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Fresenius SE & Co. KGaA

Quarterly Report Nov 6, 2023

166_10-q_2023-11-06_a2ad257c-afdd-46f7-acce-084ec1a415d0.pdf

Quarterly Report

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QUARTERLY FINANCIAL REPORT

Q3|2023

TABLE OF CONTENTS

3 Fresenius Group figures at a glance 24 Fresenius Kabi 35 Consolidated financial statements

  • 5 Strategy and goals
  • 11 Healthcare industry
  • 12 Results of operations, financial position, assets and liabilities
  • 12 New presentation financial information 44 Notes
  • 13 Revenue
  • 13 Earnings
  • 16 Reconciliation tables
  • 21 Investments
  • 22 Cash flow
  • 23 Asset and liability structure
  • 24 Business segments
  • 32 Outlook 2023

  • 26 Fresenius Helios 35 Consolidated statement of income
  • 28 Fresenius Vamed 36 Consolidated statement of comprehensive income
  • 4 Shareholder information 30 Employees 37 Consolidated statement of financial position
    • 30 Changes to the Management Board 38 Consolidated statement of cash flows
    • 30 Research and development 40 Consolidated statement of changes in equity
  • 5 Interim Group Management Report 30 Rating 42 Consolidated segment reporting first nine months of 2023
    • 31 Oppotunities and risk report 43 Consolidated segment reporting third quarter of 2023

15 Reconciliation 67 Financial Calendar

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a global healthcare group. We offer system-critical products and services for leading therapies for care of critically and chronically ill patients. The Fresenius Group comprises the Operating Companies Fresenius Kabi and Fresenius Helios and the Investment Companies Fresenius Medical Care (in accordance with IFRS 5) and Fresenius Vamed.

REVENUE AND EARNINGS

€ i
illio
n m
ns
Q3
/20
23
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Q1-
3/
202
3
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
8
5,
51
2% 6% 16,
62
1
5% 7%
IT1
EB
519 8% 10
%
1,
628
0% 0%
in1
EB
IT
ma
rg
9.4
%
9.8
%
1,2
Ne
t in
com
e
344 -7% -5% 1,
108
-14
%
-13
%

BALANCE SHEET

€ i
illio
n m
ns
Sep
. 30
, 20
23
Dec
. 31
, 20
22
Cha
nge
3
To
tal
ets
ass
75,
32
8
76,
40
0
-1%
4
Eq
uity
30,
282
32,
218
-6%
4
Eq
uity
tio
ra
40
.2%
42
.2%
1,5
Ne
t d
ebt
/E
BIT
DA
4.0
3
3.8
0

PROFITABILITY

Q1-
3/
202
3
Q1-
3
/20
22
Ca
sh
Co
rsio
n R
(C
CR
);
LT
M
ate
nve
0.9 0.7
1,2,6
Ret
uity
af
x (
RO
E)
ter
ta
urn
on
eq
7.8
%
8.5
%
1,6
tin
RO
OA
Ret
ts (
)
urn
on
op
era
g a
sse
5.6
%
6.1
%
1,6
Ret
in
ted
ita
l (R
OIC
)
urn
on
ves
ca
p
5.0
%
5.6
%

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

3 Including Operations to be deconsolidated (Fresenius Medical Care in accordance with IFRS 5)

4 Including noncontrolling interests

5 At LTM average exchange rates for both net debt and EBITDA; pro forma acquisitions /divestitures;

including lease liabilities, before special items, including FMC dividend

6 2022: annual return FY/22

1 Before special items

SHAREHOLDER INFORMATION

The short-term economic outlook has deteriorated over the course of the third quarter of 2023 partly due to tighter financing conditions. Hopes for an easing of inflation and a more stable economic situation remain in the medium term. Overall, the DAX gained 9% in the first nine months, while the Fresenius share closed at €29.46, an increase of 12%.

KEY DATA OF THE FRESENIUS SHARE

Q1-
3/
202
3
202
2
Gro
wth
Nu
mb
of
sha
(S
30
/D
31
)
er
res
ep.
ec.
563
237
277
,
,
563
237
277
,
,
0%
n1
Sto
ck
han
tio
in €
ota
exc
ge
qu
Hig
h
31
.11
37
.88
-18
%
Low 23
.46
20
.04
17
%
iod
ati
sin
ric
e in
Per
d q
clo

uot
-en
on
g p
.46
29
26
.25
12
%
Ø T
rad
ing
lum
e (
mb
of
sha
ad
ing
da
)
r tr
vo
nu
er
res
pe
y
1,
257
237
,
1,
59
0,
013
-21
%
2 in
ital
iza
tio
illio
(S
Ma
rke
n €
30
/D
31
)
t ca
p
n
m
ep.
ec.
16,
593
14,
785
12
%

1 Xetra closing price on the Frankfurt Stock Exchange

2 Total number of ordinary shares multiplied by the respective Xetra period-end quotation on the Frankfurt Stock Exchange

DEVELOPMENT IN THE THIRD QUARTER 2023

For the euro zone, the ECB Council raised the key interest rate again by 0.25% to 4.5% in mid-September 2023. The central bank's current forecasts for real GDP have been revised downwards by 0.2% for the current reporting year and by 0.5% for 2024 compared to the June 2023forecasts. The decline is mainly due to tighter financing conditions, poorer short-term growth prospects and a stronger exchange rate in the euro zone.

In its latest forecast, the Federal Reserve expects the US economy to grow by 1.0% in 2023. The key interest rate range of 5.25 to 5.5% was confirmed in mid-September 2023. This is a pause in the interest rate hikes that have been in place since March 2022 in order to combat rising inflation.

In this economic environment, the DAX increased by 9% to 15,387 points in Q1-3 2023. The Fresenius share recorded an increase of 12% in the same period and closed at €29.46 on 30 September 2023.

INTERIM GROUP MANAGEMENT REPORT

FutureFresenius continues to provide positive momentum: Fresenius delivers strong third quarter performance and improves operating earnings outlook

  • ► Application of IFRS 5: Fresenius Group financials for the first time presented excluding Fresenius Medical Care
  • ► Excellent Group revenue growth of 6% in constant currency to €5.5 billion driven by Operating Companies and Fresenius Vamed
  • ► Group EBIT increased 10% in constant currency reflecting strong performance of Operating Companies; Fresenius Vamed with operational improvement
  • ► Fresenius Kabi with strong organic revenue growth of 7% at top-end of structural growth band; EBIT margin remains within structural band at 14.3%
  • ► Fresenius Helios with strong organic revenue growth of 5% at top-end of structural growth band despite usual summer effect in Spain
  • ► Fresenius Vamed's transformation progressing
  • ► Deconsolidation of Fresenius Medical Care effective by December 2023
  • ► Divestments advancing: exit of hospital operations in Peru
  • ► FY / 23 structural productivity savings target of ~€200 million excluding Fresenius Medical Care already achieved in first nine months
  • ► Group revenue outlook confirmed, Group EBIT outlook improved

STRATEGY AND GOALS

AT THE HEART OF HEALTHCARE

Demographic change is posing fundamental challenges to societies worldwide. Not only are people living longer, but the pace of population aging is also increasing significantly. As a result, the social and healthcare systems of many countries are coming under increasing pressure. As the average age of the population increases, so does the

number of critically and chronically ill patients.1 A longer life, however, also offers opportunities for individuals and societies. The extent to which these opportunities can be leveraged depends heavily on one factor: health.

At Fresenius, we are at the heart of healthcare. At the core of everything we do is our purpose: Advancing Patient Care. In line with this purpose, we offer healthcare products and services for critically and chronically ill individuals, in line with the megatrends of health and demographics. We

improve people's lives by providing high-quality and affordable healthcare. In doing so, we consider significant medical paradigm shifts in the healthcare environment with regards to biologic products and therapies, technological change and new forms of data generation, processing and usage. We aim to expand Fresenius' position as a leading global provider of products, services, and therapies for critically and chronically ill people. At the same time, we want to grow profitably and use our capital efficiently, in order to create value for our stakeholders and enable us to continue investing in better medicine.

To improve our management effectiveness and enable a targeted approach to capital allocation, we are differentiating between our operating companies, Fresenius Kabi and Fresenius Helios (each with 100% ownership share) and our strategic capital investments Fresenius Medical Care (32% ownership share) and Fresenius Vamed (77% ownership share).

Fresenius will deconsolidate the business segment Fresenius Medical through a change of legal form of Fresenius Medical Care AG&Co. KGaA into a stock corporation (Aktiengesellschaft). Further information is provided within the section ''Deconsolidation of Fresenius Medical Care''. Additional information on Vamed is provided with the section ''Transformation of Fresenius Vamed''.

Fresenius runs operating companies and strategic capital investments in key healthcare areas indispensable for critically and chronically ill patients. We continuously develop our business areas and strive to assume leading positions in system-critical healthcare markets and segments. We orient our portfolio towards healthy, profitable growth, a strong focus on margins and capital returns, and the highest ambitions for operational excellence and competitiveness.

At Fresenius, we hold ourselves accountable to the highest standards of quality and integrity. All of our business segments make an overall contribution to increasing the quality, affordability, and efficiency of healthcare. At the same time, we care for our environment by protecting nature and using its resources carefully.

Fresenius Kabi's corporate philosophy ''caring for life'' expresses the company's commitment to improving the quality of life of its patients. The quality and safety of its products and services is thus of paramount importance to Fresenius Kabi.

Fresenius Helios hospitals are characterized by high standards of treatment quality, hygiene, patient safety, and quality of care.

Fresenius Medical Care ensures patient health and product safety by providing a safe environment in its clinics. Fresenius Medical Care considers the quality and safety of its products and services to be the foundation of its success.

Fresenius Vamed bases its quality processes on clearly defined and generally established standards.

Fresenius will continue building on its strength in technology, its competence and quality in patient care, and its ability to manufacture cost-effectively. Developing products and systems that provide a high level of safety and userfriendliness and enable tailoring to individual patient needs is an inherent part of our strategy of sustainable and profitable growth. We plan to develop more effective products and treatment methods for critically and chronically ill patients in order to offer best-in-class medical standards. Digitalization is playing an increasingly important role -- whether it is in healthcare facilities or in production. It drives innovative technologies and treatment concepts and can contribute to solving numerous challenges in the healthcare system.

The commitment of our more than 190,000 employees worldwide is key for the success and sustained growth of Fresenius. We firmly believe in a culture of diversity, as we are convinced that different perspectives, opinions, experiences, and values enable Fresenius to continue successfully growing as a global healthcare company.

To tackle the upcoming challenges, attracting new employees is key for the growth of our company. Not only do we try to attract new talent, but also do everything we can to retain and develop our employees over the long term. We offer a variety of flexible working-time models and incentive programs to ensure that our long-term needs for highly qualified employees are met. Furthermore, we offer our employees opportunities to develop their careers in an international and dynamic environment.

EXECUTING SEGMENT STRATEGIES

The Fresenius Group offers a broad spectrum of system critical products and services for the health and quality of life of our patients. Our business segments hold leading positions in key areas of healthcare, and all of them are continuing to execute their respective strategic priorities to sustain leadership and contribute significantly to the benefit of healthcare systems. At the level of Fresenius Group, we manage the strategic direction of the Group, and orient our portfolio towards value-maximizing business areas and maximum patient impact.

With its Vision 2026, Fresenius Kabi has developed a strategic plan to transform the company for the next decade and to better capture new growth opportunities. Fresenius Kabi will continue to focus on high-quality products for critically and chronically ill patients.

As part of this clear strategy, Fresenius Kabi has defined three growth vectors in addition to strengthening resilience in the volume-driven business with IV drugs (''3+1'' strategy). The growth vectors are:

  • ► the broadening of our biopharmaceutical offering,
  • ► further rollout of clinical nutrition,
  • ► expansion in the MedTech area.

Fresenius Kabi's growth strategy was presented transparently at a Capital Market Day in May 2023.

With the acquisition of a majority stake in mAbxience, we form a fully integrated, vertical biopharma business that holds a strong portfolio and pipeline, provides extensive and cost-efficient manufacturing, and is building a targeted commercial footprint in Fresenius Kabi's and mAbxience's target regions.

Our newly bundled MedTech business has been further strengthened by the acquisition of Ivenix. With the awardwinning Ivenix infusion system, we are entering the infusion therapy market in the United States. The design of the Ivenix infusion system is easier to use than conventional systems and increases the safety of infusions. The pump also works seamlessly with other systems.

Through successful organic launches, we have become the leading IV lipid nutrition supplier in North America, further strengthening our global nutrition business in addition to its strong base in Europe, Latin America, and Asia-Pacific.

In parallel, Fresenius Kabi has continued to build resilience in its volume-driven IV business, and is extending the portfolio with continued launches in all regions.

Fresenius Helios wants to further strengthen its position as the leading private healthcare provider in Europe.

Helios Germany will continue to focus its offerings on cross-sector healthcare, further specialize hospitals, and coordinate their respective medical service portfolios within regional structures. In regional competence centers, we are already pooling expertise in various specialist areas in order to achieve the best treatment results for our patients. We will continue to drive this clustering forward in the future in order to further enhance medical quality. We intend to exploit the growth potential in the outpatient sector by linking our medical care centers (MVZs) even more closely with hospitals. In addition, we will seize the newly created regulatory opportunity of daytime inpatient treatment as a further form of care. We also aim to increase the efficiency of our energy consumption in the interests of sustainability and climate protection. The goal is to reduce energy consumption by about 20% across all hospitals in 2023 compared to 2021.

In Spain, we expect demand for hospital and other healthcare services to continue to rise. We want to continue to exploit this potential by building new clinics and expanding existing hospital sites. We aim to integrate our diverse range of inpatient and outpatient services even better and further expand them across the entire network of sites. We consistently focus on the strategic factors of medical excellence, innovation, and service quality in order to attract patients. Our focus here is on optimal treatment quality as well as patient satisfaction.

In addition, we expect growth opportunities from consolidations in the fragmented private hospital market.

As a hospital operator, we aim to make even greater use of the potential offered by digitalization to further improve patient care and our service. In the future, our range of services will be supplemented even more by digital and telemedical offerings. Digital patient records and telemedicine will provide new communication channels outside the hospital, as well as faster transmission and interpretation of health data.

We also intend to grow our field of reproductive medicine and to specifically expand and extend the global network of reproductive clinics.

Fresenius Medical Care launched its FME25 program in 2021 and started to significantly streamline its business model in 2022, creating two global segments -- Care Delivery and Care Enablement, which were introduced on January 1, 2023. Fresenius Medical Care is thus aligning its operating model with the relevant value drivers of the future.

Fresenius Vamed has realized projects in the area of integrated healthcare services to support healthcare systems more efficiently. In addition, state-of-the-art standards such as the use of building information modeling (BIM) in the construction of healthcare facilities, new concepts for operational management through the use of innovative technologies, and digitalization measures were implemented to improve medical care and reduce the workload of medical staff.

#FUTUREFRESENIUS

In Q4/ 22, we launched #FutureFresenius and embarked on a transformative journey to prepare Fresenius for the coming decades.

The healthcare industry has a long runway for growth, which will be accelerated by quickly evolving technologies, new therapies such as biopharmaceuticals, more and more professional steering of patient journeys, and a true digital revolution. We want Fresenius to be at the forefront of these trends and have thus charted our course to continued system relevance in our businesses.

The first step of this journey was a ''Reset'': strengthening our return focus, driving structural productivity, and creating change momentum across the organization. With the closure of the ''Reset'' phase, we are now in the ''Revitalize'' phase, gearing up for continuous portfolio optimization and the pursuit of growth verticals.

PORTFOLIO FOCUS

We have executed a comprehensive diagnosis of our Group portfolio at sub-segment level, in order to highlight growth opportunities aligned with market trends, further refine our management approach for each business we operate, and identify areas to strengthen our portfolio focus.

Going forward, we want to increasingly orient our portfolio along 3 platforms: (Bio)Pharma -- including clinical nutrition -, MedTech and Care Provision. With these platforms, we cater to major trends in healthcare and become a more therapy-focused company. The health and quality of life of our patients who we serve with high-quality, affordable products and services is at the core. At the same time, our platforms address attractive value pools in healthcare, which will provide opportunities for future profitable growth.

As part of the focusing of its portfolio, Fresenius has sold its 70 percent stake in IDCQ CRP, an associated company of the Clínica Ricardo Palma hospital in Lima, Peru. The acquirers are companies belonging to the Verme family, which already have a stake in the hospital, as well as other local investors.

The exit from the Peruvian hospital market is a further step towards strengthening #FutureFresenius and is in line with the company's announcement at the beginning of the year to divest certain businesses. Subject to antitrust review, Fresenius expects the transaction to close in the first quarter of 2024.

To improve our management effectiveness and enable a targeted approach to capital allocation, we are differentiating between our operating companies, Fresenius Kabi and Fresenius Helios (each with 100% ownership share) and our investment companies Fresenius Medical Care (32% ownership share) and Fresenius Vamed (77% ownership share), since the beginning of this year. We will prioritize growth investments for the health-care products and services of tomorrow in our operating companies Fresenius Kabi and Fresenius Helios. Across all segments, we are seeking opportunities to strengthen the focus on core business cells, in order to safeguard a sound capital structure and availability of capital for future growth prospects. Within the Fresenius Group, we will provide effective support and governance services to the benefit of our segments and the overall capital efficiency of the Group.

DECONSOLIDATION OF FRESENIUS MEDICAL CARE

Fresenius intends to deconsolidate the business segment Fresenius Medical through a change of legal form of Fresenius Medical Care AG&Co. KGaA into a stock corporation (Aktiengesellschaft). At the Extraordinary General Meeting (EGM) on July 14, 2023, more than 99% of Fresenius Medical Care's shareholders voted in favor for the conversion of Fresenius Medical Care from the legal form of a partnership limited by shares (Kommanditgesellschaft auf Aktien, KGaA) into a German stock corporation (Aktiengesellschaft, AG). In its constituting meeting following the EGM, the new Supervisory Board elected Fresenius Group CEO Michael Sen as its Chair, as well as Fresenius Group CFO Sara Hennicken as its Deputy Chair. This is a testament to Fresenius' close relationship with Fresenius Medical Care and its continued commitment to the Company. The simplified structure will lead, among others, to a more efficient and faster decision-making as it allows for a clearer focus on the interests of the Fresenius Medical Care group and frees up management resources. Fresenius Medical Care will also have greater flexibility concerning its financial strategy.

The deconsolidation process of Fresenius Medical Care is on track. The competent Higher Regional Court in Bamberg has fully approved the application for release that Fresenius Medical Care had filed with regard to the legal actions brought against the change of the legal form into a stock corporation. Accordingly, the change of the legal form can be registered with the commercial register.

Fresenius expects the deconsolidation to become effective by December 2023. From then on, Fresenius Medical Care AG&Co. KGaA will operate as Fresenius Medical Care AG.

As a result of the approval of the change of legal form by the Extraordinary General Meeting on July 14, 2023, Fresenius Medical Care is for the first time in Q3/ 23 presented as a single item in the financial statements of the Fresenius Group. Fresenius Medical Care is now classified in accordance with IFRS 5 as "Operations to be deconsolidated'' and presented in a single line item in Fresenius's balance sheet, the P&L and the cash flow statement.

IFRS 5 requires the valuation of Fresenius Medical Care at Fair Value. As of September 30, 2023, the market capitalization of about €12 billion was below the consolidated shareholders' equity of Fresenius Medical Care of about €14 billion. This results in a valuation effect of €2 billion, of which ~€0.6 billion are attributable to the shareholders of Fresenius SE&Co. KGaA. This effect is reported as a special item without any cash impact.

STRUCTURAL PRODUCTIVITY

While fundamentally healthy and geared toward long-term growth, our market environment is also characterized by strong current macro headwinds that challenge our operations and increase our cost base. With that in mind, we have reinvigorated our focus on structural productivity and are running corresponding programs in all our business segments and at the corporate center.

The target for cost savings is to save around €1 billion annually (including Fresenius Medical Care ) in structural costs at EBIT level from 2025 (of which around €350 million excluding Fresenius Medical Care).

To achieve the targeted cost savings, one-time costs of around €700 million to €750 million are expected at EBIT level including Fresenius Medical Care (of which around 1/3 excluding Fresenius Medical Care), of which around 2/3 are expected to occur in 2023.

In order to reach this goal, Fresenius is running targeted programs across all business segments and the Corporate Center with the oversight and steering of the Group. Key elements include measures to optimize the network, sales and administrative costs, procurement, as well as divesting from non-core assets.

The groupwide cost savings program progresses significantly ahead of plan. Under the program, Fresenius realized ~€200 million of structural cost savings at EBIT level (excluding Fresenius Medical Care) in Q1-3/ 23. With that, all savings originally expected for 2023 are already realized. In the same period, one-time costs of around €90 million (excluding Fresenius Medical Care) incurred to achieve these savings. This is well below what the Company initially accounted for and testament that our one-time costs are tightly managed.

On Group level including Fresenius Medical Care, the savings in Q1-3/ 23 amount to ~€430 million. In the same period, one-time costs of ~€190 million incurred to achieve these savings.

Fresenius Digital Technology entered a strategic partnership with Capgemini, a global leader in the IT sector, to streamline its IT services. As of October, Capgemini has taken over operational delivery of standard IT services, while Fresenius Digital Technology focuses on its core compentences as business partner for all Fresenius segments.

The partnership will lead to new and optimized products, improved customer satisfaction and increased value creation, and optimized IT operations. In addition, new business models can be developed and strengthened while taking advantage of cost savings and a global support model.

TRANSFORMATION FRESENIUS VAMED

With the presentation of the business figures for the first quarter of 2023, Fresenius has announced that it will subject the business model, governance and all processes of Fresenius Vamed to a comprehensive analysis. At the same time, a comprehensive and far-reaching restructuring program has been initiated with the clear goal to increase the company's profitability. Also, a comprehensive reassessment of the company organization was initiated which led to the reorganization of the VAMED management already at the end of June. The new Fresenius Management Board member Dr.Michael Moser will be responsible for Fresenius Vamed. The control function of the VAMED Supervisory Board was strengthened through new appointments and the establishment of an Audit Committee consisting of Sara Hennicken as Chair and Dr.Michael Moser as Deputy Chair, among others.

The restructuring program aims to adjust Fresenius Vamed's project business, especially in Germany. Moreover, the withdrawal of non-core service businesses in main markets outside Europe is intended. This includes the redimensioning of activities, and associated with this, achieving a significantly lower risk profile.

In the future, Fresenius Vamed will focus on attractive businesses comprising:

  • ► Health Facility Operations (HFO) centered on inpatient and outpatient rehabilitation and nursing
  • ► High-End Services (HES) for hospitals focused on the management of medical equipment, hospital operating technology and sterile supplies
  • ► Health Tech Engineers (HTE) covering the project business for the healthcare sector

In Q3/23,further progress in the transformation of Fresenius Vamed was achieved. With a positive EBIT of €10 million in Q3/ 23 (Q2/ 23: -€20 million), Fresenius Vamed is ahead of its originally expected target for Q3/ 23. The encouraging development was especially driven by the High-End Services (HES) and Health Facility Operations (HFO) businesses. For Q4/ 23, a further solid development is expected.

In Q3/ 23, negative special items mainly related to closing down activities, asset re-evaluations and restructuring costs resulted in write-downs and provisions of €109 million. The negative special items were predominantly booked as non-cash items. In Q1-3/ 23, negative special items of €441 million were incurred.

By 2025, Fresenius Vamed is expected to reach the structural EBIT margin band of 4% to 6% set out in the #FutureFresenius Financial Framework.

SHARPENING OF FOCUS: EXIT FROM HOSPITAL MARKET IN PERU

Fresenius sells its 70 percent stake in IDCQ CRP, a co-holding entity of the hospital Clínica Ricardo Palma in Lima, Peru. The stake is acquired by entities of the Verme family which already hold a stake in the hospital, together with other local investors. This exit from the hospital market in Peru is a further step to strengthening #FutureFresenius and is in line with the company's intention to divest certain assets announced earlier this year. Subject to antitrust review, the all-cash transaction is expected to close in the first quarter of 2024.

CHANGE MOMENTUM

At Fresenius, our collective actions have always been driven by our enormous passion and strongest possible commitment to patients. On our pathway to #FutureFresenius, we want to nurture this passion, and combine it with a strong appetite for change, preparing us for the dynamic shifts in the healthcare industry for the best of our patients. As part of #FutureFresenius, we aim to embrace new ways of working and establish a culture of excellence, where we measure ourselves against the best and maintain trusting dialog that welcomes diverse perspectives. Throughout our company, we engage in such trusting dialog with our employees, stakeholders, and external partners, and our global top leaders are agreed about the need for change. We aim to continuously pick up the pace of change and improvement and use this momentum to create #FutureFresenius.

SUSTAINABILITY PROGRAM

For Fresenius, sustainability is a crucial and integral part of the corporate strategy. The company is working to establish global sustainability standards and continuously improve its own sustainability performance. To this end, Fresenius continued to drive forward its ESG (Environment, Social, Governance) initiatives.

Fresenius has set a climate target for the Group complementing its existing sustainability targets and programs. The company aims to be climate-neutral by 2040 and to reduce 50% of absolute Scope 1 and Scope 2 emissions by 2030 compared to 2020 levels. Fresenius will continuously assess Scope 3 emission impacts for inclusion in our targets.

The Annual General Meeting in 2023 approved the Compensation System 2023+, which provides for a new plan for long-term variable compensation that takes even greater account of promoting the long-term and sustainable development of the company. In addition, the aspect of sustainability has been anchored even more strongly in the longterm variable compensation: A significant reduction in CO2 emissions is to be set as ESG target for the 2023 tranche, in line with our aforementioned Group target.

Fresenius

1st -- 3rd Quarter and 3rd Quarter 2023 Quarterly Financial Report

HEALTHCARE INDUSTRY

The healthcare sector is one of the world's largest industries and we are convinced that it shows excellent growth opportunities.

The main growth factors are:

  • ► rising medical needs deriving from aging populations,
  • ► the growing number of chronically ill and multimorbid patients,
  • ► stronger demand for innovative products and therapies,
  • ► advances in medical technology,
  • ► the growing health consciousness, which increases the demand for healthcare services and facilities, and
  • ► the increasing demand for digital health services for patients.

In the emerging countries, additional drivers are:

  • ► expanding availability and correspondingly greater demand for basic healthcare, and
  • ►increasing national incomes and hence higher spending on healthcare.

Healthcare structures are being reviewed and cost-cutting potential identified in order to contain the steadily rising healthcare expenditures. However, such measures cannot compensate for the cost pressure. Market-based elements are increasingly being introduced into the healthcare system to create incentives for cost- and quality-conscious behavior. Overall treatment costs will be reduced through improved quality standards.

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

In addition, increasing digitization in healthcare can contribute to improved cost efficiency and patient care.

The industry-specific framework for the operating business of the Fresenius Group remained essentially unchanged in the reporting period.

External factors

In the period under review, the difficult macroeconomic environment had a negative impact on business development. This included increased uncertainties, inflation-related cost increases, staff shortages, supply chain disruptions, and increased energy costs. This had a direct impact on customer and patient behavior.

Despite the challenging market environment, the structural growth drivers in the non-cyclical healthcare markets are in place.

The legal framework for the operating business of the Fresenius Group remained essentially unchanged in the period under review.

We carefully monitor and evaluate country-specific political, legal, and financial conditions. This also applies to the potential impact on our business that could result from inflation risks.

Further explanations can be found in the opportunity and risk report.

RESULTS OF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

NEW PRESENTATION OF FINANCIAL INFORMATION

As a result of the approval of the change of legal form by the Extraordinary General Meeting on July 14, 2023, Fresenius Medical Care is for the first time in Q3/ 23 presented as a single item in the financial statements of the Fresenius Group. Fresenius Medical Care is now classified in accordance with IFRS 5 as "Operations to be deconsolidated'' and presented in a single line item in Fresenius's balance sheet, the P&L and the cash flow statement.

In order to provide comparability of operating performance, prior-year figures are adjusted to eliminate Fresenius Medical Care (restated).

IFRS 5 requires the valuation of Fresenius Medical Care at Fair Value. As of September 30, 2023, the market capitalization of about €12 billion was below the consolidated shareholders' equity of Fresenius Medical Care of about €14 billion. This results in a valuation effect of €2 billion, of which ~€0.6 billion are attributable to the shareholders of Fresenius SE&Co. KGaA. This effect is reported as a special item without any cash impact.

REVENUE BY REGION

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
wth
gro
uisi
tion
Acq
s
Div
esti

Oth
ture
/
s
ers
% o
tal reve
f to
nue
No
rth
Am
eri
ca
667 702 -5% -7% 2% 2% 0% 0% 12
%
Eu
rop
e
3,
930
3,
752
5% 0% 5% 4% 0% 1% 71
%
ia-
ific
As
Pac
43
9
48
2
-9% -10
%
1% 1% 1% -1% 8%
Lat
in A
ric
me
a
38
8
363 7% -22
%
29
%
37
%
1% -9% 7%
Afr
ica
94 87 8% -5% 13
%
13
%
0% 0% 2%
To
tal
8
5,
51
38
6
5,
2% -4% 6% 6% 0% 0% 100
%
€ i
illio
n m
ns
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
wth
gro
Acq
uisi
tion
s
Div
esti

/
Oth
ture
s
ers
% o
tal reve
f to
nue
eri
No
rth
Am
ca
1,
994
1,
952
2% -2% 4% 4% 1% -1% 12
%
Eu
rop
e
11,
993
11,
35
9
6% 0% 6% 5% 0% 1% 72
%
As
ia-
Pac
ific
1,
315
1,
372
-4% -6% 2% 2% 1% -1% 8%
Lat
in A
ric
me
a
070
1,
945 13
%
-18
%
31
%
30
%
5% -4% 7%
Afr
ica
249 234 6% -6% 12
%
12
%
0% 0% 1%
To
tal
16,
62
1
862
15,
5% -2% 7% 6% 1% 0% 100
%

REVENUE BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
wth
gro
Acq
uisi
tion
s
Div
esti

/
Oth
ture
s
ers
f to
% o
tal reve
1
nue
Fre
ius
Ka
bi
sen
2,
02
1
2,
07
1
-2% -9% 7% 7% 1% -1% 36
%
Fre
ius
He
lios
sen
2,
953
2,
829
4% -1% 5% 5% 0% 0% 54
%
Fre
ius
Va
d
sen
me
647 572 13
%
0% 13
%
13
%
0% 0% 10
%
To
tal
5,
51
8
5,
38
6
2% -4% 6% 6% 0% 0% 100
%
€ i
illio
n m
ns
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
Cur
ren
cy
ion
tran
slat
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
wth
gro
Acq
uisi
tion
s
Div
esti

/
Oth
ture
s
ers
f to
% o
tal reve
1
nue
Fre
ius
Ka
bi
sen
6,
013
5,
814
3% -5% 8% 7% 2% -1% 36
%
ius
lios
Fre
He
sen
9,
132
685
8,
5% -1% 6% 6% 0% 0% 55
%
Fre
ius
Va
d
sen
me
1,
76
1
1,
647
7% 0% 7% 6% 1% 0% 9%
To
tal
16,
62
1
862
15,
5% -2% 7% 6% 1% 0% 100
%

REVENUE

Group revenue increased by 2% (6% in constant currency) to €5,518 million (Q3/ 22: €5,386 million). Organic growth was 6%. Acquisitions /divestitures contributed net 0% to growth. In total, currency translation had a negative effect of 4% on revenue growth. The Operating Companies increased revenue by 1% (5% in constant currency).

In Q1-3/23, Group revenue increased by 5% (7% in constant currency) to €16,621 million (Q1-3/22: €15,862 million). Organic growth was 6%. Acquisitions/divestitures contributed net 1% to growth. Currency translation decreased revenue growth by 2%. The Operating Companies increased revenue by 4% (7% in constant currency) in Q1-3/23.

EARNINGS

Group EBITDA before special items increased by 9% (11% in constant currency) to €821 million (Q3/ 221: €755 million). Reported Group EBITDA was €661 million (Q3/ 22: €691 million).

In Q1-3/23, Group EBITDA before special items increased by 2% (3% in constant currency) to €2,480 million (Q1-3/ 221: €2,425 million). Reported Group EBITDA was €1,923, million (Q1-3/ 22: €2,296 million).

Group EBIT before special items increased by 8% (10% in constant currency) to €519 million (Q3/221: €480 million) mainly driven by the good earnings development at the Operating Companies. The EBIT margin before special items was 9.4% (Q3/221: 8.9%). Reported Group EBIT was €346 million (Q3/22: €416 million).

EARRNINGS

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
d
tate
res
Q3
/20
22
viou
pre
s
Gro
wth
Q1-
3/
202
3
Q1-
3
/20
22
d
tate
res
Q1-
3
/20
22
viou
pre
s
Gro
wth
Rev
en
ue
5,
51
8
5,
38
6
10,
45
9
2% 16,
62
1
15,
862
30,
197
5%
Co
of
sts
re
ven
ue
246
-4,
04
-4,
1
870
-7,
-5% -12
860
,
889
-11
,
-22
6
55
,
-8%
Gr
ofi
t
oss
pr
1,
272
1,
345
2,
58
9
-5% 3,
76
1
3,
973
7,
64
1
-5%
Se
llin
al a
nd
g,
ge
ner
ad
mi
nis
tive
tra
ex
pen
ses
-75
6
-78
1
-1,
49
3
3% -2,
246
-2,
074
-4,
41
7
-8%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-17
0
-14
8
-20
9
-15
%
-45
7
-42
4
-59
0
-8%
Op
tin
inc
e (
IT)
EB
era
g
om
6
34
6
41
887 -17
%
1,
058
1,
475
634
2,
-28
%
Int
lt
st r
ere
esu
-10
0
-67 -14
1
-49
%
-29
1
-16
0
-37
5
-82
%
Inc
e b
efo
inc
e t
om
re
om
axe
s
24
6
34
9
74
6
-30
%
76
7
1,
31
5
2,
25
9
-42
%
Inc
e ta
om
xes
-91 -82 -19
5
%
-11
-31
2
-30
2
-54
5
-3%
t in
nti
ing
Ne
e f
com
rom
co
nu
tio
op
era
ns
155 267 55
1
-42
%
455 013
1,
1,
714
%
-55
No
olli
int
in
ntr
sts
nco
ng
ere
tin
uin
atio
con
g o
per
ns
6 -21 -23
0
129
%
59 -68 -59
7
187
%
t in
nti
ing
Ne
e f
com
rom
co
nu
1
tio
op
era
ns
161 246 32
1
-35
%
514 945 1,
117
-46
%
Ne
t in
e f
Fr
niu
com
rom
ese
s
Me
dic
al C
tio
are
op
era
ns
olid
be
dec
d u
nde
to
ate
ons
r
1
IFR
S 5
-56
7
75 n.a -- -49
4
172 n.a --
1
t in
Ne
com
e
6
-40
32
1
32
1
-- 20 1,
117
1,
117
-98
%
Ea
rni
ord
ina
sha
ng
s p
er
ry
re
(€)
-0.
72
0.5
7
0.5
7
-- 0.0
4
1.9
9
1.9
9
-98
%

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

The Operating Companies showed an EBIT increase of 8% (10% in constant currency) and an EBIT margin of 10.3%.

In Q1-3/ 23 Group EBIT before special items remained nearly unchanged (0% in constant currency) at €1,628 million (Q1-3/ 221: €1,631 million). The EBIT margin before special items was 9.8% (Q1-3/221: 10.3%). Reported Group EBIT was €1,058 million (Q1-3/ 22: €1,475 million).

Group net interest before special items increased to - €109 million (Q3/221: -€67 million) mainly due to financing activities in a higher interest rate environment. Reported Group net interest was -€100 million (Q3/ 22: -€67 million).

In Q1-3/ 23, Group net interest before special items increased to -€300 million (Q1-3/221: -€161 million). Reported Group net interest was -€291 million (Q1-3/ 22: -€160 million).

Group tax rate before special items was 24.1% (Q3/221: 22.5%). Reported Group tax rate was 37.0% (Q3/22: 23.5%). The higher tax rate in Q3/ 23 is mainly due to the negative net income at Fresenius Vamed for which deferred tax assets could not be recognized.

In Q1-3/ 23, Group tax rate before special items was 25.2% (Q1-3/ 221: 22.2%). Reported Group tax rate was 40.7%. The higher tax rate is also mainly due to the negative net income at Fresenius Vamed for which deferred tax assets could not be recognized (Q1-3/ 22: 23.0%).

KEY FINANCIAL FIGURES EXCLUDING FRESENIUS MEDICAL CARE (BEFORE SPECIAL ITEMS)

€ i
illio
n m
ns
Gro
wth
Gro
wth
Q3
/20
23
Q3
/20
22
Gro
wth
cc Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
cc
Re
ven
ue
5,
51
8
5,
38
6
2% 6% 16,
62
1
15,
86
2
5% 7%
ius
bi
Fre
Ka
sen
2,
02
1
2,
07
1
-2% 7% 6,
013
5,
814
3% 8%
Fre
ius
He
lios
sen
2,
953
2,
829
4% 5% 9,
132
8,
685
5% 6%
ius
Fre
Va
d
sen
me
647 572 13
%
13
%
1,
76
1
1,
647
7% 7%
Co
rat
rpo
e
-10
3
-86 -20
%
-22
%
-28
5
-28
4
0% -1%
tin
inc
Op
e (
EB
IT)
era
g
om
51
9
48
0
8% 10
%
1,
628
1,
63
1
0% 0%
Fre
ius
Ka
bi
sen
289 280 3% 6% 863 844 2% 2%
Fre
ius
He
lios
sen
239 222 8% 8% 86
1
83
1
4% 4%
ius
Fre
Va
d
sen
me
10 10 0% -10
%
-37 29 -- --
Co
rat
rpo
e
-19 -32 41
%
41
%
-59 -73 19
%
21
%
Fin
cia
l re
sul
t
an
-10
9
-67 -63
%
-66
%
-30
0
-16
1
-86
%
-90
%
Inc
e b
efo
inc
e t
om
re
om
axe
s
0
41
413 -1% 1% 32
8
1,
0
1,
47
-10
%
-10
%
Inc
e ta
om
xes
-99 -93 -6% -6% -33
4
-32
6
-2% -3%
t in
Ne
com
e
31
1
32
0
-3% 1% 994 1,
144
-13
%
-13
%
les
llin
int
tro
sts
s n
on
con
g
ere
-22 -24 8% 13
%
-46 -72 36
%
39
%
t in
niu
Ne
e f
Fr
com
rom
ese
s
Me
dic
al C
tio
are
op
era
ns
olid
be
dec
d u
nde
to
ate
ons
r
1
IFR
S 5
55 75 -27
%
-24
%
160 212 -25
%
-24
%
1
Ne
t in
com
e
344 37
1
-7% -5% 108
1,
284
1,
-14
%
-13
%
EB
ITD
A
82
1
755 9% 11
%
2,
48
0
2,
42
5
2% 3%
EB
ITD
A m
in
arg
14.
9%
14.
0%
14.
9%
15.
3%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
302 275 10
%
12
%
852 794 7% 8%
EB
IT
in
ma
rg
9.4
%
8.9
%
9.8
%
10.
3%
Op
tin
ash
flo
era
g c
w
648 59
8
8% 859 806 7%
%
of
as
rev
en
ue
11.
7%
11.
1%
5.2
%
5.1
%
Ca
isit
ion
sh
flow
be
for
e a
cqu
s
and
di
vid
end
s
37
6
375 0% 136 120 13
%
of
%
as
rev
en
ue
6.8
%
7.0
%
0.8
%
0.8
%
3
RO
IC
5.0
%
5.6
%
2
Ne
t d
ebt
/E
BIT
DA
4.0
3
3.8
0

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

2 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; before special items; including lease liabilities, including FMC dividend; 2022: December 31

3 The underlying pro forma EBIT does not include special items

Noncontrolling interests before special items were -€22 million (Q3/ 222: -€24 million). Reported noncontrolling interests were €6 million (Q3/ 22: -€21 million).

In Q1-3/ 23, Noncontrolling interests before special items were -€46 million (Q1-3 / 222: -€72 million). Reported noncontrolling interests were €59 million (Q1-3/ 22: -€68 million).

Net income1,2 from operations to be deconsolidated decreased by 27% (-24% in constant currency) to €55 million (Q3/ 222: €75 million).

In Q1-3/ 23 net income1,2 from operations to be deconsolidated before special items decreased by 25% (-24% in constant currency) to €160 million (Q3/ 222: €212 million).

Group net income1 before special items decreased by 7% (-5% in constant currency) to €344 million (Q3/222: €371 million). The decrease was driven by rising interest costs and a higher tax rate as well as lower net income from operations to be deconsolidated (Fresenius Medical Care). Reported Group net income1 decreased to -€406 million (Q3/22: €321 million). The negative net income is due to the Fresenius Medical Care valuation effect according to IFRS 5 of €594 million. This effect has no cash impact.

In Q1-3/ 23, Group net income1 before special items decreased by 14% (-13% in constant currency) to €1,108 million (Q1-3/ 222: €1,284 million). Reported Group net income1 decreased to €20 million (Q1-3/ 22: €1,117 million). The decrease is due to the Fresenius Medical Care valuation effect according to IFRS 5 of €594 million. This effect has no cash impact.

Earnings per share1 before special items decreased by 8% (-6% in constant currency) to €0.61 (Q3/ 222: €0.66). Reported earnings per share1 were -€0.72 (Q3/ 22: €0.57). The negative net income is due to the Fresenius Medical Care valuation effect according to IFRS 5 of €594 million. This effect is without any cash impact.

In Q1-3/ 23, earnings per share1 before special items decreased by 14% (-14% in constant currency) to €1.97 (Q1-3/222: €2.29). Reported earnings per share1 were €0.04 (Q1-3/ 22: €1.99). The decrease is due to the Fresenius Medical Care valuation effect according to IFRS 5 of €594 million. This effect is without any cash impact.

RECONCILIATION

To present the underlying operational business performance and in order to compare the results with the scope of the guidance provided for fiscal year 2023, key figures are presented before special items.

Consolidated results for Q3 / 22 and Q3/ 23 as well as Q1-3/ 22 and Q1-3/ 23 include special items.

These concern:

  • ► Revaluations of biosimilars contingent purchase price liabilities
  • ► expenses associated with the Fresenius cost and efficiency program
  • ► impacts related to the war in Ukraine (2022)
  • ► transaction costs mAbxience, Ivenix
  • ► hyperinflation Türkiye (2022)
  • ► reactive duties (2022)
  • ► Legal form conversion costs Fresenius Medical Care (2023)
  • ► VAMED transformation (2023)
  • ► Optimization legacy portfolio (2023)
  • ► IFRS 5 valuation (2023)

The special items shown within the reconciliation tables are reported in the ''Corporate'' segment.

1 Net income attributable to shareholders of Fresenius SE&Co. KGaA
2 Before special items

RECONCILIATION TABLES

RECONCILIATION FRESENIUS GROUP

Gro
wth
rat
e
in c
tant
ons
Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
8
5,
51
38
6
5,
2% 6% 16,
62
1
862
15,
5% 7%
(af
eci
ite
)
EB
IT
ed
al
ort
ter
rep
sp
ms
6
34
6
41
-17
%
-15
%
1,
058
1,
475
-28
%
-28
%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
3 - 3 -2
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
37 45 94 102
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 3 - 20
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
3 15 7 22
Hy
inf
lati

rki
per
on
ye
- 1 - 5
Ret
ctiv
e d
uti
roa
es
- - - 9
rsio
ius
ica
l C
Leg
al f
s F
M
ed
ost
orm
co
nve
n c
res
en
are
4 - 8 -
Va
d t
sfo
ati
me
ran
rm
on
109 - 44
1
-
Leg
rtfo
lio
adj
ust
nts
acy
po
me
17 - 17 -
EB
IT
(be
for
ial
ite
)
e s
pec
ms
9
51
48
0
8% 10
%
628
1,
63
1,
1
0% 0%
t in
d (
aft
cia
l it
s)
Ne
ter
est
rte
re
po
er
spe
em
-10
0
-67 -49
%
-52
%
-29
1
-16
0
-82
%
-86
%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
-9 - -9 -1
t in
cia
l it
Ne
(b
efo
s)
ter
est
re
spe
em
-10
9
-67 -63
%
-66
%
-30
0
-16
1
-86
%
-90
%
eci
ite
Inc
ed
(af
al
)
e t
ort
ter
om
axe
s r
ep
sp
ms
-91 -82 -11
%
-10
%
-31
2
-30
2
-3% -4%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
2 - 2 1
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
-8 -9 -20 -18
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- - - -1
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
- -2 -1 -3
Hy
inf
lati

rki
per
on
ye
- - - -
Ret
ctiv
e d
uti
roa
es
- - - -3
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
0 - -1 -
Va
d t
sfo
ati
me
ran
rm
on
- - - -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
-2 - -2 -
s (
eci
ite
)
Inc
bef
al
e t
om
axe
ore
sp
ms
-99 -93 -6% -6% -33
4
6
-32
-2% -3%
Gro
wth
rat
e
in c
tant
ons
Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
cur
ren
cy
No
oll
ing
in
ed
(af
eci
al
ite
)
ntr
ter
est
ort
ter
nco
s r
ep
sp
ms
6 -21 129
%
129
%
59 -68 187
%
190
%
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
-1 - -1 -
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- -1 - -2
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
-1 -2 -2 -2
Va
d t
sfo
ati
me
ran
rm
on
-26 - -10
2
-
No
oll
ing
in
s (
bef
eci
al
ite
)
ntr
ter
est
nco
ore
sp
ms
-22 -24 8% 13
%
-46 -72 36
%
39
%
1
Ne
t in
e f
nti
ed
tio
ed
(af
eci
al
ite
)
ort
ter
com
rom
co
nu
op
era
ns
rep
sp
ms
16
1
24
6
-35
%
-32
%
51
4
94
5
-46
%
-46
%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
-4 - -4 -2
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
28 36 73 84
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 2 - 17
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
2 11 4 17
Hy
inf
lati
Tu
rke
per
on
y
- 1 - 5
Ret
ctiv
e d
uti
roa
es
- - - 6
al f
rsio
ius
ica
l C
Leg
s F
M
ed
ost
orm
co
nve
n c
res
en
are
4 - 7 -
Va
d t
sfo
ati
me
ran
rm
on
83 - 33
9
-
Leg
rtfo
lio
adj
ust
nts
acy
po
me
15 - 15 -
1
Ne
t in
e f
nti
ed
tio
(be
for
ial
ite
)
com
rom
co
nu
op
era
ns
e s
pec
ms
28
9
29
6
-2% 0% 94
8
07
2
1,
-12
%
%
-11
1
Ne
t in
e f
tio
be
de
sol
ida
ted
(a
fte
ial
ite
)
to
com
rom
op
era
ns
con
r s
pec
ms
-56
7
75 -- -- -49
4
172 -- --
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
10 11 23 25
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- 2 - 7
Hy
inf
lati
Tu
rke
per
on
y
- 0 - 2
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
0 -1 -4 18
Ne
t G
ain
late
d t
o I
rW
ell
He
alt
h
nte
re
- -12 - -12
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
2 - 3 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
16 - 38 -
IFR
S 5
lua
tio
va
n
594 - 594 -
1
t in
tio
ida
cia
l it
Ne
e f
be
de
sol
ted
(b
efo
s)
to
com
rom
op
era
ns
con
re
spe
em
55 75 -27
%
-24
%
160 21
2
-25
%
-24
%
€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
1
Ne
t in
ed
(af
eci
al
ite
)
ort
ter
com
e r
ep
sp
ms
-40
6
32
1
-- -- 20 1,
117
-98
%
-10
5%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
-4 - -4 -2
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
38 47 96 109
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 4 - 24
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
2 11 4 17
Hy
inf
lati

rki
per
on
ye
- 1 - 7
Ret
ctiv
e d
uti
roa
es
- - - 6
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
0 -1 -4 18
Ne
t G
ain
late
d t
o I
rW
ell
He
alt
h
nte
re
- -12 - -12
rsio
ius
ica
l C
Leg
al f
s F
M
ed
ost
orm
co
nve
n c
res
en
are
6 - 10 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
31 - 53 -
Va
d t
sfo
ati
me
ran
rm
on
83 - 33
9
-
IFR
S 5
lua
tio
va
n
594 - 594 -
t in
eci
ite
1
Ne
e (
bef
al
)
com
ore
sp
ms
344 37
1
-7% -5% 1,
108
1,
284
-14
%
-13
%

RECONCILIATION FRESENIUS KABI

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
2,
02
1
2,
07
1
-2% 7% 6,
013
5,
814
3% 8%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
3 - 3 -2
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
26 31 55 77
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 2 - 14
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
3 15 7 22
inf
lati

rki
Hy
per
on
ye
- 1 - 5
Leg
rtfo
lio
adj
ust
nts
acy
po
me
13 - 13 -
ial
ite
EB
IT
(be
for
)
e s
pec
ms
289 28
0
3% 6% 863 844 2% 2%

RECONCILIATION FRESENIUS HELIOS

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
2,
953
2,
829
4% 5% 9,
132
8,
685
5% 6%
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
0 0 0 0
(be
ial
ite
)
EB
IT
for
e s
pec
ms
239 222 8% 8% 86
1
83
1
4% 4%

RECONCILIATION FRESENIUS VAMED

Gro
wth
rat
e
in c
tant
ons
Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
647 572 13
%
13
%
1,
76
1
1,
647
7% 7%
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
0 0 2 2
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 1 - 6
Va
d t
sfo
ati
me
ran
rm
on
109 - 44
1
-
ial
ite
EB
IT
(be
for
)
e s
pec
ms
10 10 0% -10
%
-37 29 -- --

RECONCILIATION FRESENIUS CORPORATE

€ i
illio
n m
ns
Q3
/20
23
Q3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
Q1-
3/
202
3
Q1-
3
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
11 14 37 23
Ret
ctiv
e d
uti
roa
es
- - - 9
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
4 - 8 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
4 - 4 -
ial
ite
EB
IT
(be
for
)
e s
pec
ms
-19 -32 41
%
41
%
-59 -73 19
%
21
%

INVESTMENTS

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

Spending on property, plant and equipment was €274 million corresponding to 5% of revenue (Q3/ 22: €255 million; 5% of revenue). These investments served primarily for the modernization and expansion of production facilities as well as hospitals.

In Q1-3/ 23, spending on property, plant and equipment was €725 million corresponding to 4% of revenue (Q1-3/22: €678 million; 4% of revenue).

Total acquisition spending was €179 million (Q3/ 22: €516 million) mainly for milestone payments in the biosimilars business at Fresenius Kabi.

In Q1-3/ 23, total acquisition spending was €197 million (Q1-3/ 22: €819 million).

€ i
illio
n m
ns
Q1-
3/
202
3
Q1-
3
/20
22
The
f pr
rty,
reo
ope
plan
d
t an
ipm
ent
equ
The
f
reo
uisi
tion
acq
s
Gro
wth
f to
% o
tal
Fre
ius
Ka
bi
sen
46
6
03
1,
1
27
1
195 %
-55
%
51
Fre
ius
He
lios
sen
36
8
41
1
36
8
0 -10
%
40
%
Fre
ius
Va
d
sen
me
78 46 76 2 70
%
8%
Co
rat
rpo
e
10 9 10 0 11
%
1%
To
tal
922 1,
49
7
725 197 -38
%
100
%

CASH FLOW

Group operating cash flow increased to €648 million (Q3/ 22: €598 million) mainly driven by the good cash flow development at Fresenius Kabi. Group operating cash flow margin was 11.7% (Q3/ 22: 11.1%). Operating cash flow from operations to be deconsolidated increased to €760 million (Q3/ 22: €658 million).

Free cash flow before acquisitions, dividends and lease liabilities remained broadly stable at €376 million (Q3/ 22: €375 million).

Free cash flow after acquisitions, dividends and lease liabilities increased to €121 million (Q3/ 22: -€155 million).

Free cash flow after acquisitions, dividends and lease liabilities from operations to be deconsolidated increased to €358 million (Q3/ 22: €301 million).

In Q1-3/23, Group operating cash flow increased to €859 million (Q1-3/22: €806 million) with a margin of 5.2% (Q1-3/ 22: 5.1%).

Operating cash flow from operations to be deconsolidated increased to €1,910 million (Q1-3/ 22: €1,568 million).

Free cash flow before acquisitions, dividends and lease liabilities increased to €136 million (Q1-3/22: €120 million).

Free cash flow after acquisitions, dividends and lease liabilities improved to -€699 million (Q1-3/ 22: -€1,059 million).

Free cash flow after acquisitions, dividends and lease liabilities from operations to be deconsolidated increased to €396 million (Q1-3/ 22: -€63 million).

The cash conversion rate (CCR), which is defined as the ratio of adjusted free cash flow to EBIT before special items, was 0.9 (LTM) in Q1-3/ 23.

CASH FLOW STATEMENT (SUMMARY)

€ i
illio
n m
ns
Q3 /
202
3
Q3
/20
22
Gro
wth
Q1-
3 / 2
023
Q1-
3
/20
22
Gro
wth
Ne
t in
com
e
155 267 -42
%
45
5
1,
013
-55
%
cia
tio
iza
tio
De
nd
ort
pre
n a
am
n
315 275 15
%
865 82
1
5%
Ch
ork
ing
ital
d o
the
ang
e w
ca
p
an
rs
178 56 -- -46
1
-1,
028
55
%
Op
tin
ash
flo
era
g c
w
inu
ing
tio
ont
- c
op
era
ns
648 59
8
8% 859 806 7%
Op
tin
flo
ash
era
g c
w
- F
MC
tio
be
dec
olid
d
to
ate
op
era
ns
ons
760 658 16
%
1,
910
1,
56
8
22
%
Op
tin
Ca
sh
flo
era
g
w
1,
40
8
256
1,
12
%
769
2,
2,
374
17
%
Ca
ital
dit
et
p
ex
pen
ure
, n
-27
2
-22
3
-22
%
-72
3
-68
6
-5%
Ca
sh
flow
be
for
isit
ion
nd
div
ide
nds
e a
cqu
s a
inu
ing
tio
ont
- c
op
era
ns
37
6
375 0% 136 120 13
%
Ca
sh
flow
be
for
isit
ion
nd
div
ide
nds
e a
cqu
s a
- F
MC
tio
be
dec
olid
d
to
ate
op
era
ns
ons
626 50
1
25
%
1,
48
0
1,
082
37
%
isit
ion
div
ide
Ca
sh
flo
bef
nd
nd
w
ore
ac
qu
s a
s
1,
002
876 14
%
616
1,
1,
202
34
%
Ca
sh
d f
uis
itio
/pr
eds
fro
m d
ive
stit
use
or
acq
ns
oce
ure
s
-18
1
-48
4
63
%
-22
1
-76
7
%
71
Div
ide
nds
cei
ved
fro
Fre
ius
M
ed
ica
l C
re
m
sen
are
- - - 106 127 -17
%
Div
ide
id
nds
pa
1 - -- -54
4
6
-39
-37
%
Fre
e C
ash
Fl
af
isit
ion
nd
div
ide
nds
ter
ow
ac
qu
s a
inu
ing
tio
ont
- c
op
era
ns
196 -10
9
-- -52
3
-91
6
43
%
Fre
e C
ash
Fl
af
isit
ion
nd
div
ide
nds
ter
ow
ac
qu
s a
MC
tio
olid
- F
be
dec
d
to
ate
op
era
ns
ons
535 49
7
8% 943 51
0
85
%
uis
itio
ivid
Fre
ash
flo
fte
d d
ds
e c
w a
r a
cq
ns
an
en
73
1
38
8
88
%
42
0
-40
6
--
fro
liab
ilit
ies
Pay
lea
nts
me
m
se
-75 -46 -63
%
6
-17
-14
3
-23
%
Fre
ash
flo
fte
isit
ion
div
ide
nds
d l
e c
w a
r a
cqu
s,
an
eas
es
inu
ing
tio
ont
- c
op
era
ns
121 -15
5
178
%
-69
9
-1,
059
34
%
Fre
ash
flo
fte
isit
ion
div
ide
nds
d l
e c
w a
r a
cqu
s,
an
eas
es
MC
tio
olid
- F
be
dec
d
to
ate
op
era
ns
ons
35
8
30
1
19
%
6
39
-63 --
Fre
ash
flo
fte
uis
itio
di
vid
ds
d l
e c
w a
r a
cq
ns,
en
an
eas
es
47
9
14
6
-- -30
3
-1,
122
73
%
Ca
sh
vid
ed
by
/us
ed
for
fin
ing
tiv
itie
pro
anc
ac
s
-30
3
-19
7
-54
%
302 36
6
-17
%
Eff
of
cha
ch
e in
sh
and
ect
tes
ex
nge
ra
on
ang
ca
iva
h e
len
ts
cas
qu
1 50 -98
%
-10
0
120 -18
3%
Ne
ha
e i
ash
d c
ash
uiv
ale
t c
nts
ng
n c
an
eq
17
7
-1 -- -10
1
-63
6
84
%

1 Value as of December 31, 2022 adjusted (excluding Fresenius Medical Care)

/divestitures, including lease liabilities, including Fresenius Medical Care dividend

ASSET AND LIABILITY STRUCTURE

Total assets including Fresenius Medical Care decreased by 1% (-1% in constant currency) to €75,328 million (Dec. 31, 2022: €76,400 million).

Assets related to Fresenius Medical Care to be deconsolidated under IFRS 5 were at €33,520 million (Dec. 31, 2022: n.a.). Liabilities related to Fresenius Medical Care to be deconsolidated under IFRS 5 €20,111 million (Dec. 31, 2022: n.a.).

Total shareholders' equity including Fresenius Medical Care decreased by 6% (-6% in constant currency) to €30,282 million (Dec. 31, 2022: €32,218 million). The equity ratio was 40.2% (Dec. 31, 2022: 42.2%).

Group debt1 increased by 3% (3% in constant currency) to €15,116 million (Dec. 31, 2022: €14,708 million). Group net debt1 increased by 5% (5% in constant currency) to €14,021 million (Dec. 31, 2022: €13,307 million).

As of September 30, 2023, the net debt / EBITDA ratio was 4.03x2,3 (Dec. 31, 2022: 3.80x2,3). This is a 15 bps reduction compared to Q2/ 23.

In Q3/ 23, ROIC was 5.0% (Q4/ 22: 5.6%).

BALANCE SHEET

€ i
illio
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BUSINESS SEGMENTS

FRESENIUS KABI

Fresenius Kabi specializes in products for the therapy and care of critically and chronically ill patients.

The portfolio includes biopharmaceuticals, clinical nutrition, MedTech products, intravenously administered generic drugs (generic IV drugs), and IV fluids.

€ i
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n m
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Q3
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► Growth Vectors combined contributing strong 12% organic revenue growth

► Pharma business with robust development

► EBIT margin1 strong above 14% driven by operating improvements and cost savings significantly ahead of plan

Revenue decreased by 2% to €2,021 million (Q3/ 22: €2,071 million) driven by negative currency exchange effects (increased 7% in constant currency). Organic growth was 7%. The good performance was mainly driven by the strong business development of all growth vectors.

In Q1-3/ 23, revenue increased by 3% (8% in constant currency) to €6,013 million (Q1-3 / 22: €5,814 million). Organic growth was 7%.

Revenue of the Growth Vectors (MedTech, Nutrition and Biopharma) decreased by 1% to €1,067 million (Q3/ 22: €1,075million) driven by negative currency exchange effects (increased 11% in constant currency, organic growth: 12%). In Q1-3/ 23, revenue of the Growth Vectors increased by 7% (14% in constant currency; organic growth: 11%) to €3,180 million (Q1-3 / 22: €2,978 million).

Revenue in MedTech remained broadly stable due to negative currency exchange effects (increased 7% in constant currency) and amounted to €369 million (Q3/ 22: €368 million). Organic growth was 8% and driven by a

broad-based positive development across most regions and many product groups. In Q1-3/ 23, revenue in MedTech increased by 5% (8% in constant currency; organic growth: 9%) to €1,113 million (Q1-3/ 22: €1,055 million).

Revenue in Nutrition decreased by 9% (increased 5% in constant currency, organic growth: 9%) to €587 million (Q3/ 22: €644 million). Organic growth was driven by the good business development in the U.S. and Latin America.

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

In Q1-3/ 23, revenue in Nutrition remained broadly stable (increased 9% in constant currency; organic growth: 10%) at €1,803 million (Q1-3/ 22: €1,808 million).

Revenue in Biopharma increased by 74% (99% in constant currency; organic growth: 71%) to €111 million (Q3/ 22: €64 million) mainly driven by the successful product launches in Europe and the U.S. as well as by licensing agreements. In Q1-3/ 23, revenue in Biopharma increased by 129% (154% in constant currency; organic growth: 59%) to €264 million (Q1-3/ 22: €116 million).

Revenue in the Pharma (IV Drugs&Fluids) business decreased by 5% (0% in constant currency; organic growth: 1%) and amounted to €941 million (Q3/ 22: €995 million). Organic growth was mainly driven by a robust development across many regions. In Q1-3/ 23, revenue in the Pharma business remained broadly stable (increased 2% in constant currency; organic growth: 3%) and amounted to €2,833 million (Q1-3 / 22: €2,836 million).

EBIT1 of Fresenius Kabi increased by 3% (6% in constant currency) to €289 million (Q3/ 22: €280 million) due to the good operating performance and the well-progressing cost saving initiatives. EBIT margin1 was 14.3% (Q3 / 22:

13.5%) and thus within the structural EBIT margin band.

In Q1-3/ 23, EBIT1 increased by 2% (constant currency: 2%) to €863 million (Q1-3/ 22: €844 million) EBIT margin1 was 14.4% (Q1-3/ 22: 14.5%).

EBIT1 of the Growth Vectors increased by 21% (constant currency: 25%) to €104 million (Q3/ 22: €86 million) due to the strong revenue development and the well-progressing cost saving initiatives. EBIT1 margin was 9.8% (Q3/ 22: 8.0%).

In Q1-3/ 23, EBIT1 of the Growth Vectors increased by 3% (constant currency: 4%) to €288 million (Q1-3/ 22: €279 million) with a margin1 of 9.1% (Q1-3/ 22: 9.4%).

EBIT1 in the Pharma business increased by 2% (constant currency: 9%) to €200 million (Q3/ 22: €197 million) due to the well-progressing cost saving initiatives. EBIT1 margin was 21.3% (Q3/ 22: 19.8%).

In Q1-3/ 23, EBIT1 in the Pharma business increased by 4% (constant currency: 7%) to €603 million (Q1-3/ 22: €579 million) with a margin1 of 21.3% (Q1-3/ 22: 20.4%).

Net income1,2 increased by 3% (constant currency: 7%) to €189 million (Q3/ 22: €184 million).

In Q1-3/ 23, net income1,2 decreased by 3% (constant currency: -3%) to €559 million (Q1-3/ 22: €574 million).

Operating cash flow increased to €380 million (Q3/ 22: €301 million) with a margin of 18.8% (Q3/ 22: 14.5%) mainly driven by the business performance and an improved working capital management.

In Q1-3/ 23, operating cash flow increased to €581 million (Q1-3/ 22: €543 million) with a margin of 9.7% (Q1-3/ 22: 9.3%).

For FY/23, Fresenius Kabi expects organic revenue3 growth in a mid-single-digit percentage range. The EBIT margin4 is expected to be around 14% (structural margin band: 14% to 17%).

FRESENIUS HELIOS

Fresenius Helios is Europe's leading private health care provider. The company comprises Helios Germany, Helios Spain and Helios Fertility. Helios Germany operates 86 hospitals, around 240 outpatient centers, 27 occupational health centers and 6 prevention centers. Helios Spain operates 50 hospitals, around 100 outpatient centers and around 300 occupational risk prevention centers. In addition, the company is active in Latin America with 8 hospitals and as a provider of medical diagnostics. Helios Fertility offers a wide spectrum of state-of-the-art services in the field of fertility treatments.

€ i
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Q3
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  • ► Strong organic revenue growth driven by healthy activity levels in Germany and Spain
  • ► Despite usual summer effect in Spain, solid 8% EBIT1 margin supported by ongoing cost saving initiatives and Government relief funds in Germany
  • ► Helios Fertility with strong improvement

Revenue increased by 4% (5% in constant currency) to €2,953 million (Q3/ 22: €2,829 million). Organic growth was 5%. Acquisitions contributed 0% to revenue growth.

In Q1-3/ 23, revenue increased by 5% (6% in constant currency) to €9,132 million (Q1-3/ 22: €8,685 million). Organic growth was 6%. Acquisitions contributed 0% to revenue growth.

Revenue of Helios Germany increased by 4% (organic growth: 4%) to €1,800 million (Q3/ 22: €1,731 million), mainly driven by increasing admissions and positive price mix effects.

In Q1-3/ 23, revenue of Helios Germany increased by 3% (organic growth: 3%) to €5,451 million (Q1-3/ 22: €5,272 million).

Revenue of Helios Spain increased by 5% (5% in constant currency) to €1,088 million (Q3/ 22: €1,037 million) driven by ongoing good activity levels despite the usual summer effect in Spain. The clinics in Latin America also showed a good performance. Organic growth was 5%.

In Q1-3/ 23, revenue of Helios Spain increased by 8% (9% in constant currency) to €3,481 million (Q1-3/ 22: €3,227 million).

1 Before special items

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

Revenue of Helios Fertility increased by 3% (11% in constant currency) to €64 million (Q3/ 22: €62 million) driven by positive mix effects. Organic growth was 13%.

In Q1-3/ 23, revenue of Helios Fertility increased by 8% (13% in constant currency) to €198 million (Q1-3/ 22: €184 million).

EBIT1 of Fresenius Helios increased by 8% (8% in constant currency) to €239 million (Q3/ 22: €222 million) with an EBIT margin1 of 8.1% (Q3/ 22: 7.8%).

In Q1-3/ 23, EBIT1 increased by 4% (4% in constant currency) to €861 million (Q1-3/ 22: €831 million) with an EBIT margin1 of 9.4% (Q1-3/ 22: 9.6%).

EBIT1 of Helios Germany increased by 11% to €157 million (Q3/22: €141 million) with an EBIT margin1 of 8.7% (Q3/ 22: 8.1%). The EBIT development was supported by the well progressing cost savings program and the Government compensation for higher energy costs.

In Q1-3/ 23, EBIT1 of Helios Germany increased by 4% to €466 million (Q1-3/ 22: €449 million) with an unchanged EBIT margin1 at 8.5%.

EBIT1 of Helios Spain decreased by 2% due to the usual summer effect (-2% in constant currency) to €81 million (Q3/ 22: €83 million). The EBIT margin1 was 7.4% (Q3/ 22: 8.0%).

In Q1-3/ 23, EBIT1 of Helios Spain increased by 2% (3% in constant currency) to €392 million (Q1-3/ 22: €384 million). The EBIT margin1 was 11.3% (Q1-3/ 22: 11.9%).

EBIT1 of Helios Fertility was €5 million (Q3/ 22: €4 million) with an EBIT margin1 of 7.8% (Q3/ 22: 6.5%).

In Q1-3/ 23, EBIT1 of Helios Fertility was €16 million (Q1-3/ 22: €15 million) with an EBIT margin1 of 8.1% (Q1-3/ 22: 8.2%).

Net income1,2 decreased by 4% (-4% in constant currency) to €132 million (Q3/ 22: €138 million).

In Q1-3/ 23, net income1,2 decreased by 5% (-4% in constant currency) to €505 million (Q1-3/ 22: €530 million).

Operating cash flow decreased to €208 million (Q3/ 22: €353 million) mainly due to phasing effects of receivables in Spain and the very good cashflow in the prior year. The operating cash flow margin was 7.0% (Q3 / 22: 12.5%).

In Q1-3/ 23, operating cash flow decreased to €377 million (Q1-3/ 22: €411 million) with a margin of 4.1% (Q1-3/ 22: 4.7%).

For FY/ 23, Fresenius Helios expects organic revenue3 growth in a mid-single-digit percentage range. The EBIT margin4 is expected to be within the structural margin band of 9% to 11%.

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

3 FY/22 base: €11,716 million

4 FY/22 base: EBIT margin: 10.1%, before special items, FY/23 before special items

FRESENIUS VAMED

Fresenius Vamed internationally manages projects and provides services for hospitals and other health care facilities and is a leading post-acute care provider in Central Europe. The portfolio ranges along the entire value chain: from project development, design planning, medical and hospital engineering as well as construction, via maintenance and technical management to total operational management and high-end services.

€ i
illio
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Q3
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23
Q3
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Gro
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Gro
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Q1-
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Gro
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Gro
wth
in c
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cur
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Rev
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647 572 13
%
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%
76
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7% 7%
IT1
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10 10 0% -10
%
-37 29 - -
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► Fresenius Vamed's transformation with good progress

  • ► Revenue growth driven by Service and Project business
  • ► EBIT1 back to positive driven by the positive development at the Service business

Revenue increased by 13% (13% in constant currency) to €647 million (Q3/ 22: €572 million). Organic growth was 13%.

In Q1-3/ 23, revenue increased by 7% (7% in constant currency) to €1,761 million (Q1-3/ 22: €1,647 million). Organic growth was 6%.

Revenue in the service business increased by 9% (9% in constant currency) to €456 million (Q3/ 22: €418 million) due to the positive development of High-End Services (HES) and Health Facility Operations (HFO) business.

In Q1-3/ 23, revenue in the service business increased by 8% (7% in constant currency) to €1,335 million (Q1-3/ 22: €1,240 million).

Revenue in the project business increased by 24% (24% in constant currency) to €191 million (Q3/22: €154 million).

In Q1-3/ 23, revenue in the project business increased by 5% (5% in constant currency) to €426 million (Q1-3/ 22: €407 million).

EBIT1 reflected the first results of the restructuring measures and was with €10 million back to positive (Q3/22: €10 million) driven by the good revenue development of the High-End Services and Health Facility Operations businesses. The EBIT margin1 was 1.5% (Q3/22: 1.7%).

In Q1-3/23, EBIT1 decreased to -€37 million (Q1-3/22: €29 million) with an EBIT margin1 of -2.1% (Q1-3/22: 1.8%).

Net income1,2 decreased to -€7 million (Q3 / 22: €5 million).

In Q1-3/ 23, net income1,2 decreased to -€74 million (Q1-3/ 22: €15 million).

1st -- 3rd Quarter and 3rd Quarter 2023 Quarterly Financial Report

Fresenius

1 Before special items

2 Net income attributable to shareholders of VAMED AG

Order intake was €40 million (Q3 / 22: €153 million). As of September 30, 2023, order backlog was at €2,908 million1 (December 31, 2022: €3,689 million).

Operating cash flow increased to €50 million (Q3/ 22: -€18 million) with a margin of 7.7% (Q3/ 22: -3.1%) due to positive phasing effects.

In Q1-3/23, operating cash flow improved to -€16 million (Q1-3/ 22: -€56 million) with a margin of -0.9% (Q1-3/ 22: - 3.4%).

In Q3/23,further progress in the transformation of Fresenius Vamed was achieved. With a positive EBIT of €10 million in Q3/23, Fresenius Vamed is ahead of its originally expected target for Q3/23. For Q4/23, a further solid development is expected. For FY/2023, Fresenius Vamed confirms outlook and expects organic revenue2 to grow in a low-to mid-single digit percentage range. The EBIT margin3 is expected to be clearly below the structural margin band of 4% to 6%.

1 Thereof conditionally agreed order backlog of €839 million

2 FY/22 base: €2,359 million

3 FY/22 base: EBIT margin: 0.8%, before special items; FY/23 before special items

EMPLOYEES

As of September 30, 2023, the number of employees was 193,527 (Dec. 31, 2022: 188,876).

NUMBER OF EMPLOYEES

Nu
mb
of
loy
er
em
p
ees
Sep
. 30
, 202
3
Dec
. 31
, 202
2
Gro
wth
ius
bi
Fre
Ka
sen
42
96
1
,
42
063
,
2%
Fre
ius
He
lios
sen
129
40
0
,
125
700
,
3%
Fre
ius
Va
d
sen
me
20,
258
20,
184
0%
Co
rat
rpo
e
908 929 -2%
To
tal
193
52
7
,
188
876
,
2%

CHANGES TO THE MANAGEMENT BOARD

The healthcare group Fresenius will have a revised Management team going forward. Dr.Ernst Wastler, previously responsible for Fresenius Vamed, retired as Chairman of the VAMED Management Board and consequently from the Fresenius Management Board upon reaching retirement age on July 18, 2023. Dr.Klaus Schuster and Frank-Michael Frede were appointed to the VAMED Management Board. Dr.Klaus Schuster will assume the new role of Spokesman of the VAMED Management Board but is not be represented on the Fresenius Management Board. Dr.Michael Moser, a member of the Fresenius Management Board, is responsible for Fresenius Vamed within the Fresenius Board.

On September 8, 2023 the Supervisory Board of Fresenius Management SE has appointed Robert Möller to the Management Board with immediate effect. At the same time, he will take over as Chairman of the Management Board of Helios Health GmbH. He succeeds Dr.Francesco de Meo, who left the company.

Following the successful deconsolidation of Fresenius Medical Care, Helen Giza will also step down from the Fresenius Management Board.

The #FutureFresenius strategy, with its realignment of business segments into operating and investment companies, is also reflected in the composition of the Fresenius Management Board.

RESEARCH AND DEVELOPMENT

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

  • ► Generic IV drugs
  • ►Biosimilars

  • ► Infusion and nutrition therapies

  • ► Medical devices

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

RESEARCH AND DEVELOPMENT EXPENSES

BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q1-
3
/20
23
Q1-
3
/20
22
Gro
wth
1
ius
bi
Fre
Ka
sen
43
5
42
2
3%
Fre
ius
He
lios
sen
2 2 0%
ius
Fre
Va
d
sen
me
- - --
Co
rat
rpo
e
0 -1 100
%
1
To
tal
43
7
423 3%

1 Before special items

RATING

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

In August 2023, the rating agency Fitch raised Fresenius' outlook from "negative" to "stable". Fitch has confirmed the company's rating at BBB-. The improved outlook is based, among other things, on the continued good development of the operating companies, careful capital allocation and progress in simplifying the Group structure.

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

Sta
nda
rd&
r's
Poo
's
Mo
ody
Fitc
h
Co
tin
mp
any
ra
g
BB
B
Baa
3
BB
B -
Ou
tlo
ok
ativ
neg
e
ble
sta
ble
sta

OPPORTUNITIES AND RISK REPORT

Compared to the presentation in the consolidated financial statements and the management report as of December 31, 2022 applying Section 315e HGB in accordance with IFRS, there have been the following important developments in Fresenius Group's overall opportunities and risk situation until September 30, 2023.

In summary, the risks to our net assets, financial position and results of operations are essentially unchanged compared to the aforementioned presentation - also considering current developments. This applies in particular to the risks related to the Ukraine war and the overall economic situation.

Russia's war against Ukraine, which began in February 2022, was characterized in Q1-3/ 23 by a largely unsuccessful Russian offensive in the east of the country and a subsequent expected Ukrainian counteroffensive from June 2023 on, which is still ongoing as of September 30, 2023. An expansion of the war beyond the borders of Ukraine would have significant consequences for Europe as a whole.

We still cannot exclude that our operations in Ukraine, Russia and Belarus, which we are continuing to the best of our ability despite the war, are impacted by the destruction of assets, expropriation, or other regulatory actions, including economic sanctions.

In addition, the war in Ukraine continues to be accompanied by a very pronounced general cyber security threat situation, especially to critical infrastructures, such as healthcare facilities, in countries supporting Ukraine. The risk of cyber attacks against our systems and data remains increased.

Besides these risks, there are still considerable uncertainties in the current situation, in particular from a possible further deterioration of the global macroeconomic outlook. The current macroeconomic inflationary environment -- which is also due to the Ukraine war -- continues to pose the risk of material increases in costs for energy, materials and supplies as well as transportation, amongst other consequences. However, this risk has decreased, mainly due to the recognition of expected additional costs in the budget and due to an easing, by tendency, of the situation in several procurement markets, especially the one for energy.

Furthermore, supply chain disruptions as well as qualified labor shortages and related increases in labor costs still constitute risks which can adversely effect our business operations.

This also applies to risks arising from increasing price pressure (e.g. in tender business) and competition as well as efforts to contain costs in the healthcare sector and to risks in connection with research and development as well as with the approval or quality of products.

The risks related to the COVID-19 pandemic have decreased.

In addition and unchanged to the previous presentation, increasing volatility and disruptions in the financing markets, and further rises in interest rates could adversely impact our ability to access capital and increase our financing costs.

Likewise, impairments of intangible assets, including goodwill, as well as changes in exchange rates (foreign currency risks) continue to be relevant risks for the Fresenius Group.

Furthermore, the planned deconsolidation of Fresenius Medical Care through a change of legal form from a KGaA into an Aktiengesellschaft (AG) entails risks. In the second quarter of 2023, corresponding deconsolidation risks were newly added to the risk inventory. They comprise, among other things, unexpected costs in connection with the separation of Fresenius Medical Care from the Fresenius Group with regard to previously jointly used functions and systems, in particular in the area of information technology (IT),

which is intended because of the deconsolidation. The deconsolidation risks also include, for example, possible revenue losses and other unexpected costs for Fresenius Medical Care in connection with the change of product labels and relevant certificates, which is required because of the change of legal form.

In connection with Vamed's restructuring and transformation program, the material effects of this program already foreseeable today have been recognized in the quarterly financial report. During the implementation of individual reorganization measures, their financial effects are assessed on an ongoing basis. We cannot exclude the possibility, that more far-reaching financial effects arise from the implementation of individual measures of the restructuring and transformation program, which negatively impact Fresenius Group's net assets, financial position and results of operations.

In the ordinary course of Fresenius Group's operations, the Fresenius Group is subject to litigation, arbitration as well as external and internal investigations relating to various aspects of its business. The Fresenius Group regularly analyses current information about such matters for probable losses and provides accruals for such matters, including estimated expenses for legal services, as appropriate. We report on legal proceedings on page 61 in the notes of this report.

Overall, the above mentioned factors can have a negative impact on our net assets, financial position, and results of operations.

OUTLOOK 2023

ASSUMPTIONS FOR GUIDANCE FY/23

For the remaining of 2023, Fresenius assumes no further escalations of geopolitical tensions. Fresenius expects moreover that the increased cost inflation will have a corresponding impact on its business. The company will continue to closely monitor the potential further consequences of the ongoing challenging macroeconomic environment, including balance sheet valuations. All of these assumptions are subject to considerable uncertainty.

GROUP REVENUE AND EARNINGS

Based on the consistent performance of the Operating Companies through the year, Fresenius improves the 2023 earnings outlook and now expects constant currency Group EBIT1 to remain broadly flat compared to FY/2022 (previous: EBIT1 expected to remain broadly flat to decline up to a mid-single-digit percentage rate). Group organic revenue continues to be expected to grow in a mid-single-digit percentage range.

GROUP FINANCIAL TARGETS 2023

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REVENUE AND EARNINGS BY BUSINESS SEGMENT

In 2023, we expect revenue and earnings development in our business segments as shown in the table below:

FINANCIAL TARGETS BY BUSINESS SEGMENT 2023

1
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1 Before special items

EXPENSES

For fiscal year 2023, we do expect selling, general, and administrative expenses (before special items) excluding Fresenius Medical Care as a percentage of consolidated net revenue not to change significantly compared to 2022 (2022 ex FMC: 12.4%).

TAX RATE

For fiscal year 2023, we do expect a tax rate excluding Fresenius Medical Care in a range between 25% and 26% (2022 ex FMC: 22.4%).

COST AND EFFICIENCY PROGRAM

Structural productivity improvements are expected to offset market headwinds and to create financial flexibility for future growth investments in the coming years. The target for cost savings is to save around €1 billion annually (including Fresenius Medical Care) in structural costs at EBIT level from 2025 (of which around €350 million excluding Fresenius Medical Care). To achieve the targeted cost savings, one-time costs of around €700 million to €750 million are expected at EBIT level including Fresenius Medical Care (of which around 1/3 excluding Fresenius Medical Care), of which around 2/3 are expected in 2023.

In order to reach this goal, Fresenius is running targeted programs across all business segments and the Corporate Center with the oversight and steering of the Group. Key elements include measures to optimize the network, sales and administrative costs, procurement, as well as divesting from non-core assets.

In line with previous practice, these expenses are classified as special items.

1 Before special items

LIQUIDITY AND CAPITAL MANAGEMENT

For fiscal year 2023, we expect a cash conversation rate excluding Fresenius Medical Care below 1.0.

In addition, undrawn credit lines under syndicated or bilateral credit facilities from banks provide us with sufficient financial headroom.

Financing activities in 2023 are largely geared to refinancing existing financial liabilities maturing in 2023 and 2024.

For the 2023 financial year, we expect higher interest rates, which will lead to higher interest expenses. Excluding Fresenius Medical Care, we expect interest expenses to be around the middle of the range of €400 million to €440 million.

Fresenius expects the net debt/EBITDA1 ratio excluding Fresenius Medical Care to be below 4.0× by the end of 2023, therefore improving from 4.03×2 as of September 30, 2023 (December 31, 2022: 3.80×2). This assumption does not include potential divestment activities. The self-imposed target corridor for the leverage ratio remains unchanged at 3.0× to 3.5×.

There are no significant changes in the financing strategy planned for 2023.

INVESTMENTS

In 2023, we expect to invest around 5% of revenue in property, plant and equipment; excluding Fresenius Medical Care. About 43% of the capital expenditure planned will be invested at Fresenius Kabi, around 47% at Fresenius Helios, about 8% at Vamed and about 2% at corporate.

Fresenius Kabi will mainly invest in the expansion and maintenance of its production sites and in the introduction of new production technologies.

Fresenius Helios will primarily invest in the construction and modernization of existing and newly acquired clinics and medical centers.

Fresenius Vamed is primarily investing in modernizing and equipping existing post-acute care facilities.

With a share of around 80% Europe (thereof 35% Germany) is the regional focus of investment in the planning period. Around 10% of the investments are planned for North America and around 10% for Asia-Pacific, Latin America, and Africa.

For 2023, we assume return on invested capital (ROIC) excluding Fresenius Medical Care to be around 5% (2022 ex FMC: 5.6%).

DIVIDEND

With the new Fresenius Financial Framework Fresenius aims to generate attractive and predictable dividend yields. In line with its progressive dividend policy, the Company aims to increase the dividend in line with earnings per share growth (before special items, in constant currency) but at least maintain the dividend at the prior-year's level. For fiscal year 2022, a dividend at the prior-year level of €0.92 per share (2021: €0.92) was paid. The payout to the shareholders of Fresenius SE&Co. KGaA amounted to €518 million or 30% of consolidated net income. Based on the 2022 year-end share price, the dividend yield was 3.5%.

Against the background of an amendment to a law that recently came into force, Fresenius is examining the impact of the Government relief funds received by Fresenius Helios Deutschland and Fresenius Vamed on the dividend payment by Fresenius SE & Co. KGaA. This also concerns the possible receipt of further compensation payments. Fresenius will act in accordance with the #FutureFresenius strategy within the scope of legal possibilities to ensure value creation for the company and the best possible care for our patients.

2 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; before special items; including lease liabilities, including Fresenius Medical Care dividend

NON-FINANCIAL TARGETS

From fiscal year 2023, the qualitative measurement of fiscal years 2021 and 2022 will be replaced by quantitative ESG KPIs in the short-term variable Management Board remuneration (Short-term Incentive - STI). The KPIs cover the key sustainability topics of medical quality /patient satisfaction and employees.

The topic of employees is measured with the key figure of the Employee Engagement Index (EEI) for the Fresenius Group. Fresenius is aiming for an EEI of 4.33 for the fiscal year 2023 (corresponds to 100% target achievement).

The Medical Quality /Patient Satisfaction topic is composed of four equally weighted key figures that are defined at the business segment level. The four indicators are based on the respective relevance for the business model.

Fresenius Medical Care aims for a patient Net Promoter Score (NPS) of at least 70 (100% target achievement).

Fresenius Kabi aims for an Audit&Inspection Score of at most 2.3 (100% target achievement).

Helios Germany aims to achieve an Inpatient Quality Indicator (G-IQI) score of at least 88% (100% target achievement), and Helios Spain aims to achieve a score of at least 55% (100% target achievement).

Fresenius Vamed aims to achieve a patient satisfaction score of at least 1.65 (100% target achievement) in fiscal year 2023.

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

€ i
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n m
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Q3
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23
Q3
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22
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¹
rest
Q3
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22
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202

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72
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1 Prior-year and prior-quarter figures of the current year have been adjusted due to the application of IFRS 5 to Fresenius Medical Care operations to be deconsolidated.

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

€ i
illio
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Q3
/20
23
Q3
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202
3
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-86 1,
224
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229

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

ASSETS

LIABILITIES

€ i
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ted
her
reh
ive
in
ot
cum
co
mp
ens
com
e
43
0
40
7
' e
B.
To
tal
Fr
niu
s S
E&
Co
. K
Ga
A s
ha
reh
old
ity
ese
ers
qu
20,
034
20,
415
rs'
uit
II.
To
tal
sh
ho
lde
are
eq
y
30
282
,
32
21
8
,
' eq
lia
bil
itie
uit
To
tal
nd
sha
reh
old
s a
ers
y
75,
32
8
76,
40
0

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS

€ i
illio
n m
ns
Q1
3/
202

--
Q1
--3/
202
2 re
ed¹
stat
Q1
--3/
202
2 p
revi
ous
tin
cti
vit
ies
Op
era
g a
Op
tin
cti
vit
ies
tin
uin
ion
rat
era
g a
con
g o
pe
s
--
Ne
t in
e f
nti
ing
tio
com
rom
co
nu
op
era
ns
45
5
1,
013
1,
714
jus
nci
inc
e f
nti
ing
tio
Ad
le n
h a
nd
tm
ent
s t
et
to
o r
eco
om
rom
co
nu
op
era
ns
cas
iva
vid
tin
cti
vit
ies
h e
len
ed
by
ts
cas
qu
pro
op
era
g a
cia
tio
iza
tio
De
nd
ort
pre
n a
am
n
865 82
1
2,
147
Ch
e in
de
fer
red
ta
ang
xes
-16 -45 -10
5
Ga
in o
ale
of
fix
ed
d o
f in
nd
div
itu
ets
tm
ent
est
n s
ass
an
ves
s a
res
-8 -2 -69
Ch
s in
nd
liab
ilit
ies
of
set
et
nts
an
ge
as
s a
, n
am
ou
sin
uir
dis
fro
bu
ed
ed
of
m
ess
es
acq
or
pos
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
-68
4
-50
1
-57
0
Inv
ori
ent
es
-16
8
-19
5
-36
4
Oth
nd
t a
ent
set
er
cur
ren
no
n-c
urr
as
s
-60
1
-73
9
-67
0
Ac
cei
vab
le f
/pa
ble
late
d p
ies
nts
to
art
cou
re
rom
ya
re
30 -12 -39
isio
liab
ilit
ies
Tra
de
ble
and
her
sh
d lo
nts
ot
ort
-te
ter
acc
ou
pa
ya
, p
rov
ns
rm
an
ng-
m
842 404 210
Lia
bil
itie
s fo
r in
e ta
com
xes
144 62 120
ide
ing
tiv
itie
nti
ing
tio
Ne
ash
d b
t c
rat
pr
ov
y o
pe
ac
s --
co
nu
op
era
ns
859 806 2,
374
Ne
ash
ide
d b
ing
tiv
itie
Fr
niu
s M
ed
ica
l C
tio
t c
rat
pr
ov
y o
pe
ac
s --
ese
are
op
era
ns
ida
RS
be
de
sol
ted
de
r IF
5
to
con
un
1,
910
56
1,
8
n.a
Ne
ash
ide
d b
ing
tiv
itie
t c
rat
pr
ov
y o
pe
ac
s
2,
769
2,
374
2,
374
ing
tiv
itie
Inv
est
ac
s
Inv
ing
tiv
itie
nti
ing
tio
est
ac
s --
co
nu
op
era
ns
Pu
rch
of
lan
nd
ipm
ert
t a
ent
ase
pr
op
y, p
equ
and
ital
ize
d d
lop
nt
ts
ca
p
eve
me
cos
-73
7
-69
2
187
-1,
Pro
ds
fro
ale
f p
lan
nd
ipm
ert
t a
ent
cee
m s
s o
rop
y, p
equ
14 6 15
isit
ion
inv
Ac
nd
est
nts
qu
s a
me
and
rch
f in
ible
tan
set
pu
ase
s o
g
as
s
-22
1
-79
5
-92
7
fro
of
in
div
itu
Pro
ds
ale
nd
tm
ent
est
cee
m s
ves
s a
res
0 28 136
Ne
ash
ed
in
inv
ing
tiv
itie
nti
ing
tio
t c
est
us
ac
s --
co
nu
op
era
ns
-94
4
-1,
453
-1,
963
in
inv
ing
tiv
itie
niu
ica
l C
tio
Ne
ash
ed
Fr
s M
ed
t c
est
us
ac
s --
ese
are
op
era
ns
be
de
sol
ida
ted
de
r IF
RS
5
to
con
un
-44
7
-51
0
n.a
in
inv
ing
tiv
itie
Ne
ash
ed
t c
est
us
ac
s
-1,
39
1
963
-1,
963
-1,

1 Prior-year and prior-quarter figures of the current year have been adjusted due to the application of IFRS 5 to Fresenius Medical Care operations to be deconsolidated.

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

€ i
illio
n m
ns
Q1
3/
202

--
Q1
--3/
202
2 re
ed¹
stat
Q1
--3/
202
2 p
revi
ous
Fin
cin
cti
vit
ies
an
g a
Fin
cin
cti
vit
ies
tin
uin
ion
rat
an
g a
con
g o
pe
s
--
Pro
ds
fro
ho
de
bt
rt-t
cee
m s
erm
90 920 49
1,
7
Re
of
sh
de
bt
nts
ort
-te
pay
me
rm
-10
7
-1,
49
9
-2,
722
Pro
ds
fro
lon
m d
ebt
ter
cee
m
g-
1,
285
53
0
1,
55
7
Re
of
lo
m d
ebt
nts
ter
pay
me
ng-
-90
5
-48
1
-65
5
Re
of
lea
liab
ilit
ies
nts
pay
me
se
-17
6
-14
3
-71
6
Pro
ds
fro
he
iss
of
bon
ds
m t
cee
uan
ce
-- 30
0
1,
30
0
1,
Re
of
lia
bil
itie
s fr
bo
nds
nts
pay
me
om
-- -- -62
7
fro
cei
aci
lity
of
niu
ica
l C
Pro
ds
he
Ac
Re
vab
le F
Fr
s M
ed
m t
nts
cee
cou
ese
are
-- -- 24
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
-- -- 20
Div
ide
nds
cei
ved
fro
Fre
ius
M
ed
ica
l C
re
m
sen
are
106 127 n.a
Div
ide
nds
id
pa
-54
4
-39
6
-81
7
Ch
e in
olli
int
ntr
sts
et
ang
no
nco
ng
ere
, n
-15 -28 -28
Ne
ash
ed
in/
vid
ed
by
fin
cin
cti
vit
ies
tin
uin
ion
t c
rat
us
pro
an
g a
con
g o
pe
s
--
-26
6
33
0
167
-1,
in
fin
cin
cti
vit
ies
ius
ica
tio
Ne
ash
ed
Fre
M
ed
l C
t c
us
an
g a
sen
are
op
era
ns
--
be
de
sol
ida
ted
de
r IF
RS
5
to
con
un
113
-1,
49
-1,
7
n.a
in
fin
cin
cti
vit
ies
Ne
ash
ed
t c
us
an
g a
-1,
37
9
-1,
167
-1,
167
Eff
of
uiv
cha
ch
ash
d c
ash
ale
ect
ate
nts
ex
ng
e r
an
ge
s o
n c
an
eq
-10
0
120 120
Ne
t d
e i
ash
d c
ash
uiv
ale
nts
ecr
eas
n c
an
eq
-10
1
-63
6
-63
6
uiv
inn
ing
ing
rio
Ca
sh
d c
ash
ale
th
e b
of
th
d
nts
at
ort
an
eq
eg
e r
ep
pe
2,
749
2,
764
2,
764
les
ash
d c
ash
uiv
ale
Fr
niu
s M
ed
ica
l C
th
nd
of
the
rtin
eri
od
nts
at
s c
an
eq
ese
are
e e
re
po
g p
-1,
553
n.a n.a
uiv
rtin
eri
Ca
sh
d c
ash
ale
th
nd
of
the
od
nts
at
an
eq
e e
re
po
g p
1,
095
2,
128
2,
128
of
iva
ts f
niu
edi
Ca
tio
Th
h a
nd
h e
len
Fr
s M
cal
ere
cas
cas
qu
rom
ese
re
op
era
ns
be
dec
olid
d u
nde
r IF
RS
5
to
ate
ons
n.a 1,
114
n.a

1 Prior-year and prior-quarter figures of the current year have been adjusted due to the application of IFRS 5 to Fresenius Medical Care operations to be deconsolidated.

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES OF CONTINUING OPERATIONS

€ i
illio
n m
ns
Q1
3/
202

--
Q1
--3/
202
Rec
eiv
ed
int
st
ere
43 47
Pai
d i
nte
t
res
-28
4
-18
5
Inc
id
e ta
om
xes
pa
-19
7
-34
3

1 Prior-year and prior-quarter figures of the current year have been adjusted due to the application of IFRS 5 to Fresenius Medical Care operations to be deconsolidated.

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

Su bsc
rib
ed
Ca
ital
p
Res
erv
es
Num
ber
of
inar
ord
y sh
are
s
in t
hou
d
san
Am
t
oun
€ in
tho
nds
usa
Am
t
oun
€ in
mi
llion
s
Cap
ital
rese
rve
€ in
mi
llion
s
Oth
er
rese
rves
€ in
mi
llion
s
As
of
De
be
r 3
1,
202
1
cem
55
8,
502
55
8,
502
55
8
4,
026
14,
860
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
-- -- -- 6
Div
ide
nds
id
pa
-36
7
Scr
ip
div
ide
nd
4,
735
4,
735
5 142 -14
7
ctio
wit
llin
int
ith
of
Tra
h n
lo
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
145
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
--
tio
iab
ilit
ies
Put
n l
op
-62
9
Tra
nsf
of
ula
tive
ins
/lo
f e
ity
inv
est
nts
er
cum
ga
sse
s o
qu
me
3
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
1,
117
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
flow
sh
he
dg
es
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
For
eig
nsl
ati
tra
n c
urr
enc
y
on
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
Fai
lue
ch
r va
ang
es
Co
ive
in
reh
e (
los
s)
mp
ens
com
1,
117
As
of
Se
be
r 3
0,
202
2
tem
p
563
237
,
563
237
,
563 4,
31
9
14,
837
As
of
De
be
r 3
1,
202
2
cem
563
237
,
563
237
,
563 4,
323
15,
122
Div
ide
nds
id
pa
-51
8
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
2
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
--
tio
iab
ilit
ies
Put
n l
op
92
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
20
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
For
eig
nsl
ati
tra
n c
urr
enc
on
y
ria
ins
fin
efit
nsi
Ac
l ga
de
ed
ben
lan
tua
on
pe
on
p
s
Fai
lue
ch
r va
ang
es
Co
reh
ive
in
e (
los
s)
mp
ens
com
20
As
of
Se
be
r 3
0,
202
3
tem
p
563
237
,
563
237
,
563 325
4,
716
14,

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

Ac
ula
ted
her
ot
cum
For
eig
n
cur
ren
cy
slat
ion
tran
€ in
mi
llion
s
Cas
h flo
w
hed
ges
€ in
mi
llion
s
Pen
sion
s
€ in
mi
llion
s
Equ
ity
inve
stm
ents
€ in
mi
llion
s
Fair
val
ue
cha
nge
s
€ in
mi
llion
s
Tot
al
Fre
ius
sen
SE&
Co.
KG
aA
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
Non

trol
ling
con
inte
rest
s
€ in
mi
llion
s
Tot
al
rs'
sha
reh
olde
ity
equ
€ in
mi
llion
s
As
of
De
be
r 3
1,
202
1
cem
54 -66 -41
1
-42 19 18,
998
10,
29
0
29,
28
8
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
6 14 20
Div
ide
nds
id
pa
-36
7
3
-51
-88
0
Scr
ip
div
ide
nd
-- -- --
ctio
wit
llin
int
ith
of
Tra
h n
lo
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
145 36
9
514
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
-- 609 609
tio
iab
ilit
ies
Put
n l
op
-62
9
-33
7
-96
6
Tra
nsf
of
ula
tive
ins
/lo
f e
ity
inv
est
nts
er
cum
ga
sse
s o
qu
me
-3 -- -- --
Co
reh
ive
in
e (
los
s)
mp
ens
com
t in
Ne
com
e
1,
117
59
7
1,
714
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
flow
sh
he
dg
es
1 1 1 2
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
9 9 6 15
For
eig
nsl
atio
tra
n c
urr
enc
y
n
1,
815
-1 -9 0 0 1,
805
1,
607
3,
41
2
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
300 30
0
139 43
9
Fai
lue
ch
r va
ang
es
-3 -3 -8 -11
Co
ive
in
reh
e (
los
s)
mp
ens
com
1,
815
0 29
1
9 -3 3,
229
2,
34
2
5,
57
1
As
of
Se
be
r 3
0,
202
2
tem
p
1,
869
-66 -12
0
-36 16 21,
382
12,
774
34,
156
As
of
De
be
r 3
1,
202
2
cem
613 -56 -10
9
-58 17 20,
415
11,
803
32,
21
8
Div
ide
nds
id
pa
-51
8
-45
4
-97
2
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
2 1 3
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
-- -13 -13
tio
iab
ilit
ies
Put
n l
op
92 44 136
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
20 -1,
125
-1,
105
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
-7 -7 -3 -10
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
4 4 9 13
For
eig
nsl
ati
tra
n c
urr
enc
on
y
3 0 -1 -- 0 2 -28 -26
ria
ins
fin
efit
nsi
Ac
l ga
de
ed
ben
lan
tua
on
pe
on
p
s
25 25 16 41
Fai
lue
ch
r va
ang
es
-1 -1 -2 -3
Co
reh
ive
in
e (
los
s)
mp
ens
com
3 -7 24 4 -1 43 -1,
133
-1,
090
As
of
Se
be
r 3
0,
202
3
tem
p
616 -63 -85 -54 16 20,
034
10,
24
8
30,
282

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING FIRST THREE QUARTERS (UNAUDITED)

All figures are reported excluding Fresenius Medical, except for net income.

Fre ius
Ka
sen
bi
ius
lios
ius
Fre
He
Fre
Va
d
sen
sen
me
Co
/O
the
rat
rpo
e
r
ius
Gr
Fre
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
32
202
22
202
Gro
wth
32
202
22
202
Gro
wth
32
202
22
202
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1 2022: December 31, the figures reported differ from those in the consolidated statement of financial position as they are presented excluding Fresenius Medical Care.

2 Before special items

3 After special items

4 The underlying pro forma EBIT does not include special items.

For information regarding special items, please see the reconciliation tables in the interim Group management report. The consolidated segment reporting is an integral part of the notes.

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING THIRD QUARTER (UNAUDITED)

All figures are reported excluding Fresenius Medical, except for net income.

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1 Before special items

2 After special items

For information regarding special items, please see the reconciliation tables in the interim Group management report. The consolidated segment reporting is an integral part of the notes.

TABLE OF CONTENTS NOTES

-

  • 47 IV. Recent pronouncements, applied 57 12. Debt 66 21. Share-based compensation plans
  • 48 V. Recent pronouncements, not yet applied 59 13. Bonds 66 22. Subsequent events
  • 48 2. Acquisitions, divestitures and investments

45 General Notes 55 Notes on the consolidated statement of financial position 61 Other notes

  • 45 1. Principles 55 8. Trade accounts and other receivables 61 17. Legal and regulatory matters
    -
    -
    -
    -
    -
    -
    • 60 15. Noncontrolling interests
    • 61 16. Fresenius SE&Co. KGaA shareholders' equity

  • 45 I. Group structure 55 9. Inventories 62 18. Financial instruments
  • 46 II. Basis of presentation 55 10. Other current and non-current assets 65 19. Information on capital management
  • 46 III. Summary of significant accounting policies 56 11. Goodwill 65 20. Notes on the consolidated segment reporting
    -
    -
    • 60 14. Convertible bonds 66 23. Corporate Governance

51 Notes on the consolidated statement of income

  • 51 3. Special items
  • 53 4. Revenue
  • 54 5. Research and development expenses
  • 54 6. Taxes
  • 54 7. Earnings per share

GENERAL NOTES

1. PRINCIPLES

I. GROUP STRUCTURE

Fresenius is a global healthcare group and offers systemcritical products and services for leading therapies for care of critically and chronically ill patients. Besides the activities of the parent company Fresenius SE&Co. KGaA, Bad Homburg v. d. H., Germany, the activities are organized amongst the following legally independent business segments as of September 30, 2023:

  • ► Fresenius Kabi
  • ► Fresenius Helios
  • ► Fresenius Medical Care
  • ► Fresenius Vamed

As of July 14, 2023, Fresenius Medical Care is accounted for as business segment to be deconsolidated in accordance with IFRS 5. As of January 1, 2023, the business segments are differentiated between operating companies (Fresenius Kabi and Fresenius Helios) and investment companies (Fresenius Medical Care and Fresenius Vamed).

Furthermore, as of January 1, 2023, Fresenius Kabi implemented a new global operating model. Thereafter, Fresenius Kabi has reorganized the business into four operating divisions: Biopharma, MedTech, Nutrition and Pharma (IV Drugs&Fluids).

The reporting and functional currency of the Fresenius Group is the euro. In order to improve the clarity of presentation, amounts are generally presented in million euros. Amounts less than €1 million, after rounding, are marked with ''0''.

Deconsolidation of Fresenius Medical Care

Fresenius announced in February 2023 its intention to initiate plans towards a conversion of the legal form of Fresenius Medical Care AG&Co. KGaA into a German stock corporation (Aktiengesellschaft -- AG) and thereupon to deconsolidate the business segment Fresenius Medical Care in accordance with the relevant International Financial Reporting Standards (IFRS). On July 14, 2023, the Extraordinary General Meeting of Fresenius Medical Care AG&Co. KGaA approved the proposal of conversion of the legal form into a German stock corporation. After registration with the commercial register, the conversion of the legal form will become effective. Fresenius expects the registration at the end of November 2023. For the interim financial statements as of September 30, 2023 and the statements in subsequent reporting periods, the specific accounting standards apply as follows.

In the first step, as a result of the approval of the conversion of legal form, Fresenius Medical Care has been classified since July 14, 2023 in accordance with IFRS 5 as a separate line item (operations to be deconsolidated) in the Fresenius Group consolidated statement of income, the consolidated statement of financial position and the consolidated statement of cash flows as of September 30, 2023.

After registration with the commercial register (second step), the investment in Fresenius Medical Care will be deconsolidated and subsequently accounted for at equity in accordance with IAS 28. The relevant IFRS require valuation of Fresenius Medical Care at fair value. If this value, which corresponds to Fresenius Medical Care's market capitalization, is below the book value of Fresenius Medical Care's consolidated equity, the Fresenius Group must recognize a non-cash effective impairment, which is included as special item. As of July 14, 2023, the market capitalization of Fresenius Medical Care was €13.7 billion based on a share price of 46.78 € and thus above the consolidated shareholders' equity of Fresenius Medical Care AG&Co. KGaA of €13.5 billion as of June 30, 2023.

Therefore, the first step with the initial recognition did not result in any expenses in the third quarter of 2023. As part of the IFRS 5 subsequent remeasurement, the market capitalization and consolidated shareholders' equity were compared again as of September 30, 2023. As of September 30, 2023, the market capitalization of Fresenius Medical Care was €12 billion based on a share price of 40.84 € and thus below the consolidated shareholders' equity of Fresenius Medical Care AG &Co. KGaA of €14 billion as of September 30, 2023. Valuation rules under IFRS 5 therefore resulted in a non-cash special item of €2 billion in the consolidated financial statements of the Fresenius Group, of which €0.6 billion was attributable to the shareholders of Fresenius SE&Co. KGaA and €1.4 billion to the non-controlling interests of the Fresenius Group. The expenses are reported as part of the net income from Fresenius Medical Care operations to be deconsolidated under IFRS 5.

With respect to subsequent IFRS 5 remeasurements and step 2, further effects may arise depending on the value of Fresenius Medical Care's market capitalization.

Due to the application of IFRS 5, the prior year and prior quarter figures of the current year in the consolidated statement of income and the consolidated statement of cash flows have been adjusted.

The application of IFRS 5 at the Fresenius Group level does not have any impact on the consolidated financial statements of Fresenius Medical Care, because the recoverability of net assets in the consolidated financial statements of Fresenius Medical Care is measured in accordance with IAS 36, which, in contrast to IFRS 5, is determined by the higher of the value in use and the fair value less costs of disposal (which mainly corresponds to the market capitalization).

Transformation Fresenius Vamed

Following the continued negative business performance, Fresenius announced as part of the presentation of the results for the first quarter of 2023 plans for an in-depth analysis of Fresenius Vamed's business model, its governance and relevant processes. At the same time, a comprehensive and far-reaching restructuring program has been initiated with the clear goal to increase the company's profitability. Also, a comprehensive reassessment of the company organization was initiated.

The restructuring program aims to adjust Fresenius Vamed's project business, especially in Germany. Moreover, the withdrawal of non-core service businesses in main markets outside Europe is intended. This includes the redimensioning of activities, and associated with this, achieving a significantly lower risk profile.

As a result of this transformation, Fresenius Vamed has revalued the affected business activities in the second and third quarter of 2023 and recognized negative one-time effects of €441 million. These mainly relate to impairments of loans, investments, receivables, inventories and orders, restructuring expenses as well as the recognition of provisions. Most of these nonrecurring items are non-cash.

II. BASIS OF PRESENTATION

Fresenius SE&Co. KGaA, as a stock exchange listed company with a domicile in a member state of the European Union (EU), fulfills its obligation to prepare and publish the consolidated financial statements in accordance with the International Financial Reporting Standards (IFRS) as adopted by the EU and applying Section 315e of the German Commercial Code (HGB).

The consolidated interim financial statements and accompanying condensed notes are prepared in accordance with the International Accounting Standard (IAS) 34. The primary financial statements are presented in the format consistent with the consolidated financial statements as of December 31, 2022, with the exception of the adjustments required by IFRS 5. The consolidated interim financial statements have been prepared in accordance with the Standards and interpretations in effect on the reporting date, and endorsed in the EU, as issued by the International Accounting Standards Board (IASB) and the IFRS Interpretations Committee (IFRS IC).

The interim financial statements have been prepared in accordance with the same general accounting policies applied in the preparation of the consolidated financial

statements as of December 31, 2022, with the exception of Fresenius Medical Care's accounting in accordance with IFRS 5.

III. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of consolidation

The condensed consolidated financial statements and interim management report for the first three quarters and the third quarter ended September 30, 2023 have not been audited nor reviewed and should be read in conjunction with the notes included and published in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS as adopted by the EU.

Except for the reported acquisitions (see note 2, Acquisitions, divestitures and investments), there have been no other material changes in the Fresenius Group's consolidation structure.

The consolidated financial statements for the first three quarters and the third quarter ended September 30, 2023 include all adjustments that, in the opinion of the Management Board, are of a normal and recurring nature and are necessary to provide a fair presentation of the assets and liabilities, financial position and results of operations of the Fresenius Group.

The results of operations for the first three quarters ended September 30, 2023 are not necessarily indicative of the results of operations for the fiscal year 2023.

Classifications

The prior year and prior quarter figures of the current year have been adjusted in the consolidated statement of income, the consolidated statement of cash flows and in the notes due to the application of IFRS 5 for Fresenius Medical Care operations to be deconsolidated.

Government grants and impacts of COVID-19 pandemic

In the first three quarters of 2023, the German clinics of the Fresenius Group received government compensation payments and reimbursements in the amount of €158 million to compensate for costs indirectly caused by the increase in energy prices. Approximately half of the payments were recognized in the consolidated statement of income on a pro rata basis. Against the background of an amendment to the law that came into force in August 2023, the Fresenius Group is continuously reviewing how to proceed with the government compensation payments and their conditions, also with regard to the dividend payment by Fresenius SE&Co. KGaA. This also concerns the possible receipt of further compensation payments.

The German clinics of the Fresenius Group did not receive reimbursements and grants to compensate for COVID-19 related financial charges in the first three quarters of 2023 (Q1 -- 3 / 2022: €220 million, thereof €195 million recorded in revenue and €25 million as grants in other operating income).

Hyperinflationary accounting

Fresenius Group's subsidiaries operating in Argentina and Türkiye apply IAS 29, Financial Reporting in Hyperinflationary Economies, due to inflation in those countries. For the first three quarters of 2023, the application of IAS 29 resulted in an effect on net income from continuing operations attributable to shareholders of Fresenius SE&Co. KGaA of -€33 million (Q1-- 3/ 2022: -€17 million) included in selling, general and administrative expenses. The ongoing

retranslation effects of hyperinflationary accounting and its impact on comparative amounts are recorded in other comprehensive income (loss) within the consolidated financial statements.

Use of estimates

The preparation of consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of income and expenses during the reporting period. Actual results could differ from those estimates.

Business segment to be deconsolidated

The planned deconsolidation of the business segment Fresenius Medical Care is accounted for in accordance with IFRS 5 by the Fresenius Group as of July 14, 2023. At that date, the General Meeting of Fresenius Medical Care AG &Co. KGaA approved the conversion of the legal form into a German stock corporation and the deconsolidation within one year was considered highly probable.

Following classification as ''business segment to be deconsolidated'', assets and related liabilities are presented separately in one line within the current section of the consolidated statement of financial position. The Fresenius Group also presents the results separately in the consolidated statement of income and in the consolidated statement of cash flows and prior year figures and prior quarter figures of the current year are adjusted.

The business segment to be deconsolidated is measured at the lower of its carrying amount or its fair value less costs of deconsolidation and regular depreciation and amortization has been ceased.

IV. RECENT PRONOUNCEMENTS, APPLIED

The Fresenius Group has prepared its consolidated financial statements at and for the first three quarters ended September 30, 2023 in conformity with IFRS, as adopted by the EU, that must be applied for the interim periods starting on or after January 1, 2023.

For the first three quarters of 2023, the following new standard relevant for Fresenius Group's business was applied for the first time:

In May 2017, the IASB issued IFRS 17, Insurance Contracts. In June 2020 and December 2021, further amendments were published. IFRS 17 establishes principles for the recognition, measurement, presentation and disclosure related to the issuance of insurance contracts. IFRS 17 replaces IFRS 4, Insurance Contracts, which was brought in as an interim standard in 2004. IFRS 4 permitted the use of national accounting standards for the accounting of insurance contracts under IFRS. As a result of the varied application for insurance contracts, there was a lack of comparability among peer groups. IFRS 17 eliminates this diversity in practice by requiring all insurance contracts to be accounted for using updated estimates and assumptions that reflect the timing of cash flows and any uncertainty relating to insurance contracts.

The adoption of IFRS 17 did not have a material impact on the consolidated financial statements of the Fresenius Group.

V. RECENT PRONOUNCEMENTS, NOT YET APPLIED The IASB issued the following new standards relevant for the Fresenius Group's business:

In May 2023, the IASB issued Amendments to IAS 12, Income Taxes. The amendments temporarily exempt companies from accounting for deferred taxes arising from the implementation of the Organisation for Economic Cooperation and Development's (OECD) international tax reform, known as Pillar Two model. The Pillar Two model aims at taxing large multinational companies with a rate of at least 15%. Moreover, the amendments prescribe targeted disclosures. The exemption may be used immediately. Disclosures are required for fiscal years beginning on or after January 1, 2023. The Fresenius Group is currently evaluating the impact of the amendments to IAS 12 on the consolidated financial statements.

In January 2020, the IASB issued Amendments to IAS 1, Classification of Liabilities as Current and Noncurrent. The amendments clarify under which circumstances debt and other liabilities with an uncertain settlement date should be classified as current or non-current. Among others, the amendments state that liabilities shall be classified depending on rights that exist at the end of the reporting period and define under which conditions liabilities might be settled by cash, other economic resources or equity. On July 15, 2020, and October 31, 2022, the IASB deferred the effective date. The amendments to IAS 1 are now effective for fiscal years beginning on or after January 1, 2024. Earlier adoption is permitted. The Fresenius Group is currently evaluating the impact of the amendments to IAS 1 on the consolidated financial statements.

The EU Commission's endorsements of the amendments to IAS 1 and IAS 12 are still outstanding.

In the Fresenius Group's view, there are no other IFRS standards or interpretations not yet effective that would be expected to have a material impact on the consolidated financial statements.

2. ACQUISITIONS, DIVESTITURES AND INVESTMENTS

The Fresenius Group made acquisitions, investments and purchases of intangible assets from continuing operations of €197 million and €819 million in the first three quarters of 2023 and 2022, respectively. Of this amount, €221 million was paid in cash in the first three quarters of 2023 including €24 million in subsequent purchase price payments already recognized as liabilities.

FRESENIUS KABI

In the first three quarters of 2023, Fresenius Kabi spent €195 million (Q1-- 3/ 2022: €723 million) on acquisitions, mainly for milestone payments relating to the acquisition of Merck KGaA's biosimilars business which were already recognized as liabilities as part of the acquisition.

Acquisition mAbxience

On August 1, 2022, Fresenius Kabi closed the acquisition of a stake of 55% of mAbxience Holding S.L. (mAbxience), a leading international biopharmaceutical company, focused on the rapidly growing market for the development and manufacturing of biological drugs (biopharmaceuticals).

The company has been consolidated since August 1, 2022, and has contributed €59 million to revenue in the fiscal year 2022.

The consideration transferred in the amount of €511 million is a combination of €499 million upfront payment, which was paid in cash upon closing, and performancebased payments expected for future years with a current fair value of €12 million. These are strictly tied to the achievement of development and operating targets and could be in the low three-digit million euro range in total.

The transaction was accounted for as a business combination.

The following table summarizes the final fair values of assets acquired and liabilities assumed. During 2023, the acquisition accounting was reviewed and finalized. Adjustments, net of related income tax effects, were recorded to goodwill and intangible assets.

€ i
illio
n m
ns
Fai
ire
alu
of
d
ets
r v
es
ass
ac
qu
d l
iab
ilit
ies
ed
an
as
sum
Cas
h a
nd
h e
iva
len
ts
cas
qu
6
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
24
Inv
ori
ent
es
89
Oth
t as
set
er
cur
ren
s
26
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
68
Int
ible
nd
oth
set
ets
ang
as
s a
er
ass
352
Go
odw
ill
510
Tra
de
ble
ho
ovi
sio
nts
rt-t
acc
ou
pa
ya
, s
erm
pr
ns
and
her
sh
lia
bil
itie
ot
ort
-te
rm
s
-41
Oth
liab
ilit
ies
er
-10
5
No
olli
int
ntr
sts
nco
ng
ere
8
-41
sid
tio
Tra
nsf
ed
err
con
era
n
51
1

The goodwill in the amount of €510 million resulting from the acquisition is not deductible for tax purposes. Until December 31, 2022, the goodwill was allocated to the relevant four cash generating units of Fresenius Kabi according to the regional distribution of the acquired business. Since January 1, 2023, it has been allocated to the Biopharma cash generating unit in accordance with the applicable new reporting structure.

FRESENIUS HELIOS

In the first three quarters of 2023, Fresenius Helios did not incur any acquisition expenses (Q1-- 3/ 2022: €81 million).

FRESENIUS VAMED

In the first three quarters of 2023, Fresenius Vamed spent €2 million (Q1-- 3/ 2022: €15 million) on acquisitions.

DECONSOLIDATION OF FRESENIUS MEDICAL CARE

On July 14, 2023, the Extraordinary General Meeting of Fresenius Medical Care AG&Co. KGaA approved the proposal of conversion of the legal form into a German stock corporation and thereupon Fresenius Medical Care was classified as a separate item (operations to be deconsolidated) in the Fresenius Group consolidated statement of income, the consolidated statement of financial position and the consolidated statement of cash flows (see note 1., III. Summary of significant accounting policies).

Net income from Fresenius Medical Care's operations to be deconsolidated (including special items) was comprised of the following:

€ i
illio
n m
ns
Q1
3/2
023
-
Q1
3
/20
22
-
Rev
en
ue
14,
46
6
14,
40
1
Co
of
sts
re
ven
ue
-10
890
,
-10
738
,
Gr
ofi
t
oss
pr
3,
6
57
3,
663
Se
llin
al a
nd
ad
mi
nis
tive
tra
g,
ge
ner
ex
pen
ses
-2,
46
8
-2,
33
6
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-16
6
-16
7
tin
inc
Op
e (
EB
IT)
era
g
om
942 1,
160
t in
Ne
ter
est
-25
2
-21
7
Inc
e b
efo
inc
e t
om
re
om
axe
s
690 943
Inc
e ta
om
xes
-21
4
-24
2
Ne
t in
com
e
6
47
70
1
Los
s d
sub
of
tio
be
dec
olid
d
to
t re
ent
to
ate
ue
seq
uen
me
asu
rem
op
era
ns
ons
at f
air
lue
les
f d
lida
tio
n (
boo
ked
ain
ood
wil
l)
ost
st g
va
s c
s o
eco
nso
ag
-2,
33
6
--
Oth
val
ion
ad
jus
s (m
ain
ly s
ion
of
lar
uat
tm
ent
er
usp
ens
re
gu
de
cia
tio
nd
iza
tio
n)
ort
pre
n a
am
30
0
--
t in
niu
ica
tio
Ne
e f
Fr
s M
ed
l C
com
rom
ese
are
op
era
ns
be
de
sol
ida
ted
de
r IF
RS
to
5
con
un
56
0
-1,
70
1

For a more appropriate presentation of the financial effects, eliminations of intercompany transactions with Fresenius Medical Care have been allocated to Fresenius Medical Care operations to be deconsolidated, taking into account future supply and service relationships.

As of September 30, 2023, the cumulative income / expense recognized in other comprehensive income (loss) relating to the operations to be deconsolidated amounts to €424 million.

As of September 30, 2023, the carrying amounts of the assets and liabilities of Fresenius Medical Care operations to be deconsolidated in the consolidated statement of financial position of the Fresenius Group were as follows:

ASSETS

€ i
illio
n m
ns
Sep
ber
30
, 20
23
tem
Cas
h a
nd
h e
iva
len
ts
cas
qu
1,
553
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
3,
646
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
25
ori
Inv
ent
es
2,
304
Oth
t as
set
er
cur
ren
s
1,
054
uip
Pro
lan
nd
ty,
t a
nt
per
p
eq
me
4,
101
As
s h
eld
fo
le
set
r sa
43
7
Rig
ht-
of-
set
use
as
s
3,
948
Go
ill
odw
13,
077
Oth
int
ible
set
er
ang
as
s
1,
43
7
Oth
ent
set
er
no
n-c
urr
as
s
1,
554
De
fer
red
ta
xes
384
niu
ica
ida
As
ela
ted
Fr
s M
ed
l C
be
de
sol
ted
set
to
to
s r
ese
are
con
33
52
0
,

LIABILITIES

€ i
illio
n m
ns
Sep
ber
30
, 20
23
tem
Tra
de
ble
nts
acc
ou
pa
ya
753
Sh
ies
ble
late
d p
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
72
Sh
ovi
sio
and
her
sh
lia
bil
itie
ort
-te
ot
ort
-te
rm
pr
ns
rm
s
3,
572
Sh
de
bt
ort
-te
rm
54
7
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
57
Cu
rtio
f le
lia
bil
itie
nt
rre
po
n o
ase
s
627
Cu
rtio
f b
ond
nt
rre
po
n o
s
650
Sh
lia
bil
itie
s fo
r in
ort
-te
e ta
rm
com
xes
223
Lia
bil
itie
s h
eld
fo
le
r sa
65
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
49
6
Lea
liab
ilit
ies
les
rtio
ent
se
s c
urr
po
n
,
3,
687
Bo
nds
les
rtio
ent
s c
urr
po
n
,
6,
768
Lon
vis
ion
nd
oth
lon
liab
ilit
ies
ter
ter
g-
m
pro
s a
er
g-
m
1,
112
sio
iab
ilit
ies
Pen
n l
50
8
Lon
liab
ilit
ies
fo
r in
ter
e ta
g-
m
com
xes
40
De
fer
red
ta
xes
934
Lia
bil
itie
ela
ted
Fr
niu
s M
ed
ica
l C
be
de
sol
ida
ted
to
to
s r
ese
are
con
20,
111

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

The prior year figures have been adjusted in the notes on the consolidated statement of income due to the application of IFRS 5 for Fresenius Medical Care operations to be deconsolidated.

3. SPECIAL ITEMS

Net income attributable to shareholders of Fresenius SE&Co. KGaA for the first three quarters of 2023 in the amount of €20 million includes special items which had the following impact on the consolidated statement of income:

ibut
able
attr
to
sha
reh
olde
rs
Inte
of F
nius
rest
rese
€ i
illio
SE&
Co.
KG
n m
ns
EBI
T
aA
exp
ens
es
Ea
rni
s Q
3/
202
3,
bef
eci
al
ite
628
-30
0
108
1
1,
1,
ng
ore
sp
ms
-
Va
d t
sfo
ati
-44
1
-33
9
me
ran
rm
on
--
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
-94
-73
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
--
Leg
rtfo
lio
adj
-17
-15
ust
nts
acy
po
me
--
Leg
al f
rsio
s F
ius
M
ed
ica
l C
-8
-7
ost
orm
co
nve
n c
res
en
are
--
Tra
ctio
Ab
xie
Ive
nix
ost
-7
-4
nsa
n c
s m
nce
--
,
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
-3
9
4
nt
ons
co
nge
pu
ase
pr
s
Sp
eci
al
ite
fro
tin
uin
ion
0
9
-43
-57
4
rat
ms
m
con
g o
pe
s
IFR
S 5
lua
tio
-59
4
va
n
--
--
lio
adj
Leg
rtfo
-38
ust
nts
acy
po
me
--
--
Ex
iate
d w
ith
the
FM
E 2
5 p
-23
pen
ses
as
soc
rog
ram
--
--
Leg
al f
rsio
s F
ius
M
ed
ica
l C
-3
ost
orm
co
nve
n c
res
en
are
--
--
Re
Hu
inv
4
ent
te
est
nt
me
asu
rem
ma
cy
me
--
--
eci
ite
ius
ica
tio
Sp
al
fro
Fre
M
ed
l C
ms
m
sen
are
op
era
ns
be
de
sol
ida
ted
-65
4
to
con
--
--
rni
rdi
Ea
s Q
1
3/
202
3 a
IFR
S
1,
058
-29
1
20
to
ng
cco
ng
-
Net
inc
om
e

Net income attributable to shareholders of Fresenius SE&Co. KGaA for the first three quarters of 2022 in the amount of €1,117 million included special items which had the following impact on the consolidated statement of income:

€ i
illio
n m
ns
EBI
T
Inte
rest
exp
ens
es
Net
inc
om
e
ibut
able
attr
to
sha
reh
olde
rs
of F
nius
rese
SE&
Co.
KG
aA
Ea
rni
s Q
3/
202
2,
bef
eci
al
ite
1
ng
ore
sp
ms
-
63
1,
1
-16
1
284
1,
Ex
iate
d w
ith
the
Fr
niu
d e
ffic
ien
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
-10
2
-- -84
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
-20 -- -17
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
-22 -- -17
Ret
ctiv
e d
uti
roa
es
-9 -- -6
Hy
inf
lati

rki
per
on
ye
-5 -- -5
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
2 1 2
Sp
eci
al
ite
fro
tin
uin
ion
rat
ms
m
con
g o
pe
s
6
-15
1 -12
7
Ex
iate
d w
ith
the
FM
E 2
5 p
pen
ses
as
soc
rog
ram
-- -- -25
inv
Re
Hu
ent
te
est
nt
me
asu
rem
ma
cy
me
-- -- -18
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
-- -- -7
Hy
inf
lati

rki
per
on
ye
-- -- -2
Ne
ain
late
d t
o I
rW
ell
He
alt
h
t g
nte
re
-- -- 12
eci
ite
ius
ica
tio
Sp
al
fro
Fre
M
ed
l C
ms
m
sen
are
op
era
ns
be
de
sol
ida
ted
to
con
-- -- -40
rni
rdi
Ea
s Q
1
3/
202
2 a
IFR
S
to
ng
cco
ng
-
1,
47
5
-16
0
1,
117

4. REVENUE

Revenue by activity was as follows:

€ i
illio
n m
ns
Q
1--
3/
202
3
ius
Fre
sen
Kab
i
ius
Fre
sen
Hel
ios
ius
Fre
sen
Vam
ed
Cor
ate
por
ius
Fre
sen
Gro
up
Rev
fro
ith
ont
ts w
tom
en
ue
m c
rac
cus
ers
5,
973
9,
075
1,
52
8
1 16,
57
7
f re
of s
ice
the
reo
ven
ue
erv
s
99 9,
072
1,
122
1 10,
294
the
f re
of
du
d r
ela
ted
rvic
cts
reo
ven
ue
pro
an
se
es
5,
872
-- -- -- 5,
872
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- 40
6
-- 40
6
the
f fu
rth
fro
ith
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
2 3 -- -- 5
Oth
er
rev
en
ue
4 37 3 -- 44
Re
ve
nu
e
977
5,
9,
112
53
1,
1
1 16,
62
1
€ i
illio
n m
ns
Q
1--
3/
202
2
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Vam
ed
Cor
ate
por
Fre
ius
sen
Gro
up
Rev
fro
ith
ont
ts w
tom
en
ue
m c
rac
cus
ers
5,
773
8,
660
1,
41
3
1 15,
847
f re
of s
ice
the
reo
ven
ue
erv
s
60 650
8,
1,
033
1 9,
744
the
f re
of
du
d r
ela
ted
rvic
cts
reo
ven
ue
pro
an
se
es
5,
705
-- -- -- 5,
705
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- 38
0
-- 38
0
the
f fu
rth
fro
ith
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
8 10 -- -- 18
Oth
er
rev
en
ue
4 8 3 -- 15
Re
ve
nu
e
5,
777
668
8,
6
1,
41
1 862
15,

Other revenue includes revenue from insurance and lease contracts.

5. RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €457 million (Q1--3/2022: €424 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €27 million (Q1 -- 3/ 2022: €14 million). Furthermore, research and development expenses included impairments of €13 million. These related to in-process R& D that were not pursued further. The expenses for the further development of the Biopharma business included in the research and development expenses amounted to €141 million in the first three quarters of 2023 (Q1-- 3/ 2022: €114 million).

6. TAXES

During the first three quarters of 2023, there were no material changes relating to accruals for income taxes as well as recognized and accrued payments for interest and penalties. Further information can be found in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS.

7. EARNINGS PER SHARE

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

Q1
3/2
023
-
Q1
3
/20
22
-
€ i
illi
Nu
rat
me
ors
n m
on
s
,
Ne
t in
e f
nti
ing
tio
com
rom
co
nu
op
era
ns
rib
f
ble
sh
ho
lde
att
uta
to
are
rs o
Fre
ius
SE
&C
KG
aA
sen
o.
514 945
Ne
t in
e f
Fr
niu
s M
ed
ica
l
com
rom
ese
Ca
tio
be
dec
olid
d
to
ate
re
op
era
ns
ons
und
IFR
S 5
trib
ble
sh
at
uta
to
er
are
ho
lde
f F
ius
SE
&C
KG
aA
rs o
res
en
o.
-49
4
172
Ne
t in
ttri
but
ab
le t
har
com
e a
o s
e
f F
ius
SE
&C
KG
ho
lde
aA
rs o
res
en
o.
20 1,
117
De
mi
in
mb
of
sha
nat
no
ors
nu
er
res
We
ig
hte
d a
mb
of
ver
age
nu
er
ord
ina
sha
nd
ing
tsta
ry
res
ou
563
237
277
,
,
56
0,
606
647
,
Ea
rni
sha
fro
ng
s p
er
re
m
tin
uin
ion
s in

rat
con
g o
pe
0.9
1
1.6
8
Ear
nin
sh
fro
Fre
ius
gs
per
are
m
sen
dic
al C
tio
Me
be
to
are
op
era
ns
dec
olid
d u
nde
r IF
RS
5
in €
ate
ons
-0.
87
0.3
1
rni
in €
To
tal
sha
ea
ng
s p
er
re
0.0
4
1.9
9

There were no dilutive effects on earnings per share in the first three quarters of 2023 and 2022.

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

The decrease in actual figures compared to previous year figures is mainly due to the accounting of Fresenius Medical Care according to IFRS 5.

8. TRADE ACCOUNTS AND OTHER RECEIVABLES

As of September 30, 2023 and December 31, 2022, trade accounts and other receivables were as follows:

Se
be
r 3
0,
202
3
tem
p
De
ber
31
202
2
cem
,
€ i
illio
n m
ns
the
f cr
edit
im
pair
ed
reo
the
f cr
edit
im
pair
ed
reo
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
4,
48
6
393 7,
48
0
755
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
344 275 47
2
35
7
Tra
de
d o
the
cei
ble
nts
et
acc
ou
an
r re
va
s, n
142
4,
118 008
7,
39
8

Within trade accounts and other receivables (before allowances) as of September 30, 2023, €4,485 million (December 31, 2022: €7,275 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €343 million (December 31, 2022: €470 million) of allowances for expected credit losses. Further trade accounts and other receivables, net, relate to other revenue.

9. INVENTORIES

As of September 30, 2023 and December 31, 2022, inventories consisted of the following:

€ i
illio
n m
ns
Sep
t. 3
0, 2
023
Dec
. 31
, 20
22
ria
Raw
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
959 1,
200
Wo
rk
in
pro
ces
s
32
6
46
7
Fin
ish
ed
ds
goo
1,
48
8
3,
30
9
les
s r
ese
rve
s
110 143
ori
Inv
ent
t
es,
ne
2,
663
4,
833

10. OTHER CURRENT AND NON-CURRENT ASSETS

Other assets include compensation receivable resulting from German hospital law of €1,473 million (December 31, 2022: €1,179 million) which mainly relates to income equalization claims for hospital services. The increase in compensation receivable in the first three quarters of 2023 is mainly due to delayed budget negotiations with providers.

11. GOODWILL

The carrying amount of goodwill has developed as follows:

€ i
illio
n m
ns
Fre
ius
Kab
i
sen
Fre
ius
Hel
ios
sen
Fre
ius
Med
ical
Ca
sen
re
Fre
ius
Vam
ed
sen
Cor
ate
por
ius
Fre
Gro
sen
up
ing
Ca
of
Jan
1,
202
2
nt
rry
am
ou
as
ua
ry
5,
373
8,
903
14,
36
1
30
0
6 28,
943
Ad
dit
ion
s
699 167 702 14 -- 1,
582
Dis
als
pos
-- -3 -7 -- -- -10
eig
ati
For
nsl
tra
n c
urr
enc
y
on
235 6 735 -1 -- 975
Ca
ing
of
De
be
r 3
1,
202
2
nt
rry
am
ou
as
cem
6,
30
7
9,
073
15,
79
1
313 6 31,
49
0
dit
ion
Ad
s
-- 3 3 1 -- 7
Dis
als
pos
-- -4 -48 -- -- -52
Im
irm
lo
ent
pa
ss
-- -- -2 -- -- -2
For
eig
nsl
ati
tra
n c
urr
enc
y
on
28 1 -32
1
1 -- -29
1
Re
cla
ssi
fica
tio
"As
ela
ted
Fr
niu
s M
ed
ica
l
to
set
to
ns
s r
ese
Ca
be
dec
olid
d u
nde
r IF
RS
5"
to
ate
re
ons
n.a n.a 42
3
-15
,
n.a -6 42
9
-15
,
ing
Ca
of
Se
be
r 3
0,
202
3
nt
tem
rry
am
ou
as
p
6,
335
9,
073
-- 315 0 15,
723

In connection with the implementation of the new global operating model at Fresenius Kabi, reallocations of goodwill to the operating divisions within the new operating structures have been made and the effects of these reallocations on the recoverability of goodwill have been assessed. There were no indications of impairment in the new operating divisions as of January 1, 2023.

At the end of the first half of the year, the Fresenius Group performed impairment tests, in particular on goodwill. The business results of all goodwill-bearing cash generating units have improved or developed in line with the assumptions of the impairment tests performed at December 31, 2022. There are also no indications of a significant deterioration in the third quarter of 2023 and future business developments compared with the previous assumptions. One exception is the business segment Fresenius Vamed whose

business results declined in 2023 due to one-time expenses in connection with the transformation. As a result of the transformation, a positive business development is expected in the following years. The overall basic rate of the WACC (after tax) to be used for the impairment tests was 5.74% as of September 30, 2023 (December 31, 2022: 5.65%). As a result, no impairments of goodwill have been recognized as of September 30, 2023.

12. DEBT

SHORT-TERM DEBT

As of September 30, 2023 and December 31, 2022, short-term debt consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Sep
ber
30
, 20
23
tem
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
80 80
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
Co
ial
Pap
sen
are
o.
mm
erc
er
n.a 49
7
Oth
sho
de
bt
rt­t
er
erm
104 279
Sh
de
bt
ort
-te
rm
184 856

LONG-TERM DEBT

As of September 30, 2023 and December 31, 2022, long-term debt net of debt issuance costs consisted

of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Sep
tem
ber
30
, 20
23
Dec
ber
31,
202
2
em
Sch
uld
sch
ein
Lo
ans
622
1,
592
1,
Loa
n f
th
e E
n I
Ba
nk
stm
ent
rom
uro
pea
nve
40
0
40
0
cei
aci
lity
of
niu
ica
l C
Ac
Re
vab
le F
Fr
s M
ed
nts
cou
ese
are
n.a 94
Oth
er
716 749
Su
bto
tal
2,
738
2,
835
les
rtio
ent
s c
urr
po
n
289 669
rtio
Lo
de
bt,
le
-te
nt
ng
rm
ss
cu
rre
po
n
2,
44
9
2,
166

Schuldschein Loans

As of September 30, 2023 and December 31, 2022, Schuldschein Loans of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
fixe
d/
iabl
var
e
Sep
ber
30
, 20
23
tem
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€1
75
mi
llio
n
Jan
. 31
202
3
,
iab
le
var
-- 175
ius
SE
&C
KG
Fre
aA
20
19
/20
23
sen
o.
64
mi
llio
€2
n
Ma
rch
23
202
3
,
iab
le
var
-- 264
Fre
ius
SE
&C
KG
aA
20
19
/20
23
sen
o.
€1
14
mi
llio
n
Se
t. 2
5,
202
3
p
0.5
5%
-- 114
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€2
46
mi
llio
n
Jan
. 31
202
4
,
1.4
0%
246 246
Fre
ius
SE
&C
KG
aA
20
23
/20
26
sen
o.
€3
09
mi
llio
n
Ma
29,
20
26
y
0%
/
iab
le
4.4
var
30
9
--
Fre
ius
SE
&C
KG
aA
20
19
/20
26
sen
o.
€2
38
mi
llio
n
Se
t. 2
3,
202
6
p
0.8
5%
/
iab
le
var
238 238
ius
SE
&C
KG
Fre
aA
20
17
/20
27
sen
o.
mi
llio
€2
07
n
Jan
. 29
202
7
,
6%
iab
1.9
/
le
var
206 206
Fre
ius
SE
&C
KG
aA
20
23
/20
28
sen
o.
€4
05
mi
llio
n
Ma
30,
20
28
y
4.6
2%
/
iab
le
var
404 --
Fre
ius
SE
&C
KG
aA
20
19
/20
29
sen
o.
€8
4 m
illio
n
Se
t. 2
4,
202
9
p
1.1
0%
84 84
Fre
ius
SE
&C
KG
aA
20
23
/20
30
sen
o.
€1
36
mi
llio
n
Ma
31,
20
30
y
4.7
7%
/
iab
le
var
135 --
Fre
ius
US
Fi
II,
Inc
. 20
16
/20
23
sen
nan
ce
\$
US
43
mi
llio
n
Ma
rch
10
202
3
,
3.1
2%
-- 40
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
2/2
027
sen
are
o.
€2
illio
5 m
n
Feb
202
. 14
7
,
iab
le
var
n.a 25
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
2/2
029
sen
are
o.
€2
00
mi
llio
n
Feb
. 14
202
9
,
iab
le
var
n.a 200
Sc
in
hu
lds
che
Loa
ns
622
1,
1,
592

On May 30, 2023, Fresenius SE&Co. KGaA issued €850 million of sustainability-linked Schuldschein Loans in six tranches with fixed and variable interest rates with maturities of three, five and seven years. The proceeds were used for general corporate purposes including refinancing of existing financial liabilities. The margin is linked to the achievement of sustainability targets in the areas of treatment quality and product safety.

The variable tranche of €175 million of Fresenius SE& Co. KGaA's Schuldschein Loans in the total amount of €421 million originally due on January 31, 2024 was repaid prior to maturity on January 31, 2023.

The variable tranche of €264 million of Fresenius SE& Co. KGaA's Schuldschein Loans in the total amount of €378 million originally due on September 25, 2023 was also repaid prior to maturity on March 23, 2023.

As of September 30, 2023, the fixed tranche of €246 million of Fresenius SE&Co. KGaA's Schuldschein Loans due on January 31, 2024, is shown as current portion of long-term debt in the consolidated statement of financial position.

Loan from the European Investment Bank

On January 31, 2022, Fresenius SE &Co. KGaA drew a loan from the European Investment Bank in the amount of €400 million with variable interest rates which is due on December 15, 2025.

CREDIT LINES AND OTHER SOURCES OF LIQUIDITY The syndicated credit facility of Fresenius SE&Co. KGaA in the amount of €2.0 billion which was entered into in July 2021 serves as backup line. On June 2, 2023, the syndicated credit facility was extended an additional year until July 1, 2028, with a maximum available borrowing amount of €1.9 billion in the last year. It was undrawn as of September 30, 2023. In addition, further bilateral facilities are available to the Fresenius Group which have not been utilized, or have only been utilized in part, as of the reporting date.

At September 30, 2023, the available borrowing capacity resulting from unutilized credit facilities was approximately €3.1 billion. Thereof, €2.0 billion related to the syndicated credit facility and approximately €1.1 billion to bilateral facilities with commercial banks.

13. BONDS

As of September 30, 2023 and December 31, 2022, bonds of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
Sep
ber
30
, 20
23
tem
Dec
ber
31,
202
2
em
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
24
sen
nan
ce
€7
00
mi
llio
n
Jan
. 30
202
4
,
1.5
0%
700 699
ius
Fi
LC
Fre
Ire
lan
d P
202
1/2
025
sen
nan
ce
mi
llio
€5
00
n
Oc
t. 1
202
5
,
0.0
0%
49
8
49
8
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
27
sen
nan
ce
€7
00
mi
llio
n
Feb
. 1,
20
27
2.1
25
%
697 696
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
028
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
8
,
0.5
0%
49
8
49
7
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
03
1
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
203
1
,
0.8
75
%
49
5
49
5
Fre
ius
Fi
Ire
lan
d P
LC
20
17
/20
32
sen
nan
ce
€5
00
mi
llio
n
Jan
. 30
203
2
,
3.0
0%
49
6
49
6
ius
SE
&C
KG
Fre
aA
20
14
/20
24
sen
o.
mi
llio
€4
50
n
Feb
. 1,
20
24
4.0
0%
45
0
45
0
Fre
ius
SE
&C
KG
aA
20
19
/20
25
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
5
,
1.8
75
%
49
9
49
8
ius
SE
&C
KG
Fre
aA
20
22
/20
25
sen
o.
mi
llio
€7
50
n
Ma
24,
20
25
y
1.8
75
%
748 747
Fre
ius
SE
&C
KG
aA
20
22
/20
26
sen
o.
€5
00
mi
llio
n
Ma
28,
20
26
y
4.2
5%
49
7
49
6
Fre
ius
SE
&C
KG
aA
20
20
/20
26
sen
o.
€5
00
mi
llio
n
Se
28,
20
26
p.
0.3
75
%
49
7
49
7
Fre
ius
SE
&C
KG
aA
20
20
/20
27
sen
o.
€7
50
mi
llio
n
Oc
t. 8
202
7
,
1.6
25
%
744 743
Fre
ius
SE
&C
KG
aA
20
20
/20
28
sen
o.
€7
50
mi
llio
n
Jan
. 15
202
8
,
0.7
5%
746 746
ius
SE
&C
KG
Fre
aA
20
19
/20
29
sen
o.
mi
llio
€5
00
n
Feb
. 15
202
9
,
2.8
75
%
49
7
6
49
Fre
ius
SE
&C
KG
aA
20
22
/20
29
sen
o.
€5
00
mi
llio
n
No
v. 2
8,
202
9
5.0
0%
49
6
49
5
Fre
ius
SE
&C
KG
aA
20
22
/20
30
sen
o.
€5
50
mi
llio
n
Ma
24,
20
30
y
2.8
75
%
543 542
Fre
ius
SE
&C
KG
aA
20
20
/20
33
sen
o.
€5
00
mi
llio
n
Jan
. 28
203
3
,
1.1
25
%
49
7
49
7
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
23
sen
are
o.
€6
50
mi
llio
n
No
v. 2
9,
202
3
0.2
5%
n.a 649
ius
ica
l C
AG
&C
KG
Fre
M
ed
aA
20
18
/20
25
sen
are
o.
mi
llio
€5
00
n
Jul
11,
20
25
y
1.5
0%
n.a 49
9
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
0/2
026
sen
are
o.
€5
00
mi
llio
n
Ma
29,
20
26
y
1.0
0%
n.a 49
7
ius
ica
l C
AG
&C
KG
26
Fre
M
ed
aA
20
19
/20
sen
are
o.
€6
mi
llio
00
n
6
No
v. 3
0,
202
0.6
25
%
n.a 596
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
2/2
027
sen
are
o.
€7
50
mi
llio
n
Se
20,
20
27
p.
3.8
75
%
n.a 745
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
29
sen
are
o.
€5
00
mi
llio
n
No
v. 2
9,
202
9
1.2
5%
n.a 49
8
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
0/2
030
sen
are
o.
€7
50
mi
llio
n
Ma
29,
20
30
y
0%
1.5
n.a 747
Fre
ius
M
ed
ica
l C
US
Fi
II,
Inc
. 20
14
/20
24
sen
are
nan
ce
\$
US
40
0 m
illio
n
Oc
t. 1
5,
202
4
4.7
5%
n.a 374
ius
ica
l C
US
Fi
Fre
M
ed
III,
In
c. 2
019
/20
29
sen
are
nan
ce
\$
US
illio
500
m
n
Jun
e 1
5,
202
9
3.7
5%
n.a 46
2
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
020
/20
31
sen
are
nan
ce
\$
US
1,
000
illio
m
n
Feb
. 16
203
1
,
2.3
75
%
n.a 930
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
02
1/2
026
sen
are
nan
ce
\$
US
850
illio
m
n
De
c. 1
202
6
,
1.8
75
%
n.a 79
1
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
02
1/2
03
1
sen
are
nan
ce
\$
US
650
illio
m
n
De
c. 1
203
1
,
3.0
0%
n.a 602
Bo
nd
s
9,
59
8
16,
978

On October 18, 2023, Fresenius SE&Co. KGaA placed a bond of CHF275 million with a five year maturity.

On October 5, 2023, Fresenius SE&Co. KGaA placed a bond of €500 million with a seven year maturity.

As of September 30, 2023, the bonds issued by Fresenius Finance Ireland PLC in the amount of €700 million, which are due on January 30, 2024 and the bonds issued by

Fresenius SE&Co. KGaA in the amount of €450 million, which are due on February 1, 2024, are shown as current portion of bonds in the consolidated statement of financial position.

14. CONVERTIBLE BONDS

As of September 30, 2023 and December 31, 2022, the convertible bonds of the Fresenius Group net of debt issuance costs consisted of the following:

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Cou
pon
Cur
t
ren
ion
pric
con
vers
e
Sep
ber
30
, 20
23
tem
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€5
00
mi
llio
n
Jan
. 31
202
4
,
0.0
00
%
€1
03
.06
31
49
7
49
1
Co
rtib
le b
ds
nve
on
49
7
49
1

The fair value of the derivative embedded in the convertible bonds of Fresenius SE&Co. KGaA was €0 and €9 thousand at September 30, 2023 and December 31, 2022, respectively. Fresenius SE &Co. KGaA purchased stock options (call options) with a corresponding fair value to hedge future fair value fluctuations of this derivative.

Potential conversions are always cash-settled. Any increase of Fresenius' share price above the conversion price would be offset by a corresponding value increase of the call options.

As of September 30, 2023, the convertible bonds are shown as current portion of convertible bonds in the consolidated statement of financial position.

15. NONCONTROLLING INTERESTS

As of September 30, 2023 and December 31, 2022, noncontrolling interests in the Fresenius Group were as follows:

€ i
illio
n m
ns
Sep
t. 3
0, 2
023
Dec
. 31
, 20
22
No
olli
int
in
ntr
sts
nco
ng
ere
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
sen
are
o.
8,
248
9,
48
9
No
olli
int
ntr
sts
nco
ng
ere
in V
AM
ED
Ak
tie
sel
lsc
haf
t
nge
-46 76
No
olli
int
ntr
sts
nco
ng
ere
in t
he
bus
ine
nts
ss
seg
me
Fre
ius
M
ed
ica
l C
sen
are
1,
240
1,
46
0
ius
bi
Fre
Ka
sen
632 602
Fre
ius
He
lios
sen
153 155
ius
Fre
Va
d
sen
me
21 21
To
tal
oll
ing
in
ntr
ter
est
no
nco
s
10,
24
8
11,
803

Accumulated other comprehensive income (loss) allocated to noncontrolling interests mainly relates to currency effects from the translation of financial statements denominated in foreign currencies. For changes in noncontrolling interests, please see the consolidated statement of changes in equity.

16. FRESENIUS SE&CO. KGAA SHAREHOLDERS' EQUITY

SUBSCRIBED CAPITAL

As of January 1, 2023, the subscribed capital of Fresenius SE&Co. KGaA consisted of 563,237,277 bearer ordinary shares.

During the first three quarters of 2023, no stock options were exercised. Consequently, as of September 30, 2023, the subscribed capital of Fresenius SE&Co. KGaA consisted of 563,237,277 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

In order to fulfill the subscription rights under the current stock option plan 2013 of Fresenius SE&Co. KGaA, Conditional Capital IV exists (see note 21, Share-based compensation plans). Another Conditional Capital III exists for the authorization to issue option bearer bonds and / or convertible bonds.

The Conditional Capital did not change in the first three quarters of 2023. It was composed as follows as of September 30, 2023:

in € Ord
ina
ry sha
res
Co
nd
itio
nal
Ca
ital
I F
ius
AG
p
res
en
Sto
Op
tio
ire
ck
n P
lan
20
03
(ex
d)
p
4,
735
083
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
Op
tio
ire
ck
n P
lan
20
08
(ex
d)
p
3,
45
2,
937
Co
nd
itio
nal
Ca
ital
III
tio
n b
bo
nds
p
op
ear
er
rtib
and
/or
le b
ds
co
nve
on
48
97
202
1,
,
Co
nd
itio
nal
Ca
ital
IV
Fr
niu
s S
E&
Co
. K
Ga
A
p
ese
Sto
Op
tio
ck
n P
lan
20
13
22,
824
857
,
To
tal
Co
nd
itio
l C
ita
l as
of
Se
be
r 3
0,
202
3
tem
na
ap
p
79,
984
079
,

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 financial position determined in accordance with the German Commercial Code (HGB).

In May 2023, a dividend of €0.92 per bearer ordinary share was approved by Fresenius SE&Co. KGaA's shareholders at the Annual General Meeting and paid afterwards. The total dividend payment was €518 million.

OTHER NOTES

17. LEGAL AND REGULATORY MATTERS

The Fresenius Group is routinely involved in claims, lawsuits, regulatory and tax audits, investigations and other legal matters arising, for the most part, in the ordinary course of its business of providing healthcare services and products. The Fresenius Group records its litigation reserves for certain legal proceedings and regulatory matters to the extent that the Fresenius Group determines an unfavorable outcome is probable and the amount of loss can be reasonably estimated. The outcome of litigation and other legal matters is always difficult 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 financial condition.

Further information regarding legal disputes, court proceedings and investigations can be found in detail in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS. For Fresenius Group excluding Fresenius Medical Care, there have been no significant changes in the first three quarters of 2023.

18. FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

Carrying amounts of financial instruments

As of September 30, 2023 and December 31, 2022, the carrying amounts of financial instruments by item of the statement of financial position and structured according to categories were as follows:

Se
be
r 3
0,
202
3
tem
p
Re
lati
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
orti
Am
zed
t
cos
Fair
val
ue
thro
ugh
1
fit a
nd
loss
pro
Fair
val
ue
thro
ugh
oth
er
hen
sive
com
pre
me2
inco
Der
ivat
ives
des
igna
ted
flo
ash
as c
w
hed
gin
g
inst
ents
rum
air
at f
valu
e
ion
Put
opt
liab
ilitie
s
ed
mea
sur
air
at f
valu
e
Val
ion
uat
ord
ing
to
acc
S 1
6 fo
IFR
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Val
uati
f
on o
tinu
ing
con
invo
lvem
ent
Fin
cia
l as
set
an
s
Ca
sh
and
sh
iva
len
ts
ca
equ
1,
095
1,
065
30
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
4,
142
3,
876
253 2 0 11
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
19 19
3
Oth
fin
ial
ets
er
anc
ass
2,
00
1
1,
894
80 17 10
Fin
cia
l as
set
an
s
257
7,
6,
854
363 19 10 -- 0 11
Fin
cia
l li
ilit
ies
ab
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
214
1,
214
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
3 3
Sh
de
bt
ort
-te
rm
184 184
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
10 10
Lon
m d
ebt
ter
g-
2,
738
2,
738
Lea
liab
ilit
ies
se
2,
089
2,
089
Bo
nds
9,
59
8
9,
59
8
Co
rtib
le b
ond
nve
s
49
7
49
7
4
Oth
fin
ial
liab
ilit
ies
er
anc
2,
525
1,
59
8
43
3
11 46
7
16
Fin
cia
l lia
bil
itie
an
s
18,
858
842
15,
433 -- 11 46
7
2,
089
16

1 All included financial assets and liabilities are mandatorily measured at fair value through profit and loss according to IFRS 9.

2 The option to measure equity instruments at fair value through other comprehensive income has been exercised. The option has been used for €17 million other investments (included in other financial assets).

3 Other financial assets are included in the item other current and non-current assets in the consolidated statement of financial position.

4 Other financial liabilities are included in the items short-term provisions and other short-term liabilities and long-term provisions and other long-term liabilities in the consolidated statement of financial position.

De
ber
31
202
2
cem
,
lati
Re
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
Am
orti
zed
t
cos
Fair
val
hro
ugh
ue t
pro
1
fit a
nd
loss
Fair
val
hro
ugh
ue t
oth
er
hen
sive
com
pre
me2
inco
ivat
ives
Der
des
igna
ted
ash
flo
as c
w
hed
gin
g
inst
ents
rum
at f
air
valu
e
Put
ion
opt
liab
ilitie
s
ed
mea
sur
at f
air
valu
e
ion
Val
uat
ord
ing
to
acc
IFR
S 1
6 fo
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Fin
cia
l as
set
an
s
Cas
iva
h a
nd
h e
len
ts
cas
qu
2,
749
2,
39
8
35
1
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
7,
008
6,
648
268 3 89
cei
le f
ies
Ac
vab
d lo
late
d p
nts
to
art
cou
re
rom
an
ans
re
157 157
3
Oth
fin
ial
ets
er
anc
ass
2,
759
1,
903
279 42
7
21 129
Fin
cia
l as
set
an
s
12,
673
11,
106
898 43
0
21 -- 21
8
Fin
cia
l li
ilit
ies
ab
an
Tra
de
ble
nts
acc
ou
pa
ya
2,
070
2,
070
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
94 94
Sh
de
bt
ort
-te
rm
856 856
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
11 11
Lon
m d
ebt
ter
g-
2,
835
2,
835
liab
ilit
ies
Lea
se
6,
592
6,
592
Bo
nds
16,
978
16,
978
Co
rtib
le b
ond
nve
s
49
1
49
1
4
Oth
fin
ial
liab
ilit
ies
er
anc
5,
40
0
2,
732
652 11 2,
005
Fin
cia
l li
ilit
ies
ab
an
35
32
7
,
26,
067
652 -- 11 2,
005
6,
592

1 All included financial assets and liabilities are mandatorily measured at fair value through profit and loss according to IFRS 9.

2 The option to measure equity instruments at fair value through other comprehensive income has been exercised. The option has been used for € 88 million other investments (included in other financial assets).

3 Other financial assets are included in the item other current and non-current assets in the consolidated statement of financial position.

4 Other financial liabilities are included in the items short-term provisions and other short-term liabilities and long-term provisions and other long-term liabilities in the consolidated statement of financial position.

Fair value of financial instruments

The following table shows the carrying amounts and the fair value hierarchy levels as of September 30, 2023 and December 31, 2022:

Se
be
r 3
0,
202
3
tem
p
De
ber
31
202
2
cem
,
Fai
alu
r v
e
Fai
lue
r va
€ i
illio
n m
ns
Car
ryin
g am
t
oun
Lev
el 1
Lev
el 2
Lev
el 3
Car
ryin
g amo
unt
Lev
el 1
Lev
el 2
Lev
el 3
Fin
cia
l as
set
an
s
1
Ca
iva
sh
and
sh
len
ts
ca
equ
30 30 35
1
35
1
1
Tra
de
d o
the
cei
vab
les
les
llow
for
ted
edi
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
255 255 27
1
27
1
1
Oth
fin
ial
ets
er
anc
ass
De
bt
ins
tru
nts
me
-- -- 44
5
44
5
Eq
uity
in
tm
ent
ves
s
48 28 20 224 36 103 85
riva
tive
esi
flo
ing
in
De
s d
d a
ash
w h
edg
ate
str
ent
gn
s c
um
s
10 10 21 21
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
37 37 37 37
Oth
fin
ial
ets
er
anc
ass
12 12 -- --
Fin
cia
l li
ilit
ies
ab
an
Lon
m d
ebt
ter
g-
2,
738
2,
693
2,
835
2,
770
Bo
nds
9,
59
8
8,
79
1
16,
978
14,
872
Co
rtib
le b
ond
nve
s
49
7
49
2
49
1
48
1
1
Oth
fin
ial
liab
ilit
ies
er
anc
tio
iab
ilit
ies
Put
n l
op
46
7
46
7
2,
005
2,
005
Ac
ed
tin
din
for
isit
ion
t p
ent
uts
tan
cru
con
gen
aym
s o
g
ac
qu
s
41
9
41
9
633 633
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
11 11 11 11
riva
tive
ign
ing
in
De
des
d a
s h
edg
ot
ate
str
ent
s n
um
s
14 14 19 19

1 Fair value information is not provided for financial instruments, if the carrying amount is a reasonable estimate of the fair value due to the relatively short period of maturity of these instruments.

Explanations regarding the significant methods and assumptions used to estimate the fair values of financial instruments and classification of fair value measurements according to the three-tier fair value hierarchy as well as explanations with regard to existing and expected risks from financial instruments and hedging can be found in the

consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS.

The following table shows the changes of the fair values of financial instruments classified as level 3 in the first three quarters of 2023:

€ i
illio
n m
ns
Equ
ity i
d
stm
ents
nve
an
oth
er f
inan
cial
ets
ass
Acc
d co
ntin
t
rue
gen
and
ing
ts o
utst
pay
men
for
uisi
tion
acq
s
ion
liab
iliti
Put
opt
es
of
As
Ja
1,
202
3
nu
ary
85 633 2,
005
Ad
dit
ion
s
19 1 18
Dis
als
pos
-- -17
7
-36
Ga
in/
los
ize
d i
rof
it o
r lo
s r
eco
gn
n p
ss
-24 -3 0
Ga
in/
los
ize
d i
ity
s r
eco
gn
n e
qu
-- 0 -87
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
-1 1 -24
Re
cla
ssi
fica
tio
"As
/Li
ab
ilit
ies
late
d t
o F
ius
M
ed
ica
l C
be
de
sol
ida
ted
de
r IF
RS
5"
to
set
to
ns
s
re
res
en
are
con
un
-47 -36 -1,
40
9
of
Se
As
be
r 3
0,
202
3
tem
p
32 41
9
46
7

19. INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of September 30, 2023, the equity ratio was 40.2% and the debt ratio (debt / total assets) was 20.1%. As of September 30, 2023, the leverage ratio (before special items) on the basis of net debt / EBITDA, calculated on the basis of closing rates, was 4.03 (December 31, 2022: 3.80).

The aims of the capital management and further information can be found in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS.

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

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

Sep
t. 3
0, 2
023
Dec
. 31
, 20
22
r's
Sta
nda
rd&
Poo
Co
e C
it R
ati
red
rat
rpo
ng
BB
B
BB
B
Ou
tlo
ok
ativ
neg
e
ble
sta
's
Mo
ody
Co
e C
red
it R
ati
rat
rpo
ng
Baa
3
Baa
3
Ou
tlo
ok
ble
sta
ble
sta
Fit
ch
Co
e C
red
it R
ati
rat
rpo
ng
BB
B-
BB
B
Ou
tlo
ok
ble
sta
ativ
neg
e

On August 25, 2023, Fitch revised the outlook from negative to stable. The Corporate Credit Rating was affirmed at BBB-.

On February 24, 2023, Standard&Poor's confirmed Fresenius Group's BBB Corporate Credit Rating, the outlook was changed from stable to negative.

20. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting tables shown on pages 42 to 43 of this interim report are an integral part of the notes.

The Fresenius Group has identified the business segments Fresenius Kabi, Fresenius Helios and Fresenius Vamed, which corresponds to the internal organizational and reporting structures (Management Approach) at September 30, 2023.

The business segment Fresenius Medical Care is accounted for in accordance with IFRS 5 and reported as operations to be deconsolidated in these interim financial statements. Accordingly, the prior year figures and prior quarter figures of the current year in the consolidated statement of income and the consolidated statement of cash flows have been restated and key figures adjusted.

The column Corporate /Other is comprised of the holding functions of Fresenius SE&Co. KGaA as well as Fresenius Digital Technology GmbH, which provides services in the field of information technology. Corporate /Other includes intersegment consolidation adjustments, all special items (see note 3, Special items) as well as in net income Fresenius Medical Care operations to be deconsolidated under IFRS 5.

The business segments were identified in accordance with IFRS 8, Operating Segments, which defines the segment reporting requirements in the annual financial statements and interim reports with regard to the operating business, product and service businesses and regions. Further explanations with regard to the business segments can be found in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS.

NOTES ON THE BUSINESS SEGMENTS

Explanations regarding the notes on the business segments can be found in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS (except disclosures amended by IFRS 5).

RECONCILIATION OF KEY FIGURES TO

CONSOLIDATED EARNINGS FROM CONTINUING OPERATIONS

€ i
illio
n m
ns
Q1
3/2
023
-
Q1
3
/20
22
-
To
tal
EB
IT
of
ing
ort
ent
rep
se
gm
s
1,
687
1,
704
Sp
eci
al i
tem
s
0
-57
6
-15
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e (
EB
IT)
rat
rpo
-59 -73
Gr
EB
IT
ou
p
1,
058
1,
475
t in
Ne
ter
est
-29
1
-16
0
inc
Inc
e b
efo
e t
om
re
om
axe
s
767 1,
315

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Sep
t. 3
0, 2
023
Dec
. 31
, 20
22
Sh
de
bt
ort
-te
rm
184 856
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
10 11
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
289 669
Cu
rtio
f le
lia
bil
itie
nt
rre
po
n o
ase
s
216 85
1
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
150
649
Cu
rtio
f co
rtib
le b
ond
nt
rre
po
n o
nve
s
49
7
--
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
2,
44
9
2,
166
liab
ilit
ies
rtio
Lea
les
ent
se
s c
urr
po
n
,
1,
873
5,
74
1
Bo
nds
les
rtio
ent
s c
urr
po
n
,
8,
44
8
16,
32
9
Co
rtib
le b
ond
nve
s
-- 49
1
De
bt
116
15,
27,
763
les
ash
d c
ash
uiv
ale
nts
s c
an
eq
1,
095
2,
749
Ne
t d
ebt
14,
02
1
25,
014

21. SHARE-BASED COMPENSATION PLANS

As of September 30, 2023, Fresenius SE&Co. KGaA had three share-based compensation plans in place: the Fresenius SE&Co. KGaA Long Term Incentive Program 2013 (2013 LTIP) which is based on stock options and phantom stocks, the Fresenius Long Term Incentive Plan 2018 (LTIP 2018) which is based on performance shares, and the Fresenius Performance Plan 2023 -- 2026, under which cash-settled virtual Fresenius SE&Co. KGaA shares (stock awards) can be granted.

TRANSACTIONS DURING THE FIRST THREE QUARTERS OF 2023

During the first three quarters of 2023, no stock options were exercised.

At September 30, 2023, 1,976,086 stock options issued under the 2013 LTIP were outstanding and exercisable. The members of the Fresenius Management SE Management Board held 303,750 stock options. At September 30, 2023, the Management Board members of Fresenius Management SE held 182,045 performance shares and employees of Fresenius SE &Co. KGaA held 2,347,155 performance shares under the LTIP 2018.

22. SUBSEQUENT EVENTS

On October 31, 2023, the Fresenius Group announced that it will sell its 70% stake in IDCQ CRP, a co-holding entity of the hospital Clínica Ricardo Palma in Lima, Peru. Subject to antitrust review, the all-cash transaction is expected to close in the first quarter of 2024.

No other events of material importance on the assets and liabilities, financial position, and results of operations of the Group have occurred following the end of the first three quarters of 2023. There have been no significant changes in the Fresenius Group's operating environment following the end of the first three quarters of 2023.

23. 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/corporate-governance), and of Fresenius Medical Care AG &Co. KGaA (www.freseniusmedicalcare.com).

FINANCIAL CALENDAR

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Feb
21,
20
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202
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Jul
31,
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Subject to change

FRESENIUS SHARE/ADR

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US
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CONTACT

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

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

Contact for shareholders Investor Relations Telephone: ++ 49 61 72 6 08-24 87 Telefax: ++ 49 61 72 6 08-24 88 E-Mail: [email protected]

Contact for journalists

Corporate Communications Telephone: ++ 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: Wolfgang Kirsch

General Partner: Fresenius Management SE Registered Office and Commercial Register: Bad Homburg v.d.H.; HRB 11673 Management Board: Michael Sen (Chairman), Pierluigi Antonelli, Dr. Sebastian Biedenkopf, Helen Giza, Sara Hennicken, Robert Möller, Dr. Michael Moser Chairman of the Supervisory Board: Wolfgang Kirsch

For additional information on the performance indicators used please refer to our website https://www.fresenius.com/alternative-performance-measures.

Forward-looking statements:

This Quarterly Financial Report contains forward-looking statements. These statements represent assessments which we have made on the basis of the information available to us at the time. Should the assumptions on which the statements are based on not occur, or if risks should arise – as mentioned in the consolidated financial statements and the management report as of December 31, 2022 applying Section 315e HBG in accordance with IFRS and the SEC filings of Fresenius Medical Care AG & Co. KGaA – the actual results could differ materially from the results currently expected.

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