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Fresenius SE & Co. KGaA

Interim / Quarterly Report Aug 4, 2023

166_10-q_2023-08-04_7e88367d-ab2c-440e-8b85-81448dd86498.pdf

Interim / Quarterly Report

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HALF-YEAR FINANCIAL REPORT

H1|2023

TABLE OF CONTENTS

3 Fresenius Group figures at a glance 24 Fresenius Kabi 37 Consolidated financial statements

FRESENIUS GROUP FIGURES AT A GLANCE

Fresenius is a global healthcare group providing products and services for dialysis, hospitals, and outpatient medical care. In addition, Fresenius focuses on hospital operations. We also manage projects and provide services for hospitals and other healthcare facilities.

REVENUE AND EARNINGS

€ i
illio
n m
ns
Q2
/20
23
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1
/
202
3
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
10,
35
9
3% 7% 20,
584
4% 6%
IT1
EB
956 2
-5%
/15
%
-4% 1,
864
-7% 2
-7%
/2
%
in1
EB
IT
ma
rg
9.2
%
9.1
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3
EB
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FM
C
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1,
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3
EB
IT
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x F
MC
ma
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10.
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10.
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1,4
t in
Ne
com
e
375 -17
%
-17
%
764 -16
%
-17
%

BALANCE SHEET

€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
. 31
, 20
22
Cha
nge
To
tal
ets
ass
76,
3
41
76,
41
5
0%
5
Eq
uity
31,
34
0
32,
218
-2%
5
uity
tio
Eq
ra
41
.1%
42
.2%
1,6
Ne
t d
ebt
/E
BIT
DA
3.8
8
3.6
5

PROFITABILITY

H1
/
202
3
H1
/20
22
Ca
sh
Co
rsio
n R
(C
CR
);
LT
M
ate
nve
1.2 0.9
1,4,7
Ret
uity
af
x (
RO
E)
ter
ta
urn
on
eq
7.9
%
9.0
%
1,7
Ret
tin
ts (
RO
OA
)
urn
on
op
era
g a
sse
5.3
%
6.1
%
1,7
Ret
in
ted
ita
l (R
OIC
)
urn
on
ves
ca
p
4.6
%
5.5
%

1 Before special items, Q1/22 and H1/22 restated following remeasurement Humacyte investment

2 According to FY/23 guidance, excluding Provider Relief Fund (PRF) at Fresenius Medical Care. In 2022, Fresenius Medical Care's EBIT was supported by €277 million (H1/22: €177 million and

Q2/22: €161 million) of Provider Relief Funding from the U.S. government (at current currency). Accordingly, the 2022 basis was adjusted. There is no additional U.S. governmental support assumed for 2023.

3 Before special items

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

5 Including noncontrolling interests

6 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; Fresenius Medical Care: Includes debt&lease liabilities included within the balance sheet

line item ''Liabilities directly associated with assets held for sale'' as well as cash&cash equivalents included within ''Assets held for sale''

7 2022: annual return FY/22

SHAREHOLDER INFORMATION

In the first half of 2023, the market environment remained influenced by inflation, central bank monetary policy, and ongoing geopolitical tensions. Overall, the DAX gained 16% in the first half of the year, while the Fresenius share closed -3% lower at €25.37.

KEY DATA OF THE FRESENIUS SHARE

H1
/
202
3
202
2
Gro
wth
of
Nu
mb
sha
(Ju
30
/D
31
)
er
res
ne
ec.
563
237
277
,
,
563
237
277
,
,
0%
n1
Sto
ck
han
tio
in €
ota
exc
ge
qu
Hig
h
29
.08
37
.88
-23
%
Low 23
.46
20
.04
17
%
Per
iod
d q
ati
clo
sin
ric
e in

uot
-en
on
g p
25
.37
26
.25
-3%
Ø T
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of
ing
rad
lum
e (
mb
sha
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da
)
r tr
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nu
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1,
34
1,
1
1,
59
0,
013
-16
%
2 in
Ma
rke
ital
iza
tio
illio
n €
(Ju
30
/D
31
)
t ca
p
n
m
ne
ec.
14,
289
14,
785
-3%

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 FIRST HALF OF 2023

The market environment in the first half of 2023 remained influenced by inflation, central bank monetary policy, and ongoing geopolitical tensions. At the end of July 2023, the ECB council decided to raise the key interest rate by 0.25% to 4.25% to reduce inflation.

The central bank's current forecasts continue to assume GDP growth of 1.0% for 2023. Growth is then expected to accelerate again from next year onwards and reach a level of 1.6%.

In its latest forecast, the Federal Reserve expects the U.S. economy to grow by 1.0% in 2023. This is 0.6% higher than forecast in March. The key interest rate range of 5.25% to 5.5% has now been raised to its highest level in 22 years at the end of July 2023.

Within this economic environment, the DAX increased by 16% to 16,147 points in the first half of 2023. The Fresenius share declined by 3% and closed at €25.37 on June 30, 2023.

/ Buy /

63%

SHAREHOLDER STRUCTURE BY INVESTORS

SHAREHOLDER STRUCTURE

The charts opposite show the shareholder structure at the end of the first half of 2023. The Else Kröner-Fresenius-Stiftung was the largest shareholder of Fresenius SE&Co. KGaA, with 27% of the shares. According to notifications pursuant to the German Securities Trading Act (WpHG), BlackRock, Inc. held below 5% and Harris Associates L.P. above 3% of the shares. For further information on notifications, please visit www.fresenius.com/shareholder-structure.

As of June 30, 2023, a shareholder survey identified the ownership of about 96% of our subscribed capital. A total of over 550 institutional investors held more than 310 million shares or 55% of the subscribed capital; 48.2 million (June 30, 2022: 48.8 million) shares were identified as retail holdings. The 10 largest investors held about 18% of the share capital. Our shares were mostly held by investors in Germany, the United States, and the United Kingdom.

ANALYST RECOMMENDATIONS

The recommendations published by financial analysts are an important guide for institutional and private investors when making investment decisions. According to our survey, as of July 25, 2023, we were rated with 12 ''buy'', 7 ''hold'', and no ''sell'' recommendations. The list of banks that provide regular analyst coverage of Fresenius and their latest rec-ommendations can be found at www.fresenius.com/analysts-and-consensus.

VIRTUAL ANNUAL GENERAL MEETING

The virtual Annual General Meeting 2023 of Fresenius SE&Co. KGaA took place on May 17, 2023. With a large majority of 96.71%, the shareholders approved the proposal of the General Partner and the Supervisory Board to maintain the dividend at €0.92 per share (2022: €0.92). The shareholders also approved with a large majority of 89.19% the Compensation Report for the 2022 business year.

With a majority of 93.01%, the shareholders approved an update to the compensation system for members of the Management Board. In particular, the Compensation System 2023+ 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 long-term variable compensation.

Shareholder majorities of 93.53 and 89.19%, respectively, approved the actions of the Management and Supervisory Boards in 2022.

At the virtual Annual General Meeting 2023 of Fresenius SE&Co. KGaA, 72.57% of the capital stock was represented.

INTERIM GROUP MANAGEMENT REPORT

Progress on #FutureFresenius: Operating Companies showing consistent performance; Group simplification delivered

  • ► Excellent Group revenue growth of 7% in constant currency to €10.4 billion; Operating Companies with very strong 8% organic growth
  • ► Group EBIT increased 15%1 in constant currency reflecting strong performance of Operating Companies and operational turnaround at Fresenius Medical Care
  • ► Fresenius Kabi's EBIT margin within structural band at 14.2% driven by operating leverage and well progressing cost savings
  • ► Fresenius Helios with very strong organic revenue growth of 7% driven primarily by excellent activity levels in Spain
  • ► Structural productivity savings ramping up, ~€280 million already achieved in H1 / 23
  • ► Deconsolidation of Fresenius Medical Care on track with overwhelmingly positive votes at Extraordinary General Meeting
  • ► Fresenius Vamed's transformation initiated
  • ► Group revenue outlook excluding Fresenius Medical Care improved, Group EBIT outlook excluding Fresenius Medical Care confirmed

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.2 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 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).

1 According to FY/23 guidance, excluding Provider Relief Fund (PRF) at Fresenius Medical Care. In 2022, Fresenius Medical Care's EBIT was supported by €277 million (H1/22: €177 million and Q2/22: €161 million) of Provider Relief Funding from the U.S. government (at current currency). Accordingly, the 2022 basis was adjusted. There is no additional U.S. governmental support assumed

for 2023. 2 WHO 2021: ''Ageing and health''

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). 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 300,000 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.

Within this clear direction, Fresenius Kabi has defined three growth vectors, next to the strengthening of resilience of our volume businesses (''3+1'' strategy). The growth vectors are:

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

In 2022, we have thoroughly focused on strengthening these growth vectors: 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 it by 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.

RESET FOR #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 ready to continue to ''Revitalize'' Fresenius, 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.

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). We will prioritize growth investments for the healthcare 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). The deconsolidation of Fresenius Medical Care is moving ahead as planned. 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. Subject to the registration with the commercial register, the conversion is expected to become effective by the end of 2023. Moreover, since Q1/ 23, selected financials of the Fresenius Group are reported excluding Fresenius Medical Care to better reflect #FutureFresenius.

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.

Structural productivity improvements are expected to offset market headwinds and to create financial flexibility for future growth investments in the coming years.

The new target is to achieve annual structural cost savings of around €1 billion at EBIT level from the fiscal year 2025 onwards. To achieve the targeted cost savings, one-time costs of around €700 to €750 million are expected at EBIT level, of which around 2/ 3 will be incurred 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 Group-wide cost savings program is well progressing with Fresenius Medical Care and Fresenius Kabi being the largest contributors. Under the program, ~€280 million of structural cost savings at EBIT level were already achieved in H1/23, that is around 55% of the planned savings for 2023. In the same period, one-time costs of ~€110 million incurred to achieve these savings. These are treated as special items. Fresenius Medical Care realized ~€75 million of cost savings in Q2/23 and invested €25 million in the same period.

Fresenius Medical Care will accelerate and extend its FME25 transformation program to further optimize processes along the new operating model. Fresenius Medical Care targets savings for the program of €650 million by 2025 and expects to invest up to €650 million in the same period.

In further support of its turnaround efforts the company will drive additional operational efficiency and cost reduction measures. In Care Delivery, this will include productivity and operating leverage improvements in the core dialysis services business. In Care Enablement, Fresenius Medical Care will focus on pricing initiatives, productivity measures and review of its global manufacturing footprint.

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

Following the continued negative business performance, Fresenius announced as part of the presentation of the Q1/ 23 results, 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 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 Q2/ 23, negative one-time items for closing down activities resulting in write-downs and provisions of €332 million were booked which are predominantly non-cash items.

For further potential asset re-evaluations, charges for discontinued business activities as well as restructuring costs additional around €200 million to €250 million are anticipated as of today. Thereof, approximately €60 million to €80 million cash-effective restructuring costs are anticipated.

The operational turnaround is expected for the second half of 2023, with sequential improvement in Q3/ 23 and a positive EBIT in Q4/ 23. This recovery is mainly driven by the service business HES and the HFO business. By 2025, Fresenius Vamed is expected to reach the structural EBIT margin band of 4% to 6% set out in the #FutureFresenius Financial Framework.

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 long-term 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.

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

REVENUE

Group revenue increased by 3% (7% in constant currency) to €10,359 million (Q2/22: €10,018 million). Organic growth was 6%. Acquisitions /divestitures contributed net 1% to growth. In total, currency translation had a negative effect of 4% on revenue growth. The Operating Companies increased revenue by 6% (9% in constant currency). Excluding Fresenius Medical Care, Group revenue increased by 5% (7% in constant currency) to €5,557 million (Q2/ 22: €5,284 million).

In H1/ 23, Group revenue increased by 4% (6% in constant currency) to €20,584 million (H1/ 22: €19,738 million). Organic growth was 5%. Acquisitions /divestitures contributed net 1% to growth. Currency translation decreased revenue growth by 2%.

The Operating Companies increased revenue by 6% (7% in constant currency) in H1/ 23. Excluding Fresenius Medical Care, Group revenue increased by 6% (7% in constant currency) to €11,103 million (H1/22: €10,476 million).

REVENUE BY REGION

Afr
ica
To
tal
137
10,
35
9
137
10,
018
0%
3%
-7%
-4%
7%
7%
7%
6%
0%
1%
0%
0%
1%
100
%
Lat
in A
ric
me
a
582 53
1
10
%
-26
%
36
%
33
%
4% -1% 6%
ia-
ific
As
Pac
006
1,
1,
004
0% -7% 7% 7% 1% -1% 10
%
Eu
rop
e
4,
630
4,
43
0
5% 0% 5% 5% 0% 0% 44
%
No
rth
Am
eri
ca
004
4,
3,
916
2% -2% 4% 4% 0% 0% 39
%
€ i
illio
n m
ns
Q2
/20
23
Q2
/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
/
ture
s
Oth
ers
% o
f to
tal
reve
nue
€ i
illio
n m
ns
H1
/
202
3
H1
/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
/
ture
s
Oth
ers
% o
f to
tal
reve
nue
No
rth
Am
eri
ca
7,
898
7,
675
3% 1% 2% 2% 0% 0% 39
%
Eu
rop
e
9,
285
8,
81
1
5% -1% 6% 5% 0% 1% 45
%
As
ia-
Pac
ific
2,
036
2,
008
1% -5% 6% 6% 1% -1% 10
%
in A
ric
Lat
me
a
1,
128
1,
003
12
%
-21
%
33
%
30
%
4% -1% 5%
Afr
ica
237 24
1
-2% -6% 4% 5% 0% -1% 1%
To
tal
20,
584
19,
738
4% -2% 6% 5% 1% 0% 100
%

REVENUE BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q2
/20
23
Q2
/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
ture
/
s
Oth
ers
f to
% o
tal
1
reve
nue
Fre
ius
Ka
bi
sen
2,
00
1
1,
896
6% -5% 11
%
8% 3% 0% 19
%
Fre
ius
He
lios
sen
3,
113
2,
925
6% -1% 7% 7% 0% 0% 30
%
Fre
ius
sen
Me
dic
al C
are
4,
825
4,
757
1% -5% 6% 6% 0% 0% 46
%
Fre
ius
Va
d
sen
me
53
1
562 -6% 0% -6% -7% 1% 0% 5%
To
tal
10,
35
9
10,
018
3% -4% 7% 6% 1% 0% 100
%
€ i
illio
n m
ns
H1
/
202
3
H1
/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
/
ture
s
Oth
ers
% o
f to
tal
1
reve
nue
ius
bi
Fre
Ka
sen
3,
992
3,
743
7% -3% 10
%
8% 2% 0% 19
%
Fre
ius
He
lios
sen
6,
179
5,
856
6% 0% 6% 6% 0% 0% 30
%
Fre
ius
sen
Me
dic
al C
are
9,
529
9,
305
2% -2% 4% 4% 0% 0% 46
%
Fre
ius
Va
d
sen
me
1,
114
1,
075
4% 1% 3% 3% 0% 0% 5%
To
tal
20,
584
19,
738
4% -2% 6% 5% 1% 0% 100
%

EARNINGS

Group EBITDA before special items decreased by 2% (0% in constant currency) to €1,649 million (Q2/ 222: €1,682 million). Reported Group EBITDA was €1,247 million (Q2/ 22: €1,528 million). In H1/ 23, Group EBITDA before special items decreased by 3% (-3% in constant currency) to €3,234 million (H1/ 222: €3,344 million). Reported Group EBITDA was €2,738 million (H1/ 22: €3,123 million).

Group EBIT before special items and excluding Provider Relief Fund (PRF) increased by 15%3 in constant currency. The EBIT increase was driven by Fresenius Medical Care, and the Operating Companies compensating successfully inflationary headwinds. The Operating Companies showed an EBIT increase of 5% and an EBIT margin of 11.3%. Group EBIT before special items decreased by 5% (-4% in constant currency) to €956 million (Q2/ 222: €1,003 million) mainly driven by the negative earnings performance at Fresenius Vamed. The EBIT margin before special items was 9.2% (Q2/ 222: 10.0%). Reported Group EBIT was €543 million (Q2/ 22: €845 million). Excluding Fresenius Medical Care, Group EBIT before special items decreased by 1% (0% in constant currency) to €555 million (Q2/ 222: €558 million). The EBIT margin excluding Fresenius Medical Care before special items was 10.0% (Q2/ 222: 10.6%).

EARNINGS

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
H1
/
202
3
H1
/20
22
Gro
wth
Re
ven
ue
10,
35
9
10,
01
8
3% 20
58
4
,
19,
73
8
4%
Co
of
sts
re
ven
ue
-8,
026
-7,
44
0
-8% -15
740
,
-14
686
,
-7%
Gr
ofi
t
oss
pr
2,
333
2,
57
8
-10
%
4,
844
5,
052
-4%
Se
llin
al a
nd
ad
mi
nis
tive
tra
g,
ge
ner
ex
pen
ses
-1,
58
9
-1,
53
1
-4% -3,
115
-2,
924
-7%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-20
1
-20
2
0% -39
9
-38
1
-5%
tin
inc
Op
e (
EB
IT)
era
g
om
543 845 -36
%
1,
33
0
1,
747
-24
%
Int
lt
st r
ere
esu
-18
4
6
-11
-59
%
-35
4
-23
4
-51
%
Fin
cia
l re
sul
t
an
-18
4
-11
6
-59
%
-35
4
-23
4
-51
%
Inc
e b
efo
inc
e t
om
re
om
axe
s
35
9
72
9
-51
%
97
6
1,
51
3
-35
%
Inc
e ta
om
xes
-19
3
-16
5
%
-17
-34
7
-35
0
1%
t in
Ne
com
e
166 564 -71
%
629 1,
163
-46
%
olli
int
No
ntr
sts
nco
ng
ere
-86 -18
1
52
%
-20
3
-36
7
45
%
1,2
Ne
t in
ibu
tab
le t
o F
ius
SE
&C
KG
aA
ttr
com
e a
res
en
o.
375 45
0
-17
%
764 913 -16
%
1
t in
ttri
ius
SE
&C
KG
Ne
but
ab
le t
o F
aA
com
e a
res
en
o.
80 383 -79
%
42
6
796 -46
%
1,2
rni
ina
Ea
ord
sha
(€)
ng
s p
er
ry
re
0.6
7
0.8
0
-17
%
1.3
6
1.6
3
-17
%
1,2
Fu
lly
dil
d e
ing
ord
ina
sha
(€)
ute
arn
s p
er
ry
re
0.6
7
0.8
0
%
-17
1.3
6
1.6
3
%
-17
rni
ina
1
Ea
ord
sha
(€)
ng
s p
er
ry
re
0.1
5
0.6
8
-78
%
0.7
6
1.4
2
-46
%
1
dil
ing
ina
Fu
lly
d e
ord
sha
(€)
ute
arn
s p
er
ry
re
0.1
5
0.6
8
-78
%
6
0.7
1.4
2
-46
%
Av
mb
of s
har
era
ge
nu
er
es
563
237
277
,
,
56
0,
080
52
1
,
1% 563
237
277
,
,
559
29
1,
332
,
1%
2
EB
ITD
A
649
1,
682
1,
-2% 3,
234
3,
344
-3%
2
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
693 679 2% 1,
37
0
1,
34
1
2%
2
EB
IT
956 1,
003
-5% 864
1,
2,
003
-7%
2
EB
ITD
A m
in
arg
15.
9%
16.
8%
15.
7%
16.
9%
2
in
EB
IT
ma
rg
9.2
%
10.
0%
9.1
%
10.
1%

14

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

2 Before special items

3 According to FY/23 guidance, excluding Provider Relief Fund (PRF) at Fresenius Medical Care

In H1/ 23, Group EBIT before special items excluding Provider Relief Fund (PRF) increased by 2%2 in constant currency.

The Operating Companies increased EBIT by 2% with a margin of 11.4%. Group EBIT before special items decreased by 7% (-7% in constant currency) to €1,864 million (H1 / 221: €2,003 million). The EBIT margin before special items was 9.1% (H1/ 221: 10.1%). Reported Group EBIT was €1,330 million (H1/ 22: €1,747 million). Excluding Fresenius Medical Care, Group EBIT before special items decreased by 4% (-4% in constant currency) to €1,109 million (H1/ 221: €1,151 million). The EBIT margin excluding Fresenius Medical Care before special items was 10.0% (H1/ 221: 11.0%).

Group net interest before special items increased to -€184 million (Q2/ 221: -€116 million) mainly due to financing activities in a higher interest rate environment. Reported Group net interest was -€184 million (Q2/ 22: -€116 million).

In H1 / 23, Group net interest before special items increased to -€354 million (H1/ 221: -€235 million). Reported Group net interest was -€354 million (H1/ 22: -€234 million).

Group tax rate before special items increased to 27.3% (Q2/ 221: 23.0%) mainly due to the increase in the proportionate share of non-tax-deductible expenses compared to taxable income at Fresenius Medical Care as well as to the non-recognition of increased tax loss carry forwards at Fresenius Vamed. Reported Group tax rate was 53.8% (Q2/ 22: 22.6%).

In H1/ 23, Group tax rate before special items was 26.2% (H1/ 221: 22.9%) while the reported Group tax rate was 35.6% (H1/ 22: 23.1%).

1 Before special items

KEY FINANCIAL FIGURES EXCLUDING FRESENIUS MEDICAL CARE (PRO FORMA)

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
Gro
wth
cc
H1
/
202
3
H1
/20
22
Gro
wth
Gro
wth
cc
Re
ven
ue
5,
55
7
5,
28
4
5% 7% 11,
103
10,
47
6
6% 7%
ius
bi
Fre
Ka
sen
2,
00
1
896
1,
6% 11
%
3,
992
3,
743
7% 10
%
Fre
ius
He
lios
sen
3,
113
2,
925
6% 7% 6,
179
5,
856
6% 6%
ius
Fre
Va
d
sen
me
53
1
562 -6% -6% 1,
114
1,
075
4% 3%
Co
rat
rpo
e
-88 -99 11
%
14
%
-18
2
-19
8
-8% -9%
tin
inc
Op
e (
EB
IT)
era
g
om
555 55
8
-1% 0% 1,
109
1,
151
-4% -4%
Fre
ius
Ka
bi
sen
285 27
1
5% 5% 574 564 2% 1%
Fre
ius
He
lios
sen
31
1
303 3% 3% 622 609 2% 3%
ius
Fre
Va
d
sen
me
-20 11 -- -- -47 19 -- --
Co
rat
rpo
e
-21 -27 22
%
22
%
-40 -41 2% 5%
Fin
cia
l re
sul
t
an
-10
4
-44 6%
-13
-14
1%
-19
1
-94 -10
3%
-10
7%
Inc
e b
efo
inc
e t
om
re
om
axe
s
45
1
514 -12
%
-12
%
918 1,
057
-13
%
-14
%
Inc
e ta
om
xes
-12
1
-11
3
-7% -8% -23
5
-23
3
-1% -1%
t in
Ne
com
e
33
0
40
1
-18
%
-18
%
683 824 -17
%
-18
%
les
llin
int
tro
sts
s n
on
con
g
ere
-13 -21 38
%
48
%
-25 -47 47
%
51
%
uity
ius
Res
ult
Eq
M
eth
od
Fre
sen
4
Me
dic
al C
are
58 70 -17
%
-20
%
106 136 -22
%
-23
%
1,5
t in
Ne
com
e
375 45
0
-17
%
-17
%
764 913 -16
%
-17
%
EB
ITD
A
824 816 1% 2% 1,
645
1,
658
-1% -1%
EB
ITD
A m
in
arg
8%
14.
4%
15.
8%
14.
8%
15.
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
269 258 4% -5% 53
6
50
7
6% 6%
EB
IT
in
ma
rg
10.
0%
10.
6%
10.
0%
0%
11.
Op
tin
ash
flo
era
g c
w
285 393 -27
%
31
7
335 -5%
%
of
as
rev
en
ue
5.1
%
7.4
%
2.9
%
3.2
%
Ca
sh
flow
be
for
isit
ion
e a
cqu
s
and
di
vid
end
s
45 126 -64
%
-13
4
-12
8
-5%
%
of
0.8
%
2.4
%
-1.
2%
-1.
2%
as
rev
en
ue
6
RO
IC
5.0
%
5.6
%
2,3
Ne
t d
ebt
/E
BIT
DA
4.1
9
3.8
0

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

cash&cash equivalents included within ''Assets held for sale''.

4 Before potential effects of updated Purchase Price Allocation

5 Including at Equity result from FME before potential effects

of updated Purchase Price Allocation

6 The underlying pro forma EBIT does not include special items

2 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures; before special items; including lease liabilities, including FME dividend; Fresenius Medical Care: Includes debt&lease liabilities included within the balance sheet line item ''Liabilities directly associated with assets held for sale'' as well as

3 2022: December 31

Noncontrolling interests before special items were -€186 million (Q2/ 222: -€233 million) of which 93% were attributable to the noncontrolling interests in Fresenius Medical Care. Reported noncontrolling interests were -€86 million (Q2/ 22: -€181 million).

In H1/ 23, noncontrolling interests before special items were -€351 million (H1/ 222: -€451 million) of which 93% were attributable to the noncontrolling interests in Fresenius Medical Care. Reported noncontrolling interests were -€203 million (H1/ 22: -€367 million).

Group net income1,2 before special items decreased by 17% (-17% in constant currency) to €375 million (Q2/ 222: €450 million). The decrease was driven by cost inflation and the negative earnings development at Fresenius Vamed. Moreover, rising interest costs and a higher tax rate weighed on the net income development. Reported Group net income1 decreased to €80 million (Q2/ 22: €383 million). Excluding Fresenius Medical Care, Group net income1 before special items decreased by 17% (-17% in constant currency) to €375 million (Q2/ 222: €450 million).

In H1/ 23, Group net income2 before special items decreased by 16% (-17% in constant currency) to €764 million (H1/ 222: €913 million). Reported Group net income2 decreased to €426 million (H1/ 22: €796 million). Excluding Fresenius Medical Care, Group net income1 before special items decreased by 17% (-18% in constant currency) to €683 million (H1/ 222: €824 million).

Earnings per share1 before special items decreased by 17% (-17% in constant currency) to €0.67 (Q2/ 222: €0.80). Reported earnings per share1 were €0.15 (Q2/ 22: €0.68).

In H1/ 23, earnings per share1 before special items decreased by 17% (-17% in constant currency) to €1.36 (H1/ 222: €1.63). Reported earnings per share1 were €0.76 (H1/ 22: €1.42).

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 Q2 / 2022 and Q2/ 2023 as well as H1/ 2022 and H1/ 2023 include special items.

These concern:

  • ► Revaluations of biosimilars contingent purchase price liabilities
  • ► expenses associated with the Fresenius cost and efficiency program (including costs related to FME25 program)
  • ► impacts related to the war in Ukraine (2022)
  • ► transaction costs mAbxience, Ivenix
  • ► hyperinflation Turkey (2022)
  • ► reactive duties (2022)
  • ► remeasurement Humacyte investment
  • ► legal form conversion costs Fresenius Medical Care (2023)
  • ► legacy portfolio adjustments (2023)
  • ► VAMED transformation (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

RECONCILIATION TABLES

RECONCILIATION FRESENIUS GROUP

Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
rat
e
cur
ren
cy
10,
35
9
10,
018
3% 7% 20,
584
19,
738
4% 6%
543 845 -36
%
-35
%
1,
33
0
1,
747
-24
%
-24
%
- - 0 -2
59 50 108 114
- 10 - 40
0 5 4 7
- 10 - 10
- 9 - 9
4 74 -15 78
8 - 11 -
10 - 94 -
332 - 332 -
956 1,
003
-5% -4% 1,
864
2,
003
-7% -7%
-18
4
-11
6
-59
%
-62
%
-35
4
-23
4
-51
%
-52
%
- - - -1
-18
4
6
-11
-59
%
-62
%
-35
4
-23
5
%
-51
%
-51
-19
3
-16
5
-17
%
-18
%
-34
7
-35
0
1% 1%
- - 0 1
-13 -14 -23 -26
- -1 - -4
- -1 -1 -1
- -- - 0
- -3 - -3
-1 -20 4 -21
-2 - -3 -
-2 - -25 -
-- - 0 -
-21
1
-20
4
-3% -5% -39
5
-40
4
2% 2%
in c
tant
ons
Gro
wth
rat
e
in c
tant
Gro
wth
rat
e
in c
tant
€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
ons
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
rat
e
ons
cur
ren
cy
No
oll
ing
in
ed
(af
eci
al
ite
)
ntr
ter
est
ort
ter
nco
s r
ep
sp
ms
-86 -18
1
52
%
52
%
-20
3
-36
7
45
%
46
%
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
-13 -9 -27 -26
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- -3 - -16
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
0 - -1 -
Hy
inf
lati
Tu
rke
per
on
y
- -4 - -4
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
-2 -36 7 -38
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
-3 - -4 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
-6 - -47 -
Va
d t
sfo
ati
me
ran
rm
on
-76 - -76 -
ing
in
s (
eci
ite
)
No
oll
bef
al
ntr
ter
est
nco
ore
sp
ms
6
-18
-23
3
20
%
19
%
-35
1
-45
1
22
%
23
%
1
t in
eci
ite
Ne
ed
(af
al
)
ort
ter
com
e r
ep
sp
ms
80 383 -79
%
-79
%
42
6
796 -46
%
-47
%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
- - 0 -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
33 27 58 62
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- 6 - 20
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
0 4 2 6
Hy
inf
lati
Tu
rke
per
on
y
- 6 - 6
Ret
ctiv
e d
uti
roa
es
- 6 - 6
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
1 18 -4 19
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
3 - 4 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
2 - 22 -
sfo
ati
Va
d t
me
ran
rm
on
256 - 256 -
1
Ne
t in
e (
bef
eci
al
ite
)
com
ore
sp
ms
375 45
0
-17
%
-17
%
764 913 -16
%
-17
%

RECONCILIATION FRESENIUS KABI

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/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,
00
1
896
1,
6% 11
%
3,
992
3,
743
7% 10
%
ati
of
bi
osi
mi
nti
ice
lia
bil
itie
Rev
alu
lars
rch
nt
ons
co
nge
pu
ase
pr
s
- - 0 -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
21 18 29 46
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 4 - 12
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
0 5 4 7
Hy
inf
lati
Tu
rke
per
on
y
- 4 - 4
(be
for
ial
ite
)
EB
IT
e s
pec
ms
285 27
1
5% 5% 574 564 2% 1%

RECONCILIATION FRESENIUS HELIOS

Gro
wth
rat
e
Gro
wth
rat
e
€ i
illio
n m
ns
/20
23
Q2
/20
22
Gro
wth
rat
in c
tant
ons
H1
/
202
3
H1
/20
22
Gro
wth
rat
in c
tant
ons
Q2 e cur
ren
cy
e cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
3,
113
2,
925
6% 7% 6,
179
5,
856
6% 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
ial
ite
EB
IT
(be
for
)
e s
pec
ms
31
1
303 3% 3% 622 609 2% 3%

RECONCILIATION FRESENIUS MEDICAL CARE

Gro
wth
rat
e
in c
tant
ons
Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
rat
e
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
4,
825
4,
757
1% 6% 9,
52
9
9,
305
2% 4%
EB
IT
ed
(af
eci
al
ite
)
ort
ter
rep
sp
ms
35
7
34
0
4% 5% 618 688 -10
%
-11
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
25 24 51 57
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 1 - 23
Hy
inf
lati
Tu
rke
per
on
y
- 6 - 6
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
4 75 -15 78
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
5 - 7 -
rtfo
lio
adj
Leg
ust
nts
acy
po
me
10 - 94 -
EB
IT
(be
for
ial
ite
)
e s
pec
ms
40
1
44
5
-10
%
-8% 755 852 -11
%
-12
%
1
Ne
t in
ed
(af
eci
al
ite
)
ort
ter
com
e r
ep
sp
ms
141 148 -5% -4% 227 305 -26
%
-26
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
20 16 40 40
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 1 - 20
Hy
inf
lati
Tu
rke
per
on
y
- 6 - 6
inv
Re
Hu
ent
te
est
nt
me
asu
rem
ma
cy
me
3 54 -11 57
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
4 - 5 -
Leg
rtfo
lio
adj
ust
nts
acy
po
me
7 - 68 -
1
Ne
t in
e (
bef
eci
al
ite
)
com
ore
sp
ms
175 225 -22
%
-21
%
32
9
42
8
-23
%
-23
%

RECONCILIATION FRESENIUS VAMED

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/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
53
1
562 -6% -6% 1,
114
1,
075
4% 3%
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 2 2
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- 5 - 5
Va
d t
sfo
ati
me
ran
rm
on
332 - 332 -
ial
ite
EB
IT
(be
for
)
e s
pec
ms
-20 11 -- -- -47 19 -- --

RECONCILIATION FRESENIUS CORPORATE

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
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
12 7 26 9
ctiv
uti
Ret
e d
roa
es
- 9 - 9
Leg
al f
rsio
s F
ius
M
ed
ica
l C
ost
orm
co
nve
n c
res
en
are
3 - 4 -
ial
ite
EB
IT
(be
for
)
e s
pec
ms
-21 -27 22
%
22
%
-40 -41 2% 5%

INVESTMENTS

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

Spending on property, plant and equipment was €396 million corresponding to 4% of revenue (Q2/ 22: €419 million; 4% of revenue). These investments served primarily for the modernization and expansion of dialysis clinics, production facilities as well as hospitals and day clinics. Excluding Fresenius Medical Care, spending on property, plant and equipment was €240 million corresponding to 4% of revenue (Q2/ 22: €247 million; 5% of revenue).

In H1/ 23, spending on property, plant and equipment was €749 million corresponding to 4% of revenue (H1/ 22: €757 million; 4% of revenue). Excluding Fresenius Medical Care, spending on property, plant and equipment was €451 million corresponding to 4% of revenue (H1/ 22: €423 million; 4% of revenue).

Total acquisition spending was €27 million (Q2/ 22: €291 million) mainly for investments in debt instruments at Fresenius Medical Care. Excluding Fresenius Medical Care, total acquisition spending was €0 million (Q2/ 22: €224 million).

In H1/ 23, total acquisition spending was €95 million (H1/ 22: €453 million). Excluding Fresenius Medical Care, total acquisition spending was €18 million (H1 / 22: €303 million).

€ i
illio
n m
ns
H1
/
202
3
H1
/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
178 40
8
162 16 -56
%
21
%
Fre
ius
He
lios
sen
224 288 224 0 -22
%
27
%
Fre
ius
M
ed
ica
l C
sen
are
375 484 298 77 -23
%
44
%
Fre
ius
Va
d
sen
me
59 26 57 2 127
%
7%
Co
rat
rpo
e
8 4 8 0 100
%
1%
To
tal
844 21
0
1,
749 95 -30
%
100
%

CASH FLOW

Group operating cash flow increased to €1,186 million (Q2/ 22: €1,017 million) driven by the good cash flow development at Fresenius Medical Care and Fresenius Kabi. This was partly offset by the negative earnings development at Fresenius Vamed. Group operating cash flow margin was 11.4% (Q2/ 22: 10.2%). Free cash flow before acquisitions and dividends increased to €791 million (Q2/ 22: €581 million). Free cash flow after acquisitions and dividends increased to -€30 million (Q2/ 22: -€391 million). Excluding Fresenius Medical Care, Group operating cash flow decreased to €285 million (Q2/22: €393 million).

In H1/ 23, Group operating cash flow increased to €1,361 million (H1 / 22: €1,118 million) with a margin of 6.6% (H1/ 22: 5.7%). Free cash flow before acquisitions and dividends increased to €614 million (H1 / 22: €326 million). Free cash flow after acquisitions and dividends increased to -€311 million (H1 / 22: -€794 million).

Excluding Fresenius Medical Care, Group operating cash flow decreased to €317 million (H1/ 22: €335 million).

The cash conversion rate (CCR), which is defined as the ratio of adjusted free cash flow1 to EBIT before special items, was 0.8 in H1/ 23 (LTM: 1.2). Excluding Fresenius Medical Care, the cash conversion rate was 0.3 in H1/ 23 (LTM: 1.0).

CASH FLOW STATEMENT (SUMMARY)

€ i
illio
n m
ns
Q2 /
202
3
Q2
/20
22
Gro
wth
H1 /
202
3
H1
/20
22
Gro
wth
Ne
t in
com
e
166 564 -71
%
629 163
1,
-46
%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
704 683 3% 1,
40
8
1,
37
6
2%
Ch
ing
ital
ork
d o
the
ang
e w
ca
p
an
rs
6
31
-23
0
-- -67
6
-1,
42
1
52
%
Op
tin
Ca
sh
flo
era
g
w
1,
186
1,
017
17
%
1,
36
1
1,
118
22
%
Ca
ital
dit
et
p
ex
pen
ure
, n
-39
5
-43
6
9% -74
7
-79
2
6%
Ca
sh
flo
bef
isit
ion
nd
div
ide
nd
ore
ac
qu
s a
s
w
79
1
58
1
36
%
614 32
6
88
%
Ca
sh
d f
uis
itio
/pr
eds
fro
m d
ive
stit
use
or
acq
ns
oce
ure
s
10 -27
1
104
%
-41 -36
3
89
%
Div
ide
nds
id
pa
-83
1
-70
1
-19
%
-88
4
-75
7
-17
%
Fre
ash
flo
fte
uis
itio
d d
ivid
ds
e c
w a
r a
cq
ns
an
en
-30 -39
1
92
%
-31
1
-79
4
61
%
Ca
vid
for
fin
ing
tiv
itie
sh
ed
by
/us
ed
pro
anc
ac
s
237 40
8
-42
%
134 89 51
%
Eff
of
cha
ch
e in
sh
and
ect
tes
ex
nge
ra
on
ang
ca
iva
h e
len
ts
cas
qu
-57 35 -- -10
1
70 --
Ne
ha
e i
ash
d c
ash
uiv
ale
t c
nts
ng
n c
an
eq
15
0
52 18
8%
-27
8
-63
5
56
%

ASSET AND LIABILITY STRUCTURE

Group total assets remained nearly unchanged compared to FY/ 22 (1% in constant currency) at €76,413 million (Dec. 31, 2022: €76,415 million). Current assets increased by 6% (7% in constant currency) to €19,305 million (Dec. 31, 2022: €18,279 million), mainly driven by the business expansion related increase of trade account receivables and inventories. Non-current assets decreased by 2% (0% in constant currency) to €57,108 million (Dec. 31, 2022: €58,136 million).

Total shareholders' equity decreased by 2% (0% in constant currency) to €31,430 million (Dec. 31, 2022: €32,218 million). The equity ratio was 41.1% (Dec. 31, 2022: 42.2%).

Group debt increased by 2% (2% in constant currency) to €28,183 million (Dec. 31, 2022: €27,763 million). Group net debt increased by 3% (3% in constant currency) to €25,712 million (Dec. 31, 2022: €25,014 million).

Group debt excluding Fresenius Medical Care increased by 4% (4% in constant currency) to €15,271 million (Dec. 31, 2022: €14,708 million). Group net debt excluding Fresenius Medical Care increased by 6% (6% in constant currency) to €14,162 million (Dec. 31, 2022: €13,307 million).

As of June 30, 2023, the net debt/EBITDA ratio was 3.88x1,2,3 (Dec. 31, 2022: 3.65x1,2) mainly driven by lower EBITDA contribution at Fresenius Medical Care and Fresenius Vamed, and higher net debt. Excluding Fresenius Medical Care, the net debt/EBITDA ratio was 4.19x1,2 (Dec. 31, 2022: 3.80x1,2).

In Q2/ 23, ROIC was 4.6% (Q4/ 22: 5.1%). Excluding Fresenius Medical Care, the ROIC was 5.0% (Q4 / 22: 5.6%).

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

2 Before special items

BALANCE SHEET

€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
. 31
, 20
22
Cha
nge
As
set
s
Cu
nt
ets
rre
ass
19,
305
18,
279
6%
f tr
cei
the
ade
vab
les
nts
reo
ac
cou
re
625
7,
7,
008
9%
the
f in
ies
tor
reo
ven
5,
018
4,
833
4%
the
f ca
sh
and
sh
uiv
ale
nts
reo
ca
eq
2,
47
1
2,
749
-10
%
the
f as
s h
eld
fo
le
set
reo
r sa
48 --
No
ent
set
n-c
urr
as
s
57
108
,
58
136
,
-2%
f p
uip
the
lan
nd
ert
t a
nt
reo
rop
y, p
eq
me
796
12,
12,
919
-1%
the
f g
ood
wil
l an
d o
the
r in
ible
tan
set
reo
g
as
s
35,
165
35,
843
-2%
f ri
of-
the
ht-
set
reo
g
use
-as
s
5,
739
5,
922
-3%
To
tal
set
as
s
76,
413
76,
415
0%
Lia
bil
itie
uit
nd
sha
reh
old
' eq
s a
ers
y
Lia
bil
itie
s
44
983
,
44
197
,
2%
f tr
the
ade
ble
nts
reo
ac
cou
pa
ya
1,
925
2,
070
-7%
the
f a
ual
nd
oth
sho
lia
bil
itie
rt-t
reo
ccr
s a
er
erm
s
11,
119
10,
48
8
6%
the
f li
ab
ilit
ies
di
tly
oci
d w
ith
he
ld f
sal
ate
ets
reo
rec
ass
ass
or
e
17 --
the
f d
ebt
reo
28,
183
27,
763
2%
the
f le
lia
bili
tie
reo
ase
s
6,
40
5
6,
592
-3%
ing
in
No
oll
ntr
ter
est
nco
s
11,
34
4
11,
80
3
-4%
To
tal
Fr
niu
s S
E &
Co
. K
Ga
A s
ha
reh
old
' eq
uit
ese
ers
y
20
08
6
,
20
41
5
,
-2%
uit
To
tal
sh
ho
lde
rs'
are
eq
y
31
43
0
,
32
218
,
-2%
To
tal
lia
bil
itie
nd
sha
reh
old
' eq
uit
s a
ers
y
76
41
3
,
76
41
5
,
0%

3 Fresenius Medical Care: Includes debt&lease liabilities included within the balance sheet line item ''Liabilities directly associated with assets held for sale'' as well as cash&cash equivalents included within ''Assets held for sale''.

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
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
2,
00
1
896
1,
6% 11
%
3,
992
3,
743
7% 10
%
IT1
EB
285 27
1
5% 5% 574 564 2% 1%
in1
EB
IT
ma
rg
14.
2%
14.
3%
14.
4%
15.
1%
1,2
Ne
t in
com
e
179 189 -5% -6% 37
0
39
0
-5% -7%
Em
loy
p
ees
(Ju
30
/D
31
)
ne
ec.
42
943
,
42
063
,
2%
  • ► Growth vectors with very strong double-digit organic revenue growth
  • ► Pharma showing accelerated sequential growth
  • ► EBIT margin1 in structural margin band

Revenue increased by 6% (11% in constant currency) to €2,001 million (Q2/ 22: €1,896 million) mainly driven by the strong business development of all growth vectors. Organic growth was 8%.

In H1/23, revenue increased by 7% (10% in constant currency) to €3,992 million (H1/22: €3,743 million). Organic growth was 8%.

Revenue of the Growth Vectors (MedTech, Nutrition and Biopharma) increased by 10% (organic growth: 12%) to €1,062 million (Q2/ 22: €961 million).

In H1/ 23, revenue of the Growth Vectors increased by 11% (organic growth: 11%) to €2,113 million (H1/ 22: €1,903 million).

Revenue in MedTech increased by 6% (organic growth: 9%) to €365 million (Q2/ 22: €345 million) driven by, amongst others, the good business development in Transfusion Medicine and Cell Therapies (TCT) as well as by successful product rollouts.

In H1/ 23, revenue in MedTech increased by 8% (organic growth: 9%) to €744 million (H1/ 22: €687 million).

Revenue in Nutrition increased by 5% (organic growth: 13%) to €614 million (Q2/ 22: €587 million) mainly driven by the good business development in Latin America and the further improving situation in China.

In H1/23, revenue in Nutrition increased by 4% (organic growth: 11%) to €1,216 million (H1/22: €1,164 million).

Revenue in Biopharma increased by 188% (organic growth: 34%) to €83 million (Q2/ 22: €29 million) mainly driven by successful product launches in Europe, the U.S., and Latin America.

In H1/ 23, revenue in Biopharma increased by 196% (organic growth: 44%) to €153 million (H1/ 22: €52 million).

Revenue in the Pharma (IV Drugs&Fluids) business increased by 2% (organic growth: 6%) to €952 million (Q2/22: €935 million). The revenue increase is driven by the positive business development in both product segments.

In H1/ 23, revenue in the Pharma business increased by 3% (organic growth: 5%) to €1,892 million (H1/ 22: €1,840 million).

1 Before special items

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

EBIT1 of Fresenius Kabi increased by 5% (5% in constant currency) to €285 million (Q2/ 22: €271 million) due to the good operating performance and the well-progressing cost saving initiatives. EBIT margin1 was 14.2% (Q2 / 22: 14.3%) and thus within the structural EBIT margin band.

In H1/ 23, EBIT1 increased by 2% (1% in constant currency) to €574 million (H1/ 22: €564 million) EBIT margin1 was 14.4% (H1/ 22: 15.1%).

EBIT1 of the Growth Vectors increased by 9% (12% in constant currency) to €88 million (Q2/ 22: €81 million) due to the excellent revenue development and the well-progressing cost saving initiatives. EBIT1 margin was 8.3% (Q2/ 22: 8.4%).

In H1/ 23, EBIT1 of the Growth Vectors decreased by 5% (-5% in constant currency) to €184 million (H1/ 22: €193 million) with a margin1 of 8.7% (H1/22: 10.1%).

EBIT1 in the Pharma business increased by 4% (7% in constant currency) to €206 million (Q2/ 22: €198 million) due to the solid revenue development and the well-progressing cost saving initiatives. EBIT1 margin was 21.6% (Q2/ 22: 21.1%).

In H1/ 23, EBIT1 in the Pharma business increased by 5% (5% in constant currency) to €403 million (H1/ 22: €383 million) with a margin1 of 21.3% (H1/ 22: 20.8%).

Net income1,2 decreased by 5% (-6% in constant currency) to €179 million (Q2/ 22: €189 million).

In H1/ 23, net income1,2 decreased by 5% (-7% in constant currency) to €370 million (H1/ 22: €390 million).

Operating cash flow increased to €180 million (Q2/ 22: €109 million) with a margin of 9.0% (Q2/ 22: 5.7%) mainly driven by an improved working capital management.

In H1/23, operating cash flow decreased to €201 million (H1/22: €242 million) with a margin of 5.0% (H1/22: 6.5%).

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 healthcare provider. The company comprises Helios Germany, Helios Spain and Helios Fertility. Helios Germany operates 87 hospitals, ~240 outpatient centers, 27 occupational health centers and 6 prevention centers. Helios Spain operates 50 hospitals, ~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
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
3,
113
2,
925
6% 7% 6,
179
856
5,
6% 6%
IT1
EB
31
1
303 3% 3% 622 609 2% 3%
in1
EB
IT
ma
rg
10.
0%
10.
4%
10.
1%
10.
4%
1,2
Ne
t in
com
e
183 197 -7% -7% 373 39
2
-5% -4%
Em
loy
p
ees
(Ju
30
/D
31
)
ne
ec.
126
962
,
125
700
,
1%
  • ► Fresenius Helios with excellent organic revenue growth driven by high activity levels at Helios Spain including Latin America
  • ► Helios Germany with solid top-line development supported by more complex treatments
  • ► EBIT margin1 well in structural margin band due to ongoing successful measures to counter inflationary headwinds
  • ► Helios Fertility with solid operating performance

Revenue increased by 6% (7% in constant currency) to €3,113 million (Q2/ 22: €2,925 million). Organic growth was 7%. Acquisitions contributed 0% to revenue growth.

In H1/ 23, revenue increased by 6% (6% in constant currency) to €6,179 million (H1/ 22: €5,856 million). Organic growth was 6%. Acquisitions contributed 0% to revenue growth.

Revenue of Helios Germany increased by 4% (organic growth: 4%) to €1,823 million (Q2 / 22: €1,758 million),

mainly driven by increasing admissions and positive mix effects supported by an increase of complex treatments.

In H1/ 23, revenue of Helios Germany increased by 3% (organic growth: 3%) to €3,651 million (H1/ 22: €3,541 million).

Revenue of Helios Spain increased by 11% (12% in constant currency) to €1,223 million (Q2/22: €1,101 million). Organic growth of 12% was driven by ongoing high activity levels. The clinics in Latin America also showed a good performance.

In H1 / 23, revenue of Helios Spain increased by 9% (11% in constant currency) to €2,393 million (H1 / 21: €2,190 million).

Revenue of Helios Fertility increased by 5% (11% in constant currency) to €68 million (Q2/ 22: €65 million) driven by mix effects.

In H1/ 23, revenue of the Helios Fertility were €134 million (H1/ 22: €122 million).

1 Before special items

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

EBIT1 of Fresenius Helios increased by 3% (3% in constant currency) to €311 million (Q2/ 22: €303 million) with an EBIT margin1 of 10.0% (Q2/ 22: 10.4%).

In H1/ 23, EBIT1 increased by 2% (3% in constant currency) to €622 million (H1/ 22: €609 million) with an EBIT margin1 of 10.1% (H1/ 22: 10.4%).

EBIT1 of Helios Germany remained stable at €154 million (Q2/ 22: €154 million) with an EBIT margin1 of 8.4% (Q2/ 22: 8.8%).

In H1/ 23, EBIT1 of Helios Germany increased to €309 million (H1/ 22: €308 million) with an EBIT margin1 of 8.5% (H1/ 22: 8.7%).

EBIT1 of Helios Spain increased due to the strong revenue growth and despite cost inflation by 4% (5% in constant currency) to €154 million (Q2/ 22: €148 million). The EBIT margin1 was 12.6% (Q2 / 22: 13.4%).

In H1/ 23, EBIT1 of Helios Spain increased by 3% (5% in constant currency) to €311 million (H1/22: €301 million). The EBIT margin1 was 13.0% (H1/ 22: 13.7%).

EBIT1 of Helios Fertility was €7 million (Q2/ 22: €7 million) with an EBIT margin1 of 10.3% (Q2/ 22: 10.8%).

In H1/ 23, EBIT1 of Helios Fertility was €11 million (H1/ 22: €11 million) with an EBIT margin1 of 8.2% (H1/ 22: 9.0%).

Net income1,2 decreased by 7% (-7% in constant currency) to €183 million (Q2/ 22: €197 million).

In H1/ 23, net income1,2 decreased by 5% (-4% in constant currency) to €373 million (H1/ 22: €392 million).

Operating cash flow decreased to €61 million (Q2/ 22: €194 million) mainly due to delays in the budget negotiations in Germany leading to higher receivables at Helios Germany. The operating cash flow margin was 2.0% (Q2/ 22: 6.6%).

In H1/ 23, operating cash flow increased to €169 million (H1/ 22: €58 million) with a margin of 2.7% (H1/ 22: 1.0%).

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 MEDICAL CARE

Fresenius Medical Care is the world's largest provider of products and services for individuals with renal diseases. As of June 30, 2023, Fresenius Medical Care was treating approximately 344,000 patients in 4,050 dialysis clinics. Dialyzers and dialysis machines are among the most important product lines. In addition, Fresenius Medical Care offers dialysis-related services.

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1
/
202
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H1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
4,
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4,
757
1% 6% 9,
529
9,
305
2% 4%
,2
IT1
EB
40
1
284 41
%
44
%
755 675 12
%
11
%
in1
,2
EB
IT
ma
rg
8.3
%
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%
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%
7.3
%
1,2,3
Ne
t in
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%
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%
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9
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Em
loy
p
ees
(Ju
30
/D
31
)
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ec.
124
295
,
128
044
,
-3%
  • ► Fresenius Medical Care successfully executes strategic plan
  • ► Organic growth accelerated in the second quarter in Care Enablement and Care Delivery
  • ► Savings resulting from FME25 transformation program fully on track
  • ► Legal form conversion to a German Stock Corporation approved by shareholders
  • ► FY 2023 operating income guidance range narrowed

Revenue increased by 1% to €4,825 million (+6% in constant currency, organic: +6%). In H1/ 23, revenue increased by 2% (4% in constant currency) to €9,529 million (H1/ 22: €9,305 million).

EBIT increased by 5% (5% in constant currency) to €357 million (Q2/ 22: €341 million), resulting in a margin of 7.4% (Q2/ 22: 7.2%). EBIT excluding special items and U.S. Provider Relief Funding (PRF) increased by 41% to €401 million (44% in constant currency), resulting in a margin of 8.3% (Q2/ 22: 6.0%).

In H1/ 23, EBIT decreased by 10% (-11% in constant currency) to €618 million (H1/ 22: €688 million) resulting in a margin of 6.5% (H1/ 22: 7.4%). EBIT excluding special items and PRF increased by 12% (11% in constant currency) to €755 million (H1/ 22: €675 million), resulting in a margin of 7.9% (H1/ 22: 7.3%).

Net income3 decreased by 5% to €140 million (-4% in constant currency). Excluding special items and PRF, net income3 increased by 51% to €175 million (54% in constant currency).

In H1/ 23, net income3 decreased by 26% (-26% in constant currency) to €227 million (H1/ 22: €305 million). Net income3 before special items and PRF increased by 5% (5% in constant currency) to €329 million (H1/ 22: €313 million).

In the second quarter, Fresenius Medical Care generated €1,007 million of operating cash flow (Q2/ 22: €751 million), resulting in a margin of 20.9% (Q2/ 22: 15.8%). The increase was mainly driven by the recoupment of advanced payments during 2022, which had been received in the U.S. under the Medicare Accelerated and Advance Payment Program in 2020, as well as by seasonality of invoicing.

In H1/ 23, operating cash flow was €1,150 million (H1/ 22: €910 million) with a margin of 12.1% (H1/ 22: 9.8%).

1 Before special items

2 According to FY/23 guidance, excluding Provider Relief Fund (PRF) at Fresenius Medical Care

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

The Company continues to expect for 2023 revenue1 to grow at a low to mid-single digit percentage rate. Based on the earnings development for the first half of the year, Fresenius Medical Care narrows its EBIT target range for 2023. The Company now expects EBIT2 to remain flat or decline by up to a low-single digit percentage rate3 (previous target: remain flat or decline by up to a high-single digit percentage rate3). The Company's target to achieve an operating income margin of 10 to 14% by 2025 remains unchanged.

For further information, please see Fresenius Medical Care's press release at www.freseniusmedicalcare.com.

1 FY/22 base: €19,398 million

2 FY/22 base: €1,540 million

3 Revenue and EBIT, as referred to in the outlook, are both on a constant currency basis and excluding special items. Special items will be provided as separate KPI (''Revenue excluding special items'', ''EBIT excluding special items'') to capture effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of giving guidance. These items are excluded to ensure comparability of the figures presented with the Company's financial targets which have been defined excluding special items.

For FY 2022, special items included costs related to the FME25 program, the impact of the war in Ukraine, the impact of hyperinflation in Turkiye, the Humacyte investment remeasurement, and the net gain related to InterWell Health. Additionally, FY 2022 basis for Outlook 2023 and 2025 was adjusted for Provider Relief Funding.

For FY 2023, special items include costs related to the FME25 program, the Humacyte investment remeasurement, the costs associated with the legal form conversion and effects from legacy portfolio optimization.

FRESENIUS VAMED

Fresenius Vamed manages projects and provides services for hospitals and other healthcare facilities worldwide and is a leading post-acute care provider in Central Europe. The portfolio ranges along the entire value chain: from project development, planning, and turnkey construction, via maintenance and technical management, to total operational management.

€ i
illio
n m
ns
Q2
/20
23
Q2
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
H1
/
202
3
H1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
53
1
562 -6% -6% 1,
114
1,
075
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IT1
EB
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1
EB
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rge
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Em
loy
p
ees
(Ju
30
/D
31
)
ne
ec.
166
20,
20,
184
0%
  • ► Negative revenue growth driven by project delays and portfolio adjustments due to transformation measures
  • ► EBIT1 negatively impacted by lower top-line and nonrecurring items
  • ► Transformation program initiated

Revenue decreased by 6% (-6% in constant currency) to €531 million (Q2/ 22: €562 million). Organic growth was -7%.

In H1/ 23, revenue increased by 4% (3% in constant currency) to €1,114 million (H1/22: €1,075 million). Organic growth was 3%.

Revenue in the service business increased by 6% (5% in constant currency) to €443 million (Q2/ 22: €417 million) due to positive development of High-End Services (HES).

In H1/ 23, revenue in the service business increased by 7% (6% in constant currency) to €879 million (H1/ 22: €822 million).

Revenue in the project business decreased by 39% (-39% in constant currency) to €88 million (Q2/ 22: €145 million).

In H1/ 23, revenue in the project business decreased by 7% (-7% in constant currency) to €235 million (H1/ 22: €253 million).

EBIT1 decreased to -€20 million (Q2/ 22: €11 million) with an EBIT margin1 of -3.8% (Q2/ 22: 2.0%). The weak development was related to lower revenues and negative nonrecurring items. To counteract the negative EBIT development, a major transformation program was initiated.

In H1/ 23, EBIT1 decreased to -€47 million (H1/ 22: €19 million) with an EBIT margin1 of -4.2% (H1/ 22: 1.8%).

2 Net income attributable to shareholders of VAMED AG

1 Before special items

3 Thereof conditionally agreed order backlog of €1,017 million

4 FY/22 base: €2,359 million

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

Net income1,2 decreased to -€31 million (Q2/ 22: €6 million). In H1/ 23, net income1,2 decreased to -€67 million (H1/ 22: €10 million).

Order intake was €179 million (Q2 / 22: €253 million). As of June 30, 2023, order backlog3 was at €3,280 million (December 31, 2022: €3,689 million).

Operating cash flow decreased to €2 million (Q2/ 22: €7 million) with a margin of 0.4% (Q2/ 22: 1.2%) due to the negative earnings development. In H1/ 23, operating cash flow decreased to -€66 million (H1/ 22: -€38 million) with a margin of -5.9% (H1/22: -3.5%).

For FY/ 2023, Fresenius Vamed confirms outlook and expects organic revenue4 to grow in a low-to mid-single digit percentage range. The EBIT margin5 is expected to be clearly below the structural margin band of 4% to 6%.

EMPLOYEES

As of June 30, 2023, the number of employees was 315,233 (Dec. 31, 2022: 316,920).

NUMBER OF EMPLOYEES

Nu
mb
of
loy
er
em
p
ees
Jun
e 30
,
202
3
Dec
. 31
,
202
2
Gro
wth
Fre
ius
Ka
bi
sen
42
943
,
42
063
,
2%
Fre
ius
He
lios
sen
126
962
,
125
700
,
1%
ius
ica
l C
Fre
M
ed
sen
are
124
295
,
128
044
,
-3%
Fre
ius
Va
d
sen
me
20,
166
20,
184
0%
Co
rat
rpo
e
867 929 -7%
To
tal
315
233
,
31
6,
920
-1%

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.

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:

►Dialysis

  • ► Generic IV drugs
  • ►Biosimilars
  • ► Infusion and nutrition therapies
  • ►Medical devices

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

RESEARCH AND DEVELOPMENT EXPENSES

BY BUSINESS SEGMENT

€ i
illio
n m
ns
H1
/
202
3
H1
/20
22
Gro
wth
1
Fre
ius
Ka
bi
sen
284 275 3%
Fre
ius
He
lios
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2 1 100
%
1
Fre
ius
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108 105 3%
Fre
ius
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sen
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-1 -1 --
To
tal
393 38
0
3%

1 Before special items

RATING

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

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

Sta
rd&
nda
r's
Poo
's
Mo
ody
Fitc
h
Co
tin
mp
any
ra
g
BB
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neg
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ativ
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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 June 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 the first half of 2023 by a largely unsuccessful Russian offensive in the east of the country and the subsequent start of an expected Ukrainian counteroffensive in June 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.

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. In the first quarter of 2023, uncertainty on the financing markets had temporarily increased in connection with the difficulties of single U.S. banks, such as the closed Silicon Valley Bank, as well as of the globally systemically important major bank Credit Suisse.

Likewise, impairments of intangible assets, including goodwill, continue to be a relevant risk 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 halfyear 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 62 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

GROUP REVENUE AND EARNINGS

For 2023, Fresenius assumes no further escalations of geopolitical tensions and challenges from COVID-19, and supply chain constraints continuing to ease. Fresenius expects that the general cost inflation will have a more significant negative effect on its business than in 2022 due to the annualization effect of cost increases occurred in H2/ 2022.

Fresenius 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.

With the positive vote of Fresenius Medical Cares' shareholders in favor of the change of legal form, the structural simplification of the Fresenius Group has passed a major milestone. In order to reflect the deconsolidation of Fresenius Medical Care already now, Fresenius will provide the Group guidance for the fiscal year 2023 from now on solely excluding Fresenius Medical Care. This is a further step towards the implementation of #FutureFresenius, where Fresenius Medical Care will no longer be part of Fresenius' fully consolidated subsidiaries.

GROUP FINANCIAL TARGETS 2023

Tar
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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
Op
tin
Co
ies
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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: 12.5%).

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: 22.3%).

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 is to achieve annual structural cost savings of around €1 billion at EBIT level from the fiscal year 2025 onwards. To achieve the targeted cost savings, one-time costs of around €700 to €750 million are expected at EBIT level, of which around 2/ 3 will be incurred in the year.

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, revenue and administrative costs, procurement, as well as divesting from non-core assets.

The Group-wide cost savings program is well progressing with Fresenius Medical Care and Fresenius Kabi being the largest contributors. Under the program, ~€280 million of structural cost savings at EBIT level were already achieved in H1/23, that is around 55% of the planned savings for 2023. In the same period, one-time costs of ~€110 million incurred to achieve these savings.

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

Fresenius Medical Care will accelerate and extend its FME25 transformation program to further optimize processes along the new operating model. The savings target for the program amounts to €650 million by 2025 and the Company expects to invest up to €650 million in the same period.

LIQUIDITY AND CAPITAL MANAGEMENT

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

We expect higher interest rates in fiscal year 2023, resulting in higher interest expense of €400 million to €440 million (excluding Fresenius Medical Care), depending on financing activities.

Fresenius expects the net debt/EBITDA1 ratio excluding Fresenius Medical Care to be below 4.0× by the end of 2023, therefore improving from 4.19×1 as of June 30, 2023 (December 31, 2022: 3.80× ). 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.

Fresenius

1st Half and 2nd Quarter 2023 Quarterly Financial Report

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 2022, 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 the Company 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 proposed to the Annual General Meeting. 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%.

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.

SIGNIFICANT EVENTS SINCE THE END OF FIRST HALF OF 2023

On July 14, 2023, an Extraordinary General Meeting of Fresenius Medical Care AG &Co. KGaA has approved the proposal of conversion of the legal form into a German stock corporation. The resulting changes are described in note 1. I., Group structure.

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 half of 2023. There have been no significant changes in the Fresenius Group's operating environment following the end of the first half of 2023.

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF INCOME

€ i
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Q2
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23
Q2
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H1
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202
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6
1.4
2

FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

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Q2
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Q2
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FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF FINANCIAL POSITION

ASSETS

LIABILITIES

€ i
illio
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Jun
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23
Dec
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31,
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Jun
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31,
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11,
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FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS

€ i
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H1
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Op
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FRESENIUS SE&CO. KGAA CONSOLIDATED STATEMENT OF CASH FLOWS

€ i
illio
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ns
H1
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202
3
H1
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22
Fin
cin
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Pro
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825 196
1,
Re
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sh
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2
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604
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lon
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1,
026
726
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-- 30
0
1,
Re
of
lia
bil
itie
s fr
bo
nds
nts
pay
me
om
-- -62
7
fo
s fr
iva
cili
of
ius
ica
l C
Pay
r/p
eed
th
e A
s R
ble
Fa
Fre
M
ed
nts
unt
ty
me
roc
om
cco
ece
sen
are
-93 166
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
-- 20
Div
ide
nds
id
pa
-88
4
-75
7
Ch
e in
olli
int
ntr
sts
et
ang
no
nco
ng
ere
, n
-1 5
in
fin
cin
cti
vit
ies
Ne
ash
ed
t c
us
an
g a
-75
0
-66
8
Eff
of
cha
ch
ash
d c
ash
uiv
ale
ect
ate
nts
ex
ng
e r
an
ge
s o
n c
an
eq
-10
1
70
Ne
t d
e i
ash
d c
ash
uiv
ale
nts
ecr
eas
n c
an
eq
-27
8
-63
5
Ca
uiv
inn
ing
ing
rio
sh
d c
ash
ale
th
e b
of
th
d
nts
at
ort
an
eq
eg
e r
ep
pe
2,
749
764
2,
Ca
sh
d c
ash
uiv
ale
th
nd
of
the
rtin
eri
od
nts
at
an
eq
e e
re
po
g p
2,
47
1
2,
129

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES

€ i
illio
n m
ns
H1
/
202
3
H1
/20
22
Rec
eiv
ed
int
st
ere
64 44
Pai
d i
nte
t
res
-39
3
-27
1
Inc
id
e ta
om
xes
pa
-30
0
-43
0

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

Su Res
erv
es
Num
ber
of
ord
inar
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
of
As
De
be
r 3
1,
202
1
cem
55
8,
502
55
8,
502
55
8
026
4,
860
14,
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
735
4,
735
4,
5 142 -14
7
Pu
rch
of
olli
int
ntr
sts
ase
no
nco
ng
ere
3
tio
iab
ilit
ies
Put
n l
op
19
Tra
nsf
of
ula
tive
ins
/lo
f e
ity
inv
est
nts
er
cum
ga
sse
s o
qu
me
3
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
796
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
eig
ati
For
nsl
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
reh
ive
in
e (
los
s)
mp
ens
com
796
As
of
Ju
30,
20
22
ne
563
237
,
563
237
,
563 4,
177
15,
164
As
of
De
be
r 3
1,
202
2
cem
563
237
,
563
237
,
563 4,
323
15,
122
Div
ide
id
nds
pa
-51
8
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
ss
con
w
0
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
--
Put
tio
n l
iab
ilit
ies
op
60
Co
reh
ive
in
e (
los
s)
mp
ens
com
t in
Ne
com
e
6
42
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
y
on
ria
efi
nef
it p
ion
Ac
l lo
n d
ned
be
lan
tua
sse
s o
ens
p
s
Fai
lue
ch
r va
ang
es
Co
ive
in
reh
e (
los
s)
mp
ens
com
6
42
As
of
Ju
30,
20
23
ne
563
237
,
563
237
,
563 4,
323
15,
090

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

Ac
ula
ted
her
reh
ive
in
e (
los
s)
ot
cum
co
mp
ens
com
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
-39
0
-75
7
Scr
ip
div
ide
nd
-- -- --
of
ing
in
Pu
rch
oll
ntr
ter
est
ase
no
nco
s
3 44 47
Put
tio
n l
iab
ilit
ies
op
19 39 58
nsf
of
tive
ins
f e
ity
inv
Tra
ula
/lo
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
796 36
7
1,
163
Oth
siv
e in
hen
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
0 0 1 1
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
6 6 0 6
For
eig
nsl
atio
tra
n c
urr
enc
n
y
968 0 -5 0 0 963 916 1,
879
Ac
ria
l ga
ins
de
fin
ed
ben
efit
nsi
lan
tua
on
pe
on
p
s
252 252 114 36
6
Fai
lue
ch
r va
ang
es
-12 -12 -26 -38
Co
reh
ive
in
e (
los
s)
mp
ens
com
968 0 247 6 -12 2,
005
1,
37
2
3,
37
7
of
As
Ju
30,
20
22
ne
1,
022
-66 -16
4
-39 7 664
20,
36
11,
9
32
033
,
of
As
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
-36
6
-88
4
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
0 -8 -8
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
nco
ng
ere
o c
ges
co
nso
n g
rou
p
-- -12 -12
Put
tio
n l
iab
ilit
ies
op
60 23 83
Co
ive
in
reh
e (
los
s)
mp
ens
com
Ne
t in
com
e
42
6
203 629
Oth
hen
siv
e in
e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
1 1 1 2
Ch
f F
VO
CI
uity
in
tm
ent
ang
e o
eq
ves
s
4 4 10 14
eig
ati
For
nsl
tra
n c
urr
enc
y
on
-28
0
-1 -1 -- 0 -28
2
-30
3
-58
5
Ac
ria
l lo
n d
efi
ned
be
nef
it p
ion
lan
tua
sse
s o
ens
p
s
-21 -21 -8 -29
Fai
lue
ch
r va
ang
es
1 1 1 2
Co
reh
ive
in
e (
los
s)
mp
ens
com
-28
0
0 -22 4 1 129 -96 33
As
of
Ju
30,
20
23
ne
333 -56 -13
1
-54 18 20,
086
11,
344
31
43
0
,

FRESENIUS SE&CO. KGAA CONSOLIDATED SEGMENT REPORTING FIRST HALF

Fre ius
Ka
sen
bi Fre ius
He
sen
lios Fre
sen
ius
ica
M
ed
l C
are
ius
Fre
Va
d
sen
me
Co
rat
rpo
e
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
Gro
wth
32
202
22
202
Gro
wth
33
202
23
202
Gro
wth
202
3
202
2
Gro
wth
Rev
en
ue
3,
992
3,
743
7% 6,
179
5,
856
6% 9,
529
9,
305
2% 1,
114
1,
075
4% -23
0
-24
1
5% 20,
584
19,
738
4%
f co
ibu
tio
the
ntr
n t
reo
o
sol
ida
ted
con
re
ven
ue
3,
955
3,
707
7% 6,
167
5,
844
6% 9,
494
9,
274
2% 968 912 6% 0 1 -10
0%
20,
584
19,
738
4%
f in
the
ter
reo
com
pan
y r
eve
nue
37 36 3% 12 12 0% 35 31 13
%
146 163 -10
%
-23
0
-24
2
5% -- --
trib
uti
sol
ida
ted
to
con
on
con
re
ven
ue
19
%
19
%
30
%
29
%
46
%
47
%
5% 5% 0% 0% 100
%
100
%
EB
ITD
A
803 775 4% 880 857 3% 1,
58
9
1,
686
-6% 5 67 -93
%
-53
9
-26
2
-10
6%
2,
738
3,
123
-12
%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
229 21
1
9% 258 248 4% 834 834 0% 52 48 8% 35 35 0% 40
8
1,
37
6
1,
2%
EB
IT
574 564 2% 622 609 2% 755 852 -11
%
-47 19 -- -57
4
-29
7
-93
%
1,
33
0
1,
747
-24
%
t in
Ne
ter
est
-60 -20 -20
0%
-12
1
-93 -30
%
-16
3
-14
1
-16
%
-18 -3 -- 8 23 -65
%
-35
4
-23
4
-51
%
Inc
e ta
om
xes
-11
6
-12
0
3% -11
7
-11
5
-2% -16
0
-17
1
5% -1 -4 75
%
47 60 -22
%
-34
7
-35
0
1%
t in
ttri
Ne
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
Fre
ius
SE
&C
KG
aA
sen
o.
37
0
39
0
-5% 373 39
2
-5% 32
9
42
8
-23
%
-67 10 -- -57
9
-42
4
-37
%
42
6
796 -46
%
Op
tin
ash
flo
era
g c
w
20
1
242 -17
%
169 58 191
%
1,
150
910 26
%
-66 -38 -74
%
-93 -54 -72
%
1,
36
1
1,
118
22
%
Ca
sh
flow
be
for
isit
ion
e a
cqu
s
and
di
vid
end
s
35 38 -8% -51 -17
9
72
%
854 58
1
47
%
-12
3
-56 -12
0%
-10
1
-58 -74
%
614 32
6
88
%
1
To
tal
ets
ass
16,
39
1
16,
745
-2% 22,
42
0
21,
33
7
5% 34,
960
35,
754
-2% 2,
715
2,
887
-6% -73 -30
8
76
%
76,
3
41
76,
41
5
0%
1
De
bt
4,
125
4,
195
-2% 8,
070
7,
81
1
3% 13,
066
13,
213
-1% 1,
120
885 27
%
1,
802
1,
659
9% 28,
183
27,
763
2%
1
Oth
tin
liab
ilit
ies
er
op
era
g
796
3,
3,
842
-1% 3,
927
3,
424
15
%
6,
100
6,
156
-1% 995 994 0% 325 34
9
-7% 15,
143
765
14,
3%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
162 186 -13
%
224 213 5% 298 334 -11
%
57 20 185
%
8 4 100
%
749 757 -1%
isit
ion
/in
Ac
tm
ent
qu
s, g
ros
s
ves
s
16 222 -93
%
0 75 -10
0%
77 150 -49
%
2 6 -67
%
-- -- 95 45
3
-79
%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
284 275 3% 2 1 100
%
108 105 3% -- -- 5 0 -- 39
9
38
1
5%
Em
loy
p
ees
1
(pe
ita
bal
hee
t d
)
ate
r c
ap
on
anc
e s
42
943
,
42
063
,
2% 1
26,
962
1
25,
700
1% 1
24,
295
1
28,
044
-3% 20,
166
20,
184
0% 867 929 -7% 3
15,
233
3
16,
920
-1%
Key
fig
ure
s
in
EB
ITD
A m
arg
20
.1%
20
.7%
14.
2%
6%
14.
16.
7%
18.
1%
0.4
%
6.2
%
2
15.
7%
2
16.
9%
EB
IT
in
ma
rg
14.
4%
15.
1%
10.
1%
10.
4%
7.9
%
9.2
%
-4.
2%
1.8
%
2
9.1
%
2
10.
1%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
in
%
of
rev
en
ue
5.7
%
5.6
%
4.2
%
4.2
%
8.8
%
9.0
%
4.7
%
4.5
%
6.8
%
7.0
%
Op
tin
ash
flo
era
g c
w
in
%
of
rev
en
ue
5.0
%
6.5
%
2.7
%
1.0
%
12.
1%
9.8
%
-5.
9%
-3.
5%
6.6
%
5.7
%
1
RO
IC
7.0
%
7.8
%
5.1
%
5.4
%
3.7
%
4.1
%
-2.
7%
1.1
%
4
4.6
%
4
5.1
%

1 2022: December 31

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 SECOND QUARTER

Fre ius
Ka
sen
bi Fre ius
He
sen
lios Fre
sen
ius
M
ed
ica
l C
are
Fre
ius
Va
d
sen
me
Co
rat
rpo
e
Fre
ius
Gr
sen
ou
p
by
bus
ine
€ i
illio
nt,
ss
seg
me
n m
ns
31
202
21
202
Gro
wth
31
202
21
202
Gro
wth
31
202
21
202
Gro
wth
31
202
21
202
Gro
wth
32
202
22
202
Gro
wth
202
3
202
2
Gro
wth
Rev
en
ue
2,
00
1
896
1,
6% 3,
113
2,
925
6% 4,
825
4,
757
1% 53
1
562 -6% -11
1
-12
2
9% 10,
35
9
10,
018
3%
the
f co
ibu
tio
ntr
n t
reo
o
ida
sol
ted
con
re
ven
ue
1,
983
1,
878
6% 3,
107
2,
918
6% 4,
808
4,
740
1% 46
1
48
1
-4% 0 1 -10
0%
10,
35
9
10,
018
3%
the
f in
ter
reo
com
pan
y r
eve
nue
18 18 0% 6 7 -14
%
17 17 0% 70 81 -14
%
-11
1
-12
3
10
%
-- --
trib
uti
sol
ida
ted
to
con
on
con
re
ven
ue
19
%
19
%
30
%
29
%
46
%
47
%
5% 5% 0% 0% 100
%
100
%
EB
ITD
A
40
0
37
9
6% 44
1
42
9
3% 825 866 -5% 6 35 -83
%
-42
5
-18
1
-13
5%
1,
247
1,
52
8
-18
%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
115 108 6% 130 126 3% 424 42
1
1% 26 24 8% 9 4 125
%
704 683 3%
EB
IT
285 27
1
5% 31
1
303 3% 40
1
44
5
-10
%
-20 11 -- -43
4
-18
5
-13
5%
543 845 -36
%
Ne
t in
ter
est
-29 -9 -- -65 -45 -44
%
-80 -72 -13
%
-10 -1 -- 0 11 -10
0%
-18
4
-11
6
-59
%
Inc
e ta
om
xes
-63 -58 -9% -57 -57 0% -90 -91 -2% -1 -3 67
%
18 44 -59
%
-19
3
-16
5
-17
%
Ne
t in
ttri
but
ab
le t
har
eho
lde
com
e a
o s
rs
of
ius
SE
&C
KG
Fre
aA
sen
o.
179 189 -5% 183 197 -7% 175 225 -22
%
-31 6 -- 6
-42
-23
4
-82
%
80 383 -79
%
Op
tin
ash
flo
era
g c
w
180 109 65
%
61 194 -69
%
1,
007
75
1
34
%
2 7 71
%
-64 -44 -45
%
1,
186
1,
017
17
%
Ca
sh
flow
be
for
isit
ion
nd
e a
cqu
s a
div
ide
nds
97 -1 -- -64 48 -- 852 582 46
%
-23 -2 -- -71 -46 -54
%
79
1
58
1
36
%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
84 102 -18
%
125 134 -7% 156 172 -10
%
25 8 -- 6 3 100
%
39
6
41
9
-5%
Ac
isit
ion
/in
tm
ent
qu
s, g
ros
s
ves
s
1 220 -10
0%
0 3 -10
0%
27 67 -61
%
-- -- -1 -- 27 29
1
-91
%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
142 147 -3% 1 1 0% 53 55 -4% -- -- 5 -1 -- 20
1
202 0%
Key
fig
ure
s
EB
ITD
A m
in
arg
20
.0%
20
.0%
2%
14.
14.
7%
17.
1%
18.
2%
1.1
%
6.2
%
1
9%
15.
1
16.
8%
EB
IT
in
ma
rg
14.
2%
14.
3%
10.
0%
10.
4%
8.3
%
9.4
%
-3.
8%
2.0
%
1
9.2
%
1
10.
0%
cia
tio
iza
tio
De
nd
ort
pre
n a
am
n
in
%
of
rev
en
ue
5.7
%
5.7
%
4.2
%
4.3
%
8.8
%
8.9
%
4.9
%
4.3
%
6.8
%
6.8
%
Op
tin
flo
ash
era
g c
w
in
%
of
rev
en
ue
9.0
%
5.7
%
2.0
%
6.6
%
20
.9%
15.
8%
0.4
%
1.2
%
11.
4%
10.
2%

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 General Notes 55 Notes on the consolidated statement of financial position 62 Other notes

52 Notes on the consolidated statement of income

GENERAL NOTES

1. PRINCIPLES

I. GROUP STRUCTURE

Fresenius is a global healthcare group with products and services for dialysis, hospitals and outpatient medical care. In addition, the Fresenius Group focuses on hospital operations and also manages projects and provides services for hospitals and other healthcare facilities worldwide. 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 June 30, 2023:

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

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 Medical Care and Fresenius Kabi each implemented a new global operating model. Thereafter, Fresenius Medical Care has reorganized the businesses into two global operating divisions, Care Enablement and Care Delivery, and Fresenius Kabi into four operating divisions: Biopharma, MedTech, Nutrition and Pharma (IV Drugs&Fluids).

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 quarter of 2023 and recognized negative one-time effects of €332 million. These mainly relate to impairments of loans, investments, receivables and inventories as well as the recognition of provisions. Most of these nonrecurring items are non-cash.

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 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. There is no impact on the consolidated financial statements of Fresenius SE&Co. KGaA for the first half ended June 30, 2023. For the financial statements in subsequent reporting periods, the specific accounting standards are as follows.

In the first step, as a result of the approval of the conversion of legal form, Fresenius Medical Care will be classified in accordance with IFRS 5 as a separate item (business held for deconsolidation) in the Fresenius Group consolidated statement of financial position, the consolidated statement of comprehensive income and the consolidated statement of cash flows. 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 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 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 will not result in any expenses in the third quarter of 2023. Step 2 may have effects due to the market capitalization of Fresenius Medical Care at the date of deconsolidation.

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). The values in use according to IAS 36 of the two Fresenius Medical Care CGUs, Care Enablement and Care Delivery, were above the respective carrying amounts as of June 30, 2023.

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''.

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. 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.

III. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of consolidation

The condensed consolidated financial statements and interim management report for the first half and the second quarter ended June 30, 2023 have been reviewed by our auditor PricewaterhouseCoopers GmbH Wirtschaftsprüfungsgesellschaft, Frankfurt am Main, 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 half and the second quarter ended June 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 half ended June 30, 2023 are not necessarily indicative of the results of operations for the fiscal year 2023.

Classifications

Comparative information for certain items have been reclassified to conform with current year's presentation.

In the business segment Fresenius Medical Care, in the consolidated statement of income, €184 million for the first half ended June 30, 2022 have been reclassified from selling, general and administrative expenses to costs of revenue due to a voluntary presentation policy change. This change was the result of an assessment of internal and external reporting by Fresenius Medical Care management with the aim of increasing transparency and aligning financial information.

Government grants and impacts of COVID-19 pandemic

In the first half of 2023, the German hospitals of the Fresenius Group received government compensation payments in the amount of €88 million to compensate for costs indirectly caused by the increase in energy prices. The payments were recognized in the consolidated statement of income according to their causes. Against the background of a recently passed amendment to the law, the Fresenius Group is continuously reviewing how to proceed with the government compensation payments and their conditions. This also concerns the possible receipt of further compensation payments from the second half of 2023 onwards.

In the first half of 2023, the Fresenius Group received in a small scope reimbursement payments and funding due to the COVID-19 pandemic.

The German hospitals of the Fresenius Group did not receive reimbursements and grants to compensate for COVID-19 related financial charges in the first half of 2023 (H1/ 2022: €212 million, thereof €195 million recorded in revenue and €17 million as grants in other operating income).

Fresenius Medical Care recorded in the first half of 2023 €3 million (H1/ 2022: €181 million) for government grants in various regions. The remaining amount of government grants received recorded in deferred income was €0.7 million at June 30, 2023 and €6 million at December 31, 2022.

In addition to the programs above, the Fresenius Group also received grants and other reimbursements in the first half of 2022 under various other programs from multiple governments around the world in the amount of €15 million.

Hyperinflationary accounting

Fresenius Group's subsidiaries operating in Argentina, Lebanon and Turkey apply IAS 29, Financial Reporting in Hyperinflationary Economies, due to inflation in those countries. For the first half of 2023, the application of IAS 29 resulted in an effect on net income attributable to shareholders of Fresenius SE&Co. KGaA of -€29 million (H1 / 2022: -€17 million) included in selling, general and administrative expenses. The ongoing re-translation 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.

IV. RECENT PRONOUNCEMENTS, APPLIED

The Fresenius Group has prepared its consolidated financial statements at and for the first half ended June 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 half 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 Co-operation 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 of €95 million and €453 million in the first half of 2023 and 2022, respectively. Of this amount, €118 million was paid in cash in the first half of 2023 including €23 million in subsequent purchase price payments already recognized as liabilities.

FRESENIUS MEDICAL CARE

In the first half of 2023, Fresenius Medical Care spent €77 million (H1/ 2022: €150 million) on acquisitions, mainly on investments in debt instruments and the purchase of dialysis clinics.

Business combination of InterWell Health

On August 24, 2022 (acquisition date), Fresenius Medical Care completed a business combination among Fresenius Health Partners, Inc. (FHP), the value-based care division of Fresenius Medical Care's wholly owned subsidiary Fresenius Medical Care Holdings, Inc., with InterWell Health LLC, a physician organization driving innovation in the kidney care space in the United States, and Cricket Health, Inc., a U.S. provider of value-based kidney care with a patient engagement and data platform. The new company, InterWell Topco L.P. (NewCo), operates under the InterWell Health brand.

This business combination was conducted as a non-cash transaction. The contributions of the net assets of InterWell Health LLC and Cricket Health, Inc. were accounted for as a business combination in accordance with IFRS 3. Fresenius Medical Care's contribution of the net assets of FHP was recorded under common control at their respective carrying values at the acquisition date and the reduction of the Fresenius Medical Care's interest in FHP, in exchange for net assets received of InterWell Health LLC and Cricket Health, Inc., was accounted for as an equity transaction. Upon consummation of the business combination, Fresenius Medical Care holds approximately 75% of NewCo. The former owners of Cricket Health, Inc. and InterWell Health LLC hold approximately 17% and 8%, respectively, as noncontrolling interests in NewCo.

Fresenius Medical Care is in the process of reviewing and finalizing the information necessary for the purchase price allocation, including, but not limited to the final capital interest allocation. Any adjustments to acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill within one year from the acquisition date. Goodwill initially recorded in connection with the transaction was US\$703 million (€708 million), which has subsequently been reduced by US\$43 million (€44 million) during the fourth quarter of 2022 to account for changes in the purchase price allocation.

FRESENIUS KABI

In the first half of 2023, Fresenius Kabi spent €16 million (H1/ 2022: €222 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 goodwill in the amount of €464 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 half of 2023, Fresenius Helios did not incur any acquisition expenses (H1/ 2022: €75 million).

FRESENIUS VAMED

In the first half of 2023, Fresenius Vamed spent €2 million (H1/ 2022: €6 million) on acquisitions.

3. DISPOSAL GROUP CLASSIFIED AS HELD FOR SALE OF FRESENIUS MEDICAL CARE

During the first half of 2023, Fresenius Medical Care's management committed to a plan to sell the health care service business within Care Delivery in Hungary and Sub-Saharan Africa. Fresenius Medical Care signed an agreement in connection with the FME25 program to sell the local dialysis service provider business to an operator of private clinics and other medical facilities in Hungary, which was completed on July 11, 2023. Furthermore, Fresenius Medical Care signed an agreement in connection with the legacy portfolio optimization program to sell 51 of its renal dialysis clinics in Sub-Saharan Africa to a South African hospital group.

Immediately before the classification of these disposals as held for sale, special items in the amount of €12 million were recognized for the planned divestiture in Hungary and included in selling, general and administrative expenses in the consolidated statement of income. The carrying amounts of the assets in the disposal group for the planned divestitures in Hungary are recognized at fair value less costs to

sell. The planned divestiture of Fresenius Medical Care's clinic network in Sub-Saharan Africa did not result in an impairment loss and the assets are recorded at their carrying amount.

As of June 30, 2023, the following assets and liabilities were classified as held for sale:

Lia
bil
itie
ire
cia
ith
s d
ctl
ted
s h
eld
fo
ale
set
y a
sso
w
as
r s
17
Pro
vis
ion
nd
oth
liab
ilit
ies
s a
er
5
liab
ilit
ies
Lea
se
12
As
s h
eld
fo
ale
set
r s
48
Oth
er
9
Go
odw
ill
27
Rig
ht-
of-
set
use
as
s
7
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
5
€ i
illio
n m
ns
Jun
e 30
, 20
23

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

4. SPECIAL ITEMS

Net income attributable to shareholders of Fresenius SE& Co. KGaA for the first half of 2023 in the amount of €426 million includes special items which had the following impact on the consolidated statement of income:

Net
inc
om
e
ibut
able
attr
to
sha
reh
olde
rs
€ i
illio
n m
ns
EBI
T
Inte
rest
exp
ens
es
of F
nius
rese
SE&
Co.
KG
aA
rni
Ea
s H
1/2
023
ng
,
bef
eci
al
ite
ore
sp
ms
1,
864
-35
4
764
Va
d t
sfo
ati
me
ran
rm
on
-33
2
-- -25
6
Ex
iate
d w
ith
the
pen
ses
as
soc
Fre
ius
nd
eff
icie
st a
sen
co
ncy
(in
clu
din
the
FM
E25
pro
gra
m
g
m)
pro
gra
-10
8
-- -58
Leg
rtfo
lio
adj
ust
nts
acy
po
me
-94 -- -22
ctio
xie
Tra
Ab
ost
nsa
n c
s m
nce
,
Ive
nix
-4 -- -2
al f
rsio
Leg
ost
orm
co
nve
n c
s
Fre
ius
M
ed
ica
l C
sen
are
-11 -- -4
Re
Hu
ent
te
me
asu
rem
ma
cy
inv
est
nt
me
15 -- 4
ati
of
bi
osi
mi
Rev
alu
lars
ons
tin
rch
ice
nt
con
ge
pu
ase
pr
liab
ilit
ies
0 -- 0
rni
din
Ea
s H
1/2
023
ng
ac
cor
g
IFR
S
to
1,
33
0
-35
4
42
6

Net income attributable to shareholders of Fresenius SE& Co. KGaA for the first half of 2022 in the amount of €796 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
rni
Ea
s H
1/2
022
ng
,
bef
eci
al
ite
ore
sp
ms
2,
003
-23
5
913
Ex
iate
d w
ith
the
pen
ses
as
soc
Fre
ius
nd
eff
icie
st a
sen
co
ncy
(in
din
clu
the
FM
E25
pro
gra
m
g
m)
pro
gra
-11
4
-- -62
in
Im
ela
ted
th
ts r
to
pac
e w
ar
Uk
rai
ne
-40 -- -20
Re
Hu
ent
te
me
asu
rem
ma
cy
inv
est
nt
me
-78 -- -19
ctio
xie
Tra
Ab
ost
nsa
n c
s m
nce
,
Ive
nix
-7 -- -6
Hy
inf
lati
Tu
rke
per
on
y
-10 -- -6
Ret
ctiv
e d
uti
roa
es
-9 -- -6
ati
bi
osi
mi
Rev
alu
of
lars
ons
tin
rch
ice
nt
con
ge
pu
ase
pr
liab
ilit
ies
2 1 2
rni
din
Ea
s H
1/2
022
ng
ac
cor
g
IFR
S
to
1,
747
-23
4
796

5. REVENUE

Revenue by activity was as follows:

H1
/20
23
€ i
illio
n m
ns
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Med
ical
Ca
re
Fre
ius
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
3,
953
6,
161
9,
173
966 0 20,
253
the
f re
of s
ice
reo
ven
ue
erv
s
40 6,
160
7,
244
738 0 14,
182
the
f re
of
du
d r
ela
ted
rvic
cts
reo
ven
ue
pro
an
se
es
3,
910
-- 929
1,
-- -- 839
5,
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- -- 228 -- 228
f fu
fro
ith
the
rth
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
3 1 -- -- -- 4
Oth
er
rev
en
ue
2 6 32
1
2 -- 33
1
Re
ve
nu
e
3,
955
6,
167
9,
494
968 0 20,
584
€ i
illio
n m
ns
H1
/20
22
Fre
ius
sen
i
Kab
Fre
ius
sen
ios
Hel
Fre
ius
sen
ical
Ca
Med
re
Fre
ius
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
3,
704
839
5,
8,
963
909 1 19,
6
41
the
f re
of s
ice
reo
ven
ue
erv
s
40 5,
832
7,
132
676 1 13,
68
1
f re
of
rvic
the
du
d r
ela
ted
cts
reo
ven
ue
pro
an
se
es
659
3,
-- 1,
83
1
-- -- 5,
49
0
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- -- 233 -- 233
f fu
fro
ith
the
rth
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
5 7 -- -- -- 12
Oth
er
rev
en
ue
3 5 31
1
3 -- 322
Re
ve
nu
e
3,
707
5,
844
9,
274
912 1 19,
738

Other revenue includes revenue from insurance and lease contracts.

6. RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €399 million (H1 / 2022: €381 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €21 million (H1/ 2022: €12 million). The expenses for the further development of the Biopharma business included in the research and development expenses amounted to €83 million in the first half of 2023 (H1/2022: €74 million).

7. TAXES

During the first half 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.

8. EARNINGS PER SHARE

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

H1
/
202
3
H1
/20
22
€ i
illi
Nu
rat
me
ors
n m
on
s
,
Ne
t in
ttri
but
ab
le t
com
e a
o
of
sha
reh
old
ers
Fre
ius
SE
&C
KG
aA
sen
o.
42
6
796
ffe
ct f
di
ion
les
lut
du
e to
s e
rom
Fre
ius
M
ed
ica
l C
sh
sen
are
are
s
-- --
vai
Inc
lab
le t
om
e a
o
all
ord
ina
sha
ry
res
42
6
796
mi
in
of
De
mb
sha
nat
no
ors
nu
er
res
We
ig
hte
d a
mb
of
ver
age
nu
er
ina
ing
ord
sha
nd
tsta
ry
res
ou
563
237
277
,
,
559
29
1,
332
,
Pot
iall
dil
utiv
ent
e
y
ina
ord
sha
ry
res
-- --
We
ig
hte
d a
mb
of
ord
ina
ver
age
nu
er
ry
sha
nd
ing
ing
di
lut
ion
tsta
res
ou
as
sum
563
237
277
,
,
559
29
332
1,
,
sic
rni
in €
Ba
sha
ea
ng
s p
er
re
6
0.7
1.4
2
Fu
lly
dil
d e
ing
sha
in €
ute
arn
s p
er
re
0.7
6
1.4
2

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

9. TRADE ACCOUNTS AND OTHER RECEIVABLES

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

Jun
e 3
0,
202
3
De
ber
31
202
2
cem
,
€ i
illio
n m
ns
the
reof
dit
cre
imp
aire
d
the
reof
dit
cre
imp
aire
d
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
8,
177
825 7,
48
0
755
les
llow
for
ted
ed
it lo
s a
anc
es
ex
pec
cr
sse
s
552 41
8
47
2
35
7
cei
Tra
de
d o
the
ble
nts
et
acc
ou
an
r re
va
s, n
625
7,
40
7
7,
008
39
8

Within trade accounts and other receivables (before allowances) as of June 30, 2023, €7,954 million (December 31, 2022: €7,275 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €550 million (December 31, 2022: €470 million) of allowances for expected credit losses. Further trade accounts and other receivables, net, relate to other revenue.

10. INVENTORIES

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

€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
. 31
, 20
22
ria
Raw
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
1,
303
1,
200
Wo
rk
in
pro
ces
s
45
8
46
7
Fin
ish
ed
ds
goo
3,
424
3,
30
9
les
s r
ese
rve
s
167 143
ori
Inv
ent
t
es,
ne
5,
018
4,
833

11. OTHER CURRENT AND NON-CURRENT ASSETS

At equity investments as of June 30, 2023 in the amount of €716 million (December 31, 2022: €793 million) mainly related to the equity method investee of Fresenius Medical Care named Vifor Fresenius Medical Care Renal Pharma Ltd. In the first half of 2023, income of €75 million (H1/ 2022: €30 million) resulting from this equity investment was included in selling, general and administrative expenses in the consolidated statement of income.

12. GOODWILL

The carrying amount of goodwill has developed as follows:

€ i
illio
n m
ns
Fre
ius
sen
Kab
i
Fre
ius
sen
Hel
ios
Fre
ius
sen
Med
ical
Ca
re
Fre
ius
sen
Vam
ed
Cor
ate
por
Fre
ius
sen
Gro
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
dit
ion
Ad
s
653 167 702 14 -- 6
1,
53
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,
26
1
9,
073
15,
79
1
313 6 31,
444
Ad
dit
ion
s
-- 2 3 1 -- 6
Dis
als
pos
-- -4 -48 -- -- -52
Im
irm
lo
ent
pa
ss
-- -- -2 -- -- -2
eig
ati
For
nsl
tra
n c
urr
enc
y
on
-81 -2 -32
1
1 -- -40
3
Ca
ing
of
Jun
e 3
0,
202
3
nt
rry
am
ou
as
6,
180
9,
069
15,
42
3
315 6 30,
993

The decrease of goodwill mainly relates to foreign currency translation.

In connection with the implementation of the new global operating models at Fresenius Medical Care and 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 future business developments compared with the previous assumptions. One exception is the business segment Fresenius Vamed whose business results declined

in the second quarter of 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) used for the impairment tests decreased from 5.65% to 5.32%. As a result, no impairments of goodwill have been recognized.

13. DEBT

SHORT-TERM DEBT

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

Bo
ok
val
ue
€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
130 80
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
Co
ial
Pap
sen
are
o.
mm
erc
er
834 49
7
Oth
sho
de
bt
rt­t
er
erm
178 279
Sh
de
bt
ort
-te
rm
1,
142
856

LONG-TERM DEBT

As of June 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
Jun
e 30
, 20
23
Dec
ber
31,
202
2
em
Sch
uld
sch
ein
Lo
ans
1,
96
1
1,
592
Loa
n f
th
e E
n I
Ba
nk
stm
ent
rom
uro
pea
nve
40
0
40
0
Ac
Re
cei
vab
le F
aci
lity
of
Fr
niu
s M
ed
ica
l C
nts
cou
ese
are
-- 94
Oth
er
835 749
Su
bto
tal
3,
196
2,
835
les
rtio
ent
s c
urr
po
n
730 669
Lo
de
bt,
le
rtio
-te
nt
ng
rm
ss
cu
rre
po
n
2,
46
6
2,
166

Schuldschein Loans

As of June 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
Jun
e 30
, 20
23
Dec
. 31
, 20
22
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
Fre
ius
SE
&C
KG
aA
20
19
/20
23
sen
o.
€2
64
mi
llio
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%
114 114
ius
SE
&C
KG
Fre
aA
20
17
/20
24
sen
o.
46
mi
llio
€2
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
4.4
0%
/
iab
le
var
30
9
--
ius
SE
&C
KG
26
Fre
aA
20
19
/20
sen
o.
mi
llio
€2
38
n
Se
6
t. 2
3,
202
p
iab
0.8
5%
/
le
var
238 238
Fre
ius
SE
&C
KG
aA
20
17
/20
27
sen
o.
€2
07
mi
llio
n
Jan
. 29
202
7
,
1.9
6%
/
iab
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 --
ius
SE
&C
KG
Fre
aA
20
19
/20
29
sen
o.
illio
€8
4 m
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 --
ius
US
Fi
16
Fre
II,
Inc
. 20
/20
23
sen
nan
ce
\$
US
mi
llio
43
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
5 m
illio
n
Feb
. 14
202
7
,
iab
le
var
25 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
200 200
Sc
hu
lds
che
in
Loa
ns
1,
96
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 June 30, 2023, the fixed tranche of €114 million of Fresenius SE&Co. KGaA's Schuldschein Loans due on September 25, 2023 and the fixed tranche of €246 million of Fresenius SE&Co. KGaA's Schuldschein Loans due on January 31, 2024, are shown as current portion of longterm 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 facilities of Fresenius SE&Co. KGaA and Fresenius Medical Care AG &Co. KGaA in the amount of €2.0 billion each which were entered into in July 2021 serve as backup lines. On June 2, 2023, both syndicated credit facilities were extended an additional year until July 1, 2028, with a maximum available borrowing amount of €1.9 billion each in the last year. They were undrawn as of June 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 June 30, 2023, the available borrowing capacity resulting from unutilized credit facilities was approximately €6.4 billion. Thereof, €4.0 billion related to the syndicated credit facilities and approximately €2.4 billion for bilateral facilities with commercial banks.

14. BONDS

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

Not
iona
l am
t
oun
Mat
urit
y
Bo
ok
val
ue
€ i
illio
n m
ns
Inte
rest
rat
e
Jun
e 30
, 20
23
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
8
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
%
6
49
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
5
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%
650 649
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%
49
9
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%
49
7
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
%
59
7
6
59
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
%
745 745
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%
49
8
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
747 747
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%
36
8
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%
454 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
%
913 930
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
%
777 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%
59
1
602
Bo
nd
s
16,
93
1
16,
978

As of June 30, 2023, the bonds issued by Fresenius Medical Care AG&Co. KGaA in the amount of €650 million, which are due on November 29, 2023 and the bonds issued by

Fresenius Finance Ireland PLC in the amount of €700 million, which are due on January 30, 2024 as well as 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.

15. CONVERTIBLE BONDS

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

Bo
ok
€ i
n m
val
ue
illio
ns
iona
Not
l am
t
oun
urit
Mat
y
Cou
pon
Cur
t
ren
ion
pric
con
vers
e
Jun
e 30
, 20
23
Dec
ber
31,
202
2
em
ius
SE
&C
KG
Fre
aA
20
17
/20
24
sen
o.
mi
llio
€5
00
n
Jan
. 31
202
4
,
0.0
00
%
.06
€1
03
31
49
5
49
1
Co
rtib
le b
ds
nve
on
495 49
1

The fair value of the derivative embedded in the convertible bonds of Fresenius SE&Co. KGaA was €0 and €9 thousand at June 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 June 30, 2023, the convertible bonds are shown as current portion of convertible bonds in the consolidated statement of financial position.

16. NONCONTROLLING INTERESTS

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

€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
. 31
, 20
22
olli
int
in
No
ntr
sts
nco
ng
ere
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
sen
are
o.
9,
176
9,
48
9
olli
int
No
ntr
sts
nco
ng
ere
in V
AM
ED
Ak
tie
sel
lsc
haf
t
nge
-18 76
olli
int
No
ntr
sts
nco
ng
ere
in t
he
bus
ine
nts
ss
seg
me
ius
ica
l C
Fre
M
ed
sen
are
1,
40
2
46
1,
0
Fre
ius
Ka
bi
sen
599 602
Fre
ius
He
lios
sen
163 155
Fre
ius
Va
d
sen
me
22 21
ing
in
To
tal
oll
ntr
ter
est
no
nco
s
11,
344
11,
803

For further financial information relating to Fresenius Medical Care see the consolidated segment reporting on pages 44 and 45.

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.

17. 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 half of 2023, no stock options were exercised. Consequently, as of June 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 22, 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 half of 2023. It was composed as follows as of June 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
735
083
4,
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
ck
Op
tio
n P
lan
20
08
(ex
ire
d)
p
3,
2,
937
45
Co
nd
itio
nal
Ca
ital
III
tio
n b
bo
nds
p
op
ear
er
and
/or
rtib
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
ck
Op
tio
n P
lan
20
13
22,
824
857
,
To
tal
Co
nd
itio
nal
Ca
ita
l as
of
Ju
30,
20
23
p
ne
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

18. 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. Legal matters that the Fresenius Group currently deems to be material or noteworthy are described below. 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. For the other matters described below, the Fresenius Group believes that the loss is not probable and/ or the loss or range of possible losses cannot be reasonably estimated at this time. The outcome of litigation and other legal matters is always 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. In the following, only changes as far as content or wording are concerned during the first half ended June 30, 2023 compared to the information provided in the consolidated financial statements are described. These changes should be read in conjunction with the overall information in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS; defined terms or abbreviations having the same meaning as in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS.

INTERNAL REVIEW /FCPA COMPLIANCE

The United States Department of Justice (DOJ) and the Securities and Exchange Commission (SEC) have accepted the Monitor's certification and the non-prosecution agreement (NPA) with the DOJ and the separate agreement with the SEC (SEC Order) expired on March 1, 2023 and March 29, 2023, respectively.

PRODUCT LIABILITY LITIGATION

Trial on the remaining issue is scheduled to begin March 11, 2024. Both parties have preserved appeals from the court's summary judgment rulings.

SUBPOENA ''MARYLAND'' Relator has filed an appeal.

SUBPOENA ''FRESENIUS VASCULAR CARE'' (AAC) Fresenius Medical Care Holding Inc. (FMCH) will defend the allegations asserted in the litigation now proceeding.

HBDI REQUEST

FMC-AG&Co. KGaA is committed to comply with the Hessen Data Protection Authority's (Hessischer Beauftragter für Datenschutz und Informationsfreiheit or HBDI) request in good faith and cooperate with them, and it is working to provide the relevant information. Additionally, FMC-AG&Co. KGaA is fully committed to safeguarding and protecting patients' privacy as per applicable laws and privacy-by-design standards, as well as to improve the devices continuously, considering technical, regulatory and privacy requirements.

19. FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

Carrying amounts of financial instruments

As of June 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:

Jun
e 3
0,
202
3
Re
lati
to
cat
ng
no
ego
ry
€ i
illio
n m
ns
Car
ryin
t
g am
oun
Am
orti
zed
t
cos
Fair
val
ue t
hro
ugh
pro
1
fit a
nd
loss
Fair
val
hro
ugh
ue t
oth
er
sive
hen
com
pre
me2
inco
Der
ivat
ives
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
Val
ion
uat
ord
ing
to
acc
IFR
S 1
6 fo
r
leas
ing
ivab
les
and
rece
liab
ilitie
s
Val
uati
f co
on o
n
tinu
ing
invo
lve
t
men
Fin
cia
l as
set
an
s
Ca
sh
and
sh
iva
len
ts
ca
equ
2,
47
1
2,
045
42
6
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
,
625
7,
25
7,
7
264 4 86 14
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
85 85
3
Oth
fin
ial
ets
er
anc
ass
2,
912
2,
035
297 43
7
26 117
Fin
cia
l as
set
an
s
13,
093
11,
42
2
987 44
1
26 -- 203 14
Fin
cia
l li
ab
ilit
ies
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
925
1,
925
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
84 84
Sh
de
bt
ort
-te
rm
1,
142
1,
142
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
14 14
Lon
m d
ebt
ter
g-
3,
196
3,
196
liab
ilit
ies
Lea
se
6,
40
5
6,
40
5
Bo
nds
16,
93
1
16,
93
1
Co
rtib
le b
ond
nve
s
49
5
49
5
4
Oth
fin
ial
liab
ilit
ies
er
anc
297
5,
2,
710
646 21 896
1,
24
Fin
cia
l lia
bil
itie
an
s
35
48
9
,
26,
49
7
646 -- 21 1,
896
6,
405
24

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 €91 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 June 30, 2023 and December 31, 2022:

Jun
e 3
0,
202
3
De
ber
31
202
2
cem
,
€ i
illio
n m
ns
Fai
alu
r v
e
Fai
lue
r va
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
sh
and
sh
iva
len
ts
ca
equ
42
6
42
6
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
,
268 268 27
1
27
1
1
Oth
fin
ial
ets
er
anc
ass
De
bt
ins
tru
nts
me
45
0
45
0
44
5
44
5
uity
in
Eq
tm
ent
ves
s
219 48 104 67 224 36 103 85
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
26 26 21 21
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
65 65 37 37
Fin
cia
l li
ilit
ies
ab
an
Lon
m d
ebt
ter
g-
196
3,
3,
152
2,
835
2,
770
Bo
nds
16,
93
1
15,
289
16,
978
14,
872
Co
rtib
le b
ond
nve
s
49
5
48
8
49
1
48
1
1
Oth
fin
ial
liab
ilit
ies
er
anc
Put
tio
n l
iab
ilit
ies
op
1,
896
1,
896
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
623 623 633 633
De
riva
tive
s d
esi
d a
ash
flo
w h
edg
ing
in
ate
str
ent
gn
s c
um
s
21 21 11 11
riva
tive
ign
ing
in
De
des
d a
s h
edg
ot
ate
str
ent
s n
um
s
23 23 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 in-

struments 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 half of 2023:

€ i
illio
n m
ns
ity i
Equ
stm
ents
nve
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
As
of
Ja
202
3
1,
nu
ary
85 633 2,
005
Ad
dit
ion
s
4 1 18
Dis
als
pos
-- -15 -36
Ga
in/
los
ize
d i
rof
it o
r lo
s r
eco
gn
n p
ss
-21 5 0
Ga
in/
ize
d i
ity
los
s r
eco
gn
n e
qu
-- 1 -65
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
-1 -2 -26
As
of
Ju
30,
20
23
ne
67 623 1,
896

20. INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of June 30, 2023, the equity ratio was 41.1% and the debt ratio (debt / total assets) was 36.9%. As of June 30, 2023, the leverage ratio (before special items) on the basis of net debt/EBITDA, calculated on the basis of closing rates, was 3.85 (December 31, 2022: 3.64).

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:

Jun
e 30
, 20
23
Dec
. 31
, 20
22
Sta
rd&
r's
nda
Poo
Co
e C
red
it R
ati
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
ativ
neg
e
ativ
neg
e

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

21. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting tables shown on pages 44 and 45 of this interim report are an integral part of the notes.

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

The column Corporate 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 includes intersegment consolidation adjustments as well as all special items (see note 4, Special items).

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.

RECONCILIATION OF KEY FIGURES TO

CONSOLIDATED EARNINGS

€ i
illio
n m
ns
H1
/
202
3
H1
/20
22
of
ing
To
tal
EB
IT
ort
ent
rep
se
gm
s
1,
904
2,
044
Sp
eci
al i
tem
s
-53
4
-25
6
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e (
EB
IT)
rat
rpo
-40 -41
Gr
EB
IT
ou
p
1,
33
0
1,
747
Ne
t in
ter
est
-35
4
-23
4
inc
Inc
e b
efo
e t
om
re
om
axe
s
976 1,
513

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Jun
e 30
, 20
23
Dec
. 31
, 20
22
Sh
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22. SHARE-BASED COMPENSATION PLANS

SHARE-BASED COMPENSATION PLANS OF FRESENIUS SE &CO. KGAA

As of June 30, 2023, Fresenius SE&Co. KGaA had two sharebased 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 and the Long Term Incentive Plan 2018 (LTIP 2018) which is solely based on performance shares.

Transactions during the first half of 2023

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

At June 30, 2023, 3,528,280 stock options issued under the 2013 LTIP were outstanding and exercisable. The members of the Fresenius Management SE Management Board held 461,250 stock options. At June 30, 2023, the Management Board members of Fresenius Management SE held 402,431 performance shares and employees of Fresenius SE & Co. KGaA held 2,471,468 performance shares under the LTIP 2018.

SHARE-BASED COMPENSATION PLANS OF FRESENIUS MEDICAL CARE AG&CO. KGAA

On March 1, 2023, 276,587 performance shares with a total fair value of €9 million were allocated under the Management Board Long Term Incentive Plan 2020 to the members of the Management Board and to certain former members of the Management Board. Of this number, 212,148 performance shares with a total fair value of €7 million relate to members of the Management Board and 64,439 performance shares with a total fair value of €2 million relate to certain former members of the Management Board. These amounts will be amortized over the three-year vesting period. The weighted average fair value per performance share at the allocation date was €32.16.

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

Bad Homburg v. d. H., August 4, 2023

Fresenius SE&Co. KGaA, represented by: Fresenius Management SE, its general partner

The Management Board

H. Giza S. Hennicken Dr.M. Moser

23. SUBSEQUENT EVENTS

On July 14, 2023, an Extraordinary General Meeting of Fresenius Medical Care AG&Co. KGaA has approved the proposal of conversion of the legal form into a German stock corporation. The resulting changes are described in note 1. I., Group structure.

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 half of 2023. There have been no significant changes in the Fresenius Group's operating environment following the end of the first half of 2023.

24. 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).

M. Sen P. Antonelli Dr.S. Biedenkopf Dr.F. De Meo

RESPONSIBILITY STATEMENT

''To the best of our knowledge, and in accordance with the applicable reporting principles for interim financial reporting, the interim consolidated financial statements give a

true and fair view of the assets, liabilities, financial position and profit or loss of the Group, and the interim Group management report includes a fair review of the development and performance of the business and the position of the

Group, together with a description of the principal opportunities and risks associated with the expected development of the Group for the remaining months of the financial year.''

Bad Homburg v. d. H., August 4, 2023

Fresenius SE&Co. KGaA, represented by: Fresenius Management SE, its general partner

The Management Board

M. Sen P. Antonelli Dr.S. Biedenkopf Dr.F. De Meo

H. Giza S. Hennicken Dr.M. Moser

REPORT AFTER REVIEW

To Fresenius SE&Co. KGaA, Bad Homburg v. d. Höhe

We have reviewed the condensed consolidated interim financial statements - comprising the consolidated statement of financial position, consolidated statement of income, consolidated statement of comprehensive income, consolidated statement of cash flows, consolidated statement of changes in equity and selected explanatory notes - and the interim group management report of Fresenius SE&Co. KGaA, Bad Homburg v. d. Höhe, for the period from 1 January 2023 to 30 June 2023 which are part of the half-year financial report pursuant to § [Article] 115 WpHG [Wertpapierhandelsgesetz: German Securities Trading Act]. The preparation of the condensed consolidated interim financial statements in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and of the interim group management report in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports is the responsibility of the Management Board of Fresenius Management SE (the general partner). Our responsibility is to issue a review report on the condensed consolidated interim financial statements and on the interim group management report based on our review.

We conducted our review of the condensed consolidated interim financial statements and the interim group management report in accordance with German generally accepted standards for the review of financial statements promulgated by the Institut der Wirtschaftsprüfer [Institute of Public Auditors in Germany] (IDW) and additionally observed the International Standard on Review Engagements "Review of Interim Financial Information Performed by the Independent Auditor of the Entity" (ISRE 2410). Those standards require that we plan and perform the review so that we can preclude through critical evaluation, with moderate assurance, that the condensed consolidated interim financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports. A review is limited primarily to inquiries of company personnel and analytical procedures and therefore does not provide the assurance attainable in a financial statement audit. Since, in accordance with our engagement, we have not performed a financial statement audit, we cannot express an audit opinion.

Based on our review, no matters have come to our attention that cause us to presume that the condensed consolidated interim financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU nor that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports.

Frankfurt am Main, August 4, 2023

PricewaterhouseCoopers GmbH Wirtschaftsprüfungsgesellschaft

(Original German Version signed by:)

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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, Dr. Francesco De Meo, Helen Giza, Sara Hennicken, 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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