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Fresenius Medical Care AG & Co. KGaA

Investor Presentation • Sep 23, 2010

165_ip_2010-09-23_b7332af2-98e1-4417-a4bf-5b27c0b32324.pdf

Investor Presentation

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Fresenius Medical Care

The World's Leading Renal Therapy Company

UniCredit German Investment Conference 2010

Munich, September 23, 2010

Forward-looking Statements

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. 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. 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).

1. Business Update

2. Financials and Outlook

3. Growth Strategy and Summary

Agenda

1. Business Update

  1. Financials and Outlook

  2. Growth Strategy and Summary

2nd Quarter 2010 – Overview

Strong quarter and fully on track for full-year targets Very good underlying performance

Q
2
2
0
0
9		 Q
2
2
0
1
0		 G
h
t
r
o
w
R
e
e
n
e
v
u		 \$
2
7
6
4
m
,		 \$
2
9
4
6
m
,		 %
7
N
i
t
e
n
c
o
m
e
C
G
Co
Ga
i
bu
b
le
F
M
A
&
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A
t
tr
ta
to
a		 \$
2
2
1
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4
8
m		 1
2
%
E
i
h
a
r
n
n
g
s
p
e
r
s
a
r
e		 \$
0
7
4		 \$
0
8
3		 1
2
%
  • •Strong revenue growth at 7% at constant currency and 6% organic
  • •Excellent EBIT-margin development
  • •Resulting in very good net income growth

2nd Quarter 2010 – Revenue

Total revenue increased 7% to \$2,946 m

2nd Quarter 2010 – Dialysis Services Global

Very strong revenue growth globally

First time over 200,000 patients being treated

\$
S
U
i
l
l
i
m
o
n
s		 Q
2
2
0
0
9		 Q
2
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w		 c
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N
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A
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r
m
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a		 1
6
7
7
,		 1
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7
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%
I
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a
o
n
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7		 4
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7		 8
%		 9
%
T
l
t
o
a		 2
0
5
4
,		 2
2
2
4
,		 8
%		 8
%
  • •Good organic treatment growth of 4.3% globally
  • •Continued strong revenue per treatment development
  • •Treating 202,414 patients in 2,599 clinics

cc = constant currency

First Half 2010 – Dialysis Services Global

Very strong revenue growth globally

\$
U
S
i
l
l
i
m
o
n
s		 H
1
2
0
0
9		 H
1
2
0
1
0		 G
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w		 c
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N
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A
i
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o
r
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a		 3
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,		 5
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8
,		 1
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%
I
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e
r
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a
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a		 7
2
3		 8
1
7		 1
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%		 9
%
T
l
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a		 3
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7
7
,		 4
3
9
5
,		 1
1
%		 1
0
%
  • •Good organic treatment growth of 4.3% globally
  • •Continued strong revenue per treatment development

cc = constant currency

© 2010 Fresenius Medical Care AG & Co. KGaA

2nd Quarter 2010 – Revenue per treatment US

2nd Quarter 2010 – Dialysis Products

Good product growth in North America

\$
U
S
i
l
l
i
m
o
n
s		 Q
2
2
0
0
9		 Q
2
2
0
1
0		 G
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w		 c
c
T
l
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(
inc
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)
ter
na
ve
nu
e		 9
5
5		 9
9
4		 4
%		 %
5
E
l
t
x
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r
n
a
r
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v
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n
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0
9		 7
2
2		 2
%		 3
%
N
h
A
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c
a		 1
9
9		 2
1
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%
I
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a
o
n
a		 1
0
5		 5
1
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%		 2
%

cc = constant currency

First Half 2010 – Dialysis Products

Good product growth in H1 2010

\$
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m
o
n
s		 H
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%		 6
%
E
l
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x
v
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,		 1
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%		 4
%
N
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A
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%
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a
o
n
a		 9
5
0		 1
0
2
5
,		 8
%		 4
%

cc = constant currency

International Business Expansion - 2010

Expanded Dialysis Services and Products in Key Regions

  • X Acquired Asia Renal Care
  • XAdding more than 100 clinics treating about 6,200 patients
  • XAdding approximately \$80 million in annual revenue
  • X Expanded dialysis products business in Korea
  • XAdding approximately \$15 million in annual revenue
  • XAccretive to earnings in the first year

  • X Entered into long-term distributor agreement in Japan

  • X Expanded dialysis services business in Russia

  • XAdding approximately \$25 million in annual revenue
  • XAccretive to earnings in the first year

Agenda

  1. Business Update

2. Financials and Outlook

  1. Growth Strategy and Summary

2nd Quarter 2010 – Profit & Loss

\$
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to
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8		 1
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* 7% growth at constant currency, 6% organic growth

Operating Margin Development

Days Sales Outstanding (DSO)

Continued excellent cash collection

2nd Quarter 2010 – Cash Flow

Strong operating cash flow performance

\$
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U
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l
l
i
m
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1) A reconciliation to the most directly comparable U.S. GAAP financial measure is provided in the attachment.

2) Does not include a \$133 m cash out for a short-term bank deposit in Q2 2010 and a cash repayment in form of an inter-company loan of \$ 50 m in Q2 2009

First Half 2010 – Cash Flow

Operating cash flow at 11% of revenue

\$
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1) A reconciliation to the most directly comparable U.S. GAAP financial measure is provided in the attachment.

2) Does not include a \$133 m cash out for a short-term bank deposit in Q2 2010 and a cash repayment in form of an inter-company loan of \$ 50 m in Q2 2009

2nd Quarter 2010 – Debt and EBITDA Development

Debt/EBITDA ratio ahead of target

* including non-cash charges and in 2007 excluding restructuring costs, in-process R&D and gain from the sale of dialysis clinics. A reconciliation to the most directly comparable U.S. GAAP financial measure is provided in the attachment.

2010 – Outlook Reiterated

Fully on track for 2010 Targets

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Agenda

  1. Business Update

  2. Financials and Outlook

3. Growth Strategy and Summary

Global Presence Products & Services

Dialysis Services Worldwide – Number of Patients Treated 2009*

* Based on company statements and estimates

* * 13,606 patients including managed clinics

Market Position Globally

1,895,000 Dialysis Patients in 2009

Dialysis patients treated in 2009 by company

Market Position by Major Product Groups

R
k
1
a
n		 R
k
2
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n		 R
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u		 B
t
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x		 F
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i
s
a

Produced more than ~85,000,000 Dialyzers in 2009

Global View of Dialysis Patients

Global prevalence increased by 80% over the last 10 years

ESRD patients per million population (p.m.p.)

Global Prevalence of ESRD

Development of Dialysis Patient Numbers

  • Renal failure persists worldwide
  • Dialysis is the primary treatment modality on a global scale
  • The number of global dialysis patients is expected to double by 2020

Continued Growth Opportunities

2010 Guidance and Goal 2013 Strategic Financial Objectives

i
2
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-		 G
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–		 3
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–
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*C
Cu
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Summary

L
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Thank you for your interest in Fresenius Medical Care !

© 2010 Fresenius Medical Care AG & Co. KGaA

Fresenius Medical Care

The World's Leading Renal Therapy Company

UniCredit German Investment Conference 2010

Munich, September 23, 2010

Attachment I

Reconciliation of non-U.S. GAAP financial measures to the most directly comparable U.S. GAAP financial measure

All figures are in \$ millions

D
b
t
e		 Q
2
2
0
1
0		 F
Y
2
0
0
9		 F
Y
2
0
0
8		 F
Y
2
0
0
7
S
ho
bo
ing
(
inc
l.
A
/
R
)
t-
te
r
rm
rro
s
p
ro
g
ra
m
w		 4
1
0		 3
1
6		 6
8
4		 2
1
7
S
ho
bo
ing
fro
la
d p
ies
t-
ter
te
t
+
r
m
rro
w
s
m
re
ar		 9 1
0		 1 2
Cu
ion
f
lon
de
b
d c
i
l
lea
b
l
ig
ion
t p
t
ter
t a
ta
t
+
rre
n
or
o
g-
m
n
ap
se
o
a
s		 1,
8
6
6		 1
8
5		 4
5
5		 8
5
Cu
f
fer
ion
d s
i
ies
t p
t
tru
t p
t
+
rre
n
or
o
s
re
re
ec
ur		 6
7
0
Lo
de
b
d c
i
l
lea
b
l
ig
ion
-te
t a
ta
t
+
ng
rm
n
ap
se
o
a
s,
les
ion
t p
t
s c
urr
en
or		 2,
9
4
9		 4,
4
2
8		 3,
9
5
7		 4,
0
0
4
Tr
fer
d s
i
ies
t p
t
+
us
re
re
ec
ur		 5
9
3		 6
5
6		 6
4
1		 6
6
4
To
ta
l
de
b
t
=		 5,
8
2
7		 5,
5
6
8		 5,
7
3
8		 5,
6
4
2
E
B
I
T
D
A		 Q
2
2
0
1
0		 F
Y
2
0
0
9		 1)
F
Y
2
0
0
8		 F
Y
2
0
0
7
La
lve
hs
ing
inc
(
E
B
I
T
)
t
tw
t
t
s
e
m
on
o
p
er
a
om
e		 1,
8
3
0		 1,
7
5
6		 1,
6
7
2		 1,
5
8
0
La
lve
hs
de
ia
ion
d a
iza
ion
t
tw
t
t
t
t
+
s
e
m
on
p
rec
an
mo
r		 4
8
7		 4
5
7		 4
1
6		 3
6
3
No
h c
ha
+
n-c
as
rg
es		 4
9		 5
0		 4
4		 4
1
E
B
I
T
D
A
(
l
ize
d
)
an
nu
a
=		 2,
3
6
6		 2,
2
6
3		 2,
1
3
2		 1,
9
8
4
C
i
l
d
i
(
)
t
t
t
a
p
a
e
x
p
e
n
u
r
e
n
e		 H
1
2
0
1
0		 H
1
2
0
0
9		 Q
2
2
0
1
0		 Q
2
2
0
0
9
Pu
ha
f p
lan
d e
ip
ty
t a
t
rc
se
o
ro
p
er
p
n
q
u
me
n
,		 (
)
2
2
7		 (
)
2
5
4		 (
)
1
2
1		 (
)
1
4
2
Pr
ds
fro
le
f p
lan
d e
ip
ty
t a
t
oc
ee
m
sa
o
ro
p
er
p
n
q
me
n
u
-
,		 9 5 2 3
Ca
i
l e
d
i
(
)
ta
tu
t
p
xp
en
re
ne
=		 (
2
1
8
)		 (
2
4
9
)		 (
1
1
9
)		 (
1
3
9
)

1) Excluding restructuring costs and in-process R&D

Attachment II

Reconciliation of non-U.S. GAAP financial measures to the most directly comparable U.S. GAAP financial measure

E
l
R
t
e
r
n
a
e
e
n
e
x
v
u

All figures are in \$ millions

(
)
A
i
i
i
t
t
c
q
s
o
n
s
n
e
u		 H
1
2
0
1
0		 H
1
2
0
0
9		 Q
2
2
0
1
0		 Q
2
2
0
0
9
Ac
is
i
ion
d
inv
d
ha
f
in
i
b
le
t
tm
t a
t p
ta
ts
q
u
s a
n
es
en
n
ne
ur
c
se
s o
ng
as
se		 (
)
2
9
1		 (
)
8
2		 (
)
2
0
7		 (
)
4
5
Pr
ds
fro
d
ive
i
t
tu
oc
ee
m
s
res		 8 5
1		 6 5
0
Ac
is
i
ion
d
inv
f
d
ive
i
t
tm
ts
t o
t
tu
q
s a
n
es
en
ne
s
res
u
,		 (
)
2
8
3		 (
)
3
1		 (
)
2
0
1		 5
Inv
f r
tm
t,
t o
ts
es
en
ne
ep
ay
me
n		 1
3
3		 (
0
)
5		 (
1
3
3
)		 (
0
)
5
Ac
is
i
ion
f
d
ive
i
t
t o
t
tu
q
u
s,
ne
s
res		 (
)
1
5
0		 (
)
8
1		 (
)
6
8		 (
)
4
5

cc = constant currency

Dialysis Services - Global

Q
2
2
0
1
0		 C
l
i
i
n
c
s		 P
i
t
t
a
e
n
s		 T
t
t
r
e
a
m
e
n
s
(
)
in
i
l
l
ion
m
s
T
l
t
o
a		 2
5
9
9
,		 2
0
2
4
1
4
,		 1
5
3
G
h
t
r
o
w		 5
%
+		 6
%
+		 6
%
+
N
h
A
i
t
o
r
m
e
r
c
a		 1
9
7
5
,		 1
3
0
8
8
5
,		 1
0
2
G
h
t
r
o
w		 4
%
+		 %
5
+		 6
%
+
I
i
l
t
t
n
e
r
n
a
o
n
a		 8
0
4		 6
3
2
6
7
,		 0
5
G
h
t
r
o
w		 9
%
+		 1
1
%
+		 8
%
+
E
r
o
p
e
u		 4
6
3		 3
2
5
7
7
,		 2
6
L
i
A
i
t
a
n
m
e
r
c
a		 1
9
3		 2
1,
7
6
1		 1.
7
f
A
i
P
i
i
s
a-
a
c
c		 1
4
8		 1
0
2
8
8
,		 0
8

First Half 2010 – Overview

H
1
2
0
0
9		 H
1
2
0
1
0		 G
h
t
r
o
w
R
e
e
n
e
v
u		 \$
5
3
2
3
m
,		 \$
5
8
2
8
m
,		 9
%
+
N
i
t
e
n
c
o
m
e
i
bu
b
le
F
M
C
A
G
&
Co
K
Ga
A
t
tr
ta
to
a		 \$
4
1
9
m		 \$
5
4
9
m		 1
0
%
+
i
E
h
a
r
n
n
g
s
p
e
r
s
a
r
e		 \$
1
4
1		 \$
1
5
3		 9
%
+

•Strong revenue growth at 8% at constant currency and 7% organic

•Continued excellent cash flow development

First Half 2010 – Profit & Loss

\$
U
S
i
l
l
i
m
o
n
s		 H
1
2
0
0
9		 H
1
2
0
1
0		 G
h
t
r
o
w
N
t
e
r
e
v
e
n
u
e		 3
2
3
5
,		 5
8
2
8
,		 *
9
%
O
i
i
(
E
B
I
T
)
t
p
e
r
a
n
g
n
c
o
m
e		 8
1
3		 8
8
8		 9
%
E
B
I
T
i
i
%
m
a
r
g
n
n		 1
3
5		 1
2
5
I
t
t
t
n
e
r
e
s
e
p
e
n
s
e,
n
e
x		 1
4
9		 1
3
5
I
b
f
i
t
n
c
o
m
e
e
o
r
e
n
c
o
m
e
a
x		 6
6
4		 5
7
3		 1
3
%
I
t
n
c
o
m
e
a
x
e
x
p
e
n
s
e		 2
1
4		 2
5
7
T
t
a
x
r
a
e		 3
2
%		 3
4
%
N
l
l
i
i
t
t
t
o
n-
c
o
n
r
o
n
g
n
e
r
e
s		 3
1		 3
7
N
i
t
e
n
c
o
m
e
i
bu
b
le
F
M
C
A
G
&
Co
K
Ga
A
t
tr
ta
to
a		 4
1
9		 5
4
9		 1
0
%

* 8% growth at constant currency, 7% organic growth

H1 2010 Operating Margin Development

Global Strategy - Integrated Care Model

ESRD Demonstration Project / FME Cost Model

Contacts

Fresenius Medical Care AG & Co. KGaAInvestor RelationsElse-Kröner-Str. 161352 Bad Homburg v.d.H.

Ordinary shares WKN 578 580ISIN DE0005785802SEDOL1 5129074 DE

Oliver MaierHead of Investor Relations & Corporate Communications Tel.: +49-(0)6172-609-2601 Fax.: +49-(0)6172-609-2301 E-mail: [email protected]

Gerrit Jost, Director Investor Relations & Corporate Communications Tel.: +49-(0)6172-609-5216 Fax.: +49-(0)6172-609-2301 E-mail: [email protected]

Terry L. Morris Tel.: +1-800-948-2538Fax.: +1-615-345-5605E-mail: [email protected]

Reminder …

Q3 2010 Results – Conference Call, November 2, 2010

For recent updates, please have a look at our website. www.fmc-ag.com

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Fresenius Medical Care

The World's Leading Renal Therapy Company

UniCredit German Investment Conference 2010

Munich, September 23, 2010

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