Annual Report • Aug 30, 2013
Annual Report
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Fresenius Medical Care
Financial Condition and Results of Operations p. 7
Liquidity and Capital Resources p. 21
Balance Sheet Structure p. 25
Opportunities and Risk Report p. 25
Report on Expected Developments p. 26
Subsequent Events p. 26
Recently Adopted and Issued Accounting Pronouncements p. 26
Consolidated Statements of Income p. 28
Consolidated Statements of Comprehensive Income p. 29
Consolidated Balance Sheets p. 30
Consolidated Statements of Cash Flows p. 32
Consolidated Statement of Shareholders' Equity p. 34
Notes to Consolidated Financial Statements p. 36
C o r p o r at e Governance p. 59
R e s pon s i b i l i t y Statement p. 59
C alendar p. 60
C ontact p. 61
| Summary second quarter 2013 T. 1 |
||||
|---|---|---|---|---|
| Net revenue | \$ 3,613 M | +5% | ||
| Operating income (EBIT) | \$ 544 M | –8% | ||
| Adjusted operating income (EBIT) | \$ 555 M | –2% | ||
| Net income1 | \$ 263 M | –9% | ||
| Adjusted net income1 | \$ 272 M | +2% | ||
| Earnings per ordinary share | \$ 0.86 | –10% | ||
| Adjusted earnings per ordinary share | \$ 0.89 | +2% |
| Summary first half 2013 T. 2 |
||||
|---|---|---|---|---|
| Net revenue | \$ 7,076 M | +6% | ||
| Operating income (EBIT) | \$ 1,038 M | –5% | ||
| Adjusted operating income (EBIT) | \$ 1,049 M | –3% | ||
| Net income1 | \$ 488 M | –26% | ||
| Adjusted net income1 | \$ 498 M | –3% | ||
| Earnings per ordinary share | \$ 1.59 | –27% | ||
| Adjusted earnings per ordinary share | \$ 1.62 | –4% |
1 Attributable to shareholders of Fresenius Medical Care AG & Co. KGaA.
Net revenue for the second quarter of 2013 increased by 5% to \$3,613 M (+6% at constant currency) compared to the second quarter of 2012. Organic revenue growth worldwide was 5%. Dialysis services revenue grew by 5% to \$2,743 M (+6% at constant currency) and dialysis product revenue increased by 6% to \$870 M (+5% at constant currency).
North America revenue for the second quarter of 2013 increased by 6% to \$2,375 M. Organic revenue growth was 5%. Dialysis services revenue grew by 6% to \$2,157 M with a same store treatment growth of 4%. Dialysis product revenue increased by 6% to \$218 M.
International revenue increased by 5% to \$1,228 M (+6% at constant currency). Organic revenue growth was 5%. Dialysis services revenue increased by 4% to \$586 M (+7% at constant currency). Dialysis product revenue increased by 5% to \$642 M (+5% at constant currency).
Operating income (EBIT) for the second quarter of 2013 decreased by 8% to \$544 M compared to \$589 M in the second quarter of 2012. The operating income for North America for the second quarter of 2013 decreased by 9% to \$394 M compared to \$431 M in the second quarter of 2012. In the International segment, the operating income for the second quarter of 2013 increased by 1% to \$209 M compared to \$207 M in the second quarter of 2012.
Fresenius Medical Care 2013
Adjusted for special items related to the acquisition of Liberty Dialysis Holdings Inc. and the impact from the budget cuts in the U.S. (sequestration) that were effectively introduced in April 2013, the operating income for the second quarter of 2013 decreased by 2% to \$555 M compared to \$568 M in the second quarter of 2012.
Net interest expense for the second quarter of 2013 was \$103 M, compared to \$104 M in the second quarter of 2012.
Net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA for the second quarter of 2013 was \$263 M, a decrease of 9% compared to the corresponding number of \$289 M for the second quarter of 2012. Adjusted for the net of tax effects of the special items mentioned above, net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA for the second quarter of 2013 increased by 2% to \$272 M compared to \$266 M for the second quarter of 2012.
Income tax expense was \$144 M for the second quarter of 2013 which translates into an effective tax rate of 32.6%. This compares to income tax expense of \$172 M and a tax rate of 34.6% for the second quarter of 2012. Adjusted for the special items mentioned above, the tax rate for the second quarter of 2013 was 32.1% as compared to 34.4% for the second quarter of 2012.
Earnings per ordinary share (EPS) for the second quarter of 2013 was \$0.86, a decrease of 10% compared to the corresponding number for the second quarter of 2012. Adjusted for the special items mentioned above, EPS for the second quarter of 2013 increased by 2% to \$0.89 compared to \$0.88 for the second quarter of 2012. The weighted average number of shares outstanding for the second quarter of 2013 was approximately 306.3 M shares, compared to 304.4 M shares for the second quarter of 2012. The increase in shares outstanding mainly resulted from stock option exercises in the past twelve months, partially offset by the effect of the share buy-back program.
In the second quarter of 2013, the Company generated \$525 M in cash from operations, an increase of 16% compared to the corresponding figure of last year and representing 14.5% of revenue.
A total of \$173 M was spent for capital expenditures, net of disposals. Free cash flow before acquisitions was \$352 M (representing 9.8% of revenue) compared to \$300 M in the second quarter of 2012.
A total of \$13 M in cash was spent for acquisitions and investments, net of divestitures. Free cash flow after acquisitions and divestitures was \$339 M, compared to \$306 M in the second quarter of 2012.
Net revenue for the first half of 2013 increased by 6% to \$7,076 M (+6% at constant currencies) compared to the first half of 2012. Organic revenue growth was 5% in the first half of 2013.
Operating income (EBIT) for the first half of 2013 decreased by 5% to \$1,038 M compared to \$1,092 M in the first half of 2012. Adjusted for special items related to the acquisition of Liberty Dialysis Holdings Inc. and the impact from sequestration the operating income for the first half of 2013 decreased by 3% to \$1,049 M compared to \$1,078 M for the first half of 2012.
Net interest expense for the first half of 2013 was \$207 M compared to \$203 M in the same period of 2012.
For the first half of 2013, net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA was \$488 M, down by 26% from the corresponding number of \$660 M for the first half of 2012. Adjusted for the net of tax effects of the special items mentioned above, net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA for the first half of 2013 decreased by 3% to \$498 M compared to \$514 M for the first half of 2012.
Income tax expense for the first half of 2013 was \$273 M which translates into an effective tax rate of 32.8%. This compares to income tax expense of \$309 M and a tax rate of 30.1% for the first half of 2012. Adjusted for the special items mentioned above, the tax rate for the first half of 2013 was 32.6% as compared to 33.8% for the first half of 2012.
In the first half of 2013, earnings per ordinary share decreased by 27% to \$1.59 compared to \$2.17 for the first half of 2012. Adjusted for the special items mentioned above, EPS for the first half of 2013 decreased by 4% to \$1.62 compared \$1.69 for the first half of 2012. The weighted average number of shares outstanding during the first half of 2013 was approximately 306.5 M.
Cash from operations during the first half of 2013 was \$841 M compared to \$932 M for the same period in 2012, representing 11.9% of revenue.
A total of \$319 M in cash was spent for capital expenditures, net of disposals. Free cash flow before acquisitions for the first half of 2013 was \$522 M compared to \$658 M in the same period in 2012. A total of \$84 M in cash was spent for acquisitions, net of divestitures. Free cash flow after acquisitions and divestitures was \$438 M compared to minus \$862 M in the first half of last year.
As of June 30, 2013, Fresenius Medical Care treated 264,290 patients worldwide, which represents an increase of 3% compared to the previous year's figure. North America provided dialysis treatments for 168,160 patients, an increase of 3% compared to the corresponding number for 2012. The International segment provided dialysis treatments for 96,130 patients, an increase of 4% over the prior year's figure.
As of June 30, 2013, the Company operated a total of 3,212 clinics worldwide, an increase of 3% compared to the corresponding number for 2012. The number of clinics is comprised of 2,104 clinics in North America (+3%) and 1,108 clinics in the International segment (+3%).
During the first half half of 2013, Fresenius Medical Care delivered approximately 19.7 M dialysis treatments worldwide. This represents an increase of 5% compared to the previous year's figure. North America accounted for 12.5 M treatments, an increase of 5%. The International segment delivered 7.2 M treatments, an increase of 3%.
As of June 30, 2013, Fresenius Medical Care had 87,944 employees (full-time equivalents) worldwide, compared to 86,153 employees at the end of 2012.
The ratio of debt to earnings before interest, taxes, depreciation and amortization (EBITDA) decreased from 2.92 at the end of the second quarter of 2012 to 2.91 at the end of the second quarter of 2013.
Standard & Poor's rates the Company's corporate credit as 'BB+' with a 'positive' outlook. Moody's rates the Company's corporate credit as 'Ba1' with a 'stable' outlook. During the second quarter, Fitch has raised the outlook from 'stable' to 'positive'. Fitch continues to rate the Company's corporate credit as 'BB+'.
Fresenius Medical Care has started the share buy-back program on May 20, 2013. The Company intends to repurchase ordinary shares with an aggregate value of up to €385 M (approximately \$500 M). The program is expected to run into the third quarter of 2013. As of June 30, 2013, around 3.58 M shares were repurchased in the amount of approximately €190 M (~ \$249 M).
At the annual general meeting and in a separate meeting of preference shareholders the shareholders approved the mandatory conversion of all preference shares into ordinary shares on a 1:1 basis. This conversion was finalized on June 28, 2013.
The Company expects revenue to grow to more than \$14 .6 BN in 2013, translating into a growth rate of more than 6%.
In April 2013 budget cuts in the U.S. (sequestration) were effectively introduced. We do not assume that these measurements will be revised this year. Therefore the net income guidance range has been confirmed and has been substantiated for the potential impact from sequestration on our business performance. Net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA is expected to be between \$1.1 Bn and \$1.15 Bn in 2013.
For 2013, the Company expects to spend around \$700 M on capital expenditures and around \$500 M on acquisitions. The debt/ EBITDA ratio is expected to be equal or below 3.0 by the end of 2013.
Second Quarter 2013
You should read the following discussion and analysis of the results of operations of Fresenius Medical Care AG&Co.KGaA (FMC AG & CO. KGAA or the Company) and its subsidiaries in conjunction with our unaudited consolidated financial statements and related notes contained elsewhere in this report and our disclosures and discussions in our Annual Report for the year ended December 31, 2012. In this report, "FMC AG & CO. KGAA," or the "Company," "we," "us" or "our" refers to the Company or the Company and its subsidiaries on a consolidated basis, as the context requires. The term "North America Segment" refers to our North America operating segment and the term "International Segment" refers to the combination of our "EMEALA" (Europe, Middle East, Africa and Latin America) operating segment and our Asia-Pacific operating segment.
This report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. When used in this report, the words "expects," "anticipates," "intends," "plans," "believes," "seeks," "estimates" and similar expressions are generally intended to identify forward looking statements. Although we believe that the expectations reflected in such forward-looking statements are reasonable, forward-looking statements are inherently subject to risks and uncertainties, many of which cannot be predicted with accuracy and some of which might not even be anticipated, and future events and actual results, financial and otherwise, could differ materially from those set forth in or contemplated by the forward-looking statements contained elsewhere in this report. We have based these forward-looking statements on current estimates and assumptions made to the best of our knowledge. By their nature, such forward-looking statements involve risks, uncertainties, assumptions and other factors which could cause actual results, including our financial condition and profitability, to differ materially and be more negative than the results expressly or implicitly described in or suggested by these statements. Moreover, forward-looking estimates or predictions derived from third parties' studies or information may prove to be inaccurate. Consequently, we cannot give any assurance regarding the future accuracy of the opinions set forth in this report or the actual occurrence of the developments described herein. In addition, even if our future results meet the expectations expressed here, those results may not be indicative of our performance in future periods.
These risks, uncertainties, assumptions, and other factors that could cause actual results to differ from our projected results include, among others, the following:
Important factors that could contribute to such differences are noted in the "Overview" section below, in Note 11 and in our Annual Report for the year ended December 31, 2012, in chapter 2.10 "Risk and Opportunities Report" and elsewhere in that report.
Our business is also subject to other risks and uncertainties that we describe from time to time in our public filings. Developments in any of these areas could cause our results to differ materially from the results that we or others have projected or may project.
Our reported financial condition and results of operations are sensitive to accounting methods, assumptions and estimates that are the basis of our financial statements. The actual accounting policies, the judgments made in the selection and application of these policies and the sensitivities of reported results to changes in accounting policies, assumptions and estimates, are factors to be considered along with our financial statements and the discussion under "Results of Operations" below. For a discussion of our critical accounting policies, see chapter 1.1, "Operating and Financial Review and Prospects – Critical Accounting Policies" in our Financial Report of our Annual Report for the year ended December 31, 2012.
We are engaged primarily in providing dialysis services including pharmacy services and vascular access surgery services (together, the Expanded Services) and manufacturing and distributing products and equipment for the treatment of End-Stage Renal Disease (ESRD). Fresenius Medical Care Holdings, Inc. (FMCH), located in the United States and our largest subsidiary, also provides laboratory testing services, and inpatient dialysis services as well as other services under contract to hospitals. We estimate that providing dialysis services and distributing dialysis products and equipment represents a worldwide market of approximately \$75 BN with expected annual worldwide market growth of around 4%, adjusted for currency. Patient growth results from factors such as the aging population and increased life expectancies; shortage of donor organs for kidney transplants; increasing incidence and better treatment of and survival of patients with diabetes and hypertension, which frequently precede the onset of ESRD; improvements in treatment quality, which prolong patient life; and improving standards of living in developing countries, which make life-saving dialysis treatment available. Key to continued growth in revenue is our ability to attract new patients in order to increase the number of treatments performed each year. For that reason, we believe the number of treatments performed each year is a strong indicator of continued revenue growth and success. In addition, the reimbursement and ancillary services utilization environment significantly influences our business. With the exception of the implementation of the ESRD prospective payment system (ESRD PPS) in the U.S. in January 2011, the U.S. federal government sequestration cuts and the current proposal to reduce reimbursement under the ESRD PPS effective January 1, 2014 to account for the decline in utilization of certain drugs and biologicals associated with dialysis, we experienced and also expect in the future to experience generally stable reimbursements for dialysis services. See discussion of the American Taxpayer Relief Act of 2012 below. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries. The majority of treatments are paid for by governmental institutions such as Medicare in the United States. As a consequence of the pressure to decrease healthcare costs, reimbursement rate increases have historically been limited. Our ability to influence the pricing of our services is limited.
With the enactment in the U.S. of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) in 2008, Congress mandated the development of an expanded ESRD PPS for services furnished on or after January 1, 2011. On July 26, 2010, the U.S. Centers for Medicare & Medicaid Services (CMS) published a final rule implementing the ESRD PPS for ESRD dialysis facilities in accordance with MIPPA. Under the ESRD PPS, CMS reimburses dialysis facilities with a single payment for each dialysis treatment, inclusive of (i) all items and services included in the former composite rate, (ii) oral vitamin D analogues, oral levocarnitine (an amino acid derivative) and all erythropoietin stimulating agents (ESAs) and other pharmaceuticals (other than vaccines and certain other oral drugs) furnished to ESRD patients that were previously reimbursed separately under Part B of the Medicare program, (iii) most diagnostic laboratory tests and (iv) certain other items and services furnished to individuals for the treatment of ESRD. ESRD-related drugs with only an oral form, including our phosphate binder PhosLo®, are expected to be reimbursed under the ESRD PPS starting in January 2016 with an adjusted
payment amount to be determined by the Secretary of Health and Human Services to reflect the additional cost to dialysis facilities of providing these medications. The base ESRD PPS payment is subject to case mix adjustments that take into account individual patient characteristics (e.g., age, body surface area, body mass, time on dialysis) and certain co-morbidities. The base payment is also adjusted for (i) certain high cost patient outliers due to unusual variations in medically necessary care, (ii) disparately high costs incurred by low volume facilities relative to other facilities, (iii) provision of home dialysis training and (iv) wage-related costs in the geographic area in which the provider is located.
The ESRD PPS payment amount is subject to annual adjustment based on increases in the costs of a "market basket" of certain healthcare items and services less a productivity adjustment. The 2013 ESRD PPS base rate is \$240.36 per treatment. This amounts reflects a productivity adjusted market basket update of 2.3%, which was based on a market basket update over 2012 reimbursement rates of 2.9% less a productivity adjustment of 0.6%, and a wage index budget-neutrality adjustment factor of 1.000613 applied to the 2012 ESRD PPS base rate of \$234.81 per treatment.
The initial ESRD PPS resulted in a lower reimbursement rate on average at our U.S. dialysis facilities. We mitigated the impact of the ESRD PPS with two broad measures. First, we worked with medical directors and treating physicians to find efficiencies consistent with the ESRD PPS's quality incentive program (QIP) and good clinical practices, and we negotiated pharmaceutical acquisition cost savings. In addition, we achieved greater efficiencies and better patient outcomes by introducing new initiatives to improve patient care upon initiation of dialysis, increase the percentage of patients using home therapies and achieve additional cost reductions in our clinics.
The ESRD PPS's QIP began affecting payments starting January 1, 2012. Dialysis facilities that fail to achieve the established quality standards now have payments reduced by up to 2%. Performance on specified measures in 2010 affected payments in 2012. Based on our performance in 2010, the QIP's impact on our 2012 results was immaterial. In 2013, payments will be affected by performance with respect to measures in 2011. The initial QIP measures for 2010 and 2011 focused on anemia management and dialysis adequacy (Urea Reduction Ratio or URR). For 2012 reporting (affecting payments in 2014), CMS adopted four additional measures: prevalence of catheter and A/V fistula use, reporting of infections to the Centers for Disease Control and Prevention, administration of patient satisfaction surveys and monthly monitoring of phosphorus and calcium levels. For payment year 2015, CMS has continued all of the 2014 QIP measures except URR dialysis adequacy, expanded the scope of infection reporting and mineral metabolism reporting, and added four new measures. The new payment year 2015 measures consist of three new clinical measures (hemodialysis adequacy (adult patients), hemodialyis adequacy (pediatric patients) and peritoneal dialysis adequacy), and one new reporting measure (anemia management reporting). For payment year 2016, CMS has proposed continuing the payment year 2015 QIP measures, revising the mineral metabolism reporting and anemia management reporting measures, expanding the scope of patient satisfaction surveys, and adding five new measures for a total of fourteen. The proposed new measures consist of three new clinical measures (patient-informed consent for anemia treatment, proportion of patients with hypercalcemia, and bloodstream infection in hemodialyis outpatients), and two new reporting measures (pediatric iron therapy and patient comorbidity). A final QIP rule for 2016 is expected later this year.
The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2011 (collectively, ACA) implements broad healthcare system reforms, including (i) provisions to facilitate access to affordable health insurance for all Americans, (ii) expansion of the Medicaid program, (iii) an industry fee on pharmaceutical companies that began in 2011 based on sales of brand name pharmaceuticals to government healthcare programs, (iv) a 2.3% excise tax on manufacturers' medical device sales starting in 2013, (v) increases in Medicaid prescription drug rebates effective January 1, 2010, (vi) commercial insurance market reforms that protect consumers, such as bans on lifetime and annual limits, coverage of pre-existing conditions, limits on administrative costs, and limits on waiting periods, (vii) provisions encouraging integrated care, efficiency and coordination among providers and (viii) provisions for reduction of healthcare program waste and fraud. ACA does not modify the dialysis reimbursement provisions of MIPPA, except to change the annual
update provision by substituting a productivity adjustment to the market basket rate of increase for a MIPPA provision that specified a one percentage point reduction in the market basket rate of increase. ACA's medical device excise tax, Medicaid drug rebate increases and annual pharmaceutical industry fees will adversely impact our product business earnings and cash flows. We expect modest favorable impact from ACA's integrated care and commercial insurance consumer protection provisions.
On August 2, 2011, the Budget Control Act (BCA) was enacted, raising the U.S.'s debt ceiling and putting into effect a series of actions for deficit reduction. Pursuant to the American Taxpayer Relief Act of 2012 (ATRA), the automatic across-the-board spending cuts over nine fiscal years (2013–2021), projected to total \$1.2 TN for all U.S. Federal government programs required under the BCA became effective as of March 1, 2013 and were implemented on April 1, 2013 for CMS reimbursement to providers. The reduction in Medicare payments to providers and suppliers is limited to one adjustment of no more than 2% through 2021 (the Sequestration). The Medicare reimbursement reduction is independent of annual inflation update mechanisms, such as the market basket update pursuant to the ESRD PPS.
ATRA also directed CMS to reduce the ESRD PPS payment rate, effective January 1, 2014, to account for changes in the utilization of certain drugs and biologicals that are included in the ESRD PPS. In making such reduction, the law requires CMS to use the most recently available pricing data for such drugs and biologicals. On July 1, 2013, CMS released a proposal to reduce the ESRD PPS payment rate by 12% (\$29.52 per treatment) effective January 1, 2014 which would be partially offset by a proposed 2.5% (\$6) increase due to the productivity adjusted market basket update for 2014 and a proposed wage index budget factor of 1.000411 for 2014. If finalized later this year, the net effect of the proposal and the market basket update would reduce the ESRD PPS base rate from \$240.36 per treatment in 2013 to \$216.95 per treatment in 2014. If implemented as proposed the expected net effect of the reductions would result in a material adverse impact on our consolidated operating income and cash flows. CMS is seeking comment on, among other things, the proposed methodolgy for the reduction to the ESRD PPS base rate and a potential transition or phase-in period of the reduction amount over more than one year. The Company intends to work with our provider, patient and physisian partners to develop our comments to submit during the public comment period which expires August 30, 2013, and to work with CMS to maintain the stability of the ESRD PPS to help ensure continued access to quality care for ESRD patients.
On February 4, 2013, CMS announced plans to test a new Comprehensive ESRD Care Model and issued a solicitation for applications. As currently proposed, CMS will work with up to 15 healthcare provider groups, known as ESRD Seamless Care Organizations (ESCOs), to test a new system of payment and care delivery that seeks to deliver better health outcomes for ESRD patients while lowering CMS's costs. ESCOs that achieve the program's minimum quality thresholds and generate reductions in CMS's cost of care above certain thresholds for the ESRD patients covered by the ESCO will receive a share of the cost savings. ESCOs that include dialysis chains with more than 200 facilities are required to share in the risk of cost increases and reimburse CMS a share of any such increases. Organizations must apply and be approved by CMS to participate in the program. The application deadline has been extended to August 30, 2013. We are reviewing the details of the proposed program to determine whether to participate in this program.
Any significant decreases in Medicare reimbursement rates could have material adverse effects on our provider business and, because the demand for products is affected by Medicare reimbursement, on our products business. To the extent that increases in operating costs that are affected by inflation, such as labor and supply costs, are not fully reflected in a compensating increase in reimbursement rates, our business and results of operations may be adversely affected.
We have identified three operating segments, North America, EMEALA, and Asia-Pacific, which were determined based upon how we manage our businesses. All segments are primarily engaged in providing dialysis care services and the distribution of products and equipment for the treatment of ESRD. For reporting purposes, we have aggregated the EMEALA and Asia-Pacific operating segments as the "International Segment." We aggregated these operating segments due to their similar economic characteristics. These characteristics include same services provided and same products sold, same type patient population, similar methods of distribution of products and services and similar economic environments. Our General Partner's management board member responsible for the profitability and cash flow of each segment's various businesses supervises the management of each operating segment. The accounting policies of the segments are the same as those we apply in preparing our consolidated financial statements under accounting principles generally accepted in the U.S. (U.S. GAAP).
Our management evaluates each segment using a measure that reflects all of the segment's controllable revenues and expenses. With respect to the performance of our business operations, our management believes the most appropriate measure in this regard is operating income which measures our source of earnings. We do not include the investment gain resulting from our 2012 acquisition of Liberty Dialysis Holdings, Inc. (the Liberty Acquisition) nor income taxes as we believe these items to be outside the segments' control. Financing is a corporate function which our segments do not control. Therefore, we do not include interest expense relating to financing as a segment measurement. Similarly, we do not allocate "corporate costs," which relate primarily to certain headquarters overhead charges, including accounting and finance, global research and development, etc., because we believe that these costs are also not within the control of the individual segments. Production of products, production asset management, quality management and procurement are centrally managed in corporate by our Global Manufacturing Operations division. These corporate activities do not fulfill the definition of a segment. Products are transferred to the segments at cost; therefore no internal profit is generated. The associated internal revenues for the product transfers and their elimination are recorded as corporate activities (see Note 14). Capital expenditures for production are based on the expected demand of the segments and consolidated profitability considerations. In addition, certain revenues, investments and intangible assets, as well as any related expenses, are not allocated to a segment but are accounted for as "Corporate." Accordingly, all of these items are excluded from our analysis of segment results and are discussed below in the discussion of our consolidated results of operations.
The following tables summarize our financial performance and certain operating results by principal reporting segment and Corporate for the periods indicated. Inter-segment sales primarily reflect sales of medical equipment and supplies. We prepared the information using a management approach, consistent with the basis and manner in which our management internally disaggregates financial information to assist in making internal operating decisions and evaluating management performance.
| T. 3 | Segment data | |||
|---|---|---|---|---|
| in \$ M | ||||
| Three months ended June 30, | Six months ended June 30, | |||
| 2013 | 2012 | 2013 | 2012 | |
| Total revenue | ||||
| North America | 2,377 | 2,252 | 4,665 | 4,360 |
| International | 1,228 | 1,171 | 2,397 | 2,307 |
| Corporate | 10 | 8 | 17 | 17 |
| Total | 3,615 | 3,431 | 7,079 | 6,684 |
| Inter-segment revenue | ||||
| North America | 2 | 3 | 3 | 7 |
| International | – | – | – | – |
| Total | 2 | 3 | 3 | 7 |
| Total net revenue | ||||
| North America | 2,375 | 2,249 | 4,662 | 4,353 |
| International | 1,228 | 1,171 | 2,397 | 2,307 |
| Corporate | 10 | 8 | 17 | 17 |
| Total | 3,613 | 3,428 | 7,076 | 6,677 |
| Amortization and depreciation | ||||
| North America | 81 | 79 | 161 | 151 |
| International | 46 | 43 | 91 | 86 |
| Corporate | 32 | 29 | 63 | 57 |
| Total | 159 | 151 | 315 | 294 |
| Operating income | ||||
| North America | 394 | 431 | 763 | 779 |
| International | 209 | 207 | 393 | 402 |
| Corporate | (59) | (49) | (118) | (89) |
| Total | 544 | 589 | 1,038 | 1,092 |
| Investment gain | – | 13 | – | 140 |
| Interest income | 7 | 13 | 17 | 33 |
| Interest expense | (110) | (117) | (224) | (236) |
| Income tax expense | (144) | (172) | (273) | (309) |
| Net income | 297 | 326 | 558 | 720 |
| Less: Net income attributable to noncontrolling interests | (34) | (37) | (70) | (60) |
| Net income attributable to shareholders | ||||
| of FMC AG & Co. KGaA | 263 | 289 | 488 | 660 |
Three months ended June 30, 2013 compared to three months ended June 30, 2012
| Key indicators for Consolidated Financial Statements T. 4 |
||||
|---|---|---|---|---|
| Three months ended June 30, | Change | |||
| 2013 | 2012 | as reported | at constant exchange rates1 |
|
| Number of treatments | 10,066,397 | 9,672,567 | 4% | – |
| Same market treatment growth in % | 3.9 | 3.7 | – | – |
| Net revenue in \$ M | 3,613 | 3,428 | 5% | 6% |
| Gross profit in % of revenue | 32.1 | 32.9 | – | – |
| Selling, general and administrative costs in % of revenue | 16.5 | 15.7 | – | – |
| Net income attributable to shareholders of FMC AG&Co. KGaA in \$ M |
263 | 289 | –9% | – |
1 For further information on "at constant exchange rates," see "Non-U.S. GAAP Measures – Constant currency" below.
Treatments increased by 4% for the second quarter of 2013 as compared to the same period in 2012. The increase is due to same market treatment growth (4%) and acquisitions (2%), partially offset by the effect of closed or sold clinics (2%).
At June 30, 2013, we owned, operated or managed (excluding those managed but not consolidated in the U.S.) 3,212 clinics compared to 3,123 clinics at June 30, 2012. During the second quarter of 2013, we acquired 15 clinics, opened 20 clinics and combined or closed 3 clinics. The number of patients treated in clinics that we own, operate or manage (excluding patients of clinics managed but not consolidated in the U.S.) increased by 3% to 264,290 at June 30, 2013 from 256,456 at June 30, 2012.
Net dialysis care revenue increased by 5% (6% at constant exchange rates) to \$2,743 M for the second quarter of 2013 from \$2,605 M in the same period of 2012, mainly due to growth in same market treatments (4%), increases in organic revenue per treatment (1%) and contributions from acquisitions (1%), partially offset by the negative effect of exchange rate fluctuations (1%).
Dialysis product revenue increased by 6% (an increase of 5% at constant exchange rates) to \$870 M from \$823 M in the same period of 2012. The increase at constant currency was driven by increased sales of hemodialysis products, especially of dialyzers, solutions and concentrates and bloodlines as well as products for acute care, partially offset by lower sales of renal pharmaceuticals.
Net revenue increased by 5% (6% at constant exchange rates) for the second quarter of 2013 over the comparable period in 2012, due to growth in dialysis care and product revenues as discussed above.
The decrease in gross profit margin is mainly the result of a decrease in the North America Segment. The decrease in the North America Segment was due to a lower commercial payor mix coupled with price reductions from commercial contracting and the impact from U.S. sequestration. Further, the margin was impacted by higher personnel expense, largely offset by modest reductions in pharmaceutical costs and increased revenue in the Expanded Services, however, at lower than average margins.
Selling, general and administrative (SG & A) expenses increased to \$595 M in the second quarter of 2013 from \$540 M in the same period of 2012. SG & A expenses as a percentage of revenues increased to 16.5% for the second quarter of 2013 in comparison with 15.7 % during the same period of 2012 due to increased Corporate expenses as well as increases in the North America and International Segments. The percentage of revenue increase at Corporate was mainly due to increased legal and consulting expenses. The percentage of revenue increase in the North America Segment was largely driven by higher personnel expense, an unfavorable impact from U.S. sequestration and higher bad debt expense, partially offset by increased revenue from our Expanded Services. The percentage of revenue increase in the International Segment was due to unfavorable foreign exchange effects including the devaluation of the Venezuelan Bolivar driven by a hyperinflationary economy, partially offset by sales growth in EMEALA.
At June 30,2013, we had a \$8 M gain from the sale of FMC AG & CO. KGAA dialysis clinics as compared to a \$25 M gain in the same period of 2012 mainly in connection with divestitures required for regulatory clearance of the Liberty Acquisition, which occurred in the first quarter of 2012. (See Note 2).
Operating income decreased to \$544 M in the second quarter of 2013 from \$589 M for the same period in 2012. Operating income margin decreased to 15.1% for the second quarter of 2013 from 17.2% for the same period in 2012 as a result of a decrease in gross profit margin, higher SG & A as a percentage of revenue and a lower gain on the sale of FMC AG & CO. KGAA clinics, all as discussed above.
The non-taxable investment gain of \$127 M due to our acquisition of LD Holdings recorded in the first quarter of 2012 increased by \$13 M in the second quarter of 2012 to a total of \$140 M for the six months ended June 30, 2012. This increase is due to fair value re-measurements related to developments in the finalization of our acquisition accounting.
Interest expense decreased by 6% to \$110 M for the second quarter of 2013 from \$117 M for the same period in 2012 mainly due to decreased debt. Interest income decreased to \$7 M for the second quarter of 2013 from \$13 M for the same period of 2012 due to the retirement of the loan receivable from Renal Advantage Partners LLC as part of the Liberty Acquisition on February 28, 2012.
Income tax expense decreased to \$144 M for the second quarter of 2013 from \$172 M for the same period in 2012. The effective tax rate decreased to 32.6% from 34.6% for the same period of 2012 as a result of higher tax benefits related to internal financing, a lower tax expense on gain from the sale of FMC AG & CO. KGAA dialysis clinics in connection with the Liberty Acquisition and higher noncontrolling interest in North America.
Net income attributable to shareholders of FMC AG & CO. KGAA for the second quarter of 2013 decreased to \$263 M from \$289 M for the same period in 2012 as a result of items discussed above.
We employed 87,944 people (full-time equivalents) at June 30, 2013 compared to 84,194 at June 30, 2012, an increase of 4.5%, primarily due to overall growth in our business and acquisitions.
The following discussions pertain to the North America Segment and the International Segment and the measures we use to manage these segments.
| Key indicators for North America segment T. 5 |
|||||
|---|---|---|---|---|---|
| Three months ended June 30, | |||||
| 2013 | 2012 | Change | |||
| Number of treatments | 6,383,556 | 6,141,414 | 4% | ||
| Same market treatment growth in % | 3.8 | 3.6 | – | ||
| Net revenue in \$ M | 2,375 | 2,249 | 6% | ||
| Depreciation and amortization in \$ M | 81 | 79 | 3% | ||
| Operating income in \$ M | 394 | 431 | –9% | ||
| Operating income margin in % | 16.6 | 19.2 | – |
Treatments increased by 4% for the second quarter of 2013 as compared to the same period in 2012 mostly due to same market treatment growth (4%) and contributions from acquisitions (1%), partially offset by the effect of closed or sold clinics (1%). At June 30, 2013, 168,160 patients (a 3% increase over June 30, 2012) were being treated in the 2,104 clinics that we own or operate in the North America Segment, compared to 164,058 patients treated in 2,046 clinics at June 30, 2012. Average North America revenue per treatment, which includes Canada and Mexico, before bad debt expense, was \$347 for the second quarter of 2013 and \$344 for the same period in 2012. In the U.S., the average revenue per treatment was \$355 for the second quarter of 2013 in comparison to \$351 for the same period in 2012. The increase was mainly attributable to increased revenue driven by further development of our Expanded Services and the updated Medicare reimbursement rate which came into effect in 2013, partially offset by the unfavorable impact from U.S. sequestration, an unfavorable commercial payor mix coupled price reductions from commercial contracting and reduced pharmaceutical utilization in non-bundled commercial treatments.
The dialysis care revenue increase was driven by same market treatment growth (4%), increases in organic revenue per treatment (1%) and contributions from acquisitions (1%).
The dialysis product revenue increase was driven by higher sales of dialyzers.
Net revenue for the North America Segment for the second quarter of 2013 increased as a result of an increase in dialysis care revenue by 6% to \$2,157 M from \$2,043 M in the same period of 2012, and an increase in dialysis product revenue to \$218 M from \$206 M.
Operating income decreased to \$394 M for the second quarter of 2013 from \$431 M for the same period in 2012. Operating income margin decreased to 16.6% for the second quarter of 2013 from 19.2% for the same period in 2012. The decrease in the North America Segment was due to a lower commercial payor mix coupled with price reductions from commercial contracting, the impact from U.S. sequestration and higher personnel expense, which was largely offset by modest reductions in pharmaceutical costs and increased revenue in the Expanded Services, however, at lower than average margins. Further, the margin was impacted by a lower gain on the sale of FMC AG&CO. KGAA clinics related to the Liberty Acquisition. Cost per treatment for North America increased to \$286 for the quarter ended June 30, 2013 from \$275 in 2012. Cost per treatment in the U.S. increased to \$291 for the quarter ended June 30, 2013 from \$280 in the same period of 2012.
| Key indicators for International segment T. 6 |
||||
|---|---|---|---|---|
| Three months ended June 30, | Change | |||
| 2013 | 2012 | as reported | at constant exchange rates1 |
|
| Number of treatments | 3,682,841 | 3,531,153 | 4% | – |
| Same market treatment growth in % | 4.0 | 3.9 | – | – |
| Net revenue in \$ M | 1,228 | 1,171 | 5% | 6% |
| Depreciation and amortization in \$ M | 46 | 43 | 6% | – |
| Operating income in \$ M | 209 | 207 | 1% | – |
| Operating income margin in % | 17.0 | 17.7 | – | – |
1 For further information on "at constant exchange rates," see "Non-U.S. GAAP Measures – Constant currency" below.
Treatments increased by 4% for the second quarter of 2013 over the same period in 2012 mainly due to same market treatment growth (4%) and contributions from acquisitions (2%), partially offset by the effect of closed or sold clinics (2%). At June 30, 2013, we had 96,130 patients (a 4% increase over June 30, 2012) being treated at the 1,108 clinics that we own, operate or manage in the International Segment compared to 92,398 patients treated at 1,077 clinics at June 30, 2012. Average revenue per treatment for the second quarter of 2013 remained constant at \$159 as compared to the same period in 2012 due to increased reimbursement rates and changes in country mix (\$4), offset by the weakening of local currencies against the U.S. dollar (\$4).
Including the effects of acquisitions, European region revenue increased 4% (3% increase at constant exchange rates), Latin America region revenue increased 11% (18% at constant exchange rates), and Asia-Pacific region revenue increased 3% (4% at constant exchange rates).
Total dialysis care revenue for the International Segment increased during the second quarter of 2013 by 4% (7% increase at constant exchange rates) to \$586 M from \$562 M in the same period of 2012. This increase is a result of same market treatment growth (4%), contributions from acquisitions (4%) and increases in organic revenue per treatment (1%), partially offset by the negative effect of exchange rate fluctuations (3%) and the effect of closed or sold clinics (2%).
Total dialysis product revenue for the second quarter of 2013 increased by 5% (5% increase at constant exchange rates) to \$642 M from \$609 M in the same period of 2012. This increase at constant currency was due to increased sales of hemodialysis products, especially of solutions and concentrates, bloodlines and dialyzers as well as products for acute care and peritoneal dialysis, partially offset by lower sales of renal pharmaceuticals.
Net revenues for the International Segment for the second quarter of 2013 increased by 5% (6% increase at constant exchange rates) as compared to the same period in 2012 mainly as a result of increases in both dialysis care and dialysis product revenues. Organic growth during the period was 5% and acquisitions during the period contributed 2%, partially offset by the negative effect of exchange rate fluctuations (1%) and the effect of closed or sold clinics (1%).
Operating income increased to \$209 M for the second quarter of 2013 from \$207 M for the same period in 2012. Operating income margin decreased to 17.0% for the second quarter of 2013 from 17.7% for the same period in 2012 mainly due to unfavorable foreign exchange effects including the devaluation of the Venezuelan Bolivar driven by a hyperinflationary economy.
Six months ended June 30, 2013 compared to six months ended June 30, 2012
| Key indicators for Consolidated Financial Statements T. 7 |
||||
|---|---|---|---|---|
| Six months ended June 30, | Change | |||
| 2013 | 2012 | as reported | at constant exchange rates1 |
|
| Number of treatments | 19,747,907 | 18,885,213 | 5% | – |
| Same market treatment growth in % | 3.6 | 3.8 | – | – |
| Net revenue in \$ M | 7,076 | 6,677 | 6% | 6% |
| Gross profit in % of revenue | 32.0 | 32.9 | – | – |
| Selling, general and administrative costs in % of revenue | 16.8 | 16.4 | – | – |
| Net income attributable to shareholders of FMC AG&Co. KGaA in \$ M |
488 | 660 | –26% | – |
1 For further information on "at constant exchange rates," see "Non-U.S. GAAP Measures – Constant currency" below.
Treatments increased by 5% for the six months ended June 30, 2013 as compared to the same period in 2012. The increase is due to same market treatment growth (4%), the Liberty Acquisition, net of divestitures (2%) and other acquisitions (2%), partially offset by the effect of closed or sold clinics (2%) and a decrease in dialysis treatment days (1%).
Dialysis care revenue increased by 7% to \$ 5,422 M (7% at constant exchange rates) for the six-months ended June 30, 2013 from \$5,082 M in the same period of 2012, mainly due to growth in same market treatments (4%), contributions from acquisitions (4%), and increases in organic revenue per treatment (1%), partially offset by a decrease in dialysis treatment days (1%) and the effect of closed or sold clinics (1%).
Dialysis product revenue increased by 4% (4% increase at constant exchange rates) to \$ 1,654 M compared to \$1,595 M in the same period of 2012. The increase at constant currency was driven by increased sales of hemodialysis products, especially of dialyzers, solutions and concentrates and bloodlines as well as products for acute care, partially offset by lower sales of renal pharmaceuticals.
Net revenue increased by 6% (6% at constant exchange rates) for the six months ended June 30, 2013 over the comparable period in 2012 due to growth in both dialysis care revenues and dialysis product revenues as discussed above.
The decrease in gross profit margin mostly reflects decreases in both the North America Segment and the International Segment. The decrease in the North America Segment was due to a lower commercial payor mix coupled with price reductions from commercial contracting and the impact from U.S. sequestration. Further, the margin was impacted by higher personnel expense, which was largely offset by modest reductions in pharmaceutical costs and increased revenue in the Expanded Services, however, at lower than average margins. The decrease in the International Segment was due to cost increases in various countries and an unfavorable impact from lower business growth in Asia-Pacific.
SG & A expenses increased to \$ 1,187 M in the six months ended June 30, 2013 from \$1,092 M in the same period of 2012. SG & A expenses as a percentage of sales increased to 16.8% in the first six months of 2013 in comparison with 16.4% in the same period of 2012 due to an an unfavorable impact from Corporate and an increase in the International Segment. The percentage of revenue increase at Corporate was due to increased legal and consulting expenses. The percentage of revenue increase in the International Segment was driven by unfavorable foreign exchange effects including devaluation of the Venezuelan Bolivar due to a hyperinflationary economy, partially offset by sales growth in EMEALA.
For the six months ended June 30, 2013, we had an \$ 8 M gain from the sale of FMC AG & CO. KGAA dialysis clinics in our North America Segment as well as a \$1 M gain in the International Segment as compared to a \$34 M gain in the same period of the prior year mainly in connection with divestitures required for regulatory clearance of the Liberty Acquisition, which occurred in the first quarter of 2012 see Note 2.
Operating income decreased to \$ 1,038 M for the six months ended June 30, 2013 from \$1,092 M for the same period in 2012. Operating income margin decreased to 14.7% for the six months ended June 30, 2013 as compared to 16.4% for the same period in 2012 as a result of the decrease in gross profit margin, a lower gain on the sale of FMC AG & CO. KGAA clinics and higher SG & A as a percentage of revenue, all as discussed above.
The investment gain in the first six months of 2012 of \$ 140 M, which was non-taxable, was due to the fair valuation of our investment in Renal Advantage Partners, LLC at the time of the Liberty Acquisition. This gain was finalized at December 31, 2012.
Interest expense decreased by 5% to \$ 224 M for the six months ended June 30, 2013 from \$236 M for the same period in 2012 due to decreased debt and lower interest rates due to the expiration of interest rates swaps at the end of the first quarter of 2012. Interest income decreased to \$17 M for the six months ended June 30, 2013 from \$33 M for the same period in 2012 mainly as a result of the retirement of the loan receivable from Renal Advantage Partners LLC as part of the Liberty Acquisition on February 28, 2012.
Income tax expense decreased to \$ 273 M for the six month ended June 30, 2013 from \$309 M for the same period in 2012. The effective tax rate increased to 32.8% from 30.1% for the same period of 2012, as a result of the nontaxable investment gain in 2012, partially offset by a lower tax expense on the gain from the sale of FMC AG & CO. KGAA dialysis clinics in connection with the Liberty Acquisition and higher noncontrolling interest in North America.
Net income attributable to noncontrolling interests for the second quarter of 2013 increased to \$ 70 M from \$60 M for the same period for 2012 primarly due to losses attributable to noncontrolling interests in the International Segment in 2012 and the noncontrolling interest associated with the Liberty Acquisition which closed on February 28, 2012.
Net income attributable to FMC AG & CO. KGAA for the six months ended June 30, 2013 decreased to \$ 488 M from \$660 M for the same perid in 2012 as a result of the combined effects of the items discussed above.
The following discussions pertain to the North America Segment and the International Segment and the measures we use to manage these segments.
| Key indicators for North America segment T. 8 |
|||||
|---|---|---|---|---|---|
| Six months ended June 30, | |||||
| 2013 | 2012 | Change | |||
| Number of treatments | 12,532,406 | 11,887,400 | 5% | ||
| Same market treatment growth in % | 3.7 | 3.5 | – | ||
| Net revenue in \$ M | 4,662 | 4,353 | 7% | ||
| Depreciation and amortization in \$ M | 161 | 151 | 7% | ||
| Operating income in \$ M | 763 | 779 | –2% | ||
| Operating income margin in % | 16.4 | 17.9 | – |
Treatments increased by 5% for the six months ended June 30, 2013 as compared to the same period in 2012 mostly due to same market treatment growth (4%), the Liberty Acquisition, net of divestitures (3%) and contributions from other acquisitions (1%), partially offset by a decrease in dialysis treatment days (2%) and the effect of closed or sold clinics (1%). Average North America revenue per treatment, which includes Canada and Mexico, before bad debt expense, was \$ 349 for the six months ended June 30, 2013 and \$345 in the same period in 2012. In the U.S., the average revenue per treatment was \$357 for the six months ended June 30, 2013 and \$352 for the same period in 2012. The increase was mainly attributable to further development of our Expanded Services and the updated Medicare reimbursement rate which came into effect in 2013, partially offset by reduced pharmaceutical utilization in non-bundled commercial treatments reimbursed by commercial payors, the unfavorable impact from U.S. sequestration and an unfavorable commercial payor mix coupled price reductions from commercial contracting.
The dialysis care revenue increase was driven by same market treatment growth (4%), contributions from acquisitions (4%), and increases in organic revenue per treatment (1%), partially offset by the effect of closed or sold clinics (1%).
The dialysis product revenue increase was driven by higher sales of dialyzers, partially offset by lower sales of renal pharmaceuticals.
Net revenue for the North America segment for the first six months of 2013 increased as a result of an increase in dialysis care revenue by 8% to \$ 4,261 M from \$3,960 M in the same period of 2012 as well as an increase in dialysis product revenue by 2% to \$401 M from \$393 M in the first six months of 2012.
Operating income decreased to \$ 763 M for the six months ended June 30, 2013 from \$779 M for the same period in 2012. Operating income margin decreased to 16.4% for the six months ended June 30, 2013 from 17.9% for the same period in 2012, due to a lower commercial payor mix coupled with price reductions from commercial contracting, the impact from U.S. sequestration and higher personnel expense, largely offset by modest reductions in pharmaceutical costs and increased revenue in the expanded services, however, at lower than average margins. The margin was further impacted by a lower gain on the sale of FMC AG & CO. KGAA clinics related to the Liberty Acquisition and increased legal expenses, partially offset by one-time costs related to the Liberty Acquisition in 2012 as well as the overall impact from the Liberty Acquisition. Cost per treatment for North America increased to \$287 for the first six months of 2013 as compared to \$277 in the same period of 2012. Cost per treatment in the U.S. increased to \$293 for the first six months of 2013 from \$283 in the same period of 2012.
| T. 9 | Key indicators for International segment | |||
|---|---|---|---|---|
| Six months ended June 30, | Change | |||
| 2013 | 2012 | as reported | at constant exchange rates1 |
|
| Number of treatments | 7,215,501 | 6,997,813 | 3% | – |
| Same market treatment growth in % | 3.5 | 4.3 | – | – |
| Net revenue in \$ M | 2,397 | 2,307 | 4% | 5% |
| Depreciation and amortization in \$ M | 91 | 86 | 6% | – |
| Operating income in \$ M | 393 | 402 | –2% | – |
| Operating income margin in % | 16.4 | 17.4 | – | – |
1 For further information on "at constant exchange rates," see "Non-U.S. GAAP Measures – Constant currency" below.
Treatments increased by 3% in the six months ended June 30, 2013 over the same period in 2012 mainly due to same market treatment growth (4%) and contributions from acquisitions (2%), partially offset by the effect of closed or sold clinics (2%) and a decrease in dialysis treatment days (1%). Average revenue per treatment for the six months ended June 30, 2013 increased to \$ 161 in comparison with \$160 for the same period of 2012 due to increased reimbursement rates and changes in country mix (\$5), partially offset by weakening of local currencies against the U.S. dollar (\$4).
Including the effects of acquisitions, European region revenue increased 3% (2% increase at constant exchange rates), Latin America region revenue increased 7% (15% at constant exchange rates), and Asia-Pacific region revenue increased 4% (5% at constant exchange rates).
Total dialysis care revenue for the International segment increased during the six months ended June 30, 2013 by 3% (6% increase at constant exchange rates) to \$ 1,161 M from \$1,122 M in the same period of 2012. This increase is a result of same market treatment growth (4%), contributions from acquisitions (3%) and increases in organic revenue per treatment (2%), partially offset by the negative effect of exchange rate fluctuations (3%), the effect of closed or sold clinics (2%) and a decrease in dialysis treatment days (1%).
Total dialysis product revenue for the six months ended June 30, 2013 increased by 4% (4% increase at constant exchange rates) at \$ 1,236 M compared to \$1,185 M in the same period of 2012. The 4% increase in product revenue at constant currency was driven by increased sales of hemodialysis products, especially of solutions and concentrates, dialyzers, bloodlines and products for acute care treatments, partially offset by lower sales of renal pharmaceuticals and machines.
Net revenues for the International segment for the six months ended June 30, 2013 increased by 4% (5% at constant exchange rates) as compared to the same period in 2012 mainly as a result of increases in both dialysis care and dialysis product revenues, as discussed above. Organic growth during the period was 5% and acquisitions during the period contributed 1%, partially offset by the negative effect of exchange rate fluctuations (1%) and the effect of closed or sold clinics (1%).
Operating income decreased to \$393 M for the six months ended June 30, 2013 from \$402 M for the same period in 2012. Operating income margin decreased to 16.4% for the six months ended June 30, 2013 from 17.4% for the same period in 2012 due to unfavorable foreign exchange effects including the devaluation of the Venezuelan Bolivar as a result of a hyperinflationary economy and various cost increases.
As we are subject to foreign exchange risk, we monitor the economic conditions of the countries in which we operate. Venezuela has been considered a hyperinflationary economy since 2010. In November 2012, the SEC Regulations Committee reaffirmed this status. Effective January 1, 2013 our operations in Venezuela are still considered to be operating in a hyperinflationary economy, as the Venezuelan economy exceeded the threeyear cumulative inflation rate of 100% during the fourth quarter of 2012. We use a blend of the National Consumer Price Index and the Consumer Price Index to determine whether Venezuela is a hyperinflationary economy. As a result, our financial statements of our subsidiaries operating in Venezuela continue to use the U.S. dollar as their functional currency. However, in 2013, the Venezuelan government revalued the Bolivar. Consequently, we recorded a pre-tax loss of \$ 11.5 M for the first half of 2013.
Six months ended June 30, 2013 compared to six months ended June 30, 2012
Our primary sources of liquidity are typically cash from operations, cash from borrowings from third parties and related parties, as well as cash from issuance of debt and equity securities. We require this capital primarily to finance working capital needs, to fund acquisitions and joint ventures, to develop free-standing renal dialysis centers, to purchase equipment for existing or new renal dialysis centers and production sites, to repay debt and to pay dividends as well as the repurchasing of shares.
At June 30, 2013, we had cash and cash equivalents of \$586 M. For information regarding utilization and availability under our principal credit facility (the 2012 Credit Agreement), see Note 6.
In the first six months of 2013 and 2012, we generated net cash from operations of \$ 841 M and \$932 M, respectively. Cash from operations is impacted by the profitability of our business, the development of our working capital, principally receivables, and cash outflows that occur due to a number of specific items as discussed below. The decrease in 2013 versus 2012 was mainly a result of a \$100 M payment, partially offset by repayments received, both of which were associated with the amendment to the license agreement relating to our iron product Venofer® (see chapter 1.3, "Operating and Financial Review and Prospects – Results of Operations in our Financial Report of our Annual Report for the year ended December 31, 2012) and unchanged days sales outstanding (DSO) as compared to a 3 day decrease of DSO in the same period of 2012, partially offset by a favorable development of other working capital items.
The profitability of our business depends significantly on reimbursement rates. Approximately 77% of our revenues are generated by providing dialysis services, a major portion of which is reimbursed by either public health care organizations or private insurers. For the six months ended June 30, 2013, approximately 32% of our consolidated revenues were attributable to U.S. federal health care benefit programs, such as Medicare and Medicaid reimbursement. Legislative changes could affect Medicare reimbursement rates for a significant portion of the services we provide, as well as the scope of Medicare coverage. A decrease in reimbursement rates or the scope of coverage could have a material adverse effect on our business, financial condition and results of operations and thus on our capacity to generate cash flow. With the exception of the implementation of the ESRD PPS in the U.S. in January 2011, the U.S. federal government sequestration cuts and the current proposal to reduce reimbursement under the ESRD PPS effective January 1, 2014 to account for the decline in utilization of certain drugs and biologicals associated with dialysis; we have experienced and also expect in the future to experience generally stable reimbursements for dialysis services. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries.
Our working capital, which is defined as current assets less current liabilities, was \$ 2,744 M at June 30, 2013 which decreased from \$2,957 M at December 31, 2012. The change is primarily the result of reclassifications of
the payments relating the maturity of two of our European Investment Bank (EIB) Agreements, quarterly repayments of our term loan facility under the 2012 Credit Agreement from long-term debt to the current portion of long-term debt, a decrease in cash and a reclassification of a loan with related party from long-term debt to short-term borrowings, partially offset by a reduction in accounts payable driven by the payment of the \$100 M Venofer® agreement amendment fee incurred in 2012. Our ratio of current assets to current liabilities was 1.8 at June 30, 2013.
We intend to continue to address our current cash and financing requirements by the generation of cash from operations, our existing and future credit agreements, and the issuance of debt securities. In addition, when funds are required for acquisitions or to meet other needs, we expect to successfully complete long-term financing arrangements, such as the issuance of senior notes, see "Financing" below. We aim to preserve financial resources with a minimum of \$ 300 to \$500 M of committed and unutilized credit facilities.
Cash from operations depends on the collection of accounts receivable. Commercial customers and governments generally have different payment cycles. A lengthening of their payment cycles could have a material adverse effect on our capacity to generate cash flow. In addition, we could face difficulties in enforcing and collecting accounts receivable under some countries' legal systems and due to the economic conditions in some countries. Accounts receivable balances, net of valuation allowances, represented DSO of approximately 76 at both June 30, 2013 and December 31, 2012.
DSO by segment is calculated by dividing the segment's accounts receivable, as converted to U.S. dollars using the average exchange rate for the period presented, less any value added tax included in the receivables, by the average daily sales for the last twelve months of that segment, as converted to U.S. dollars using the average exchange rate for the period. Receivables and sales are adjusted for amounts related to significant acquisitions made during the periods presented. The development of DSO by reporting segment is shown in the table below:
| Development of days sales outstanding T. 10 |
||
|---|---|---|
| in days | ||
| June 30, 2013 |
December 31, 2012 |
|
| North America | 54 | 55 |
| International | 116 | 115 |
| FMC AG & Co. KGaA (average days sales outstanding) | 76 | 76 |
DSO remained stable. The slight decrease in the North America Segment was offset by a slight increase in the International Segment between December 31, 2012 and June 30, 2013. The decrease in North America is due to continued strong cash performance across all payor groups. The International Segment's DSO slight increase reflects slight payment delays, particularly in countries with budget deficits. Due to the fact that a large portion of our reimbursement is provided by public health care organizations and private insurers, we expect that most of our accounts receivable will be collectible, albeit slightly more slowly in the International Segment in the immediate future.
Tax or other items we have identified that will or could impact our financial results and cash flows from operations in the future are as follows:
We filed claims for refunds contesting the Internal Revenue Service's (IRS) disallowance of FMCH's civil settlement payment deductions taken by FMCH in prior year tax returns. As a result of a settlement agreement with the IRS, we received a partial refund in September 2008 of \$ 37 M, inclusive of interest and preserved our right to pursue claims in the United States Courts for refunds of all other disallowed deductions, which totaled approximately \$126 M. On December 22, 2008, we filed a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. On August 15, 2012, a jury entered a verdict for FMCH granting additional deductions of \$95 M. On May 31, 2013, the District Court entered final judgment for FMCH in the amount of \$50.4 M. On July 18, 2013, the District Court denied the IRS's post trial motion seeking to set aside the verdict and judgment and closed the file. The IRS may appeal to the Court of Appeals for the First Circuit (Boston).
We used net cash of \$ 403 M and \$1,794 M in investing activities in the six-month periods ended June 30, 2013 and 2012, respectively.
Capital expenditures for property, plant and equipment, net of disposals were \$ 319 M and \$274 M in the first six months of 2013 and 2012, respectively. In the first six months of 2013, capital expenditures were \$174 M in the North America Segment, \$80 M in the International Segment and \$65 M at Corporate. Capital expenditures in the first six months of 2012 were \$132 M in the North America Segment, \$80 M for the International Segment and \$62 M at Corporate. The majority of our capital expenditures was used for maintaining existing clinics, equipping new clinics, maintenance and expansion of production facilities, primarily in Germany, North America and France and capitalization of machines provided to our customers, primarily in the International Segment. Capital expenditures were approximately 5% of total revenue in the first six months of 2013 as compared to 4% for the same period in 2012.
We invested approximately \$ 102 M cash in the first six months of 2013, \$45 M in the North America Segment and \$57 M in the International Segment. We received approximately \$18 M for divestitures in 2013 largely due to the sale of the final clinic for regulatory clearance of the Liberty Acquisition. In the first six months of 2012, we invested approximately \$1,748 M cash primarily through the \$1,455 M acquisition of Liberty, net of divestitures (\$1,730 M in the North America Segment and \$17 M in the International Segment and \$1 M at Corporate).
We anticipate capital expenditures of approximately \$ 0.7 BN and expect to make acquisitions of approximately \$0.5 BN in 2013. See "Outlook" below.
Net cash used in financing was \$ 524 M in the first six months of 2013 compared to net cash provided by financing of \$1,089 M in the first six months of 2012, respectively.
In the six-month period ended June 30, 2013, cash was used in the payment of dividends, the purchase of our shares through the share buy-back program, distributions to noncontrolling interests as well as the repayment of portions of long-term debt and short-term borrowings, partially offset by proceeds from long-term and short-term borrowings as well as drawings on the accounts receivable facility. In the first six months of 2012, cash was provided by the issuance of senior notes and short-term borrowings, partially offset by repayment of long-term debt, the accounts receivable facility, borrowings from related parties as well as the payment of dividends.
On May 17, 2013, we paid a dividend with respect to 2012 of € 0.75 per ordinary share (for 2011 paid in 2012 € 0.69) and € 0.77 per preference share (for 2011, paid in 2012: € 0.71). The total dividend payment was € 230 M (\$ 296 M) as compared with € 210 M (\$ 272 M) in the prior year.
On May 16, 2013, we held the Annual General Meeting and the separate Preference Shareholder Meeting during which resolutions on the conversion of the preference shares to ordinary shares were passed. The preference share conversion was affected on June 28, 2013 with 3,975,533 preference shares in the amount of € 3.9 M (\$ 4.5 M) converted on a 1:1 basis to ordinary shares. In addition, 32,006 options associated with the preference shares were converted for options associated with ordinary shares.
On July 5, 2013, we received a € 27 M (\$ 35 M) premium from the largest preference shareholder for the conversion of their preference shares to ordinary shares. At June 30, 2013, this amount was recorded as a short-term receivable with a corresponding increase recorded in equity.
Additionally, we announced the share buy-back program. We intend to repurchase ordinary shares in an aggregate value of up to € 385 M (approximately \$ 500 M). This program is expected to run into the third quarter of 2013. At June 30, 2013, 3,580,807 shares were repurchased in the amount of € 190 M (\$249 M). These shares are restricted treasury stock which means there are no associated dividends or voting rights. These treasury shares will be used to serve the sole purposes of either reducing our registered share capital by cancellation of the acquired shares, or fulfilling our employee participation programs.
Changes in revenue include the impact of changes in foreign currency exchange rates. We use the non-GAAP financial measure "at constant exchange rates" in our filings to show changes in our revenue without giving effect to period-to-period currency fluctuations. Under U.S. GAAP, revenues received in local (non-U.S. dollar) currency are translated into U.S. dollars at the average exchange rate for the period presented. When we use the term "constant currency," it means that we have translated local currency revenues for the current reporting period into U.S. dollars using the same average foreign currency exchange rates for the conversion of revenues into U.S. dollars that we used to translate local currency revenues for the comparable reporting period of the prior year. We then calculate the change, as a percentage, of the current period revenues using the prior period exchange rates versus the prior period revenues. This resulting percentage is a non-GAAP measure referring to a change as a percentage "at constant exchange rates."
We believe that revenue growth is a key indication of how a company is progressing from period to period and that the non-GAAP financial measure constant currency is useful to investors, lenders, and other creditors because such information enables them to gauge the impact of currency fluctuations on a company's revenue from period to period. However, we also believe that the usefulness of data on constant currency periodover-period changes is subject to limitations, particularly if the currency effects that are eliminated constitute a significant element of our revenue and significantly impact our performance. We therefore limit our use of constant currency period-over-period changes to a measure for the impact of currency fluctuations on the translation of local currency revenue into U.S. dollars. We do not evaluate our results and performance without considering both constant currency period-over-period changes in non-U.S. GAAP revenue on the one hand and changes in revenue prepared in accordance with U.S. GAAP on the other. We caution the readers of this report to follow a similar approach by considering data on constant currency period-over-period changes only in addition to, and not as a substitute for or superior to, changes in revenue prepared in accordance with U.S. GAAP. We present the fluctuation derived from U.S. GAAP revenue next to the fluctuation derived from non-GAAP revenue. Because the reconciliation is inherent in the disclosure, we believe that a separate reconciliation would not provide any additional benefit.
EBITDA (earnings before interest, tax, depreciation and amortization expenses) was approximately \$ 1,353 M, 19.1% of revenues for the six-month period ended June 30, 2013, and \$1,386 M, 20.8% of revenues for the same period of 2012. EBITDA is the basis for determining compliance with certain covenants contained in our 2012 Credit Agreement, euro-denominated notes, EIB agreements, and the indentures relating to our senior notes. You should not consider EBITDA to be an alternative to net earnings determined in accordance with U.S. GAAP or to cash flow from operations, investing activities or financing activities. In addition, not all funds depicted by EBITDA are available for management's discretionary use. For example, a substantial portion of such funds are subject to contractual restrictions and functional requirements for debt service, to fund necessary capital expenditures and to meet other commitments from time to time as described in more detail elsewhere in this report. EBITDA, as calculated, may not be comparable to similarly titled measures reported by other companies.
A reconciliation of EBITDA to net cash provided by (used in) operating activities, which we believe to be the most directly comparable U.S. GAAP financial measure, is calculated as follows:
Total assets as of June 30, 2013 remained constant at \$22.3 BN as compared to December 31, 2012. Current assets as a percent of total assets increased by 1% to 28% at June 30, 2013 as compared to 27% at December 31, 2012. The equity ratio, the ratio of our equity divided by total liabilities and shareholders' equity, remained constant at 41% at June 30, 2013 as compared to December 31, 2012.
In comparison to the information contained within the Annual Report for December 31, 2012, there have been no material changes for the first quarter of 2013. Please refer to chapter 2.10 "Risk and Opportunities Report" on pages 107–116 of the Annual Report.
For information regarding the Company's risk please refer to Note 12 and the chapter "Financial condition and results of operations" and specifically the Forward looking statement and Overview sections in this report. For additional information please see chapter 2.10 "Risk and Opportunities" on pages 107–116 of the Annual Report for December 31, 2012.
Below is a table showing our growth outlook for 2013:
| T. 12 | Outlook in \$ M, except Debt / EBITDA ratio |
|||
|---|---|---|---|---|
| 2013 | Sequestration | |||
| Revenue | > 14,600 | |||
| Revenue growth | > 6% | |||
| Operating income | 2,300 – 2,400 | 2,300 | 2,400 | 2,500 |
| Net income attributable to shareholders of FMC AG&Co. KGaA | 1,100 – 1,150 | 1,100 | 1,150 | 1,200 |
| Capital expenditures | ~ 700 | |||
| Acquisitions | ~ 500 | |||
| Debt/ EBITDA ratio | ≤ 3.0 |
The Outlook above is confirmed and has been substantiated for the potential impact of the U.S. Sequestration on our business performance. Net income attributable to shareholders of FMC AG & CO. KGAA represents an increase of between 5% and 10% if compared to the net income attributable to shareholders of FMC AG & CO. KGAA for 2012 excluding an investment gain in the amount of \$140 M.
No significant activities have taken place since the balance sheet date June 30, 2013, which have a material impact in any way on the key figures presented and business earnings. Currently, no significant changes are intended for the structure, management or legal form of the Company and its personnel.
On January 31, 2013, FASB issued Accounting Standards Update 2013-01 (ASU 2013-01) an update to Balance Sheet (Topic 210), Clarifying the Scope of Disclosures about Offsetting Assets and Liabilities (Topic 210). The main purpose of ASU 2013-01 is to clarify the scope of balance sheet offsetting under Topic 210 to include derivatives, repurchase agreements and reverse repurchase agreements, and securities borrowing and securities lending transactions that are offset or subject to master netting agreements. The disclosures required under Topic 210 would apply to these transactions and other types of financial assets or liabilities will no longer be subject to Topic 210. The update is effective for periods beginning on or after January 1, 2013. The Company does not utilize balance sheet offsetting for their derivative transactions see Note 12.
On February 28, 2013 FASB issued Accounting Standards Update 2013-04 (ASU 2013-04) Liabilities (Topic 405), Obligations Resulting from Joint and Several Liability Arrangements for which the Total Amount of the Obligations is Fixed at the Reporting Date." ASU 2013-04's objective is to provide guidance and clarification on the recognition, measurement and disclosure of obligations resulting from joint and several liability arrangements such as debt arrangements, other contractual obligations and settled litigation and judicial rulings. The update is effective for periods beginning on or after December 15, 2013. We are currently evaluating the impact of ASU 2013-04 on our Consolidated Financial Statements.
On March 4, 2013 FASB issued Accounting Standards Update 2013-05 (ASU 2013-05) Foreign Currency Matters (Topic 830), Parent's Accounting for the Cumulative Translation Adjustment upon Derecognition of Certain Subsidiaries or Groups of Assets within a Foreign Entity or of an Investment in a Foreign Entity. The purpose of 2013-05 is to provide clarification and further refinement regarding the treatment of the release of a cumulative translation adjustment into net income. This occurs in instances where the parent either sells a part or all of its investment in a foreign entity. Another possibility is, if a company no longer holds a controlling interest in a subsidiary or group of assets that is a nonprofit activity or business within a foreign entity. The update is effective for periods beginning on or after December 15, 2013. We are currently evaluating the impact of ASU 2013-05 on our Consolidated Financial Statements.
On July 17, 2013, FASB issued Accounting Standards Update 2013-10 (ASU 2013-10) Derivatives and Hedging (Topic 815), Inclusion of the Fed Funds Effective Swap Rate (or Overnight Index Swap Rate) as a Benchmark Interest Rate for Hedge Accounting Purposes. The purpose of 2013-10 is to provide the inclusion of the Fed Funds Effective Swap Rate as a U.S. benchmark interest rate for hedge accounting purposes. This rate will now be available to use along with the U.S. government interest rates and the London Interbank Offered Rate. This update is effective prospectively for new or designated hedging relationships entered into on or after July 17, 2013. Currently, we do not intend to utilize the newly available Fed Funds Effective Swap Rate for our hedge accounting.
On July 18, 2013, FASB issued Accounting Standards Update 2013-11 (ASU 2013-11) Income Taxes (Topic 740) Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. The purpose of ASU 2013-11 is to align the financial statement presentation of an unrecognized tax benefit when a net operating loss carryforward, a similar tax loss or a tax credit carryforward exists. In most cases, the unrecognized tax benefit should be presented as a reduction to a deferred tax asset for a net operating loss carryforward, a similar tax loss or a tax credit carryforward. The update is effective for periods beginning on or after December 15, 2013. We are currently evaluating the impact of ASU 2013-11 on our Consolidated Financial Statements.
| T. 13 | Consolidated Statements of Income in \$ THOUS, except share data, unaudited |
|||
|---|---|---|---|---|
| Three months ended June 30, | Six months ended June 30, | |||
| 2013 | 2012 | 2013 | 2012 | |
| Revenue | ||||
| Dialysis care | 2,811,244 | 2,675,422 | 5,553,179 | 5,219,481 |
| Less: Patient service bad debt provision | 67,798 | 70,303 | 131,547 | 137,162 |
| Net dialysis care | 2,743,446 | 2,605,119 | 5,421,632 | 5,082,319 |
| Dialysis products | 869,069 | 822,854 | 1,654,804 | 1,594,409 |
| Total | 3,612,515 | 3,427,973 | 7,076,436 | 6,676,728 |
| Costs of revenue | ||||
| Dialysis care | 2,057,342 | 1,913,947 | 4,041,566 | 3,745,073 |
| Dialysis products | 396,800 | 387,152 | 766,979 | 735,272 |
| Total | 2,454,142 | 2,301,099 | 4,808,545 | 4,480,345 |
| Gross profit | 1,158,373 | 1,126,874 | 2,267,891 | 2,196,383 |
| Operating (income) expenses Selling, general and administrative |
595,365 | 539,616 | 1,187,070 | 1,092,448 |
| Gain on sale of dialysis clinics | (7,727) | (24,647) | (8,800) | (33,961) |
| Research and development | 30,921 | 26,938 | 61,293 | 55,460 |
| Income from equity method investees | (4,416) | (3,858) | (9,224) | (9,355) |
| Operating income | 544,239 | 588,825 | 1,037,552 | 1,091,791 |
| Other (income) expense | ||||
| Investment gain | – | (12,915) | – | (139,600) |
| Interest income | (6,653) | (12,496) | (17,242) | (32,802) |
| Interest expense | 109,704 | 116,691 | 224,522 | 235,877 |
| Income before income taxes | 441,188 | 497,545 | 830,272 | 1,028,316 |
| Income tax expense | 143,613 | 172,241 | 272,614 | 309,318 |
| Net income | 297,575 | 325,304 | 557,658 | 718,998 |
| Less: Net income attributable to noncontrolling interests | 35,051 | 35,967 | 69,635 | 59,163 |
| Net income attributable to shareholders of FMC AG & Co. KGaA |
262,524 | 289,337 | 488,023 | 659,835 |
| Basic income per ordinary share | \$0.86 | \$0.95 | \$1.59 | \$2.17 |
| Fully diluted income per ordinary share | \$0.85 | \$0.94 | \$1.59 | \$2.15 |
| in \$ THOUS, unaudited | ||||
|---|---|---|---|---|
| Three months ended June 30, | Six months ended June 30, | |||
| 2013 | 2012 | 2013 | 2012 | |
| Net income | 297,575 | 325,304 | 557,658 | 718,998 |
| Gain (loss) related to cash flow hedges | 3,993 | 12,525 | 19,890 | 8,242 |
| Actuarial gain (loss) on defined benefit pension plans | 6,385 | 4,370 | 12,777 | 8,743 |
| Gain (loss) related to foreign currency translation | (59,174) | (168,412) | (127,362) | (47,616) |
| Income tax (expense) benefit related to components of other comprehensive income |
(3,232) | (4,977) | (9,914) | (23,958) |
| Other comprehensive income (loss), net of tax | (52,028) | (156,494) | (104,609) | (54,589) |
| Total comprehensive income | 245,547 | 168,810 | 453,049 | 664,409 |
| Comprehensive income attributable to noncontrolling interests | 34,715 | 35,212 | 67,317 | 59,249 |
| Comprehensive income attributable to shareholders of FMC AG & Co. KGaA |
210,832 | 133,598 | 385,732 | 605,160 |
30
| Consolidated Balance Sheets T. 15 in \$ THOUS,except share data |
||
|---|---|---|
| June 30, 2013 |
December 31, 2012 |
|
| (unaudited) | (audited) | |
| Assets Current assets |
||
| Cash and cash equivalents | 585,857 | 688,040 |
| Trade accounts receivable less allowance for doubtful accounts of \$329,762 in 2013 and \$328,893 in 2012 |
3,031,167 | 3,019,424 |
| Accounts receivable from related parties | 190,868 | 137,809 |
| Inventories | 1,055,099 | 1,036,809 |
| Prepaid expenses and other current assets | 994,777 | 937,761 |
| Deferred taxes | 292,033 | 307,613 |
| Total current assets | 6,149,801 | 6,127,456 |
| Property, plant and equipment, net | 2,935,140 | 2,940,603 |
| Intangible assets | 681,264 | 710,116 |
| Goodwill | 11,468,599 | 11,421,889 |
| Deferred taxes | 135,631 | 133,753 |
| Investment in equity method investees | 617,430 | 637,373 |
| Other assets and notes receivables | 340,482 | 354,808 |
| Total assets | 22,328,347 | 22,325,998 |
| Consolidated Balance Sheets T. 16 in \$ THOUS, except share data |
||
|---|---|---|
| June 30, 2013 |
December 31, 2012 |
|
| (unaudited) | (audited) | |
| Liabilities and shareholders' equity Current liabilities |
||
| Accounts payable | 493,947 | 622,294 |
| Accounts payable to related parties | 199,285 | 123,350 |
| Accrued expenses and other current liabilities | 1,831,164 | 1,787,471 |
| Short-term borrowings | 115,322 | 117,850 |
| Short-term borrowings from related parties | 59,364 | 3,973 |
| Current portion of long-term debt and capital lease obligations | 514,118 | 334,747 |
| Income tax payable | 154,938 | 150,003 |
| Deferred taxes | 37,409 | 30,303 |
| Total current liabilities | 3,405,547 | 3,169,991 |
| Long-term debt and capital lease obligations, less current portion | 7,657,012 | 7,785,740 |
| Long-term debt from related parties | – | 56,174 |
| Other liabilities | 324,338 | 294,569 |
| Pension liabilities | 432,060 | 423,361 |
| Income tax payable | 205,438 | 201,642 |
| Deferred taxes | 652,612 | 664,001 |
| Total liabilities | 12,677,007 | 12,595,478 |
| Noncontrolling interests subject to put provisions | 541,347 | 523,260 |
| Shareholders' equity | ||
| Preference shares, no par value, €1.00 nominal value, 7,066,522 shares authorized, 3,973,333 issued and outstanding as of December 31, 2012 (see Note 7) |
– | 4,462 |
| Ordinary shares, no par value, €1.00 nominal value, 392,462,972 shares authorized, 307,579,315 issued and 303,998,508 outstanding |
380,510 | 374,915 |
| Treasury stock, at cost | (248,889) | – |
| Additional paid-in capital | 3,548,973 | 3,491,581 |
| Retained earnings | 5,755,550 | 5,563,661 |
| Accumulated other comprehensive (loss) income | (594,404) | (492,113) |
| Total FMC AG & Co. KGaA shareholders' equity | 8,841,740 | 8,942,506 |
| Noncontrolling interests not subject to put provisions | 268,253 | 264,754 |
| Total equity | 9,109,993 | 9,207,260 |
| Total liabilities and equity | 22,328,347 | 22,325,998 |
See accompanying notes to unaudited consolidated financial statements.
| Consolidated Statements of Cash Flows T. 17 in \$ THOUS, unaudited |
||
|---|---|---|
| Six months ended June 30, | ||
| 2013 | 2012 | |
| Operating activities | ||
| Net income | 557,658 | 718,998 |
| Adjustments to reconcile net income to net cash provided by operating activities: | ||
| Depreciation and amortization | 315,154 | 294,251 |
| Change in deferred taxes, net | (6,570) | 64,934 |
| (Gain) loss on sale of investments | (8,800) | (33,978) |
| (Gain) loss on sale of fixed assets | 2,546 | 1,004 |
| Investment (gain) | – | (139,600) |
| Compensation expense related to stock options | 12,777 | 12,949 |
| Cash inflow (outflow) from hedging | (4,028) | (14,074) |
| Investments in equity method investees, net | 14,751 | 28,979 |
| Changes in assets and liabilities, net of amounts from businesses acquired: | ||
| Trade accounts receivable, net | (62,574) | (12,498) |
| Inventories | (34,265) | (64,821) |
| Prepaid expenses, other current and non-current assets | 28,776 | 124,258 |
| Accounts receivable from related parties | (56,774) | (101,405) |
| Accounts payable to related parties | 78,094 | 82,647 |
| Accounts payable, accrued expenses and other current and non-current liabilities | (9,009) | 17,328 |
| Income tax payable | 12,801 | (47,012) |
| Net cash provided by (used in) operating activities | 840,537 | 931,960 |
| Investing activities | ||
| Purchases of property, plant and equipment | (333,642) | (277,423) |
| Proceeds from sale of property, plant and equipment | 14,796 | 3,664 |
| Acquisitions and investments, net of cash acquired, and purchases of intangible assets | (101,809) | (1,748,179) |
| Proceeds from divestitures | 17,824 | 228,206 |
| Net cash provided by (used in) investing activities | (402,831) | (1,793,732) |
| Consolidated Statements of Cash Flows T. 18 in \$ THOUS,unaudited |
||
|---|---|---|
| Six months ended June 30, | ||
| 2013 | 2012 | |
| Financing activities | ||
| Proceeds from short-term borrowings | 64,703 | 57,332 |
| Repayments of short-term borrowings | (62,148) | (67,162) |
| Proceeds from short-term borrowings from related parties | 4,203 | 38,907 |
| Repayments of short-term borrowings from related parties | (5,819) | (13,743) |
| Proceeds from long-term debt and capital lease obligations (net of debt issuance costs and other hedging costs of \$156,406 in 2012) |
203,080 | 2,028,913 |
| Repayments of long-term debt and capital lease obligations | (167,796) | (555,746) |
| Increase (decrease) of accounts receivable securitization program | 23,000 | (82,500) |
| Proceeds from exercise of stock options | 36,142 | 22,748 |
| Purchase of treasury stock | (230,654) | – |
| Dividends paid | (296,134) | (271,733) |
| Distributions to noncontrolling interests | (117,855) | (79,334) |
| Contributions from noncontrolling interests | 27,157 | 11,763 |
| Net cash provided by (used in) financing activities | (524,121) | 1,089,445 |
| Effect of exchange rate changes on cash and cash equivalents | (15,768) | (7,587) |
| Cash and Cash equivalents | ||
| Net increase (decrease) in cash and cash equivalents | (102,183) | 220,086 |
| Cash and cash equivalents at beginning of period | 688,040 | 457,292 |
| Cash and cash equivalents at end of period | 585,857 | 677,378 |
See accompanying notes to unaudited consolidated financial statements.
33
| T. 19 | Consolidated Statement of Shareholders' Equity in \$ THOUS, except share data |
||||||
|---|---|---|---|---|---|---|---|
| Preference shares | Ordinary shares | Treasury stock | |||||
| Number of shares |
No par value |
Number of shares |
No par value |
Number of shares |
Amount | ||
| Balance at December | |||||||
| 31, 2011 (audited) | 3,965,691 | 4,452 | 300,164,922 | 371,649 | – | – | |
| Proceeds from exercise | |||||||
| of options and | |||||||
| related tax effects | 7,642 | 10 | 2,574,836 | 3,266 | – | – | |
| Compensation expense related to stock options |
– | – | – | – | – | – | |
| Dividends paid | – | – | – | – | – | – | |
| Purchase/sale of | |||||||
| noncontrolling interests | – | – | – | – | – | – | |
| Contributions from/to | |||||||
| noncontrolling interests | – | – | – | – | – | – | |
| Changes in fair value of noncontrolling interests |
|||||||
| subject to put provisions | – | – | – | – | – | – | |
| Net income | – | – | – | – | – | – | |
| Other comprehensive income | |||||||
| (loss) | – | – | – | – | – | – | |
| Comprehensive income | – | – | – | – | – | – | |
| Balance at December | |||||||
| 31, 2012 (audited) | 3,973,333 | 4,462 | 302,739,758 | 374,915 | – | – | |
| Proceeds from exercise of options and |
|||||||
| related tax effects | 2,200 | 3 | 864,024 | 1,130 | – | – | |
| Proceeds from conversion | |||||||
| of preference shares into ordinary shares |
(3,975,533) | (4,465) | 3,975,533 | 4,465 | – | – | |
| Compensation expense | |||||||
| related to stock options | – | – | – | – | – | – | |
| Purchase of treasury stock | – | – | – | – | (3,580,807) | (248,889) | |
| Dividends paid | – | – | – | – | – | – | |
| Purchase/sale of | |||||||
| noncontrolling interests | – | – | – | – | – | – | |
| Contributions from/to noncontrolling interests |
– | – | – | – | – | – | |
| Changes in fair value of | |||||||
| noncontrolling interests | |||||||
| subject to put provisions | – | – | – | – | – | – | |
| Net income | – | – | – | – | – | – | |
| Other comprehensive income (loss) |
– | – | – | – | – | ||
| Comprehensive income | – | – | – | – | – | ||
| Balance at June | |||||||
| 30, 2013 (unaudited) | – | – | 307,579,315 | 380,510 | (3,580,807) | (248,889) |
| T. 2 0 | Consolidated Statement of Shareholders' Equity in \$ THOUS, except share data |
|||||
|---|---|---|---|---|---|---|
| Additional paid in capital |
Retained earnings |
Accumulated other compre hensive income (loss) |
Total FMC AG & Co. KGaA shareholders' equity |
Noncontrolling interests not subject to put provisions |
Total equity | |
| Balance at December 31, 2011 (audited) |
3,362,633 | 4,648,585 | (485,767) | 7,901,552 | 159,465 | 8,061,017 |
| Proceeds from exercise of options and related tax effects |
110,510 | – | – | 113,786 | – | 113,786 |
| Compensation expense related to stock options |
26,476 | – | – | 26,476 | – | 26,476 |
| Dividends paid | – | (271,733) | – | (271,733) | – | (271,733) |
| Purchase/sale of noncontrolling interests |
(26,918) | – | – | (26,918) | 86,705 | 59,787 |
| Contributions from/to noncontrolling interests |
– | – | – | – | (26,428) | (26,428) |
| Changes in fair value of noncontrolling interests subject to put provisions |
18,880 | – | – | 18,880 | – | 18,880 |
| Net income | – | 1,186,809 | – | 1,186,809 | 45,450 | 1,232,259 |
| Other comprehensive income (loss) |
– | – | (6,346) | (6,346) | (438) | (6,784) |
| Comprehensive income | – | – | – | 1,180,463 | 45,012 | 1,225,475 |
| Balance at December 31, 2012 (audited) |
3,491,581 | 5,563,661 | (492,113) | 8,942,506 | 264,754 | 9,207,260 |
| Proceeds from exercise of options and related tax effects |
34,706 | – | – | 35,839 | – | 35,839 |
| Proceeds from conversion of preference shares into ordinary shares |
35,316 | 35,316 | 35,316 | |||
| Compensation expense related to stock options |
12,777 | – | – | 12,777 | – | 12,777 |
| Purchase of treasury stock | – | (248,889) | – | (248,889) | ||
| Dividends paid | – | (296,134) | – | (296,134) | – | (296,134) |
| Purchase/sale of noncontrolling interests |
(15,074) | – | – | (15,074) | 4,963 | (10,111) |
| Contributions from/to noncontrolling interests |
– | – | – | – | (20,121) | (20,121) |
| Changes in fair value of noncontrolling interests subject to put provisions |
(10,333) | – | – | (10,333) | – | (10,333) |
| Net income | – | 488,023 | – | 488,023 | 20,823 | 508,846 |
| Other comprehensive income (loss) |
– | – | (102,291) | (102,291) | (2,166) | (104,457) |
| Comprehensive income | – | – | – | 385,732 | 18,657 | 404,389 |
| Balance at June 30, 2013 (unaudited) |
3,548,973 | 5,755,550 | (594,404) | 8,841,740 | 268,253 | 9,109,993 |
See accompanying notes to unaudited consolidated financial statements.
35
Unaudited. In thousands, except share and per share data.
Fresenius Medical Care AG& Co. KGaA (FMC AG & CO. KGAA or the Company), a German partnership limited by shares (Kommanditgesellschaft auf Aktien), is the world's largest kidney dialysis company, operating in both the field of dialysis care and the field of dialysis products for the treatment of end-stage renal disease (ESRD). The Company's dialysis care business, in addition to providing dialysis treatments, includes pharmacy services and vascular access surgery services (together, the Expanded Services). The Company's dialysis products business includes manufacturing and distributing products and equipment for the treatment of ESRD. The Company's dialysis business is vertically integrated, providing dialysis treatment at dialysis clinics it owns or operates and supplying these clinics with a broad range of products. In addition, the Company sells dialysis products to other dialysis service providers. Fresenius Medical Care Holdings, Inc. (FMCH), located in the United States and our largest subsidiary, also provides laboratory testing services and inpatient dialysis services as well as other services under contract to hospitals.
In these unaudited consolidated financial statements, "FMC AG&CO.KGAA," or the "Company," "we," "us" or "our" refers to the Company or the Company and its subsidiaries on a consolidated basis, as the context requires. The term "North America Segment" refers to the North America operating segment. The term "International Segment" refers to the combined Europe, Middle East, Africa and Latin America (EMEALA) operating segment and Asia-Pacific operating segment.
The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (U.S. GAAP).
The consolidated financial statements at June 30, 2013 and for the three and six months ended June 30, 2013 and 2012 contained in this report are unaudited and should be read in conjunction with the consolidated financial statements contained in the Company's 2012 Annual Report on Form 20-F. The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from those estimates. Such financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of the results of the periods presented. All such adjustments are of a normal recurring nature.
The accounting policies applied in the accompanying consolidated financial statements are the same as those applied in the consolidated financial statements at and for the year ended December 31, 2012, contained in the Company's 2012 Annual Report.
The results of operations for the three and six month periods ended June 30, 2013 are not necessarily indicative of the results of operations for the year ending December 31, 2013.
On February 28, 2012, the Company acquired 100% of the equity of Liberty Dialysis Holdings, Inc. (LD Holdings), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the Liberty Acquisition). The Company accounted for this transaction as a business combination and finalized the acquisition accounting on February 28, 2013.
Total consideration for the Liberty Acquisition was \$ 2,181,358, consisting of \$1,696,659 cash, net of cash acquired and \$484,699 non-cash consideration. Accounting standards for business combinations require previously held equity interests to be fair valued at the time of the acquisition with the difference to book value to be recognized as a gain or loss in income. Prior to the Liberty Acquisition, the Company had a 49% equity investment in Renal Advantage Partners, LLC, the fair value of which, \$201,915, was included as part of the non-cash consideration. The fair value was determined based on the discounted cash flow method, utilizing a discount rate of approximately 13%. In addition to the Company's investment, it also had a loan receivable from Renal Advantage Partners, LLC of \$279,793, at a fair value of \$282,784, which was retired as part of the transaction.
The following table summarizes the final fair values of assets acquired and liabilities assumed at the date of the acquisition. Any adjustments to acquisition accounting from December 31, 2012 until finalization, net of related income tax effects, were recorded with a corresponding adjustment to goodwill:
| Preliminary purchase price allocation T. 21 in \$ THOUS |
|
|---|---|
| Assets held for sale | 164,068 |
| Trade accounts receivable | 149,219 |
| Other current assets | 17,458 |
| Deferred tax assets | 14,932 |
| Property, plant and equipment | 168,335 |
| Intangible assets and other assets | 84,556 |
| Goodwill | 2,003,465 |
| Accounts payable, accrued expenses and other current liabilities | (105,403) |
| Income tax payable and deferred taxes | (33,597) |
| Short-term borrowings and other financial liabilities and long-term debt and capital lease obligations | (72,101) |
| Other liabilities | (39,923) |
| Noncontrolling interests (subject and not subject to put provisions) | (169,651) |
| Total acquisition cost | 2,181,358 |
| Less non-cash contributions at fair value | |
| Investment at acquisition date | (201,915) |
| Long-term notes receivable | (282,784) |
| Total non-cash items | (484,699) |
| Net cash paid | 1,696,659 |
The amortizable intangible assets acquired in this acquisition have weighted average useful lives of 6–8 years.
Goodwill in the amount of \$2,003,465 was acquired as part of the Liberty Acquisition and was allocated to the North America Segment. Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. Goodwill arises principally due to the fair value placed on an estimated stream of future cash flows versus building a similar franchise. Of the goodwill recognized in this acquisition, approximately \$436,000 is expected to be deductible for tax purposes and amortized over a 15-year period.
The noncontrolling interests acquired as part of the acquisition are stated at fair value based upon contractual multiples typically utilized by the Company for such arrangements as well as the Company's overall experience.
The fair valuation of the Company's investment at the time of the Liberty Acquisition resulted in a non-taxable gain of \$139,600. The retirement of the loan receivable resulted in a benefit of \$8,501.
In connection with the Federal Trade Commission's consent order relating to the Liberty Acquisition, the Company agreed to divest a total of 62 renal dialysis centers. 61 clinics were sold by the end of the second quarter of 2012, 24 of which were FMC AG & CO. KGAA clinics which generated a gain of \$ 33,490. This gain was subsequently finalized in the amount of \$33,455 during the period ended December 31, 2012 and included in the Consolidated Statements of Income. In the second quarter of 2013, the remaining clinic was sold for a gain of \$7,705. The 38 clinics acquired and subsequently sold were categorized as assets held for sale in the table above at the time of the Liberty Acquisition.
The following financial information, on a pro forma basis, reflects the consolidated results of operations as if the Liberty Acquisition and the divestitures described above had been consummated on January 1, 2011. The pro forma information includes adjustments primarily for elimination of the investment gain and the gain from the retirement of debt. The pro-forma financial information is not necessarily indicative of the results of operations as it would have been had the transactions been consummated on January 1, 2011.
| Pro forma financial information T. 2 2 in \$ THOUS |
||||||
|---|---|---|---|---|---|---|
| Three months ended June 30, 2013 |
Six months ended June 30, 2013 |
|||||
| Net revenue | 3,420,560 | 6,782,198 | ||||
| Net income attributable to shareholders of FMC AG&Co. KGaA | 266,093 | 529,400 | ||||
| Income per ordinary share | ||||||
| Basic | 0.87 | 1.74 | ||||
| Fully diluted | 0.87 | 1.73 |
The Company's parent, Fresenius SE & Co. KGaA (Fresenius SE), a German partnership limited by shares, owns 100% of the share capital of Fresenius Medical Care Management AG, the Company's general partner (General Partner). Fresenius SE, the Company's largest shareholder, owns approximately 31.0% of the Company's voting shares at June 30, 2013, excluding the shares purchased through the share buy-back program as they are not considered to be outstanding voting shares see Note 7.
The Company is party to service agreements with Fresenius SE and certain of its affiliates (collectively the Fresenius SE Companies) to receive services, including, but not limited to: administrative services, management information services, employee benefit administration, insurance, information technology services, tax services and treasury management services. In 2013, the Company entered into a new information technology services agreement for the next five years, expiring in 2018, which has an automatic continuation for an additional 5-year period with short-term continuations thereafter unless either party terminates the agreement as of the end of the then-current term. The Company has complied with all corporate governance procedures for this agreement (for information on corporate governance, see chapter 2.3 "Corporate Governance" in our Annual Report for the year ended December 31, 2012). During the six months ended June 30, 2013 and 2012, amounts charged by Fresenius SE to the Company under the terms of these agreements were \$ 57,253 and \$38,418, respectively. The Company also provides certain services to the Fresenius SE Companies, including research and development, central purchasing and warehousing. The Company charged \$3,387 and \$3,184 for services rendered to the Fresenius SE Companies during the first six months of 2013 and 2012 respectively.
Under real estate operating lease agreements entered into with the Fresenius SE Companies, which are leases for the corporate headquarters in Bad Homburg, Germany and production sites in Schweinfurt and
St. Wendel, Germany, the Company paid the Fresenius SE Companies \$ 13,317 and \$12,660 during the six months ended June 30, 2013 and 2012, respectively. The majority of the leases expire in 2016 and contain renewal options.
The Company's Articles of Association provide that the General Partner shall be reimbursed for any and all expenses in connection with management of the Company's business, including remuneration of the members of the General Partner's supervisory board and the General Partner's management board. The aggregate amount reimbursed to the General Partner was \$ 9,136 and \$6,453, respectively, for its management services during the six months ended June 30, 2013 and 2012.
For the first six months of 2013 and 2012, the Company sold products to the Fresenius SE Companies for \$ 15,598 and \$12,646, respectively. During the same periods, the Company made purchases from the Fresenius SE Companies in the amount of \$22,066 and \$24,488, respectively.
In addition to the purchases noted above, the Company currently purchases heparin supplied by Fresenius Kabi USA, Inc. (Kabi USA), through an independent group purchasing organization (GPO). Kabi USA is whollyowned by Fresenius Kabi AG, a wholly-owned subsidiary of Fresenius SE. The Company has no direct supply agreement with Kabi USA and does not submit purchase orders directly to Kabi USA. During the six months ended June 30, 2013 and 2012, FMCH, a 100% owned subsidiary of the Company and its principal North American subsidiary, acquired approximately \$ 8,864 and \$8,565, respectively, of heparin from Kabi USA, through the GPO contract, which was negotiated by the GPO at arm's length on behalf of all members of the GPO.
The Company receives short-term financing from and provides short-term financing to Fresenius SE. The Company also utilizes Fresenius SE's cash management system for the settlement of certain intercompany receivables and payables with its subsidiaries and other related parties.
At June 30, 2013 the Company provided a loan to Fresenius SE of € 22,600 (\$ 29,561 at June 30, 2013) at an interest rate of 1.371%, due and paid on July 2, 2013.
On August 19, 2009, the Company borrowed € 1,500 (\$ 1,962 at June 30, 2013) from the General Partner at 1.335%. The loan repayment has been extended periodically and is currently due August 20, 2013 at an interest rate of 2.132%.
At June 30, 2013, the Company had a Chinese Yuan Renminbi (CNY) loan of 352,313 (\$ 57,402 at June 30, 2013) outstanding with a subsidiary of Fresenius SE at an interest rate of 6.1% and a maturity date of May 23, 2014.
The Company, at June 30, 2013, had a receivable from Fresenius SE in the amount of € 4,791 (\$ 6,267 at June 30, 2013) resulting from being a party to a German trade tax group agreement with Fresenius SE for the fiscal years 1997–2001.
As of June 30, 2013 and December 31, 2012, inventories consisted of the following:
| Inventories T. 2 3 in \$ THOUS |
||
|---|---|---|
| June 30, 2013 |
December 31, 2012 |
|
| Finished goods | 644,376 | 627,338 |
| Raw materials and purchased components | 179,242 | 171,373 |
| Health care supplies | 143,233 | 154,840 |
| Work in process | 88,248 | 83,258 |
| Inventories | 1,055,099 | 1,036,809 |
At June 30, 2013 and December 31, 2012, short-term borrowings and short-term borrowings from related parties consisted of the following:
| Short-term borrowings T. 2 4 |
||
|---|---|---|
| in \$ THOUS | ||
| June 30, 2013 |
December 31, 2012 |
|
| Borrowings under lines of credit | 115,322 | 117,850 |
| Short-term borrowings from related parties (see Note 3c) | 59,364 | 3,973 |
| Short-term borrowings and short-term borrowings from related parties | 174,686 | 121,823 |
At June 30, 2013 and December 31, 2012, long-term debt and capital lease obligations and long-term debt from related parties consisted of the following:
| Long-term debt and capital lease obligations T. 2 5 in \$ THOUS |
|||||
|---|---|---|---|---|---|
| June 30, 2013 |
December 31, 2012 |
||||
| 2012 Credit Agreement | 2,832,312 | 2,659,340 | |||
| Senior Notes | 4,730,687 | 4,743,442 | |||
| Euro Notes | 44,145 | 51,951 | |||
| European Investment Bank Agreements | 231,926 | 324,334 | |||
| Accounts receivable facility | 185,000 | 162,000 | |||
| Capital lease obligations | 13,772 | 15,618 | |||
| Other | 133,288 | 163,802 | |||
| Long-term debt and capital lease obligations | 8,171,130 | 8,120,487 | |||
| Less current maturities | (514,118) | (334,747) | |||
| Long-term debt and capital lease obligations, less current portion | 7,657,012 | 7,785,740 | |||
| Long-term debt from related parties | – | 56,174 | |||
| Long-term debt and capital lease obligations and long-term debt from related parties | 7,657,012 | 7,841,914 |
40
41
The following table shows the available and outstanding amounts under the 2012 Credit Agreement at June 30, 2013 and at December 31, 2012:
| T. 2 6 | Available and outstanding credits in THOUS |
|||
|---|---|---|---|---|
| Maximum amount available | Balance outstanding | |||
| June 30, 2013 | June 30, 2013 | |||
| Revolving credit U.S. dollar | \$600,000 | \$600,000 | \$101,512 | \$101,512 |
| Revolving credit Euro | €500,000 | \$654,000 | €100,000 | \$130,800 |
| Term Loan A | \$2,600,000 | \$2,600,000 | \$2,600,000 | \$2,600,000 |
| Total | \$3,854,000 | \$2,832,312 | ||
| Maximum amount available | Balance outstanding | |||
| December 31, 2012 | December 31, 2012 | |||
| Revolving credit U.S. dollar | \$600,000 | \$600,000 | \$59,340 | \$59,340 |
| Revolving credit Euro | €500,000 | \$659,700 | – | – |
| Term Loan A | \$2,600,000 | \$2,600,000 | \$2,600,000 | \$2,600,000 |
| Total | \$3,859,700 | \$2,659,340 |
In addition, at June 30, 2013 and December 31, 2012, the Company had letters of credit outstanding in the amount of \$11,065 and \$77,188, respectively, under the revolving credit facility, which are not included above as part of the balance outstanding, but reduce the available borrowings under the revolving credit facility.
The Company also had letters of credit outstanding under the accounts receivable facility in the amount of \$65,622 as of June 30, 2013. These letters of credit are not included above as part of the balance outstanding at June 30, 2013; however, they reduce available borrowings under the accounts receivable facility.
The following table contains reconciliations of the numerators and denominators of the basic and diluted earnings per ordinary share computations for the three and six months ended June 30, 2013 and 2012:
| Reconciliation of basic and diluted earnings per share T. 2 7 |
in \$ THOUS | |||
|---|---|---|---|---|
| Three months ended June 30, | Six months ended June 30, | |||
| 2013 | 2012 | 2013 | 2012 | |
| Numerators | ||||
| Net income attributable to shareholders of FMC AG&Co. KGaA | 262,524 | 289,337 | 488,023 | 659,835 |
| Less dividend preference on preference shares | – | 25 | – | 51 |
| Income available to all classes of shares | 262,524 | 289,312 | 488,023 | 659,784 |
| Denominators | ||||
| Weighted average number of: | ||||
| Ordinary shares outstanding | 302,409,369 | 300,415,725 | 302,590,288 | 300,310,425 |
| Preference shares outstanding | 3,842,900 | 3,966,600 | 3,907,756 | 3,966,301 |
| Total weighted average shares outstanding | 306,252,269 | 304,382,325 | 306,498,044 | 304,276,726 |
| Potentially dilutive ordinary shares | 1,362,863 | 2,405,628 | 1,247,741 | 2,372,829 |
| Potentially dilutive preference shares | – | 18,019 | – | 18,145 |
| Total weighted average ordinary shares outstanding assuming dilution |
303,772,232 | 302,821,353 | 303,838,029 | 302,683,254 |
| Total weighted average preference shares outstanding assuming dilution |
3,842,900 | 3,984,619 | 3,907,756 | 3,984,446 |
| Basic income per ordinary share | 0.86 | 0.95 | 1.59 | 2.17 |
| Fully diluted income per ordinary share | 0.85 | 0.94 | 1.59 | 2.15 |
On May 16, 2013, the Company held its Annual General Meeting and a separate Preference Shareholder Meeting during which resolutions on the conversion of the preference shares to ordinary shares were passed. The preference share conversion was affected on June 28, 2013 with 3,975,533 preference shares in the amount of € 3,976 (\$ 4,465) converted on a 1:1 basis to ordinary shares. In addition, 32,006 options associated with the preference shares were converted for options associated with ordinary shares.
On July 5, 2013, the Company received a € 27,000 (\$ 35,316) premium from the largest preference shareholder for the conversion of their preference shares to ordinary shares. At June 30, 2013, this amount was recorded as a short-term receivable with a corresponding increase recorded in equity.
Additionally, the Company announced the share buy-back program. The Company intends to repurchase ordinary shares in an aggregate value of up to € 385,000 (approximately \$ 500,000). This program is expected to run into the third quarter of 2013. At June 30, 2013, 3,580,807 shares were repurchased in the amount of € 189,876 (\$248,889). These shares are restricted treasury stock which means there are no associated dividends or voting rights. These treasury shares will be used to serve the sole purposes of either reducing the registered share capital of the Company by cancellation of the acquired shares, or fulfilling employee participation programs of the Company.
| T. 2 8 | Shares repurchased during the second quarter of 2013 | in \$ THOUS | |||||
|---|---|---|---|---|---|---|---|
| Average price paid per share |
Average price paid per share 1 |
Total number of shares purchased as part of publicly announced plans or programs |
Total value of shares repurchased 4 |
Total value of shares repurchased 2, 4 |
Maximum value of shares that may yet be purchased under plans or programs as of the end of the period 3 |
||
| May 2013 | €52.96 | \$68.48 | 1,078,255 | €57,107 | \$73,842 | €327,910 | \$426,480 |
| June 2013 | €53.05 | \$69.95 | 2,502,552 | €132,769 | \$175,047 | €195,165 | \$255,276 |
| Total | €53.03 | \$69.51 | 3,580,807 | €189,876 | \$248,889 |
The following tabular disclosure provides the shares repurchased during the second quarter of 2013:
1 The dollar value is calculated using the daily exchange rate for the share repurchases made during the month. 2 The value of the shares repurchased in Dollar is calculated using the total value of the shares purchased in Euro
converted using the daily exchange rate for the transactions.
3 The maximum Dollar value of the shares remaining is calculated using the maximum Euro value of shares
that may yet be repurchased converted at the end of the month spot rate.
4 This amount is inclusive of fees paid in the amount of approximately \$53 (€41) for services rendered.
The Company currently has two principal pension plans, one for German employees, the other covering employees in the United States, the latter of which was curtailed in 2002. Plan benefits are generally based on years of service and final salary. As there is no legal requirement in Germany to fund defined benefit plans, the Company's pension obligations in Germany are unfunded. Each year FMCH contributes to the plan covering United States employees at least the minimum required by the Employee Retirement Income Security Act of 1974, as amended.
The following table provides the calculations of net periodic benefit cost for the three and six months ended June 30, 2013 and 2012, respectively.
| T. 2 9 | Employee benefit plans in \$ THOUS |
|||
|---|---|---|---|---|
| Three months ended June 30, | Six months ended June 30, | |||
| 2013 | 2012 | 2013 | 2012 | |
| Components of net periodic benefit cost | ||||
| Service cost | 3,818 | 2,645 | 7,669 | 5,337 |
| Interest cost | 6,735 | 6,446 | 13,495 | 12,938 |
| Expected return on plan assets | (3,400) | (3,825) | (6,800) | (7,650) |
| Amortization of unrealized losses | 6,385 | 4,370 | 12,777 | 8,743 |
| Net periodic benefit costs | 13,538 | 9,636 | 27,141 | 19,368 |
The Company has potential obligations to purchase the noncontrolling interests held by third parties in certain of its consolidated subsidiaries. These obligations are in the form of put provisions and are exercisable at the third-party owners' discretion within specified periods as outlined in each specific put provision. If these put provisions were exercised, the Company would be required to purchase all or part of third-party owners' noncontrolling interests at the appraised fair value at the time of exercise. The methodology the Company uses to estimate the fair values of the noncontrolling interest subject to put provisions assumes the greater of net book value or a multiple of earnings, based on historical earnings, the development stage of the underlying
business and other factors. The estimated fair values of the noncontrolling interests subject to these put provisions can also fluctuate and the implicit multiple of earnings at which these noncontrolling interest obligations may ultimately be settled could vary significantly from our current estimates depending upon market conditions.
At June 30, 2013 and December 31, 2012, the Company's potential obligations under these put options were \$ 541,347 and \$523,260, respectively, of which, at June 30, 2013, \$208,239 were exercisable. No put options were exercised during the first six months of 2013.
Following is a roll forward of noncontrolling interests subject to put provisions for the six months ended June 30, 2013 and the year ended December 31, 2012:
| Noncontrolling interests subject to put provisions T. 3 0 in \$ THOUS |
||
|---|---|---|
| 2013 | 2012 | |
| Beginning balance as of January 1, 2013 and 2012 | 523,260 | 410,491 |
| Contributions to noncontrolling interests | (56,330) | (114,536) |
| Purchase/sale of noncontrolling interests | 10,515 | 134,643 |
| Contributions from noncontrolling interests | 4,909 | 16,565 |
| Changes in fair value of noncontrolling interests | 10,333 | (18,880) |
| Net income | 48,812 | 94,718 |
| Other comprehensive income (loss) | (152) | 259 |
| Ending balance as of June 30, 2013 and December 31, 2012 | 541,347 | 523,260 |
Below is a table showing the sources of our U.S. patient service revenue (net of contractual allowance and discounts but before patient service bad debt provision), included in the Company's dialysis care revenue, for the six months ended June 30, 2013 and 2012. Outside of the U.S., the Company does not recognize patient service revenue at the time the services are rendered without assessing the patient's ability to pay. Accordingly, the additional disclosure requirements introduced with ASU 2011-07 only apply to the U.S. patient service revenue.
| Patient service revenue T. 31 in \$ THOUS |
||
|---|---|---|
| Six months ended June 30, | ||
| 2013 | 2012 | |
| Medicare ESRD program | 2,131,095 | 1,926,433 |
| Private / alternative payors | 1,865,556 | 1,775,378 |
| Medicaid and other government sources | 186,059 | 194,154 |
| Hospitals | 209,517 | 201,709 |
| Total patient service revenue | 4,392,227 | 4,097,674 |
The Company is routinely involved in numerous 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 Company currently deems to be material are described below.
For the matters described below in which the Company believes a loss is both reasonably possible and estimable, an estimate of the loss or range of loss exposure is provided. For the other matters described below, the Company believes that the loss probability is remote 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 the Company's view of the merits can occur. The Company 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.
The Company was originally formed as a result of a series of transactions it completed pursuant to the agreement and plan of reorganization dated as of February 4, 1996, by and between W.R. Grace & Co. and Fresenius SE (the Merger). At the time of the Merger, a W.R. Grace & Co. subsidiary known as W.R. Grace & Co.- Conn. had, and continues to have, significant liabilities arising out of product-liability related litigation (including asbestos-related actions), pre-Merger tax claims and other claims unrelated to National Medical Care, Inc. (NMC), which was W.R. Grace & Co.'s dialysis business prior to the Merger. In connection with the Merger, W.R. Grace & Co.-Conn. agreed to indemnify the Company, FMCH, and NMC against all liabilities of W.R. Grace & Co., whether relating to events occurring before or after the Merger, other than liabilities arising from or relating to NMC's operations. W.R. Grace & Co. and certain of its subsidiaries filed for reorganization under Chapter 11 of the U.S. Bankruptcy Code (the "Grace Chapter 11 Proceedings") on April 2, 2001.
Prior to and after the commencement of the Grace Chapter 11 Proceedings, class action complaints were filed against W.R. Grace & Co. and FMCH by plaintiffs claiming to be creditors of W.R. Grace & Co.-Conn., and by the asbestos creditors' committees on behalf of the W.R. Grace & Co. bankruptcy estate in the Grace Chapter 11 Proceedings, alleging, among other things that the Merger was a fraudulent conveyance, violated the uniform fraudulent transfer act and constituted a conspiracy. All such cases have been stayed and transferred to or are pending before the U.S. District Court as part of the Grace Chapter 11 Proceedings.
In 2003, the Company reached agreement with the asbestos creditors' committees on behalf of the W.R. Grace & Co. bankruptcy estate and W.R. Grace & Co. in the matters pending in the Grace Chapter 11 Proceedings for the settlement of all fraudulent conveyance and tax claims against it and other claims related to the Company that arise out of the bankruptcy of W.R. Grace & Co. Under the terms of the settlement agreement as amended (the "Settlement Agreement"), fraudulent conveyance and other claims raised on behalf of asbestos claimants will be dismissed with prejudice and the Company will receive protection against existing and potential future W.R. Grace & Co. related claims, including fraudulent conveyance and asbestos claims, and indemnification against income tax claims related to the non-NMC members of the W.R. Grace & Co. consolidated tax group upon confirmation of a W.R. Grace & Co. bankruptcy reorganization plan that contains such provisions. Under the Settlement Agreement, the Company will pay a total of \$ 115,000 without interest, which has previously been accrued and is included on the Company's Consolidated Balance Sheets, to the W.R. Grace & Co. bankruptcy estate, or as otherwise directed by the Court, upon plan confirmation. No admission of liability has been or will be made. While the Company believes this accrual reasonably estimates its currently anticipated costs related to the continued defense and resolution of this matter, no assurances can be given that its actual costs incurred will not exceed the amount of this accrual. The Settlement Agreement has been approved by the U.S. District Court. In January and February 2011, the U.S. Bankruptcy Court entered orders confirming the plan of reorganization and the confirmation orders were affirmed by the U.S. District Court on January 31, 2012. Multiple parties have appealed to the Third Circuit Court of Appeals and the plan of reorganization will not be implemented until the appeals are finally resolved.
Subsequent to the Merger, W.R. Grace & Co. was involved in a multi-step transaction involving Sealed Air Corporation (Sealed Air, formerly known as Grace Holding, Inc.). The Company is engaged in litigation with Sealed Air to confirm its entitlement to indemnification from Sealed Air for all losses and expenses incurred by the Company relating to pre-Merger tax liabilities and Merger-related claims. Under the Settlement
Agreement, upon final confirmation of a plan of reorganization that satisfies the conditions of the Company's payment obligation, this litigation will be dismissed with prejudice.
On April 4, 2003, FMCH filed a suit in the U.S. District Court for the Northern District of California, styled Fresenius USA, Inc., et al., v. Baxter International Inc., et al., Case No. C 03-1431, seeking a declaratory judgement that FMCH does not infringe patents held by Baxter International Inc. and its subsidiaries and affiliates ("Baxter"), that the patents are invalid, and that Baxter is without right or authority to threaten or maintain suit against FMCH for alleged infringement of Baxter's patents. In general, the asserted patents concern the use of touch screen interfaces for hemodialysis machines. Baxter filed counterclaims against FMCH seeking more than \$ 140,000 in monetary damages and injunctive relief, and alleging that FMCH willfully infringed on Baxter's patents. On July 17, 2006, the court entered judgment on a jury verdict in favor of FMCH finding all asserted claims of Baxter patents invalid as obvious and/or anticipated in light of prior art.
On February 13, 2007, the court granted Baxter's motion to set aside the jury's verdict in favor of FMCH and reinstated the patents and entered judgment of infringement. Following a trial on damages, the court entered judgment on November 6, 2007 in favor of Baxter on a jury award of \$ 14,300. On April 4, 2008, the court denied Baxter's motion for a new trial, established a royalty payable to Baxter of 10% of the sales price for continuing sales of FMCH's 2008K hemodialysis machines and 7% of the sales price of related disposables, parts and service beginning November 7, 2007, and enjoined sales of the touchscreen-equipped 2008K machine effective January 1, 2009. The Company appealed the court's rulings to the United States Court of Appeals for the Federal Circuit (Federal Circuit). On September 10, 2009, the Federal Circuit reversed the district court's decision and determined that the asserted claims in two of the three patents at issue are invalid. As to the third patent, the Federal Circuit affirmed the district court's decision; however, the Court also vacated the injunction and award of damages. These issues were remanded to the District Court for reconsideration in light of the invalidity ruling on most of the claims. As a result, FMCH is no longer required to fund the courtapproved escrow account set up to hold the royalty payments ordered by the district court. Funds of \$70,000 were contributed to the escrow fund. Upon remand, the district court reduced the post verdict damages award to \$10,000 and \$61,000 of the escrowed funds was returned to FMCH. In the parallel reexamination of the last surviving patent, the U.S. Patent and Trademark Office (USPTO) and the Board of Patent Appeals and Interferences ruled that the remaining Baxter patent is invalid. On May 17, 2012 the Federal Circuit affirmed the USPTO's ruling and invalidated the final remaining Baxter patent. The Federal Circuit issued a mandate to the USPTO to cancel the claims of the last remaining asserted Baxter HD patent. Baxter appealed to the Federal Circuit claiming that approximately \$20,000 of damages awarded to it by the District Court before the Federal Circuit affirmed the USPTO ruling constitutes a final judgment that may be collected. On July 2, 2013, the Federal Circuit denied Baxter's appeal and ordered the District Court to dismiss the case.
On August 27, 2012, Baxter filed suit in the U.S. District Court for the Northern District of Illinois, styled Baxter International Inc., et al., v. Fresenius Medical Care Holdings, Inc., Case No. 12-cv-06890, alleging that the Company's Liberty™ cycler infringes certain U.S. patents that were issued to Baxter between October 2010 and June 2012. The Company believes it has valid defenses to these claims, and will defend this litigation vigorously.
On April 5, 2013, the U.S. Judicial Panel on Multidistrict Litigation ordered that lawsuits filed in various federal courts alleging wrongful death and personal injury claims against FMCH and certain of its affiliates relating to FMCH's dialysate concentrate products NaturaLyte® and Granuflo® be transferred and consolidated for pretrial management purposes into a consolidated multidistrict litigation in the United States District Court for the District of Massachusetts, styled In Re: Fresenius Granuflo/Naturalyte Dialysate Products Liability Litigation, Case No. 2013-md-02428. These lawsuits allege generally that inadequate labeling and warnings for these products caused harm to patients. In addition, similar cases have been filed in other courts that will not be formally consolidated with the federal multidistrict litigation. FMCH believes that these lawsuits are without merit, and will defend them vigorously.
On February 15, 2011, a qui tam relator's complaint under the False Claims Act against FMCH was unsealed by order of the United States District Court for the District of Massachusetts and served by the relator. The United States has not intervened in the case United States ex rel. Chris Drennen v. Fresenius Medical Care Holdings, Inc., 2009 Civ. 10179 (D. Mass.). The relator's complaint, which was first filed under seal in February 2009, alleges that the Company seeks and receives reimbursement from government payors for serum ferritin and hepatitis B laboratory tests that are medically unnecessary or not properly ordered by a physician. On March 6, 2011, the United States Attorney for the District of Massachusetts issued a Civil Investigative Demand seeking the production of documents related to the same laboratory tests that are the subject of the relator's complaint. FMCH has cooperated fully in responding to the Civil Investigative Demand, and will vigorously contest the relator's complaint.
On June 29, 2011, FMCH received a subpoena from the United States Attorney for the Eastern District of New York (E.D.N.Y.). On December 6, 2011, a single Company facility in New York received a subpoena from the Office of the Inspector General of the Department of Health and Human Services that was substantially similar to the one issued by the U.S. Attorney for the E.D.N.Y. These subpoenas are part of a criminal and civil investigation into relationships between retail pharmacies and outpatient dialysis facilities in the State of New York and into the reimbursement under government payor programs in New York for medications provided to patients with ESRD. Among the issues encompassed by the investigation is whether retail pharmacies may have provided or received compensation from the New York Medicaid program for pharmaceutical products that should be provided by the dialysis facilities in exchange for the New York Medicaid payment to the dialysis facilities. The Company has cooperated in the investigation.
Civil investigative demands were issued under the supervision of the United States Attorneys for Rhode Island and Connecticut to American Access Care LLC (AAC) and certain affiliated entities prior to the Company's acquisition of AAC in October 2011. In March 2012, a third subpoena was issued under the supervision of the United States Attorney for the Southern District of Florida (Miami). In May 2013, a fourth subpoena was served by the United States Attorney for the Eastern District of Virginia (Richmond). Also in May 2013, updated document productions were requested by the US Attorneys for Rhode Island and Connecticut. Although the subpoenas cover a wide range of documents and activities of AAC, the focus of the investigation is procedure coding and related billing practices and procedures. The Company has assumed responsibility for responding to the subpoenas and is cooperating fully with the United States Attorneys.
The Company has received communications alleging certain conduct in certain countries outside the U.S. and Germany that may violate the U.S. Foreign Corrupt Practices Act (FCPA) or other anti-bribery laws. In response to the allegations, the Audit and Corporate Governance Committee of the Company's Supervisory Board is conducting an internal review with the assistance of independent counsel retained for such purpose. The Company voluntarily advised the U.S. Securities and Exchange Commission and the U.S. Department of Justice that allegations have been made and of the Company's internal review. The Company's independent counsel, in conjunction with the Company's Compliance department, have reviewed the Company's anti-corruption compliance program, including internal controls related to compliance with international anti-bribery laws, and appropriate enhancements are being implemented. The Company is fully committed to FCPA compliance. It cannot predict the final outcome of its review.
In December 2012 and January 2013, FMCH received subpoenas from the United States Attorneys for the District of Massachusetts and the Western District of Louisiana requesting production of a range of documents relating to products manufactured by FMCH, including the Granuflo® and Naturalyte® dialysate concentrate products. FMCH is cooperating fully in responding to these subpoenas.
The Company filed claims for refunds contesting the Internal Revenue Service's (IRS) disallowance of FMCH's civil settlement payment deductions taken by FMCH in prior year tax returns. As a result of a settlement agreement with the IRS, the Company received a partial refund in September 2008 of \$ 37,000, inclusive of interest and preserved its right to pursue claims in the United States Courts for refunds of all other disallowed deductions,
which totaled approximately \$126,000. On December 22, 2008, the Company filed a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. On August 15, 2012, a jury entered a verdict for FMCH granting additional deductions of \$95,000. On May 31, 2013, the District Court entered final judgment for FMCH in the amount of \$50,400. On July 18, 2013, the District Court denied the IRS's post trial motion seeking to set aside the verdict and judgment and closed the file. The IRS may appeal to the Court of Appeals for the First Circuit (Boston).
From time to time, the Company is a party to or may be threatened with other litigation or arbitration, claims or assessments arising in the ordinary course of its business. Management regularly analyzes current information including, as applicable, the Company's defenses and insurance coverage and, as necessary, provides accruals for probable liabilities for the eventual disposition of these matters.
The Company, like other healthcare providers, conducts its operations under intense government regulation and scrutiny. It must comply with regulations which relate to or govern the safety and efficacy of medical products and supplies, the marketing and distribution of such products, the operation of manufacturing facilities, laboratories and dialysis clinics, and environmental and occupational health and safety. With respect to its development, manufacture, marketing and distribution of medical products, if such compliance is not maintained, the Company could be subject to significant adverse regulatory actions by the FDA and comparable regulatory authorities outside the U.S. These regulatory actions could include warning letters or other enforcement notices from the FDA and/or comparable foreign regulatory authority, which may require the Company to expend significant time and resources in order to implement appropriate corrective actions. If warning letters or other enforcement notices are not addressed by the Company to the satisfaction of the FDA and/or comparable regulatory authorities outside the U.S., these regulatory authorities could take additional actions, including product recalls injunctions against the distribution of products or operation of manufacturing plants, civil penalties, seizures of the Company's products and/or criminal prosecution. The Company must also comply with the laws of the United States, including the federal Anti-Kickback Statute, the federal False Claims Act, the federal Stark Law and the federal Foreign Corrupt Practices Act as well as other federal and state fraud and abuse laws. Applicable laws or regulations may be amended, or enforcement agencies or courts may make interpretations that differ from the Company's interpretations or the manner in which it conducts its business. Enforcement has become a high priority for the federal government and some states. In addition, the provisions of the False Claims Act authorizing payment of a portion of any recovery to the party bringing the suit encourage private plaintiffs to commence "qui tam" or "whistle blower" actions. In May 2009, the scope of the False Claims Act was expanded and additional protections for whistle blowers and procedural provisions to aid whistle blowers' ability to proceed in a False Claims Act case were added. By virtue of this regulatory environment, the Company's business activities and practices are subject to extensive review by regulatory authorities and private parties, and continuing audits, investigative demands, subpoenas, other inquiries, claims and litigation relating to the Company's compliance with applicable laws and regulations. The Company may not always be aware that an inquiry or action has begun, particularly in the case of "whistle blower" actions, which are initially filed under court seal.
The Company operates many facilities throughout the United States and other parts of the world. In such a decentralized system, it is often difficult to maintain the desired level of oversight and control over the thousands of individuals employed by many affiliated companies. The Company relies upon its management structure, regulatory and legal resources, and the effective operation of its compliance program to direct, manage and monitor the activities of these employees. On occasion, the Company may identify instances where employees or other agents deliberately, recklessly or inadvertently contravene the Company's policies or violate applicable law. The actions of such persons may subject the Company and its subsidiaries to liability under the Anti-Kickback Statute, the Stark Law, the False Claims Act and the Foreign Corrupt Practices Act, among other laws and comparable laws of other countries.
Physicians, hospitals and other participants in the healthcare industry are also subject to a large number of lawsuits alleging professional negligence, malpractice, product liability, worker's compensation or related claims, many of which involve large claims and significant defense costs. The Company has been and is currently subject to these suits due to the nature of its business and expects that those types of lawsuits may
continue. Although the Company maintains insurance at a level which it believes to be prudent, it cannot assure that the coverage limits will be adequate or that insurance will cover all asserted claims. A successful claim against the Company or any of its subsidiaries in excess of insurance coverage could have a material adverse effect upon it and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company's reputation and business.
The Company has also had claims asserted against it and has had lawsuits filed against it relating to alleged patent infringements or businesses that it has acquired or divested. These claims and suits relate both to operation of the businesses and to the acquisition and divestiture transactions. The Company has, when appropriate, asserted its own claims, and claims for indemnification. A successful claim against the Company or any of its subsidiaries could have a material adverse effect upon its business, financial condition, and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company's reputation and business.
As a global supplier of dialysis services and products in more than 120 countries throughout the world, the Company is faced with a concentration of credit risks due to the nature of the reimbursement systems which are often provided by the governments of the countries in which the Company operates. Changes in reimbursement rates or the scope of coverage could have a material adverse effect on the Company's business, financial condition and results of operations and thus on its capacity to generate cash flow.
The following table presents the carrying amounts and fair values of the Company's non-derivative financial instruments at June 30, 2013, and December 31, 2012.
| Non-derivatives T. 3 2 in \$ THOUS |
|||||||
|---|---|---|---|---|---|---|---|
| June 30, 2013 | December 31, 2012 | ||||||
| Fair value hierarchy |
Carrying amount |
Fair value |
Carrying amount |
Fair value |
|||
| Assets | |||||||
| Cash and cash equivalents | 1 | 585,857 | 585,857 | 688,040 | 688,040 | ||
| Accounts receivable | 2 | 3,222,035 | 3,222,035 | 3,157,233 | 3,157,233 | ||
| Liabilities | |||||||
| Accounts payable | 2 | 693,232 | 693,232 | 745,644 | 745,644 | ||
| Short-term borrowings | 2 | 174,686 | 174,686 | 121,823 | 121,823 | ||
| Long term debt, excluding 2012 Credit Agreement, Euro Notes and Senior Notes |
2 | 563,986 | 563,986 | 721,928 | 721,928 | ||
| 2012 Credit Agreement | 2 | 2,832,312 | 2,828,542 | 2,659,340 | 2,652,840 | ||
| Senior Notes | 2 | 4,730,687 | 5,075,954 | 4,743,442 | 5,296,325 | ||
| Euro Notes | 2 | 44,145 | 45,407 | 51,951 | 54,574 | ||
| Noncontrolling interests subject to put provisions |
3 | 541,347 | 541,347 | 523,260 | 523,260 |
The carrying amounts in the table are included in the consolidated balance sheet under the indicated captions or in the case of long-term debt, in the captions shown in Note 6.
The significant methods and assumptions used in estimating the fair values of non-derivative financial instruments are as follows:
Cash and cash equivalents are stated at nominal value which equals the fair value.
Short-term financial instruments such as accounts receivable, accounts payable and short-term borrowings are valued at their carrying amounts, which are reasonable estimates of the fair value due to the relatively short period to maturity of these instruments.
The fair values of major long-term financial liabilities are calculated on the basis of market information. Instruments for which market quotes are available are measured using these quotes. The fair values of the other longterm financial liabilities are calculated at the present value of the respective future cash flows. To determine these present values, the prevailing interest rates and credit spreads for the Company as of the balance sheet date are used.
The valuation of noncontrolling interests subject to put provisions is determined using significant unobservable inputs see Note 9 for a discussion of the Company's methodology for estimating the fair value of these noncontrolling interests subject to put obligations.
Currently, there is no indication that a decrease in the value of the Company's financing receivables is probable. Therefore, the allowances on credit losses of financing receivables are immaterial.
The Company is exposed to market risk from changes in foreign exchange rates and interest rates. In order to manage the risk of currency exchange rate and interest rate fluctuations, the Company enters into various hedging transactions by means of derivative instruments with highly rated financial institutions as authorized by the Company's General Partner. On a quarterly basis the Company performs an assessment of its counterparty credit risk. The Company currently considers this risk to be low. The Company's policy, which has been consistently followed, is that financial derivatives be used only for the purpose of hedging foreign currency and interest rate exposure.
In certain instances, the Company enters into derivative contracts that do not qualify for hedge accounting but are utilized for economic purposes (economic hedges). The Company does not use financial instruments for trading purposes.
The Company established guidelines for risk assessment procedures and controls for the use of financial instruments. They include a clear segregation of duties with regard to execution on one side and administration, accounting and controlling on the other.
To reduce the credit risk arising from derivatives the Company concluded master netting agreements with banks. Through such agreements, positive and negative fair values of the derivative contracts could be offset against one another if a partner becomes insolvent. This offsetting is valid for transactions where the aggregate amount of obligations owed to and receivable from are not equal. If insolvency occurs, the party which owes the larger amount is obliged to pay the other party the difference between the amounts owed in the form of one net payment.
The Company elects not to offset the fair values of derivative financial instruments subject to master netting agreements in the statement of financial position.
At June 30, 2013 and December 31, 2012, the Company had \$ 16,854 and \$32,044 of derivative financial assets subject to netting arrangements and \$9,631 and \$19,193 of derivative financial liabilities subject to netting arrangements. Offsetting these derivative financial instruments would have resulted in net assets of \$11,937 and \$20,773 as well as net liabilities of \$4,714 and \$7,922 at June 30, 2013 and December 31, 2012, respectively.
The Company conducts business on a global basis in various currencies, though a majority of its operations are in Germany and the United States. For financial reporting purposes, the Company has chosen the U.S. dollar as its reporting currency. Therefore, changes in the rate of exchange between the U.S. dollar and the local currencies in which the financial statements of the Company's international operations are maintained affect its results of operations and financial position as reported in its consolidated financial statements.
The Company's exposure to market risk for changes in foreign exchange rates relates to transactions such as sales and purchases. The Company has significant amounts of sales of products invoiced in euro from its European manufacturing facilities to its other international operations and, to a lesser extent, sales of products invoiced in other non-functional currencies. This exposes the subsidiaries to fluctuations in the rate of exchange between the euro and the currency in which their local operations are conducted. For the purpose of hedging existing and foreseeable foreign exchange transaction exposures the Company enters into foreign exchange forward contracts and, on a small scale, foreign exchange options. At June 30, 2013 the Company had no foreign exchange options.
Changes in the fair value of the effective portion of foreign exchange forward contracts designated and qualifying as cash flow hedges of forecasted product purchases and sales are reported in accumulated other comprehensive income (loss) (AOCI). Additionally, in connection with intercompany loans in foreign currency, the Company uses foreign exchange swaps thus assuring that no foreign exchange risks arise from those loans, which, if they qualify for cash flow hedge accounting, are also reported in AOCI. These amounts recorded in AOCI are subsequently reclassified into earnings as a component of cost of revenues for those contracts that hedge product purchases or as an adjustment of interest income/expense for those contracts that hedge loans, in the same period in which the hedged transaction affects earnings. The notional amounts of foreign exchange contracts in place that are designated and qualify as cash flow hedges totaled \$ 201,150 and \$611,488 at June 30, 2013 and December 31, 2012, respectively.
The Company also enters into derivative contracts for forecasted product purchases and sales and for intercompany loans in foreign currencies that do not qualify for hedge accounting but are utilized for economic hedges as defined above. In these cases, the change in value of the economic hedge is recorded in the income statement and usually offsets the change in value recorded in the income statement for the underlying asset or liability. The notional amounts of economic hedges that do not qualify for hedge accounting totaled \$ 1,344,019 and \$1,574,667 at June 30, 2013 and December 31, 2012, respectively.
The Company enters into derivatives, particularly interest rate swaps and to a certain extent, interest rate options, to protect against the risk of rising interest rates. These interest rate derivatives are designated as cash flow hedges and have been entered into in order to effectively convert payments based on variable interest rates into payments at a fixed interest rate. The euro-denominated interest rate swaps expire in 2016 and have an interest rate of 1.73%. Interest payable and receivable under the swap agreements is accrued and recorded as an adjustment to interest expense.
At June 30, 2013 and December 31, 2012, the notional amount of the euro-denominated interest rate swaps in place was € 100,000 and € 100,000 (\$130,800 and \$131,940 at June 30, 2013 and December 31, 2012, respectively).
The following table shows the carrying amounts of the Company's derivatives at June 30, 2013 and December 31, 2012.
| T. 3 3 | Derivatives in \$ THOUS |
||||
|---|---|---|---|---|---|
| June 30, 2013 | December 31, 2012 | ||||
| Assets 2 | Liabilities 2 | Assets 2 | Liabilities 2 | ||
| Derivatives in cash flow hedging relationships1 | |||||
| Current | |||||
| Foreign exchange contracts | 8,109 | (1,566) | 7,839 | (7,510) | |
| Non-current | |||||
| Foreign exchange contracts | – | – | 942 | (187) | |
| Interest rate contracts | – | (4,246) | – | (6,221) | |
| Total | 8,109 | (5,812) | 8,781 | (13,918) | |
| Derivatives not designated as hedging instruments1 | |||||
| Current | |||||
| Foreign exchange contracts | 12,361 | (6,217) | 23,396 | (19,068) | |
| Non-current | |||||
| Foreign exchange contracts | 1,098 | (1,227) | 132 | (292) | |
| Total | 13,459 | (7,444) | 23,528 | (19,360) |
1 As of June 30, 2013 and December 31, 2012, the valuation of the Company's derivatives was determined using significant other observable inputs (level 2 )
in accordance with the fair value hierarchy levels established in U.S. GAAP.
2 Derivative instruments are marked to market each reporting period resulting in carrying amounts being equal to fair values at the reporting date.
The carrying amounts for the current portion of derivatives indicated as assets in the table above are included in Prepaid expenses and other current assets in the Consolidated Balance Sheets while the current portion of those indicated as liabilities are included in Accrued expenses and other current liabilities. The non-current portions indicated as assets or liabilities are included in the Consolidated Balance Sheets in Other assets or Other liabilities, respectively.
The significant methods and assumptions used in estimating the fair values of derivative financial instruments are as follows:
The fair value of interest rate swaps is calculated by discounting the future cash flows on the basis of the market interest rates applicable for the remaining term of the contract at the balance sheet date. To determine the fair value of foreign exchange forward contracts, the contracted forward rate is compared to the current forward rate for the remaining term of the contract at the balance sheet date. The result is then discounted on the basis of the market interest rates prevailing at the balance sheet date for the applicable currency.
The Company includes its own credit risk for financial instruments deemed liabilities and counterparty-credit risks for financial instruments deemed assets when measuring the fair value of derivative financial instruments.
| in \$ THOUS | |||||
|---|---|---|---|---|---|
| Amount of gain or (loss) recognized in OCI on derivatives (effective portion) for the six months ended June 30, |
Location of (gain) or loss reclassified from AOCI in income (effec |
Amount of (gain) or loss reclassified from AOCI in income (effective portion) for the six months ended June 30, |
|||
| 2013 | 2012 | tive portion) | 2013 | 2012 | |
| Derivatives in cash flow hedging relationships |
|||||
| Interest income/ |
|||||
| Interest rate contracts | 3,585 | (4,913) | expense | 13,094 | 10,527 |
| Foreign exchange contracts | 1,962 | 8,883 | Costs of revenue |
514 | (7,261) |
| Interest income/ |
|||||
| Foreign exchange contracts | expense | 735 | 1,006 | ||
| Total | 5,547 | 3,970 | 14,343 | 4,272 |
| T. 3 5 | The effect of derivatives on the Consolidated Financial Statements in \$ THOUS |
||
|---|---|---|---|
| Location of (gain) or loss | Amount of (gain) or loss recognized in income on derivatives for the six months ended June 30, |
||
| recognized in income on derivative |
2013 | 2012 | |
| Derivatives not designated as hedging instruments | |||
| Selling, general and | |||
| Foreign exchange contracts | administrative expense | (42,102) | (1,458) |
| Foreign exchange contracts | Interest income/expense | 3,397 | 3,066 |
| Total | (38,705) | 1,608 |
For foreign exchange derivatives, the Company expects to recognize \$ 974 of losses deferred in AOCI at June 30, 2013, in earnings during the next twelve months.
The Company expects to incur additional interest expense of \$ 19,787 over the next twelve months which is currently deferred in AOCI. At June 30, 2013, this amount reflects the projected amortization of the settlement amount of the terminated swaps and the current fair value of the additional interest payments resulting from the remaining interest rate swap maturing in 2016.
At June 30, 2013, the Company had foreign exchange derivatives with maturities of up to 29 months and interest rate swaps with maturities of up to 40 months.
Changes in accumulated other comprehensive income (loss) by component for the six months ended June 30, 2013 and 2012 are as follows:
| Changes in accumulated other comprehensive income (loss)by component T. 3 6 in \$ THOUS |
||||||
|---|---|---|---|---|---|---|
| Gain (loss) related to cash flow hedges |
Actuarial gain (loss) on defined benefit pension plans |
Gain (loss) related to foreign currency translation |
Total, before non controlling interests |
Non controlling interests |
Total | |
| Balance December 31, 2011 | (136,221) | (111,215) | (238,331) | (485,767) | 3,048 | (482,719) |
| Other comprehensive income (loss) before reclassifications |
(17,181) | – | (47,702) | (64,883) | 86 | (64,797) |
| Amounts reclassified from accumulated other comprehensive income (loss)1 |
4,892 | 5,316 | – | 10,208 | – | 10,208 |
| Other comprehensive income (loss) after reclassifications |
(12,289) | 5,316 | (47,702) | (54,675) | 86 | (54,589) |
| Balance June 30, 2012 | (148,510) | (105,899) | (286,033) | (540,442) | 3,134 | (537,308) |
| Balance December 31, 2012 | (138,341) | (179,423) | (174,349) | (492,113) | 2,869 | (489,244) |
| Other comprehensive income (loss) before reclassifications |
4,902 | – | (125,044) | (120,142) | (2,318) | (122,460) |
| Amounts reclassified from accumulated other comprehensive income (loss)1 |
9,974 | 7,877 | – | 17,851 | – | 17,851 |
| Other comprehensive income (loss) after reclassifications |
14,876 | 7,877 | (125,044) | (102,291) | (2,318) | (104,609) |
| Balance June 30, 2013 | (123,465) | (171,546) | (299,393) | (594,404) | 551 | (593,853) |
1 See separate table below for details about these reclassifications.
Reclassifications out of accumulated other comprehensive income (loss) for the six months ended June 30, 2013 and 2012 are as follows:
| Reclassifications out of accumulated other comprehensive income (loss) T. 3 7 in \$ THOUS |
|||
|---|---|---|---|
| Amount of (gain) loss reclassified from AOCI in income |
Location of (gain) loss reclassified from AOCI in income |
||
| Six months ended June 30, |
|||
| Details about accumulated other comprehensive income (loss) ("AOCI") components |
2013 | 2012 | |
| (Gain) loss related to cash flow hedges | |||
| Interest rate contracts | 13,094 | 10,527 | Interest income/expense |
| Foreign exchange contracts | 514 | (7,261) | Costs of revenue |
| Foreign exchange contracts | 735 | 1,006 | Interest income/expense |
| 14,343 | 4,272 | Total before tax | |
| (4,369) | 620 | Tax expense or benefit | |
| 9,974 | 4,892 | Net of tax | |
| Actuarial (gain) loss on defined benefit pension plans | |||
| Amortization of unrealized (gain) loss | 12,777 | 8,743 | 1 |
| 12,777 | 8,743 | Total before tax | |
| (4,900) | (3,427) | Tax expense or benefit | |
| 7,877 | 5,316 | Net of tax | |
| Total reclassifications for the period | 17,851 | 10,208 | Net of tax |
1 Included in the computation of net periodic pension cost (see Note 8 for additional details).
The Company has identified three operating segments, North America, EMEALA and Asia Pacific, which were determined based upon how the Company manages its businesses. All segments are primarily engaged in providing dialysis care services and the distribution of products and equipment for the treatment of ESRD. The Company has aggregated the EMEALA and the Asia Pacific operating segments as the "International Segment." The segments are aggregated due to their similar economic characteristics. These characteristics include same services provided and same products sold, the same type patient population, similar methods of distribution of products and services and similar economic environments. The General Partner's management board member responsible for the profitability and cash flow of each segment's various businesses supervises the management of each operating segment. The accounting policies of the segments are the same as those the Company applies in preparing the consolidated financial statements under accounting principles generally accepted in the U.S. (U.S. GAAP).
Management evaluates each segment using a measure that reflects all of the segment's controllable revenues and expenses. With respect to the performance of business operations, management believes that the most appropriate measure in this regard is operating income which measures the Company's source of earnings. The Company does not include the investment gain resulting from the 2012 Liberty Acquisition nor income taxes as it believes these items to be outside the segments' control. Financing is a corporate function, which the Company's segments do not control. Therefore, the Company does not include interest expense relating to financing as a segment measurement. Similarly, the Company does not allocate "corporate costs," which relate primarily to certain headquarters overhead charges, including accounting and finance, global research and development, etc., because the Company believes that these costs are also not within the control of the individual segments. Production of products, production asset management, quality management and
Fresenius Medical Care 2013
procurement are centrally managed in Corporate by Global Manufacturing Operations. These corporate activities do not fulfill the definition of a segment. Products are transferred to the segments at cost; therefore no internal profit is generated. The associated internal revenues for the product transfers and their elimination are recorded as corporate activities. Capital expenditures for production are based on the expected demand of the segments and consolidated profitability considerations. In addition, certain revenues, investments and intangible assets, as well as any related expenses, are not allocated to a segment but are accounted for as "Corporate".
Information pertaining to the Company's segments and its Corporate activities for the three and six month periods ended June 30, 2013 and 2012 is set forth below.
| Business segment information T. 3 8 |
|||||||
|---|---|---|---|---|---|---|---|
| in \$ THOUS | |||||||
| North Ameri ca Segment |
International Segment |
Segment Total |
Corporate | Total | |||
| Three months ended June 30, 2013 | |||||||
| Net revenue external customers | 2,375,247 | 1,228,322 | 3,603,569 | 8,946 | 3,612,515 | ||
| Inter-segment revenue | 1,771 | – | 1,771 | (1,771) | – | ||
| Net revenue | 2,377,018 | 1,228,322 | 3,605,340 | 7,175 | 3,612,515 | ||
| Depreciation and amortization | (81,208) | (45,701) | (126,909) | (31,892) | (158,801) | ||
| Operating income | 393,806 | 208,964 | 602,770 | (58,531) | 544,239 | ||
| Income (loss) from equity method investees | 3,646 | 53 | 3,699 | 717 | 4,416 | ||
| Capital expenditures, acquisitions and investments | 107,948 | 66,175 | 174,123 | 41,757 | 215,880 | ||
| Three months ended June 30, 2012 | |||||||
| Net revenue external customers | 2,248,692 | 1,170,902 | 3,419,594 | 8,379 | 3,427,973 | ||
| Inter-segment revenue | 3,088 | – | 3,088 | (3,088) | – | ||
| Net revenue | 2,251,780 | 1,170,902 | 3,422,682 | 5,291 | 3,427,973 | ||
| Depreciation and amortization | (79,113) | (42,914) | (122,027) | (28,850) | (150,877) | ||
| Operating income | 431,084 | 207,223 | 638,307 | (49,482) | 588,825 | ||
| Income (loss) from equity method investees | 8,338 | 62 | 8,400 | (4,542) | 3,858 | ||
| Capital expenditures, acquisitions and investments | 101,463 | 60,934 | 162,397 | 35,985 | 198,382 | ||
| Six months ended June 30, 2013 | |||||||
| Net revenue external customers | 4,662,497 | 2,396,974 | 7,059,471 | 16,965 | 7,076,436 | ||
| Inter-segment revenue | 2,846 | – | 2,846 | (2,846) | – | ||
| Net revenue | 4,665,343 | 2,396,974 | 7,062,317 | 14,119 | 7,076,436 | ||
| Depreciation and amortization | (161,368) | (90,954) | (252,322) | (62,832) | (315,154) | ||
| Operating income | 762,659 | 392,771 | 1,155,430 | (117,878) | 1,037,552 | ||
| Income (loss) from equity method investees | 7,935 | 968 | 8,903 | 321 | 9,224 | ||
| Segment assets | 14,094,573 | 5,971,985 | 20,066,557 | 2,261,790 | 22,328,347 | ||
| thereof investments in equity method investees | 247,277 | 375,343 | 622,620 | (5,190) | 617,430 | ||
| Capital expenditures, acquisitions and investments1 | 220,280 | 148,877 | 369,157 | 66,294 | 435,451 | ||
| Six months ended June 30, 2012 | |||||||
| Net revenue external customers | 4,353,276 | 2,306,991 | 6,660,267 | 16,461 | 6,676,728 | ||
| Inter-segment revenue | 6,540 | – | 6,540 | (6,540) | – | ||
| Net revenue | 4,359,816 | 2,306,991 | 6,666,807 | 9,921 | 6,676,728 | ||
| Depreciation and amortization | (151,129) | (85,841) | (236,970) | (57,281) | (294,251) | ||
| Operating income | 778,917 | 402,135 | 1,181,052 | (89,261) | 1,091,791 | ||
| Income (loss) from equity method investees | 11,320 | 129 | 11,449 | (2,094) | 9,355 | ||
| Segment assets | 13,788,169 | 5,695,843 | 19,484,012 | 2,260,398 | 21,744,410 | ||
| thereof investments in equity method investees | 246,161 | 360,169 | 606,330 | (2,714) | 603,616 | ||
| Capital expenditures, acquisitions and investments2 | 1,862,044 | 99,820 | 1,961,864 | 63,738 | 2,025,602 |
1 International acquisitions exclude \$11,684 of non-cash acquisitions for 2013.
2 North America acquisitions exclude \$496,386 of non-cash acquisitions and International acquisitions exclude \$3,415 of non-cash acquisitions for 2012.
58
The following additional information is provided with respect to the consolidated statements of cash flows:
| Supplementary cash flow information T. 3 9 in \$ THOUS |
||
|---|---|---|
| Six months ended June 30, | ||
| 2013 | 2012 | |
| Supplementary cash flow information | ||
| Cash paid for interest | 191,259 | 155,263 |
| Cash paid for income taxes1 | 225,740 | 229,128 |
| Cash inflow for income taxes from stock option exercises | 3,933 | 3,277 |
| Supplemental disclosures of cash flow information | ||
| Details for acquisitions: | ||
| Assets acquired | (130,864) | (2,337,691) |
| Liabilities assumed | 17,173 | 226,377 |
| Noncontrolling interest subject to put provisions | 15,320 | 87,201 |
| Noncontrolling interest | 5,570 | 95,418 |
| Obligations assumed in connection with acquisition | 11,683 | 15,102 |
| Cash paid | (81,118) | (1,913,593) |
| Less cash acquired | 5,139 | 170,301 |
| Net cash paid for acquisitions | (75,979) | (1,743,292) |
| Cash paid for investments | (22,894) | (390) |
| Cash paid for intangible assets | (2,936) | (4,497) |
| Total cash paid for acquisitions and investments, net of cash acquired, and purchases of intangible assets |
(101,809) | (1,748,179) |
1 Net of tax refund.
No significant activities have taken place since the balance sheet date June 30, 2013 that have a material impact on the key figures and business earnings presented.
Second Quarter 2013 C orporate Governance R e s pon s ibility s tatement
The personally liable shareholder, represented by the Managing Board of Fresenius Medical Care Management AG, and the Supervisory Board of FMC AG & Co. KGaA have issued a compliance declaration pursuant to 161 of the German Stock Corporation Act (AktG). The Company has frequently made this declaration available to the public by pushing it on its website: www.fmc-ag.com.
"To the best of our knowledge, and in accordance with the applicable reporting principles for interim financial reporting, the interim consolidated financial statements give a true and fair view of the assets, liabilities, financial position and profit or loss of the Fresenius Medical Care Group, and the interim management report of the group includes a fair review of the development and performance of the business and the position of the group, together with a description of the principal opportunities and risks associated with the expected development of the group for the remaining months of the financial year."
Hof an der Saale, August 16, 2013 Fresenius Medical Care AG& Co. KGaA
Represented by the General Partner Fresenius Medical Care Management AG
Management Board
R. Powell M. Brosnan R. Fusté Dr. E.Gatti R. Kuerbitz Dr. R. Runte Dr. O. Schermeier K. Wanzek
59
November 5, 2013 Report on Third Quarter 2013
February 25, 2014 Report on Full Year 2013
May 6, 2014 Report on First Quarter 2014
May 15, 2014 Annual General Meeting 2014
May 16, 2014 Dividend Payment Subject to the approval of the Annual General Meeting
August 5, 2014 Report on Second Quarter 2014
November 4, 2014 Report on Third Quarter 2014
Please notice that these dates might be subject to change.
61346 Bad Homburg v.d.H Germany Tel. + 49 6172 609 0 www.fmc-ag.com
Head of Investor Relations & Corporate Communications Tel. + 49 6172 609 25 25 Fax + 49 6172 609 23 01 E-Mail: [email protected]
This interim report is also available in German.
Annual reports, interim reports and further information on the Company is also available on our website. Please visit us at www.fmc-ag.com
For printed material, please contact Investor Relations.
Published by Fresenius Medical Care AG & Co. KGaA Investor Relations
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