior Notes in the nominal amount of € 450 million were issued on February 11, 2014.

Furthermore, on February 14, 2014, Fresenius US Finance II, Inc. issued US\$ 300 million of unsecured Senior Notes with a maturity of seven years. The Senior Notes have a coupon of 4.25% and were issued at par.

Net proceeds of the Senior Notes issued in January and February 2014 were used to partially refi nance the drawing under the Bridge Financing Facility. On February 27, 2014, the Bridge Financing Facility was voluntarily cancelled before maturity and the remaining outstanding amount of € 90 million was repaid.

As of March 31, 2014, the Fresenius Group was in compliance with all of its covenants.

14. CONVERTIBLE BONDS

On March 18, 2014, the Fresenius Group placed € 500 million equity-neutral convertible bonds due 2019. The bonds were issued at par. The coupon was fi xed at 0%, the initial conversion price has been determined at € 149.3786. This represents a 35% premium over the reference share price of € 110.65081. The reference share price has been determined as the arithmetic average of Fresenius' daily volume-weighted average XETRA share prices over a period of 10 consecutive XETRA trading days, starting on March 19, 2014. Net proceeds were used to partially fund the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG.

The fair value of the derivative embedded in the convertible bonds was € 46 million at March 31, 2014. Fresenius SE & Co. KGaA has purchased stock options (call options) to secure against future fair value fl uctuations of this derivative. The stock options also had an aggregate fair value of € 46 million at March 31, 2014.

The conversion will be cash-settled. Any increase of Fresenius' share price above the conversion price would be offset by a corresponding value increase of the call options.

The derivative embedded in the convertible bonds and the stock options are recognized in other non-current liabilities / assets in the consolidated statement of fi nancial position.

  1. PENSIONS AND SIMILAR OBLIGATIONS

DEFINED BENEFIT PENSION PLANS

At March 31, 2014, the pension liability of the Fresenius Group was € 723 million. The current portion of the pension liability of € 15 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 € 708 million is recorded as pension liability.

Contributions to Fresenius Group's pension fund were € 25 million in the fi rst quarter of 2014. The Fresenius Group expects approximately € 38 million contributions to the pension fund during 2014.

Defi ned benefi t pension plans' net periodic benefi t costs of € 18 million (Q1 2013: € 19 million) were comprised of the following components:

€ in millions Q1 / 2014 Q1 / 2013
Service cost 8 7
Interest cost 10 10
Expected return on plan assets - 4 - 4
Amortization of unrealized
actuarial losses, net 4 6
Amortization of prior service costs
Amortization of transition obligations
Settlement loss
Net periodic benefi t cost 18 19

16. NONCONTROLLING INTEREST

NONCONTROLLING INTEREST SUBJECT TO PUT PROVISIONS

Noncontrolling interest subject to put provisions changed as follows:

€ in millions Q1 / 2014
Noncontrolling interest subject to
put provisions as of January 1, 2014
472
Noncontrolling interest subject to
put provisions in profi t
19
Dividend payments - 21
Currency effects, fi rst-time consolidations
and other changes
- 10
Noncontrolling interest subject to
put provisions as of March 31, 2014
460

As of March 31, 2014 and December 31, 2013, put options with an aggregate purchase obligation of € 182 million and € 200 million, respectively, were exercisable. No put options were exercised in the fi rst quarter of 2014 and 2013.

NONCONTROLLING INTEREST NOT SUBJECT TO PUT PROVISIONS

As of March 31, 2014 and December 31, 2013, noncontrolling interest not subject to put provisions in the Fresenius Group was as follows:

€ in millions March 31, 2014 Dec. 31, 2013
Noncontrolling interest
not subject to put provisions in
Fresenius Medical Care AG & Co. KGaA
4,696 4,599
Noncontrolling interest
not subject to put provisions
in VAMED AG
38 38
Noncontrolling interest
not subject to put provisions
in the business segments
Fresenius Medical Care 186 182
Fresenius Kabi 126 126
Fresenius Helios 132 117
Fresenius Vamed 4 3
Total noncontrolling interest
not subject to put provisions
5,182 5,065

Noncontrolling interest not subject to put provisions changed as follows:

€ in millions Q1 / 2014
Noncontrolling interest not subject to
put provisions as of January 1, 2014
5,065
Noncontrolling interest not subject to
put provisions in profi t
125
Purchase of noncontrolling interest not
subject to put provisions
11
Stock options 6
Dividend payments - 7
Currency effects, fi rst-time consolidations
and other changes
- 18
Noncontrolling interest not subject to
put provisions as of March 31, 2014
5,182

17. FRESENIUS SE & CO. KGAA SHAREHOLDERS' EQUITY

SUBSCRIBED CAPITAL

During the fi rst quarter of 2014, 129,250 stock options were exercised. Consequently, as of March 31, 2014, the subscribed capital of Fresenius SE & Co. KGaA consisted of 179,824,079 bearer ordinary shares. The shares are issued as non-par value shares. The proportionate amount of the subscribed capital is € 1.00 per share.

CONDITIONAL CAPITAL

Corresponding to the stock option plans, the Conditional Capital of Fresenius SE & Co. KGaA is divided into Conditional Capital I, Conditional Capital II, Conditional Capital III and Conditional Capital IV. These are used to satisfy the subscription rights in connection with previously issued stock options or convertible bonds, as the case may be, for bearer ordinary shares under the stock option plans of 2003, 2008 and 2013 (see note 24, Stock options).

The following table shows the development of the Conditional Capital:

in € Ordinary shares
Conditional Capital I Fresenius AG Stock Option Plan 2003 2,111,517
Conditional Capital II Fresenius SE Stock Option Plan 2008 4,262,602
Conditional Capital III, approved on May 11, 2012 16,323,734
Conditional Capital IV Fresenius SE & Co. KGaA Stock Option Plan 2013 8,400,000
Total Conditional Capital as of January 1, 2014 31,097,853
Fresenius AG Stock Option Plan 2003 – options exercised - 44,598
Fresenius SE Stock Option Plan 2008 – options exercised - 84,652
Total Conditional Capital as of March 31, 2014 30,968,603

DIVIDENDS

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

In May 2014, the general partner and the Supervisory Board of Fresenius SE & Co. KGaA propose a dividend of € 1.25 per bearer ordinary share to the Annual General Meeting, i. e. a total dividend payment of € 224.6 million.

18. OTHER COMPREHENSIVE INCOME (LOSS)

Other comprehensive income (loss) comprises all amounts recognized directly in equity (net of tax) resulting from the currency translation of foreign subsidiaries' fi nancial statements and the effects of measuring fi nancial instruments at their fair value as well as the change in benefi t obligation.

Changes in accumulated other comprehensive income (loss) net of tax by component were as follows:

€ in millions Cash fl ow
hedges
Change of
fair value of
available for
sale fi nancial
assets
Foreign
currency
translation
Actuarial
gains / losses
on defi ned
benefi t
pension
plans
Total,
before non
controlling
interest
Non
controlling
interest
Total,
after non
controlling
interest
Balance as of December 31, 2012 - 122 - 17 168 - 157 - 128 13 - 115
Other comprehensive income (loss) before reclassifi cations 3 9 73 - 3 82 142 224
Amounts reclassifi ed from accumulated
other comprehensive income (loss) 1 0 2 3 4 7
Other comprehensive income (loss), net 4 9 73 - 1 85 146 231
Balance as of March 31, 2013 - 118 - 8 241 - 158 - 43 159 116
Balance as of December 31, 2013 - 107 17 - 99 - 162 - 351 - 255 - 606
Other comprehensive income (loss) before reclassifi cations - 3 10 - 34 - 1 - 28 - 29 - 57
Amounts reclassifi ed from accumulated
other comprehensive income (loss) 4 0 2 6 4 10
Other comprehensive income (loss), net 1 10 - 34 1 - 22 - 25 - 47
Balance as of March 31, 2014 - 106 27 - 133 - 161 - 373 - 280 - 653

Reclassifi cations out of accumulated other comprehensive income (loss) were as follows:

Amount of gain or loss reclassifi ed
from accumulated other
comprehensive (income) loss
€ in millions Q1 / 2014 Q1 / 2013 Affected line item in the
consolidated statement of income
Details about accumulated other comprehensive (income) loss components
Cash fl ow hedges
Interest rate contracts 8 6 Interest income / expense
Foreign exchange contracts 1 - 1 Cost of sales
Foreign exchange contracts Selling, general and
administrative expenses
Foreign exchange contracts 0 Interest income / expense
Other comprehensive income (loss) 9 5
Tax expense or benefi t - 2 - 2
Other comprehensive income (loss), net 7 3
Amortization of defi ned benefi t pension items
Prior service costs 1
Transition obligations 1
Actuarial gains / losses on defined benefit pension plans 4 6 1
Other comprehensive income (loss) 4 6
Tax expense or benefi t - 1 - 2
Other comprehensive income (loss), net 3 4
Total reclassifi cations for the period 10 7

Net periodic benefi t cost is allocated as personnel expense within cost of sales or selling,

general and administrative expenses as well as research and development expenses.

OTHER NOTES

19. LEGAL AND REGULATORY MATTERS

The Fresenius Group is routinely involved in numerous 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 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 in the 2013 Annual Report. In the following, only the changes during the fi rst quarter ended March 31, 2014 compared to the information provided in the consolidated fi nancial statements are described. These changes should be read in conjunction with the overall information in the consolidated fi nancial statements in the 2013 Annual Report; defi ned terms or abbreviations having the same meaning as in the 2013 Annual Report.

W.R. GRACE & CO. LAWSUIT

On February 3, 2014, the Court of Appeals dismissed the last of the appeals of the District Court order confi rming the plan of reorganization, and the Grace Bankruptcy Plan went effective on that date. Pursuant to the terms of the Settlement Agreement and the Grace Bankruptcy Plan, all actions asserting fraudulent conveyance and other claims raised on behalf of asbestos claimants were dismissed with prejudice and Fresenius Medical Care received protection against existing and potential future W.R. Grace & Co. related claims, including fraudulent conveyance and asbestos claims by operation of injunctions and releases and Fresenius Medical Care also received indemnifi cation against income tax claims related to the non-NMC members of the W.R. Grace & Co. consolidated tax group. Also, pursuant to the Settlement Agreement on February 3, 2014, Fresenius Medical Care paid a total of US\$ 115 million, which had previously been accrued and is included on Fresenius Group's consolidated statement of fi nancial position, to the asbestos personal injury and property damage trusts created under the Grace Bankruptcy Plan. No admission of liability was made.

BAXTER PATENT DISPUTE "TOUCHSCREEN INTER-FACES" (1)

On March 5, 2014, Baxter petitioned the United States Supreme Court to review the decisions of the Federal Circuit.

PRODUCT LIABILITY LITIGATION

In addition, similar cases have been fi led in state courts outside Massachusetts, in some of which the judicial authorities have established consolidated proceedings for their disposition.

INTERNAL REVIEW

Fresenius Medical Care has recorded a non-material accrual for an identifi ed matter. Given the current status of the internal review, Fresenius Medical Care cannot reasonably estimate the range of possible loss that may result from additional identifi ed matters or from the fi nal outcome of the continuing internal review.

The Fresenius Group regularly analyzes current information including, as applicable, 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, 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 and dialysis clinics, 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 U.S. 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 appropriate 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 U.S., 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. FMCH is currently engaged in remediation efforts with respect to three pending FDA warning letters. 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 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 "qui tam" or "whistle blower" actions. In May 2009, the scope of the False Claims Act was expanded and additional protections for whistle blowers and procedural provisions to aid whistle blowers' ability to proceed in a False Claims Act case were added. 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 applicable laws and regulations. The Fresenius Group may not always be aware that an inquiry or action has begun, particularly in the case of "whistle blower" actions, which are initially fi led under court seal.

20. FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

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 March 31, 2014 and December 31, 2013, classifi ed into classes:

March 31, 2014 Dec. 31, 2013
€ in millions Fair value
hierarchy level
Carrying
amount
Fair value Carrying
amount
Fair value
Cash and cash equivalents 1 829 829 864 864
Assets recognized at carrying amount 3 3,872 3,885 3,622 3,629
Assets recognized at fair value 1 285 285 197 197
Liabilities recognized at carrying amount 2 14,582 15,160 13,691 14,225
Liabilities recognized at fair value 2 62 62 16 16
Noncontrolling interest subject to
put provisions recognized at fair value
3 460 460 472 472
Derivatives for hedging purposes 2 50 50 10 10

The signifi cant methods and assumptions used to estimate the fair values of fi nancial instruments as well as classifi cation of fair value measurements according to the three-tier fair value hierarchy are as follows:

Cash and cash equivalents are stated at nominal value, which equals the fair value.

The nominal value of short-term fi nancial instruments such as accounts receivable and payable and short-term debt represents its carrying amount, which is a reasonable estimate of the fair value due to the relatively short period to maturity for these instruments.

The fair values of major long-term fi nancial instruments are calculated on the basis of market information. Financial instruments for which market quotes are available are measured with the market quotes at the reporting date. The fair values of the other long-term fi nancial liabilities are calculated at the present value of respective future cash fl ows. To determine these present values, the prevailing interest rates and credit spreads for the Fresenius Group as of the date of the statement of fi nancial position are used.

The class assets recognized at carrying amount consists of trade accounts receivable and a loan which Fresenius Medical Care granted to a middle-market dialysis provider. The fair value of the loan is based on signifi cant unobservable inputs of comparable instruments and thus the class is classifi ed as fair value hierarchy Level 3.

The class assets recognized at fair value is comprised of European government bonds, shares and shares in funds. The fair values of these assets are calculated on the basis of market information. Therefore, this class is classifi ed as Level 1.

The class liabilities recognized at carrying amount is classifi ed as hierarchy Level 2.

The derivative embedded in the convertible bonds is included in the class liabilities recognized at fair value. The fair value of this derivative is derived from market quotes. The class was classifi ed as Level 2.

The valuation of the class noncontrolling interest subject to put provisions recognized at fair value is determined using signifi cant unobservable inputs. It is therefore classifi ed as Level 3.

Derivatives, mainly consisting of interest rate swaps and foreign exchange forward contracts, are valued as follows: The fair value of interest rate swaps is calculated by discounting the future cash fl ows on the basis of the market interest rates applicable for the remaining term of the contract as of the date of the statement of fi nancial position. To determine the fair value of foreign exchange forward contracts, the contracted forward rate is compared to the current forward rate for the remaining term of the contract as of the date of the statement of fi nancial position. The result is then discounted on the basis of the market interest rates prevailing at the date of the statement of fi nancial position for the respective currency.

Fresenius Group's own credit risk is incorporated in the fair value estimation of derivatives that are liabilities. Counterparty credit risk adjustments are factored into the valuation of derivatives that are assets. The Fresenius Group monitors

and analyses the credit risk from derivative fi nancial instruments on a regular basis. For the valuation of derivative fi nancial instruments, the credit risk is considered in the fair value of every individual instrument. The basis for the default probability are Credit Default Swap Spreads of each counterparty appropriate for the duration. The calculation of the credit risk considered in the valuation is done by multiplying the default probability appropriate for the duration with the expected discounted cash fl ows of the derivative fi nancial instrument.

In the class derivatives for hedging purposes, stock options are included to secure the convertible bonds. The fair values of these stock options are derived from market quotes. For the fair value measurement of the class deriv atives for hedging purposes, signifi cant other observable inputs are used. Therefore, the class is classifi ed as Level 2 in accordance with the defi ned fair value hierarchy levels.

Currently, there is no indication that a decrease in the value of Fresenius Group's fi nancing receivables is probable. Therefore, the allowances on credit losses of fi nancing receivables are immaterial.

FAIR VALUES OF DERIVATIVE FINANCIAL INSTRUMENTS

March 31, 2014 Dec. 31, 2013
€ in millions Assets Liabilities Assets Liabilities
Interest rate contracts (current) 0 2 0 4
Interest rate contracts (non-current) 0 4 0 4
Foreign exchange contracts (current) 11 5 15 5
Foreign exchange contracts (non-current) 1
Derivatives designated as hedging instruments 1 11 11 16 13
Interest rate contracts (current) 0 0 0
Interest rate contracts (non-current) 0 1 0 1
Foreign exchange contracts (current) 1 12 7 15 8
Foreign exchange contracts (non-current) 1 1 1 1
Derivative embedded in the convertible bonds 0 46 0 0
Stock options to secure the convertible bonds 1 46 0 0 0
Derivatives not designated as hedging instruments 58 55 16 10

Derivatives designated as hedging instruments, foreign exchange contracts not designated as hedging instruments and stock options to secure the convertible bonds 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 derivative embedded in the convertible bonds were recognized at gross value within other assets in an amount of € 69 million and other liabilities in an amount of € 65 million.

The current portion of interest rate contracts and foreign exchange contracts 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 derivative embedded in the convertible bonds and the stock options to secure the convertible bonds are recognized in other non-current liabilities / assets in the consolidated statement of fi nancial position.

EFFECT OF DERIVATIVES DESIGNATED AS HEDGING INSTRUMENTS ON THE CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

Q1 / 2014
€ 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 8 1
Foreign exchange contracts - 6 1
Derivatives in cash fl ow hedging relationships 1 - 5 9 1
Foreign exchange contracts
Derivatives in fair value hedging relationships
Derivatives designated as hedging instruments - 5 9 1
Q1 / 2013
€ 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 8 6 1
Foreign exchange contracts - 1 - 1
Derivatives in cash fl ow hedging relationships 1 7 5 1
Foreign exchange contracts - 8
Derivatives in fair value hedging relationships - 8
Derivatives designated as hedging instruments 7 5 - 7

The amount of gain or loss recognized in the consolidated statement

of income solely relates to the ineffective portion.

EFFECT OF DERIVATIVES NOT DESIGNATED AS HEDGING INSTRUMENTS ON THE CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

Gain or loss recognized in
the consolidated statement of income
€ in millions Q1 / 2014 Q1 / 2013
Interest rate contracts 2
Foreign exchange contracts 6 31
Derivatives not designated as hedging instruments 6 33

Gains from derivatives in fair value hedging relationships and from foreign exchange contracts not designated as hedging instruments recognized in the consolidated statement of income are faced by losses from the underlying transactions in the corresponding amount.

The Fresenius Group expects to recognize a net amount of € 183 thousand of the existing losses for foreign exchange contracts deferred in accumulated other comprehensive income (loss) in the consolidated statement of income within the next 12 months. For interest rate contracts, the Fresenius Group expects to recognize € 31 million of losses in the course of normal business during the next 12 months in interest expense.

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 quarter of 2014, gains of € 10 million (Q1 2013: € 9 million) for available for sale fi nancial assets were recognized in other comprehensive income (loss).

MARKET RISK

General

The Fresenius Group is exposed to effects related to foreign exchange fl uctuations in connection with its international business activities that are denominated in various currencies. In order to fi nance its business operations, the Fresenius Group issues senior notes and commercial papers and enters into mainly long-term credit agreements and euro notes (Schuld scheindarlehen) with banks. Due to these fi nancing activities, the Fresenius Group is exposed to interest risk caused by changes in variable interest rates and the risk of changes in the fair value of statement of fi nancial position items bearing fi xed interest rates.

In order to manage the risk of interest rate and foreign exchange rate fl uctuations, the Fresenius Group enters into certain hedging transactions with highly rated fi nancial institutions as authorized by the Management Board. Derivative fi nancial instruments are not entered into for trading purposes.

The Fresenius Group defi nes benchmarks for individual exposures in order to quantify interest and foreign exchange risks. The benchmarks are derived from achievable and sustainable market rates. Depending on the individual benchmarks, hedging strategies are determined and generally implemented by means of micro hedges.

Securities, which are predominantly held as European government bonds, shares and shares in funds, are generally subject to the risk of changing stock exchange prices. Therefore, the stock exchange prices of these securities are continuously monitored to identify possible price risks on time.

Derivative fi nancial instruments

Classifi cation

To reduce the credit risk arising from derivatives, the Fresenius Group concluded master netting agreements with banks. Through such agreements, positive and negative fair values of the derivative contracts could be offset against one another if a partner becomes insolvent. This offsetting is valid for transactions where the aggregate amount of obligations owed to and receivable from are not equal. If insolvency occurs, the party which owes the larger amount is obliged to pay the other party the difference between the amounts owed in the form of one net payment.

Fresenius elects not to offset the fair values of derivative fi nancial instruments subject to master netting agreements in the consolidated statement of fi nancial position.

At March 31, 2014 and December 31, 2013, the Fresenius Group had € 22 million and € 29 million of derivative fi nancial assets subject to netting arrangements and € 19 million and € 22 million of derivative fi nancial liabilities subject to netting arrangements. Offsetting these derivative fi nancial instruments would have resulted in net assets of € 15 million and € 22 million as well as net liabilities of € 12 million and € 15 million at March 31, 2014 and December 31, 2013, respectively.

Foreign exchange risk management

Solely for the purpose of hedging existing and foreseeable foreign exchange transaction exposures, the Fresenius Group enters into foreign exchange forward contracts and, on a small scale, foreign exchange options. To ensure that no foreign exchange risks result from loans in foreign currencies, the Fresenius Group enters into foreign exchange swap contracts.

As of March 31, 2014, the notional amounts of foreign exchange contracts totaled € 1,592 million. These foreign exchange contracts have been entered into to hedge risks from operational business and in connection with loans in foreign currency. The predominant part of the foreign exchange forward contracts to hedge risks from operational business was recognized as cash fl ow hedge, while foreign exchange contracts in connection with loans in foreign currencies are partly recognized as fair value hedges. The fair value of cash fl ow hedges was € 6 million. As of March 31, 2014, no fair value hedges were recognized in the Fresenius Group.

As of March 31, 2014, the Fresenius Group was party to foreign exchange contracts with a maximum maturity of 20 months.

Interest rate risk management

The Fresenius Group enters into interest rate swaps and, on a small scale, into interest rate options in order to protect against the risk of rising interest rates. These interest rate derivatives are mainly designated as cash fl ow hedges and have been entered into in order to convert payments based on variable interest rates into payments at a fi xed interest rate.

As of March 31, 2014, the interest rate swaps had a notional volume of US\$ 600 million (€ 435 million) and € 263 million as well as fair values of - US\$ 3 million and - € 5 million, respectively, which expire between 2014 and 2022.

In addition, the Fresenius Group also enters into interest rate hedges (pre-hedges) in anticipation of future debt issuance to effectively convert the variable interest rate related to the future debt to a fi xed interest rate. These pre-hedges are settled at the issuance date of the corresponding debt with the settlement amount recorded in accumulated other comprehensive income (loss) amortized to interest expense over the life of the pre-hedges. At March 31, 2014 and December 31, 2013, the Fresenius Group had € 107 million and € 113 million, respectively, related to such settlements of pre-hedges deferred in accumulated other comprehensive income (loss), net of tax.

Stock price risk management

Price risks arise from changing stock prices of available for sale fi nancial assets. Gains and losses arising from available for sale fi nancial assets are recognized directly in the consolidated statement of equity until the asset is disposed of or if it is considered to be impaired. A decline of 10% in prices of the recognized assets would have an effect of less than 0.4% on Fresenius SE & Co. KGaA shareholders' equity.

21. SUPPLEMENTARY INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid fi nancial profi le. As of March 31, 2014, the equity ratio was 39.7% and the debt ratio (debt / total assets) was 40.2%. As of March 31, 2014, the net debt / EBITDA ratio (pro forma, before special items) was 3.2.

The aims of the capital management and further information can be found in the consolidated fi nancial statements in the 2013 Annual Report.

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

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

Standard & Poor's Moody's Fitch
Company rating BB + Ba1 BB +
Outlook positive negative positive

In March 2014, Fitch confi rmed the BB+ rating with a positive outlook. Fitch had put the rating on "watch evolving" in September 2013 after the announcement of the acquisition of hospitals from Rhön-Klinikum AG. The rating confi rmation refl ects Fresenius Group's performance in 2013 as well as the completion of the Rhön hospital acquisition.

22. SUPPLEMENTARY INFORMATION ON THE CONSOLIDATED STATEMENT OF CASH FLOWS The following table provides additional information with regard to the consolidated statement of cash fl ows:

€ in millions Q1 / 2014 Q1 / 2013
Interest paid 197 239
Income taxes paid 94 91

Cash paid for acquisitions (without investments in licenses) consisted of the following:

€ in millions Q1 / 2014 Q1 / 2013
Assets acquired 1,244 89
Liabilities assumed - 362 - 15
Noncontrolling interest - 14 - 8
Notes assumed in connection
with acquisitions
- 11 - 8
Cash paid 857 58
Cash acquired - 69 - 3
Cash paid for acquisitions, net 788 55
Cash paid for investments,
net of cash acquired
82 17
Cash paid for intangible assets, net 2
Total cash paid for acquisitions and
investments, net of cash acquired,
and net purchases of intangible assets
872 72

23. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting shown on page 22 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 March 31, 2014.

The business segments were identifi ed in accordance with FASB ASC Topic 280, Segment Reporting, 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. The business segments of the Fresenius Group are as follows:

Fresenius Medical Care is the world's leading provider of services and products for patients with chronic kidney failure. As of March 31, 2014, Fresenius Medical Care was treating 270,570 patients in 3,263 dialysis clinics.

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 medi cal devices and transfusion technology products.

Fresenius Helios is Germany's largest hospital operator. At March 31, 2014, Fresenius Helios owned 109 hospitals, thereof 85 acute care clinics including 6 maximum care hospitals in Berlin-Buch, Duisburg, Erfurt, Krefeld, Schwerin and Wuppertal and 24 post-acute care clinics. Fresenius Helios treats more than 4.2 million patients per year, thereof more than 1.2 million inpatients, and operates more than 33,000 beds.

Fresenius Vamed manages projects and provides services for hospitals and other health care facilities worldwide.

The segment Corporate / Other is mainly comprised of the holding functions of Fresenius SE & Co. KGaA as well as Fresenius Netcare GmbH, which provides services in the fi eld of information technology and, until June 28, 2013, Fresenius Biotech, which did not fulfi ll the characteristics of a reportable segment. In addition, the segment Corporate / Other includes inter segment consolidation adjustments as well as special items (see note 3, Special items).

NOTES ON THE BUSINESS SEGMENTS

Explanations regarding the notes on the business segments can be found in the consolidated fi nancial statements in the 2013 Annual Report.

RECONCILIATION OF KEY FIGURES TO CONSOLIDATED EARNINGS

€ in millions Q1 / 2014 Q1 / 2013
Total EBIT of reporting segments 646 703
General corporate expenses
Corporate / Other (EBIT)
18 - 14
Group EBIT 664 689
Net interest - 138 - 163
Income before income taxes 526 526

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ in millions March 31, 2014 Dec. 31, 2013
Short-term debt 297 959
Short-term loans from related parties 4 6
Current portion of long-term debt and
capital lease obligations
1,053 855
Long-term debt and capital lease
obligations, less current portion
5,432 5,871
Senior Notes 6,529 5,113
Convertible bonds 454 0
Debt 13,769 12,804
less cash and cash equivalents 829 864
Net debt 12,940 11,940

24. STOCK OPTIONS

FRESENIUS SE & CO. KGAA STOCK OPTION PLANS

As of March 31, 2014, Fresenius SE & Co. KGaA had three stock option plans in place: the Fresenius AG Stock Option Plan 2003 (2003 Plan) which is based on convertible bonds, 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. The 2013 LTIP is the only program under which options can be granted.

Transactions during the fi rst quarter of 2014

During the fi rst quarter of 2014, Fresenius SE & Co. KGaA received cash of € 6 million from the exercise of 129,250 stock options.

495,724 convertible bonds were outstanding and exercisable under the 2003 Plan at March 31, 2014. The members of the Fresenius Management SE Management Board held 111,698 convertible bonds. At March 31, 2014, out of 3,115,296 outstanding stock options issued under the 2008 Plan, 925,986 were exercisable and 603,460 were held by the members of the Fresenius Management SE Management Board. 702,231 stock options issued under the 2013 LTIP were outstanding at March 31, 2014. The members of the Fresenius Management SE Management Board held 105,000 stock options. 109,460 phantom stocks issued under the 2013 LTIP were outstanding at March 31, 2014. The members of the Fresenius Management SE Management Board held 27,272 phantom stocks.

As of March 31, 2014, 1,421,710 options for ordinary shares were outstanding and exercisable. On March 31, 2014, total unrecognized compensation cost related to non-vested options granted under the 2008 Plan and the 2013 LTIP was € 26 million. This cost is expected to be recognized over a weightedaverage period of 2.4 years.

FRESENIUS MEDICAL CARE AG & CO. KGAA STOCK OPTION PLANS

During the fi rst quarter of 2014, 115,395 stock options were exercised. Fresenius Medical Care AG & Co. KGaA received cash of € 3.8 million upon exercise of these stock options and € 0.4 million from a related tax benefi t.

25. RELATED PARTY TRANSACTIONS

Prof. Dr. med. D. Michael Albrecht, a member of the Supervisory Board of Fresenius SE & Co. KGaA, is medical director and spokesman of the management board of the University Hospital Carl Gustav Carus Dresden and a member of the supervisory board of the University Hospital Aachen. Furthermore, he was a member of the supervisory board of the University Hospital Magdeburg until October 3, 2013 and a member of the supervisory board of the University Hospital Rostock until February 28, 2013. The Fresenius Group maintains business relations with these hospitals in the ordinary course and under customary conditions.

Prof. Dr. h. c. Roland Berger, a member of the Supervisory Board of Fresenius Management SE and of Fresenius SE & Co. KGaA, is a partner of Roland Berger Strategy Consultants Holding GmbH. In the fi rst quarter of 2014, after discussion and approval by the Supervisory Board of Fresenius Management SE and Fresenius SE & Co. KGaA, the Fresenius Group paid € 1.8 million to affi liated companies of the Roland Berger group for consulting serv ices rendered.

Klaus-Peter Müller, a member of the Supervisory Board of Fresenius Management SE and of Fresenius SE & Co. KGaA, is the chairman of the supervisory board of Commerzbank AG. The Fresenius Group maintains business relations with Commerzbank under customary conditions.

Dr. Gerhard Rupprecht, a member of the Supervisory Board of Fresenius Management SE and of Fresenius SE & Co. KGaA, is a member of the supervisory board of Allianz France SA. In the fi rst quarter of 2014, the Fresenius Group paid € 2.9 million for insurance premiums to the Allianz group under customary conditions.

Dr. Dieter Schenk, deputy chairman of the Supervisory Board of Fresenius Management SE, is a partner in the international law fi rm Noerr LLP, which provides legal serv ices to the Fresenius Group. In the fi rst quarter of 2014, after discussion and approval of each mandate by the Supervisory Board of Fresenius Management SE, the Fresenius Group paid € 0.3 million to this law fi rm for legal services rendered.

The payments mentioned in this note are net amounts. In addition, VAT and insurance tax were paid.

26. SUBSEQUENT EVENTS

There have been no signifi cant changes in the Fresenius Group's operating environment following the end of the fi rst quarter of 2014. 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 quarter of 2014.

27. CORPORATE GOVERNANCE

For each consolidated stock exchange listed entity, the declaration pursuant to Section 161 of the German Stock Corporation Act (Aktiengesetz) has been issued and made available to shareholders on the website of Fresenius SE & Co. KGaA www.fresenius.com under Who we are – Corporate Governance – Declaration of Conformity and of Fresenius Medical Care AG & Co. KGaA www.fmc-ag.com under Investor Relations – Cor porate Governance – Declaration of Compliance, respectively.

FINANCIAL CALENDAR

Annual General Meeting, Frankfurt am Main
Live webcast of the speech of the Chairman
of the Management Board
May 16, 2014
Payment of dividend 1 May 19, 2014
Report on 1st half 2014
Conference call, Live webcast
July 31, 2014
Report on 1st – 3rd quarter 2014
Conference call, Live webcast
November 4, 2014

Subject to prior approval by the annual General Meeting Subject to change

FRESENIUS SHARE / ADR

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 8 ADR = 1 Share
Main trading location Frankfurt / Xetra Trading platform OTCQX

Corporate Headquarters

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

Postal address

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

Contact for shareholders

Investor Relations Telephone: ++ 49 61 72 6 08-24 64 Telefax: ++ 49 61 72 6 08-24 88 E-mail: [email protected]

Contact for journalists

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: Dr. Ulf M. Schneider (President and CEO), Dr. Francesco De Meo, Dr. Jürgen Götz, Mats Henriksson, Rice Powell, Stephan Sturm, Dr. Ernst Wastler Chairman of the Supervisory Board: Dr. Gerd Krick

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 risk report in the 2013 Annual Report 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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