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Fresenius SE & Co. KGaA — Call Transcript 2019
Oct 29, 2019
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Conference Call – Q3/19 Results

Bad Homburg, 29 October 2019
Safe Harbor Statement
This presentation contains forward-looking statements that are subject to various risks and uncertainties. Future results could differ materially from those described in these forward-looking statements due to certain factors, e.g. changes in business, economic and competitive conditions, regulatory reforms, results of clinical trials, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. Fresenius does not undertake any responsibility to update the forward-looking statements contained in this presentation.
Q3/19 Highlights
- Strong organic sales growth across all business segments
- Growth investments proceeding according to plan
- Fresenius Kabi: excellent growth in Emerging Markets partially offsets softer development in North America
- Fresenius Helios showing excellent organic sales growth across all regions
- Fresenius Vamed: integration of post-acute care business from Helios completed
- Fresenius Medical Care: record growth in home dialysis in North America
- Group guidance confirmed

Fresenius Kabi: Update
North America
- Increased competition for certain molecules
- The opioid market has not recovered as anticipated
- 31 Kabi-marketed IV drugs currently designated in shortage (vs. 36 at Q2/19)
- Low to mid-single-digit price erosion in our base product portfolio
- Product launches: with 12 YTD, on track to meet expectation of 15+ for the FY
Biosimilars
• Roll-out of Idacio® in additional 4 European countries in Q3/19 (9 in total)

Transfusion Medicine and Cell Therapies business
- Business remains important part of Fresenius Kabi
- Divisionalization paves the way for further profitable growth going forward

Fresenius Helios: Update
Helios Germany
Investment initiatives
- Employer of choice: Continued to attract meaningful number of nurses in Q3/19
- Vacant chief doctor positions now re-filled
- Good progress with transformation of MVZs ("outpatient centers") within new business line Outpatient Services
DRG inflator
- Ongoing favorable reimbursement environment
- 2020 DRG inflator set at 3.66%
- Final price increase will be lower as it is subject to negotiations at the state level and individual hospital discounts


Fresenius Helios: Update
Helios Spain
Expansion in Spain
- Opening of two new outpatient centers in the cities of Toledo and Algeciras
- Acquisition of plot in the metropolitan area of Barcelona to develop a new midsize hospital by 2022

Expansion in Latin America
- Acquisition of two additional hospitals in Colombia
- ~€50 million of sales
- ~300 beds
- Expected closing in coming months

Financial Review Q3/19








Fresenius Group: Q3/19 Key Financials
| €m | Q3/191 | IFRS 16 effect |
special items |
Q3/19 reported |
1,2 Δ YoY cc |
|---|---|---|---|---|---|
| Sales | 8,877 | -35 | - | 8,842 | 6% |
| EBIT | 1,130 | 23 | -24 | 1,129 | -1% |
| Net interest | -124 | -47 | -1 | -172 | 15% |
| Income taxes | -232 | 5 | 25 | -202 | -10% |
| Net income3 | 453 | -8 | -1 | 444 | 0% |
| Balance sheet total | 61,092 | 5,667 | - | 66,759 | |
| Operating Cashflow | 1,298 | 185 | - | 1,483 |
1 Before special items, adjusted for IFRS 16 effect
2 On a comparable basis: Q3/18 adjusted for divestitures of Care Coordination activities at FMC, before special items
3Net income attributable to shareholders of Fresenius SE & Co. KGaA
For a detailed overview of special items and adjustments please see the reconciliation tables on slides 26-49.

Fresenius Group: Q3/19 Business Segment Growth

1On a comparable basis: Q3/18 adjusted for divestitures of Care Coordination activities at FMC; Q3/19 adjusted for IFRS 16 effect.
All figures before special items
For a detailed overview of special items and adjustments please see the reconciliation tables on slides 26-49.

Fresenius Kabi: Q3/19 Regional Highlights (1/2)
North America
- -4% organic growth
- Increasingly intense competitive environment for certain molecules
- Further easing of shortage tailwinds
- FY/19 outlook change: Slight organic sales decline (before: Low single-digit organic sales growth)
Europe
- 4% organic growth
- Strong growth of enteral nutrition business
- Confirm FY/19 outlook: Low to mid-single-digit organic sales growth



Fresenius Kabi: Q3/19 Regional Highlights (2/2)
Emerging Markets
China:
- 18% organic sales growth
- Continued positive momentum
Asia-Pacific ex China:
• 19% organic sales growth
Latin America/Africa:
• 16% organic sales growth

Total Emerging Markets
Confirm FY/19 outlook: Clearly double-digit organic sales growth

Fresenius Kabi: Q3 & Q1-3/19 EBIT Growth
| €m | Q3/19 | Δ YoY cc |
Q1-3/19 | Δ YoY cc |
|---|---|---|---|---|
| North America Margin |
225 36.3% |
-8% -180 bps |
703 38.7% |
-2% 20 bps |
| Europe Margin |
75 13.3% |
-11% -230 bps |
241 14.1% |
-6% -150 bps |
| Asia-Pacific/Latin America/Africa |
135 | 34% | 352 | 24% |
| Margin | 23.4% | 330 bps | 21.6% | 200 bps |
| Corporate and Corporate R&D | -129 | -3% | -379 | -2% |
| Total EBIT1 Margin1 |
306 17.4% |
1% -60 bps |
917 17.8% |
4% 20 bps |
1On a comparable basis: before special items and adjusted for IFRS 16 effects
Margin growth at actual rates
For a detailed overview of special items and adjustments please see the reconciliation tables on slides 26-49.

Fresenius Helios: Q3/19 Highlights
Helios Germany
- Strong organic sales growth of 5%; positive admissions development
- Sales growth supported by reclassification of nursing staff funding from other income to sales (low double-digit € million amount)
- EBIT impacted by ongoing investments in measures to counter regulatory headwinds
Helios Spain
- Healthy organic sales growth of 9%; decline in admissions during hot summer months not as pronounced as in prior year
- EBIT development impacted by costs for temporary workers
Sales


Fresenius Helios: Q3 & Q1-3/19 Key Financials
| €m | Q3/19 | Δ YoY |
Q1-3/19 | Δ YoY |
|---|---|---|---|---|
| Total sales | 2,230 | 7% | 6,890 | 2%/5%1 |
| Thereof Helios Germany | 1,474 | 5% | 4,465 | -1%/4%1 |
| Thereof Helios Spain | 757 | 12% | 2,425 | 9% |
| Total EBIT2 Margin |
183 8.2% |
-10% -160 bps |
723 10.5% |
-7%/-5%1 -100 bps |
| Thereof Helios Germany Margin |
130 8.8% |
-9% -130 bps |
433 9.7% |
-11%/-9%1 -110 bps |
| Thereof Helios Spain Margin |
56 7.4% |
-5% -130 bps |
300 12.4% |
5% -40 bps |
| Thereof Corporate | -3 | -- | -10 | -- |
1 Adjusted for the post-acute care business transferred to Fresenius Vamed as of July 1, 2018
2 Adjusted for IFRS 16 effect

Fresenius Vamed
- Strong Q3/19 with 17% organic sales growth
- Both, service business and project business contributed to strong growth in Q3/19

| €m | Q3/19 | Δ YoY |
Q1-3/19 | Δ YoY |
|---|---|---|---|---|
| Total sales Thereof organic sales |
562 | 18% 17% |
1,469 | 48% 24%1 |
| Service business | 349 | 11% | 1,025 | 60% 29%1 |
| Project business | 213 | 32% | 444 | 26% |
| Total EBIT2 | 34 | 10% | 65 | 33% 0%1 |
| Order intake3 | 240 | 114% | 738 | 30% |
| Order backlog3 | 2,711 | 12%4 |
1 Without German post-acute care business acquired from Fresenius Helios as of July 1, 2018
2Adjusted for IFRS 16 effect
3 Project business only
4 Versus December 31, 2018

Fresenius Group: Cash Flow
| Operating CF1 | Capex (net) | Free Cash Flow1,2 | ||||
|---|---|---|---|---|---|---|
| €m | Q3/19 | LTM Margin | Q3/19 | LTM Margin | Q3/19 | LTM Margin |
| 362 | 13.4% | -179 | -10.0% | 183 | 3.4% | |
| 183 | 7.0% | -90 | -4.7% | 93 | 2.3%3 | |
| 27 | 3.2% | -10 | -1.6% | 17 | 1.6% | |
| Corporate/Other | 11 | n.a. | -13 | n.a. | -2 | n.a. |
| Excl. FMC | 583 | 9.5%4 | -292 | -6.9% | 291 | 2.6%4 |
| 1,298 | 10.4% | -576 | -6.6% | 722 | 3.8% |
1 Adjusted for IFRS 16 effect
2 Before acquisitions and dividends
3 Understated: 2.6% excluding €27 million of capex commitments from acquisitions
4Margin incl. FMC dividend

Fresenius Group: 2019 Financial Outlook by Business Segment
| €m (except otherwise stated) | FY/18 Base |
Q1-3/19 Actual1 |
FY/19e1 | FY/191 New |
||
|---|---|---|---|---|---|---|
| Sales growth (org) | 6,544 | 4% | 3% - 6% | |||
| EBIT growth (cc) |
1,1392 | 4% | 3% - 6% | |||
| Sales growth (org) | 8,993 | 5% | 2% - 5% | |||
| EBIT growth | 1,052 | -7% | -5% to -2% | |||
| Sales growth (org) |
1,688 | 24% | ~10% | |||
| EBIT growth | 110 | 33% | 15% - 20% |
1 Excluding transaction-related expenses, revaluations of biosimilars contingent liabilities, adjusted for IFRS 16 effect
2 Before special items
For a detailed overview of adjustments and special items please see the reconciliation tables on slides 26-49.

Fresenius Group: 2019 Financial Guidance
| €m (except otherwise stated) |
FY/18 Base1 |
Q1-3/19 Actual2 |
FY/19e2 | FY/19e2 New |
|
|---|---|---|---|---|---|
| Sales growth (cc) |
33,009 | 6% | 4% - 7% | ||
| Net income3 growth (cc) |
1,872 | 0% | ~0% |
1 Before special items and after adjustments
2 Excluding transaction-related expenses, revaluations of biosimilars contingent liabilities, gain related to divestitures of care coordination activities, expenses associated with the cost optimization program at FMC, including operating results of NxStage, adjusted for IFRS 16 effect
3 Net income attributable to shareholders of Fresenius SE & Co.KGaA
For a detailed overview of adjustments and special items please see the reconciliation tables on slides 26-49.

Attachments








Fresenius Group: Noncontrolling Interest
| €m | Q1-3/19 | Q1-3/18 |
|---|---|---|
| Earnings before tax and noncontrolling interest | 2,943 | 2,877 |
| Taxes | -680 | -629 |
| Noncontrolling interest, thereof | -865 | -880 |
| Fresenius Medical Care net income not attributable to Fresenius SE & Co. KGaA (FY/18: ~69%) |
-629 | -654 |
| Noncontrolling interest holders in Fresenius Medical Care | -177 | -177 |
| Noncontrolling interest holders in Fresenius Kabi (-€38 m), Fresenius Helios (-€10 m), Fresenius Vamed's 23% external ownership (-€10 m) and due to Corporate (-€1 m) |
-59 | -49 |
| Net income attributable to Fresenius SE & Co. KGaA |
1,398 | 1,368 |
All figures before special items
On a comparable basis: adjusted for IFRS16 effect; Q1-3/18 adjusted for divestitures of Care Coordination activities at FMC
For a detailed overview of special items please see the reconciliation tables on slides 26-49.

Fresenius Group: Cash Flow
| €m | Q3/19 | LTM Margin | Δ YoY |
|---|---|---|---|
| Operating Cash Flow1 | 1,298 | 10.4% | 0% |
| Capex (net) | -576 | -6.6% | -10% |
| Free Cash Flow1 (before acquisitions and dividends) |
722 | 3.8% | -6% |
| Acquisitions (net) | -104 | -6.7% | 78% |
| Dividends | -71 | -2.7% | -20% |
| Free Cash Flow1 (after acquisitions and dividends) |
547 | -5.6% | 138% |
1 Adjusted for IFRS 16 effect

Fresenius Group: Leverage Ratio

Before special items; pro forma closed acquisitions/divestitures At LTM average FX rates for both EBITDA and net debt
1 Pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG
2 Including acquisition of NxStage; adjusted for IFRS 16 effects
3 Calculated at expected annual average exchange rates, for both net debt and EBITDA; including acquisition of NxStage; without potential unannounced acquisitions; adjusted for IFRS 16 effects (comparable to updated guidance from May 2, 2019)

Fresenius Kabi: Organic Sales Growth by Regions
| €m | Q3/19 | Δ YoY organic |
Q1-3/19 | Δ YoY organic |
|---|---|---|---|---|
| North America | 619 | -4% | 1,815 | -3% |
| Europe | 564 | 4% | 1,709 | 3% |
| Asia-Pacific/Latin America/Africa |
578 | 17% | 1,629 | 15% |
| Asia-Pacific | 406 | 18% | 1,121 | 15% |
| Latin America/Africa | 172 | 16% | 508 | 16% |
| Total sales | 1,761 | 5% | 5,153 | 4% |
Fresenius Kabi: Organic Sales Growth by Product Segment
| €m | Q3/19 | Δ YoY organic |
Q1-3/19 | Δ YoY organic |
|---|---|---|---|---|
| IV Drugs | 746 | -2% | 2,202 | -1% |
| Infusion Therapy | 208 | 7% | 621 | 3% |
| Clinical Nutrition | 492 | 10% | 1,416 | 9% |
| Medical Devices/ Transfusion Technology |
315 | 14% | 914 | 11% |
| Total sales | 1,761 | 5% | 5,153 | 4% |

Fresenius Helios: Key Metrics
| Q1-3/19 | FY/18 | Δ | |
|---|---|---|---|
| No. of hospitals Helios Germany - Acute care hospitals |
86 83 |
86 83 |
0% 0% |
| No. of hospitals Helios Spain (Hospitals) |
50 | 47 | 6% |
| No. of beds Helios Germany - Acute care hospitals |
28,934 28,407 |
29,329 28,802 |
-1% -1% |
| No. of beds Helios Spain (Hospitals) |
7,126 | 7,019 | 2% |
| Admissions Helios Germany (acute care) |
908,341 | 1,218,199 | |
| Admissions Helios Spain (including outpatients) |
10,476,730 | 13,318,066 |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 8,842 | 8,192 | 8% | 6% |
| Divestitures of Care Coordination activities at FMC | - | -7 | ||
| IFRS 16 effect | 35 | - | ||
| Sales on a comparable basis | 8,877 | 8,185 | 8% | 6% |
| EBIT reported (after special items) | 1,129 | 1,041 | 8% | 6% |
| Transaction costs Akorn | 0 | 6 | ||
| Bridge Financing costs Akorn | - | 0 | ||
| Revaluations of biosimilars contingent liabilities | 0 | - | ||
| Gain related to divestitures of Care Coordination activities | -3 | -10 | ||
| Transaction costs NxStage | 2 | - | ||
| Expenses associated with the cost optimization program at FMC | 25 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT (before special items) | 1,153 | 1,112 | 4% | 1% |
| Divestitures of Care Coordination activities at FMC | - | 0 | ||
| IFRS 16 effect | -23 | - | ||
| EBIT on a comparable basis | 1,130 | 1,112 | 2% | -1% |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net interest reported (after special items) | -172 | -146 | -18% | -15% |
| Bridge Financing costs Akorn | - | 5 | ||
| Revaluations of biosimilars contingent liabilities | 1 | - | ||
| Net interest (before special items) | -171 | -141 | -21% | -18% |
| Divestitures of Care Coordination activities at FMC | - | 0 | ||
| IFRS 16 effect | 47 | - | ||
| Net interest on a comparable basis | -124 | -141 | 12% | 15% |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Income taxes reported (after special items) | -202 | -196 | -3% | -1% |
| Transaction costs Akorn | 0 | -1 | ||
| Bridge Financing costs Akorn | - | -2 | ||
| Revaluations of biosimilars contingent liabilities | 0 | - | ||
| Gain related to divestitures of Care Coordination activities | -17 | -7 | ||
| Transaction costs NxStage | -1 | - | ||
| Expenses associated with the cost optimization program at FMC | -7 | - | ||
| Income taxes (before special items) | -227 | -206 | -10% | -7% |
| Divestitures of Care Coordination activities at FMC | - | -1 | ||
| IFRS 16 effect | -5 | - | ||
| Income taxes on a comparable basis | -232 | -207 | -12% | -10% |
| Noncontrolling interest reported (after special items) | -311 | -280 | -11% | -7% |
| Gain related to divestitures of Care Coordination activities | 14 | 12 | ||
| Transaction costs NxStage | 0 | - | ||
| Expenses associated with the cost optimization program at FMC | -13 | - | ||
| Impact of FCPA related charge | - | -52 | ||
| Noncontrolling interest (before special items) | -310 | -320 | 3% | 7% |
| Divestitures of Care Coordination activities at FMC | - | 0 | ||
| IFRS 16 effect | -11 | - | ||
| Noncontrolling interest on a comparable basis | -321 | -320 | 0% | 3% |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported (after special items) | 444 | 419 | 6% | 4% |
| Transaction costs Akorn | 0 | 5 | ||
| Bridge Financing costs Akorn | - | 3 | ||
| Revaluations of biosimilars contingent liabilities | 1 | - | ||
| Gain related to divestitures of Care Coordination activities | -6 | -5 | ||
| Transaction costs NxStage | 1 | - | ||
| Expenses associated with the cost optimization program at FMC | 5 | - | ||
| Impact of FCPA related charge | - | 23 | ||
| Net income (before special items) | 445 | 445 | 0% | -2% |
| Divestitures of Care Coordination activities at FMC | - | -1 | ||
| IFRS 16 effect | 8 | - | ||
| Net income on a comparable basis | 453 | 444 | 2% | 0% |
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 26,098 | 24,695 | 6% | 3% |
| Divestitures of Care Coordination activities at FMC | - | -516 | ||
| IFRS 16 effect | 75 | - | ||
| Sales on a comparable basis | 26,173 | 24,179 | 8% | 6% |
| EBIT reported (after special items) | 3,362 | 4,020 | -16% | -19% |
| Transaction costs Akorn | 3 | 45 | ||
| Bridge Financing costs Akorn | - | 1 | ||
| Revaluations of biosimilars contingent liabilities | -4 | - | ||
| Gain related to divestitures of Care Coordination activities | -14 | -830 | ||
| Transaction costs NxStage | 22 | - | ||
| Expenses associated with the cost optimization program at FMC | 32 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT (before special items) | 3,401 | 3,311 | 3% | 0% |
| Divestitures of Care Coordination activities at FMC | - | -14 | ||
| IFRS 16 effect | -79 | - | ||
| EBIT on a comparable basis | 3,322 | 3,297 | 1% | -2% |

| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net interest reported (after special items) | -535 | -453 | -18% | -15% |
| Bridge Financing costs Akorn | - | 12 | ||
| Revaluations of biosimilars contingent liabilities | 3 | - | ||
| Net interest (before special items) | -532 | -441 | -21% | -17% |
| Divestitures of Care Coordination activities at FMC | - | 21 | ||
| IFRS 16 effect | 153 | - | ||
| Net interest on a comparable basis | -379 | -420 | 10% | 12% |

| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Income taxes reported (after special items) | -632 | -754 | 16% | 19% |
| Transaction costs Akorn | 0 | -9 | ||
| Bridge Financing costs Akorn | - | -4 | ||
| Revaluations of biosimilars contingent liabilities | 0 | - | ||
| Gain related to divestitures of Care Coordination activities | -15 | 140 | ||
| Transaction costs NxStage | -6 | - | ||
| Expenses associated with the cost optimization program at FMC | -9 | - | ||
| Income taxes (before special items) | -662 | -627 | -6% | -2% |
| Divestitures of Care Coordination activities at FMC | - | -2 | ||
| IFRS 16 effect | -18 | - | ||
| Income taxes on a comparable basis | -680 | -629 | -8% | -5% |
| Noncontrolling interest reported (after special items) | -827 | -1,302 | 36% | 39% |
| Gain related to divestitures of Care Coordination activities | 20 | 478 | ||
| Transaction costs NxStage | -11 | - | ||
| Expenses associated with the cost optimization program at FMC | -16 | - | ||
| Impact of FCPA related charge | - | -52 | ||
| Noncontrolling interest (before special items) | -834 | -876 | 5% | 9% |
| Divestitures of Care Coordination activities at FMC | - | -4 | ||
| IFRS 16 effect | -31 | - | ||
| Noncontrolling interest on a comparable basis | -865 | -880 | 2% | 6% |
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported (after special items) | 1,368 | 1,511 | -9% | -12% |
| Transaction costs Akorn | 3 | 36 | ||
| Bridge Financing costs Akorn | - | 9 | ||
| Revaluations of biosimilars contingent liabilities | -1 | - | ||
| Gain related to divestitures of Care Coordination activities | -9 | -212 | ||
| Transaction costs NxStage | 5 | - | ||
| Expenses associated with the cost optimization program at FMC | 7 | - | ||
| Impact of FCPA related charge | - | 23 | ||
| Net income (before special items) | 1,373 | 1,367 | 0% | -2% |
| Divestitures of Care Coordination activities at FMC | - | 1 | ||
| IFRS 16 effect | 25 | - | ||
| Net income on a comparable basis | 1,398 | 1,368 | 2% | 0% |
| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 4,419 | 4,058 | 9% | 6% |
| Divestitures of Care Coordination activities | - | -7 | ||
| IFRS 16 effect | 35 | - | ||
| NxStage operations | -79 | - | ||
| Sales adjusted | 4,375 | 4,051 | 8% | 5% |
| EBIT reported | 595 | 527 | 13% | 9% |
| Gain related to divestitures of Care Coordination activities | -2 | -10 | ||
| Divestitures of Care Coordination activities | - | 0 | ||
| IFRS 16 effect | -21 | - | ||
| NxStage operations | 0 | - | ||
| Transaction costs NxStage | 2 | - | ||
| Expenses associated with the cost optimization program | 25 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT adjusted | 599 | 592 | 1% | -3% |
| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported | 333 | 285 | 17% | 12% |
| Gain related to divestitures of Care Coordination activities | -20 | -17 | ||
| Divestitures of Care Coordination activities | - | 0 | ||
| IFRS 16 effect | 16 | - | ||
| NxStage operations | 15 | - | ||
| Transaction costs NxStage | 1 | - | ||
| Expenses associated with the cost optimization program | 18 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| Net income adjusted | 363 | 343 | 6% | 2% |
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 12,897 | 12,247 | 5% | 1% |
| Divestitures of Care Coordination activities | - | -516 | ||
| IFRS 16 effect | 75 | - | ||
| NxStage operations | -188 | - | ||
| Sales adjusted | 12,784 | 11,731 | 9% | 5% |
| EBIT reported | 1,653 | 2,425 | -32% | -35% |
| Gain related to divestitures of Care Coordination activities | -14 | -830 | ||
| Divestitures of Care Coordination activities | - | -14 | ||
| IFRS 16 effect | -68 | - | ||
| NxStage operations | 16 | - | ||
| Transaction costs NxStage | 22 | - | ||
| Expenses associated with the cost optimization program | 32 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT adjusted | 1,641 | 1,656 | -1% | -5% |
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported | 857 | 1,557 | -45% | -47% |
| Gain related to divestitures of Care Coordination activities | -29 | -690 | ||
| Divestitures of Care Coordination activities | - | 4 | ||
| IFRS 16 effect | 45 | - | ||
| NxStage operations | 49 | - | ||
| Transaction costs NxStage | 16 | - | ||
| Expenses associated with the cost optimization program | 23 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| Net income adjusted | 961 | 946 | 2% | -3% |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 4,419 | 4,058 | 9% | 6% |
| Divestitures of Care Coordination activities | - | -7 | ||
| IFRS 16 effect | 35 | - | ||
| Sales on a comparable basis | 4,454 | 4,051 | 10% | 7% |
| EBIT reported (after special items) | 595 | 527 | 13% | 9% |
| Gain related to divestitures of Care Coordination activities | -3 | -10 | ||
| Transaction costs NxStage | 2 | - | ||
| Expenses associated with the cost optimization program | 25 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT (before special items) | 619 | 592 | 5% | 1% |
| Divestitures of Care Coordination activities | - | 0 | ||
| IFRS 16 effect | -20 | - | ||
| EBIT on a comparable basis | 599 | 592 | 1% | -3% |

| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported (after special items) | 332 | 284 | 17% | 12% |
| Gain related to divestitures of Care Coordination activities | -20 | -16 | ||
| Transaction costs NxStage | 1 | - | ||
| Expenses associated with the cost optimization program | 18 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| Net income (before special items) | 331 | 343 | -3% | -7% |
| Divestitures of Care Coordination activities | - | -1 | ||
| IFRS 16 effect | 17 | - | ||
| Net income on a comparable basis | 348 | 342 | 2% | -2% |

| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 12,897 | 12,247 | 5% | 1% |
| Divestitures of Care Coordination activities | - | -516 | ||
| IFRS 16 effect | 75 | - | ||
| Sales on a comparable basis | 12,972 | 11,731 | 11% | 7% |
| EBIT reported (after special items) | 1,653 | 2,425 | -32% | -35% |
| Gain related to divestitures of Care Coordination activities | -14 | -830 | ||
| Transaction costs NxStage | 22 | - | ||
| Expenses associated with the cost optimization program | 32 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| EBIT (before special items) | 1,693 | 1,670 | 1% | -3% |
| Divestitures of Care Coordination activities | - | -14 | ||
| IFRS 16 effect | -68 | - | ||
| EBIT on a comparable basis | 1,625 | 1,656 | -2% | -6% |
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Net income reported (after special items) | 857 | 1,557 | -45% | -47% |
| Gain related to divestitures of Care Coordination activities | -29 | -690 | ||
| Transaction costs NxStage | 16 | - | ||
| Expenses associated with the cost optimization program | 23 | - | ||
| Impact of FCPA related charge | - | 75 | ||
| Net income (before special items) | 867 | 942 | -8% | -12% |
| Divestitures of Care Coordination activities | - | 4 | ||
| IFRS 16 effect | 45 | - | ||
| Net income on a comparable basis | 912 | 946 | -4% | -8% |

Reconciliation Fresenius Kabi
| €m | Q3/19 | Q3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 1,761 | 1,650 | 7% | 5% |
| Transaction costs Akorn | 0 | 6 | ||
| Revaluations of biosimilars contingent liabilities | 0 | - | ||
| EBIT (before special items) | 307 | 297 | 3% | 1% |
| IFRS 16 effect | -1 | - | ||
| EBIT on a comparable basis | 306 | 297 | 3% | 1% |
| Transaction costs Akorn | 0 | 5 | ||
| Revaluations of biosimilars contingent liabilities | 1 | - | ||
| Net income (before special items) | 203 | 199 | 2% | -1% |
| IFRS 16 effect | 1 | - | ||
| Net income on a comparable basis | 204 | 199 | 3% | 0% |
Reconciliation Fresenius Kabi
| €m | Q1-3/19 | Q1-3/18 | growth rate |
growth rate (cc) |
|---|---|---|---|---|
| Sales reported | 5,153 | 4,857 | 6% | 5% |
| Transaction costs Akorn | 3 | 45 | ||
| Revaluations of biosimilars contingent liabilities | -4 | - | ||
| EBIT (before special items) | 920 | 854 | 8% | 4% |
| IFRS 16 effect | -3 | - | ||
| EBIT on a comparable basis | 917 | 854 | 7% | 4% |
| Transaction costs Akorn | 3 | 36 | ||
| Revaluations of biosimilars contingent liabilities | -1 | - | ||
| Net income (before special items) | 614 | 554 | 11% | 7% |
| IFRS 16 effect | 4 | - | ||
| Net income on a comparable basis | 618 | 554 | 12% | 8% |

Reconciliation Fresenius Helios
| €m | Q3/19 | Q3/18 | growth rate |
|---|---|---|---|
| Sales reported | 2,230 | 2,088 | 7% |
| German post-acute care business transferred from Fresenius Helios to Fresenius Vamed |
- | 0 | |
| Sales adjusted for German post-acute care business | 2,230 | 2,088 | 7% |
| EBIT reported | 187 | 204 | -8% |
| IFRS 16 effect | -4 | - | |
| EBIT adjusted for IFRS 16 effect | 183 | 204 | -10% |
| German post-acute care business transferred from Fresenius Helios to Fresenius Vamed |
- | 0 | |
| EBIT adjusted for IFRS 16 effect and German post-acute care business |
183 | 204 | -10% |
Reconciliation Fresenius Helios
| €m | Q1-3/19 | Q1-3/18 | growth rate |
|---|---|---|---|
| Sales reported | 6,890 | 6,762 | 2% |
| German post-acute care business transferred from Fresenius Helios to Fresenius Vamed |
- | -226 | |
| Sales adjusted for German post-acute care business | 6,890 | 6,536 | 5% |
| EBIT reported | 731 | 775 | -6% |
| IFRS 16 effect | -8 | - | |
| EBIT adjusted for IFRS 16 effect | 723 | 775 | -7% |
| German post-acute care business transferred from Fresenius Helios to Fresenius Vamed |
- | -10 | |
| EBIT adjusted for IFRS 16 effect and German post-acute care business |
723 | 765 | -5% |

Reconciliation Fresenius Vamed
| €m | Q3/19 | Q3/18 | growth rate |
|---|---|---|---|
| Sales reported | 562 | 476 | 18% |
| German post-acute care business acquired from Fresenius Helios | -121 | -117 | |
| Sales adjusted for German post-acute care business | 441 | 359 | 23% |
| EBIT reported | 33 | 31 | 6% |
| IFRS 16 effect | 1 | - | |
| EBIT adjusted for IFRS 16 effect | 34 | 31 | 10% |
| German post-acute care business acquired from Fresenius Helios | -15 | -15 | |
| EBIT adjusted for IFRS 16 effect and German post-acute care business |
19 | 16 | 19% |

Reconciliation Fresenius Vamed
| €m | Q1-3/19 | Q1-3/18 | growth rate |
|---|---|---|---|
| Sales reported | 1,469 | 991 | 48% |
| German post-acute care business acquired from Fresenius Helios | -350 | -117 | |
| Sales adjusted for German post-acute care business | 1,119 | 874 | 28% |
| EBIT reported | 67 | 49 | 37% |
| IFRS 16 effect | -2 | - | |
| EBIT adjusted for IFRS 16 effect | 65 | 49 | 33% |
| German post-acute care business acquired from Fresenius Helios | -31 | -15 | |
| EBIT adjusted for IFRS 16 effect and German post-acute care business |
34 | 34 | 0% |

IFRS 16 effect on Group P&L
| €m | Q3/19 before special items adjusted for IFRS 16 effect |
IFRS 16 effect | Q3/19 before special items according to IFRS 16 |
Q1-3/19 before special items adjusted for IFRS 16 effect |
IFRS 16 effect | Q1-3/19 before special items according to IFRS 16 |
|---|---|---|---|---|---|---|
| Sales | 8,877 | -35 | 8,842 | 26,173 | -75 | 26,098 |
| EBITDA | 1,526 | 237 | 1,763 | 4,468 | 699 | 5,167 |
| Depreciation and amortization |
-396 | -214 | -610 | -1,146 | -620 | -1,766 |
| EBIT | 1,130 | 23 | 1,153 | 3,322 | 79 | 3,401 |
| Net interest | -124 | -47 | -171 | -379 | -153 | -532 |
| Income taxes | -232 | 5 | -227 | -680 | 18 | -662 |
| Noncontrolling interest | -321 | 11 | -310 | -865 | 31 | -834 |
| Net income1 | 453 | -8 | 445 | 1,398 | -25 | 1,373 |
1 Net income attributable to shareholders of Fresenius SE & Co. KGaA

IFRS 16 effect on Group Balance Sheet and Cash Flow
Balance Sheet
| €m | Sep 30, 2019 adjusted for IFRS 16 effect |
IFRS 16 effect | Sep 30, 2019 according to IFRS 16 |
|---|---|---|---|
| Right-of-use-assets | 1901 | 5,667 | 5,857 |
| Lease liabilities | 4142 | 5,899 | 6,313 |
| Equity | 26,928 | -232 | 26,696 |
| Total assets | 61,092 | 5,667 | 66,759 |
Cash Flow
| €m | Q3/19 adjusted for IFRS 16 effect |
IFRS 16 effect | Q3/19 according to IFRS 16 |
Q1-3/19 adjusted for IFRS 16 effect |
IFRS 16 effect | Q1-3/19 according to IFRS 16 |
|---|---|---|---|---|---|---|
| Operating cash flow | 1,298 | 185 | 1,483 | 2,439 | 538 | 2,977 |
| Cash flow before acquisitions and dividends |
722 | 185 | 907 | 850 | 538 | 1,388 |
| Free cash flow | 547 | 185 | 732 | -2,172 | 538 | -1,634 |
| Cash provided by/used for financing activities |
-461 | -185 | -646 | 995 | -538 | 457 |
1Reclassification from machinery, equipment and rental equipment under capital leases as of December 31, 2018
2Reclassifications from capital lease obligations and other liabilities as of December 31, 2018

Financial Calendar / Contact
Financial Calendar
| 20 February 2020 | Results FY/19 |
|---|---|
| 06 May 2020 | Results Q1/20 |
| 20 May 2020 | Annual General Meeting |
| 30 July 2020 | Results Q2/20 |
| 29 October 2020 | Results Q3/20 |
Please note that these dates could be subject to change.
Contact
Investor Relations Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: [email protected] For further information and current news: www.fresenius.com
Follow us on Twitter www.twitter.com/fresenius_ir and LinkedIn: www.linkedin.com/company/fresenius-investor-relations
