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Fresenius SE & Co. KGaA

Quarterly Report May 6, 2013

166_10-q_2013-05-06_8788e93b-2595-4141-bb71-409bf2d18889.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 2013

TABLE OF CONTENTS

3 Fresenius Group fi gures at a glance

5 Fresenius share

6 Management Report

  • 6 Health care industry
  • 7 Results of operations, fi nancial position, assets and liabilities
  • 7 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
  • 14 Research and development
  • 15 Opportunities and risk report
  • 15 Subsequent events
  • 15 Rating
  • 16 Outlook 2013

18 Consolidated fi nancial statements

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

24 Notes

47 Financial Calendar

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a health care group providing products and services for dialysis, hospitals and the medical care of patients at home. In addition, Fresenius focuses on hospital operation, as well as on engineering and services for hospitals and other health care facilities. In 2012, Group sales were € 19.3 billion. As of March 31, 2013, more than 171,000 employees have dedicated themselves to the service of health in about 100 countries worldwide.

SALES, EARNINGS, AND CASH FLOW

€ in millions Q1 / 2013 Q1 / 2012 Change
Sales 4,890 4,419 11%
EBIT 1 696 661 5%
Net income 2 224 200 12%
Earnings per share in € 2 1.26 1.23 2%
Operating cash fl ow 444 538 - 17%

BALANCE SHEET AND INVESTMENTS

€ in millions March 31, 2013 Dec. 31, 2012 Change
Total assets 31,311 30,664 2%
Non-current assets 23,044 22,551 2%
Equity 3 13,298 12,758 4%
Net debt 10,174 10,143 0%
Investments 4 258 2,078 - 88%

RATIOS

€ in millions Q1 / 2013 Q1 / 2012
EBITDA margin 1 18.4% 19.0%
EBIT margin 1 14.2% 15.0%
Depreciation and amortization in % of sales 4.1 4.0
Operating cash fl ow in % of sales 9.1 12.2
Equity ratio
(March 31 / December 31) 42.5% 41.6%
Net debt / EBITDA
(March 31 / December 31) 5 2.6 2.6
  • Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2013 adjusted for one-time integration costs of Fenwal of € 5 million after tax;
  • 2012 adjusted for a non-taxable investment gain of € 30 million at Fresenius Medical Care
  • Equity including noncontrolling interest Investments in property, plant and equipment and intangible assets, acquisitions (Q1).
  • 2013 pro forma including Fenwal; adjusted for one-time costs of € 6 million (non-fi nancing expenses) related to the offer to RHÖN-KLINIKUM AG shareholders;
  • adjusted for one-time costs of € 86 million at Fresenius Medical Care and one-time integration costs of Fenwal of € 7 million; 2012 pro forma including Damp Group, Liberty Dialysis Holdings, Inc. and Fenwal, adjusted for one-time costs of €6 million (non-fi nancing expenses) related to the offer to RHÖN-KLINIKUM AG shareholders,

and one-time costs of € 86 million at Fresenius Medical Care

2013 adjusted for one-time integration costs of Fenwal Holdings, Inc. ("Fenwal") of € 7 million

INFORMATION ON THE BUSINESS SEGMENTS

FRESENIUS MEDICAL CARE – Dialysis products, Dialysis care

US\$ in millions Q1 / 2013 Q1 / 2012 Change
Sales 3,464 3,249 7%
EBIT 493 503 - 2%
Net income 1 225 244 - 8%
Operating cash fl ow 315 481 - 34%
Investments / Acquisitions 223 1,827 - 88%
R & D expenses 30 29 6%
Employees, per capita on balance sheet date (March 31 / December 31) 91,584 90,866 1%

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

Medical devices / Transfusion technology

€ in millions Q1 / 2013 Q1 / 2012 Change
Sales 1,260 1,092 15%
EBIT 237 215 10%
Net income 2 119 98 21%
Operating cash fl ow 132 93 42%
Investments / Acquisitions 58 37 57%
R & D expenses 53 45 18%
Employees, per capita on balance sheet date (March 31 / December 31) 30,668 30,214 2%

FRESENIUS HELIOS – Hospital operation

€ in millions Q1 / 2013 Q1 / 2012 5 Change
Sales 841 710 18%
EBIT 87 68 28%
Net income 3 56 41 37%
Operating cash fl ow 33 34 - 3%
Investments / Acquisitions 23 563 - 96%
Employees, per capita on balance sheet date (March 31 / December 31) 42,755 42,881 0%

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

€ in millions Q1 / 2013 Q1 / 2012 6 Change
Sales 184 149 23%
EBIT 5 5 0%
Net income 4 3 4 - 25%
Operating cash fl ow 45 45 0%
Investments / Acquisitions 8 1 --
Order intake 93 104 - 11%
Employees, per capita on balance sheet date (March 31 / December 31) 5,831 4,432 32%

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA; Q1 2012 adjusted for a non-taxable investment gain of US\$ 127 million

related to the acquisition of Liberty Dialysis Holdings, Inc.

Net income attributable to shareholders of Fresenius Kabi AG Net income attributable to shareholders of HELIOS Kliniken GmbH

Net income attributable to shareholders of VAMED AG

Adjusted for post-acute care clinic Zihlschlacht transferred to Fresenius Vamed

Adjusted for post-acute care clinic Zihlschlacht

FRESENIUS SHARE

In the first quarter of 2013, the Fresenius share continued its positive development of the previous year and reached a new all-time high of € 97.11. With an increase of 11% compared to the year-end closing price of 2012, the shares continued to outperform the DAX.

FIRST QUARTER OF 2013

The uncertain outlook for the global economic development caused an unsteady sentiment in the fi rst quarter of 2013. While central banks continued their accommodative monetary policy responding to the low economic prospects, the crisis in Cyprus and the Italian election results further increased uncertainty on the fi nancial markets.

Nevertheless, leading stock indices in the U.S., Europe and Japan continued to rise and partially marked new record levels. In the light of historically low interest rates, equities remain

an attractive asset class. Shares especially in non-cyclical market segments benefi ted from this development.

For the fi rst time since July 2007, the DAX index exceeded 8,000 points in March 2013. The Fresenius share developed very positively and reached a new all-time high of € 97.11 on March 28, 2013. With a share price increase of 11% to € 96.29 compared to the 2012 year-end closing price the Fresenius share concluded the fi rst quarter successfully. In the same period the DAX index increased by 2% to 7.795 points.

KEY DATA OF THE FRESENIUS SHARE

Q1 / 2013 2012 Change
Number of shares (March 31 / December 31) 178,271,131 178,188,260 0%
Quarter-end quotation in € 96.29 87.10 11%
High in € 97.11 96.38 1%
Low in € 81.91 72.07 14%
Ø Trading volume (number of shares per trading day) 501,455 482,030 4%
Market capitalization, € in millions (March 31 / December 31) 17,166 15,520 11%

MANAGEMENT REPORT

Fresenius is off to an excellent start in 2013. We improved on last year's outstanding sales and earnings and had the best first quarter in the Company's history. Fresenius Kabi and Fresenius Helios recorded particularly strong growth. Our first-quarter performance puts us on track to meet our goals for the full year 2013 and to exceed € 1 billion in Group net income for the first time. 1

SUCCESSFUL START INTO 2013 – FRESENIUS FULLY CONFIRMS OUTLOOK

Q1 / 2013 at actual
rates
in constant
currency
Sales € 4.9 bn + 11% + 12%
EBIT 2 € 696 m + 5% + 6%
Net income 3 € 224 m + 12% + 12%

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, growing number of chronically ill or multi-morbid patients, a stronger demand for innovative products and therapies, advances in medical technology as well as growing health consciousness, which increases the demand for health care services and facilities.

In the emerging countries, additional drivers are: expanding availability and correspondingly greater demand for basic health care and increasing national incomes and hence, higher spending on health care.

Health care structures are being reviewed and cost-cutting potential identifi ed in order to contain the steadily rising health care expenditures. However, such measures cannot compensate for the cost pressures arising from medical advances and demographic change. 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 and optimized medical processes.

In addition, ever greater importance is being placed on disease prevention and innovative reimbursement models linked to treatment quality standards.

Net income attributable to shareholders of Fresenius SE & Co. KGaA; adjusted for one-time integration costs of Fenwal (~ € 50 million pre-tax)

2013 adjusted for one-time integration costs of Fenwal of € 7 million

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2013 adjusted for one-time integration costs of Fenwal of € 5 million after tax; 2012 adjusted for an non-taxable investment gain of € 30 million at Fresenius Medical Care

RESULTS OF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

SALES

Group sales increased by 11% (12% in constant currency) to € 4,890 million (Q1 2012: € 4,419 million). Organic sales growth was 5%. Acquisitions contributed a further 8%. Divestitures reduced sales growth by 1%.

Organic sales growth was 6% in North America and 3% in Europe. In Latin America (15%) and Africa (24%) organic sales growth was particularly strong. In Asia-Pacifi c organic sales growth was 6%.

EARNINGS

Group EBITDA 1 grew by 7% (8% in constant currency) to € 898 million (Q1 2012: € 838 million). Group EBIT 1 increased by 5% (6% in constant currency) to € 696 million (Q1 2012: € 661 million). The EBIT margin was 14.2% (Q1 2012: 15.0%).

Group net interest was - € 163 million (Q1 2012: - € 147 million), including € 14 million one-time costs resulting from the early redemption of the Senior Notes originally due 2016.

The Group tax rate 2 improved to 29.1% (Q1 2012: 30.4%).

Noncontrolling interest was € 154 million (Q1 2012: € 158 million), of which 94% was attributable to the noncontrolling interest in Fresenius Medical Care.

SALES BY REGION

€ in millions Q1 / 2013 Q1 / 2012 Change at
actual rates
Currency
trans lations
effects
Change
at constant
rates
Organic
growth
Acquisitions /
divestitures
% of
total sales
North America 2,102 1,870 12% - 1% 13% 6% 7% 43%
Europe 1,974 1,801 10% 0% 10% 3% 7% 40%
Asia-Pacifi c 454 423 7% - 1% 8% 6% 2% 9%
Latin America 276 254 9% - 8% 17% 15% 2% 6%
Africa 84 71 18% - 7% 25% 24% 1% 2%
Total 4,890 4,419 11% - 1% 12% 5% 7% 100%

SALES BY BUSINESS SEGMENT

€ in millions Q1 / 2013 Q1 / 2012 Change at
actual rates
Currency
trans lations
effects
Change
at constant
rates
Organic
growth
Acquisitions /
divestitures
% of
total sales
Fresenius Medical Care 2,623 2,478 6% - 1% 7% 4% 3% 54%
Fresenius Kabi 1,260 1,092 15% - 2% 17% 7% 10% 25%
Fresenius Helios 841 710 18% 0% 18% 5% 13% 17%
Fresenius Vamed 184 149 23% 0% 23% 10% 13% 4%

2013 adjusted for one-time integration costs of Fenwal of € 7 million

2013 adjusted for one-time integration costs of Fenwal; 2012 adjusted for a non-taxable investment gain at Fresenius Medical Care

EARNINGS

€ in millions Q1 / 2013 Q1 / 2012
EBIT 1 696 661
Net income 2 224 200
Net income 3 219 230
Earnings per share in € 2 1.26 1.23
Earnings per share in € 3 1.23 1.41

Group net income 2 increased by 12% (12% in constant currency) to € 224 million (Q1 2012: € 200 million). Earnings per share 2 increased by 2% to € 1.26 (Q1 2012: € 1.23). As of March 31, 2013, Fresenius had 178,271,131 shares outstanding (March 31, 2012: 163,334,670).

Group net income attributable to shareholders of Fresenius SE & Co. KGaA including one-time integration costs for Fenwal was € 219 million or € 1.23 per share.

INVESTMENTS

The Fresenius Group spent € 179 million on property, plant and equipment (Q1 2012: € 151 million). Acquisition spending was € 79 million (Q1 2012: € 1,927 million).

CASH FLOW

Operating cash fl ow was € 444 million (Q1 2012: € 538 million). The decrease was mainly a result of a € 76 million payment, partially offset by repayments received, both of which were associated with the amendment to the agreement relating to the iron product Venofer ®, and other working capital items at Fresenius Medical Care. The cash fl ow margin reached 9.1% (Q1 2012: 12.2%). Net capital expenditure increased to € 188 million (Q1 2012: € 152 million).

Free cash fl ow before acquisitions and dividends was € 256 million (Q1 2012: € 386 million). Free cash fl ow after acquisitions and dividends increased to € 229 million (Q1 2012: - € 1,096 million).

INVESTMENTS BY BUSINESS SEGMENT

€ in millions Q1 / 2013 Q1 / 2012 thereof property,
plant and
equipment
thereof
acquisitions
Change % of total
Fresenius Medical Care 169 1,361 112 57 - 88% 65%
Fresenius Kabi 58 37 45 13 57% 23%
Fresenius Helios 23 563 20 3 - 96% 9%
Fresenius Vamed 8 1 1 7 -- 3%
Corporate / Other 116 1 - 1 - 100%
Total 258 2,078 179 79 - 88% 100%

2013 adjusted for one-time integration costs of Fenwal of €7 million

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2013 adjusted for one-time integration costs of Fenwal of € 5 million after tax;

2012 adjusted for a non-taxable investment gain of € 30 million at Fresenius Medical Care

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

ASSET AND LIABILITY STRUCTURE

The Group's total assets increased by 2% (fl at in constant currency) to € 31,311 million (Dec. 31, 2012: € 30,664 million). Current assets grew by 2% to € 8,267 million (Dec. 31, 2012: € 8,113 million). Non-current assets increased by 2% to € 23,044 million (Dec. 31, 2012: € 22,551 million).

Total shareholders' equity increased by 4% to € 13,298 million (Dec. 31, 2012: € 12,758 million). The equity ratio increased to 42.5% (Dec. 31, 2012: 41.6%).

Group debt was € 11,024 million (Dec. 31, 2012: € 11,028 million). Net debt was € 10,174 million (Dec. 31, 2012: € 10,143 million). As of March 31, 2013, the net debt / EBITDA ratio was 2.57 1 (Dec. 31, 2012: 2.56 2 ).

CASH FLOW STATEMENT (SUMMARY)

€ in millions Q1 / 2013 Q1 / 2012 Change
Net income 373 455 - 18%
Depreciation and amortization 202 177 14%
Change in accruals for pensions 15 9 67%
Cash fl ow 590 641 - 8%
Change in working capital - 146 - 6 --
Investment gain 3 0 - 97 100%
Operating cash fl ow 444 538 - 17%
Property, plant and equipment - 190 - 154 - 23%
Proceeds from the sale of property, plant and equipment 2 2 0%
Cash fl ow before acquisitions and dividends 256 386 - 34%
Cash used for acquisitions, net 23 - 1,458 102%
Dividends paid - 50 - 24 - 108%
Free cash fl ow paid after acquisitions and dividends 229 - 1,096 121%
Cash provided by / used for fi nancing activities - 277 1,329 - 121%
Effect of exchange rates on change in cash and cash equivalents 13 - 13 200%
Net change in cash and cash equivalents - 35 220 - 116%

Pro forma including Fenwal; adjusted for one-time costs of € 6 million (non-fi nancing expenses) related to the offer to RHÖN-KLINIKUM AG shareholders;

adjusted for one-time costs of € 86 million at Fresenius Medical Care and one-time integration costs of Fenwal of € 7 million Pro forma including Damp Group, Liberty Dialysis Holdings, Inc. and Fenwal, adjusted for one-time costs of € 6 million (non-fi nancing expenses)

related to the offer to RHÖN-KLINIKUM AG shareholders, and one-time costs of € 86 million at Fresenius Medical Care

Q1 2012: € 97 million non-taxable investment gain at Fresenius Medical Care AG & Co. KGaA; thereof € 30 million attributable to shareholders of Fresenius SE & Co. KGaA

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, 2013, Fresenius Medical Care was treating 261,648 patients in 3,180 dialysis clinics.

US\$ in millions Q1 / 2013 Q1 / 2012 Change
Sales 3,464 3,249 7%
EBITDA 650 646 1%
EBIT 493 503 - 2%
Net income 1 225 244 - 8%
Employees (March 31 / December 31) 91,584 90,866 1%

FIRST QUARTER OF 2013

  • ▶ Strong growth in dialysis services
  • ▶ One-time effects drive slight EBIT decrease
  • ▶ 2013 outlook confi rmed

Sales increased by 7% (7% in constant currency) to US\$ 3,464 million (Q1 2012: US\$ 3,249 million). Organic sales growth was 4%. Acquisitions contributed a further 4%. Divestitures reduced sales by 1%.

Sales in dialysis services increased by 8% (9% in constant currency) to US\$ 2,678 million (Q1 2012: US\$ 2,478 million). Dialysis product sales grew by 2% (2% in constant currency) to US\$ 786 million (Q1 2012: US\$ 771 million).

In North America sales grew 9% to US\$ 2,287 million (Q1 2012: US\$ 2,105 million). Dialysis services sales grew by 10% to US\$ 2,104 million (Q1 2012: US\$ 1,918 million), although the quarter had two dialysis days less. Average revenue per treatment for U.S. services increased to US\$ 359 (Q1 2012: US\$ 353). Dialysis product sales were US\$ 183 million (Q1 2012: US\$ 187 million).

Sales outside North America ("International" segment) grew by 3% (4% in constant currency) to US\$ 1,169 million (Q1 2012: US\$ 1,136 million). Sales in dialysis services

increased by 3% to US\$ 574 million (Q1 2012: US\$ 560 million). Dialysis product sales grew by 3% to US\$ 595 million (Q1 2012: US\$ 576 million).

EBIT decreased by 2% to US\$ 493 million (Q1 2012: US\$ 503 million). The EBIT margin was 14.2% (Q1 2012: 15.5%). The operating margin for North America decreased from 16.5% to 16.1%, impacted by higher personnel expenses and two dialysis days less as compared to the fi rst quarter 2012. The operating margin in the International segment decreased from 17.2% to 15.7%, mainly due to special charges related to the devaluation of the Venezuelan Bolivar.

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA decreased by 8% to US\$ 225 million (Q1 2012 1 : US\$ 244 million).

The operating cash fl ow decreased by 34% to US\$ 315 million (Q1 2012 US\$ 481 million. The cash fl ow margin was 9.1% (Q1 2012: 14.8%).

Please see page 16 of the Management Report for the 2013 outlook of Fresenius Medical Care.

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

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA; Q1 2012 adjusted for a non-taxable investment gain of US\$ 127 million related to the acquisition of Liberty Dialysis Holdings, Inc.

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/ 2013 Q1 / 2012 Change
Sales 1,260 1,092 15%
EBITDA 288 254 13%
EBIT 237 215 10%
Net income 1 119 98 21%
Employees (March 31 / December 31) 30,668 30,214 2%

FIRST QUARTER OF 2013

  • ▶ Strong organic sales growth of 7%
  • ▶ EBIT margin of 18.8% (incl. Fenwal) at upper end of guidance
  • ▶ 2013 outlook fully confi rmed

Sales increased by 15% (17% in constant currency) to € 1,260 million (Q1 2012: € 1,092 million). Organic sales growth was 7%, well above the full year guidance of 3% to 5%. Acquisitions contributed 11%, while divestitures reduced sales by 1%.

Sales in Europe grew by 6% (organic growth: 2%) to € 517 million (Q1 2012: € 487 million). Sales in North America increased by 37% to € 401 million (Q1 2012: € 292 million), primarily driven by the fi rst-time consolidation of Fenwal. Strong organic growth of 14% was mainly supported by product launches and competitors facing continued supply constraints. In Asia-Pacifi c sales increased by 12% (organic growth: 9%) to € 223 million (Q1 2012: € 199 million). Sales in Latin America / Africa increased by 4% (organic growth: 9%) to € 119 million (Q1 2012: € 114 million). Growth in the fi rst quarter 2013 compares to an exceptionally strong Q1 2012 base, posting 8% organic sales growth in Europe, 20% in Asia-Pacifi c and 15% in Latin America / Africa.

EBIT grew by 10% to € 237 million (Q1 2012: € 215 million), driven in particular by excellent earnings growth in North America. The EBIT margin of 18.8% was at the upper end of full-year guidance. Excluding Fenwal, the EBIT margin was 20.0% (Q1 2012: 19.7%).

The fi rst quarter 2013 includes provisions built for expected one-time charges to remediate manufacturing issues following FDA audits at the Grand Island, USA, and Kalyani, India, facilities. These slightly exceed the gain resulting from the sale of the respiratory homecare business in France.

Net income 1 increased by 21% to € 119 million (Q1 2012: € 98 million).

Fresenius Kabi's operating cash fl ow increased by 42% to € 132 million (Q1 2012: € 93 million). The cash fl ow margin increased to 10.5% (Q1 2012: 8.5%). Cash fl ow before acquisitions and dividends improved to € 76 million (Q1 2012: € 57 million).

The integration of Fenwal progressed as planned with related fi rst quarter costs of € 7 million pre-tax.

Please see page 16 of the Management Report for the 2013 outlook of Fresenius Kabi.

FRESENIUS HELIOS

Fresenius Helios is one of the largest private hospital operators in Germany. HELIOS owns 74 hospitals, thereof 51 acute care clinics including six maximum care hospitals in Berlin-Buch, Duisburg, Erfurt, Krefeld, Schwerin and Wuppertal and 23 post-acute care clinics. HELIOS treats more than 2.9 million patients per year, thereof more than 780,000 inpatients, and operates more than 23,000 beds.

€ in millions Q1 / 2013 Q1 / 2012 1 Change
Sales 841 710 18%
EBITDA 114 92 24%
EBIT 87 68 28%
Net income 2 56 41 37%
Employees (March 31 / December 31) 42,755 42,881 0%

FIRST QUARTER OF 2013

  • ▶ Strong organic sales growth of 5% at the upper end of guidance
  • ▶ EBIT margin increase by 70 basis points to 10.3%
  • ▶ 2013 outlook fully confi rmed

Sales increased by 18% to € 841 million (Q1 2012: € 710 million). Organic sales growth was 5%, acquisitions contributed 14%. Divestitures reduced sales growth by 1%.

EBIT grew by 28% to € 87 million (Q1 2012: € 68 million). The EBIT margin improved by 70 basis points to 10.3% (Q1 2012: 9.6%).

Net income 2 increased by 37% to € 56 million (Q1 2012: € 41 million).

Sales of the established hospitals grew by 5% to € 739 million. EBIT improved by 20% to € 83 million. The EBIT margin increased to 11.2% (Q1 2012: 9.8%). Sales of the acquired hospitals (consolidation < 1 year) were € 102 million, EBIT was € 4 million.

In April 2013, Fresenius Helios completed the acquisition of the hospital in Wipperfuerth, North-Rhine Westphalia, announced in November 2012. The hospital was consolidated as of January 1, 2013. 2011 sales were € 20 million.

Please see page 16 of the Management Report for the 2013 outlook of Fresenius Helios.

Adjusted for post-acute care clinic Zihlschlacht transferred to Fresenius Vamed Net income attributable to shareholders of HELIOS Kliniken GmbH

FRESENIUS VAMED

Fresenius Vamed offers engineering and services for hospitals and other health care facilities.

€ in millions Q1 / 2013 Q1 / 2012 1 Change
Sales 184 149 23%
EBITDA 7 7 0%
EBIT 5 5 0%
Net income 2 3 4 - 25%
Employees (March 31 / December 31) 5,831 4,432 32%

FIRST QUARTER OF 2013

  • ▶ Excellent organic sales growth of 10%
  • ▶ EBIT in line with expectations
  • ▶ 2013 outlook fully confi rmed

Sales increased by 23% to € 184 million (Q1 2012: € 149 million). Organic sales growth was 10%, acquisitions contributed a further 13%. Sales in the project business increased by 6% to € 82 million (Q1 2012: € 77 million). Sales in the service business grew by 42% to € 102 million (Q1 2012: € 72 million).

EBIT was € 5 million (Q1 2012: € 5 million). The EBIT margin reached 2.7% (Q1 2012: 3.4%).

Net income 2 was € 3 million (Q1 2012: € 4 million).

Order intake was € 93 million (Q1 2012: € 104 million), including a € 48 million turnkey project for a diagnostic center in Russia. As of March 31, 2013, Fresenius Vamed's order backlog was € 998 million (Dec. 31, 2012: € 987 million).

Please see page 16 of the Management Report for the 2013 outlook of Fresenius Vamed.

Adjusted for post-acute care clinic Zihlschlacht

Net income attributable to shareholders of Vamed AG

EMPLOYEES

As of March 31, 2013, the Fresenius Group increased the number of its employees by 1% to 171,764 (Dec. 31, 2012: 169,324), mainly due to acquisitions.

EMPLOYEES BY BUSINESS SEGMENT

Number of employees Mar. 31, 2013 Dec. 31, 2012 Change
Fresenius Medical Care 91,584 90,866 1%
Fresenius Kabi 30,668 30,214 2%
Fresenius Helios 42,755 42,881 0%
Fresenius Vamed 5,831 4,432 32%
Corporate / Other 926 931 - 1%
Total 171,764 169,324 1%

RESEARCH AND DEVELOPMENT

We place great importance on research and development at Fresenius, where we develop products and therapies for severely and chronically ill patients. High quality is crucial for providing patients with optimal care, improving their quality of life, thus increasing their life expectancy. As an integral part of our corporate strategy, research and development also serves to secure the Company's economic growth and success.

RESEARCH AND DEVELOPMENT EXPENSES BY BUSINESS SEGMENT

€ in millions Q1 / 2013 Q1 / 2012 Change
Fresenius Medical Care 23 22 5%
Fresenius Kabi 53 45 18%
Fresenius Helios --
Fresenius Vamed 0 0
Corporate / Other 1 4 - 75%
Total 77 71 8%

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

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. For the R & D activities at Fresenius Medical Care, this means that our aim is to translate new insights into novel or improved developments and 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 R & D activities concentrate on products for the treatment and care of critically and chronically ill patients. Our focus is on therapy areas with high medical needs, such as in the therapy of oncology patients. We develop products that help to support medical advancements in acute and post acute care and improve the patients' quality of life. At the same time, we want to make high-quality treatments available to patients worldwide through our comprehensive range of generics. Our focus in the medical device segment is to develop products signifi cantly contributing to a safe and effective application of infusion solutions and clinical nutrition. With the Fenwal acquisition we strengthened our R & D competencies in transfusion technology to support medical advancements in the medical devices area as well.

Our R & D strategy is aligned with this focus:

  • ▶ develop innovative products in areas where we hold a leading position, such as clinical nutrition
  • ▶ develop own generic drug formulations ready to launch at the time of market formation
  • ▶ develop new formulations for non-patented drugs
  • ▶ continue to develop and refi ne our existing portfolio of pharmaceuticals
  • ▶ develop innovative medical devices.

Another important element of our activities is to obtain marketing approval for new products. We work continuously on dossiers for the registration of our products in every major market in the world. This applies both to our established portfolio, where we expand our distribution internationally through marketing approvals in new local markets. In addition, we work to obtain approvals for new products in order to expand our product portfolio.

ANTIBODY THERAPIES

Fresenius Biotech develops innovative therapies with trifunctional antibodies for the treatment of cancer. In the fi eld of polyclonal antibodies, Fresenius Biotech has successfully marketed ATG-Fresenius S for many years. ATG-Fresenius S is an immunosuppressive agent used to prevent and treat graft rejection following organ transplantation.

Fresenius Biotech's sales increased by 2% to € 8.3 million (Q1 2012: € 8.1 million). Removab sales were € 0.7 million (Q1 2012: € 1.1 million). ATG Fresenius S sales increased by 9% to € 7.6 million (Q1 2012: € 7.0 million). Fresenius Biotech's EBIT was - € 3 million (Q1 2012: - € 6 million).

In December 2012, Fresenius announced the decision to discontinue its Fresenius Biotech subsidiary. The Company is in talks with several parties about a sale of Fresenius Biotech, while simultaneously assessing the equally viable option of continuing the immunosuppressive drug ATG-Fresenius S within the Fresenius Group. ATG-Fresenius S has been well

established in the hospital market for decades, and is consistently profi table. Fresenius will divest the trifunctional antibody Removab (catumaxomab) business. Withdrawing from Removab will have a positive effect on Group earnings starting in 2013.

OPPORTUNITIES AND RISK REPORT

Compared to the presentation in the 2012 annual report, there have been no material changes in Fresenius' overall opportunities and risk situation. 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 40 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 2013.

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 stable stable

On March 28, 2013, Standard & Poor's revised its outlook to positive from stable and confi rmed the BB + company rating.

OUTLOOK 2013

FRESENIUS GROUP

Based on the Group's performance in the fi rst quarter, Fresenius fully confi rms its full-year guidance. For 2013, Fresenius expects sales to increase by 7% to 10% and net income 1 to increase by 7% to 12%, both in constant currency.

The net debt / EBITDA ratio is projected to be at the lower end of the targeted range of 2.5 to 3.0 by the end of 2013.

FRESENIUS MEDICAL CARE

The company expects revenue to grow to more than US\$ 14.6 billion in 2013. Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA is expected to be between US\$ 1.1 billion and US\$ 1.2 billion in 2013. As previously disclosed, the range of the net income guidance considers the U.S. government reversing the effect of sequestration for the calendar year. If this takes place it represents approximately US\$ 45 million in net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA. It is possible that the U.S. government may modify all or a portion of this but the likelihood of this diminishes as the year progresses.

GROUP FINANCIAL OUTLOOK 2013

FRESENIUS KABI

Fresenius Kabi fully confi rms its outlook for 2013 and projects sales growth of 12% to 14% in constant currency. Organic sales growth is expected in the range of 3% to 5%.

The company projects an EBIT margin of 19% to 20% excluding Fenwal and of 18% to 19% including Fenwal. EBIT 2 in constant currency is expected to exceed 2012 EBIT. The guidance includes expected one-time charges to remediate manufacturing issues following FDA audits at the Grand Island, USA, and Kalyani, India, facilities. It also includes a gain related to the sale of the respiratory homecare business in France.

FRESENIUS HELIOS

Fresenius Helios fully confi rms its outlook for 2013. The company projects organic sales growth of 3% to 5% and EBIT in the range of € 360 million to € 380 million.

FRESENIUS VAMED

Fresenius Vamed fully confi rms its outlook for 2013 and expects to achieve sales growth of 8% to 12%. EBIT growth is projected in the range of 5% to 10%.

Targets 2013
Revenue growth at constant currency 7% – 10%
Net income growth 1
at constant currency
7% – 12%

OUTLOOK 2013 BY BUSINESS SEGMENT

Targets 2013
Fresenius Medical Care Sales > US\$ 14.6 bn
Net income 3 US\$ 1.1 bn – US\$ 1.2 bn
Sales growth
Fresenius Kabi (constant currency) 12% – 14%
Sales growth (organic) 3% – 5%
EBIT margin excl. Fenwal 19% – 20%
EBIT margin incl. Fenwal 18% – 19%
Fresenius Helios Sales growth (organic) 3% – 5%
EBIT € 360 m – € 380 m
Fresenius Vamed Sales growth 8% – 12%
EBIT growth 5% – 10%
  • 2012 adjusted for a non-taxable investment gain and certain one-time costs at Fresenius Medical Care as well as for one-time costs related to the offer
  • to RHÖN-KLINIKUM AG shareholders
  • Fresenius Kabi guidance adjusted for one-time integration costs of Fenwal (~ € 50 million pre tax); also see Group guidance
  • Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA

Net income attributable to shareholders of Fresenius SE & Co. KGaA; 2013 adjusted for one-time integration costs of Fenwal (~ € 50 million pre tax);

INVESTMENTS

The Group plans to invest around 5% 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 that the number of employees will increase to approximately 175,000 in 2013.

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.

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 the improvement of treatment concepts. We are concentrating our R & D activities on products and therapies for the treatment of patients with chronic kidney failure. Another focus is infusion and nutrition therapies and the development of generic IV drugs as well as medical devices.

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

€ in millions Q1 / 2013 Q1 / 2012
Sales 4,890 4,419
Cost of sales - 3,362 - 2,980
Gross profi t 1,528 1,439
Selling, general and administrative expenses - 762 - 707
Research and development expenses - 77 - 71
Operating income (EBIT) 689 661
Investment gain 0 97
Net interest - 163 - 147
Financial result - 163 - 50
Income before income taxes 526 611
Income taxes - 153 - 156
Net income 373 455
Less noncontrolling interest 154 225
Net income attributable to shareholders of Fresenius SE & Co. KGaA 219 230
Earnings per ordinary share in € 1.23 1.41
Fully diluted earnings per ordinary share in € 1.22 1.39

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 / 2013 Q1 / 2012
Net income 373 455
Other comprehensive income (loss)
Foreign currency translation 220 - 152
Cash flow hedges 12 12
Change of fair value of available for sale financial assets 9 8
Actuarial gains / losses on defined benefit pension plans - 3 8
Income taxes related to components of other comprehensive income (loss) - 7 - 16
Other comprehensive income (loss), net 231 - 140
Total comprehensive income 604 315
Comprehensive income attributable to noncontrolling interest
subject to put provisions
29 1
Comprehensive income attributable to noncontrolling interest
not subject to put provisions
271 127
Comprehensive income attributable to
shareholders of Fresenius SE & Co. KGaA
304 187

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

ASSETS

€ in millions March 31, 2013 December 31, 2012
Cash and cash equivalents 850 885
Trade accounts receivable, less allowance for doubtful accounts 3,787 3,650
Accounts receivable from and loans to related parties 18 18
Inventories 1,961 1,840
Other current assets 1,278 1,319
Deferred taxes 373 401
I. Total current assets 8,267 8,113
Property, plant and equipment 4,977 4,918
Goodwill 15,408 15,014
Other intangible assets 1,280 1,284
Other non-current assets 1,082 1,077
Deferred taxes 297 258
II. Total non-current assets 23,044 22,551
Total assets 31,311 30,664

LIABILITIES AND SHAREHOLDERS' EQUITY

€ in millions March 31, 2013 December 31, 2012
Trade accounts payable 835 961
Short-term accounts payable to related parties 1 2
Short-term accrued expenses and other short-term liabilities 3,300 3,211
Short-term debt 696 205
Short-term loans from related parties 0 4
Current portion of long-term debt and capital lease obligations 716 519
Short-term accruals for income taxes 309 230
Deferred taxes 49 66
A. Total short-term liabilities 5,906 5,198
Long-term debt and capital lease obligations, less current portion 4,309 4,436
Senior Notes 5,303 5,864
Long-term accrued expenses and other long-term liabilities 460 436
Pension liabilities 693 679
Long-term accruals for income taxes 215 213
Deferred taxes 695 682
B. Total long-term liabilities 11,675 12,310
I. Total liabilities 17,581 17,508
II. Noncontrolling interest subject to put provisions 432 398
A. Noncontrolling interest not subject to put provisions 5,358 5,125
Subscribed capital 178 178
Capital reserve 3,228 3,225
Other reserves 4,577 4,358
Accumulated other comprehensive loss - 43 - 128
B. Total Fresenius SE & Co. KGaA shareholders' equity 7,940 7,633
III. Total shareholders' equity 13,298 12,758
Total liabilities and shareholders' equity 31,311 30,664

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

€ in millions Q1 / 2013 Q1 / 2012
Operating activities
Net income 373 455
Adjustments to reconcile net income to cash and
cash equivalents provided by operating activities
Depreciation and amortization 202 177
Gain on sale of investments and divestitures - 40 0
Change in deferred taxes - 31 18
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 - 89 - 185
Inventories - 92 - 81
Other current and non-current assets 64 55
Accounts receivable from / payable to related parties - 4 - 11
Trade accounts payable, accrued expenses
and other short-term and long-term liabilities - 17 80
Accruals for income taxes 77 30
Net cash provided by operating activities 444 538
Investing activities
Purchase of property, plant and equipment - 190 - 154
Proceeds from sales of property, plant and equipment 2 2
Acquisitions and investments, net of cash acquired
and net purchases of intangible assets
- 72 - 1,593
Proceeds from sale of investments and divestitures 95 135
Net cash used in investing activities - 165 - 1,610
Financing activities
Proceeds from short-term loans 540 29
Repayments of short-term loans - 54 - 38
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 134 38
Repayments of long-term debt and capital lease obligations - 130 - 96
Proceeds from the issuance of Senior Notes 500 1,768
Repayments of liabilities from Senior Notes - 1,150 0
Changes of accounts receivable securitization program - 123 - 254
Proceeds from the exercise of stock options 7 8
Dividends paid - 50 - 24
Change in noncontrolling interest - 1 - 126
Exchange rate effect due to corporate financing
Net cash used in / provided by fi nancing activities - 327 1,305
Effect of exchange rate changes on cash and cash equivalents 13 - 13
Net decrease / increase in cash and cash equivalents - 35 220
Cash and cash equivalents at the beginning of the reporting period 885 635
Cash and cash equivalents at the end of the reporting period 850 855

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, 2011 163,237 163,237 163 2,136 3,658
Proceeds from the exercise of stock options 98 98 5
Compensation expense related to
stock options
5
Dividends paid
Purchase of noncontrolling interest
not subject to put provisions
Purchase of ordinary shares of
Fresenius Medical Care AG & Co. KGaA
- 71
Change in fair value of noncontrolling
interest subject to put provisions
- 7
Comprehensive income (loss)
Net income 230
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) 230
As of March 31, 2012 163,335 163,335 163 2,139 3,817
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

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, 2011 14 5,971 4,606 10,577
Proceeds from the exercise of stock options 5 3 8
Compensation expense related to
stock options
5 3 8
Dividends paid 0 - 15 - 15
Purchase of noncontrolling interest
not subject to put provisions
0 75 75
Purchase of ordinary shares of
Fresenius Medical Care AG & Co. KGaA
- 71 - 43 - 114
Change in fair value of noncontrolling
interest subject to put provisions
- 7 - 17 - 24
Comprehensive income (loss)
Net income 230 215 445
Other comprehensive income (loss)
Cash flow hedges 5 5 - 9 - 4
Change of fair value of
available for sale financial assets
8 8 8
Foreign currency translation - 58 - 58 - 82 - 140
Actuarial gains on defined
benefit pension plans
2 2 3 5
Comprehensive income (loss) - 43 187 127 314
As of March 31, 2012 - 29 6,090 4,739 10,829
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
2013
2,623
by business segment, € in millions
thereof contribution to
Sales
Fresenius Medical Care Fresenius Kabi Fresenius Helios Fresenius Vamed Corporate / Other Fresenius Group
2012 2 Veränd. 2013 3 2012 Veränd. 2013 2012 Veränd. 2013 2012 Veränd. 2013 4 2012 5 Veränd. 2013 2012 Veränd.
2,478 6% 1,260 1,092 15% 841 710 18% 184 149 23% - 18 - 10 - 80% 4,890 4,419 11%
2,618
consolidated sales
2,474 6% 1,249 1,080 16% 841 710 18% 175 149 17% 7 6 17% 4,890 4,419 11%
5
thereof intercompany sales
4 25% 11 12 - 8% 0 0 9 -- - 25 - 16 - 56% 0 0
54%
contribution to consolidated sales
56% 25% 25% 17% 16% 4% 3% 0% 0% 100% 100%
492
EBITDA
493 0% 288 254 13% 114 92 24% 7 7 0% - 10 - 8 - 25% 891 838 6%
118
Depreciation and amortization
109 8% 51 39 31% 27 24 13% 2 2 0% 4 3 33% 202 177 14%
374
EBIT
384 - 3% 237 215 10% 87 68 28% 5 5 0% - 14 - 11 - 27% 689 661 4%
- 79
Net interest
- 75 - 5% - 66 - 69 4% - 15 - 14 - 7% - 1 -- - 2 11 - 118% - 163 - 147 - 11%
- 98
Income taxes
- 105 7% - 45 - 40 - 13% - 14 - 10 - 40% - 1 - 1 0% 5 -- - 153 - 156 2%
171
shareholders of Fresenius SE & Co. KGaA
Net income attributable to
186 - 8% 119 98 21% 56 41 37% 3 4 - 25% - 130 - 99 - 31% 219 230 - 5%
239
Operating cash fl ow
367 - 35% 132 93 42% 33 34 - 3% 45 45 0% - 5 - 1 -- 444 538 - 17%
128
Cash fl ow before acquisitions
and dividends
274 - 53% 76 57 33% 14 15 - 7% 44 44 0% - 6 - 4 - 50% 256 386 - 34%
17,290
Total assets 1
16,921 2% 9,029 8,662 4% 4,436 4,408 1% 756 676 12% - 200 - 3 -- 31,311 30,664 2%
6,287
Debt 1
6,290 0% 5,088 4,964 2% 1,308 1,293 1% 105 74 42% - 1,764 - 1,593 - 11% 11,024 11,028 0%
112
Capital expenditure, gross
95 18% 45 33 36% 20 20 0% 1 1 0% 1 2 - 50% 179 151 19%
57
Acquisitions, gross / investments
1,266 - 95% 13 4 -- 3 543 - 99% 7 0 - 1 114 - 101% 79 1,927 - 96%
23
Research and development expenses
22 5% 53 45 18% -- 0 -- 1 4 - 75% 77 71 8%
91,584
(per capita on balance sheet date) 1
Employees
90,866 1% 30,668 30,214 2% 42,755 42,881 0% 5,831 4,432 32% 926 931 - 1% 171,764 169,324 1%
Key fi gures
18.8%
EBITDA margin
19.9% 22.9% 23.3% 13.6% 13.0% 3.8% 4.7% 18.4% 3 19.0%
14.2%
EBIT margin
15.5% 18.8% 19.7% 10.3% 9.6% 2.7% 3.4% 14.2% 3 15.0%
4.5%
Depreciation and amortization
in % of sales
4.4% 4.0% 3.6% 3.2% 3.4% 1.1% 1.3% 4.1% 4.0%
9.1%
Operating cash flow in % of sales
14.8% 10.5% 8.5% 3.9% 4.8% 24.5% 30.2% 9.1% 12.2%
11.1%
ROOA 1
11.4% 12.4% 12.3% 8.4% 8.2% 11.8% 12.8% 10.9% 6 11.0% 7

FRESENIUS SE & CO. KGAA

4 Including one-time integration costs of Fenwal Holdings, Inc.

5 Including special item from the acquisition of Liberty Dialysis Holdings, Inc.

The underlying pro forma EBIT does not include one-time integration costs of Fenwal Holdings, Inc., one-time costs related to the takeover offer to the shareholders of RHÖN-KLINIKUM AG, special items from the renegotiation of the Venofer contract and the donation to the American Society of Nephrology. The underlying pro forma EBIT does not include one-time costs related to the takeover offer to the shareholders of RHÖN-KLINIKUM AG, special items from the renegotiation of the Venofer contract and the donation to the American Society of Nephrology.

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.

TABLE OF CONTENTS NOTES

25 General notes

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

30 Notes on the consolidated statement of income

  • 30 3. Special items
  • 30 4. Sales
  • 30 5. Investment gain
  • 30 6. Taxes
  • 30 7. Earnings per share

31 Notes on the consolidated statement of fi nancial position

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

40 Other notes

  • 40 19. Legal proceedings
  • 41 20. Financial instruments
  • 44 21. Supplementary information on capital management
  • 44 22. Supplementary information on the consolidated statement of cash fl ows
  • 45 23. Notes on the consolidated segment reporting
  • 46 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 worldwide operating health care group with products and services for dialysis, the hospital and the medical care of patients at home. Further areas of activity are hospi tal operations as well as engineering and services for hospitals and other health care facilities. In addition to the activities of the parent company Fresenius SE & Co. KGaA, Bad Homburg v. d. Höhe, the operating activities were split into the following legally independent business segments (subgroups) as of March 31, 2013:

  • ▶ 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, 2012.

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, 2013 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, 2012, published in the 2012 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, 2013 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, 2013 are not necessarily indicative of the results of operations for the fi scal year 2013.

Classifi cations

Certain items in the consolidated fi nancial statements for the fi rst quarter of 2012 and for the year 2012 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, 2013 in conformity with U.S. GAAP in force for interim periods on January 1, 2013.

The Fresenius Group applied the following standards, as far as they are relevant for Fresenius Group's business, for the fi rst time in the fi rst quarter ended March 31, 2013:

In December 2011, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update 2011-11 (ASU 2011-11), FASB Accounting Standards Codifi cation

(ASC) Topic 210, Balance Sheet – Disclosures about Offsetting Assets and Liabilities. This amendment requires disclosing and reconciling the gross and net amounts for fi nancial instruments that are offset in the statement of fi nancial position, and the amounts for fi nancial instruments that are subject to master netting arrangements and other similar clearing and repurchase arrangements. In January 2013, the FASB issued Accounting Standards Update 2013-01 (ASU 2013-01), an update to FASB ASC Topic 210, Balance Sheet – Clarifying the Scope of Disclosures about Offsetting Assets and Liabilities. The main purpose of ASU 2013-01 is to clarify the scope of balance sheet offsetting under ASU 2011-11, FASB ASC Topic 210, Balance Sheet – Disclosures about Offsetting Assets and Liabilities to include derivatives, repurchase agreements and reverse repurchase agreements, and securities borrowing and securities lending transactions that are offset or subject to master netting agreements. The disclosures required under ASU 2011-11 would apply to these transactions and other types of fi nancial assets or liabilities will no longer be subject to ASU 2011-11. The update and ASU 2011-11 are effective for periods beginning on or after January 1, 2013. The Fresenius Group does not utilize balance sheet offsetting for their derivative transactions. For further information see note 20, Financial instruments.

V. RECENT PRONOUNCEMENTS, NOT YET APPLIED

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

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 either sells a part or all of its investment in a foreign entity. Another possibility is if a company no longer holds 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 periods beginning on or after December 15, 2013. The Fresenius Group is currently evaluating the impact of ASU 2013-05 on its consolidated fi nancial statements.

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 periods beginning on or after December 15, 2013. The Fresenius Group is currently evaluating the impact of ASU 2013-04 on its consolidated fi nancial statements.

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 will apply the guidance under ASU 2011-06 beginning January 1, 2014.

2. ACQUISITIONS, DIVESTITURES AND INVESTMENTS

The Fresenius Group made acquisitions and investments of € 79 million and € 1,927 million in the fi rst quarter of 2013 and 2012, respectively. Of this amount, € 72 million was paid in cash and € 7 million was assumed obligations in the fi rst quarter of 2013.

FRESENIUS MEDICAL CARE

In the fi rst quarter of 2013, Fresenius Medical Care spent € 57 million on acquisitions, mainly for the purchase of dialysis clinics.

Acquisition of Liberty Dialysis Holdings, Inc.

On February 28, 2012, Fresenius Medical Care acquired 100% of the equity of Liberty Dialysis Holdings, Inc. (LD Holdings), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the Liberty Acquisition). Fresenius Medical Care accounted for this transaction as a business combination and fi nalized the acquisition accounting on February 28, 2013.

Total consideration for the Liberty Acquisition was US\$ 2,181 million, consisting of US\$ 1,696 million cash, net of cash acquired and US\$ 485 million non-cash consideration. Accounting standards for business combinations require previously held equity interests to be fair valued at the time of the acquisition with the difference to book value to be recognized as a gain or loss in income. Prior to the Liberty Acquisition, Fresenius Medical Care had a 49% equity investment in Renal Advantage Partners, LLC, the fair value of which, US\$ 202 million, is included as part of the non-cash consideration. The fair value was determined based on the discounted cash fl ow method, utilizing a discount rate of approximately 13%. In addition to Fresenius Medical Care's investment, it also had a loan receivable from Renal Advantage Partners, LLC of US\$ 279 million, at a fair value of US\$ 283 million, which was retired as part of the transaction.

The following table summarizes the fi nal fair values of assets acquired and liabilities assumed at the date of the acquisition. Any adjustments to acquisition accounting from December 31, 2012 until fi nalization, net of related income tax effects, were recorded with a corresponding adjustment to goodwill.

US\$ in millions

Assets held for sale 164
Trade accounts receivable 150
Other current assets 17
Deferred tax assets 15
Property, plant and equipment 168
Intangible assets and other assets 85
Goodwill 2,003
Accounts payable, accrued expenses
and other short-term liabilities - 105
Income tax payable and deferred taxes - 34
Short-term borrowings and other fi nancial liabilities
and long-term debt and capital lease obligations - 72
Other liabilities - 40
Noncontrolling interests (subject and
not subject to put provisions) - 170
Total acquisition cost 2,181
Less, at fair value, non-cash contributions
Investment at acquisition date - 202
Long-term Notes Receivable - 283
Total non-cash items - 485
Net Cash paid 1,696

The amortizable intangible assets acquired in this acquisition have weighted-average useful lives of 6 – 8 years.

Goodwill in the amount of US\$ 2,003 million was acquired as part of the Liberty Acquisition. 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 estimated stream of future cash fl ows versus building a similar franchise. Of the goodwill recognized in this acquisition, approximately US\$ 436 million is expected to be deductible for tax purposes and amortized over a 15 year period.

The noncontrolling interests acquired as part of the acquisition are stated at fair value based upon contractual multiples typically utilized by Fresenius Medical Care for such arrangements as well as Fresenius Medical Care's overall experience.

The fair valuation of Fresenius Medical Care's investment at the time of the Liberty Acquisition resulted in a preliminary non-taxable gain of US\$ 127 million for the fi rst quarter of 2012. This gain was then fi nalized at December 31, 2012 in the amount of US\$ 140 million. The retirement of the loan receivable resulted in a gain of US\$ 5.5 million for the fi rst quarter of 2012. This gain was fi nalized and recognized in net interest in the amount of US\$ 9 million at December 31, 2012.

Divestitures

In connection with the United States Federal Trade Commission consent order relating to the Liberty Acquisition, Fresenius Medical Care agreed to divest a total of 62 renal dialysis centers. Of the 61 clinics sold to date, 24 were FMC-AG & Co. KGaA clinics which generated a gain of US\$ 33.5 million that was included in the 2012 consolidated statement of income.

FRESENIUS KABI

In the fi rst quarter of 2013, Fresenius Kabi spent € 13 million on acquisitions, mainly for compounding companies in Germany.

Acquisition of Fenwal Holdings, Inc.

On July 20, 2012, Fresenius Kabi announced the signing of a purchase agreement to acquire 100% of the share capital in Fenwal Holdings, Inc. (Fenwal), a leading U.S.-based provider of transfusion technology products for blood collection, separation and processing.

The transaction could be closed on December 13, 2012 after approval by the antitrust authorities. The Fresenius Group has consolidated Fenwal as of December 2012.

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 61
Working capital and other assets 212
Assets 115
Liabilities - 522
Goodwill 379
Identifi able immaterial assets 343
Consideration transferred 588
Net debt acquired 259
Transaction amount 847

It is currently estimated that amortizable intangible assets acquired in this acquisition will have weighted-average useful lives of 10 to 15 years. The acquired amortizable intangible assets primarily consist of customer relationships in the amount of € 82 million and technology in the amount of € 237 million.

The goodwill in the amount of €379 million that was acquired as part of the Fenwal Acquisition is not deductible for tax purposes.

In December 2012, Fenwal has contributed sales in the amount of € 39 million and operating income in the amount of € 1 million to the consolidated income.

Divestitures

In December 2012, Fresenius Kabi announced that it had signed an agreement to sell its subsidiary Calea France SAS (Calea) to The Linde Group. Calea is active in the French homecare market and focuses on respiratory therapy, which is not a core business of Fresenius Kabi.

The transaction was completed in January 2013. The assets and liabilities of Calea were thus shown as held for sale in the consolidated statement of fi nancial position as of December 31, 2012 under other assets and other liabilities.

FRESENIUS HELIOS

In the fi rst quarter of 2013, Fresenius Helios spent € 3 million on acquisitions, mainly for the purchase of the St. Josef Krankenhaus, Wipperfürth, Germany.

Acquisition of Damp Holding AG

In March 2012, Fresenius Helios closed the acquisition of Damp Holding AG (Damp), Germany. 100% of the share capital was acquired.

The Fresenius Group has consolidated Damp as of March 31, 2012. The transaction was accounted for as a business combination and the acquisition accounting was fi nalized on March 31, 2013.

The following table summarizes the fi nal fair values of assets acquired and liabilities assumed at the date of the acquisition. Any adjustments to acquisition accounting from December 31, 2012 until fi nalization, net of related income tax effects, were recorded with a corresponding adjustment to goodwill.

€ in millions

Trade accounts receivable 43
Working capital and other assets 56
Assets 241
Liabilities - 431
Goodwill 445
Consideration transferred 354
Net debt acquired 207
Transaction amount 561

The goodwill in the amount of €445 million that was acquired as part of the Damp Acquisition is not deductible for tax purposes.

Damp's results have been included in the consolidated statement of income since April 1, 2012. Specifi cally, in 2012, Damp has contributed sales and operating income in the amount of € 306 million and € 8 million, respectively, to the consolidated income.

FRESENIUS VAMED

In the fi rst quarter of 2013, Fresenius Vamed spent € 7 million on acquisitions, mainly for the purchase of the hospital Nemocnice sv. Zdislavy a. s., Czech Republic.

CORPORATE / OTHER

Divestitures

During the fi rst quarter of 2013, German government securities in the amount of € 37 million were divested.

In December 2012, Fresenius has decided to focus on its four established business segments Fresenius Medical Care, Fresenius Kabi, Fresenius Helios and Fresenius Vamed. The Fresenius Biotech subsidiary will be discontinued. Fresenius assesses the option of continuing the immunosuppressive drug ATG-Fresenius S within the Group, but will divest the trifunctional antibody Removab business.

As a result of this decision, the assets and liabilities of Fresenius Biotech were shown as held for sale in the consolidated statement of fi nancial position as of March 31, 2013 and December 31, 2012 under other assets and other liabilities.

PRO FORMA FINANCIAL INFORMATION

The following unaudited fi nancial information, on a pro forma basis, refl ects the consolidated results of operations as if the acquisitions of Liberty, Damp and Fenwal had been consummated on January 1, 2012.

With respect to the Liberty Acquisition, the pro forma information is based on the assumption that the divestiture of the clinics had already been consummated on January 1, 2012.

With respect to the acquisition of Damp and Fenwal, the pro forma fi nancial information mainly includes adjustments for interest expenses in connection with the acquisition of Damp and income taxes.

The pro forma fi nancial information is not necessarily indicative of the results of operations as it would have been had the transactions been consummated on January 1, 2012.

Q1 / 2012
€ in millions as reported pro forma
Sales 4,419 4,721
Net income attributable to
shareholders of Fresenius SE & Co. KGaA
230 231
Basic earnings per ordinary share in € 1.41 1.42
Fully diluted earnings per
ordinary share in €
1.39 1.40

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 2013 in the amount of € 219 million includes as special item one-time costs from the integration of Fenwal Holdings, Inc. in the amount of € 5 million (€ 7 million before tax).

4. SALES

Sales by activity were as follows:

€ in millions Q1 / 2013 Q1 / 2012
Sales of services 3,019 2,735
less patient service bad debt provision - 49 - 51
Sales of products and related goods 1,834 1,656
Sales from long-term
production contracts
83 77
Other sales 3 2
Sales 4,890 4,419

5. INVESTMENT GAIN

Fresenius Medical Care's acquisition of the remaining 51% stake in Renal Advantage Partners, LLC, in addition to its 49% equity investment held previously, represents a business combination achieved in stages in the course of the acquisition of Liberty Dialysis Holdings, Inc. The previous equity investment was measured at its fair value at the date of the acquisition of Liberty Dialysis Holdings, Inc. by Fresenius Medical Care. In the fi rst quarter of 2012, the resultant nontaxable income of US\$ 127 million (€ 97 million) was presented in the separate line item investment gain in the consolidated statement of income.

6. TAXES

In the United States, Fresenius Medical Care fi led claims for refunds contesting the Internal Revenue Service's (IRS) disallowance of Fresenius Medical Care Holdings, Inc.'s (FMCH) civil settlement payment deductions taken by FMCH in prior year tax returns. As a result of a settlement agreement with the IRS, Fresenius Medical Care received a partial refund in September 2008 of US\$ 37 million, inclusive of interest, and preserved its right to pursue claims in the United States

Courts for refunds of all other disallowed deductions, which totaled approximately US\$ 126 million. On December 22, 2008, Fresenius Medical Care fi led a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. On August 15, 2012, a jury entered a verdict for FMCH granting additional deductions of US\$ 95 million. The District Court has denied post trial motions by the IRS to set aside the verdict and the IRS has affi rmed that a fi nal District Court judgment in the amount of approximately US\$ 50 million should be entered in favor of FMCH to refl ect the cash value of the additional tax deductions granted in the verdict. The IRS will have rights of appeal when the fi nal judgment is entered.

During the fi rst quarter of 2013, there were no further 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 2012 Annual Report.

7. EARNINGS PER SHARE

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

Q1 / 2013 Q1 / 2012
Numerators, € in millions
Net income attributable to
shareholders of
Fresenius SE & Co. KGaA 219 230
less effect from dilution due to
Fresenius Medical Care shares 1
Income available to
all ordinary shares 219 229
Denominators in number of shares
Weighted-average number of
ordinary shares outstanding 178,236,155 163,302,717
Potentially dilutive
ordinary shares 1,838,889 1,863,109
Weighted-average number
of ordinary shares outstanding
assuming dilution 180,075,044 165,165,826
Basic earnings per
ordinary share in € 1.23 1.41
Fully diluted earnings
per ordinary share in € 1.22 1.39

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

8. CASH AND CASH EQUIVALENTS

As of March 31, 2013 and December 31, 2012, cash and cash equivalents were as follows:

€ in millions March 31, 2013 Dec. 31, 2012
Cash 828 865
Time deposits and securities
(with a maturity of up to 90 days)
22 20
Total cash and cash equivalents 850 885

As of March 31, 2013 and December 31, 2012, earmarked funds of € 119 million and € 38 million, respectively, were included in cash and cash equivalents.

9. TRADE ACCOUNTS RECEIVABLE

As of March 31, 2013 and December 31, 2012, trade accounts receivable were as follows:

€ in millions March 31, 2013 Dec. 31, 2012
Trade accounts receivable 4,213 4,056
less allowance for doubtful accounts 426 406
Trade accounts receivable, net 3,787 3,650

10. INVENTORIES

As of March 31, 2013 and December 31, 2012, inventories consisted of the following:

€ in millions March 31, 2013 Dec. 31, 2012
Raw materials and
purchased components
473 433
Work in process 299 291
Finished goods 1,275 1,216
less reserves 86 100
Inventories, net 1,961 1,840

11. OTHER CURRENT AND NON-CURRENT ASSETS

As of March 31, 2013, investments, securities and long-term loans comprised investments of € 471 million (December 31, 2012: € 484 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 2013, income of € 4 million (Q1 2012: € 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 € 169 million fi nancial assets available for sale as of March 31, 2013 (December 31, 2012: € 182 million).

12. GOODWILL AND OTHER INTANGIBLE ASSETS

As of March 31, 2013 and December 31, 2012, intangible assets, split into amortizable and non-amortizable intangible assets, consisted of the following:

AMORTIZABLE INTANGIBLE ASSETS

March 31, 2013 Dec. 31, 2012
€ in millions Acquisition
cost
Accumulated
amortization
Carrying
amount
Acquisition
cost
Accumulated
amortization
Carrying
amount
Patents, product and distribution rights 594 224 370 585 216 369
Technology 325 38 287 321 32 289
Non-compete agreements 251 173 78 242 162 80
Other 694 336 358 684 319 365
Total 1,864 771 1,093 1,832 729 1,103

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

€ in millions Q2 – 4 / 2013 2014 2015 2016 2017 Q1 / 2018
Estimated amortization expenses 102 131 125 119 114 27

NON-AMORTIZABLE INTANGIBLE ASSETS

March 31, 2013 Dec. 31, 2012
€ in millions Acquisition
cost
Accumulated
amortization
Carrying
amount
Acquisition
cost
Accumulated
amortization
Carrying
amount
Tradenames 180 0 180 175 0 175
Management contracts 7 0 7 6 0 6
Goodwill 15,408 0 15,408 15,014 0 15,014
Total 15,595 0 15,595 15,195 0 15,195

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, 2012 7,100 3,793 1,722 48 6 12,669
Additions 1,707 396 447 11 0 2,561
Disposals 0 - 1 0 0 - 1
Reclassifi cations 0 0 - 18 18 0 0
Foreign currency translation - 150 - 65 0 0 0 - 215
Carrying amount as of December 31, 2012 8,657 4,123 2,151 77 6 15,014
Additions 44 9 12 5 0 70
Disposals 0 - 4 0 0 0 - 4
Reclassifi cations 0 0 0 0
Foreign currency translation 233 95 0 0 0 328
Carrying amount as of March 31, 2013 8,934 4,223 2,163 82 6 15,408

As of March 31, 2013 and December 31, 2012, the carrying amounts of the other non-amortizable intangible assets were € 171 million and € 165 million, respectively, for Fresenius Medical Care as well as € 16 million, respectively, for Fresenius Kabi.

13. DEBT AND CAPITAL LEASE OBLIGATIONS

SHORT-TERM DEBT

The Fresenius Group had short-term debt of € 696 million and € 205 million at March 31, 2013 and December 31, 2012, respectively. As of March 31, 2013, this debt consisted of borrowings by certain subsidiaries of the Fresenius Group under lines of credit with commercial banks of € 196 million. Furthermore, € 500 million were outstanding under the commercial paper program of Fresenius SE & Co. KGaA.

LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS

As of March 31, 2013 and December 31, 2012, long-term debt and capital lease obligations consisted of the following:

€ in millions March 31, 2013 Dec. 31, 2012
Fresenius Medical Care 2012 Credit Agreement 2,055 2,016
2008 Senior Credit Agreement 1,200 1,170
Euro Notes 864 739
European Investment Bank Agreements 501 498
Accounts receivable facility of Fresenius Medical Care 0 123
Capital lease obligations 92 94
Other 313 315
Subtotal 5,025 4,955
less current portion 716 519
Long-term debt and capital lease obligations, less current portion 4,309 4,436

Fresenius Medical Care 2012 Credit Agreement

Fresenius Medical Care AG & Co. KGaA (FMC-AG & Co. KGaA) entered into a new US\$ 3,850 million syndicated credit facility ( Fresenius Medical Care 2012 Credit Agreement) with a large group of banks and institutional investors on October 30, 2012 which replaced the 2006 Senior Credit Agreement.

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

March 31, 2013
Maximum amount available
Balance outstanding
€ in millions € in millions
Revolving Credit (in US\$) US\$ 600 million 469 US\$31 million 25
Revolving Credit (in €) € 500 million 500 € 0 million 0
Term Loan A US\$ 2,600 million 2,030 US\$2,600 million 2,030
Total 2,999 2,055
Dec. 31, 2012
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit (in US\$) US\$ 600 million 454 US\$59 million 45
Revolving Credit (in €) € 500 million 500 € 0 million 0
Term Loan A US\$ 2,600 million 1,971 US\$ 2,600 million 1,971
Total 2,925 2,016

In addition, at March 31, 2013 and December 31, 2012, Fresenius Medical Care had letters of credit outstanding in the amount of US\$ 16 million and US\$ 77 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, 2013, 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 amount of US\$ 1,300 million and € 1,250 million. Funding of the 2013 Senior Credit Agreement is expected for June 28, 2013. Upon funding, proceeds will be used to refi nance the 2008 Senior Credit Agreement and for general corporate purposes.

The 2013 Senior Credit Agreement consists of:

  • ▶ 5-year revolving credit facilities in the aggregate principal amount of US\$ 300 million, € 400 million and a € 200 million multicurrency facility with a fi nal repayment date on June 28, 2018; and
  • ▶ 5-year term loan facilities in the aggregate principal amount of US\$ 1,000 million and € 650 million (together Term Loan A). Term Loan A amortizes and is repayable in unequal quarterly installments with a fi nal maturity on June 28, 2018.

Until funding of the revolving facilities and Term Loan A, the 2013 Senior Credit Agreement allows for establishment of a term loan facility in the aggregate principal amount of US\$ 500 million (Term Loan B). After funding, the 2013 Senior Credit Agreement may be further increased by establishing additional incremental facilities if certain conditions are met.

The interest rate on each borrowing under the 2013 Senior Credit Agreement will be a rate equal to either (i) LIBOR or EURIBOR (as applicable) plus an applicable margin or (ii) the Base Rate as defi ned in the 2013 Senior Credit Agreement plus an applicable margin. The applicable margin will be variable and depends on the leverage ratio as defi ned in the 2013 Senior Credit Agreement.

In addition to scheduled principal payments, indebtedness outstanding under the 2013 Senior Credit Agreement will be reduced by mandatory prepayments in the case of certain sales of assets and the incurrence of certain additional indebtedness, with the amount to be prepaid depending on the proceeds which are generated by the respective transaction.

The 2013 Senior Credit Agreement is guaranteed by Fresenius SE & Co. KGaA, Fresenius ProServe GmbH, Fresenius Kabi AG and certain U.S. subsidiaries of Fresenius Kabi AG. Obligations under the 2013 Senior Credit Agreement will be secured by pledges of capital stock of certain material subsidiaries of Fresenius Kabi AG in favor of the lenders.

The 2013 Senior Credit Agreement contains a number of customary affi rmative and negative covenants and other payment restrictions. These covenants include limitations on liens, sale of assets, incurrence of debt, investments and acquisitions and restrictions on the payment of dividends, among other items. The 2013 Senior Credit Agreement also includes fi nancial covenants – as defi ned in the agreement – that require Fresenius SE & Co. KGaA and its subsidiaries (other than Fresenius Medical Care and its subsidiaries) to maintain a maximum leverage ratio and a minimum interest coverage ratio.

2008 Senior Credit Agreement

On August 20, 2008, in connection with the acquisition of APP Pharmaceuticals, Inc. (since 2012: Fresenius Kabi USA, Inc.), the Fresenius Group entered into a syndicated credit agreement (2008 Senior Credit Agreement) in an original amount of US\$ 2.45 billion. The 2008 Senior Credit Agreement will be replaced by the 2013 Senior Credit Agreement in June 2013. Therefore, the 2008 Senior Credit Agreement is mainly shown as long-term debt in the consolidated statement of fi nancial position.

Since entering into the 2008 Senior Credit Agreement, amendments and voluntary prepayments have been made which have resulted in a change of the total amount available under this facility.

The following tables show the available and outstanding amounts under the 2008 Senior Credit Agreement at March 31, 2013 and December 31, 2012:

March 31, 2013
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit Facilities US\$ 550 million 430 US\$ 0 million 0
Term Loan A US\$ 375 million 293 US\$ 375 million 293
Term Loan D (in US\$) US\$ 959 million 749 US\$ 959 million 749
Term Loan D (in €) € 158 million 158 € 158 million 158
Total 1,630 1,200
Dec. 31, 2012
Maximum amount available Balance outstanding
€ in millions € in millions
Revolving Credit Facilities US\$ 550 million 416 US\$ 0 million 0
Term Loan A US\$ 375 million 284 US\$ 375 million 284
Term Loan D (in US\$) US\$ 959 million 728 US\$ 959 million 728
Term Loan D (in €) € 158 million 158 € 158 million 158
Total 1,586 1,170

As of March 31, 2013, the Fresenius Group was in compliance with all covenants under the 2008 Senior Credit Agreement.

Euro Notes

As of March 31, 2013 and December 31, 2012, Euro Notes (Schuldscheindarlehen) of the Fresenius Group consisted of the following:

Book value / nominal value
€ in millions
Maturity Interest rate March 31, 2013 Dec. 31, 2012
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 0
Fresenius SE & Co. KGaA 2013 / 2017 Aug. 22, 2017 variable 74 0
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% 12 12
Fresenius Medical Care AG & Co. KGaA 2009 / 2014 Oct. 27, 2014 variable 27 27
Euro Notes 864 739

On February 22, 2013, Fresenius SE & Co. KGaA issued Euro Notes in an amount of € 125 million. Proceeds were used for general corporate purposes. The new Euro Notes are guaranteed by Fresenius Kabi AG and Fresenius ProServe GmbH.

As of March 31, 2013, 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, 2013 and December 31, 2012:

Book value
€ in millions
Maturity March 31, 2013 Dec. 31, 2012
Fresenius SE & Co. KGaA 2013 196 196
Fresenius Medical Care AG & Co. KGaA 2013 / 2014 249 1 246 1
HELIOS Kliniken GmbH 2019 56 56
Loans from EIB 501 498

Difference due to foreign currency translation and repayments

The majority of the loans are denominated in euros. The U.S. dollar denominated borrowings of FMC-AG & Co. KGaA amounted to US\$ 140 million (€ 109 million) at March 31, 2013. At March 31, 2013, all credit lines were utilized.

The loans borrowed by Fresenius SE & Co. KGaA and FMC-AG & Co. KGaA, which are due in June and September 2013 as well as February 2014 are shown as current portion of long-term debt and capital lease obligations in the consolidated statement of fi nancial position.

As of March 31, 2013, 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, 2013, the additional fi nancial cushion resulting from unutilized credit facilities was approximately € 2.2 billion.

14. SENIOR NOTES

As of March 31, 2013 and December 31, 2012, Senior Notes of the Fresenius Group consisted of the following:

Book value
€ in millions
Notional amount Maturity Interest rate March 31, 2013 Dec. 31, 2012
Fresenius Finance B.V. 2006 / 2013 € 500 million Jan. 31, 2013 5.00% 0 500
Fresenius Finance B.V. 2006 / 2016 € 650 million Jan. 31, 2016 5.50% 0 645
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 0
Fresenius US Finance II, Inc. 2009 / 2015 € 275 million July 15, 2015 8.75% 268 267
Fresenius US Finance II, Inc. 2009 / 2015 US\$ 500 million July 15, 2015 9.00% 381 369
FMC Finance VI S.A. 2010 / 2016 € 250 million July 15, 2016 5.50% 248 248
FMC Finance VII S.A. 2011 / 2021 € 300 million Feb. 15, 2021 5.25% 294 294
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% 388 376
Fresenius Medical Care US Finance, Inc. 2011 / 2021 US\$ 650 million Feb. 15, 2021 5.75% 504 489
Fresenius Medical Care US Finance II, Inc. 2011 / 2018 US\$ 400 million Sept. 15, 2018 6.50% 309 300
Fresenius Medical Care US Finance II, Inc. 2012 / 2019 US\$ 800 million July 31, 2019 5.625% 625 606
Fresenius Medical Care US Finance II, Inc. 2012 / 2022 US\$ 700 million Jan. 31, 2022 5.875% 547 531
Senior Notes 5,303 5,864

On January 7, 2013, Fresenius announced the early redemption of the 5.5% Senior Notes due in 2016 that were issued in 2006. The aggregate principal amount of € 650 million was completely repaid on February 7, 2013 at a price of 100.916% plus accrued and unpaid interest. Initially, the redemption was fi nanced by utilizing existing credit lines. From the end of June 2013, drawings under the Senior Secured Credit Agreement arranged in December 2012 shall be utilized.

On January 24, 2013, Fresenius Finance B.V. issued unsecured Senior Notes of € 500 million at par which are due in 2020. Net proceeds were used to refi nance the Senior Notes which were due in January 2013.

The Senior Notes are guaranteed by Fresenius SE & Co. KGaA, Fresenius Kabi AG and Fresenius ProServe GmbH.

The Senior Notes issued by Fresenius Finance B.V. which were due on January 31, 2013 were shown as long-term debt in the consolidated statement of fi nancial position as of December 31, 2012.

As of March 31, 2013, the Fresenius Group was in compliance with all of its covenants.

  1. PENSIONS AND SIMILAR OBLIGATIONS

DEFINED BENEFIT PENSION PLANS

At March 31, 2013, the pension liability of the Fresenius Group was € 706 million. The current portion of the pension liability of € 13 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 € 693 million is recorded as pension liability.

Contributions to Fresenius Group's pension fund were € 3 million in the fi rst quarter of 2013. The Fresenius Group expects approximately € 15 million contributions to the pension fund during 2013.

Defi ned benefi t pension plans' net periodic benefi t costs of € 19 million (Q1 2012: € 14 million) were comprised of the following components:

€ in millions Q1 / 2013 Q1 / 2012
Service cost 7 5
Interest cost 10 9
Expected return on plan assets - 4 - 4
Amortization of unrealized actuarial losses, net 6 4
Amortization of prior service costs
Amortization of transition obligations
Settlement loss 0
Net periodic benefi t cost 19 14
  1. NONCONTROLLING INTEREST

NONCONTROLLING INTEREST SUBJECT TO PUT PROVISIONS

Noncontrolling interest subject to put provisions changed as follows:

€ in millions Q1 / 2013
Noncontrolling interest subject to
put provisions as of January 1, 2013
398
Noncontrolling interest subject to
put provisions in profi t 19
Purchase of noncontrolling interest
subject to put provisions 6
Dividend payments - 22
Currency effects, fi rst-time consolidations
and other changes 31
Noncontrolling interest subject to
put provisions as of March 31, 2013 432

As of March 31, 2013 and December 31, 2012, € 178 million and € 173 million, respectively, were exercisable. During the fi rst quarter of 2013, no put options were exercised.

NONCONTROLLING INTEREST NOT SUBJECT TO PUT PROVISIONS

As of March 31, 2013 and December 31, 2012, noncontrolling interest not subject to put provisions in the Fresenius Group was as follows:

€ in millions March 31, 2013 Dec. 31, 2012
Noncontrolling interest
not subject to put provisions in
Fresenius Medical Care AG & Co. KGaA 4,914 4,692
Noncontrolling interest
not subject to put provisions
in VAMED AG 33 33
Noncontrolling interest
not subject to put provisions
in the business segments
Fresenius Medical Care 200 201
Fresenius Kabi 95 86
Fresenius Helios 113 111
Fresenius Vamed 3 2
Total noncontrolling interest
not subject to put provisions 5,358 5,125

Noncontrolling interest not subject to put provisions changed as follows:

€ in millions Q1 / 2013
Noncontrolling interest not subject to
put provisions as of January 1, 2013
5,125
Noncontrolling interest not subject to
put provisions in profi t
135
Stock options 6
Sale of noncontrolling interest not
subject to put provisions
- 2
Dividend payments - 28
Currency effects, fi rst-time consolidations
and other changes
122
Noncontrolling interest not subject to
put provisions as of March 31, 2013
5,358

17. FRESENIUS SE & CO. KGAA SHAREHOLDERS' EQUITY

SUBSCRIBED CAPITAL

During the fi rst quarter of 2013, 82,871 stock options were exercised. Consequently, as of March 31, 2013, the subscribed capital of Fresenius SE & Co. KGaA consisted of 178,271,131 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 1998, 2003 and 2008 (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 1998 857,970
Conditional Capital II Fresenius AG Stock Option Plan 2003 2,497,254
Conditional Capital III Fresenius SE Stock Option Plan 2008 5,383,434
Conditional Capital IV, approved on May 11, 2012 16,323,734
Total Conditional Capital as of January 1, 2013 25,062,392
Fresenius AG Stock Option Plan 2003 – options exercised - 32,197
Fresenius SE Stock Option Plan 2008 – options exercised - 50,674
Total Conditional Capital as of March 31, 2013 24,979,521

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 2013, the general partner and the Supervisory Board of Fresenius SE & Co. KGaA will propose a dividend of € 1.10 per bearer ordinary share to the Annual General Meeting, i. e. a total dividend payment of € 196 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
Balance as of December 31, 2011 - 145 - 8 248 - 81 14 132 146
Other comprehensive income (loss) before reclassifi cations 4 8 - 58 - 5 - 51 - 101 - 152
Amounts reclassifi ed from accumulated
other comprehensive income (loss)
1 0 7 8 4 12
Other comprehensive income (loss), net 5 8 - 58 2 - 43 - 97 - 140
Balance as of March 31, 2012 - 140 0 190 - 79 - 29 35 6
Balance as of December 31, 2012 - 122 - 17 168 - 157 - 128 13 - 115
Other comprehensive income (loss) before reclassifi cations 2 9 73 - 24 60 145 205
Amounts reclassifi ed from accumulated
other comprehensive income (loss) 2 0 23 25 1 26
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

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 / 2013 Q1 / 2012 Affected line item in the
consolidated statement of income
Details about accumulated other comprehensive (income) loss components
Cash fl ow hedges
Interest rate contracts 6 5 Interest income / expense
Foreign exchange contracts - 1 - 3 Cost of sales
Foreign exchange contracts Selling, general and
administrative expenses
Foreign exchange contracts Interest income / expense
Other comprehensive income 5 2
Tax expense or benefi t - 1
Other comprehensive income, net 4 2
Amortization of defi ned benefi t pension items
Prior service costs 5 1 1
Transition obligations 1
Actuarial gains / losses on defined benefit pension plans 15 8 1
Other comprehensive income 20 9
Tax expense or benefi t 2 1
Other comprehensive income, net 22 10
Total reclassifi cations for the period 26 12

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 PROCEEDINGS

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 2012 Annual Report. In the following, only the changes during the fi rst quarter ended March 31, 2013 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 2012 Annual Report; defi ned terms or abbreviations having the same meaning as in the 2012 Annual Report.

PRODUCT LIABILITY LITIGATION

On April 5, 2013, the U.S. Judicial Panel on Multidistrict Litigation ordered that lawsuits fi led in various federal courts alleging wrongful death and personal injury claims against Fresenius Medical Care Holdings, Inc.'s (FMCH) and certain of its affi liates relating to FMCH's dialysate concentrate products NaturaLyte ® and Granufl o ® be transferred and consolidated for pretrial management purposes into a consolidated multidistrict litigation in the United States District Court for the District of Massachusetts, styled In Re: Fresenius Granufl o / Naturalyte Dialysate Products Liability Litigation, Case No. 2013-md-02428. These lawsuits allege generally that inadequate labeling and warnings for these products caused harm to patients. In addition, similar cases have been fi led in other courts that will not be formally consolidated with the federal multidistrict litigation. FMCH believes that these lawsuits are without merit, and will defend them vigorously.

In several further cases with the same subject matter in dispute, complaints were formally served on Fresenius SE & Co. KGaA and Fresenius Management SE causing both companies to become formally involved in the litigation. Also for these cases, both companies believe the lawsuits to be without merit and intend to defend them vigorously.

RENAL CARE GROUP – CLASS ACTION "ACQUISITION"

On January 11, 2013, the period for objection to a settlement agreed to by plaintiff expired. The settlement calls for dismissal of the complaint with prejudice against the plaintiff and all other class members in exchange for a payment that is not material to Fresenius Medical Care. The settlement has been funded and distribution is being overseen by the Nashville Chancery Court.

INTERNAL REVIEW

Fresenius Medical Care's independent counsel, in conjunction with Fresenius Medical Care's Compliance department, have reviewed Fresenius Medical Care's anti-corruption compliance program, including internal controls related to compliance with international anti-bribery laws, and appropriate enhancements are being implemented.

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, 2013 and December 31, 2012, classifi ed into classes:

Dec. 31, 2012
Fair value
hierarchy level
Carrying
amount
Fair value Carrying
amount
Fair value
1 850 850 885 885
2 3,805 3,805 3,668 3,668
1 169 169 182 182
2 11,860 12,484 11,991 12,593
2 22 22 23 23
3 432 432 398 398
2 - 32 - 32 - 35 - 35
March 31, 2013

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 mainly consisting of trade accounts receivable is classifi ed as fair value hierarchy Level 2.

The class assets recognized at fair value comprises European government bonds and shares. 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 class liabilities recognized at fair value is classifi ed as hierarchy 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.

For the fair value measurement of the class deriv atives for hedging purposes, signifi cant other observable inputs are used. Therefore, they are 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, 2013 Dec. 31, 2012
€ in millions Assets Liabilities Assets Liabilities
Interest rate contracts (current) 0 8 0 50
Interest rate contracts (non-current) 0 15 0 18
Foreign exchange contracts (current) 12 14 15 11
Foreign exchange contracts (non-current) 1
Derivatives designated as hedging instruments 1 12 37 16 79
Interest rate contracts (current) 0 5 0 6
Interest rate contracts (non-current) 0 2 0 2
Foreign exchange contracts (current) 1 30 37 37 9
Foreign exchange contracts (non-current) 1
Derivatives not designated as hedging instruments 30 44 37 17

Derivatives designated as hedging instruments and foreign exchange contracts not designated as hedging instruments are classifi ed as derivatives for hedging purposes.

Derivative fi nancial instruments are marked to market each reporting period, resulting in carrying amounts equal to fair values at the reporting date.

Derivatives not designated as hedging instruments, which are derivatives that do not qualify for hedge accounting, are also solely entered into to hedge economic business transactions and not for speculative purposes.

Derivatives for hedging purposes were recognized at gross value within other assets in an amount of € 42 million and other liabilities in an amount of € 74 million.

The current portion of interest rate contracts and foreign exchange contracts indicated as assets in the previous 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.

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

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
Q1 / 2012
€ 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 - 7 5
Foreign exchange contracts 17 - 3 0
Derivatives in cash fl ow hedging relationships 1 10 2
Foreign exchange contracts 8
Derivatives in fair value hedging relationships 8
Derivatives designated as hedging instruments 10 2 8

1 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 / 2013 Q1 / 2012
Interest rate contracts 2
Foreign exchange contracts 31 1
Derivatives not designated as hedging instruments 33 1

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 € 3 million 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 € 44 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 2013, gains of € 9 million (Q1 2012: € 8 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 and shares, 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 statement of fi nancial position.

At March 31, 2013 and December 31, 2012, the Fresenius Group had € 41 million and € 51 million of derivative fi nancial assets subject to netting arrangements and € 77 million and € 92 million of derivative fi nancial liabilities subject to netting arrangements. Offsetting these derivative fi nancial instruments would have resulted in net assets of € 26 million and € 34 million as well as net liabilities of € 62 million and € 75 million at March 31, 2013 and December 31, 2012, 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, 2013, the notional amounts of foreign exchange contracts totaled € 2,979 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 values of cash fl ow hedges and fair value hedges were - € 2 million and € 0.4 million, respectively.

As of March 31, 2013, the Fresenius Group was party to foreign exchange contracts with a maximum maturity of 32 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, 2013, the interest rate swaps had a notional volume of US\$ 1,200 million (€ 937 million) and € 271 million as well as fair values of - US\$ 22 million and - € 13 million, respectively, which expire between 2013 and 2022.

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 0.2% 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, 2013, the equity ratio was 42.5% and the debt ratio (debt / total assets) was 35.2%. As of March 31, 2013, the net debt / EBITDA ratio (before special items) was 2.6.

The aims of the capital management and further information can be found in the consolidated fi nancial statements in the 2012 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 stable stable

On March 28, 2013, Standard & Poor's revised its outlook to positive from stable and confi rmed the BB + company rating.

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 / 2013 Q1 / 2012
Interest paid 239 188
Income taxes paid 91 36

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

€ in millions Q1 / 2013 Q1 / 2012
Assets acquired 89 2,419
Liabilities assumed - 15 - 284
Noncontrolling interest - 8 - 140
Notes assumed in connection with acquisitions - 8 - 149
Cash paid 58 1,846
Cash acquired - 3 - 124
Cash paid for acquisitions, net 55 1,722
Cash paid for investments, net of cash acquired 17
Cash paid for intangible assets, net 1
Total cash paid for acquisitions and invest
ments, net of cash acquired, and net
purchases of intangible assets 72 1,723

23. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting shown on page 23 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, 2013.

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 dialysis products and dialysis care for the life-saving treatment of patients with chronic kidney failure. Fresenius Medical Care treats 261,648 patients in its 3,180 own dialysis clinics.

Fresenius Kabi is a globally active company, providing infusion therapies, intravenously administered generic drugs, clinical nutrition and the related medical devices. The products are used for the therapy and care of critically and chronically ill patients in and outside the hospital. In Europe,

Fresenius Kabi is the market leader in infusion therapies and clinical nutrition, in the United States, the company is a leading provider of intravenously administered generic drugs.

Fresenius Helios is one of the largest private hospital operators in Germany.

Fresenius Vamed provides engineering and services for hospitals and other health care facilities internationally.

The segment Corporate / Other mainly comprises 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 Fresenius Biotech, which does not fulfi ll the characteristics of a reportable segment. In addition, the segment Corporate / Other includes intersegment 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 2012 Annual Report.

RECONCILIATION OF KEY FIGURES TO CONSOLIDATED EARNINGS

Income before income taxes 526 611
Net interest - 163 - 147
Investment gain 0 97
Group EBIT 689 661
General corporate expenses
Corporate / Other (EBIT)
- 14 - 11
Total EBIT of reporting segments 703 672
€ in millions Q1 / 2013 Q1 / 2012

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ in millions March 31, 2013 Dec. 31, 2012
Short-term debt 696 205
Short-term loans from related parties 0 4
Current portion of long-term debt and
capital lease obligations
716 519
Long-term debt and capital lease
obligations, less current portion
4,309 4,436
Senior Notes 5,303 5,864
Debt 11,024 11,028
less cash and cash equivalents 850 885
Net debt 10,174 10,143

24. STOCK OPTIONS

FRESENIUS SE & CO. KGAA STOCK OPTION PLANS

As of March 31, 2013, Fresenius SE & Co. KGaA had two stock option plans in place: the Fresenius AG Stock Option Plan 2003 (2003 Plan) which is based on convertible bonds and the stock option based Fresenius SE Stock Option Plan 2008 (2008 Plan). On June 30, 2012, the term of the options granted under the Fresenius AG Stock Option Plan 1998 expired.

Transactions during the fi rst quarter of 2013

During the fi rst quarter of 2013, Fresenius SE & Co. KGaA received cash of € 3 million from the exercise of 82,871 stock options.

893,762 convertible bonds were outstanding and exercisable under the 2003 Plan at March 31, 2013. The members of the Fresenius Management SE Management Board held 220,360 convertible bonds. At March 31, 2013, out of 4,377,931 outstanding stock options issued under the 2008 Plan, 1,080,708 were exercisable and 852,040 were held by the members of the Fresenius Management SE Management Board.

As of March 31, 2013, 1,974,470 options for ordinary shares were outstanding and exercisable. On March 31, 2013, total unrecognized compensation cost related to non-vested options granted under the 2008 Plan was € 27 million. This cost is expected to be recognized over a weighted-average period of 1.9 years.

FRESENIUS MEDICAL CARE AG & CO. KGAA STOCK OPTION PLANS

During the fi rst quarter of 2013, 103,327 stock options for ordinary shares were exercised. Fresenius Medical Care AG & Co. KGaA received cash of € 3.1 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 Universitätsklinikum Carl Gustav Carus Dresden and a member of the supervisory boards of the Universitätsklinika Aachen, Magdeburg and Rostock. The Fresenius Group maintains business relations with these hospitals in the ordinary course and under customary conditions.

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. 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 services to the Fresenius Group. In the fi rst quarter of 2013, after discussion and approval of each mandate by the Supervisory Board of Fresenius Management SE, the Fresenius Group paid € 0.6 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 2013. 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 2013.

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, Germany May 17, 2013
Payment of dividend 1 May 20, 2013
Report on 1st half 2013
Conference call, Live webcast July 30, 2013
Report on 1st – 3rd quarters 2013
Conference call, Live webcast November 5, 2013

Subject to prior approval by the Annual General Meeting

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 location OTC-market
Ordinary share ADR

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 08-26 37 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 2012 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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