Investor Presentation • Sep 7, 2022
Investor Presentation
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7 September 2022
This presentation contains forward-looking statements that are subject to various risks and uncertainties. Future results could differ materially from those described in these forward-looking statements due to certain factors, e.g. changes in business, economic and competitive conditions, regulatory reforms, results of clinical trials, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, the availability of financing and unforeseen impacts of international conflicts.
Fresenius does not undertake any responsibility to update the forward-looking statements contained in this presentation.
Sources: 1 UN, Ageing and health (2021) 2 UBS, Longer Term Investments: EM healthcare (2018) 3 IDF Diabetes Atlas (2021) 4 AAM report (2021) 5 UBS, Longer Term Investments: Generics (2018)
Ratings confirmed: CDP Climate at "B" and MSCI at "BBB". Sustainalytics at "Low Risk" (19.7)
EU Taxonomy: 1% revenue, 49% capex, and 0% Opex is taxonomyeligible
Group-wide survey to be conducted to better understand employees' concerns and demands
Consolidated results expected in Q4/2022
ESG targets program on track: KPIs defined, 15% of
Management's short-term
incentive linked to ESG
Strategy and KPI alignment to be continued in 2022
KPIs to be included in new 2023 Long-Term Incentive Plan
We aim for continuous improvement through reporting and engagement
THE USE BY FRESENIUS SE & CO. KGAA OF ANY MSCI ESG RESEARCH LLC OR ITS AFFILIATES ("MSCI") DATA, AND THE USE OF MSCI LOGOS, TRADEMARKS, SERVICE MARKS OR INDEX NAMES HEREIN, DO NOT CONSTITUTE A SPONSORSHIP, ENDORSEMENT, RECOMMENDATION, OR PROMOTION OF FRESENIUS SE & CO. KGAA BY MSCI. MSCI SERVICES AND DATA ARE THE PROPERTY OF MSCI OR ITS INFORMATION PROVIDERS, AND ARE PROVIDED 'AS-IS' AND WITHOUT WARRANTY. MSCI NAMES AND LOGOS ARE TRADEMARKS OR SERVICE MARKS OF MSCI.
This publication contains information developed by Sustainalytics (www.sustainalytics.com). Such information and data are proprietary of Sustainalytics and/or its third party suppliers (Third Party Data) and are provided for informational purposes only. They do not constitute an endorsement of any product or project, nor an investment advice and are not warranted to be complete, timely, accurate or suitable for a particular purpose. Their use is subject to conditions available at https://www.sustainalytics.com/legal-disclaimers.
Before special items 2017-2018 excluding IFRS 16
Sales 2021: €7.2 bn
Ownership: ~32% Ownership: 100% Ownership: 100% Ownership: 77%
Sales 2021: €10.9 bn
Fresenius Group: All Fresenius segments with excellent market positions and ample growth opportunities; access to sufficient capital remains key to accelerate growth
Attractive segments with ample growth opportunities
Attractive for Fresenius to participate in further growth
Extensive growth capital required to capture opportunities across all segments
Attractive debt financing conditions
Extensive growth capital deployment to capture incremental growth opportunities in all segments
Health care products
Health care services
Critical care solutions
Complementary assets
high quality products and services patients worldwide will need continuous renal replacement therapy to treat acute kidney failure in 2030
• Leading market positions By 2025, the Company aims to perform 25% of all treatments in the U.S. in a home setting
Leverage ever larger data sets from ~53 million dialysis treatments per year (2021) to further improve and personalize treatments
1 As of June 30, 2022
Generic IV drugs
Clinical nutrition
Medical devices /
transfusion technology
Infusion therapy
Biosimilars
Sales by Region
30%
Market Dynamics
Expected market growth of biosimilars 2021 to 2028
average growth p.a. in the U.S.
Rising cost consciousness in healthcare spending/significant savings from generics
savings p.a. in the U.S.
to the previous year.
~ €16 bn
in Spain of
~2.5% p.a.
Private hospital market in Spain
Average increase of private
health insurance policies
Outpatient
Occupational risk prevention
Fertility services
1 Based on sales
Projects
Post-acute care
Services
whilst temporary headwinds weigh on net income development
Acquisitions have smaller contributions than the ~1% additional growth originally expected
1 Net income attributable to shareholders of Fresenius SE & Co.KGaA
Before special items
1 Before special items
Solid quarter with market share gains despite supply disruptions, staff shortages and inflationary headwinds
Price pressure eased; low single-digit price erosion in our base product portfolio in Q2/22
GPO tendering in line with expectations; new price scheme to be implemented in Q3/22
FDA inspected Melrose Park facility - feedback expected in Q3/22
Integration of business is progressing well
Large volume pump including infusion management software tool receiving promising customer feedback
China marked by significant NVBP related price pressure
APAC ex China with good business performance in Q2/22
Acquisition of majority stake in mAbxience closed
Clinical programs for further molecules of Kabi's portfolio progressing according to plan
Biologics License Application (BLA) for tocilizumab accepted for review by FDA
Solid admissions growth sequentially (+4%) and Q2 year-over-year (+5%)
Patients returning to hospitals for elective treatments, COVID-19 no longer seen as hurdle
Sufficient bed capacity available despite rising number of Omicron patients
1 Merco Corporate Reputation Business Monitor, Spain, 2022
Ongoing growing activity levels in Spain and Latin America
Omicron wave in Q2: Moderate impact from related temporary local staff shortages
Acquisition of two small medical centers near Barcelona and Zaragoza; hospital expansions in Madrid and Málaga completed; opening of new health center in Madrid
Quirónsalud ranked1 amongst TOP 30 most reputed companies in Spain, #1 in healthcare
Activity picking up during Q2 due to receding COVID-related impact
Acquisition of two facilities in Brazil and one in the U.S. (North Carolina)
Further bolt-on acquisitions expected in FY/22
29
• Supply chain disruptions and higher material costs weigh on project business in Q2/22
Major turnkey contract in Q2/22:
• Turnkey Project, Regional Hospitals in Angola
Goldman Sachs 19th Annual European Medtech and Healthcare Services Conference, 7 September 2022 © Fresenius SE & Co. KGaA Investor Relations & Sustainability 30
All growth rates in constant currency (cc) Before special items 1 Excluding Ivenix acquisition Net income attributable to shareholders of Fresenius SE & Co. KGaA
All figures before special items
1 Excluding Ivenix acquisition
For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| Operating CF | Capex (net) | Free Cash Flow1 | ||||
|---|---|---|---|---|---|---|
| €m | Q2/2022 | LTM Margin | Q2/2022 | LTM Margin | Q2/2022 | LTM Margin |
| 751 | 12.3% | -169 | -4.2% | 582 | 8.1% | |
| 109 | 13.1% | -110 | -6.8% | -1 | 6.3% | |
| 194 | 7.3% | -146 | -5.1% | 48 | 2.2% | |
| 7 | 4.2% | -9 | -2.1% | -2 | 2.1% | |
| Corporate/Other | -44 | n.a. | -2 | n.a. | -46 | n.a. |
| Excl. FMC² | 393 | 9.4% | -267 | -5.4% | 126 | 4.0% |
| 1,017 | 10.5% | -436 | -4.9% | 581 | 5.6% |
1 Before acquisitions and dividends
2 Including FMC dividends
• Meaningful increases across all segments
• Staff shortages limit growth e.g. onboarding opportunities for new patients in dialysis clinics
• Headwinds primarily at FMC in the U.S. patient-facing service business
Special items are excluded.
The acquisitions of Ivenix and of the majority stake in mAbxience as well as any further potential acquisitions are excluded from guidance.
Fresenius expects significantly more pronounced headwinds from supply chain disruptions and cost inflation, including energy prices. Furthermore, significant negative effects from ongoing labor shortages and associated wage inflation, especially at Fresenius Medical Care in the U.S. are expected.
COVID-19 will continue to impact Fresenius Group operations in 2022; an unlikely but possible significant deterioration of the situation triggering containment measures that could have a significant and direct impact on the health care sector without any appropriate compensation is not reflected in the Group's FY/22 guidance.
The war in Ukraine is directly and indirectly affecting Fresenius Group operations. Fresenius will continue to closely monitor the potential further consequences of the war, including balance sheet valuations. The guidance does not consider a significant disruption of gas or electricity supplies in Europe.
FMC's updated guidance assumptions also apply to FSE guidance.
| €m (except | otherwise stated) |
FY/21 Base | H1/22 prelim. |
FY/22e | ||
|---|---|---|---|---|---|---|
| Sales growth (org) | 7,193 | 1% | Low single-digit % | |||
| EBIT growth (cc) |
1,153 | -8%1 | Decline in high single- to low double-digit %-range |
|||
| Sales growth (org) | 10,891 | 6% | Low-to-mid single-digit % |
|||
| EBIT growth (cc) |
1,127 | 7% | Mid single-digit % | |||
| Sales growth (org) |
2,297 | 4% | High single- to low double-digit % |
|||
| EBIT | 101 | 19 | Returning to absolute pre-COVID levels (2019: €134 m) |
Before special items and including COVID-19 effects
1 Excluding Ivenix acquistion
For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m (except otherwise stated) | FY/21 Base |
H1/22 | FY/22e | New | |
|---|---|---|---|---|---|
| Sales growth (cc) |
37,520 | 4% | Mid single-digit % | Low-to-mid single-digit % |
|
| Net income growth (cc) |
1,867 | -3%1 | Low single-digit % | Decline in low-to mid single-digit %-range |
Before special items and including COVID-19 effects Net income attributable to shareholders of Fresenius SE & Co. KGaA
1 Excluding Ivenix acquisition
For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| Total sales | 1,896 | 2% | 3,743 | 1% |
|---|---|---|---|---|
| Emerging Markets | 632 | -2% | 1,260 | 0% |
| Europe | 658 | 4% | 1,298 | 3% |
| North America | 606 | 3% | 1,185 | 0% |
| €m | Q2/22 | Δ YoY organic |
H1/22 | Δ YoY organic |
| Total sales | 1,896 | 2% | 3,743 | 1% |
|---|---|---|---|---|
| Biosimilars | 29 | ++ | 52 | ++ |
| Infusion Therapy | 245 | 10% | 475 | 12% |
| Medical Devices/ Transfusion Technology |
360 | 0% | 717 | 0% |
| Clinical Nutrition | 563 | 2% | 1,117 | 3% |
| IV Drugs | 699 | -3% | 1,382 | -5% |
| €m | Q2/22 | Δ YoY organic |
H1/22 | Δ YoY organic |
| €m | Q2/22 | Δ YoY cc |
H1/22 | Δ YoY cc |
|---|---|---|---|---|
| North America | 174 | -4% | 330 | -10% |
| Margin | 28.7% | -230 bps | 27.8% | -330 bps |
| Europe | 80 | -17% | 161 | -26% |
| Margin | 12.2% | -330 bps | 12.4% | -480 bps |
| Emerging Markets | 140 | -18% | 313 | 3% |
| Margin | 22.2% | -380 bps | 24.8% | +80 bps |
| Corporate and Corporate R&D | -123 | 0% | -240 | 13% |
| Total EBIT | 271 | -15%1 | 564 | -8%1 |
| Margin | 14.3% | -270 bps | 15.1% | -120 bps |
All figures before special items
Margin growth at actual rates
1 Excluding Ivenix acquistion
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m | Q2/22 | Δ YoY cc |
H1/22 | Δ YoY cc |
|---|---|---|---|---|
| Total sales | 2,925 | 5%1 | 5,856 | 6%1 |
| Thereof Helios Germany |
1,758 | 4%1 | 3,541 | 5%1 |
| Thereof Helios Spain |
1,101 | 6%1 | 2,190 | 9%1 |
| Thereof Helios Fertility |
65 | -- | 122 | -- |
| Total EBIT Margin |
303 10.4% |
1% -50 bps |
609 10.4% |
7% -10 bps |
| Thereof Helios Germany Margin |
154 8.8% |
1% -30 bps |
308 8.7% |
2% -30 bps |
| Thereof Helios Spain Margin |
148 13.4% |
0% -100 bps |
301 13.7% |
10% +0 bps |
| Thereof Helios Fertility Margin |
7 10.8% |
-- | 11 9.0% |
-- |
| Thereof Corporate | -6 | -- | -11 | -- |
1 Organic growth
All figures before special items
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| H1/22 | FY/21 | Δ | |
|---|---|---|---|
| Helios Germany | |||
| Hospitals - Acute care hospitals |
88 85 |
90 87 |
-2% -2% |
| Beds - Acute care hospitals |
30,473 29,941 |
30,487 29,955 |
0% 0% |
| Admissions (acute care) | 537,302 | 1,048,946 | |
| Helios Spain | |||
| Hospitals | 58 | 56 | 4% |
| Beds | 8,225 | 8,174 | 1% |
| Admissions (including outpatients) | 9,598,613 | 17,122,592 |
| €m | Q2/22 | Δ YoY cc |
H1/22 | Δ YoY cc |
|---|---|---|---|---|
| Total sales Thereof organic sales |
562 | 1% 1% |
1,075 | 3% 4% |
| Project business | 145 | -12% | 253 | -9% |
| Service business | 417 | 6% | 822 | 8% |
| EBIT1 Total |
11 | -31% | 19 | 58% |
| Order intake2 | 253 | -65% | 516 | -39% |
| Order backlog2 | 3,732 | 7%3 |
1 Before special items
2 Project business only
3 Versus December 31, 2021
| €m | Q2/221 | special items |
Q2/22 reported |
cc1 Δ YoY |
|---|---|---|---|---|
| Sales | 10,018 | - | 10,018 | 3% |
| EBIT | 1,003 | -158 | 845 | -9% |
| Net interest | -116 | - | -116 | 10% |
| Income taxes | -204 | 39 | -165 | 3% |
| Net income2 | 450 | -67 | 383 | -9%3 |
1 Before special items 2 Net income attributable to shareholders of Fresenius SE & Co. KGaA 3 Before Ivenix acquisition
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m | H1/22 | H1/21 |
|---|---|---|
| Earnings before tax and noncontrolling interests | 1,768 | 1,784 |
| Taxes | -404 | -395 |
| Noncontrolling interests, thereof | -451 | -478 |
| Fresenius Medical Care net income not attributable to Fresenius (H1/22: ~68%) |
-292 | -321 |
| Noncontrolling interest holders in Fresenius Medical Care | -112 | -116 |
| Noncontrolling interest holders in Fresenius Kabi (-€34 m), Fresenius Helios (-€9 m), Fresenius Vamed (-€2 m) and due to Fresenius Vamed's 23% external ownership (-€2 m) |
-47 | -41 |
| Net income attributable to Fresenius SE & Co. KGaA |
913 | 911 |
Before special items
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m | Q2/22 | LTM Margin | Δ YoY |
|---|---|---|---|
| Operating Cash Flow | 1,017 | 10.5% | -47% |
| Capex (net) | -436 | -4.9% | 13% |
| Free Cash Flow | 581 | 5.6% | -73% |
| (before acquisitions and dividends) | |||
| Acquisitions (net) | -271 | ||
| Dividends | -701 | ||
| Free Cash Flow (after acquisitions and dividends) |
-391 | 1.6% | -- |
| Growth cc as reported incl. COVID-19 |
COVID-19 impact | Estimated cc |
Estimated growth cc excl. COVID-19 |
|||
|---|---|---|---|---|---|---|
| Q2/22 | Q2/21 | Q2/22 | Q2/21 | Q2/22 | Q2/21 | |
| Sales | 3% | 8% | 1% to 0% |
2% to 1% |
2% to 3% |
6% to 7% |
| Net income1 | -10% | 20% | 6% to 2% |
10% to 6% |
-16% to -12% |
10% to 14% |
| Growth cc as reported incl. COVID-19 |
Estimated COVID-19 impact cc |
Estimated growth cc excl. COVID-19 |
|||||
|---|---|---|---|---|---|---|---|
| H1/22 | H1/21 | H1/22 | H1/21 | H1/22 | H1/21 | ||
| Sales | 4% | 6% | 0% to -1% |
1% to 0% |
4% to 5% |
5% to 6% |
|
| Net income1 | -4% | 8% | 6% to 2% |
4% to 0% |
-10% to -6% |
4% to 8% |
1 Net income attributable to shareholders of Fresenius SE & Co. KGaA
2002-2019 excluding IFRS 16
1 At actual FX rates from 2002 to 2010 and at average FX rates from 2011 onwards, for both Net Debt and EBITDA; before special items; pro forma closed acquisitions/divestitures
2 Pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG
3 Including IFRS 16
1 As of June 30, 2022, and based on utilization of major financing instruments, excl. Commercial Paper and A/R Facility 2 Calculations based on total financial debt, excluding Lease & Purchase Money Obligations
| €m | Q2/22 | Q2/21 | Growth at actual rates |
Currency translation effects |
Growth at constant rates |
Organic growth |
Acquisi tions |
Divesti tures/ Others |
|---|---|---|---|---|---|---|---|---|
| Fresenius Medical Care | 4,757 | 4,320 | 10% | 9% | 1% | 0% | 1% | 0% |
| Fresenius Kabi | 1.896 | 1,755 | 8% | 6% | 2% | 2% | 0% | 0% |
| Fresenius Helios | 2,925 | 2,738 | 7% | 1% | 6% | 5% | 1% | 0% |
| Fresenius Vamed | 562 | 556 | 1% | 0% | 1% | 1% | 1% | -1% |
| Total | 10,018 | 9,246 | 8% | 5% | 3% | 2% | 1% | 0% |
| Growth | Profitability | Liqudity | Capital efficiency | Capital management |
|---|---|---|---|---|
| Sales growth (in constant currency) Sales growth |
Operating income (EBIT) +/ - Financial result - Income taxes |
Operating cash flow ÷ Sales = Cash flow margin |
EBIT Income taxes = NOPAT |
Net debt ÷ EBITDA = Leverage ratio |
| (organic) | - Minority interests = Net income EBIT growth (in constant currency) Net income growth (in constant currency) |
÷ Invested capital = ROIC EBIT ÷ Operating assets = ROOA |
| Targets 20212 | 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|---|
| Sales growth (in constant currency) | Mid single-digit % | 5% | 5% | 6% | 6% | 16% |
| Net income3 growth (in constant currency) |
Around top-end of low single-digit % |
5% | -3% | 0% | 7% | 21% |
| Liquidity and capital management |
||||||
| Cash flow margin |
10% to 12% |
13.5% | 18.1% | 12.0% /9.9%4 |
11.2% | 11.6% |
| Net debt / EBITDA5 |
Around the top-end of 3.0x – 3.5x6 |
3.51x | 3.44x | 3.61x/ 3.14x4 |
2.71x | 2.84x |
| Capital efficiency | ||||||
| Return on invested capital (ROIC)7 | Decrease by 50 to 100 basis points compared to 2020 level |
5.9% | 6.5% | /7.4%4 6.7% |
8.3% | 8.0% |
| Return on operating assets (ROOA)7 | Decrease by 40 to 70 basis points compared to 2020 level |
6.5% | 7.3% | /8.2%4 7.6% |
9.0% | 9.4% |
1 Growth rates are based on the assumptions of the respective annual forecasts and are adjusted for special items and, if applicable, other effects affecting the underlying growth
(adjustments to new accounting standards, acquisitions / divestments, acquisition costs, or cost-saving programs).
2 Including estimated COVID-19 effects (updated November 2021)
3 Net income attributable to shareholders of Fresenius SE & Co. KGaA
4 Excluding IFRS 16 effect
5 Both net debt and EBITDA calculated at LTM average exchange rates; before special items, pro forma closed acquisitions/divestitures
6 Around the top-end of the self-imposed target range of 3.0x to 3.5x; excluding further potential acquisitions
7 Before special items, pro forma acquisitions
| Targets 20212 | 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|---|
| Fresenius Medical Care | ||||||
| Sales growth (in constant currency) |
Expecting to be at the lower end of the guidance range of low-to-mid single-digit % |
2% | 5% | 5% | 4% | 9% |
| Net income growth 3,4 (in constant currency) |
Expecting to be at the lower end of the guidance range of high-teens to mid-twenties %- decline |
-23% | 12% | -2% | 4% | 7% |
| Fresenius Kabi | ||||||
| Sales growth (organic) |
Low-to-mid single-digit % |
4% | 4% | 4% | 7% | 7% |
| EBIT growth (in constant currency) | Around the top end of the low single-digit %-guidance range |
7% | -6% | 3% | 2% | 8% |
| Fresenius Helios | ||||||
| Sales growth (organic) |
Mid single-digit percentage growth |
7% | 4% | 5% | 3% | 4% |
| EBIT growth (in constant currency) | High single-digit percentage growth |
10% | 0% | -4% | 0% | 54% |
| Fresenius Vamed | ||||||
| Sales growth (organic) |
Mid-to-high single-digit % | 11% | -8% | 16% | 16% | 6% |
| EBIT growth (in constant currency) | High double-digit € million amount |
€101 million | €29 million | 19% | 45% | 10% |
1 Growth rates are based on the assumptions of the respective annual forecasts and are adjusted for special items and, if applicable,
other effects affecting the underlying growth (adjustments to new accounting standards, acquisitions / divestments, acquisition costs, or cost-saving programs).
2 Including estimated COVID-19 effects (updated November 2021)
3 Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
4 Special items are effects (when consolidated at the Fresenius Group: special items), that are unusual in nature and were not foreseeable or not foreseeable in size or impact at the time of giving guidance.
07 October 2022 Meet the Management Fresenius Kabi (virtual event) 01 November 2022 Results Q3/22
Investor Relations & Sustainability Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: [email protected]
For further information and current news: www.fresenius.com
www.linkedin.com/company/fresenius-investor-relations
Please note that these dates could be subject to change.
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