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Fresenius SE & Co. KGaA

Investor Presentation • Sep 30, 2014

166_ip_2014-09-30_c5885bd1-638a-421d-9d30-ded340f15915.pdf

Investor Presentation

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Health Care Worldwide

Goldman Sachs – 2014 EMEA Leveraged Finance Conference September 30, 2014 - London

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.

Agenda

  • Company Overview
  • Business Segments
  • Fresenius Medical Care
  • Fresenius Kabi
  • Fresenius Helios
  • Fresenius Vamed
  • Financial Overview
  • Financing Facilities and Debt Structure
  • Summary and Outlook

Company Overview

A Global Leader in Health Care Products and Services

  • Sales €21.1 bn, net income 1 €1.8 bnLTM June 2014
  • Strong and well-diversified portfolio
  • Global presence in approx. 100 countries
  • Long-term opportunities in growing markets
  • Leading market positions

1 – Net income incl. attributable to non-controlling interest, before one-time items

Fresenius Group: Strong and Balanced Health Care Portfolio

Market Cap.5 €16.9 bn

  • 1 Before costs (Fenwal; acquired Rhön hospitals) and disposal gains (two Helios hospitals; Rhön stake)
  • 2 Based on market cap of FSE as of September 19, 2014
  • 3 Based on consolidated market capitalization of FSE and FME as of September 19, 2014 and consolidated net debt as of June 30, 2014
  • 4 Held by Fresenius ProServe GmbH, a wholly owned subsidiary of FSE
  • 5 Based on market cap of FMC as of September 19, 2014
  • 6 Before Fenwal integration costs
  • 7 Before integration costs (acquired Rhön hospitals) and disposal gains (two Helios hospitals; Rhön stake)

Fresenius Group: Sales Distribution by Region – H1/2014

Fresenius Group: Financial Results

1 – Before special items

2 – 2013 excluding Fenwal integration costs of €54 million

2009 2010 2011 2012 20133 – Incl. attributable to non-controlling interest; 2013 excluding Fenwal integration costs of €40 million

Goldman Sachs 2014 EMEA Leveraged Finance Conference, September 30, 2014 © Copyright Page 8 4 – 2011 sales were adjusted by -€161m according to a U.S. GAAP accounting change. This solely relates to Fresenius Medical Care North America

Fresenius Group: Organic Growth 1999 – 2014

Fresenius Group:

Sustainable Organic Sales Growth in all Business Segments

Fresenius Medical Care

Fresenius Kabi

Fresenius Vamed

25%

Goldman Sachs 2014 EMEA Leveraged Finance Conference, September 30, 2014 © Copyright Page 10

June2014

Fresenius Group: Financial Results

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1 - 2014 before integration costs (Fenwal: €3 million; acquired Rhön hospitals: €8 million) and disposal gains (two Helios hospitals: €22 million; Rhön stake: €35 million); 2013 before integration costs (Fenwal: €27 million)

2 - 2014 before integration costs (Fenwal: €2 million; acquired Rhön hospitals: €6 million) and disposal gains (two Helios hospitals: €21 million; Rhön stake: €34 million); 2013 before integration costs (Fenwal: €20 million)

Fresenius Group: Financial Results by Business Segment

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1 – 2014 before integration costs of (Fenwal: €3 million); 2013 before integration costs (Fenwal: €27 million)

2 – 2014 before integration costs (acquired Rhön hospitals: €8 million) and disposal gains (two Helios hospitals: €22 million; Rhön stake: €35 million)

Business Segments

Fresenius Medical Care: Global Market Leader in Dialysis

  • World leader in dialysis products and services treating 280,942 patients in 3,335 clinics worldwide1

Industry Dynamics

~6% global patient growth p.a. ~3.8 million patients by 2020 expected

  • -Vertical integration
  • -High quality products & services
  • -Complete therapy offerings
    • Leader in growing market
  • Dialysis market growing 4% cc and estimated to reach around \$100 bn by 2020
  • Patient growth driven by age, life style and mortality reduction

Patients in million

Fresenius Medical Care: Key Figures H1/2014

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1 – 4% organic growth, 2% acquisitions , -1% currency effect# 3 – -6% before a one-time special tax effect of \$18 million

2 – \$457 million before a one-time special tax effect of \$18 million

Fresenius Kabi: A Worldwide Leading Hospital Supplier

    • Comprehensive product portfolio for critically and chronically ill patients
  • -IV Drugs
  • -Clinical Nutrition
  • -Infusion Therapy
  • -Medical Devices / Transfusion Technology
  • -Global addressable market: >€25 bn
  • -Leading market positions
    • Focus on organic growth driven by geographic product rollout and robust product pipeline
    • Aim to expand the business through selective acquisitions

Emerging markets €1,421 m 29%2013 Sales by Region

Fresenius Kabi: Strong Growth Track Record & High Profitability

Fresenius Kabi: Key Figures H1/2014

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1 – before Fenwal integration costs

2 – 2% organic growth, -5% currency effect, 1% acquisitions

Fresenius Helios: Leading Private Hospital Operator in Germany

  • Acute and post-acute care in 111 proprietary hospitals1
  • High-quality medical care (e.g., mortality rate for heart failure and pneumonia >30% below German average)
  • Strong track record in hospital operations and acquisitions: targeting 12 − 15% EBIT margin within 6 years per individual clinic location
  • Landmark acquisition of 40 hospitals from Rhön-Klinikum provides excellent long-term growth opportunities

Majority of population has access to a HELIOS hospital within one hour's drive

2013 Sales: €3,393 m; EBIT: €390 m

Fresenius Helios: Strong Growth Track Record & Increased Profitability

EBITDA in € m

Fresenius Helios: Key Figures H1/2014

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1 – 2014 before integration costs (€8 million) and disposal gains (two Helios hospitals: €22 million; Rhön stake: €35 million)

2 – 2014 before integration costs (€6 million) and disposal gains (two Helios hospitals: €21 million; Rhön stake: €34 million)

3 – 3% organic growth, 48% acquisitions, -2% divestitures

Fresenius Vamed:

A Leading Global Specialist in Hospital Projects and Services

  • Specialized in project development building hospital infrastructure and providing hospital services (technical services and operational management)
  • Track record:

    • 650 health care projects in 72 countries successfully completed

    • Services provided to 140 hospitals and 50,000 beds globally
  • Continuous demand for hospital infrastructure and operating efficiency; key markets Europe, Asia-Pacific, Africa

Financial Overview

Fresenius Group: Demonstrated Strong Sales and EBITDA Growth

1 – Before special items

Fresenius Group: Key Figures H1/2014

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1 – 3% organic growth, 9% acquisitions, -5% currency effect

4 – incl. attributable to non-controlling interest 5 – as of June 30, 2013

2 – 2014 before integration costs (Fenwal: €3 million; acquired Rhön hospitals: €8 million) and disposal gains (two Helios hospitals: €22 million; Rhön stake: €35 million); 2013 before integration costs (Fenwal: €27 million)

3 – 2014 before integration costs (Fenwal: €2 million; acquired Rhön hospitals: €6 million) and disposal gains (two Helios hospitals: €21 million; Rhön stake: €34 million); including a tax impact of \$18 million at Fresenius Medical Care in 2014; 2013 before integration costs (Fenwal: €20million)

Cash Flow Development LTM

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1 – Before Acquisitions and Dividends

2 – Incl. FMC dividend

3 – Understated: 5.3% excluding €44 million of capex commitments from acquisitions

Goldman Sachs 2014 EMEA Leveraged Finance Conference, September 30, 2014 © Copyright Page 26

Margin = in % of sales

Fresenius Group: Proven Track Record of Deleveraging

2 – Pro forma incl. APP Pharmaceuticals Inc., before APP-transaction related special items

3 – Pro forma incl. Damp Group, Liberty Dialysis Holdings, Inc. and Fenwal, adjusted for €6 million one-time costs related to the 2012 takeover offer to Rhön-Klinikum AG shareholders as well as for €86 million other one-time costs at FME

4 – Pro forma excluding advances made for the acquisition of hospitals and outpatient facilities of Rhön-Klinikum AG; before Fenwal integration costs

5 – Pro forma including acquired hospitals from Rhön-Klinikum. Before integration costs for Fenwal and disposal gains from the divestment of two Helios hospitals

6 – Pro forma including acquired Rhön hospitals and excluding two Helios hospitals; before integration costs (Fenwal; acquired Rhön hospitals) and disposal gains (two Helios hospitals; Rhön stake)

Fresenius Group: Debt and Interest Ratios

  • 1 Before integration costs (Fenwal: €3 million; acquired Rhön hospitals: €8 million) and disposal gains (two HELIOS hospitals: €22 million; Rhön stake: €35 million)
  • 2 Pro forma including Rhön hospitals and excluding two HELIOS hospitals
  • 3 2013 before integration costs (Fenwal: €54 million); pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG (€2.18 bn)

Financing Facilities and Debt Structure

Fresenius Group: Current Debt and Cash Flow Structure as of June 30, 2014

  • 1 External debt as of June 30, 2014
  • 2 Incl. Fresenius Finance B.V. and other financing subsidiaries

  • 3 Controlling stake

  • 4 As held by Fresenius ProServe GmbH, a wholly owned subsidiary of Fresenius SE & Co. KGaA, which provides the guarantees

  • 5 Incl. subsidiaries

Fresenius Group: Capitalization as of June 30, 2014

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4 - Pro forma including Rhön hospitals and excluding two Helios hospitals

Fresenius Medical Care: Debt Maturity Profile June 30, 2014 1

1 – based on utilization of major long-term financing instruments

Fresenius Group excluding FMC: Debt Maturity Profile June 30, 2014 1

1 – based on utilization of major long-term financing instruments

Fresenius Group: Debt Maturity Profile June 30, 2014 1

Summary and Outlook

Fresenius Medical Care: Financial Outlook

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m
e		 \$
1,
1
1
0		 \$
b
1
0
1
0
5
n
-
D
b
/
E
B
I
T
D
A
t
e		 2
8
x		 3
0
x
~
  • Outlook excludes potential net costs savings of up to \$60 million before taxes for 2014
  • Outlook excludes revenue contribution from acquisitions of ~ \$500 million
  • Investments in quality/compliance systems and legal cost to continue to comply with standards

Fresenius Group: 2014 Financial Outlook by Business Segment / New: HELIOS incl. Acquired Rhön Hospitals

O
l
d		 N
e
w
i
F
r
e
s
e
n
u
s
K
b
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g
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w
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a
n
c
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E
B
I
T
i
m
a
g
n
r		 4
%
6
%
–
1
6
5
%
1
8
%
–
F
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e
s
e
n
u
s
1
H
l
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s		 S
l
h
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a
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S
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s
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a
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c
l
h
h
l
E
B
I
T
H
i
R
ö
i
t
+
e
o
s
n
o
s
p
a
s		 3
%
%
5
–		 b
€
1
8
n
~
3
%
5
%
–
€
5
4
0
5
6
0
m
–
F
i
r
e
s
e
n
s
u
d
V
a
m
e		 S
l
h
t
i
a
e
s
g
r
o
w
o
g
a
n
c
r
h
E
B
I
T
t
g
o
r
w		 %
0
%
5
1
–
5
%
1
0
%
–

1 – Before integration costs for acquired hospitals and disposal gains (two HELIOS hospitals; Rhön stake )

Fresenius Group: Financial Outlook

O
l
d		 1
N
e
w
h
R
t
e
v
e
n
u
e
g
r
o
w
t
t
t
a
c
o
n
s
a
n
c
e
n
c
u
r
r
y		 1
2
%
1
5
%
‒		 1
4
%
1
6
%
‒
2
h
N
i
t
t
e
n
c
o
m
e
g
o
r
w
t
t
t
a
o
n
s
a
n
e
n
c
c
u
r
r
c
y		 2
%
%
5
‒
d
b
/
N
E
B
I
T
D
A
t
t
e
e		 3
0
3
2
5
x
‒		 3
2
5
x
~

1 –Following acquisitions at Fresenius Medical Care

2 Net income attributable to shareholders of Fresenius SE& Co.KGaA before integration costs (Fenwal; acquired Rhön hospitals) and disposal gains (two HELIOS hospitals; Rhön stake). Guidance includes acquired Rhön hospitals

Fresenius Group: Ideal Strategic Posture to Benefit from Major Healthcare Trends

Aging population and higher incidence of chronic diseases

World population aged 60+ will more than double by 2050 to >2 bn (OECD)

Increasing health care spending in emerging markets

Increasing health care coverage and per capita spending (e.g. India: \$59, China: \$278, vs. USA: \$8,608; WHO)

Continuing growth of generics

Approx. \$19 bn branded IV drug sales (base: 2013) go off-patent in the U.S. by 2023

Rise of private providers in health care services

Further privatization of German hospital market Global opportunity to provide dialysis services (e.g. China, India)

Fresenius Group: Attractive Mid-Term Growth Prospects

New Stretch Target > €30 billion sales€1.4 to €1.5 billion net income1by 2017

Strong and Balanced Health Care Portfolio

1 – excl. attributable non-controlling interest

Investment Highlights

Leading market positions

Diversified revenue base with four strong business segments

Global presence in growing, non-cyclical markets

Proven ability to integrate acquisitions

Clear track record of and commitment to de-leveraging

Strong financial performance and cash flow generation

Health Care Worldwide

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