Investor Presentation • Mar 11, 2021
Investor Presentation
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March 11, 2021
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.

3



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


1 Plus ~1% small to mid-sized acquisitions


"Better medicine for more people"
Alignment with SDGs published on website



Rating improvements across the board, Highlights: CDP Climate from "C" to "B", MSCI from "BB" to "BBB"
Restructured, GRI-aligned sustainability report to be released in March 2021
Strategy and KPI alignment program to be continued in 2021, driven by Group Sustainability Board
New Management Board remuneration system to be presented at AGM, includes ESG component



Before special items 2016-2018 excluding IFRS 16



Ownership: ~32% Ownership: 100% Ownership: 100% Ownership: 77%

Sales 2020: €17.9 bn



Sales 2020: €9.8 bn
• Outpatient services
• Acute care
Dialysis products
Dialysis services
Complete therapy offerings
• Expansion in Care Coordination and global dialysis service opportunities; enter new geographies


• Sustainable business based on high quality products and ~ 3% Patient growth in 2020 + 37% Growth of home hemodialysis treatments in 2020 in the U.S.
• Leading market positions ~ € 82 bn
services
dialysis treatments in 2020 providing sound data basis to further standardize medical setups at Fresenius Medical Care
1 As of December 31, 2020
Market Dynamics • Comprehensive product portfolio for critically and chronically ill patients • Strong Emerging Markets presence • Leading market positions Emerging Markets 31% Sales 2020: €7.0 bn North America 34% Europe 35% Generic IV Drugs Clinical Nutrition Infusion Therapy Medical Devices / Transfusion Technology Biosimilars Growing healthcare spending in Emerging Markets +6.3% p.a. growth over the next decade Aging population 16% of the world population will be > age 65 by 2050 (9% in 2019) Rising cost consciousness in healthcare spending – significant savings from generics ~US\$293bn p.a. savings in the US ~ €100bn p.a. savings in the EU • Focus on organic growth through geographic product rollouts and new product launches • Development of biosimilars with a focus on oncology and autoimmune diseases Sales by Region
Acute Care
Outpatient

• Development of new business models to foster digitalization and profit from trend towards outpatient treatments
Hospital market in Germany ~ € 109 bn
in Germany provides benefits for hospital operators
(Helios Germany: 5.7 days)
Average increase of private health insurance policies in Spain of ~2.5% p.a.
1 Based on sales

Services
Post-acute care
1 As of December 31, 2020
Telemedicine market in Europe is estimated to grow
14.1% p.a. till 2025.
9.5% p.a. till 2025.
Outsourcing of non-medical services provided by public institutions to private providers grew in Germany by
50% from 2013 to 2018.
Emerging markets' share of global health expenditure will grow to
33% by 2022.

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

1 Proposal 2 Before special items


Share price development LTM

Shareholder structure by region

As of December 31, 2020


24


1 Plus ~1% small to mid-sized acquisitions


• Streamlining activities in organizational structures and facilities/real estate and other synergy fields






• Review of assets and shareholdings portfolio

Savings of at least €100 m p.a. after tax and minorities planned in 2023


"Better medicine for more people"
Alignment with SDGs published on website



Rating improvements across the board, Highlights: CDP Climate from "C" to "B", MSCI from "BB" to "BBB"
Restructured, GRI-aligned sustainability report to be released in March 2021
Strategy and KPI alignment program to be continued in 2021, driven by Group Sustainability Board
New Management Board remuneration system to be presented at AGM, includes ESG component


31

All growth rates in constant currency (cc) Before special items Net income attributable to shareholders of Fresenius SE & Co. KGaA

Successful despite unprecedented challenges: FY/20 Guidance achieved


Accelerated COVID-19 related excess mortality of dialysis patients

Expected recovery of elective treatments drives organic growth

Group-wide cost-efficiency program to be initiated

28th consecutive dividend increase proposed

Ongoing recovery in Europe and Emerging Markets to drive solid top-line growth
FY/21 expected to be marked by COVID-19 with projected recovery in H2/21

Growth to accelerate: Medium-term growth targets confirmed
Current burdens and constraints caused by COVID-19 expected only to begin to recede in H2/21
The guidance does not reflect impacts from potential containment measures without appropriate compensation for the health care sector
Continuously advancing vaccination program in the company's relevant markets
For H2/21, we expect a significant improvement primarily in elective treatments due to continuously increasing level of vaccination coverage

| €m (except | otherwise stated) |
FY/20 Base | FY/20 | FY/21e | |
|---|---|---|---|---|---|
| Sales growth (org) | 6,976 | 4% | Low-to-mid single-digit % |
||
| EBIT growth (cc) |
1,095 | -6% | Stable to low single-digit % |
||
| Sales growth (org) | 9,818 | 4% | Low-to-mid single-digit % |
||
| EBIT growth (cc) |
1,025 | 0% | Mid-to-high single-digit % |
||
| Sales growth (org) |
2,068 | -8% | Mid-to-high single-digit % |
||
| EBIT growth (cc) | 29 | -79% | High double digit €m |
Before special items and including estimated COVID-19 effects
For a detailed overview of special items please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m (except otherwise stated) |
FY/20 Base |
FY/20 | FY/21 | |
|---|---|---|---|---|
| Sales growth (cc) |
36,277 | 5% | Low-to-mid single-digit % |
|
| Net income growth (cc) |
1,796 | -3% | At least broadly stable |
Before special items and including estimated COVID-19 effects 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.

37
| Main drivers for FY/21 |
Expected COVID effects |
||||
|---|---|---|---|---|---|
| Higher mortality rate amongst dialysis patients | Significant | ||||
| Elective treatments in China already from Q1/21 onwards almost at pre-COVID levels; Recovery in NAM expected in H2/21; Headwinds in H1/21 partially compensated by higher demand for COVID-related products |
Moderate | Moderate | Slight impact |
Slight impact |
|
| Whilst H1/21 is expected to be marked by a lack of elective treatments, significant improvement are expected in H2/21 due to continuous vaccination of population. |
Significant | Significant | Slight impact |
Slight impact |
|
| Improved demand for post-acute care services due to recovery of elective treatments in H2/21 Project business expected to be impacted by travel restrictions in H1/21, gradual recovery in H2/21 |
Significant | Significant | Moderate | Slight impact |
|
| H1/21 is expected to be significantly negative impacted by COVID-19; for H2/21 an improvement primarily in elective treatments is expected |
Significant | Significant | Moderate | Slight impact |
|
| These assumptions are subject to considerable uncertainty. | Q1 | Q2 | Q3 | Q4 |
Fresenius Kabi: Headwinds in the US expected to continue, whilst Europe is projected for a gradual recovery and China is anticipated to be back to healthy growth

H1/21 expected to still see fewer elective treatments and competitive pressure
15+ product launches planned in FY/21

Ongoing recovery of elective treatments expected alongside increasing vaccination coverage of population
Ongoing roll-out and ramp-up of biosimilars business contributes to organic sales growth

China expected to leave COVID-19 effects behind; more pricing pressure due to tender system combined with dynamic volume growth expected to lead to healthy organic growth in FY/21
Launch of new formulations and applications in the field of parenteral and enteral nutrition in China
Further roll-out of IV drug portfolio in China
Fresenius Kabi: Building the platform for decisive US growth through strategic initiatives to diversify and differentiate portfolio, and expand in new therapies and channels

| €m | Q4/20 | Δ YoY organic |
FY/20 | Δ YoY organic |
|---|---|---|---|---|
| North America | 549 | -3% | 2,376 | 0% |
| Europe | 680 | 9% | 2,458 | 6% |
| Emerging Markets | 586 | 15% | 2,142 | 6% |
| Total sales | 1,815 | 7% | 6,976 | 4% |
| €m | Q4/20 | Δ YoY organic |
FY/20 | Δ YoY organic |
|---|---|---|---|---|
| IV Drugs | 697 | 1% | 2,921 | 3% |
| Infusion Therapy | 242 | 3% | 810 | -3% |
| Clinical Nutrition | 528 | 15% | 1,945 | 7% |
| Medical Devices/ Transfusion Technology |
348 | 10% | 1,300 | 7% |
| Total sales | 1,815 | 7% | 6,976 | 4% |
| €m | Q4/20 | Δ YoY cc |
FY/20 | Δ YoY cc |
|---|---|---|---|---|
| North America Margin |
125 22.8% |
-33% -1,100 bps |
785 33.0% |
-12% -450 bps |
| Europe | 85 | -1% | 355 | +9% |
| Margin | 12.5% | -210 bps | 14.4% | +20 bps |
| Emerging Markets | 153 | +29% | 471 | +5% |
| Margin | 26.1% | +330 bps | 22.0% | +10 bps |
| Corporate and Corporate R&D | -127 | 2% | -516 | -4% |
| Total EBIT | 236 | -10% | 1,095 | -6% |
| Margin | 13.0% | -310 bps | 15.7% | -170 bps |
All figures before special items 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: Interlinked business model with leading market position offers a strong foundation to leverage network efficiencies and accelerate growth opportunities

Serving patients for all healthrelated demands
Reach patients at all levels of care: Prevention, Occupational medicine, MVZ, Hospitals
Demand for ORP services in Spain accelerated due to COVID-19
Increase digital connect with patients:
Stable reimbursement (2021 DRG inflator set at 2.53%)
Cost pressure from the regulator to be partially mitigated
Efficiency gains from increasing digitalization of clinical processes
Greenfield & expansion projects Focus on new set-up of MVZs Expand fertility services offering Selective acquisitions
Fresenius Helios: Acquisition of Eugin Group makes Fresenius Helios a leading international provider of fertility services with significant growth opportunities

Acquisition adds global network of fertility clinics
Acquisition complements existing Fresenius Helios footprints in Germany, Spain and LatAm
Global fertility market offers significant growth opportunities and consolidation potential
Accretive to Group net income from FY/21 onwards


Strong presence in Europe, LatAm, and U.S.

Valuation1 of €430m corresponds to ~11.4x at the mid-point of the 2021 EBITDA range.
1 Including approx. €80 million of minority interests and assumed debt
2019 2021e
€m €35 to €40 million
0
10
20
30
40
EBITDA
€31 million
Largest markets: U.S., Spain, Brazil, Italy and Sweden

| €m | Q4/20 | Δ YoY cc |
FY/20 | Δ YoY cc |
|---|---|---|---|---|
| Total sales | 2,637 | 9%1 | 9,818 | 4%1 |
| Thereof Helios Germany |
1,637 | 8%1 | 6,340 | 6%1 |
| Thereof Helios Spain |
999 | 11%1 | 3,475 | 2%1 |
| Total EBIT Margin |
328 12.4% |
13% -10 bps |
1,025 10.4% |
0% -70 bps |
| Thereof Helios Germany Margin |
157 9.6% |
10% -10 bps |
602 9.5% |
4% -20 bps |
| Thereof Helios Spain Margin |
159 15.9% |
19% 20 bps |
420 12.1% |
-5% -140 bps |
| Thereof Corporate | 12 | -- | 3 | -- |
1 Organic growth
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| FY/20 | FY/19 | Δ | |
|---|---|---|---|
| No. of hospitals Germany - Acute care hospitals |
89 86 |
86 83 |
3% 4% |
| No. of hospitals Spain (Hospitals) |
52 | 50 | 4% |
| No. of beds Germany - Acute care hospitals |
29,978 29,451 |
28,907 28,380 |
4% 4% |
| No. of beds Spain (Hospitals) |
7,936 | 7,288 | 9% |
| Admissions Germany (acute care) | 1,044,959 | 1,206,654 | |
| Admissions Spain (including outpatients) | 15,037,804 | 15,396,051 |
48

Easing of travel restrictions expected for H2/21
Lack of electives treatments – expected to recover in H2/21
Reduced capacity at post-acute care to last over H1/21
Technical services business to remain robust
Order intake in Q4/20 13% above prior year; overall order intake in FY/20 decreased by 23% versus prior year
Major turnkey contract in Q4/20:
• Severodonetsk General Hospital in Ukraine
Barclays Global Healthcare Conference, March 11, 2021 © Fresenius SE & Co. KGaA Investor Relations & Sustainability 49
| €m | Q4/20 | Δ YoY cc |
FY/20 | Δ YoY cc |
|---|---|---|---|---|
| Total sales Thereof organic sales |
577 | -22% -22% |
2,068 | -6% -8% |
| Service business | 372 | -1% | 1,435 | 3% |
| Project business | 205 | -44% | 633 | -22% |
| Total EBIT |
39 | -42% | 29 | -79% |
| Order intake1 | 648 | 13% | 1,010 | -23% |
| Order backlog1 | 3,055 | 7%2 |
1 Project business only 2 Versus December 31, 2019
| €m | Q4/201 | special items |
Q4/20 reported |
YoY cc1 Δ |
|---|---|---|---|---|
| Sales | 9,304 | - | 9,304 | 5% |
| EBIT | 1,251 | -227 | 1,024 | 2% |
| Net interest | -159 | 3 | -156 | 9% |
| Income taxes | -263 | 8 | -255 | -8% |
| Net income2 | 494 | -84 | 410 | 2% |
1 Before special items
2 Net income attributable to shareholders of Fresenius SE & Co. KGaA
For a detailed overview of special items and adjustments please see the reconciliation tables provided on our website https://www.fresenius.com/results-center.
| €m | FY/20 | FY/19 |
|---|---|---|
| Earnings before tax and noncontrolling interests | 3,958 | 3,974 |
| Taxes | -914 | -925 |
| Noncontrolling interests, thereof | -1,248 | -1,170 |
| Fresenius Medical Care net income not attributable to Fresenius (Q4/20: ~68%) |
-922 | -849 |
| Noncontrolling interest holders in Fresenius Medical Care | -271 | -239 |
| Noncontrolling interest holders in Fresenius Kabi (-€44 m), Fresenius Helios (-€8 m), Fresenius Vamed (-€3 m) |
-55 | -82 |
| Net income attributable to Fresenius SE & Co. KGaA |
1,796 | 1,879 |
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.
| €m | Q4/20 | LTM Margin | Δ YoY |
|---|---|---|---|
| Operating Cash Flow | 1,390 | 18.1% | 8% |
| Capex (net) | -800 | -6.6% | 5% |
| Free Cash Flow | 590 | 11.5% | 33% |
| (before acquisitions and dividends) | |||
| Acquisitions (net) | -202 | ||
| Dividends | -59 | ||
| Free Cash Flow (after acquisitions and dividends) |
329 | 6.8% | -- |
| as | Growth cc reported incl. COVID-19 |
Estimated COVID-19 impact cc |
||||
|---|---|---|---|---|---|---|
| Q4/201 | FY/201 | Q4/201 | FY/201 | |||
| Sales | +5% | +5% | -2% to -3% |
-2% to -3% |
||
| Net income2 | +2% | -3% | -1% to -5% | -5% to -9% |
1 Before special items
2 Net income attributable to shareholders of Fresenius SE & Co. KGaA

2002-2019 excluding IFRS 16
1 At actual FX rates from 2002 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 Including IFRS 16

1 As of December 31, 2020 and based on utilization of major financing instruments, excl. Commercial Paper of EUR 50m
| €m | Q4/20 | Q4/19 | Growth at actual rates |
Currency translation effects |
Growth at constant rates |
Organic growth |
Acquisi tions |
Divesti tures/ Others |
|---|---|---|---|---|---|---|---|---|
| Fresenius Medical Care | 4,400 | 4,580 | -4% | -8% | 4% | 1% | 3% | 0% |
| Fresenius Kabi | 1,815 | 1,766 | 3% | -5% | 8% | 7% | 0% | 1% |
| Fresenius Helios | 2,637 | 2,344 | 13% | 0% | 13% | 9% | 4% | 0% |
| Fresenius Vamed | 577 | 737 | -22% | 0% | -22% | -22% | 0% | 0% |
| Total | 9,304 | 9,311 | 0% | -5% | 5% | 2% | 3% | 0% |
57
| €m | FY/20 | FY/19 | Growth at actual rates |
Currency translation effects |
Growth at constant rates |
Organic growth |
Acquisi tions |
Divesti tures/ Others |
|---|---|---|---|---|---|---|---|---|
| Fresenius Medical Care | 17,859 | 17,477 | 2% | -3% | 5% | 3% | 3% | -1% |
| Fresenius Kabi | 6,976 | 6,919 | 1% | -3% | 4% | 4% | 0% | 0% |
| Fresenius Helios | 9,818 | 9,234 | 6% | -1% | 7% | 4% | 3% | 0% |
| Fresenius Vamed | 2,068 | 2,206 | -6% | 0% | -6% | -8% | 2% | 0% |
| Total | 36,277 | 35,409 | 2% | -3% | 5% | 3% | 2% | 0% |
58

• Healthy Equity and Liability Split
| Growth | Profitability | Liqudity | Capital efficiency | Capital management |
|---|---|---|---|---|
| Sales growth (in constant currency) |
Operating income (EBIT) +/ - Financial result |
Operating cash flow ÷ Sales |
EBIT Income taxes |
Net debt ÷ EBITDA |
| Sales growth (organic) |
- Income taxes - Minority interests = Net income EBIT growth (in constant currency) Net income growth (in constant currency) |
= Cash flow margin | = NOPAT ÷ Invested capital = ROIC1 EBIT ÷ Operating assets = ROOA1 |
= Leverage ratio |
1 Does not reflect a core performance indicator
| Targets 20202 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|
| Sales growth (in constant currency) | +3% to +6% |
5% | 6% | 6% | 16% | 6% |
| Net income3 growth (in constant currency) |
-4% to +1% |
-3% | 0% | 7% | 21% | 13% |
| Liquidity and capital management |
||||||
| Cash flow margin |
12% to 14% |
18.1% | 12.0% /9.9%4 |
11.2% | 11.6% | 12.2% |
| / EBITDA5 Net debt |
Around the top-end of 3.0x – 3.5x6 |
3.44x | 3.14x4 3.61x/ |
2.71x | 2.84x | 2.33x |
| Capital efficiency | ||||||
| Return on invested capital (ROIC)7 | At 2019 level | 6.5% | /7.4%4 6.7% |
8.3% | 8.0% | 8.5% |
| Return on operating assets (ROOA)7 | At 2019 level | 7.3% | 7.6% /8.2%4 |
9.0% | 9.4% | 10.0% |
1 Growth rates are based on the assumptions of the respective annual forecasts and are adjusted for special items and, if applicable, other effects affecting the underlying growth (adjustments to new accounting
standards, acquisitions / divestments, acquisition costs, or cost-saving programs).
2 Including estimated COVID-19 effects (updated October 2020)
3 Net income attributable to shareholders of Fresenius SE & Co. KGaA
4 Excluding IFRS 16 effect
5 Both net debt and EBITDA calculated at LTM average exchange rates; before special items, pro forma closed acquisitions/divestitures
6 Around the top-end of the self-imposed target range of 3.0x to 3.5x; excluding further potential acquisitions
7 Before special items, pro forma acquisitions
| Targets 20202 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|
| Fresenius Medical Care | ||||||
| Sales growth (in constant currency) |
Mid-to-high single-digit %-range |
5% | 5% | 4% | 9% | 7% |
| Net income growth 3,4 (in constant currency) |
Mid-to-high single-digit %-range |
12% | -2% | 4% | 7% | 16% |
| Fresenius Kabi | ||||||
| Sales growth (organic) |
+ 2% to +5% |
4% | 4% | 7% | 7% | 5% |
| EBIT growth (in constant currency) | - 6% to -3% |
-6% | 3% | 2% | 8% | 5% |
| Fresenius Helios | ||||||
| Sales growth (organic) |
+ 1% to +4% |
4% | 5% | 3% | 4% | 4% |
| EBIT growth (in constant currency) | Broadly stable |
0% | -4% | 0% | 54% | 7% |
| Fresenius Vamed | ||||||
| Sales growth (organic) |
~ - 10% |
-8% | 16% | 16% | 6% | 5% |
| EBIT growth (in constant currency) | Positive absolute EBIT | € 29 million | 19% | 45% | 10% | 8% |
1 Growth rates are based on the assumptions of the respective annual forecasts and are adjusted for special items and, if applicable, other effects affecting the underlying growth (adjustments to new accounting standards, acquisitions / divestments, acquisition costs, or cost-saving programs).
2 Including estimated COVID-19 effects (updated October 2020)
3 Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
4 Special items are effects (when consolidated at the Fresenius Group: special items), that are unusual in nature and were not foreseeable or not foreseeable in size or impact at the time of giving guidance.

| 06 May 2021 | Results Q1/21 |
|---|---|
| 21 May 2021 | Annual General Meeting |
| 30 July 2021 |
Results Q2/21 |
| 02 November 2021 | Results Q3/21 |
Please note that these dates could be subject to change.
Investor Relations & Sustainability Fresenius SE & Co. KGaA phone: +49 6172 608-2485 e-mail: [email protected]
For further information and current news: www.fresenius.com

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