Fresenius SE & Co. KGaA

Investor Presentation • Feb 26, 2020

Roadshow Boston

26 February 2020

Frankfurt stock exchange: FRE │ US ADR program: FSNUY │ www.fresenius.com/investors

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.

A Global Leader in Health Care Products and Services

Fresenius Group: Global Sales Base in Growing, Non-Cyclical Markets

Before special items, adjusted for IFRS 16

Fresenius Group: Strong Track Record of Organic Sales Growth in All Business Segments

Strong and Balanced Health Care Portfolio

Adjusted for IFRS 16

Fresenius Medical Care: Global Dialysis Market Leader

• The world's leading provider of dialysis products and services treating ~ 345,000 patients1 in ~ 4,000 clinics1
• Provide highest standard of product quality and patient care

Dialysis products

Dialysis services

• Expansion in Care Coordination and global dialysis service opportunities; enter new geographies

Market Dynamics

Global Dialysis Market 2019:

• ~€80 bn
• ~6% patient growth p.a.

Growth Drivers:

• Aging population, increasing incidence of diabetes and high blood pressure, treatment quality improvements

¹ As of December 31, 2019 ² Adjusted for IFRS 16

Fresenius Kabi: A Leading Global Hospital Supplier

• Comprehensive product portfolio for critically and chronically ill patients
• Strong Emerging Markets presence
• Leading market positions

Generic IV Drugs
Clinical Nutrition
Infusion Therapy
Medical Devices / Transfusion Technology
Biosimilars

• Focus on organic growth through geographic product rollouts and new product launches
• Development of biosimilars with a focus on oncology and autoimmune diseases

Market Dynamics

Global Addressable Market 2019:

• ~€97 bn

Growth Drivers:

• Patent expirations, rising demand for health care services, higher health care spending in Emerging Markets

Fresenius Helios: Europe's Largest Private Hospital Operator

• Market leader in size and quality with excellent growth prospects
• ~5%1 share in German acute care hospital ~12%1 share in Spanish private hospital market
• Quality is key: defined quality targets, publication of medical treatment results, peer review processes
• Broad revenue base with public and privately insured patients, PPPs, self-pay and Occupational Risk Prevention

Market Dynamics

Hospital Market Size:

• ~€102 bn2 German Acute Care Hospital Market
• ~€15 bn2 Spanish Private Hospital Market

Growth Drivers:

• Aging population, greenfield projects in Spain, potential market consolidation in Germany and Spain

• ¹ Based on sales
• ² Market data based on company research. Market definition does neither include Public Private Partnerships (PPP) nor Occupational Risk Prevention centers (ORP)
• ³ German Federal Statistical Office 2018; total costs, gross of the German hospitals less academic research and teaching

Acute Care

Outpatient

Occupational Risk Prevention

• Development of new business models to foster digitalization and profit from trend towards outpatient treatments

Fresenius Vamed: Leading Global Hospital Projects and Services Specialist

• Manages hospital construction/expansion projects and provides services for health care facilities worldwide
• Offers project development, planning, turnkey construction, maintenance as well as technical management, and total operational management
• Strong track record: More than 900 projects in over 90 countries completed
• Leading European post-acute care provider operating in five European countries

Market Dynamics

Growth Drivers:

• Emerging Market demand for building and developing hospital infrastructure
• Outsourcing of non-medical services from public to private operators

Global trends offer growth opportunities for Fresenius

Increasing national income Chronically ill patients

GDP per capita quadrupled over last 20 years in emerging markets and developing economies3

Aging Population Growing healthcare sector

Significant savings for healthcare systems

Sources: ¹ UN, 2019 Revision of World Population Prospects (2019) 2 UBS, Longer Term Investments: EM healthcare (2018) 3 IMF (2019) 4 IDF Diabetes Atlas (2017) 5 AAM report (2019) 6 UBS, Longer Term Investments: Generics (2018)

Fresenius Group: Growth Areas

Fresenius Group: Healthy Growth Targets 2020 – 2023 (CAGRs)

Organic sales growth	4 – 7% (plus ~1% small to mid size acquisitions)
income1 Organic net growth	5 – 9% (plus ~1% small to mid size acquisitions)

¹ Net income attributable to shareholders of Fresenius SE & Co.KGaA

Before special items

The Fresenius Strategy

Our ESG Priorities: Patients, Employees and Compliance

ESG Rating Overview: Continuous Improvement through Reporting and Engagement

Sustainability/ESG: Decisive Steps For 2020

Our Priorities

• "Better medicine for more people"
• Patients: Quality of products and services
• People: Being an attractive employer
• Compliance: Doing the right thing

Sustainability Governance

• CEO sponsors Group sustainability efforts
• New Group Sustainability Board in 2020
• Strategy and KPI alignment program started in 2019, will continue in 2020

Remuneration

• Remuneration proposal planned for AGM 2021
• Based on new German legal framework and German Corporate Governance Code
• Will include ESG performance indicators

Fresenius Group: Capital Deployment Focuses on Sustainable Value Creation

Fresenius Group: Proven Track Record of Deleveraging

Net Debt/EBITDA1

Target 20203 towards the top-end of self-imposed target corridor of 3.0 – 3.5x

¹ At actual FX rates from 2001 to 2010 and at average FX rates from 2011 onwards, for both Net Debt and EBITDA; before special items; pro forma closed acquisitions/divestitures ² Pro forma excluding advances made for the acquisition of hospitals from Rhön-Klinikum AG

³ Both net debt and EBITDA including IFRS 16 effect and calculated at expected annual average exchange rates; excluding further potential acquisitions

⁴ Including acquisition of NxStage; excluding IFRS 16

Fresenius SE: Earnings-Linked Dividend Policy

0.02 0.23 0.25 0.29 0.32 0.37 0.42 0.44 0.55 0.62 93 08 09 10 11 12 13 14 15 16 17 18 19 25% 24% 21% 20% 21% 21% 22% 21% 22% 23% 24% € per share • Dividend growth aligned to EPS1 growth • Pay-out Ratio: 20% to 25% Dividend distribution (€m) Pay-out Ratio 0.75 2019 Pay-out Ratio: 24% Dividend Policy 114 122 140 155 196 225 238 300 343 416 445 0.80 468 0.84 24% Track record • 27th consecutive dividend increase • CAGR dividend increase +15%

¹ Before special items

Total Shareholder Return – CAGR, Rounded

Source: Bloomberg; dividends reinvested, as of Dec 31, 2019

Review FY/19

Fresenius Group

• Delivered on all targets - 16th consecutive record year
• 27th consecutive dividend increase proposed
• Fresenius Kabi expected to show healthy top-line growth whilst softness in North America weighs on EBIT in FY/20
• Fresenius Helios anticipated to show ongoing stabilization in Germany and continued strong growth in Spain in FY/20
• Fresenius Medical Care expected to show strong growth in FY/20
• Too early to quantify the financial impact of Covid-19
• Fresenius Group back on growth trajectory in FY/20
• Medium-term growth targets confirmed

Fresenius Kabi: Volume headwinds partially offset by new product launches in North America

• Ongoing volume headwinds anticipated
• − Intensified competition
• − Shortage tailwind essentially over
• − Opioid market not expected to recover
• Pricing expected to be in-line with historical trends, however trending more towards mid-single digit price declines in base product portfolio
• 15+ product launches expected in 2020 targeting an originator market of ~US\$1.3 bn
• Excellent pipeline: >50 files pending with the FDA

Fresenius Kabi: Rigorous pursuit to further broaden and diversify portfolio in North America

	Current Portfolio			2023 Portfolio
IV drugs						
Pre-filled syringes						
IV solutions						
Parenteral nutrition						
Infusion pumps						
Biosimilars						
Compounding						
Specialty Rx						

GPOs/Hospitals Clinics/Physician Offices Retail Pharmacy/Home Care

Fresenius Kabi: Continued positive momentum in Emerging Markets

• Strong organic sales growth expected
• Continued positive momentum in Latin America anticipated
• Regulatory changes in China expected to weigh on EBIT development
• Too early to quantify the financial impact of Covid-19

Significant sales and volume growth in China over last decade

Fresenius Kabi: Biosimilar Update

Launch schedule
Adalimumab
2019
		2023
Pegfilgrastim
	2021
	2021
Tocilizumab
		2023
		2023
Europe U.S.

Progress of portfolio

• Three more molecules in portfolio
• Expect to start with clinical studies for those molecules in 2021

Business plan

• Total investment ceiling €1.4 bn until EBITDA break-even in 2023
• High triple-digit € million sales in 2024

Fresenius Kabi: Launch of Idacio in Europe progresses according to plan

Fresenius Kabi: Divisionalization of Transfusion Medicine and Cell Therapies Business fuels growth

• Business remains important part of Fresenius Kabi
• Dynamic growth in FY/19 and good growth prospects
• Inauguration of new production building in Haina, Dominican Republic to fuel growth of disposable products
• New joint venture to advance new cell and gene therapies

Fresenius Helios: Germany to show ongoing stabilization in FY/20

Mitigation of regulatory headwinds

• Chief doctor vacancies at record low
• Appropriate level of nursing staff
• Optimization of processes and workflows
• Cost optimization measures

Very positive reimbursement environment

• 2020 DRG inflator set at 3.66%

Investments in future growth fields

• Clustering strategy progresses
• Prevention
• Occupational medicine
• Telemedicine platform

Ramp-up of outpatient business

• Outpatient surgery centers
• Specialization of medical centers

Fresenius Helios: Spain to plow ahead in FY/20

Excellent growth in Spain

• Opening of first proton therapy center in Spain (first patient treated in December '19)
• Opening of Quironsalud Madrid university hospital expansion in Pozuelo
• Private hospitals expected to show dynamic organic growth driven by admissions
• Continued positive momentum for ORPs

Expansion in Latin America proceeds

• Five successful acquisitions in Colombia contribute nicely in FY/20:
• − Clinica Las Vegas, Clinica del Prado and CediMed in Medellin(1)
• − Centro Medico Imbanaco in Cali(2)
• − Clinica de la Mujer in Bogota(3)
• Total expected sales contribution of approx. €180m equiv. in FY/20
• Attractive risk-adjusted ROIs expected

Notes: (1) All transactions closed in 2019 (2) Closing expected at the end of Q1/2020 (3) Closing expected in Q2/2020, subject to anti-trust clearance

Fresenius Group: Medium-term Growth Targets 2020 – 2023 (CAGRs)

¹ Net income attributable to shareholders of Fresenius SE & Co.KGaA

Before special items

Financial Review

Fresenius Group: FY/19 Profit and Loss Statement

Sales	EBIT
+6%	-2%
FY/19: €33,524 m	FY/19: €4,599 m	Net Income
Income Tax Rate	Net Interest	+0% FY/19: €1,915 m
23.4% FY/18: 22.1%	-€510 m FY/18: -€549 m

All growth rates in constant currency (cc) Before special items, adjusted for IFRS 16 effect On a comparable basis: FY/18 adjusted for divestitures of Care Coordination activities at FMC, before special items Net income attributable to shareholders of Fresenius SE & Co. KGaA

Fresenius Group: Q4/19 Business Segment Growth

1 On a comparable basis: Q4/18 adjusted for divestitures of Care Coordination activities at FMC; Q4/19 adjusted for IFRS 16 effect.

All figures before special items

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Kabi: Expected Organic Sales Growth 2020

• Latin America: Continued healthy growth expected

Fresenius Kabi: Organic Sales Growth by Product Segment

Total sales	1,766	4%	6,919	4%
Medical Devices/ Transfusion Technology	334	10%	1,248	11%
Clinical Nutrition	482	8%	1,898	9%
Infusion Therapy	213	2%	834	3%
IV Drugs	737	-1%	2,939	-1%
€m	Q4/19	Δ YoY organic	FY/19	Δ YoY organic

Fresenius Kabi: Organic Sales Growth by Regions

€m	Q4/19	Δ YoY organic	FY/19	Δ YoY organic
North America	609	-1%	2,424	-2%
Europe	604	2%	2,313	2%
Emerging Markets	553	12%	2,182	14%
Total sales	1,766	4%	6,919	4%

Fresenius Kabi: Q4 & FY/19 EBIT Growth

€m	Q4/19	Δ YoY cc	FY/19	Δ YoY cc
North America	204	-8%	907	-3%
Margin	33.5%	-260 bps	37.4%	-50 bps
Europe	87	-10%	328	-7%
Margin	14.4%	-200 bps	14.2%	-160 bps
Emerging Markets	124	7%	476	19%
Margin	22.4%	-90 bps	21.8%	130 bps
Corporate and Corporate R&D	-132	11%	-511	2%
Total EBIT	283	-1%	1,200	3%
Margin	16.0%	-90 bps	17.3%	-10 bps

On 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 provided on our website https://www.fresenius.com/results-center.

Fresenius Helios: Q4 & FY/19 Key Financials

€m	Q4/19	Δ YoY	FY/19	Δ YoY
Total sales	2,344	4%1	9,234	5%1
Thereof Helios Germany	1,475	3%1	5,940	3%1
Thereof Helios Spain	867	7%1	3,292	7%1
Total EBIT3 Margin	292 12.5%	5% 10 bps	1,015 11.0%	-4%/-3%2 -70 bps
Thereof Helios Germany Margin	143 9.7%	4% 20 bps	576 9.7%	-8%/-6%2 -80 bps
Thereof Helios Spain Margin	134 15.5%	6% -50 bps	434 13.2%	5% -50 bps
Thereof Corporate	15	--	5	--

¹ Organic growth

² Adjusted for the post-acute care business transferred to Fresenius Vamed as of July 1, 2018

³ Adjusted for IFRS 16 effect

For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Helios: Key Measures

	FY/19	FY/18	Δ
No. of hospitals Germany - Acute care hospitals	86 83	86 83	0% 0%
No. of hospitals Spain (Hospitals)	51	47	9%
No. of beds Germany - Acute care hospitals	28,907 28,380	29,329 28,802	-1% -1%
No. of beds Spain (Hospitals)	7,288	7,019	4%
Admissions Germany (acute care)	1,206,654	1,218,199
Admissions Spain (including outpatients)	15,396,051	13,318,066

Fresenius Vamed

• Both business segments contributed to the organic sales growth of 4% in Q4/19
• Stable service business is gaining weight (FY/19: 63% of sales; FY/09: 32%)
• Geographically well-diversified order backlog is excellent foundation for future growth

€m	Q4/19	Δ YoY	FY/19	Δ YoY
Total sales Thereof organic sales	737	6% 4%	2,206	31% 16%1
Service business	374	11%	1,399	43% 25%1
Project business	363	1%	807	13%
EBIT2 Total	66	8%	131	19% 6%1
Order intake3	576	-13%	1,314	7%
Order backlog3			2,865	18%4

¹ Without German post-acute care business acquired from Fresenius Helios as of July 1, 2018

• 2 Adjusted for IFRS 16 effect
• ³ Project business only
• ⁴ Versus December 31, 2018

Fresenius Group: FY/19 & Cash Flow

	Operating CF1	Capex (net)			Free Cash Flow1,2
€m	FY/2019	Margin	FY/2019	Margin	FY/2019	Margin
	1,947	11.1%	-1,113	-6.4%	834	4.7%
	968	14.0%	-716	-10.4%	252	3.6%
	683	7.4%	-477	-5.2%	206	2.2%4
	-46	-2.1%	-52	-2.3%	-98	-4.4%
Corporate/Other	-38	n.a.	-75	n.a.	-113	n.a.
Excl. FMC3	1,677	9.3%	-1,320	-7.3%	357	2.0%
	3,514	9.9%	-2,433	-6.9%	1,081	3.0%

¹ Adjusted for IFRS 16

² Before acquisitions and dividends

³ Incl. FMC dividend of €110 million

⁴ Understated: 2.7% excluding €45 million of capex commitments from acquisitions

Fresenius Group: 2020 Financial Outlook by Business Segment

€m (except otherwise stated)		FY/19 Base1	FY/20e2
	Sales growth (cc)	17,477	mid to high single digit %-range
	Net income growth3 (cc)	1,205	mid to high single digit %-range
	Sales growth (organic)	6,919	3% - 6%
	EBIT growth (cc)	1,205	-4% to 0%
	Sales growth (organic)	9,234	3% - 6%
	EBIT growth (cc)	1,025	3% - 7%
Sales growth (organic) EBIT growth (cc)		2,206	4% - 7%
		134	5% - 9%

¹ Before special items, including IFRS 16 effects, including NxStage operations

2 Before special items

³ Net income attribuitable to shareholders of Fresenius Medical Care AG & Co. KGaA

For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

Fresenius Group: 2020 Financial Guidance

€m (except otherwise stated)		Base1 FY/19	FY/202
	Sales growth (cc)	35,409	4% - 7%
	Net income3 growth (cc)	1,879	1% - 5%

¹ Before special items, including IFRS 16 effects, including NxStage operations 2 Before special items

³ Net income attributable to shareholders of Fresenius SE & Co.KGaA

For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.

FY/19 base for Fresenius Group Guidance FY/20

€m	Fresenius Group	Fresenius Medical Care	Fresenius Kabi
Sales reported (reported = base for guidance)	35,409	17,477	6,919
Transaction costs Akorn			3
Revaluations of biosimilars contingent purchase price liabilities			-32
EBIT (before special items = base Fresenius Kabi guidance)			1,205
Net income reported	1,883	1,200
Transaction costs Akorn	3
Revaluations of biosimilars contingent purchase price liabilities	-19
Gain related to divestitures of Care Coordination activities at FMC	-15	-49
Transaction costs NxStage	6	18
Expenses associated with cost optimization program at FMC	21	67
Net income (before special items = base Fresenius Group & FMC guidance)	1,879	1,236

Financial Calendar / Contact

Financial Calendar

06 May 2020	Results Q1/20
20 May 2020	Annual General Meeting
26 May 2020	Dividend payment
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 & Sustainability Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: ir-fre@fresenius.com For further information and current news: www.fresenius.com

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