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Fresenius Medical Care AG & Co. KGaA

Earnings Release Aug 6, 2012

165_10-q_2012-08-06_83528ee9-85f2-4129-badb-a0be8b61d6a1.pdf

Earnings Release

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INVESTOR NEWS Fresenius Medical Care Reports strong Second Quarter 2012 And Half Year 2012 REsults and Confirms Guidance for Full Year 2012

Second Quarter 2012 First half 2012

+ 9 % \$ 3,428 million Net revenue

+ 16 % \$ 589 million

Operating income (EBIT)

+ 11 %

\$ 289 million

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

+ 10 %

\$ 0.95

Earnings per ordinary share

Earnings excluding investment gain:

+ 6 % \$ 276 million

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

+ 5 %

\$ 0.91

Earnings per ordinary share

+ 9 % \$ 6,677 million Net revenue

+ 14 % \$ 1,092 million Operating income (EBIT)

+ 37 % \$ 660 million

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

+ 36 % \$ 2.17

Earnings per ordinary share

Earnings excluding investment gain:

+ 8 % \$ 520 million Net income attributable to shareholders of

Fresenius Medical Care AG& Co. KGaA

+ 7 % \$ 1.71 Earnings per ordinary share

Bad Homburg, Germany

Fresenius Medical Care AG & Co. KGaA (the "company" or "Fresenius Medical Care"; Frankfurt Stock Exchange: FME / New York Stock Exchange: FMS), the world's largest provider of dialysis products and services, today announced its results for the second quarter and first half of 2012.

Second Quarter 2012

Revenue

Net revenue for the second quarter of 2012 increased by 9% to \$3,428 million (+ 13% at constant currency) compared to the second quarter of 2011. Organic revenue growth worldwide was 4%. Dialysis services revenue grew by 13% to \$2,605 million (+ 16% at constant currency) and dialysis product revenue decreased by 1% to \$823 million and increased by + 6% at constant currency.

North America revenue for the second quarter of 2012 increased by 14% to \$2,249 million. Dialysis services revenue grew by 15% to \$2,043 million with a same market growth of 4%. Average revenue per treatment for U.S. clinics increased to \$351 in the second quarter of 2012 compared to \$348 for the corresponding quarter in 2011. Dialysis product revenue increased by 3% to \$206 million mainly as a result of higher sales of hemodialysis products.

International revenue increased by 1% to \$1,171 million (+ 11% at constant currency). Organic revenue growth was 6%. Dialysis services revenue increased by 5% to \$562 million (+ 16% at constant currency). Dialysis product revenue decreased by 3% to \$609 million and increased by 6% at constant currency, mainly driven by higher sales of dialysis machines and dialyzers.

Earnings

Operating income (EBIT ) for the second quarter of 2012 increased by 16% to \$589 million compared to \$510 million in the second quarter of 2011. This resulted in an operating margin of 17.2% for the second quarter of 2012 compared to 16.2% for the corresponding quarter in 2011.

In North America, the operating margin increased from 17.7% to 19.2%. Average costs per treatment for U.S. clinics decreased by \$3 to \$280 in the second quarter of 2012 as compared to \$283 in the second quarter of 2011.

In the International segment, the operating margin increased from 17.5% to 17.7%.

Net interest expense for the second quarter of 2012 was \$104 million, compared to \$75 million in the second quarter of 2011. This development was mainly attributable to the higher level of financial debt as a result of the issuance of various tranches of senior notes over the course of 2011 and 2012.

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA for the second quarter of 2012 was \$289 million, an increase of 11% compared to the corresponding quarter of 2011. This includes a non-taxable investment gain of \$13 million related to the acquisition of Liberty Dialysis Holdings, Inc., including its 51% stake in Renal Advantage Partners, LLC (RAI). The gain is a result of measuring the 49% equity interest in RAI held by the company at its fair value at the time of the Liberty acquisition and represents an adjustment to the amount recorded in the first quarter of 2012 as part of the continuing finalization of the Liberty purchase accounting. Excluding this investment gain net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA increased by 6% to \$276 million.

4

Income tax expense was \$172 million for the second quarter of 2012 compared to \$149 million in the second quarter of 2011, reflecting effective tax rates of 34.6% and 34.2%, respectively. Excluding the investment gain the effective tax rate was 35.5%.

Earnings per ordinary share (EPS) for the second quarter of 2012 was \$0.95 and \$0.91 if excluding the investment gain. This represents an increase compared to the second quarter of 2011 of 10% and of 5%, respectively. The weighted average number of ordinary shares outstanding for the second quarter of 2012 was approximately 300.4 million shares, compared to 298.6 million shares for the second quarter of 2011. The increase in shares outstanding resulted from stock option exercises in the past 12 months.

Cash Flow

In the second quarter of 2012, the company generated \$451 million in cash from operations, an increase of 45% compared to the corresponding figure last year and representing 13.2% of revenue. The cash flow generation was supported by a favorable development of days sales outstanding.

A total of \$151 million was spent for capital expenditures, net of disposals. Free cash flow before acquisitions was \$300 million compared to \$194 million in the second quarter of 2011. A total of \$6 million in cash was generated from divestitures, net of acquisitions. Free cash flow after acquisitions and divestitures was \$306 million, compared to minus \$590 million in the second quarter of 2011.

First Half 2012

Revenue and Earnings

Net revenue for the first half of 2012 increased by 9% to \$6,677 million (+12% at constant currencies) compared to the first half of 2011. Organic revenue growth was 4% in the first half of 2012.

Operating income (EBIT ) for the first half of 2012 increased by 14% to \$1,092 million compared to \$955 million in the first half of 2011. The operating income margin increased to 16.4% for the first half of 2012 as compared to 15.6% in the same period in 2011.

Net interest expense for the first half of 2012 was \$203 million compared to \$146 million in the same period of 2011.

For the first half of 2012, net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA was \$660 million, up by 37% from the first half of 2011. This includes a non-taxable investment gain of \$140 million related to the acquisition of Liberty Dialysis Holdings, Inc., including its 51% stake in Renal Advantage Partners, LLC (RAI). The gain is a result of measuring the 49% equity interest in RAI held by the company at its fair value at the time of the Liberty acquisition. Excluding this investment gain net income attributable to shareholders of Fresenius Medical Care AG& Co. KGaA increased by 8% to \$520 million.

Income tax expense for the first half of 2012 was \$309 million compared to \$273 million in the same period in 2011, reflecting effective tax rates of 30.1% and 33.8%, respectively. Excluding the investment gain the effective tax rate was 34.8%.

In the first half of 2012, earnings per ordinary share rose by 36% to \$2.17 and by 7% to \$1.71 if excluding the investment gain. The weighted average number of ordinary shares outstanding during the first half of 2012 was approximately 300.3 million.

Cash Flow

Cash from operations during the first half of 2012 was \$932 million compared to \$487 million for the same period in 2011, representing 14% of revenue.

A total of \$274 million in cash was spent for capital expenditures, net of disposals. Free cash flow before acquisitions for the first half of 2012 was \$658 million compared to \$256 million in the same period in 2011. A total of \$1,520 million in cash was spent for acquisitions, net of divestitures. Free cash flow after acquisitions and divestitures was minus \$862 million compared to minus \$866 million in the first half of last year.

Please refer to the attachments for a complete overview on the second quarter and first half of 2012 and the reconciliation of non-GAAP financial measures included in this release to the most comparable GAAP financial measures.

Patients – Clinics – Treatments

As of June 30, 2012, Fresenius Medical Care treated 256,456 patients worldwide, which represents a 14% increase compared to the previous year's figure. North America provided dialysis treatments for 164,058 patients, an increase of 17%. Including 28 clinics managed by Fresenius Medical Care North America, the number of patients in North America was 166,282. The International segment provided dialysis treatment to 92,398 patients, an increase of 7% over the prior year's figure.

As of June 30, 2012, the company operated a total of 3,123 clinics worldwide, which represents a 10% increase compared to the previous year's figure. The number of clinics is comprised of 2,046 clinics in North America (2,074 including managed clinics), and 1,077 clinics in the International segment, representing an increase of 12% and 6%, respectively.

During the first half of 2012, Fresenius Medical Care delivered approximately 18.89 million dialysis treatments worldwide. This represents an increase of 14%, compared to last year's figure. North America accounted for 11.89 million treatments, an increase of 12%. The International segment delivered 7.0 million treatments, an increase of 18%.

Employees

As of June 30, 2012, Fresenius Medical Care had 84,194 employees (full-time equivalents) worldwide, compared to 79,159 employees at the end of 2011. This increase of more than 5,000 employees is due to overall growth in the company's business and acquisitions including Liberty Dialysis Holdings, Inc.

Debt / EBITDA Ratio

The ratio of debt to earnings before interest, taxes, depreciation and amortization (EBITDA) increased from 2.77 at the end of the second quarter of 2011 to 2.92 at the end of the second quarter of 2012. The debt/ EBITDA ratio at the end of 2011 was 2.69.

Rating

Moody's affirmed the company's corporate credit as 'Ba1' with a 'stable' outlook, and Fitch rates the company's corporate credit as 'BB+' with a 'stable' outlook. Standard & Poor's placed the company's corporate credit on review as 'BB+' with a possible downgrade from 'stable' to 'negative'. For further information on Fresenius Medical Care's credit ratings, maturity profiles and credit instruments, please visit our website at www.fmc-ag.com / Investor Relations / Credit Relations.

Sales and earnings outlook for 2012 confirmed

For the full year 2012, the company confirms its sales and earnings outlook.

The company expects revenue to grow to ~ \$14 billion in 20121 .

Net income is expected to grow to ~ \$ 1.3 billion and net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA is expected to grow to ~ \$1.14 billion1 . This does not include the investment gain in the amount of \$140 million in the first half of 2012.

For 2012, the company expects to spend ~ \$700 million on capital expenditures and ~ \$1.8 billion on acquisitions. The debt/ EBITDA ratio is expected to be below 3.0 by the end of 2012.

Ben Lipps, chief executive officer of Fresenius Medical Care, commented: "We achieved a very good operating performance in the second quarter of 2012. We are very pleased with the progress we and our clinical associates are achieving to improve global patient care outcomes, notably in anemia and nutrition management and the continued reduction in hospital days. North America is progressing well with its integration of the Liberty acquisition. Revenue growth in both North America and International was double digit in constant currency and despite the difficult global economic environment, we have improved cash collection, which also reflects the dedication of our staff and credibility we have with payers. In summary, we are affirming our guidance for the full year 2012 and expect another record year for the company."

1 We define the ~ sign as a +/– 0-2% deviation from the resepective numbers.

Conference Call

Fresenius Medical Care will hold a conference call to discuss the results of the second quarter and first half of 2012 on Wednesday, August 1, 2012, at 3.30 p.m. CEDT / 9.30 a.m. EDT. The company invites investors to view the live webcast of the call at the company's website www.fmc-ag.com in the "Investor Relations" section. A replay will be available shortly after the call.

Fresenius Medical Care is the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure, a condition that affects more than 2.1 million individuals worldwide. Through its network of 3,123 dialysis clinics in North America, Europe, Latin America, Asia-Pacific and Africa, Fresenius Medical Care provides dialysis treatment to 256,456 patients around the globe. Fresenius Medical Care is also the world's leading provider of dialysis products such as hemodialysis machines, dialyzers and related disposable products.

For more information about Fresenius Medical Care, visit the company's website at www.fmc-ag.com.

Disclaimer

This release contains forward-looking statements that are subject to various risks and uncertainties. Actual results could differ materially from those described in these forward-looking statements due to certain factors, including changes in business, economic and competitive conditions, regulatory reforms, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These and other risks and uncertainties are detailed in Fresenius Medical Care AG&Co. KGaA's reports filed with the U.S. Securities and Exchange Commission. Fresenius Medical Care AG&Co. KGaA does not undertake any responsibility to update the forward-looking statements in this release.

Statement of Ea rnings
in US\$ thousands, except
share data, unaudited
Table 1
Three months ended June 30, Six months ended June 30,
2012 2011 Change 2012 2011 Change
Revenue
Dialysis care 2,675,422 2,361,563 13.3% 5,219,481 4,646,879 12.3%
Less: patient service bad debt provision 70,303 56,429 24.6% 137,162 108,966 25.9%
Net dialysis care 2,605,119 2,305,134 13.0% 5,082,319 4,537,913 12.0%
Dialysis products 822,854 832,489 –1.2% 1,594,409 1,583,561 0.7%
Total net revenue 3,427,973 3,137,623 9.3% 6,676,728 6,121,474 9.1%
Cost of revenue 2,301,099 2,108,617 9.1% 4,480,345 4,144,581 8.1%
Gross profit 1,126,874 1,029,006 9.5% 2,196,383 1,976,893 11.1%
Selling, general and administrative 539,616 501,559 7.6% 1,092,448 985,795 10.8%
Gain on sale of dialysis clinics (24,647) (33,961)
Research and development 26,938 26,783 0.6% 55,460 52,932 4.8%
Income from equity method investees (3,858) (8,880) –56.5% (9,355) (16,462) –43.2%
Oper ating income (EBIT) 588,825 509,544 15.6% 1,091,791 954,628 14.4%
Investment gain (12,915) (139,600)
Interest income (12,496) (15,579) –19.8% (32,802) (26,000) 26.2%
Interest expense 116,691 90,183 29.4% 235,877 172,169 37.0%
Interest expense, net 104,195 74,604 39.7% 203,075 146,169 38.9%
Income before taxes 497,545 434,940 14.4% 1,028,316 808,459 27.2%
Income tax expense 172,241 148,856 15.7% 309,318 273,260 13.2%
Net income 325,304 286,084 13.7% 718,998 535,199 34.3%
Less: Net income attributable
to noncontrolling interests 35,967 25,323 42.0% 59,163 53,737 10.1%
Net income ATTRI
BUTA
BLE
TO
sh a reholders of
FMC
AG
& CO
. KGa A
289,337 260,761 11.0% 659,835 481,462 37.0%
Oper ating income (EBIT) 588,825 509,544 15.6% 1,091,791 954,628 14.4%
Depreciation and amortization 150,877 136,289 10.7% 294,251 272,273 8.1%
EBITDA 739,702 645,833 14.5% 1,386,042 1,226,901 13.0%
Earnings per ordinary share \$0.95 \$0.86 10.3% \$2.17 \$1.59 36.2%
Ea rnings per ordina ry AD
S
\$0.95 \$0.86 10.3% \$2.17 \$1.59 36.2%
Weighted average number of shares
Ordinary shares 300,415,725 298,559,749 300,310,425 298,427,098
Preference shares 3,966,600 3,958,515 3,966,301 3,957,978
In percent of revenue
Cost of revenue
Gross profit
67.1%
32.9%
67.2%
32.8%
67.1%
32.9%
67.7%
32.3%
Selling, general and administrative 15.7% 16.0% 16.4% 16.1%
Gain on sale of dialysis clinics –0.7% –0.5%
Research and development 0.8% 0.9% 0.8% 0.9%
Income from equity method investees –0.1% –0.3% –0.1% –0.3%
Oper ating income (EBIT) 17.2% 16.2% 16.4% 15.6%
Investment gain –0.4% –2.1%
Interest expense, net 3.0% 2.4% 3.0% 2.4%
income BEFORE
taxes
14.5% 13.9% 15.4% 13.2%
Income tax expense 5.0% 4.7% 4.6% 4.5%
Net income attributable to noncontrolling
interests 1.0% 0.8% 0.9% 0.9%
Net income ATTRI
BUTA
BLE
TO
sh a reholders of
FMC
AG
& CO
. KGa A
8.4% 8.3% 9.9% 7.9%
EBITDA 21.6% 20.6% 20.8% 20.0%
Segment a nd other Inform ation
in US\$ million, except
employees, unaudited
Table 2
Three months ended June 30, Six months ended June 30,
2012 2011 Change 2012 2011 Change
Net revenue
North America 2,249 1,971 14.1% 4,353 3,896 11.7%
International 1,171 1,163 0.7% 2,307 2,217 4.0%
Corporate 8 4 100.3% 17 8 104.4%
Total net revenue 3,428 3,138 9.3% 6,677 6,121 9.1%
Operating income (EBIT)
North America 431 348 23.7% 779 661 17.9%
International 207 203 2.0% 402 374 7.5%
Corporate (49) (41) 17.7% (89) (80) 11.5%
total Operating income (EBIT) 589 510 15.6% 1,092 955 14.4%
Operating income in percent of revenue
North America 19.2% 17.7% 17.9% 17.0%
International 17.7% 17.5% 17.4% 16.9%
total 17.2% 16.2% 16.4% 15.6%
Employees
Full-time equivalents 84,194 77,081

Reconciliation of non U. S. GAAP fina ncial measures to the most directly compa r able U. S. GAAP fina ncial measures Table 3

in US\$ million,
unaudited
Three months ended June 30, Six months ended June 30,
2012 2011 2012 2011
Segment information North America
net revenue 2,249 1,971
Costs of revenue and research and development 1,534 1,358
Selling, general and administrative 317 274
Gain on sale of dialysis clinics (25)
Income from equity method investees (8) (9)
Costs of revenue a nd oper ating expenses 1,818 1,623
Oper ating income (EBIT) 431 348
In percent of revenue 19.2% 17.7%
Dialysis products revenue incl. and excl. internal sales
North America
Dialysis products revenue incl. internal sales 400 394
Less internal sales (194) (195)
Dialysis products external sales 206 199
International
Dialysis products revenue incl. internal sales 712 728
Less internal sales (103) (99)
Dialysis products external sales 609 629
Reconciliation of cash flow from
operating activities to EBITDA
1
Total EBITDA 1,386 1,227
Interest expense, net (203) (146)
Income tax expense (309) (273)
Change in working capital and other non-cash items 58 (321)
Net cash provided by oper ating activities 932 487
Annualized EBITDA
2
Oper ating income (EBIT)
last twelve months
2,349 1,987
Depreciation and amortization last twelve months 603 530
Non-cash charges 53 50
Annualized EBITDA 3,005 2,567

1 EBITDA is the basis for determining compliance with certain covenants in Fresenius Medical Care's long-term debt instruments.

2 EBITDA 2012: Pro forma numbers including Liberty Dialysis Holdings Inc., after FTC mandated divestitures.

Bala nce Sheet
Table 4
in US\$ million
June 30,
2012
December 31,
2011
unaudited audited
Assets
Current assets 6,063 5,695
Intangible assets 11,894 9,873
Other non-current assets 3,787 3,965
Total ass
ets
21,744 19,533
Liabilities and equity
Current liabilities 5,870 4,263
Long-term liabilities 6,861 6,799
Noncontrolling interests subject to put provisions 541 410
Total equity 8,472 8,061
Total liabilities
AND
equity
21,744 19,533
Eq
uity / ass
ets r atio
39% 41%
Debt
Short-term borrowings 103 99
Short-term borrowings from related parties 52 28
Current portion of long-term debt and capital lease obligations 3,086 1,589
Long-term debt and capital lease obligations, less current portion 5,543 5,495
Total debt 8,784 7,211

Fresenius Medical Care 2012

Investor News
August 1, 2012
Cash flow Statement
Table 5
Six months ended June 30,
in US\$ million, unaudited
2012 2011
Operating activities
Net income 720 536
Depreciation/amortization 294 272
Investment gain (140)
Change in working capital and other non-cash items 58 (321)
Cash Flow from oper ating activities 932 487
Investing activities
Purchases of property, plant and equipment (277) (238)
Proceeds from sale of property, plant and equipment 3 7
Capital expenditures, net (274) (231)
Free Cash Flow 658 256
Acquisitions, net of cash acquired, and purchases of intangible assets (1,748) (1,122)
Proceeds from divestitures 228 0
Acquisitions, net of divestitures (1,520) (1,122)
Free Cash Flow after investing Activities (862) (866)
Financing activities
Change in accounts receivable securitization program (83) 130
Change in intercompany debt 25 146
Change in other debt 1,463 1,419
Proceeds from exercise of stock options 23 32
Distributions to noncontrolling interests (79) (62)
Contributions from noncontrolling interests 12 12
Dividends paid (272) (281)
Cash Flow from fina ncing activities 1,089 742
Effects of exchange rates on cash (7) 50
SE (Decrease) in cash
Net INCREA
220 (74)
Cash at beginning of period 457 523
Cash at end of period 677 449

Fresenius Medical Care 2012

ua rterly Perform a nce Scoreca rd –
Three months ended June 30, Revenue
in US\$ thousands, except
per-treatment revenue, unaudited
Table 6
2012 cc 2011 cc
North America
Net revenue 2,248,692 1,970,990
Growth year-over-year 14.1% 0.0%
net Dialysis
Ca re
2,043,127 1,771,515
Growth year-over-year 15.3% 0.6%
U.S. per treatment 351 348
Per treatment 344 340
Sequential growth –0.5% –0.1%
Growth year-over-year 1.1% –2.4%
Dialysis products
Incl. internal sales 399,979 394,413
Growth year-over-year 1.4% 1.2%
External sales 205,565 199,475
Growth year-over-year 3.1% –4.7%
International
Net revenue 1,170,902 1,162,448
Growth year-over-year 0.7% 10.8% 26.4% 14.8%
net Dialysis
Ca re
561,992 533,618
Growth year-over-year 5.3% 16.3% 31.1% 19.6%
Per treatment 159 176 178 162
Sequential growth –1.4% 3.5%
Growth year-over-year –10.4% –1.0% 11.7% 1.9%
Dialysis products
Incl. internal sales 711,970 728,130
Growth year-over-year –2.2% 7.6% 22.6% 10.9%
External sales 608,910 628,830
Growth year-over-year –3.2% 6.1% 22.7% 10.9%

cc = constant currency

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 its revenue from period to period. However, we also believe that data on constant currency period-over-period changes have limitations, particularly as the currency effects that are eliminated could constitute a significant element of our revenue and could 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.

13

Qua rterly Perform a nce Scoreca rd – Dialysis Ca re Volume Table 7

Three months ended June 30, unaudited

2012 2011
North America
Number of treatments 6,141,414 5,379,508
Treatments per day 78,736 68,968
Per day sequential growth 6.9% 1.3%
Per day year-over-year growth 14.2% 3.7%
Same market growth year-over-year 3.6% 3.2%
International
Number of treatments 3,531,153 3,004,965
Same market growth year-over-year 3.9% 5.2%
Qua rterly Perform a nce Scoreca rd –
Expenses
Three months ended
Table 8
June 30, unaudited
2012 2011
North America
Costs of revenue and operating expenses, gain on sale of dialysis clinics and income from equity
method investees
In percent of revenue 80.8% 82.3%
Selling, general and administrative
In percent of revenue 14.1% 13.9%
U.S. Dialysis care operating expenses/treatment in US\$ 280 283
Sequential growth –2.1% –1.9%
Growth year-over-year –0.9% –3.3%
Dialysis care operating expenses/treatment in US\$ 275 277
Sequential growth –2.0% –2.0%
Growth year-over-year –0.7% –3.5%
Total Group
Costs of revenue and operating expenses, gain on sale of dialysis clinics and income from equity
method investees
In percent of revenue 82.8% 83.8%
Selling, general and administrative
In percent of revenue 15.7% 16.0%
Effective tax rate 34.6% 34.2%

14

Qua rterly Perform a nce Scoreca rd –
Three months ended June 30,
in US\$ thousands, except number
of de novos, unaudited
Cash Flow / Investing Activities
Table 9
2012 2011
Total Group
Operating cash flow 450,783 311,244
In percent of revenue 13.2% 9.9%
Free cash flow before acquisitions 299,593 194,108
In percent of revenue 8.7% 6.2%
Acquisitions and investments, net of divestitures –6,108 783,666
Capital expenditures, net 151,190 117,136
In percent of revenue 4.4% 3.7%
Maintenance 87,802 66,615
In percent of revenue 2.6% 2.1%
Growth 63,388 50,521
In percent of revenue 1.8% 1.6%
Number of de novos 21 7
North America 16 4
International 5 3
June 30, unaudited Qua rterly Perform a nce Scoreca rd –
Bala nce Sheet
Table 10
2012 2011
Total Group
Debt in US\$ million 8,784 7,114
Debt/EBITDA 2.9 2.8
North America
Days sales outstanding 54 59
International
Days sales outstanding 120 121
Qua rterly Perform a nce Scoreca rd
Table 11
Three months
ended June 30,
2012 2011
North America (U.S.)
Clinical Performance
Single Pool Kt/ v > 1.2 97% 97%
Hemoglobin = 10 – 12 g /dl 77% 75%
Hemoglobin = 10 – 13 g /dl 83% 89%
Calcium = 8.4 – 10.2 mg /dl 83% 79%
Albumin > = 3.5 g /dl1 86% 84%
No catheter 79% 77%
Phosphate < = 5.5mg /dl 65% 63%
Hospitalization days per patient (12 months ending June 30) 9.7 9.8
Demographics
Average age in years 62 62
Average time on dialysis in years 3.8 3.7
Average body weight in kg 81 81
Prevalence of diabetes 58% 56%
Europe, Middle East and Africa
Clinical Performance
Single Pool Kt/ v > 1.2 96% 96%
Hemoglobin = 10 – 12 g /dl 59% 57%
Hemoglobin = 10 – 13 g /dl 78% 78%
Calcium = 8.4 – 10.2 mg /dl 76% 77%
Albumin > = 3.5 g /dl1 88% 89%
No catheter 81% 81%
Phosphate < = 5.5mg /dl 77% 74%
Hospitalization days per patient (12 months ending June 30) 9.2 9.6
Demographics
Average age in years 64 64
Average time on dialysis in years 5.2 5.0
Average body weight in kg 71 71
Prevalence of diabetes 27% 28%

1 International standard BCR CRM470

contact

Fresenius Medical Care AG & Co. KGaa

Investor Relations 61346 Bad Homburg v.d.H. Germany www.fmc-ag.com

Oliver Maier

Head of Investor Relations & Corporate Communications Tel. + 4961726092601 Fax + 4961726092301 E-Mail: [email protected]

North America

Investor Relations

Terry L. Morris Tel. + 1 800 948 25 38 Fax + 1 615 345 56 05 E-Mail: [email protected]

Published by Fresenius Medical Care AG & Co. KGaA Investor Relations

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.

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