Investor Presentation • Mar 1, 2024
Investor Presentation
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Company Presentation, March 2024
This presentation contains forward-looking statements that are subject to various risks and uncertainties. Future results could differ materially from those described in these forward-looking statements due to certain factors, e.g. changes in business, economic and competitive conditions, regulatory reforms, results of clinical trials, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, the availability of financing and unforeseen impacts of international conflicts.
Fresenius does not undertake any responsibility to update the forward-looking statements contained in this presentation.

Profitability optimization and growth
Financial value management




Source: IQVIA, Fresenius Kabi internal analysis; market data refers to Fresenius Kabi's adressable markets








Due to legal restrictions resulting from the utilization of state compensation and reimbursement payments for increased energy costs, it will not be proposed to the 2024 Annual General Meeting to distribute a dividend for the FY/23
12


Specialized (BIO)PHARMA PLATFORM
Leverage at-scale capabilities and capacities for leading (bio-) pharmaceutical & nutrition products Global value pool1
€350-450bn
Targeted MEDTECH PLATFORM
€70-100bn Empower cutting-edge medical technology solutions in critical care & beyond
Holistic CARE PROVISION PLATFORM
Provide an expandable offering of holistic care services with in- and outpatient settings
€350-450bn
30+ studies in parenteral and enteral nutrition
3 multiproduct biologic drug substance facilities
Pipeline of 10+ biosimilars
>160 IV Drug products in portfolio
136 hospitals in Germany & Spain
11,500 physicians active in Germany
Breakthrough technology infusion system
Device supplier for 1/3rd of FDA/EMA-approved CAR-T cell therapies
#2 for plasma collection devices globally
Installed base of >1m medical pumps
~400k anonymized routine treatment data sets
>20 surgical robots in practice
26m patients treated every year


Human-to-Human care

AI-powered clinical outcomes

Cross-platform therapy development


• …

• …

• …
3 + 1
* Autoimmune and inflammatory disorders
• …




Strong footprints in both markets with clear opportunities for market share expansion

Continued best-in-class medical quality levels

Efficiency focus in core operations Germany and Spain, with mutual best-practice sharing

Targeted capital deployment for market-specific capacity and technology upgrades

Next-level patient care from integration of digital and AI capabilities into core business

1 Cash conversion rate – defined as adjusted FCFbIT / EBIT (before special items) All figures before special items

22


Focus + Simplification + Performance = VALUE


Access & Affordability Employee Development & Wellbeing Diversity & Inclusion
Business Ethics

Transformative, Groupwide & crossfunctional project to collect ~120 KPIs based on ~600 data points in financial audit quality
We are committed to being a socially and environmentally responsible corporate player in the global healthcare market, we



| OPERATING COMPANIES | Q1 YTD | Q2 YTD | Q3 YTD | FY/23 | |
|---|---|---|---|---|---|
| ORG. REVENUE |
+7%1 | +7%1 | +7%1 | +7%1 | |
| EBIT | -4% | +1% | +2% | +3% | |
| ORG. REVENUE |
+5% | +6% | +6% | +5% | |
| EBIT | +2% | +3% | +4% | +4% | |
| Within or above structural growth/margin band according to Fresenius Financial Framework | |||||
| INVESTMENT COMPANY | |||||
| ORG. REVENUE |
+13% | 3% | +6% | 1%2 |
|---|---|---|---|---|
| EBIT | -€27m | -€47m | -€37m | -€16m |
Before special items; EBIT growth in constant currency (CC)
1 Excluding significant inflation accounting effects in Argentina 2 Calculated for continued business

Revenue (org.)
3 – 6% GROWTH
EBIT (cc)
4 – 8% GROWTH







Net Debt/EBITDA excluding Fresenius Medical Care
32
QUARTERLY FINANCIALS

Before special items
1 To show the underlying business development, the organic growth definition was adjusted to fully exclude the significant inflation accounting effects in Argentina; according to old methodology organic growth for Fresenius Kabi overall would have been Q1: 7%, Q2: 8%, Q3: 7%, Q4: 14%
QUARTERLY FINANCIALS

Before special items
QUARTERLY FINANCIALS

Before special items
1 Organic growth of continuing business

| €m | Q4/23 | Q4/22 | Q4/23 LTM |
Q4/22 LTM |
|---|---|---|---|---|
| OCF | 1,272 | 1,225 | 2,131 | 2,031 |
| % OCF Margin | 22.4% | 21.6% | 9.6% | 9.4% |
| Capex (net) |
-384 | -403 | -1,107 | -1,089 |
| Capex in % of revenue |
-6.8% | -7.1% | -5.0% | -5.0% |
| Acquisitions (net) |
-12 | -16 | -233 | -783 |
| Dividends | -6 | -7 | -444 | -276 |
| Lease liabilities | -56 | -57 | -232 | -200 |
| FCF | 814 | 742 | 115 | -317 |
Cash flow from continuing operations, i.e. ex FMC
Q4 OCF increased by 4% over strong prior-year quarter




Strong underlying growth at Kabi and Helios
Steady improvement at Vamed
Improved structural productivity and efficiency
Increased profitability
Targeted and disciplined capital allocation
Focused investments along strategic growth pillars and portfolio optimization
Deconsolidation of FMC
| OPERATING COMPANIES | FY/23 base1 | FY/24 outlook | |
|---|---|---|---|
| €8,009m €1,145m |
Mid-single-digit organic revenue growth Around 15% EBIT margin; structural EBIT margin band of 14–17% |
Revenue growth (organic): |
|
| €11,952m €1,190m |
Low-to mid-single-digit organic revenue growth Within structural EBIT margin band of 9–11% |
3–6% growth 2023: €21,776m1 |
|
| INVESTMENT COMPANY | EBIT growth (cc): | ||
| €2,201m -€16m |
Mid-single-digit organic revenue growth2 1–2%-points below structural EBIT margin band of 4–6% |
4–8% growth 2023: €2,220m1 |
|
| 1 Please refer to slide 34 for a reconciliation of the FY/2023 guidance base 2 Calculated for continued business |
| Quality / Patients | Quality / Patients | Quality / Patients | ||||
|---|---|---|---|---|---|---|
| Audit & Inspection Score |
Inpatient Qualitiy Indicator |
Patient Satisfaction |
||||
| Critical and major observations from regulatory authority's GMP inspections and major nonconformities in TÜV ISO 9001 audits in relation to the number of inspections/audits |
Number of quality indicators achieved compared to the total number of indicators; individual target setting and measurement of achievement in Helios segments Germany and Spain |
Degree of patient satisfaction in Vamed healthcare facilities and the patient' satisfaction with the overall services provided in VAMED healthcare facilities. |
||||
| Target: 2.3 | Target Germany: 88% Target Spain: 55% |
Target: 1.57 | ||||
| Employee Engagement Index |
Employee Engagement Index (EEI) describes how positively employees associate themselves with the employer, how committed they feel and how engaged they are at work. |
|||||
| Target: 4.33 |

| FY/23 | FY/24 expectation | ||
|---|---|---|---|
| y t bili a |
Interest expense |
€418 m | €420 to €440m |
| t fi o r P |
Tax rate | 28.3% | Between 25 to 26% |
| n o ti a c o All al t pi a |
CAPEX % of revenue |
5.1% | Around 5% |
| CCR LTM | 1.0 | Around 1 | |
| ROIC | 5.2% | In the range of 5.4 to 6.0% |
|
| C | Leverage ratio | 3.76x | Within target range of 3.0 to 3.5x net debt/EBITDA |
Before special items
| FY/2023 | |||||
|---|---|---|---|---|---|
| €m | Actual | Portfolio Adjustments Helios |
Discontinued business Vamed1 |
Base for Guidance FY/24 |
|
| Revenue | 8,009 | 8,009 | |||
| EBIT | 1,145 | 1,145 | |||
| Revenue | 12,320 | -368 | 11,952 | ||
| EBIT | 1,232 | -42 | 1,190 | ||
| Revenue | 2,356 | -155 | 2,201 | ||
| EBIT | -16 | 0 | -16 | ||
| Corporate | Revenue | -386 | -386 | ||
| EBIT | -99 | -99 | |||
| Revenue | 22,299 | -368 | -155 | 21,776 | |
| EBIT | 2,262 | -42 | 0 | 2,220 | |
1 Existing projects in respective countries will continue for a certain time period

1 LTM
2 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions/divestitures; before special items; after effects from assets held for sale at FMC
| €m | Q4/23 | Q4/22 | Growth |
|---|---|---|---|
| Revenue | 5,678 | 5,670 | 0% |
| Cost of goods sold | -4,381 | -4,240 | -3% |
| Gross profit | 1,297 | 1,430 | -9% |
| Selling, general, and administrative expenses & OCI | -1,008 | -878 | -15% |
| Research and development expenses | -204 | -215 | 5% |
| Operating income (EBIT) | 85 | 337 | -75% |
| Income from the Fresenius Medical Care investment accounted for using the equity method | -12 | n.a. | n.a. |
| Interest result | -125 | -55 | -127% |
| Income before income taxes | -52 | 282 | -118% |
| Income taxes | -165 | -73 | -126% |
| Net income from continuing operations | -217 | 209 | -- |
| Noncontrolling interests in continuing operations | -68 | 0 | -- |
| Net income from continuing operations (attributable to shareholders of Fresenius SE & Co. KGaA) |
-149 | 209 | -171% |
| Net income from deconsolidated Fresenius Medical Care operations under IFRS 5 (attributable to shareholders of Fresenius SE & Co. KGaA) |
-453 | 46 | -- |
| Net income (attributable to shareholders of Fresenius SE & Co. KGaA) | -614 | 255 | -- |
| Earnings per share in € | -1.09 | 0.45 | -- |
After special items; for a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/financial-results.
| €m | FY/23 | FY/22 | Growth |
|---|---|---|---|
| Revenue | 22,299 | 21,532 | 4 % |
| Cost of goods sold | -17,241 | -16,129 | -7 % |
| Gross profit | 5,058 | 5,403 | -6 % |
| Selling, general, and administrative expenses & OCI | -3,254 | -2,952 | -10% |
| Research and development expenses | -661 | -639 | -3 % |
| Operating income (EBIT) | 1,143 | 1,812 | -37 % |
| Income from the Fresenius Medical Care investment accounted for using the equity method | -12 | n.a. | n.a. |
| Interest result | -416 | -215 | -93 % |
| Income before income taxes | 715 | 1,597 | -55 % |
| Income taxes | -477 | -375 | -27 % |
| Net income from continuing operations | 238 | 1,222 | -81 % |
| Noncontrolling interests in continuing operations | -115 | 68 | -- |
| Net income from continuing operations (attributable to shareholders of Fresenius SE & Co. KGaA) |
353 | 1,154 | -69 % |
| Net income from deconsolidated Fresenius Medical Care operations under IFRS 5 (attributable to shareholders of Fresenius SE & Co. KGaA) |
-947 | 218 | n.a. |
| Net income (attributable to shareholders of Fresenius SE & Co. KGaA) | -594 | 1,372 | -- |
| Earnings per share in € | -1.05 | 2.44 | -- |
After special items; for a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/financial-results.


52
| €m | Q4/23 | Q4/22 | Growth at actual rates |
Currency translation effects |
Growth at constant rates |
Organic growth |
Acquisi tions |
Divesti tures/ Others |
|---|---|---|---|---|---|---|---|---|
| Fresenius Kabi | 1,996 | 2,036 | -2% | -11% | 9% | 7% | 0% | 2% |
| Fresenius Helios | 3,188 | 3,031 | 5% | 0% | 5% | 5% | 0% | 0% |
| Fresenius Vamed | 595 | 712 | -16% | 1% | -17% | -5% | 0% | -12% |
| Total | 5,678 | 5,670 | 0% | -4% | 4% | 5% | 0% | -1% |
53
| €m | FY/23 | FY/22 | Growth at actual rates |
Currency translation effects |
Growth at constant rates |
Organic growth |
Acquisi tions |
Divesti tures/ Others |
|---|---|---|---|---|---|---|---|---|
| Fresenius Kabi | 8,009 | 7,850 | 2% | -7% | 9% | 7% | 1% | 1% |
| Fresenius Helios | 12,320 | 11,716 | 5% | 0% | 5% | 5% | 0% | 0% |
| Fresenius Vamed | 2,356 | 2,359 | 0% | 0% | 0% | 1% | 1% | -2% |
| Total | 22,299 | 21,532 | 4% | -2% | 6% | 6% | 0% | 0% |
| €m | Q4/23 | Δ YoY organic |
FY/23 | Δ YoY organic |
|---|---|---|---|---|
| MedTech | 397 | 8% | 1,510 | 8% |
| Nutrition | 501 | 6% | 2,304 | 8% |
| Biopharma | 99 | 66% | 363 | 57% |
| Growth Vectors1 | 997 | 11% | 4,177 | 10% |
| Pharma (IV Drugs & Fluids) |
1,000 | 3% | 3,832 | 3% |
| Corporate | 0 | -- | 0 | -- |
| Total revenue | 1,996 | 7%2 | 8,009 | 7%3 |
1 Consists of MedTech, Nutrition, Biopharma
2 Excluding hyperinflation Argentina, including: 14%
3 Excluding hyperinflation Argentina, including: 9%
55
| €m | Q4/23 | Δ YoY cc |
FY/23 | Δ YoY cc |
|---|---|---|---|---|
| Total EBITDA | 425 | 0% | 1,634 | 3% |
| Margin | 21.3% | +150 bps | 20.4% | +30 bps |
| Growth Vectors1 | 102 | 12% | 390 | +6% |
| Margin | 10.2% | +430 bps | 9.3% | +80 bps |
| Pharma (IV Drugs & Fluids) | 189 | 2% | 792 | 6% |
| Margin | 18.9% | +10 bps | 20.7% | +70 bps |
| Corporate | -9 | -- | -37 | -- |
| Total EBIT | 282 | 6% | 1,145 | 3% |
| Margin | 14.1% | +250 bps | 14.3% | +50 bps |
All figures before special items
Margin growth at actual rates
1 consists of MedTech, Nutrition, Biopharma
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/financial-results.
| €m | Q4/23 | Δ YoY cc |
FY/23 | Δ YoY cc |
|---|---|---|---|---|
| Total revenue | 3,188 | 5%1 | 12,320 | 5%1 |
| Thereof Helios Germany |
1,828 | 5%1 | 7,279 | 4%1 |
| Thereof Helios Spain |
1,289 | 5%1 | 4,770 | 8%1 |
| Thereof Helios Fertility |
71 | 22%1 | 269 | 15%1 |
| Total EBIT Margin |
371 11.6% |
5% -10 bps |
1,232 10.0% |
4% -10 bps |
| Thereof Helios Germany Margin |
164 9.0% |
-6% -90 bps |
630 8.7% |
1% -20 bps |
| Thereof Helios Spain Margin |
188 14.6% |
8% +40 bps |
580 12.2% |
5% -30 bps |
| Thereof Helios Fertility Margin |
10 14.1% |
100% +500 bps |
26 9.7% |
38% +130 bps |
| Thereof Corporate | 9 | -- | -4 | -- |
1 Organic growth
All figures before special items
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
57
| FY/23 | FY/22 | Δ | |
|---|---|---|---|
| Helios Germany | |||
| Hospitals - Acute care hospitals |
86 83 |
87 84 |
-1% -1% |
| Beds - Acute care hospitals |
29,976 29,410 |
30,352 29,786 |
-1% -1% |
| Admissions - patients treated in hospital - patients treated as outpatient |
5,470,871 1,136,446 4,334,425 |
5,508,158 1,084,676 4,423,482 |
-1% 5% -2% |
| Helios Spain (incl. Latin America) |
|||
| Hospitals | 59 | 58 | 2% |
| Beds | 8,299 | 8,259 | 0% |
| Admissions (including outpatients) - patients treated in hospital - patients treated as outpatient |
20,301,158 1,153,240 19,147,918 |
19,360,634 1,093,858 18,266,776 |
5% 5% 5% |
58
| €m | Q4/23 | Δ YoY cc |
FY/23 | Δ YoY cc |
|---|---|---|---|---|
| Total revenue | 595 | -17% | 2,356 | 0% |
| Thereof continued business Organic revenue1 |
589 | -5% | 2,201 | 1% |
| Project business | 132 | -51% | 558 | -17% |
| Service business | 463 | 4% | 1,798 | 6% |
| EBIT2 Total |
21 | -- | -16 | -- |
| Order intake3 | 74 | -76% | 336 | -66% |
| Order backlog3 | 1,9554 | -24%5 |
1 Calculated for continued business
2 Before special items
3 Project business only; reflects only unconditional order intake
4 In addition conditionally agreed order backlog of €704m
5 vs. December 31, 2022
| €m | FY/23 | FY/22 |
|---|---|---|
| Earnings before tax and noncontrolling interests | 1,844 | 1,949 |
| Taxes | -522 | -437 |
| Noncontrolling interests, thereof | -60 | -78 |
| Fresenius Kabi | -54 | -56 |
| Fresenius Helios | -22 | -17 |
| Fresenius Vamed | -1 | -6 |
| Fresenius Vamed's 23% external ownership |
17 | 1 |
| Net income from deconsolidated operations | 243 | 295 |
| Net income attributable to Fresenius SE & Co. KGaA |
1,505 | 1,729 |
Before special items For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m | Dec. 31, 2023 | Dec. 31, 2022 |
|---|---|---|
| Assets | ||
| Current assets | 12,520 | 18,279 |
| thereof trade accounts receivable | 3,673 | 7,161 |
| thereof inventories | 2,517 | 4,833 |
| thereof cash and cash equivalents | 2,562 | 2,749 |
| thereof other current assets | 3,213 | 3,536 |
| Assets held for sale | 555 | - |
| Non-current assets | 32,764 | 58,121 |
| thereof property, plant and equipment | 8,964 | 12,919 |
| thereof goodwill and other intangible assets | 17,620 | 35,828 |
| thereof right-of-use assets | 1,818 | 5,922 |
| Fresenius Medical Care investment accounted for using the equity method | 3,500 | - |
| Total assets | 45,284 | 76,400 |
| Liabilities and shareholders' equity | ||
| Liabilities | 25,633 | 44,182 |
| thereof trade accounts payable | 1,488 | 2,164 |
| thereof short-term accruals and other short-term liabilities | 4,920 | 8,242 |
| thereof debt | 15,830 | 27,763 |
| thereof lease liabilities | 1,998 | 6,592 |
| thereof liabilities directly associated with the assets held for sale | 230 | - |
| Noncontrolling interests | 652 | 11,803 |
| Total Fresenius SE & Co. KGaA shareholders' equity |
18,999 | 20,415 |
| Total shareholders' equity | 19,651 | 32,218 |
| Total liabilities and shareholders' equity | 45,284 | 76,400 |
| €m | Q4/23 | Q4/23 LTM |
LTM Margin |
Q4 Δ YoY |
|---|---|---|---|---|
| Operating Cash Flow – continuing operations |
1,272 | 2,131 | 9.6% | 4% |
| Capex (net) | -384 | -1,107 | -5.0% | 5% |
| Free Cash Flow – continuing operations |
888 | 1,024 | 4.6% | 8% |
| (before acquisitions, dividends, and lease liabilities) | ||||
| Acquisitions (net) | -12 | -233 | ||
| Dividends | -6 | -444 | ||
| Lease liabilities | -56 | -232 | ||
| Free Cash Flow – continuing operations (after acquisitions, dividends and lease liabilities) |
814 | 115 | 0.5% | 10% |
| €m | Q4/23 | FY/23 |
|---|---|---|
| Operating Cash Flow | 1,272 | 2,131 |
| Capex (net) | -384 | -1,107 |
| Free Cash Flow | 888 | 1,024 |
| (before acquisitions, dividends, and lease liabilities) | ||
| Special items (net income before minorities) |
+167 | +253 |
| Interests (before special items) |
+118 | +418 |
| Taxes (before special items) |
+188 | +522 |
| Adjusted Free Cash Flow for CCR |
1,361 | 2,217 |
| Operating Cash Flow | Capex (net) | Free Cash Flow1 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| €m | Q4/23 | Q4/22 | Q4/23 Margin |
Q4/22 Margin |
Q4/23 | Q4/22 | Q4/23 % sales |
Q4/22 % sales |
Q4/23 | Q4/22 | Q4/23 Margin |
Q4/22 Margin |
| 434 | 298 | 21.7% | 14.6% | -167 | -196 | -8.3% | -9.6% | 267 | 102 | 13.4% | 5.0% | |
| 867 | 956 | 27.2% | 31.5% | -190 | -227 | -6.0% | -7.4% | 677 | 729 | 21.2% | 24.1% | |
| 36 | 12 | 6.1% | 1.7% | -12 | 47 | -2.1% | +6.6% | 24 | 59 | 4.0% | 8.3% | |
| Corporate/Other | -65 | -41 | -15 | -27 | -80 | -68 | ||||||
| 1 Before acquisitions, dividends and lease liabilities | 1,272 | 1,225 | 22.4% | 21.6% | -384 | -403 | -6.8% | -7.1% | 888 | 822 | 15.6% | 14.5% |
| Operating Cash Flow | Capex (net) | Free Cash Flow1 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| €m | Q4/23 LTM |
Q4/22 LTM |
Q4/23 LTM Margin |
Q4/22 LTM Margin |
Q4/23 LTM |
Q4/22 LTM |
Q4/23 LTM % sales |
Q4/22 LTM % sales |
Q4/23 LTM |
Q4/22 LTM |
Q4/23 LTM Margin |
Q4/22 LTM Margin |
| 1,015 | 841 | 12.7% | 10.7% | -443 | -518 | -5.6% | -6.6% | 572 | 323 | 7.1% | 4.1% | |
| 1,244 | 1,367 | 10.1% | 11,7% | -553 | -554 | -4.5% | -4.8% | 691 | 813 | 5.6% | 6.9% | |
| 20 | -44 | 0.8% | -1.9% | -87 | 19 | -3.6% | -0.8% | -67 | -25 | -2.8% | -1.1% | |
| Corporate/Other | -148 | -133 | -24 | -36 | -172 | -169 | ||||||
| 2,131 | 2,031 | 9.6% | 9.4% | -1,107 | -1,089 | -5.0% | -5.0% | 1,024 | 942 | 4.6% | 4.4% | |
1 Before acquisitions, dividends and lease liabilities
| Financial Calendar | Social Media | ||||
|---|---|---|---|---|---|
| 08 May 2024 | Results Q1/24 | Follow Fresenius Investor Relations on LinkedIn: | |||
| 17 May 2024 | Annual General Meeting | ||||
| 05 June 2024 | Capital Markets Day 2024 | ||||
| 31 July 2024 | Results Q2/24 | ||||
| 06 November 2024 | Results Q3/24 |
Please note that these dates could be subject to change.

Investor Relations Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: [email protected] For further information and current news: www.fresenius.com

www.linkedin.com/company/fresenius-investor-relations www.twitter.com/fresenius\_ir

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