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Fresenius SE & Co. KGaA

Quarterly Report May 11, 2023

166_10-q_2023-05-11_0948235a-d5c1-4a79-b428-06dcecb13f22.pdf

Quarterly Report

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QUARTERLY FINANCIAL REPORT

Q1 | 2023

TABLE OF CONTENTS

- 5 Strategy and goals

  • 11 Results of operations, financial position, assets and liabilities 24 Subsequent events 41 Notes
    -
    -
    -
  • 15 Investments
  • 15 Cash flow
  • 16 Asset and liability structure

17 Business segments

-

-

-

  • 24 Rating
  • 9 Healthcare industry 24 Oppotunities and risk report
    -
  • 11 Revenue 25 Outlook 2023
  • 12 Earnings 28 Reconciliation tables

3 Fresenius Group figures at a glance 17 Fresenius Medical Care 33 Consolidated financial statements

  • 19 Fresenius Kabi 33 Consolidated statement of income
  • 21 Fresenius Helios 34 Consolidated statement of comprehensive income
  • 4 Shareholder information 22 Fresenius Vamed 35 Consolidated statement of financial position
    • 23 Employees 36 Consolidated statement of cash flows
    • 23 Changes to the Management Board 38 Consolidated statement of changes in equity
  • 5 Management Report 23 Research and development 40 Consolidated segment reporting first quarter of 2023

14 Reconciliation 62 Financial Calendar

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
Q1
/20
23
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
10,
225
5% 5%
IT1
EB
908 -9% 2
-11
%/
-10
%
in1
EB
IT
ma
rg
8.9
%
1
EB
IT
FM
C
ex
554 -7% -7%
3
EB
IT
in e
x F
MC
ma
rg
10.
0%
1,4
Ne
t in
com
e
38
9
-16
%
-17
%

BALANCE SHEET

€ i
illio
n m
ns
Ma
rch
31
, 20
23
Dec
. 31
, 20
22
Cha
nge
To
tal
ets
ass
76,
553
76,
41
5
0%
5
Eq
uity
32,
173
32,
218
0%
5
uity
tio
Eq
ra
42
.0%
42
.2%
1,6
Ne
t d
ebt
/E
BIT
DA
3.7
9
3.6
5

PROFITABILITY

Q1
/20
23
Q1
/20
22
Ca
sh
Co
rsio
n R
(C
CR
);
LT
M
ate
nve
1.1 1.0
1,4,7
Ret
uity
af
x (
RO
E)
ter
ta
urn
on
eq
8.1
%
8.5
%
1,7
Ret
tin
ts (
RO
OA
)
urn
on
op
era
g a
sse
5.5
%
5.7
%
1,7
in
ita
OIC
Ret
ted
l (R
)
urn
on
ves
ca
p
4.8
%
5.1
%

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

7 2022: annual return FY/22

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

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

SHAREHOLDER INFORMATION

Despite slight economic improvements in the first quarter of 2023, macroeconomic effects and ongoing geopolitical tensions continue to burden the market environment. Overall, the DAX gained 11% in the first three months, while the Fresenius share closed -6% lower at €24.85.

KEY DATA OF THE FRESENIUS SHARE

Q1
/20
23
202
2
Gro
wth
Nu
mb
of
sha
(M
31
/D
31
)
er
res
ar.
ec.
563
237
277
,
,
563
237
277
,
,
0%
n1
Sto
tio
in €
ck
han
ota
exc
ge
qu
Hig
h
29
.08
37
.88
-23
%
Low .46
23
20
.04
17
%
Per
iod
d q
ati
clo
sin
ric
e in

uot
-en
on
g p
24
.85
26
.25
-5%
Ø T
rad
ing
lum
e (
mb
of
sha
ad
ing
da
)
r tr
vo
nu
er
res
pe
y
1,
36
7,
174
1,
59
0,
013
-14
%
2 in
Ma
rke
ital
iza
tio
illio
n €
(M
31
/D
31
)
t ca
p
n
m
ar.
ec.
13,
996
785
14,
-5%

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 QUARTER

While the first quarter of 2023 was characterized by slightly positive economic signals in the global economy, increased energy prices across Europe compared to the previous year and ongoing geopolitical tensions continue to burden the market environment. Despite the lasting difficult market environment in the first quarter of 2023, current ECB forecasts expect GDP growth of 1.0% for the year 2023. In May 2023, the ECB decided to raise the benchmark interest rate in the eurozone by another 25 basis points to 3.75%.

The Federal Reserve expects the US economy to grow by 0.4% in 2023, according to its latest forecast. In May 2023, the Federal Reserve decided to increase its benchmark interest rate range by another 25 basis points to 5.00% to 5.25%.

In this economic environment, the DAX increased by 11% in the first quarter of 2023 to 12,784 points. The Fresenius share saw a decline of 6% and closed at €24.85 on March 31, 2023.

INTERIM MANAGEMENT REPORT

Fresenius executing on #FutureFresenius: Strong performance of Operating Companies in Q1/ 23 and structural simplification on track

  • ► Deconsolidation of Fresenius Medical Care moving ahead as planned
  • ► Group Revenue increased by 5% to €10.2 billion driven by a broad-based positive performance across the Group
  • ► Group EBIT in constant currency decreased by 10%1 to €908 million in line with expectations. EBIT development of Operating Companies was broadly flat despite negative effects from inflation; Investment Companies clearly dilutive
  • ► Fresenius Kabi with EBIT margin of 14.5% already within structural band
  • ► Enhanced transparency with change of Fresenius Kabi's financial disclosure from a geographic to a product segment view
  • ► Fresenius Helios with healthy organic revenue growth driven by increasing admissions
  • ► Structural productivity savings ramping up, ~€130 million already achieved in Q1 / 23
  • ► Group outlook 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. 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. Our goal is 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.

We have lived up to our special responsibility as part of the healthcare system, even under the difficult circumstances of the COVID-19 pandemic, major disruptions in the global supply chains, and shortages of critical medical staff in many of the regions in which we are active.

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

Fresenius 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 busi-nesses (''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 2022, 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. The separation concept has been finalized and the relevant agreements are currently being drafted. The date of the Extraordinary General Meeting (EGM) of Fresenius Medical Care has been scheduled for July 14, 2023. Subject to the necessary shareholder approvals and the registration with the commercial register, the conversion is expected to become effective latest by the end of the 2023financial year.

Moreover, starting in 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.

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

Under the cost and efficiency program, ~€130 million of structural cost savings at EBIT level were already achieved in Q1/ 23, that is around 25% of the planned savings for 2023. In the same period, one-time costs of ~€50 million incurred to achieve these savings. These are treated as special items. Thereof, Fresenius Medical Care invested €26 million and realized ~€60 million of cost savings.

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 hastaken 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.

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 an integral part of its business model. 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 Fresenius Group Sustainability Board (GSB) held four meetings to discuss the implementation of regulatory requirements, in particular the EU taxonomy and the Supply Chain Sourcing Obligations Act and the EU's Corporate Sustainability Reporting Directive (CSRD). Furthermore, the internal quarterly reporting of ESG key figures as part of the Management Board compensation system was driven forward and work was done on setting quantitative sustainability targets. In addition, for the first time, Fresenius conducted an employee survey in the past fiscal year, among other things on employee identification and loyalty to the employer. In December 2022, we were again included in the Dow Jones Sustainability Index (DJSI Europe).

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.

RESULTSOF OPERATIONS, FINANCIAL POSITION, ASSETS AND LIABILITIES

REVENUE

Group revenue increased by 5% (5% in constant currency) to €10,225 million (Q1/ 22: €9,720 million). Organic growth was 5%. Acquisitions /divestitures contributed net 0% to growth. In total, currency translation had no effect on revenue growth. Excluding Fresenius Medical Care,

Group revenue increased by 7% (7% in constant currency) to €5,546 million (Q1/ 22: €5,192 million).

REVENUE BY REGION

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
Cur
ren
cy
slat
ion
tran
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
reve
nue
wth
gro
uisi
tion
Acq
s
Div
esti

Oth
ture
/
s
ers
% o
tal reve
f to
nue
No
rth
Am
eri
ca
3,
894
3,
759
4% 5% -1% 0% 0% -1% 38
%
Eu
rop
e
4,
655
4,
38
1
6% 0% 6% 6% 0% 0% 46
%
ia-
ific
As
Pac
1,
030
1,
004
3% -2% 5% 5% 1% -1% 10
%
Lat
in A
ric
me
a
54
6
47
2
16
%
-14
%
30
%
26
%
4% 0% 5%
Afr
ica
100 104 -4% -4% 0% 1% 0% -1% 1%
To
tal
10,
225
9,
720
5% 0% 5% 5% 1% -1% 100
%

REVENUE BY BUSINESS SEGMENT

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
Cur
ren
cy
ion
tran
slat
effe
cts
Gro
wth
at
stan
t ra
tes
con
Org
anic
reve
nue
wth
gro
Acq
uisi
tion
s
Div
esti

/
Oth
ture
s
ers
f to
% o
tal reve
1
nue
Fre
ius
Ka
bi
sen
1,
99
1
1,
847
8% 0% 8% 7% 2% -1% 19
%
Fre
ius
He
lios
sen
3,
066
2,
93
1
5% 0% 5% 5% 0% 0% 30
%
Fre
ius
sen
Me
dic
al C
are
4,
704
4,
54
8
3% 1% 2% 2% 0% 0% 46
%
Fre
ius
Va
d
sen
me
583 513 14
%
1% 13
%
13
%
0% 0% 5%
To
tal
10,
225
9,
720
5% 0% 5% 5% 1% -1% 100
%

EARNINGS

Group EBITDA before special items decreased by 5% (-6% in constant currency) to €1,585 million (Q1/ 222: €1,662 million). Reported Group EBITDA was €1,491 million (Q1/ 22: €1,595 million).

Group EBIT before special items decreased by 9% (-11%/-10%3 in constant currency) to €908 million (Q1/ 222: €1,000 million). The decrease was mainly driven by the expected annualization of inflationary effects such as cost increases for personnel, material, logistics, and energy. This is due to the fact that H2/ 2022 showed stronger cost inflation compared to H1/ 2022. Moreover, a very negative performance at Fresenius Vamed weighed on Group EBIT. The EBIT margin before special items was 8.9% (Q1/ 222: 10.3%). Reported Group EBIT was €787 million (Q1/ 22: €902 million). Excluding Fresenius Medical Care, Group EBIT before special items decreased by 7% (-7% in constant currency) to €554 million (Q1/ 222: €593 million). The EBIT margin excluding Fresenius Medical Care before special items was 10.0% (Q1/ 222: 11.4%).

Group net interest before special items was -€170 million (Q1/ 222: -€119 million) mainly due to financing activities in a higher interest rate environment. Reported Group net interest was -€170 million (Q1/ 22: -€118 million).

EARNINGS

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
Re
ven
ue
10,
22
5
9,
72
0
5%
Co
of
sts
re
ven
ue
-7,
714
246
-7,
-6%
Gr
ofi
t
oss
pr
2,
51
1
2,
474
1%
Se
llin
mi
nis
tive
al a
nd
ad
tra
g,
ge
ner
ex
pen
ses
-1,
52
6
-1,
393
-10
%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-19
8
-17
9
-11
%
tin
inc
Op
e (
EB
IT)
era
g
om
787 902 -13
%
Int
lt
st r
ere
esu
0
-17
8
-11
-44
%
Fin
cia
l re
sul
t
an
-17
0
-11
8
-44
%
efo
inc
Inc
e b
e t
om
re
om
axe
s
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7
78
4
-21
%
Inc
e ta
om
xes
-15
4
-18
5
17
%
t in
Ne
com
e
463 59
9
-23
%
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olli
int
ntr
sts
nco
ng
ere
-11
7
-18
6
37
%
1,2
t in
ibu
ius
Ne
tab
le t
o F
SE
&C
KG
aA
ttr
com
e a
res
en
o.
38
9
463 -16
%
1
Ne
t in
ttri
but
ab
le t
o F
ius
SE
&C
KG
aA
com
e a
res
en
o.
34
6
3
41
-16
%
1,2
rni
ina
(€)
Ea
ord
sha
ng
s p
er
ry
re
0.6
9
0.8
3
-17
%
1,2
Fu
lly
dil
d e
ing
ord
ina
sha
(€)
ute
arn
s p
er
ry
re
0.6
9
0.8
3
-17
%
1
rni
ina
Ea
ord
sha
(€)
ng
s p
er
ry
re
0.6
1
0.7
4
-18
%
1
Fu
lly
dil
d e
ing
ord
ina
sha
(€)
ute
arn
s p
er
ry
re
0.6
1
0.7
4
-18
%
Av
mb
of s
har
era
ge
nu
er
es
563
237
277
,
,
55
8,
502
143
,
1%
2
EB
ITD
A
1,
585
1,
662
-5%
2
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
677 662 2%
2
EB
IT
908 000
1,
-9%
2
EB
ITD
A m
in
arg
15.
5%
17.
1%
2
EB
IT
in
ma
rg
8.9
%
10.
3%

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

12

Group tax rate before special items increased to 24.9% (Q1/ 221: 22.7%) mainly due to an increase in the proportionate share of non-tax-deductible expenses compared to taxable income at Fresenius Medical Care as well as the non-recognition of increased tax loss carryforwards. Reported Group tax rate was 25.0% (Q1/ 22: 23.6%).

Noncontrolling interests before special items were -€165 million (Q1/ 221: -€218 million) of which 93% were attributable to the noncontrolling interests in Fresenius Medical Care. Reported noncontrolling interests were -€117 million (Q1/ 22: -€186 million).

Group net income2 before special items decreased by 16% (-17% in constant currency) to €389 million (Q1/ 221: €463 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 income2 before special items decreased to €346 million (Q1/ 22: €413 million). Excluding Fresenius Medical Care, Group net income2 before special items decreased by 14% (-16% in constant currency) to €341 million (Q1/ 221: €397 million).

Earnings per share2 before special items decreased by 17% (-18% in constant currency) to €0.69 (Q1/ 221: €0.83). Reported earnings per share2 were €0.61 (Q1/ 22: €0.74).

KEY FINANCIAL FIGURES EXCLUDING FRESENIUS MEDICAL CARE

(PR
O F
OR
MA
)
€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
Gro
wth
cc
Re
ven
ue
5,
54
6
5,
192
7% 7%
Fre
ius
Ka
bi
sen
1,
99
1
1,
847
8% 8%
Fre
ius
He
lios
sen
3,
066
2,
93
1
5% 5%
Fre
ius
Va
d
sen
me
583 513 14
%
13
%
Co
lida
tio
nso
n
-94 -99 5% 3%
Op
tin
inc
e (
EB
IT)
era
g
om
554 593 -7% -7%
Fre
ius
Ka
bi
sen
289 293 -1% -4%
Fre
ius
He
lios
sen
31
1
30
6
2% 2%
Fre
ius
Va
d
sen
me
-27 8 -- --
Co
rat
rpo
e
-19 -14 -36
%
-29
%
Fin
cia
l re
sul
t
an
-87 -50 -74
%
-78
%
inc
Inc
e b
efo
e t
om
re
om
axe
s
46
7
543 -14
%
-15
%
Inc
e ta
om
xes
-11
4
-12
0
5% 5%
t in
Ne
com
e
353 423 -17
%
-18
%
les
llin
int
tro
sts
s n
on
con
g
ere
-12 -26 54
%
54
%
4
Res
ult
Eq
uity
M
eth
od
Fre
ius
M
edi
cal
Ca
sen
re
48 66 -27
%
-26
%
1,5
t in
Ne
com
e
38
9
463 -16
%
-17
%
EB
ITD
A
82
1
842 -2% -3%
EB
ITD
A m
in
arg
8%
14.
16.
2%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
267 249 7% 7%
EB
IT
in
ma
rg
10.
0%
11.
4%
Op
tin
ash
flo
era
g c
w
32 -58 -15
5%
%
of
as
rev
en
ue
0.6
%
-1.
1%
Ca
sh
flow
be
for
isit
ion
nd
div
ide
nds
e a
cqu
s a
-17
9
-25
4
-30
%
of
%
as
rev
en
ue
-3.
2%
9%
-4.
2,3
Ne
t d
ebt
/E
BIT
DA
6
3.9
3.8
0

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

  • 2 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisi-
  • tions /divestitures; before special items; including lease liabilities, including FME dividend 3 2022: December 31
  • 4 Before potential effects of updated Purchase Price Allocation
  • 5 Including at Equity result from FME before potential effects

of updated Purchase Price Allocation

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 Q1 / 2023 as well as Q1/ 2022 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),
  • ► transaction costs mAbxience, Ivenix,
  • ► impacts related to the war in Ukraine,
  • ► remeasurement Humacyte investment,
  • ► legal form conversion costs Fresenius Medical Care as well as
  • ► legacy portfolio adjustments

The special items shown within the reconciliation tables are reported in the ''Corporate'' segment. For a detailed overview of special items please see the reconciliation tables from page 28 onwards.

INVESTMENTS

INVESTMENTS/ACQUISITIONS BY BUSINESS SEGMENT

Spending on property, plant and equipment was €353 million corresponding to 3% of revenue (Q1/ 22: €338 million; 3% 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 €211 million corresponding to 4% of revenue (Q1/ 22: €176 million; 3% of revenue).

Total acquisition spending was €68 million (Q1/ 22: €162 million) mainly for investments in debt instruments and the purchase of dialysis clinics at Fresenius Medical Care. Excluding Fresenius Medical Care, total acquisition spending was €18 million (Q1/ 22: €79 million).

CASH FLOW

Group operating cash flow increased to €175 million (Q1/ 22: €101 million) driven by the governmental support on energy costs at Fresenius Helios in Germany. Significantly higher working capital at Fresenius Kabi in particular receivables and inventory weighed on cash flow. Furthermore, the earnings development at Fresenius Vamed had a negative impact. The first quarter is traditionally a softer cash flow quarter due to phasing effects with catchup effects over the course of the year. Group operating cash flow margin was 1.7% (Q1/ 22: 1.0%). Free cash flow before acquisitions and dividends increased to -€177 million (Q1/ 22: -€255 million). Free cash flow after acquisitions and dividends increased to -€281 million (Q1/ 22: -€403 million).

The cash conversion rate (CCR), which is defined as the ratio of adjusted free cash1 flow to EBIT before special items, was 0.3 (LTM: 1.1). As the first quarter is traditionally a softer cash flow quarter due to phasing effects a catch-up over the course of the year is expected.

€ in millions Q1 /2023 Q1 /2022 Thereof property, plant and equipment Thereof acquisitions Growth % of total Fresenius Kabi 93 86 78 15 8% 22% Fresenius Helios 99 151 99 0 -34% 23% Fresenius Medical Care 192 245 142 50 -22% 46% Fresenius Vamed 34 18 32 2 89% 8% Corporate 3 0 2 1 - 1% Total 421 500 353 68 -16% 100%

CASH FLOW STATEMENT (SUMMARY)

€ i
illio
n m
ns
Q1 /
202
3
Q1
/20
22
Gro
wth
Ne
t in
com
e
46
3
599 -23
%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
704 693 2%
Ch
ork
ing
ital
d o
the
ang
e w
ca
p
an
rs
-99
2
-1,
191
17
%
Op
tin
Ca
flo
sh
era
g
w
175 101 73
%
Ca
ital
dit
et
p
ex
pen
ure
, n
-35
2
-35
6
1%
isit
ion
div
ide
Ca
sh
flo
bef
nd
nd
w
ore
ac
qu
s a
s
-17
7
-25
5
31
%
Ca
sh
d f
uis
itio
/pr
eds
fro
m d
ive
stit
use
or
acq
ns
oce
ure
s
-51 -92 %
45
Div
ide
nds
id
pa
-53 -56 5%
flo
fte
uis
itio
ivid
Fre
ash
d d
ds
e c
w a
r a
cq
ns
an
en
-28
1
-40
3
30
%
Ca
sh
vid
ed
by
/us
ed
for
fin
ing
tiv
itie
pro
anc
ac
s
-10
3
-31
9
68
%
Eff
of
cha
ch
e in
sh
and
ect
tes
ex
nge
ra
on
ang
ca
h e
iva
len
ts
cas
qu
-44 35 --
e i
uiv
Ne
ha
ash
d c
ash
ale
t c
nts
ng
n c
an
eq
-42
8
-68
7
38
%

ASSET AND LIABILITY STRUCTURE

Group total assets remained nearly unchanged compared to FY/ 22 (1% in constant currency) at €76,553 million (Dec. 31, 2022: €76,415 million) given the expansion of business activities which, however, was offset by currency translation effects. Current assets increased by 5% (6% in constant currency) to €19,102 million (Dec. 31, 2022: €18,279 million), mainly driven by the increase of trade account receivables. Non-current assets decreased by 1% (0% in constant currency) to €57,451 million (Dec. 31, 2022: €58,136 million).

Total shareholders' equity decreased by 0% (2% in constant currency) to €32,173 million (Dec. 31, 2022: €32,218 million). The equity ratio was 42.0% (Dec. 31, 2022: 42.2%).

Group debt increased by 0% (1% in constant currency) to €27,765 million (Dec. 31, 2022: €27,763 million). Group net debt increased by 2% (2% in constant currency) to €25,444 million (Dec. 31, 2022: €25,014 million).

As of March 31, 2023, the net debt/EBITDA ratio was 3.79x1,2 (Dec. 31, 2022: 3.65x1,2) mainly driven by lower EBITDA contribution and higher net debt. Excluding Fresenius Medical Care, the net debt/EBITDA ratio was 3.96x1,2 (Dec. 31, 2022: 3.80x1,2).

In Q1/ 23, ROIC was 4.8% due to the lower EBIT (Q4/ 22: 5.1%). Excluding Fresenius Medical Care, the ROIC was 5.2% (Q4/ 22: 5.6%).

BALANCE SHEET

€ i
illio
n m
ns
Ma
rch
31
,
202
3
Dec
. 31
, 20
22
Cha
nge
As
set
s
Cu
nt
ets
rre
ass
19,
102
18,
279
5%
the
f tr
ade
cei
vab
les
nts
reo
ac
cou
re
7,
770
7,
008
11
%
the
f in
ies
tor
reo
ven
947
4,
833
4,
2%
the
f ca
sh
and
sh
uiv
ale
nts
reo
ca
eq
2,
32
1
2,
749
-16
%
No
ent
set
n-c
urr
as
s
57
45
1
,
136
58
,
-1%
the
f p
lan
nd
uip
ert
t a
nt
reo
rop
y, p
eq
me
12,
770
12,
919
-1%
the
f g
ood
wil
l an
d o
the
r in
ible
tan
set
reo
g
as
s
35,
294
35,
843
-2%
the
f ri
ht-
of-
set
reo
g
use
-as
s
806
5,
922
5,
-2%
To
tal
set
as
s
76,
553
76,
415
0%
Lia
bil
itie
uit
nd
sha
reh
old
' eq
s a
ers
y
Lia
bil
itie
s
44
38
0
,
44
197
,
0%
the
f tr
ade
ble
nts
reo
ac
cou
pa
ya
1,
998
2,
070
-3%
the
f a
ual
nd
oth
sho
lia
bil
itie
rt-t
reo
ccr
s a
er
erm
s
10,
800
10,
48
8
3%
the
f d
ebt
reo
27,
765
27,
763
0%
the
f le
lia
bili
tie
reo
ase
s
6,
45
9
6,
592
-2%
ing
in
No
oll
ntr
ter
est
nco
s
64
11,
1
11,
803
-1%
To
tal
Fr
niu
s S
E&
Co
. K
Ga
A s
ha
reh
old
' eq
uit
ese
ers
y
20,
532
20,
415
1%
uit
To
tal
sh
ho
lde
rs'
are
eq
y
32
173
,
32
21
8
,
0%
To
tal
lia
bil
itie
nd
sha
reh
old
' eq
uit
s a
ers
y
76,
553
76,
415
0%

1 At LTM average exchange rates for both net debt and EBITDA; pro forma closed acquisitions /divestitures 2 Before special items

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
Q1
/20
23
Q1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
1,
99
1
1,
847
8% 8%
IT1
EB
289 293 -1% -4%
in1
EB
IT
ma
rg
14.
5%
15.
9%
1,2
Ne
t in
com
e
191 20
1
-5% -7%
Em
loy
p
ees
(M
h 3
1/
De
c. 3
1)
arc
42
37
1
,
42
063
,
1%
  • ► Strong organic revenue growth in all three growth vectors
  • ► Biopharma with ongoing strong momentum
  • ► EBIT margin1 within structural margin band despite significantly increased year-over-year inflationary headwinds
  • ► Enhanced transparency by change of financial disclosure from a geographic to a product segment view

Revenue increased by 8% (8% in constant currency) to €1,991 million (Q1/ 22: €1,847 million) mainly driven by the strong business development of all growth vectors. Organic growth was 7%.

Revenue in MedTech increased by 11% (organic growth: 9%) to €378 million (Q1/ 22: €342 million) mainly driven by the good business development in Latin America.

Revenue in Nutrition increased by 4% (organic growth: 8%) to €602 million (Q1/ 22: €577 million) mainly driven by the good business development in Latin America and Europe.

Revenue in Biopharma increased by 207% (organic growth: 57%) to €71 million (Q1/ 22: €23 million) mainly driven by the good business development in Latin America.

Revenue of the Growth Vectors (MedTech, Nutrition and Biopharma) increased by 12% (organic growth: 10%) to €1,051 million (Q1/ 22: €942 million).

Revenue in the Pharma (IV Drugs&Fluids) business increased by 4% (organic growth: 3%) to €940 million (Q1/ 22: €905 million). The good business development in Europe and North America was dampened by offsetting effects in China.

1 Before special items

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

For a detailed overview of special items please see the reconciliation tables on pages 28f.

EBIT1 decreased by 1% (-4% in constant currency) to €289 million (Q1/ 22: €293 million) due to the annualization of cost inflation effects.

EBIT margin1 was 14.5% (Q1 / 22: 15.9%) and thus within the structural EBIT margin band. The positive sequential development is driven by the well progressing cost savings program as well as targeted pricing initiatives.

EBIT1 of the Growth Vectors (MedTech, Nutrition and Biopharma) decreased by 14% (-17% in constant currency) to €96 million (Q1/ 22: €112 million) due to the annualization of cost inflation effects. EBIT1 margin was 9.2% (Q1/ 22: 11.9%).

EBIT1 in the Pharma (IV Drugs&Fluids) business increased by 7% (4% in constant currency) to €197 million (Q1/ 22: €185 million) due to positive development in the North American region. EBIT1 margin was 21.0% (Q1/ 22: 20.4%).

Net income1,2 decreased by 5% (-7% in constant currency) to €191 million (Q1/ 22: €201 million).

Operating cash flow decreased to €21 million (Q1/ 22: €133 million) with a margin of 1.1% (Q1/ 22: 7.2%) mainly driven by phasing effects and working capital build-ups, in particular higher inventories.

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

1 Before special items

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

3 FY/22 base: €7,850 million

4 FY/22 base: EBIT margin: 13.8%, before special items; FY/23 before special items

For a detailed overview of special items please see the reconciliation tables on pages 28f.

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, 22 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
Q1
/20
23
Q1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
3,
066
2,
93
1
5% 5%
IT1
EB
31
1
30
6
2% 2%
in1
EB
IT
ma
rg
10.
1%
10.
4%
1,2
Ne
t in
com
e
190 195 -3% -2%
Em
loy
p
ees
(M
31
/D
31
)
ar.
ec.
125
33
7
,
125
700
,
0%
  • ► Fresenius Helios with healthy organic revenue growth driven by ongoing admissions increase across all areas
  • ► EBIT margin1 solid following successful measures to counter inflationary headwinds
  • ► Helios Fertility recovering with increasing volumes

Revenue increased by 5% (5% in constant currency) to €3,066 million (Q1/ 22: €2,931 million). Organic growth was 5%. Acquisitions contributed 0% to revenue growth.

Revenue of Helios Germany increased by 3% (organic growth: 3%) to €1,828 million (Q1/ 22: €1,783 million), mainly driven by increasing admissions and positive mix effects.

Revenue of Helios Spain increased by 7% (9% in constant currency) to €1,170 million (Q1/22: €1,089 million). Organic growth of 8% was driven by ongoing patient demand. The clinics in Latin America also showed a good performance.

Revenue of Helios Fertility increased by 16% (18% in constant currency) to €66 million (Q1/ 22: €57 million) as patients are returning to demand fertility treatments.

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

EBIT1 increased by 2% (2% in constant currency) to €311 million (Q1/ 22: €306 million) with an EBIT margin1 of 10.1% (Q1/ 22: 10.4%).

EBIT1 of Helios Germany increased despite cost inflation by 1% to €155 million (Q1/ 22: €154 million) with an EBIT margin1 of 8.5% (Q1/ 22: 8.6%).

EBIT1 of Helios Spain increased due to the strong revenue growth and despite cost inflation by 3% (4% in constant currency) to €157 million (Q1/ 22: €153 million). The EBIT margin1 was 13.4% (Q1 / 22: 14.0%).

EBIT1 of Helios Fertility was €4 million (Q1/ 22: €4 million) with an EBIT margin1 of 6.1% (Q1/ 22: 7.0%).

Net income1,2 decreased by 3% (-2% in constant currency) to €190 million (Q1/ 22: €195 million).

Operating cash flow increased to €108 million (Q1/ 22: -€136 million) mainly due to governmental support measures to mitigate higher energy costs in Germany and an improved working capital management. The operating cash flow margin was 3.5% (Q1/ 22: -4.6%)

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%.

1 Before special items

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

For a detailed overview of special items please see the reconciliation tables on pages 28f.

FRESENIUS MEDICAL CARE

Fresenius Medical Care is the world's largest provider of products and services for individuals with renal diseases. As of March 31, 2023, Fresenius Medical Care was treating approximately 343,000 patients in 4,060 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
Q1
/20
23
Q1
/20
22
Gro
wth
Gro
wth
in c
tant
ons
cur
ren
cy
Rev
en
ue
4,
704
4,
54
8
3% 2%
IT1
EB
354 39
0
-9% -13
%
in1
EB
IT
ma
rg
7.5
%
8.6
%
1,2
Ne
t in
com
e
154 197 -22
%
-24
%
Em
loy
p
ees
(M
h 3
1/
De
c. 3
1)
arc
125
23
,
1
128
044
,
-2%
  • ► Both segments contributed to organic growth with improving volume trends in Care Delivery and strong critical care business in Care Enablement
  • ► More moderate decline in operating income due to phasing, continued improvement in organic growth in line with expectations, easing labor shortage in the U.S., and progressing FME25 transformation
  • ► First measures of legacy portfolio optimization delivered

Revenue increased by 3% to €4,704 million (+2% in constant currency, organic: +2%).

EBIT decreased by 25% to €261 million (-28% in constant currency), resulting in a margin of 5.5% (Q1/ 22: 7.6%). EBIT excluding special items and U.S. Provider Relief Funding (PRF) decreased by 9% to €354 million (-13% in constant currency), resulting in a margin of 7.5% (Q1/ 22: 8.6%).

Net income2 decreased by 45% to €86 million (-47% in constant currency). Excluding special items and PRF, net income decreased by 22% to €154 million (-24% in constant currency).

In the first quarter, Fresenius Medical Care generated €143 million of operating cash flow (Q1/ 22: €159 million), resulting in a margin of 3.0% (Q1/ 22: 3.5%). The reduction was mainly due to the decrease in net income.

Based on the results for the first quarter, Fresenius Medical Care confirms its financial targets for 2023. Fresenius Medical Care expects for 2023 revenue3 to grow at a low to mid-single-digit percentage rate and EBIT4 to remain flat or decline by up to a high-single-digit percentage rate.5

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

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 conversion and effects from legacy portfolio optimization.

1 Before special items

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

3 FY/22 base: €19,398 million

4 FY/22 base: €1,540 million

5 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.

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
Q1
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23
Q1
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22
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cur
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  • ► Revenue growth driven by the technical services business and the European project business
  • ► EBIT1 negatively impacted by project business and negative one-time effects
  • ► Major restructuring program initiated

Revenue increased by 14% (13% in constant currency) to €583 million (Q1/ 22: €513 million). Organic growth was 13%.

Revenue in the service business increased by 8% (7% in constant currency) to €436 million (Q1/ 22: €405 million) due to better performance of technical services in Germany, Italy and United Kingdom. Revenue in the project business increased by 36% (36% in constant currency) to €147 million (Q1/ 22: €108 million). The good revenue performance is mainly attributable to higher revenue in European project business.

EBIT1 decreased to -€27 million (Q1/ 22: €8 million) with an EBIT margin1 of -4.6% (Q1/ 22: 1.6%). The weak development was related to the project business that partially did not have a contribution margin. Moreover, certain international business initiations did not materialize as planned. Significant negative one-time effects in the service business also impacted the EBIT development. To counteract the negative EBIT development, a major restructuring program was initiated.

Net income1,2 decreased to -€36 million (Q1/22: €4 million).

Order intake was €43 million (Q1 / 22: €263 million). As of March 31, 2023, order backlog was at €3,580 million (December 31, 2022: €3,689 million).

Operating cash flow decreased to -€68 million (Q1/ 22: -€45 million) with a margin of -11.7% (Q1/ 22: -8.8%), due to the negative earnings and higher working capital.

For FY/2023, Fresenius Vamed expects organic revenue3 to grow in a low-to mid-single digit percentage range. The EBIT margin4 is expected to be clearly below the structural margin band of 4% to 6%.

1 Before special items

2 Net income attributable to shareholders of VAMED AG

3 FY/22 base: €2,359 million 4 FY/22 base: EBIT margin: 0.8%, before special items; FY/23 before special items

EMPLOYEES

As of March 31, 2023, the number of employees was 313,812 (Dec. 31, 2022: 316,920).

NUMBER OF EMPLOYEES

Nu
mb
of
loy
er
em
p
ees
Ma
rch
31
,
202
3
Dec
. 31
,
202
2
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ius
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37
1
,
42
063
,
1%
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ius
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lios
sen
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33
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,
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,
0%
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ius
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sen
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sen
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20,
184
-1%
Co
rat
rpo
e
879 929 -5%
To
tal
313
812
,
6,
31
920
-1%

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

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

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
Q1
/20
23
Q1
/20
22
Gro
wth
ius
bi
Fre
Ka
sen
1
142
1
128
11
%
Fre
ius
He
lios
sen
1 0 0%
Fre
ius
M
ed
ica
l C
sen
are
1
55
50 11
%
Fre
ius
Va
d
sen
me
- - --
Co
rat
rpo
e
-1 0 --
To
tal
1
197
1
178
11
%

1 Before special items

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' overall opportunities and risk situation until March 31, 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 quarter of 2023 by a largely unsuccessful Russian offensive in the east of the country, speculations about an Ukrainian counteroffensive from spring on and Russia's announcement to station tactical nuclear weapons in Belarus. 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 health care 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 highly dynamic 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, including materially increasing energy prices, continues to pose the risk of material increases in costs for energy, materials and supplies as well as transportation, amongst other consequences.

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.

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 has temporarily increased in connection with the difficulties of single US banks, such as the closed Silicon Valley Bank, as well as of the globally systemically important major bank Credit Suisse, which was rescued by government liquidity aid and an announced takeover by UBS.

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 55 in the Notes of this report.

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

SIGNIFICANT EVENTS SINCE THE END OF FIRST QUARTER OF 2023

There have been no significant changes in the industry environment since the end of the first quarter of 2023. There have also been no other events with a significant impact on the net assets, financial position, and results of operations since the end of the first quarter of 2023.

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 and labor shortages 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 overall heightened volatility and muted visibility, including balance sheet valuations.

For Fresenius Medical Care's contribution to the Group's financial figures, the assumptions for Fresenius Medical Care's FY/23 guidance are also fully applicable to Fresenius Group's FY/ 23 guidance. In 2022, Fresenius Medical Care's EBIT was supported by €277 million of Provider Relief Funding from the U.S. government (at current currency). There is no additional governmental support assumed for 2023.

Furthermore, the following assumptions for Fresenius Medical Care's FY/ 23 guidance are also fully applicable to the Fresenius Group's FY/ 23 guidance:

  • ► In 2022, operating income was supported by €277 million (at current currency) of U.S. Provider Relief funding (PRF). There is no further receipt of PRF assumed for 2023. To provide a comparable basis for the 2023 earnings outlook, the basis is adjusted accordingly.
  • ► Revenue and operating income guidance are both on a constant currency basis and excluding special items
  • ► Special items will be provided as separate KPI (''Revenue excluding special items'', ''Operating income 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.

All of these assumptions are subject to considerable uncertainty.

GROUP FINANCIAL TARGETS 2023

Tar
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2 In 2022, operating income was supported by €277 million (at current currency) of U.S. Provider Relief funding (PRF). There is no further receipt of PRF assumed for 2023. To provide a comparable basis for the 2023 earnings outlook, the basis is adjusted accordingly.

REVENUE AND EARNINGS BY BUSINESS SEGMENT

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

FINANCIAL TARGETS BY BUSINESS SEGMENT 2023

1
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1 Before special items

2 In 2022, operating income was supported by €277 million (at current currency) of U.S. Provider Relief funding (PRF). There is no further receipt of PRF assumed for 2023. To provide a comparable basis for the 2023 earnings outlook, the basis is adjusted accordingly.

EXPENSES

For fiscal year 2023, we do expect selling, general, and administrative expenses (before special items) as a percentage of consolidated net revenue to slightly decrease compared to 2022 (2022: 14.6%).

TAX RATE

For fiscal year 2023, we do expect a tax rate in a range between 24% and 25% (2022: 23.7%).

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

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

Fresenius Medical Care will accelerate and extend its FME25 transformation program to further optimize processes along the new operating model. Fresenius Medical Care increases the savings target for the program from €500 million to €650 million by 2025 and now 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.

LIQUIDITY AND CAPITAL MANAGEMENT

For fiscal year 2023, we expect a cash conversation rate around 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 €700 million to €750 million, depending on financing activities.

Without further acquisitions and depending on divestment activities, Fresenius expects the net debt/EBITDA1 ratio at the end of 2023 to be slightly above the level of year-end 2022 (December 31, 2022: 3.65×) and thus above the self-imposed target corridor of 3.0× to 3.5×.

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

INVESTMENTS

In 2023, we expect to invest about 5% of revenue in property, plant and equipment. About 41% of the capital expenditure planned will be invested at Fresenius Medical Care, about 26% at Fresenius Kabi, and around 27% at Fresenius Helios.

At Fresenius Medical Care, investments will mainly be made in expanding production capacities, optimizing production costs, and setting up new dialysis clinics.

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

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

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

With a share of around 60%, Europe is the regional focus of investment in the planning period. Around 30% of the investments are planned for North America and around 10% for Asia-Pacific, Latin America, and Africa. About 30% of total funds will be invested in Germany.

For 2022, we assume return on invested capital (ROIC) to decline around one percentage point below the level of 2022 (2022: 5,1%).

CAPITAL STRUCTURE

For fiscal year 2023, we do not expect the equity ratio to change significantly compared to fiscal year 2022 (2022: 42%). Furthermore, we expect that financial liabilities in relation to total assets will remain roughly the same as in fiscal year 2022 (2022: 36%).

DIVIDEND

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

RECONCILIATION TABLES

RECONCILIATION FRESENIUS GROUP Q1

Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
rat
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cur
ren
cy
Re
ed
ort
ve
nu
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ep
10,
225
9,
720
5% 5%
(af
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ite
)
EB
IT
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al
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ter
rep
sp
ms
787 902 -13
%
-14
%
Rev
alu
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of
bi
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mi
lars
nti
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co
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-14 -17
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- -13
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
9 -2
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
-1 -
Leg
al
For
Co
rsio
n C
s F
eni
Me
dic
al C
ost
m
nve
res
us
are
-1 -
Leg
Po
rtfo
lio
Ad
jus
tm
ent
acy
s
-41 -
No
oll
ing
in
s (
bef
eci
al
ite
)
ntr
ter
est
nco
ore
sp
ms
-16
5
-21
8
24
%
28
%
1
t in
(af
eci
ite
)
Ne
ed
al
ort
ter
com
e r
ep
sp
ms
6
34
413 -16
%
-18
%
Rev
alu
ati
of
bi
osi
mi
lars
nti
rch
ice
lia
bil
itie
nt
ons
co
nge
pu
ase
pr
s
-- -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
25 35
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 14
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
2 2
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
-5 1
Leg
al
For
Co
rsio
n C
s F
eni
Me
dic
al C
ost
m
nve
res
us
are
1 -
lio
jus
Leg
Po
rtfo
Ad
tm
ent
acy
s
20 -
1
Ne
t in
e (
bef
eci
al
ite
)
com
ore
sp
ms
38
9
463 -16
%
%
-17

RECONCILIATION FRESENIUS KABI Q1

€ i
illio
n m
ns
Q1
/20
23
Q1
/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
1,
99
1
1,
847
8% 8%
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
8 28
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 8
Tra
ctio
Ab
xie
Ive
nix
ost
nsa
n c
s m
nce
,
4 2
ial
ite
EB
IT
(be
for
)
e s
pec
ms
289 293 -1% -4%

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

RECONCILIATION FRESENIUS HELIOS Q1

Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
rat
e
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
3,
066
2,
93
1
5% 5%
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
- 0
EB
IT
(be
for
ial
ite
)
e s
pec
ms
31
1
30
6
2% 2%

RECONCILIATION FRESENIUS MEDICAL CARE Q1

Gro
wth
rat
e
in c
tant
ons
€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
rat
e
cur
ren
cy
Re
ed
ort
ve
nu
e r
ep
4,
704
4,
54
8
3% 2%
(af
eci
ite
)
EB
IT
ed
al
ort
ter
rep
sp
ms
26
1
34
8
-25
%
-28
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
26 33
Im
ela
ted
th
in
Uk
rai
ts r
to
pac
e w
ar
ne
- 22
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
-19 3
Leg
al
For
Co
rsio
n C
s F
eni
Me
dic
al C
ost
m
nve
res
us
are
2 -
rtfo
lio
jus
Leg
Po
Ad
tm
ent
acy
s
84 -
EB
IT
(be
for
ial
ite
)
e s
pec
ms
354 40
7
-13
%
-16
%
1
Ne
t in
ed
(af
eci
al
ite
)
ort
ter
com
e r
ep
sp
ms
86 157 -45
%
-47
%
Co
late
d t
o F
ME
25
sts
re
pro
gra
m
20 24
in
rai
Im
ela
ted
th
Uk
ts r
to
pac
e w
ar
ne
- 19
Re
Hu
inv
ent
te
est
nt
me
asu
rem
ma
cy
me
-14 3
Co
rsio
n C
eni
dic
al C
Leg
al
For
s F
Me
ost
m
nve
res
us
are
1 -
Leg
Po
rtfo
lio
Ad
jus
tm
ent
acy
s
61 -
1
t in
eci
ite
Ne
e (
bef
al
)
com
ore
sp
ms
154 203 -24
%
-27
%

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

RECONCILIATION FRESENIUS VAMED Q1

€ i
illio
n m
ns
Q1
/20
23
Q1
/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
583 513 14
%
13
%
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
1 1
EB
IT
(be
for
ial
ite
)
e s
pec
ms
-27 8 -- --

RECONCILIATION FRESENIUS CORPORATE Q1

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Gro
wth
rat
e
Gro
wth
rat
e
in c
tant
ons
cur
ren
cy
iate
ith
niu
ffic
ien
Ex
d w
the
Fr
d e
ost
pen
ses
as
soc
ese
s c
an
cy
pro
gra
m
14 2
Leg
al
For
Co
rsio
n C
s F
eni
Me
dic
al C
ost
m
nve
res
us
are
1 -
(be
for
ial
ite
)
EB
IT
e s
pec
ms
-19 -14 -36
%
-29
%

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

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Rev
en
ue
10,
225
9,
720
Co
of
sts
re
ven
ue
-7,
714
246
-7,
ofi
Gr
t
oss
pr
2,
51
1
2,
474
Se
llin
mi
nis
tive
al a
nd
ad
tra
g,
ge
ner
ex
pen
ses
6
-1,
52
-1,
393
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
-19
8
-17
9
Op
tin
inc
e (
IT)
EB
era
g
om
787 902
Ne
t in
ter
est
-17
0
-11
8
inc
Inc
e b
efo
e t
om
re
om
axe
s
617 784
Inc
e ta
om
xes
-15
4
-18
5
t in
Ne
com
e
463 59
9
olli
int
No
ntr
sts
nco
ng
ere
117 186
Ne
t in
ibu
tab
le t
ha
reh
old
of
Fr
niu
s S
E&
Co
. K
Ga
A
ttr
com
e a
o s
ers
ese
34
6
413
Ea
rni
sha
in €
ng
s p
er
re
0.6
1
0.7
4
Fu
lly
dil
d e
ing
sha
in €
ute
arn
s p
er
re
0.6
1
0.7
4

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

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Ne
t in
com
e
463 59
9
Ot
nsi
inc
e (
s)
he
he
los
r c
om
pre
ve
om
Po
sit
ion
hic
h w
ill
be
las
sif
ied
in
in
e i
ub
to
net
nt
s w
rec
com
n s
seq
ue
yea
rs
For
eig
nsl
ati
tra
n c
urr
enc
y
on
-49
4
519
Ca
flow
sh
he
dg
es
1 -1
FV
OC
I de
bt
ins
tru
nts
me
8 -19
siti
hic
ill b
ifie
Inc
h w
ecl
d
e ta
om
xes
on
po
ons
w
e r
ass
-2 3
Po
sit
ion
hic
h w
ill
be
cla
ssi
fie
d i
t in
e i
ub
not
nto
nt
s w
re
ne
com
n s
seq
ue
yea
rs
Ac
ria
l ga
ins
(lo
s) o
n d
efi
ned
be
nef
it p
ion
lan
tua
sse
ens
p
s
-1 30
7
Eq
uity
eth
od
inv
har
f O
CI
est
m
ees
- s
e o
0 -12
FV
OC
I eq
uity
in
tm
ent
ves
s
1 5
siti
hic
ill n
sifi
Inc
h w
be
las
ed
e ta
ot
om
xes
on
po
ons
w
rec
0 -92
Ot
he
he
nsi
inc
e (
los
s),
net
r c
om
pre
ve
om
-48
7
710
siv
e i
(lo
ss)
To
tal
reh
co
mp
en
nco
me
-24 1,
30
9
Co
reh
siv
e i
(lo
ss)
tri
bu
tab
le t
llin
int
at
tro
sts
mp
en
nco
me
o n
on
con
g
ere
-10
9
44
8
siv
e i
tri
niu
Co
reh
bu
tab
le t
ha
reh
old
of
Fr
s S
E&
Co
. K
Ga
A
at
mp
en
nco
me
o s
ers
ese
85 86
1

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

ASSETS

LIABILITIES

€ i
illio
n m
ns
Ma
rch
31
, 20
23
Dec
ber
31,
202
2
em
Cas
h a
nd
h e
iva
len
ts
cas
qu
2,
32
1
2,
749
cei
Tra
de
d o
the
vab
les
les
llow
nts
acc
ou
an
r re
s a
anc
es
,
for
ted
ed
it lo
ex
pec
cr
sse
s
7,
770
7,
008
cei
le f
ies
Ac
vab
d lo
late
d p
nts
to
art
cou
re
rom
an
ans
re
99 157
Inv
ori
ent
es
4,
947
4,
833
Oth
t as
set
er
cur
ren
s
3,
965
3,
532
I. T
l cu
ota
nt
ets
rre
ass
19,
102
18,
279
Pro
lan
nd
uip
ty,
t a
nt
per
p
eq
me
12,
770
12,
919
Rig
of-
ht-
set
use
as
s
806
5,
5,
922
Go
odw
ill
31,
045
31,
444
Oth
int
ible
set
er
ang
as
s
4,
249
4,
39
9
Oth
ent
set
er
no
n-c
urr
as
s
2,
688
2,
62
1
De
fer
red
ta
xes
893 83
1
II.
To
tal
ent
set
no
n-c
urr
as
s
57
45
1
,
58
136
,
To
tal
set
as
s
76,
553
76,
415
€ i
illio
n m
ns
Ma
rch
31
, 20
23
Dec
ber
31,
202
2
em
Tra
de
ble
nts
acc
ou
pa
ya
1,
998
2,
070
Sh
ies
ble
late
d p
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
83 94
Sh
ovi
sio
and
her
sh
lia
bil
itie
ort
-te
ot
ort
-te
rm
pr
ns
rm
s
8,
44
5
8,
242
Sh
de
bt
ort
-te
rm
1,
188
856
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
14 11
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
725 669
Cu
rtio
f le
lia
bil
itie
nt
rre
po
n o
ase
s
843 85
1
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
798
649
Cu
rtio
f co
rtib
le b
ond
nt
rre
po
n o
nve
s
49
3
--
Sh
lia
bil
itie
s fo
r in
ort
-te
e ta
rm
com
xes
332 216
lia
bil
itie
A.
To
tal
sh
ort
-te
rm
s
15,
919
13,
658
rtio
Lon
m d
ebt
les
ter
ent
g-
s c
urr
po
n
,
962
1,
166
2,
Lea
liab
ilit
ies
les
rtio
ent
se
s c
urr
po
n
,
5,
616
5,
74
1
rtio
Bo
nds
les
ent
s c
urr
po
n
,
15,
125
16,
32
9
Co
rtib
le b
ond
nve
s
-- 49
1
Lon
liab
ilit
ies
d lo
fro
rel
d p
ies
ter
to
ate
art
g-
m
an
ans
m
1 --
Lon
vis
ion
nd
oth
lon
liab
ilit
ies
ter
ter
g-
m
pro
s a
er
g-
m
2,
71
1
2,
802
Pen
sio
n l
iab
ilit
ies
1,
109
1,
099
liab
ilit
ies
fo
r in
Lon
ter
e ta
g-
m
com
xes
242 242
De
fer
red
ta
xes
1,
695
1,
669
lia
bil
itie
B.
To
tal
lo
-te
ng
rm
s
46
28,
1
30
53
9
,
I. T
l lia
bil
itie
ota
s
44
38
0
,
44
197
,
ing
in
A.
No
oll
ntr
ter
est
nco
s
11,
64
1
11,
803
Su
bsc
rib
ed
ita
l
cap
563 563
Ca
ital
p
re
ser
ve
4,
32
1
4,
323
Oth
er
res
erv
es
15,
502
15,
122
Ac
ula
ted
her
reh
ive
in
ot
cum
co
mp
ens
com
e
146 40
7
niu
' e
ity
B.
To
tal
Fr
s S
E&
Co
. K
Ga
A s
ha
reh
old
ese
ers
qu
20,
532
20,
415
rs'
II.
To
tal
sh
ho
lde
uit
are
eq
y
32
173
,
32
21
8
,
lia
bil
itie
' eq
uit
To
tal
nd
sha
reh
old
s a
ers
y
76,
553
76,
415

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

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
tin
cti
vit
ies
Op
era
g a
Ne
t in
com
e
46
3
599
Ad
jus
nci
le n
inc
ash
d
tm
ent
s t
et
e t
o r
eco
om
o c
an
iva
vid
tin
cti
vit
ies
h e
len
ed
by
ts
cas
qu
pro
op
era
g a
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
704 693
Ch
e in
fer
de
red
ta
ang
xes
-28 -22
Ga
in o
ale
of
fix
ed
d o
f in
nd
div
itu
ets
tm
ent
est
n s
ass
an
ves
s a
res
-33 -11
s in
liab
ilit
ies
Ch
nd
of
set
et
nts
an
ge
as
s a
, n
am
ou
fro
bu
sin
uir
ed
dis
ed
of
m
ess
es
acq
or
pos
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
-85
0
-66
4
Inv
ori
ent
es
-20
3
-12
7
Oth
nd
t a
ent
set
er
cur
ren
no
n-c
urr
as
s
-37
4
-21
2
cei
le f
ies
Ac
vab
/pa
ble
late
d p
nts
to
art
cou
re
rom
ya
re
50 -21
Tra
de
ble
isio
and
her
sh
d lo
liab
ilit
ies
nts
ot
ort
-te
ter
acc
ou
pa
ya
, p
rov
ns
rm
an
ng-
m
32
7
-24
9
Lia
bil
itie
s fo
r in
e ta
com
xes
119 115
Ne
ash
ide
d b
ing
tiv
itie
t c
rat
pr
ov
y o
pe
ac
s
175 101
ing
tiv
itie
Inv
est
ac
s
Pu
rch
of
lan
nd
ipm
ert
t a
ent
ase
pr
op
y, p
equ
and
ital
ize
d d
lop
nt
ts
ca
p
eve
me
cos
-35
8
-36
2
Pro
ds
fro
ale
f p
lan
nd
ipm
ert
t a
ent
cee
m s
s o
rop
y, p
equ
6 6
Ac
isit
ion
nd
inv
est
nts
qu
s a
me
and
rch
f in
ible
tan
set
pu
ase
s o
g
as
s
-78 -12
5
Pro
ds
fro
ale
of
in
nd
div
itu
tm
ent
est
cee
m s
ves
s a
res
27 33
in
inv
ing
tiv
itie
Ne
ash
ed
t c
est
us
ac
s
-40
3
-44
8

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

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
Fin
cin
cti
vit
ies
an
g a
Pro
ds
fro
ho
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Pro
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Ac
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le F
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s M
ed
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ds
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rcis
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ock
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cee
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eas
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32
1
2,
077

ADDITIONAL INFORMATION ON PAYMENTS

THAT ARE INCLUDED IN NET CASH PROVIDED BY OPERATING ACTIVITIES

€ i
illio
n m
ns
Q1
/20
23
Q1
/20
22
eiv
int
Rec
ed
st
ere
24 26
Pai
d i
nte
t
res
-19
2
-15
8
Inc
id
e ta
om
xes
pa
-55 -87

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

Su
bsc
rib
ed
Ca
ital
p
Res
erv
es
Num
ber
of
inar
ord
y sh
are
s
in t
hou
d
san
Am
t
oun
€ in
tho
nds
usa
Am
t
oun
€ in
mi
llion
s
Cap
ital
rese
rve
€ in
mi
llion
s
Oth
er
rese
rves
€ in
mi
llion
s
As
of
De
be
r 3
1,
202
1
cem
55
8,
502
55
8,
502
55
8
4,
026
14,
860
Pro
ds
fro
he
rcis
f st
ock
tio
m t
cee
exe
e o
op
ns
-- -- -- 0
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ati
ela
ted
ck
tio
to
sto
mp
ens
on
exp
ens
e r
op
ns
--
Div
ide
nds
id
pa
--
Pu
rch
of
olli
int
ntr
sts
ase
no
nco
ng
ere
0
Put
tio
n l
iab
ilit
ies
op
11
nsf
of
tive
ins
f e
ity
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Tra
ula
/lo
est
nts
er
cum
ga
sse
s o
qu
me
3
Co
reh
ive
in
e (
los
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mp
ens
com
Ne
t in
com
e
41
3
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
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ati
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n c
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enc
on
y
Ac
ria
l ga
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de
fin
ed
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efit
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lan
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on
pe
on
p
s
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lue
ch
r va
ang
es
Co
reh
ive
in
e (
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s)
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ens
com
41
3
As
of
M
h 3
202
2
1,
arc
8,
502
55
8,
502
55
8
55
026
4,
287
15,
of
As
De
be
r 3
1,
202
2
cem
563
237
563
237
563 4,
323
15,
122
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ide
nds
id
pa
, , --
Tra
ctio
wit
h n
llin
int
ith
lo
of
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
-2
No
olli
int
du
han
in
lida
tio
ntr
sts
e t
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ng
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o c
ges
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rou
p
--
Put
tio
n l
iab
ilit
ies
op
34
Co
reh
ive
in
e (
los
s)
mp
ens
com
Ne
t in
com
e
34
6
Oth
siv
e in
hen
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
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ves
s
For
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ati
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n c
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enc
y
on
Ac
ria
l ga
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lan
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on
pe
on
p
s
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lue
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ang
es
Co
reh
ive
in
e (
los
s)
mp
ens
com
34
6
As
of
M
h 3
1,
202
3
arc
563
237
,
563
237
,
563 4,
32
1
15,
502

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

Ac
ula
ted
her
reh
ive
in
e (
los
s)
ot
cum
co
mp
ens
com
eig
For
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
SE&
sen
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
of
As
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
0 1 1
Div
ide
id
nds
pa
0 -56 -56
Pu
rch
of
olli
int
ntr
sts
ase
no
nco
ng
ere
0 7 7
Put
tio
n l
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ilit
ies
op
11 24 35
Tra
nsf
of
ula
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/lo
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ity
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est
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er
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me
-3 -- -- --
Co
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ive
in
e (
los
s)
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ens
com
t in
Ne
com
e
41
3
186 599
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hen
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e (
los
s)
er
com
pre
com
Ca
sh
flow
he
dg
es
-2 -2 1 -1
Ch
f F
VO
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uity
in
tm
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ang
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eq
ves
s
5 5 0 5
For
eig
nsl
atio
tra
n c
urr
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y
n
30
9
-1 -1 0 0 30
7
22
1
52
8
ria
ins
fin
efit
nsi
Ac
l ga
de
ed
ben
lan
tua
on
pe
on
p
s
147 147 68 215
Fai
lue
ch
r va
ang
es
-9 -9 -28 -37
Co
ive
in
reh
e (
los
s)
mp
ens
com
30
9
-3 146 5 -9 86
1
44
8
1,
30
9
As
of
M
h 3
1,
202
2
arc
363 -69 -26
5
-40 10 19,
870
10,
714
30
584
,
As
of
De
be
r 3
202
2
1,
cem
613 -56 -10
9
-58 17 20,
415
803
11,
32,
21
8
Div
ide
nds
id
pa
-- -53 -53
ctio
wit
llin
int
ith
of
Tra
h n
lo
l
tro
sts
out
tro
nsa
ns
on
con
g
ere
w
ss
con
-2 -23 -25
No
olli
int
du
han
in
lida
tio
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sts
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ng
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o c
ges
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p
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n l
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ies
op
34 36 70
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ive
in
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mp
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com
Ne
t in
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e
34
6
117 46
3
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e (
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y
-26
4
0 0 -- 0 -26
4
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1
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5
Ac
ria
l ga
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de
fin
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lan
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2 2 5 7
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ive
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4
0 0 1 2 85 -10
9
-24
of
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M
h 3
1,
202
3
arc
34
9
-56 -10
9
-57 19 20,
532
64
11,
1
32
173
,

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

Fre
ius
Ka
bi
Fre
ius
He
lios
Fre
ius
M
sen
sen
sen
ed
ica
l C
Fre
ius
Va
d
are
sen
me
Co
rat
rpo
e
Fre
ius
Gr
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
1,
99
1
1,
847
8% 3,
066
2,
93
1
5% 4,
704
4,
54
8
3% 583 513 14
%
-11
9
-11
9
0% 10,
225
9,
720
5%
the
f co
ibu
tio
ntr
n t
reo
o
sol
ida
ted
con
re
ven
ue
1,
972
1,
829
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060
2,
926
5% 4,
686
4,
534
3% 50
7
43
1
18
%
0 0 -- 10,
225
9,
720
5%
the
f in
ter
reo
com
pan
y r
eve
nue
19 18 6% 6 5 20
%
18 14 29
%
76 82 -7% -11
9
-11
9
0% -- --
trib
uti
sol
ida
ted
to
con
on
con
re
ve
nue 19
%
19
%
30
%
30
%
46
%
47
%
5% 4% 0% 0% 100
%
100
%
EB
ITD
A
40
3
39
6
2% 43
9
42
8
3% 764 820 -7% -1 32 -10
3%
-11
4
-81 %
-41
49
1,
1
595
1,
-7%
De
cia
tio
nd
iza
tio
ort
pre
n a
am
n
114 103 11
%
128 122 5% 41
0
41
3
-1% 26 24 -8% 26 31 -16
%
704 693 2%
EB
IT
289 293 -1% 31
1
6
30
2% 354 40
7
-13
%
-27 8 -- -14
0
-11
2
-25
%
787 902 -13
%
Ne
t in
ter
est
-31 -11 -18
2%
-56 -48 -17
%
-83 -69 -20
%
-8 -2 -- 8 12 -33
%
-17
0
-11
8
-44
%
Inc
e ta
om
xes
-53 -62 15
%
-60 -58 -3% -70 -80 13
%
0 -1 100
%
29 16 81
%
-15
4
-18
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.
191 20
1
-5% 190 195 -3% 154 203 -24
%
-36 4 -- -15
3
-19
0
19
%
6
34
41
3
-16
%
Op
tin
ash
flo
era
g c
w
21 133 -84
%
108 -13
6
179
%
143 159 -10
%
-68 -45 -51
%
-29 -10 -19
0%
175 101 73
%
Ca
sh
flow
be
for
isit
ion
e a
cqu
s
and
di
vid
end
s
-62 39 -- 13 -22
7
106
%
2 -1 -- -10
0
-54 -85
%
-30 -12 -15
0%
-17
7
-25
5
31
%
1
To
tal
ets
ass
16,
283
16,
745
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92
1
21,
33
7
3% 35,
50
1
35,
754
-1% 2,
98
1
2,
887
3% -13
3
-30
8
57
%
76,
553
76,
41
5
0%
1
De
bt
3,
933
4,
195
-6% 862
7,
7,
81
1
1% 266
13,
13,
213
0% 1,
034
885 17
%
670
1,
659
1,
1% 765
27,
763
27,
0%
1
Oth
tin
liab
ilit
ies
er
op
era
g
3,
750
3,
842
-2% 3,
778
3,
424
10
%
6,
118
6,
156
-1% 974 994 -2% 30
0
34
9
-14
%
14,
920
14,
765
1%
Ca
ital
dit
p
ex
pen
ure
, g
ros
s
78 84 -7% 99 79 25
%
142 162 -12
%
32 12 167
%
2 1 100
%
353 33
8
4%
Ac
isit
ion
/in
tm
ent
qu
s, g
ros
s
ves
s
15 2 -- 0 72 -10
0%
50 83 -39
%
2 6 -67
%
1 -1 200
%
68 162 -58
%
Res
ch
and
de
vel
nt
ear
op
me
exp
ens
es
142 128 11
%
1 0 -- 55 50 11
%
-- -- 0 -1 100
%
198 179 11
%
Em
loy
p
ees
1
ita
(pe
bal
hee
t d
)
ate
r c
ap
on
anc
e s
42
37
1
,
42
063
,
1% 25,
33
1
7
125
700
,
0% 25,
23
1
1
128
044
,
-2% 19,
994
20,
184
-1% 879 929 -5% 3
13,
812
3
16,
920
-1%
fig
Key
ure
s
EB
ITD
A m
in
arg
20
.2%
21
.4%
14.
3%
14.
6%
16.
2%
18.
0%
-0.
2%
6.2
%
2
15.
5%
2
17.
1%
in
EB
IT
ma
rg
14.
5%
15.
9%
10.
1%
10.
4%
7.5
%
8.9
%
-4.
6%
1.6
%
2
9.0
%
2
10.
3%
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
%
8.7
%
9.1
%
4.5
%
4.7
%
6.9
%
7.1
%
Op
tin
ash
flo
era
g c
w
in
%
of
rev
en
ue
1.1
%
7.2
%
3.5
%
6%
-4.
3.0
%
3.5
%
-11
.7%
-8.
8%
1.7
%
1.0
%
1
RO
IC
7.6
%
7.8
%
5.2
%
5.4
%
3.9
%
4.1
%
-0.
8%
1.1
%
4
4.8
%
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.

TABLE OF CONTENTS NOTES

-

-

  • 44 V. Recent pronouncements, not yet applied 53 13. Bonds 61 22. Subsequent events
  • 44 2. Acquisitions, divestitures and investments

46 Notes on the consolidated statement of income

  • 46 3. Special items
  • 47 4. Revenue
  • 48 5. Research and development expenses
  • 48 6. Taxes
  • 48 7. Earnings per share

42 General Notes 49 Notes on the consolidated statement of financial position 55 Other notes

  • 42 1. Principles 49 8. Trade accounts and other receivables 55 17. Legal and regulatory matters
    -
    -
    -
    -
    -
    -
    • 54 15. Noncontrolling interests
    • 54 16. Fresenius SE&Co. KGaA shareholders' equity

  • 42 I. Group structure 49 9. Inventories 56 18. Financial instruments
  • 43 II. Basis of presentation 49 10. Other current and non-current assets 59 19. Information on capital management
  • 43 III. Summary of significant accounting policies 50 11. Goodwill 59 20. Notes on the consolidated segment reporting
      1. Share-based compensation plans 44 IV. Recent pronouncements, applied 50 12. Debt 61
        -
      2. 54 14. Convertible bonds 61 23. Corporate Governance

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 March 31, 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).

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. The conversion is subject to the required approval of the General Meeting of Fresenius Medical Care AG&Co. KGaA and registration with the Commercial Register and should become effective this year. An Extraordinary General Meeting of Fresenius Medical Care AG&Co. KGaA is intended to convene on July 14, 2023 to resolve on the proposal of conversion of the legal form into a German stock corporation. In the first step, after the approval of the planned conversion of legal form by the General Meeting, 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. IFRS 5 and IAS 28 both 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 presented as special item. As of April 28, 2023, the market capitalization of Fresenius Medical Care was

€12.9 billion and thus below the consolidated shareholders' equity of Fresenius Medical Care AG&Co. KGaA of €13.8 billion as of March 31, 2023. Hypothetical application of the first step would have resulted in a one-time non-cash effective special charge of approximately €0.9 billion in the consolidated financial statements of the Fresenius Group, of which €0.3 billion would be attributable to the shareholders of Fresenius SE&Co. KGaA and €0.6 billion to the noncontrolling interests of the Fresenius Group. The actual amounts to be recognized will be dependent upon the amount of equity as well as the market capitalization of Fresenius Medical Care at the date of application of IFRS 5 as well as at the date of the deconsolidation. For the consolidated financial statements of Fresenius SE&Co. KGaA, there are no effects until the date of the Extraordinary General Meeting of Fresenius Medical Care. 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 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 quarter ended March 31, 2023 have not been audited nor reviewed and should be read in conjunction with the notes included and published in the consolidated financial statements as of December 31, 2022 applying Section 315e HGB in accordance with IFRS as adopted by the EU.

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

The consolidated financial statements for the first quarter ended March 31, 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 quarter ended March 31, 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, €84 million for the first quarter ended March 31, 2022 have been reclassified from selling, general and administrative expenses to costs of revenue.

Government grants and impacts of COVID-19 pandemic

In the first quarter 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 quarter of 2023 (Q1 / 2022: €166 million, thereof €158 million recorded in revenue and €8 million as grants in other operating income).

Fresenius Medical Care recorded in the first quarter of 2023 €2 million (Q1 / 2022: €18 million) for government grants in various regions. The remaining amount of government grants received recorded in deferred income was €3 million at March 31, 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 quarter of 2022 under various other programs from multiple governments around the world in the amount of €10 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 quarter of 2023, the application of IAS 29 resulted in an effect on net income attributable to shareholders of Fresenius SE&Co. KGaA of -€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 quarter ended March 31, 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 quarter 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 standard relevant for the Fresenius Group's business:

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 endorsement of the amendments to IAS 1 is 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 €68 million and €162 million in the first quarter of 2023 and 2022, respectively. Of this amount, €78 million was paid in cash in the first quarter of 2023 including €10 million in subsequent purchase price payments already recognized as liabilities.

FRESENIUS MEDICAL CARE

In the first quarter of 2023, Fresenius Medical Care spent €50 million (Q1 / 2022: €83 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 quarter of 2023, Fresenius Kabi spent €15 million (Q1 / 2022: €2 million) on acquisitions, mainly for already planned acquisition related milestone payments relating to the acquisition of Merck KGaA's biosimilars business.

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.

Acquisition Ivenix

On May 3, 2022, Fresenius Kabi completed the acquisition of 100% of the shares of Ivenix, Inc. (Ivenix), a specialized infusion therapy company. The cash purchase price amounts to US\$240 million (€228 million). In addition, milestone payments with a current fair value in the low three-digit million euro range were recognized. These are strictly linked to the achievement of commercial and operating targets and could increase by a low three-digit million euro amount.

The transaction was accounted for as a business combination.

Based on the preliminary purchase price allocation, goodwill of US\$199 million (€188 million) which is not deductible for tax purposes and an intangible asset of US\$180 million (€171 million) were recorded in the initial statement of financial position.

FRESENIUS HELIOS

In the first quarter of 2023, Fresenius Helios did not incur any acquisition expenses (Q1 / 2022: €72 million).

FRESENIUS VAMED

In the first quarter of 2023, Fresenius Vamed spent €2 million (Q1 / 2022: €6 million) on acquisitions.

NOTES ON THE CONSOLIDATED STATEMENT OF INCOME

3. SPECIAL ITEMS

Net income attributable to shareholders of Fresenius SE& Co. KGaA for the first quarter of 2023 in the amount of €346 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 Q
1/2
023
ng
,
bef
eci
al
ite
ore
sp
ms
908 -17
0
38
9
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
-49 -- -25
Leg
Po
rtfo
lio
Ad
jus
tm
ent
acy
s
-84 -- -20
Tra
ctio
Ab
xie
ost
nsa
n c
s m
nce
,
nix
Ive
-4 -- -2
Leg
al
For
Co
rsio
n C
ost
m
nve
s
ius
ica
l C
Fre
M
ed
sen
are
-3 -- -1
Re
Hu
ent
te
me
asu
rem
ma
cy
inv
est
nt
me
19 -- 5
Rev
alu
ati
of
bi
osi
mi
lars
ons
tin
rch
ice
nt
con
ge
pu
ase
pr
liab
ilit
ies
0 -- 0
Ea
rni
s Q
1/2
023
din
ng
ac
cor
g
IFR
S
to
787 -17
0
34
6

Net income attributable to shareholders of Fresenius SE& Co. KGaA for the first quarter of 2022 in the amount of €413 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
inc
Net
om
e
ibut
able
attr
to
sha
reh
olde
rs
of F
nius
rese
SE&
Co.
KG
aA
Ea
rni
s Q
1/2
022
ng
,
bef
eci
ite
al
ore
sp
ms
1,
000
-11
9
463
Ex
iate
d w
ith
the
pen
ses
as
soc
ius
icie
Fre
nd
eff
st a
sen
co
ncy
(in
clu
din
the
FM
E25
pro
gra
m
g
m)
pro
gra
-64 -- -35
Im
ela
ted
th
in
ts r
to
pac
e w
ar
Uk
rai
ne
-30 -- -14
Tra
ctio
Ab
xie
ost
nsa
n c
s m
nce
,
Ive
nix
-2 -- -2
Re
Hu
ent
te
me
asu
rem
ma
cy
inv
est
nt
me
-4 -- -1
Rev
alu
ati
of
bi
osi
mi
lars
ons
tin
rch
ice
nt
con
ge
pu
ase
pr
liab
ilit
ies
2 1 2
Ea
rni
s Q
1/2
022
din
ng
ac
cor
g
IFR
S
to
902 -11
8
413

4. REVENUE

Revenue by activity was as follows:

Q
1/2
023
€ 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
fro
ith
Rev
ont
ts w
tom
en
ue
m c
rac
cus
ers
1,
97
1
3,
058
4,
53
1
6
50
0 066
10,
the
f re
of s
ice
reo
ven
ue
erv
s
20 3,
055
3,
573
365 0 7,
013
rvic
the
f re
of
du
d r
ela
ted
cts
reo
ven
ue
pro
an
se
es
1,
949
-- 958 -- -- 2,
907
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- -- 141 -- 141
the
f fu
rth
fro
ith
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
2 3 -- -- -- 5
Oth
er
rev
en
ue
1 2 155 1 -- 159
Re
ve
nu
e
1,
972
3,
060
4,
686
50
7
0 10,
225
Q
1/2
022
€ i
illio
n m
ns
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
828
1,
2,
924
39
0
4,
43
0
0 9,
572
the
f re
of s
ice
reo
ven
ue
erv
s
136 2,
920
3,
49
3
333 0 6,
882
f re
of
rvic
the
du
d r
ela
ted
cts
reo
ven
ue
pro
an
se
es
690
1,
-- 897 -- -- 2,
58
7
the
f re
fro
lon
du
ctio
ter
ont
ts
reo
ven
ue
m

m
pro
n c
rac
-- -- -- 97 -- 97
f fu
fro
ith
the
rth
ont
ts w
tom
reo
er
rev
en
ue
m c
rac
cus
ers
2 4 -- -- -- 6
Oth
er
rev
en
ue
1 2 144 1 -- 148
Re
ve
nu
e
1,
829
2,
926
4,
534
43
1
0 9,
720

Other revenue includes revenue from insurance and lease contracts.

5. RESEARCH AND DEVELOPMENT EXPENSES

Research and development expenses of €198 million (Q1/2022: €179 million) included expenditures for research and non-capitalizable development costs as well as regular depreciation and amortization expenses relating to capitalized development costs of €10 million (Q1/2022: €5 million). The expenses for the further development of the Biopharma business included in the research and development expenses amounted to €42 million in the first quarter of 2023 (Q1/2022: €34 million).

6. TAXES

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

7. EARNINGS PER SHARE

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

Q1
/20
23
Q1
/20
22
€ i
illi
Nu
rat
me
ors
n m
on
s
,
Ne
t in
ttri
but
ab
le t
com
e a
o
sha
reh
old
of
ers
Fre
ius
SE
&C
KG
aA
sen
o.
34
6
41
3
les
ffe
ct f
di
lut
ion
du
e to
s e
rom
Fre
ius
M
ed
ica
l C
sh
sen
are
are
s
-- 0
Inc
vai
lab
le t
om
e a
o
all
ord
ina
sha
ry
res
34
6
41
3
mi
in
De
mb
of
sha
nat
no
ors
nu
er
res
We
ig
hte
d a
mb
of
ver
age
nu
er
ord
ina
sha
nd
ing
tsta
ry
res
ou
563
237
277
,
,
55
8,
502
143
,
Pot
iall
dil
utiv
ent
e
y
ord
ina
sha
ry
res
-- --
We
ig
hte
d a
mb
of
ord
ina
ver
age
nu
er
ry
ing
ing
di
ion
sha
nd
lut
tsta
res
ou
as
sum
563
237
277
,
,
55
8,
502
143
,
sic
rni
in €
Ba
sha
ea
ng
s p
er
re
0.6
1
0.7
4
Fu
lly
dil
d e
ing
sha
in €
ute
arn
s p
er
re
0.6
1
0.7
4

NOTES ON THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION

8. TRADE ACCOUNTS AND OTHER RECEIVABLES

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

Ma
rch
31
202
3
,
De
ber
31
202
2
cem
,
€ i
illio
n m
ns
reof
dit
the
cre
imp
aire
d
reof
dit
the
cre
imp
aire
d
Tra
de
d o
the
cei
vab
les
nts
acc
ou
an
r re
8,
278
755 7,
48
0
755
for
it lo
les
llow
ted
ed
s a
anc
es
ex
pec
cr
sse
s
50
8
36
6
47
2
35
7
Tra
de
d o
the
cei
ble
nts
et
acc
ou
an
r re
va
s, n
7,
770
38
9
7,
008
39
8

Within trade accounts and other receivables (before allowances) as of March 31, 2023, €8,064 million (December 31, 2022: €7,275 million) relate to revenue from contracts with customers as defined by IFRS 15. This amount includes €505 million (December 31, 2022: €470 million) of allowances for expected credit losses. Further trade accounts and other receivables, net, relate to other revenue.

9. INVENTORIES

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

€ i
illio
n m
ns
Ma
r. 3
1, 2
023
Dec
. 31
, 20
22
ria
Raw
ls a
nd
rch
d c
ate
ts
m
pu
ase
om
po
nen
268
1,
1,
200
Wo
rk
in
pro
ces
s
49
3
46
7
Fin
ish
ed
ds
goo
3,
364
3,
30
9
les
s r
ese
rve
s
178 143
ori
Inv
ent
t
es,
ne
4,
947
4,
833

10. OTHER CURRENT AND NON-CURRENT ASSETS

At equity investments as of March 31, 2023 in the amount of €817 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 quarter of 2023, income of €26 million (Q1/ 2022: €11 million) resulting from this equity investment was included in selling, general and administrative expenses in the consolidated statement of income.

11. 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
Ca
ing
of
Jan
1,
202
2
nt
rry
am
ou
as
ua
ry
5,
373
8,
903
36
14,
1
30
0
6 28,
943
Ad
dit
ion
s
653 167 702 14 -- 1,
53
6
Dis
als
pos
-- -3 -7 -- -- -10
Im
irm
lo
ent
pa
ss
-- -- -- -- -- --
For
eig
nsl
ati
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
-- 1 0 -- -- 1
Dis
als
pos
-- -- -18 -- -- -18
For
eig
nsl
ati
tra
n c
urr
enc
on
y
-83 -4 -29
5
0 -- -38
2
ing
Ca
of
Ma
rch
31
202
3
nt
rry
am
ou
as
,
6,
178
9,
070
15,
47
8
313 6 31,
045

The decrease of goodwill mainly relates to foreign currency translation.

12. DEBT

SHORT-TERM DEBT

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

Bo
ok
val
ue
€ i
illio
n m
ns
Ma
rch
31
, 20
23
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
Co
ial
Pap
sen
o.
mm
erc
er
37
0
80
ius
ica
l C
AG
&C
KG
Co
ial
Fre
M
ed
aA
Pap
sen
are
o.
mm
erc
er
574 49
7
Oth
sho
de
bt
rt­t
er
erm
244 279
Sh
de
bt
ort
-te
rm
1,
188
856

LONG-TERM DEBT

As of March 31, 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
Ma
rch
31
, 20
23
Dec
ber
31,
202
2
em
Sch
uld
sch
ein
Lo
ans
113
1,
592
1,
Loa
n f
th
e E
n I
Ba
nk
stm
ent
rom
uro
pea
nve
40
0
40
0
cei
aci
lity
of
niu
ica
l C
Ac
Re
vab
le F
Fr
s M
ed
nts
cou
ese
are
322 94
Oth
er
852 749
Su
bto
tal
687
2,
2,
835
les
rtio
ent
s c
urr
po
n
725 669
rtio
Lo
de
bt,
le
-te
nt
ng
rm
ss
cu
rre
po
n
1,
962
2,
166

Schuldschein Loans

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

Inte
rest
rat
e
fixe
d/
iabl
var
e
Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Ma
rch
31
, 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
19
/20
26
sen
o.
€2
38
mi
llio
n
Se
t. 2
3,
202
6
p
0.8
5%
/
iab
le
var
238 238
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
19
/20
29
sen
o.
€8
4 m
illio
n
Se
t. 2
4,
202
9
p
1.1
0%
84 84
Fre
ius
US
Fi
II,
Inc
. 20
16
/20
23
sen
nan
ce
\$
US
43
mi
llio
n
Ma
rch
10
202
3
,
3.1
2%
-- 40
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
202
2/2
027
sen
are
o.
€2
illio
5 m
n
Feb
202
. 14
7
,
iab
le
var
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
in
hu
lds
che
Loa
ns
1,
113
1,
592

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 March 31, 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 long-term debt in the consolidated statement of financial position.

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

CREDIT LINES AND OTHER SOURCES OF LIQUIDITY

The syndicated credit 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 8, 2022, both syndicated credit facilities were amended and extended to extend the term by one year and replace U.S. dollar LIBOR as the reference rate with the Term Secured Overnight Financing Rate. They were undrawn as of March 31, 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 March 31, 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.

13. BONDS

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

Bo
ok
val
ue
€ i
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Inte
rest
rat
e
Ma
rch
31
, 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%
699 699
Fre
ius
Fi
Ire
lan
d P
LC
202
1/2
025
sen
nan
ce
€5
00
mi
llio
n
Oc
t. 1
202
5
,
0.0
0%
49
8
49
8
Fre
ius
Fi
Ire
lan
d P
LC
20
/20
27
17
sen
nan
ce
€7
00
mi
llio
n
Feb
20
27
. 1,
2.1
25
%
696 696
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
ius
Fi
LC
Fre
Ire
lan
d P
202
1/2
03
1
sen
nan
ce
mi
llio
€5
00
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
Fre
ius
SE
&C
KG
aA
20
14
/20
24
sen
o.
€4
50
mi
llio
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
202
. 15
5
,
1.8
%
75
49
8
49
8
Fre
ius
SE
&C
KG
aA
20
22
/20
25
sen
o.
€7
50
mi
llio
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
ius
SE
&C
KG
Fre
aA
20
20
/20
27
sen
o.
mi
llio
€7
50
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
Fre
ius
SE
&C
KG
aA
20
19
/20
29
sen
o.
€5
00
mi
llio
n
Feb
. 15
202
9
,
2.8
75
%
49
6
49
6
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
%
542 542
ius
SE
&C
KG
Fre
aA
20
20
/20
33
sen
o.
mi
llio
€5
00
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%
649 649
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
18
/20
25
sen
are
o.
€5
00
mi
llio
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
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
20
19
/20
26
sen
are
o.
€6
00
mi
llio
n
No
v. 3
0,
202
6
0.6
25
%
59
6
59
6
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
ius
ica
l C
AG
&C
KG
Fre
M
ed
aA
202
0/2
030
sen
are
o.
mi
llio
€7
50
n
Ma
29,
20
30
y
1.5
0%
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
7
374
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
019
/20
29
sen
are
nan
ce
\$
US
500
illio
m
n
Jun
e 1
5,
202
9
3.7
5%
45
3
46
2
Fre
ius
M
ed
ica
l C
US
Fi
III,
In
c. 2
020
/20
31
sen
are
nan
ce
\$
US
000
illio
1,
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
%
776 79
1
ius
ica
l C
US
Fi
Fre
M
ed
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,
923
16,
978

As of March 31, 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.

14. CONVERTIBLE BONDS

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

Bo
€ i
ok
val
ue
illio
n m
ns
Not
iona
l am
t
oun
Mat
urit
y
Cou
pon
Cur
t
ren
ion
pric
con
vers
e
Ma
rch
31
, 20
23
Dec
ber
31,
202
2
em
Fre
ius
SE
&C
KG
aA
20
17
/20
24
sen
o.
€5
00
mi
llio
n
Jan
. 31
202
4
,
0.0
00
%
€1
04
.28
35
49
3
49
1
Co
rtib
le b
ds
nve
on
493 49
1

The fair value of the derivative embedded in the convertible bonds of Fresenius SE&Co. KGaA was €0 and €9 thousand at March 31, 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 March 31, 2023, the convertible bonds are shown as current portion of convertible bonds in the consolidated statement of financial position.

15. NONCONTROLLING INTERESTS

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

€ i
illio
n m
ns
Ma
r. 3
1, 2
023
Dec
. 31
, 20
22
No
olli
int
in
ntr
sts
nco
ng
ere
Fre
ius
M
ed
ica
l C
AG
&C
KG
aA
sen
are
o.
9,
38
0
9,
48
9
olli
int
No
ntr
sts
nco
ng
ere
in V
AM
ED
Ak
tie
sel
lsc
haf
t
nge
68 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,
39
9
46
1,
0
Fre
ius
Ka
bi
sen
616 602
Fre
ius
He
lios
sen
156 155
Fre
ius
Va
d
sen
me
22 21
ing
in
To
tal
oll
ntr
ter
est
no
nco
s
11,
64
1
11,
803

The decrease of noncontrolling interests of Fresenius Medical Care mainly relates to currency translation.

For further financial information relating to Fresenius Medical Care see the consolidated segment reporting on page 40.

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

16. FRESENIUS SE&CO. KGAA SHAREHOLDERS' EQUITY

SUBSCRIBED CAPITAL

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

During the first quarter of 2023, no stock options were exercised. Consequently, as of March 31, 2023, the subscribed capital of Fresenius SE &Co. KGaA consisted of 563,237,277 bearer ordinary shares. The shares are issued as non-par value shares. The proportionate amount of the subscribed capital is €1.00 per share.

CONDITIONAL CAPITAL

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

The Conditional Capital did not change in the first quarter of 2023. It was composed as follows as of March 31, 2023:

in € Ord
ina
ry sha
res
Co
nd
itio
nal
Ca
ital
I F
ius
AG
p
res
en
Sto
Op
tio
ire
ck
n P
lan
20
03
(ex
d)
p
4,
735
083
,
Co
nd
itio
nal
Ca
ital
II
Fre
ius
SE
p
sen
Sto
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
M
h 3
1,
202
3
p
arc
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).

The general partner and the Supervisory Board of Fresenius SE&Co. KGaA will propose a dividend of €0.92 per bearer ordinary share to the Annual General Meeting taking place on May 17, 2023, i.e. a total dividend payment of €518 million.

OTHER NOTES

17. LEGAL AND REGULATORY MATTERS

The Fresenius Group is routinely involved in claims, lawsuits, regulatory and tax audits, investigations and other legal matters arising, for the most part, in the ordinary course of its business of providing healthcare services and products. 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 quarter ended March 31, 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.

18. FINANCIAL INSTRUMENTS

VALUATION OF FINANCIAL INSTRUMENTS

Carrying amounts of financial instruments

As of March 31, 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:

Ma
rch
31
202
3
,
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,
32
1
016
2,
305
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,
770
7,
47
1
212 2 85
Ac
cei
vab
le f
d lo
late
d p
ies
nts
to
art
cou
re
rom
an
ans
re
99 99
3
Oth
fin
ial
ets
er
anc
ass
2,
889
97
1,
1
32
0
45
5
20 123
Fin
cia
l as
set
an
s
13,
079
11,
55
7
837 45
7
20 -- 20
8
Fin
cia
l li
ilit
ies
ab
an
Tra
de
ble
nts
acc
ou
pa
ya
1,
998
1,
998
Sh
ble
late
d p
ies
ort
-te
nts
to
art
rm
ac
cou
pa
ya
re
83 83
Sh
de
bt
ort
-te
rm
1,
188
1,
188
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
14 14
Lon
liab
ilit
ies
d lo
fro
rel
d p
ies
ter
to
ate
art
g-
m
an
ans
m
1 1
Lon
m d
ebt
ter
g-
2,
687
2,
687
Lea
liab
ilit
ies
se
6,
45
9
6,
45
9
Bo
nds
16,
923
16,
923
Co
rtib
le b
ond
nve
s
49
3
49
3
4
Oth
fin
ial
liab
ilit
ies
er
anc
5,
268
2,
700
648 11 1,
909
Fin
cia
l li
ab
ilit
ies
an
35
114
,
26,
087
648 -- 11 909
1,
6,
9
45

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 €89 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 March 31, 2023 and December 31, 2022:

Ma
rch
31
202
3
,
De
ber
31
202
2
cem
,
Fai
alu
r v
e
Fai
lue
r va
€ i
illio
n m
ns
ryin
Car
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
305 305 35
1
35
1
1
cei
for
edi
Tra
de
d o
the
vab
les
les
llow
ted
t lo
nts
acc
ou
an
r re
s a
anc
es
ex
pec
cr
sse
s
,
214 214 27
1
27
1
1
Oth
fin
ial
ets
er
anc
ass
ins
De
bt
tru
nts
me
47
2
47
2
44
5
44
5
Eq
uity
in
tm
ent
ves
s
245 52 104 89 224 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
20 20 21 21
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
58 58 37 37
Fin
cia
l li
ilit
ies
ab
an
Lon
m d
ebt
ter
g-
2,
687
2,
59
6
2,
835
2,
770
Bo
nds
16,
923
15,
31
7
16,
978
14,
872
Co
rtib
le b
ond
nve
s
49
3
48
5
49
1
48
1
1
Oth
fin
ial
liab
ilit
ies
er
anc
Put
tio
n l
iab
ilit
ies
op
909
1,
909
1,
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
633 633 633 633
riva
tive
esi
flo
ing
in
De
s d
d a
ash
w h
edg
ate
str
ent
gn
s c
um
s
11 11 11 11
De
riva
tive
des
ign
d a
s h
edg
ing
in
ot
ate
str
ent
s n
um
s
15 15 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 quarter of 2023:

Acc
d co
ntin
t
rue
gen
and
ing
ts o
utst
pay
men
€ i
illio
n m
ns
Equ
ity i
stm
ents
nve
for
uisi
tion
acq
s
Put
ion
liab
iliti
opt
es
As
of
Ja
1,
202
3
nu
ary
85 633 2,
005
Ad
dit
ion
s
4 3 14
Dis
als
pos
-- -1 -27
Ga
in/
ize
d i
rof
it o
los
r lo
s r
eco
gn
n p
ss
1 1 0
Ga
in/
los
ize
d i
ity
s r
eco
gn
n e
qu
-- 0 -57
Cu
ef
fec
nd
oth
cha
ts a
rre
ncy
er
nge
s
-1 -3 -26
As
of
M
h 3
1,
202
3
arc
89 633 1,
909

19. INFORMATION ON CAPITAL MANAGEMENT

The Fresenius Group has a solid financial profile. As of March 31, 2023, the equity ratio was 42.0% and the debt ratio (debt/total assets) was 36.3%. As of March 31, 2023, the leverage ratio (before special items) on the basis of net debt/EBITDA, calculated on the basis of closing rates, was 3.77 (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:

Ma
r. 3
1, 2
023
Dec
. 31
, 20
22
r's
Sta
nda
rd&
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
it R
ati
red
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.

20. NOTES ON THE CONSOLIDATED SEGMENT REPORTING

GENERAL

The consolidated segment reporting table shown on page 40 of this interim report is 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 March 31, 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 3, 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
Q1
/20
23
Q1
/20
22
To
tal
EB
IT
of
ing
ort
ent
rep
se
gm
s
927 1,
014
Sp
eci
al i
tem
s
-12
1
-98
Ge
al c
te
ner
orp
ora
exp
ens
es
Co
e (
EB
IT)
rat
rpo
-19 -14
Gr
EB
IT
ou
p
787 902
Ne
t in
ter
est
-17
0
-11
8
efo
inc
Inc
e b
e t
om
re
om
axe
s
617 784

RECONCILIATION OF NET DEBT WITH THE CONSOLIDATED

STATEMENT OF FINANCIAL POSITION

€ i
illio
n m
ns
Ma
r. 3
1, 2
023
Dec
. 31
, 20
22
Sh
de
bt
ort
-te
rm
1,
188
856
Sh
de
bt f
late
d p
ies
ort
-te
art
rm
rom
re
14 11
Cu
rtio
f lo
m d
ebt
nt
ter
rre
po
n o
ng-
725 669
Cu
rtio
f le
lia
bil
itie
nt
rre
po
n o
ase
s
843 85
1
Cu
rtio
f b
ond
nt
rre
po
n o
s
1,
798
649
Cu
rtio
f co
rtib
le b
ond
nt
rre
po
n o
nve
s
49
3
--
Lon
m d
ebt
les
rtio
ter
ent
g-
s c
urr
po
n
,
1,
962
2,
166
Lea
liab
ilit
ies
les
rtio
ent
se
s c
urr
po
n
,
5,
616
5,
74
1
Bo
nds
les
rtio
ent
s c
urr
po
n
,
15,
125
16,
32
9
Co
rtib
le b
ond
nve
s
-- 49
1
Lon
liab
ilit
ies
d lo
ter
to
g-
m
an
ans
fro
rel
d p
ies
ate
art
m
1 --
De
bt
27,
765
27,
763
les
ash
d c
ash
uiv
ale
nts
s c
an
eq
2,
32
1
2,
749
Ne
t d
ebt
25,
444
25,
014

21. SHARE-BASED COMPENSATION PLANS

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

As of March 31, 2023, Fresenius SE&Co. KGaA had two share-based compensation plans in place: the Fresenius SE& Co. KGaA Long Term Incentive Program 2013 (2013 LTIP) which is based on stock options and phantom stocks and the Long Term Incentive Plan 2018 (LTIP 2018) which is solely based on performance shares.

Transactions during the first quarter of 2023 During the first quarter of 2023, no stock options were exercised.

At March 31, 2023, 3,580,559 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 March 31, 2023, the Management Board members of Fresenius Management SE

held 402,431 performance shares and employees of Fresenius SE&Co. KGaA held 2,494,196 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 quarter of 2023, no stock options were exercised.

22. SUBSEQUENT EVENTS

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

23. CORPORATE GOVERNANCE

For each consolidated stock exchange listed entity, the declaration pursuant to Section 161 of the German Stock Corporation Act (Aktiengesetz) has been issued and made available to shareholders on the website of Fresenius SE& Co. KGaA (www.fresenius.com/corporate-governance), and of Fresenius Medical Care AG &Co. KGaA (www.freseniusmedicalcare.com).

FINANCIAL CALENDAR

An
l G
ral
Me
eti
nua
ene
ng
Ma
17,
20
23
y
Ca
ital
M
ark
Da
Lon
do
ets
p
y,
n
Ma
25,
20
23
y
Re
n 1
st h
alf
202
3
rt o
po
Co
nfe
Liv
cal
l,
ebc
ast
ren
ce
e w
Au
st 2
202
3
gu
,
Re
n 1
- 3
rd
202
3
rt o
st -
art
po
qu
er
Co
nfe
Liv
cal
l,
ebc
ast
ren
ce
e w
No
ber
2,
202
3
vem
Sub
ject
han
to c
ge

FRESENIUS SHARE/ADR

Or din
sh
AD
R
ary
are
Sec
uri
tie
s id
ific
ati
ent
on
no.
60
CU
SIP
57
8 5
35
804
M1
05
Tic
ker
mb
ol
sy
FR
E
Tic
ker
mb
ol
FS
NU
Y
sy
ISI
N
DE
000
57
856
04
ISI
N
US
35
804
M1
053
Blo
ber
bo
l
om
g s
ym
FR
E G
R
Str
Sp
d L
l 1
AD
R
uct
ure
ons
ore
eve
Re
bo
l
ute
rs s
ym
FR
EG
.de
Rat
io
4 A
DR
1 s
har
e
=
in t
ing
ion
Ma
rad
lo
Fra
cat
nkf
din
latf
OT
C
/ X
Tra
urt
etr
a
g p
orm

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 & Sustainability Telephone: ++ 49 61 72 6 08-24 87

E-Mail: [email protected]

Telefax: ++ 49 61 72 6 08-24 88

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. Ernst Wastler 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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