Fresenius Medical Care AG & Co. KGaA

Earnings Release • May 16, 2013

Annual General Meeting 2013 Welcome

Rice Powell Chief Executive Officer and Chairman of the Management Board Frankfurt | May 16, 2013

2012 − A record year

	FY 2012 in \$ millions	Growth
Net revenue	13,800	+10%
Net income	1,187	+11%
Net income, adjusted for special items	1,118	+   4%
Operating cash flow	2,039	+41%

Achieved targets for 2012

• Strong growth in Dialysis Services as well as Dialysis Products
• Expanded our global market share organically and with acquisitions

Strong growth across the group in each region

North America

International

Revenue	\$ 4,740 m	+ 9%cc
Organic growth		+ 6%
Europe	\$ 2,893 m	+ 6%cc
Asia-Pacific	\$ 1,043 m	+ 7%cc
Latin America	\$ 804 m	+24%cc

1	North America	65%
2	Europe/Middle East/Africa	21%
3	Asia-Pacific	8%
4	Latin America	6%

Dialysis Services – Global market leader

	Patients 2012	Treatments 2012 in millions	Clinics 2012
Total	257,916	38.6	3,160
Growth	+ 11%	+ 12%	+ 9%
North America	164,554	24.4	2,082
Growth	+16%	+13%	+13%
International	93,362	14.2	1,078
Growth	+ 3%	+ 11%	+ 2%

• We are the leading dialysis provider in each region of the world
• We perform a dialysis treatment for a patient every 0.7 second somewhere in the world
• Dialysis services represent 76% of our total revenues

Dialysis Products – Leader in every major product group

	Rank 1	Rank 2
Dialyzers	FME	Gambro
Dialysis machines	FME	Gambro
Hemodialysis concentrates	FME	Fuso
Bloodlines	FME	Gambro
Peritoneal dialysis products	Baxter	FME

We added 7,000 jobs globally

1	North America	59%
2	Europe/Middle East/Africa	24%
3	Asia-Pacific	7%
4	Latin America	10%

More than doubled the number of employees over the last 10 years (2003: ~41,100)

Dialysis Services ~77% and Dialysis Products ~23%

Delivering long-term value

Total Return 2003 to 2012 – Average annual performance

2012 − 16th consecutive dividend increase and change of mid-term dividend policy

• 2012 net income growth of 11%
• We will revise our mid-term dividend policy

Current:

dividend per share growing at approx. 50% of the growth rate of the net income

New:

dividend per share growing approx. in line with the growth in earnings per share

2013 − Outlook

In \$ millions	2012	2013 E	Growth
	Reported
Revenue	13,800	> 14,600	> 6%
EBIT	2,219	2,300-2,500	4-13%
Net income	1,187
Investment gain	-140
Net income adjusted for investment gain	1,047	1,100-1,200	5-15%

Market opportunities for Fresenius Medical Care

Growth strategy to ensure continued success

Leader in growing market

• Dialysis market growing 4%cc and estimated to reach \$ 100 billion by 2020
• Patient growth driven by age, life style and mortality reduction

Provide highest standard of patient care

• Vertical integration
• High quality products & services
• Complete therapy offerings

Consolidate position as global market leader

• Invest in our people
• Continue to innovate
• Global clinic acquisitions and service portfolio expansion
• Expand into new geographies

Deliver shareholder value

• Ensure continuous development of company
• Deliver profitable growth
• Control financial risks

FRESENIUS MEDICAL CARE. THE RENAL COMPANY. A LIFELONG COMITTMENT.

Thank you very much for your attention, your continued interest and your support!

Annual General Meeting 2013

Rice Powell Chief Executive Officer and Chairman of the Management Board Frankfurt | May 16, 2013

Safe Harbor Statement: This presentation includes certain forward-looking statements within the meaning of Section 27A of the U.S. Securities Act of 1933, as amended, and Section 21E of the U.S. Securities Act of 1934, as amended. The Company has based these forward-looking statements on its views with respect to future events an financial performance. Actual results could differ materially from those included in the forward-looking statements due to various risk factors and uncertainties, including changes in business, economic competitive conditions, regulatory reforms, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings and the availability of financing. Given these uncertainties, readers should not put undue reliance on any forward-looking statements. These and other risks and uncertainties are discussed in detail in Fresenius Medical Care AG & Co. KGaA's (FMC AG & Co. KGaA) reports filed with the Securities and Exchange Commission (SEC) and the German Exchange Commission (Deutsche Börse).

Forward-looking statements represent estimates and assumptions only as of the date that they were made. The information contained in this presentation is subject to change without notice and the company does not undertake any duty to update the forward-looking statements, and the estimates and assumptions associated with them, except to the extent required by applicable law and regulations.

If not mentioned differently the term net income refers to the net income attributable to the shareholders of Fresenius Medical Care AG Co. KGaA independent of being the reported or the adjusted number. Numbers mentioned are in US-\$.