Fresenius Medical Care AG & Co. KGaA

Investor Presentation • May 6, 2020

Q1 2020 CONFERENCE CALL MAY 6, 2020

Rice Powell - CEO Helen Giza - CFO

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. Forward -looking statements are inherently subject to risks and uncertainties, many of which cannot be predicted with accuracy or might not even be anticipated. The Company has based these forward -looking statements on current estimates and assumptions which we believe are reasonable and which are made to the best of our knowledge. 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 or competitive conditions, changes in reimbursement, regulatory compliance issues, regulatory reforms, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, cyber security issues 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) Annual Report on Form 20 -F under the heading "Forward -Looking Statements" and under the headings in that report referred to therein, and in FMC AG & Co. KGaA's other reports filed with the Securities and Exchange Commission (SEC) and the Frankfurt Stock Exchange (Frankfurter Wertpapierbörse).

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. The term EMEA refers to the region Europe, Middle East and Africa. Amounts are in Euro if not mentioned otherwise.

© Copyright

Q1 2020 | UNDERLYING RESILIENCE

• Revenue growth of 9% supported by growth in all regions

• Positive Q1 earnings growth despite impact from COVID-19 pandemic

• Q1 earnings growth excl. COVID-19 pandemic impact would be at the top end of the 2020 guidance range

• Solid cash flow development

• 2020 financial targets confirmed

Page 4

COVID-19 IMPACT

• Broad and early implementation of wide-ranging measures to ensure continuity of care and reduce the risk of infection for patients and employees at increased cost as important contribution to the healthcare system and society as a whole

• Pandemic did not cause any major disruptions to manufacturing facilities and supply chain continuity

• While a sizable negative impact had to be adsorbed in Q1, there is no benefit from the CARES Act included in Q1 reported results

• Cooperation with other providers in the U.S. to create isolation clinics and dedicated shifts for infected patients

Q1 2020 | CONTINUED GROWTH

© │ Conference Call │ Q1 2020 05/06/2020 Page 6

Q1 2020 | QUALITY OUTCOMES REMAIN KEY

	NORTH AMERICA		EMEA		LATIN AMERICA		ASIA-PACIFIC
% of patients	Q1 2020	Q1 2019	Q1 2020	Q1 2019	Q1 2020	Q1 2019	Q1 2020	Q1 2019
Kt/V ≥ 1.2	97	97	94	94	90	90	94	95
Hemoglobin = 10–12 g/dl	70	70	82	82	50	49	55	56
Calcium = 8.4–10.2 mg/dl	80	85	79	79	75	77	74	74
Albumin ≥ 3.5 g/dl	80	81	89	89	90	91	88	90
Phosphate ≤ 5.5 mg/dl	59	60	80	80	76	76	63	66
Patients without catheter (after 90 days)	81	83	78	79	79	80	83	85
in days
Days in hospital per patient year	10.2	11.1	7.5	7.8	4.2	4.3	2.3	3.0

Definitions of quality parameters cf. 2019 Annual Report, Section "Non-Financial Group Report"

Q1 2020 | STRONG REVENUE GROWTH CONTINUED

	Q1 2020 € million	Q1 2019 € million	Growth in %	Growth in %cc
Revenue	4,488	4,133	9	7
Operating income	555	537	3	1
Net income	283	271	4	2

cc = at constant currency

• 3.8% organic revenue growth
• Continued tailwind from FX effects
• Services and products contributing to growth
• Positive operating performance despite COVID-19 impact

Q1 2020 | ALL REGIONS CONTRIBUTE TO ORGANIC GROWTH

NORTH AMERICA	€ million
Revenue	3,186	10%
Organic growth		3%
EMEA	€ million
Revenue	679	4%
Organic growth		3%

ASIA-PACIFIC	€ million
Revenue	443	4%
Organic growth		2%

LATIN AMERICA	€ million
Revenue	168	4%
Organic growth		17%

cc = at constant currency

▪ Organic revenue growth continues in all regions

▪ North America with highest growth contribution

Q1 2020 SERVICES | STRONG GROWTH DESPITE COVID-19

Revenue	Q1 2020 € million	Q1 2019 € million	Growth in %	Growth in %cc	Organic growth in %	Same market treatment growth in %
Health Care Services	3,595	3,317	8	7	4	3
North America	2,908	2,680	9	5	3	3
of which Care Coordination	337	308	9	6	9
EMEA	341	324	5	6	4	2
Asia-Pacific	218	199	10	8	6	6
of which Care Coordination	60	52	15	16	9
Latin America	121	114	5	29	20	5

Drivers

• • Same market treatment growth
• • Contributions from acquisitions
• • Increase in dialysis days
• − Closed or sold clinics

cc = at constant currency

Q1 2020 PRODUCTS | GROWTH IMPACTED BY COVID-19

Revenue	Q1 2020 € million	Q1 2019 € million	Growth in %	Growth in %cc	Organic growth in %
Health Care Products	893	816	10	9	2
Dialysis Products	864	797	9	8	1
North America	278	207	34	31	6
EMEA	314	310	1	1	0
Asia-Pacific	220	229	(4)	(4)	(4)
Latin America	47	47	2	14	11
Non-Dialysis Products	29	19	53	53	53

Drivers

• • Acute care products
• • Renal pharmaceuticals
• • Disposables, esp. bloodlines
• − Dialysis machines

cc = at constant currency

Q1 2020 | OPERATING INCOME GROWTH DESPITE COVID-19

COVID-19 impact

• − Higher cost for
  • − Personal protective equipment
  • − Personnel expense
  • − Patient transportation
  • − Logistics
• − Unfavorable effect on market valuations

Reported margin drivers

• • Lower costs for pharmaceuticals
• • Cardio vascular clinics divestiture
• − Prior year reduction of a contingent consideration liability related to Xenios AG

Operating income excluding Corporate

Operating income in €m; % Operating income margin

Q1 2020 | STRONG CASH FLOW AND FINANCIAL METRICS

	Q1 2020 € million	Q1 2019 € million
Operating cash flow	584	76
in % of revenue	13.0	1.8
Capital expenditures, net	(280)	(199)
Free cash flow	304	(123)
Free cash flow after investing activities	272	(1,941)

NET LEVERAGE RATIO (NET DEBT/EBITDA)¹

Current ratings4	S&P	Moody's	Fitch
Rating	BBB	Baa3	BBB
Outlook	stable	stable	stable

1 See Chart 22 for a reconciliation of EBITDA │2 Incl. IFRS 16│3 Excl. IFRS 16

4 Latest update: S&P: May 23, 2019; Moody's: October 7, 2019; Fitch: April 9, 2020

CONFIRM 2020 TARGETS

REVENUE (constant currency)

Mid to high single digit

growth rate

NET INCOME (constant currency)

Mid to high single digit

growth rate

2019: EUR 17,477m 2019: EUR 1,236m

Excluding impact from COVID-19 and special items. Special items are effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of giving guidance.

For additional information on the basis for the 2020 guidance please refer to chart 21.

Your Questions Are Welcome!

Q1 2020 | PROFIT AND LOSS

	Q1 2020 € million	Q1 2019 € million	Growth in %	Growth in %cc
Revenue	4,488	4,133	9	7
Operating income	555	537	3	1
Operating income margin in %	12.4	13.0	(0.6)pp	(0.7)pp
Net interest expense	104	108	(3)	(5)
Income before taxes	451	429	5	3
Income tax expense	100	101	0	(3)
Tax rate in %	22.3	23.5	(1.2)p	(1.2)p
Non-controlling interest	68	57	19	15
Net income	283	271	4	2

pp = percentage point

cc = at constant currency

RECONCILIATION OF NON-IFRS FINANCIAL MEASURES TO THE MOST DIRECTLY COMPARABLE IFRS FINANCIAL MEASURES

	Q1 2020 € million	FY 2019 € million	FY 2018 € million
Debt
Short term debt	1,507	1,150	1,205
+ Short term debt from related parties	521	22	189
+ Current portion of long-term debt	1,965	1,447	1,107
+ Current portion of long-term lease liabilities	630	622
+ Current portion of long-term lease liabilities from related parties	17	17
+ Long-term debt, less current portion	5,803	6,458	5,045
+ Long-term lease liabilities, less current portion	4,030	3,960
+ Long-term lease liabilities from related parties, less current portion	104	106
Total debt and lease liabilities	14,577	13,782	7,546
− Cash and cash equivalents	(1,405)	(1,008)	2,146
Total net debt and lease liabilities	13,172	12,774	5,400

EBITDA

RECONCILIATION OF ANNUALIZED ADJUSTED EBITDA AND NET LEVERAGE RATIO TO THE MOST DIRECTLY COMPARABLE IFRS FINANCIAL MEASURES

	Q1 2020 LTM € million	FY 2019 € million	FY 2018 € million
Net income	1,461	1,439	2,226
+ Income tax expense	401	402	511
− Interest income	(42)	(62)	(147)
+ Interest expense	468	491	448
+ Depreciation and amortization	1,590	1,553	725
+ Adjustments	93	110	(722)
Adjusted EBITDA (annualized)	3,971	3,933	3,041
Net leverage ratio (Net debt/EBITDA)	3.3	3.2	1.8

Adjustments: Acquisitions and divestitures made for the last twelve months with a purchase price above a €50 M threshold as defined in the Amended 2012 Credit Agreement (2020: €5 M; 2019: -€71 M; 2018: -€23 M), non-cash charges, primarily related to pension expense (2020: €46 M; 2019: €46 M; 2018: €45 M), impairment loss (2020: €42 M; 2019: €40 M; 2018: €65 M), (gain) loss related to divestiture of Care Coordination activities with a sales price above €50 M (2018: €-809 M) and NxStage related transaction costs (2019: €95 M).

2019 BASE FOR GUIDANCE 2020, RECONCILIATION ADJUSTMENTS

	FY 2019 € million	Q1 2019 € million	Q2 2019 € million	Q3 2019 € million	Q4 2019 € million
Revenue before special items	17,477	4,133	4,345	4,419	4,580
Net income before special items	1,236	286	250	332	368

RECONCILIATION OF NON-IFRS FINANCIAL MEASURES TO THE MOST DIRECTLY COMPARABLE IFRS FINANCIAL MEASURES

	Q1 2020 € million	Q1 2019 € million
Revenue	4,488	4,133
Net income	283	271
NxStage costs		12
Cost optimization costs		3
Net income adjusted		286

RETURN ON INVESTED CAPITAL (ROIC)

• Long-term value creation based on accretive acquisitions and organic growth
• 2018 positive impact from Sound divestiture

• 2019 negative impact from NxStage acquisition

• For the years 2015-17 ROIC as reported within the Form-20-F.

• ROIC adjusted in 2018 for the divestiture of Care Coordination activities, FCPA related charge, U.S. Ballot Initiatives, U.S. tax reform / including these effects, ROIC for FY 2018 was 12.4%
• ROIC adjusted in 2019 for the effects of IFRS 16, NxStage, FCPA, Cost optimization costs, divestiture of Care Coordination activities / including these effects, ROIC for FY 2019 was 6.8% (excl. IFRS 16)
  • ROIC for Q1 2020 was 6.8% excl. IFRS 16

EXCHANGE RATES U.S. DIALYSIS DAYS PER QUARTER

Euro vs.		Q1 2020	Q1 2019	FY 2019
€:\$	Period end	1.096	1.124	1.123
	Average	1.103	1.136	1.119
€:CNY	Period end	7.778	7.540	7.821
	Average	7.696	7.663	7.735
€:RUB	Period end	85.949	72.856	69.956
	Average	73.821	74.909	72.455
€:ARS	Period end	70.736	48.692	67.212
	Average	67.811	44.290	53.948
€:BRL	Period end	5.700	4.387	4.516
	Average	4.917	4.278	4.413

	Q1	Q2	Q3	Q4	Full year
2020	77	78	79	79	313
2019	76	78	79	80	313
2018	77	78	78	80	313
2017	77	78	79	79	313
2016	78	78	79	79	314
2015	76	78	79	79	312

DEFINITIONS

cc	Constant currency
HD	Hemodialysis
PD	Peritoneal dialysis
Net income	Net income attributable to shareholders of FME
H1 Sound	Contribution of Sound Physicians on the profit and loss statement in 2018

Q1 2020 | PATIENTS, TREATMENTS, CLINICS

	Patients as of March 31, 2020	Treatments as of March 31, 2020	Clinics as of March 31, 2020	Patients as of March 31, 2019	Treatments as of March 31, 2019	Clinics as of March 31, 2019
North America	213,221	8,096,332	2,597	205,775	7,707,848	2,559
Growth in %	4	5	1	4	3	6
EMEA	66,843	2,511,370	786	65,833	2,475,702	782
Growth in %	2	1	1	4	4	4
Asia-Pacific	31,337	1,145,897	376	31,674	1,099,404	398
Growth in %	(1)	4	(6)	5	4	3
Latin America	37,302	1,425,497	243	33,434	1,278,577	232
Growth in %	12	11	5	6	4	0
Total	348,703	13,179,096	4,002	336,716	12,561,531	3,971
Growth in %	4	5	1	4	3	5

FINANCIAL CALENDAR 2020

REPORTING DATES & AGM

July 30 Q2 Earnings Release and Conference Call October 29 Q3 Earnings Release and Conference Call

CONFERENCES & MEET THE MANAGEMENT

May 12	Bank of America Merrill Lynch Conference, Las Vegas (Virtual Conference)
May 27	UBS Best od Europe 1on1 Conference, New York (Virtual Conference)
May 29	Jefferies Dominant Franchises (Virtual Conference)
June 3	dbAccess, Berlin (Virtual Conference)
June 9	Goldman Sachs Global Healthcare Conference, Los Angeles (Virtual Conference)
October 8	Capital Markets Day 2020, Frankfurt am Main

Please note that dates and/or participation might be subject to change

FME INVESTOR RELATIONS

Else-Kröner-Str. 1 61352 Bad Homburg v.d.H. Germany

TICKER: FME or FMS (NYSE) WKN: 578 580 ISIN: DE00057858002

DR. DOMINIK HEGER

Head of Investor Relations, Strategic Development & Communications | EVP

+49(0) 6172-609-2601 dominik.heger@fmc-ag.com

ROBERT ADOLPH

Vice President Investor Relations

+49(0) 6172-609-2477 robert.adolph@fmc-ag.com

PHILIPP GEBHARDT

Director Investor Relations

+1-781-699-2142 philipp.gebhardt@fmc-ag.com