Exhibit 99.2
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Fresenius Medical Care AG & Co. KGaA
COMPLETE OVERVIEW OF THE RESULTS FOR THE SECOND QUARTER
AND FIRST HALF 2017
August 1, 2017
Investor Relations
phone: +49 6172 609 2525
email: ir@fmc-ag.com
Content: |
|
Statement of earnings | page 2 |
Segment information | page 3 |
Balance sheet | page 4 |
Cash flow | page 5 |
Revenue development | page 6 |
Key metrics | page 7 |
Quality data | page 8 |
Reconciliation | page 9 |
Reconciliation one time | page 10 |
Remarks | page 11 |
Disclaimer
This release contains forward-looking statements that are subject to various risks and uncertainties. Actual results could differ materially from those described in these forward-looking statements due to certain factors, including changes in business, economic and competitive conditions, regulatory reforms, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These and other risks and uncertainties are detailed in Fresenius Medical Care AG & Co. KGaA’s reports filed with the U.S. Securities and Exchange Commission. Fresenius Medical Care AG & Co. KGaA does not undertake any responsibility to update the forward-looking statements in this release.
Copyright by Fresenius Medical Care AG & Co. KGaA
1
Statement of earnings
| | Three months ended June 30 | | Six months ended June 30 | |
in € million, except share data, unaudited | | 2017 | | 2016 | | Change | | Change at cc | | 2017 | | 2016 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Health Care Services | | 3,649 | | 3,273 | | 11.5 | % | 9.0 | % | 7,418 | | 6,472 | | 14.6 | % | 11.4 | % |
Health Care Products | | 822 | | 753 | | 9.3 | % | 7.9 | % | 1,601 | | 1,470 | | 8.9 | % | 6.9 | % |
Total revenue | | 4,471 | | 4,026 | | 11.1 | % | 8.8 | % | 9,019 | | 7,942 | | 13.6 | % | 10.5 | % |
| | | | | | | | | | | | | | | | | |
Costs of revenue | | 2,976 | | 2,673 | | 11.4 | % | 9.0 | % | 5,932 | | 5,294 | | 12.1 | % | 8.9 | % |
Gross profit | | 1,495 | | 1,353 | | 10.5 | % | 8.4 | % | 3,087 | | 2,648 | | 16.6 | % | 13.8 | % |
Selling, general and administrative | | 900 | | 760 | | 18.4 | % | 16.0 | % | 1,823 | | 1,541 | | 18.4 | % | 15.4 | % |
Research and development | | 35 | | 34 | | 3.3 | % | 2.1 | % | 67 | | 68 | | -1.7 | % | -3.1 | % |
Income from equity method investees | | (23 | ) | (12 | ) | 93.4 | % | 92.4 | % | (38 | ) | (29 | ) | 31.7 | % | 31.2 | % |
| | | | | | | | | | | | | | | | | |
Operating income (EBIT) | | 583 | | 571 | | 2.1 | % | 0.3 | % | 1,235 | | 1,068 | | 15.6 | % | 13.0 | % |
| | | | | | | | | | | | | | | | | |
Interest income | | 6 | | (16 | ) | n.a. | | n.a. | | (23 | ) | (26 | ) | -10.7 | % | -12.3 | % |
Interest expense | | 89 | | 106 | | -16.1 | % | -18.1 | % | 211 | | 212 | | -0.6 | % | -2.8 | % |
Interest expense, net | | 95 | | 90 | | 4.7 | % | 2.9 | % | 188 | | 186 | | 0.8 | % | -1.5 | % |
Income before taxes | | 488 | | 481 | | 1.6 | % | -0.2 | % | 1,047 | | 882 | | 18.7 | % | 16.1 | % |
Income tax expense | | 150 | | 149 | | 0.7 | % | -1.0 | % | 332 | | 275 | | 20.6 | % | 18.0 | % |
Net income | | 338 | | 332 | | 2.0 | % | 0.2 | % | 715 | | 607 | | 17.8 | % | 15.2 | % |
Less: Net income attributable to noncontrolling interests | | 69 | | 68 | | 2.3 | % | -0.2 | % | 138 | | 130 | | 6.2 | % | 3.1 | % |
Net income attributable to shareholders of FMC AG & Co. KGaA | | 269 | | 264 | | 1.9 | % | 0.3 | % | 577 | | 477 | | 21.0 | % | 18.5 | % |
| | | | | | | | | | | | | | | | | |
Operating income (EBIT) | | 583 | | 571 | | 2.1 | % | 0.3 | % | 1,235 | | 1,068 | | 15.6 | % | 13.0 | % |
Depreciation and amortization | | 186 | | 173 | | 8.2 | % | 6.0 | % | 376 | | 338 | | 11.4 | % | 8.6 | % |
EBITDA | | 769 | | 744 | | 3.5 | % | 1.6 | % | 1,611 | | 1,406 | | 14.6 | % | 12.0 | % |
EBITDA margin | | 17.2 | % | 18.5 | % | | | | | 17.9 | % | 17.7 | % | | | | |
| | | | | | | | | | | | | | | | | |
Weighted average number of shares | | 306,523,865 | | 305,507,271 | | | | | | 306,383,373 | | 305,416,228 | | | | | |
| | | | | | | | | | | | | | | | | |
Basic earnings per share | | €0.88 | | €0.86 | | 1.5 | % | 0.0 | % | €1.88 | | €1.56 | | 20.6 | % | 18.1 | % |
Basic earnings per ADS | | €0.44 | | €0.43 | | 1.5 | % | 0.0 | % | €0.94 | | €0.78 | | 20.6 | % | 18.1 | % |
| | | | | | | | | | | | | | | | | |
In percent of revenue | | | | | | | | | | | | | | | | | |
Costs of revenue | | 66.6 | % | 66.4 | % | | | | | 65.8 | % | 66.7 | % | | | | |
Gross profit | | 33.4 | % | 33.6 | % | | | | | 34.2 | % | 33.3 | % | | | | |
Operating income (EBIT) | | 13.0 | % | 14.2 | % | | | | | 13.7 | % | 13.5 | % | | | | |
Net income attributable to shareholders of FMC AG & Co. KGaA | | 6.0 | % | 6.6 | % | | | | | 6.4 | % | 6.0 | % | | | | |
2
Segment information
| | Three months ended June 30 | | Six months ended June 30 | |
unaudited | | 2017 | | 2016 | | Change | | Change at cc | | 2017 | | 2016 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Total | | | | | | | | | | | | | | | | | |
Revenue in € million | | 4,471 | | 4,026 | | 11.1 | % | 8.8 | % | 9,019 | | 7,942 | | 13.6 | % | 10.5 | % |
Operating income (EBIT) in € million | | 583 | | 571 | | 2.1 | % | 0.3 | % | 1,235 | | 1,068 | | 15.6 | % | 13.0 | % |
Operating income margin in % | | 13.0 | % | 14.2 | % | | | | | 13.7 | % | 13.5 | % | | | | |
Delivered EBIT in € million | | 514 | | 503 | | 2.1 | % | 0.4 | % | 1,097 | | 938 | | 16.9 | % | 14.4 | % |
Days sales outstanding (DSO) | | | | | | | | | | 66 | | 70 | | | | | |
Employees (full-time equivalents) | | | | | | | | | | 112,163 | | 106,556 | | | | | |
| | | | | | | | | | | | | | | | | |
North America | | | | | | | | | | | | | | | | | |
Revenue in € million | | 3,225 | | 2,916 | | 10.6 | % | 7.8 | % | 6,600 | | 5,778 | | 14.2 | % | 10.9 | % |
Operating income (EBIT) in € million | | 470 | | 456 | | 2.9 | % | 0.6 | % | 995 | | 858 | | 16.0 | % | 12.8 | % |
Operating income margin in % | | 14.6 | % | 15.7 | % | | | | | 15.1 | % | 14.9 | % | | | | |
Delivered EBIT in € million | | 404 | | 391 | | 3.2 | % | 0.9 | % | 863 | | 733 | | 17.8 | % | 14.6 | % |
Days sales outstanding (DSO) | | | | | | | | | | 50 | | 54 | | | | | |
| | | | | | | | | | | | | | | | | |
U.S. | | | | | | | | | | | | | | | | | |
Revenue per dialysis treatment in US$(1) | | 351 | | 352 | | -0.1 | % | n.a. | | 354 | | 350 | | 1.1 | % | n.a. | |
Cost per dialysis treatment in US$ | | 283 | | 282 | | 0.1 | % | n.a. | | 286 | | 282 | | 1.5 | % | n.a. | |
| | | | | | | | | | | | | | | | | |
EMEA | | | | | | | | | | | | | | | | | |
Revenue in € million | | 642 | | 599 | | 7.1 | % | 6.7 | % | 1,255 | | 1,171 | | 7.2 | % | 6.5 | % |
Operating income (EBIT) in € million | | 113 | | 124 | | -8.9 | % | -9.1 | % | 227 | | 242 | | -6.0 | % | -5.6 | % |
Operating income margin in % | | 17.6 | % | 20.7 | % | | | | | 18.1 | % | 20.6 | % | | | | |
Delivered EBIT in € million | | 112 | | 123 | | -9.1 | % | -9.3 | % | 225 | | 240 | | -6.2 | % | -5.8 | % |
Days sales outstanding (DSO) | | | | | | | | | | 105 | | 105 | | | | | |
| | | | | | | | | | | | | | | | | |
Asia-Pacific | | | | | | | | | | | | | | | | | |
Revenue in € million | | 417 | | 351 | | 18.8 | % | 16.9 | % | 795 | | 691 | | 15.0 | % | 12.0 | % |
Operating income (EBIT) in € million | | 78 | | 67 | | 17.3 | % | 16.3 | % | 160 | | 126 | | 26.9 | % | 25.0 | % |
Operating income margin in % | | 18.7 | % | 19.0 | % | | | | | 20.1 | % | 18.2 | % | | | | |
Delivered EBIT in € million | | 76 | | 65 | | 16.5 | % | 15.6 | % | 156 | | 123 | | 26.7 | % | 24.7 | % |
Days sales outstanding (DSO) | | | | | | | | | | 93 | | 103 | | | | | |
| | | | | | | | | | | | | | | | | |
Latin America | | | | | | | | | | | | | | | | | |
Revenue in € million | | 183 | | 155 | | 17.8 | % | 15.6 | % | 360 | | 294 | | 22.4 | % | 16.5 | % |
Operating income (EBIT) in € million | | 12 | | 14 | | -13.2 | % | -8.1 | % | 27 | | 24 | | 11.3 | % | 12.7 | % |
Operating income margin in % | | 6.8 | % | 9.3 | % | | | | | 7.5 | % | 8.2 | % | | | | |
Delivered EBIT in € million | | 12 | | 14 | | -13.3 | % | -8.1 | % | 27 | | 24 | | 11.2 | % | 12.6 | % |
Days sales outstanding (DSO) | | | | | | | | | | 131 | | 147 | | | | | |
| | | | | | | | | | | | | | | | | |
Corporate | | | | | | | | | | | | | | | | | |
Revenue in € million | | 4 | | 5 | | 0.8 | % | 0.7 | % | 9 | | 8 | | 25.4 | % | 25.3 | % |
Operating income (EBIT) in € million | | (90 | ) | (90 | ) | -0.3 | % | -0.8 | % | (174 | ) | (182 | ) | -3.9 | % | -4.6 | % |
Delivered EBIT in € million | | (90 | ) | (90 | ) | -0.3 | % | -0.9 | % | (174 | ) | (182 | ) | -3.9 | % | -4.7 | % |
(1) Excl. the effects from the VA Agreement, incl. VA agreement revenue per dialysis treatment was $351 for the three months and $361 for the six months ended June 30, 2017.
3
Balance sheet
| | June 30 | | December 31 | |
in € million, except net debt/EBITDA ratio | | 2017 | | 2016 | |
| | (unaudited) | | (audited) | |
Assets | | | | | |
Current assets | | 6.771 | | 6,884 | |
Goodwill and Intangible assets | | 13,138 | | 13,759 | |
Other non-current assets | | 4,806 | | 4,861 | |
Total assets | | 24,715 | | 25,504 | |
| | | | | |
Liabilities and equity | | | | | |
Current liabilities | | 5,311 | | 5,299 | |
Non-current liabilities | | 8,711 | | 9,154 | |
Total equity | | 10,693 | | 11,051 | |
Total liabilities and equity | | 24,715 | | 25,504 | |
| | | | | |
Equity/assets ratio | | 43 | % | 43 | % |
| | | | | |
Debt | | | | | |
Short-term debt | | 970 | | 572 | |
Short-term debt from related parties | | 18 | | 3 | |
Current portion of long-term debt and capital lease obligations | | 670 | | 724 | |
Long-term debt and capital lease obligations, less current portion | | 6,387 | | 6,833 | |
Total debt | | 8,045 | | 8,132 | |
Cash and cash equivalents | | 721 | | 709 | |
Total net debt | | 7,324 | | 7,423 | |
| | | | | |
Annualized EBITDA(1) | | | | | |
Operating income (EBIT) | | 2,586 | | 2,398 | |
Depreciation and amortization | | 748 | | 710 | |
Non-cash charges | | 61 | | 65 | |
Annualized EBITDA | | 3,395 | | 3,173 | |
| | | | | |
Net debt/EBITDA ratio | | 2.2 | | 2.3 | |
(1) EBITDA : including largest acquisitions.
4
Cash flow statement
| | Three months ended June 30 | | Six months ended June 30 | |
in € million, unaudited | | 2017 | | 2016 | | 2017 | | 2016 | |
Operating activities | | | | | | | | | |
Net income | | 338 | | 332 | | 715 | | 607 | |
Depreciation / amortization | | 186 | | 173 | | 376 | | 338 | |
Change in working capital and other non-cash items | | 359 | | 99 | | (39 | ) | (178 | ) |
Net cash provided by operating activities | | 883 | | 604 | | 1,052 | | 767 | |
In percent of revenue | | 19.7 | % | 15.0 | % | 11.7 | % | 9.7 | % |
| | | | | | | | | |
Investing activities | | | | | | | | | |
Purchases of property, plant and equipment | | (206 | ) | (227 | ) | (404 | ) | (453 | ) |
Proceeds from sale of property, plant and equipment | | 13 | | 4 | | 16 | | 7 | |
Capital expenditures, net | | (193 | ) | (223 | ) | (388 | ) | (446 | ) |
| | | | | | | | | |
Free cash flow | | 690 | | 381 | | 664 | | 321 | |
In percent of revenue | | 15.4 | % | 9.5 | % | 7.4 | % | 4.0 | % |
| | | | | | | | | |
Acquisitions and investments, net of cash acquired, and purchases of intangible assets | | (191 | ) | (190 | ) | (352 | ) | (273 | ) |
Proceeds from divestitures | | 9 | | 132 | | 10 | | 132 | |
Acquisitions and investments, net of divestitures | | (182 | ) | (58 | ) | (342 | ) | (141 | ) |
Free cash flow after investing activities | | 508 | | 323 | | 322 | | 180 | |
5
Revenue development
| | | | | | | | Change | | Organic | | Same market treatment | |
in € million, unaudited | | 2017 | | 2016 | | Change | | at cc | | growth | | growth(1) | |
Three months ended June 30 | | | | | | | | | | | | | |
Total revenue | | 4,471 | | 4,026 | | 11.1 | % | 8.8 | % | 6.2 | % | | |
Health Care Services | | 3,649 | | 3,273 | | 11.5 | % | 9.0 | % | 6.0 | % | 2.8 | % |
Thereof Dialysis Care revenue | | 2,912 | | 2,745 | | 6.1 | % | 3.7 | % | 2.7 | % | 2.8 | % |
Thereof Care Coordination revenue | | 737 | | 528 | | 39.6 | % | 36.1 | % | 23.2 | % | | |
Health Care Products | | 822 | | 753 | | 9.3 | % | 7.9 | % | 7.0 | % | | |
| | | | | | | | | | | | | |
North America | | 3,225 | | 2,916 | | 10.6 | % | 7.8 | % | 5.5 | % | | |
Health Care Services | | 3,017 | | 2,712 | | 11.2 | % | 8.4 | % | 5.9 | % | 3.0 | %(2) |
Thereof Dialysis Care revenue | | 2,319 | | 2,184 | | 6.2 | % | 3.5 | % | 2.8 | % | 3.0 | %(2) |
Thereof Care Coordination revenue | | 698 | | 528 | | 32.1 | % | 28.8 | % | 19.2 | % | | |
Health Care Products | | 208 | | 204 | | 2.3 | % | -0.3 | % | -0.2 | % | | |
| | | | | | | | | | | | | |
EMEA | | 642 | | 599 | | 7.1 | % | 6.7 | % | 4.3 | % | | |
Health Care Services | | 310 | | 293 | | 5.9 | % | 4.7 | % | 1.9 | % | 3.3 | % |
Health Care Products | | 332 | | 306 | | 8.3 | % | 8.5 | % | 6.4 | % | | |
Thereof Dialysis Products | | 311 | | 294 | | 5.8 | % | 6.0 | % | 6.5 | % | | |
Thereof Non-Dialysis Products | | 21 | | 12 | | 70.6 | % | 70.6 | % | 3.4 | % | | |
| | | | | | | | | | | | | |
Asia-Pacific | | 417 | | 351 | | 18.8 | % | 16.9 | % | 10.9 | % | | |
Health Care Services | | 191 | | 157 | | 21.6 | % | 19.4 | % | 6.1 | % | 4.6 | % |
Thereof Dialysis Care revenue | | 152 | | 157 | | -3.6 | % | -5.3 | % | -7.3 | % | 4.6 | % |
Thereof Care Coordination revenue | | 39 | | — | | n.a. | | n.a. | | | | | |
Health Care Products | | 226 | | 194 | | 16.6 | % | 14.9 | % | 14.7 | % | | |
| | | | | | | | | | | | | |
Latin America | | 183 | | 155 | | 17.8 | % | 15.6 | % | 15.5 | % | | |
Health Care Services | | 131 | | 111 | | 18.0 | % | 17.9 | % | 17.5 | % | 0.8 | % |
Health Care Products | | 52 | | 44 | | 17.4 | % | 10.0 | % | 10.4 | % | | |
| | | | | | | | | | | | | |
Corporate | | 4 | | 5 | | 0.8 | % | 0.7 | % | | | | |
| | | | | | | | | | | | | |
Six months ended June 30 | | | | | | | | | | | | | |
Total revenue | | 9,019 | | 7,942 | | 13.6 | % | 10.5 | % | 7.3 | % | | |
Health Care Services | | 7,418 | | 6,472 | | 14.6 | % | 11.4 | % | 7.6 | % | 2.8 | % |
Thereof Dialysis Care revenue | | 5,970 | | 5,445 | | 9.6 | % | 6.6 | % | 3.9 | % | 2.8 | % |
Thereof Care Coordination revenue | | 1,448 | | 1,027 | | 41.0 | % | 36.9 | % | 27.0 | % | | |
Health Care Products | | 1,601 | | 1,470 | | 8.9 | % | 6.9 | % | 5.9 | % | | |
| | | | | | | | | | | | | |
North America | | 6,600 | | 5,778 | | 14.2 | % | 10.9 | % | 7.5 | % | | |
Health Care Services | | 6,182 | | 5,383 | | 14.8 | % | 11.5 | % | 7.8 | % | 3.1 | %(2) |
Thereof Dialysis Care revenue | | 4,793 | | 4,356 | | 10.0 | % | 6.8 | % | 4.2 | % | 3.1 | %(2) |
Thereof Care Coordination revenue | | 1,389 | | 1,027 | | 35.3 | % | 31.3 | % | 23.0 | % | | |
Health Care Products | | 418 | | 395 | | 5.7 | % | 2.6 | % | 2.6 | % | | |
| | | | | | | | | | | | | |
EMEA | | 1,255 | | 1,171 | | 7.2 | % | 6.5 | % | 3.3 | % | | |
Health Care Services | | 613 | | 567 | | 8.3 | % | 6.9 | % | 2.6 | % | 3.6 | % |
Health Care Products | | 642 | | 604 | | 6.1 | % | 6.2 | % | 4.0 | % | | |
Thereof Dialysis Products | | 601 | | 581 | | 3.6 | % | 3.7 | % | 4.2 | % | | |
Thereof Non-Dialysis Products | | 41 | | 23 | | 66.1 | % | 66.1 | % | -1.4 | % | | |
| | | | | | | | | | | | | |
Asia-Pacific | | 795 | | 691 | | 15.0 | % | 12.0 | % | 8.6 | % | | |
Health Care Services | | 360 | | 309 | | 16.3 | % | 12.3 | % | 4.9 | % | 4.2 | % |
Thereof Dialysis Care revenue | | 301 | | 309 | | -2.9 | % | -6.3 | % | -8.1 | % | 4.2 | % |
Thereof Care Coordination revenue | | 59 | | — | | n.a. | | n.a. | | | | | |
Health Care Products | | 435 | | 382 | | 14.1 | % | 11.7 | % | 11.6 | % | | |
| | | | | | | | | | | | | |
Latin America | | 360 | | 294 | | 22.4 | % | 16.5 | % | 16.1 | % | | |
Health Care Services | | 263 | | 213 | | 23.3 | % | 19.7 | % | 18.9 | % | 1.4 | % |
Health Care Products | | 97 | | 81 | | 20.0 | % | 8.0 | % | 8.7 | % | | |
| | | | | | | | | | | | | |
Corporate | | 9 | | 8 | | 25.4 | % | 25.3 | % | | | | |
(1) same market treatment growth = organic growth less price effects
(2) U.S. (excl. Mexico), same market treatment growth North America: 2,7% for the three and six months ended June 30, 2017, respectively
6
Key metrics North America segment
| | Three months ended June 30 | | Six months ended June 30 | |
unaudited | | 2017 | | 2016 | | Change | | Change at cc | | 2017 | | 2016 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Dialysis | | | | | | | | | | | | | | | | | |
Revenue in € million | | 2,527 | | 2,388 | | 5.9 | % | 3.2 | % | 5,211 | | 4,751 | | 9.7 | % | 6.4 | % |
Operating income (EBIT) in € million | | 461 | | 439 | | 5.0 | % | 2.6 | % | 987 | | 830 | | 19.0 | % | 15.7 | % |
Operating income margin in % | | 18.2 | % | 18.4 | % | | | | | 18.9 | % | 17.5 | % | | | | |
Delivered EBIT in € million | | 403 | | 381 | | 5.7 | % | 3.4 | % | 870 | | 720 | | 20.9 | % | 17.6 | % |
| | | | | | | | | | | | | | | | | |
Care Coordination | | | | | | | | | | | | | | | | | |
Revenue in € million | | 698 | | 528 | | 32.1 | % | 28.8 | % | 1,389 | | 1,027 | | 35.3 | % | 31.3 | % |
Operating income (EBIT) in € million | | 9 | | 17 | | -49.9 | % | -51.4 | % | 8 | | 28 | | -72.3 | % | -73.1 | % |
Operating income margin in % | | 1.2 | % | 3.3 | % | | | | | 0.6 | % | 2.8 | % | | | | |
Delivered EBIT in € million | | 1 | | 10 | | -93.8 | % | -94.3 | % | (7 | ) | 13 | | -152.9 | % | -151.3 | % |
Key metrics Care Coordination
| | Six months ended June 30 | |
unaudited | | 2017 | | 2016 | | Change | | Change at cc | |
North America | | | | | | | | | |
Member months under medical cost management(1) | | 289,143 | | 184,767 | | 56.5 | % | | |
Medical cost under management (in € million)(1) | | 1,944 | | 1,181 | | 64.6 | % | 59.7 | % |
Care Coordination patient encounters(1) | | 3,283,012 | | 2,645,771 | | 24.1 | % | | |
(1) The metrics may be understated due to a physician mapping issue related to the BPCI program within a CMS system which has not yet been resolved. Additionally, data presented for the BPCI and ESCO metrics are subject to finalization by CMS, which may result in changes from previously reported metrics.
Key metrics Dialysis Care Services
| | Six months ended June 30, 2017 | |
unaudited | | Clinics | | Growth in % | | De novos | | Patients | | Growth in % | | Treatments | | Growth in % | |
Total | | 3,690 | | 5 | % | 50 | | 315,305 | | 5 | % | 23,755,619 | | 4 | % |
| | | | | | | | | | | | | | | |
North America | | 2,345 | | 4 | % | 32 | | 193,605 | | 4 | % | 14,660,103 | | 3 | % |
| | | | | | | | | | | | | | | |
EMEA | | 727 | | 4 | % | 6 | | 61,256 | | 5 | % | 4,594,117 | | 7 | % |
Asia-Pacific | | 387 | | 19 | % | 11 | | 30,099 | | 11 | % | 2,111,151 | | 8 | % |
Latin America | | 231 | | — | | 1 | | 30,345 | | 1 | % | 2,390,248 | | 2 | % |
7
Quality data
| | North America | | EMEA | | Latin America | | Asia-Pacific | |
in % of patients(1) | | Q2 2017 | | Q1 2017 | | Q2 2017 | | Q1 2017 | | Q2 2017 | | Q1 2017 | | Q2 2017 | | Q1 2017 | |
| | | | | | | | | | | | | | | | | |
Clinical Performance | | | | | | | | | | | | | | | | | |
Single Pool Kt/v > 1.2 | | 98 | | 98 | | 95 | | 95 | | 93 | | 92 | | 96 | | 96 | |
No catheter (> 90 days) | | 84 | | 84 | | 81 | | 81 | | 81 | | 81 | | 88 | | 89 | |
Hemoglobin = 10 - 12 g/dl | | 73 | | 73 | | 78 | | 80 | | 51 | | 51 | | 58 | | 59 | |
Hemoglobin = 10 - 13 g/dl (International) | | 80 | | 79 | | 78 | | 78 | | 69 | | 67 | | 66 | | 68 | |
Albumin > 3.5 g/dl(2) | | 78 | | 78 | | 86 | | 87 | | 91 | | 90 | | 87 | | 87 | |
Phosphate(3) < 5.5 mg/dl | | 62 | | 63 | | 75 | | 77 | | 77 | | 74 | | 69 | | 67 | |
Calcium = 8.4 - 10.2 mg/dl | | 84 | | 84 | | 74 | | 74 | | 78 | | 75 | | 74 | | 75 | |
Hospitalization days, per patient | | 10.1 | | 10.0 | | 7.5 | | 7.9 | | 3.9 | | 3.9 | | 3.9 | | 4.0 | |
| | | | | | | | | | | | | | | | | |
Demographics | | | | | | | | | | | | | | | | | |
Average age (in years) | | 63 | | 63 | | 64 | | 64 | | 59 | | 59 | | 62 | | 62 | |
Average time on dialysis (in years) | | 4.0 | | 4.0 | | 5.5 | | 5.5 | | 5.3 | | 5.3 | | 4.9 | | 4.8 | |
Average body weight (in kg) | | 83 | | 83 | | 73 | | 73 | | 69 | | 68 | | 61 | | 61 | |
Prevalence of diabetes (in %) | | 62 | | 62 | | 32 | | 32 | | 27 | | 27 | | 40 | | 40 | |
(1) Outcome data in these regions might be more volatile over time as clinic data will be added
(2) International standard BCR CRM470
(3) Phosphate reported as mg/dl of Phosphorus
8
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | Three months ended June 30 | | Six months ended June 30 | |
in € million, unaudited | | 2017 | | 2016 | | 2017 | | 2016 | |
Delivered EBIT reconciliation | | | | | | | | | |
Total | | | | | | | | | |
Operating income (EBIT) | | 583 | | 571 | | 1,235 | | 1,068 | |
less noncontrolling interests | | (69 | ) | (68 | ) | (138 | ) | (130 | ) |
Delivered EBIT | | 514 | | 503 | | 1,097 | | 938 | |
| | | | | | | | | |
North America | | | | | | | | | |
Operating income (EBIT) | | 470 | | 456 | | 995 | | 858 | |
less noncontrolling interests | | (66 | ) | (65 | ) | (132 | ) | (125 | ) |
Delivered EBIT | | 404 | | 391 | | 863 | | 733 | |
| | | | | | | | | |
Dialysis | | | | | | | | | |
Operating income (EBIT) | | 461 | | 439 | | 987 | | 830 | |
less noncontrolling interests | | (58 | ) | (58 | ) | (117 | ) | (110 | ) |
Delivered EBIT | | 403 | | 381 | | 870 | | 720 | |
| | | | | | | | | |
Care Coordination | | | | | | | | | |
Operating income (EBIT) | | 9 | | 17 | | 8 | | 28 | |
less noncontrolling interests | | (8 | ) | (7 | ) | (15 | ) | (15 | ) |
Delivered EBIT | | 1 | | 10 | | (7 | ) | 13 | |
| | | | | | | | | |
EMEA | | | | | | | | | |
Operating income (EBIT) | | 113 | | 124 | | 227 | | 242 | |
less noncontrolling interests | | (1 | ) | (1 | ) | (2 | ) | (2 | ) |
Delivered EBIT | | 112 | | 123 | | 225 | | 240 | |
| | | | | | | | | |
Asia-Pacific | | | | | | | | | |
Operating income (EBIT) | | 78 | | 67 | | 160 | | 126 | |
less noncontrolling interests | | (2 | ) | (2 | ) | (4 | ) | (3 | ) |
Delivered EBIT | | 76 | | 65 | | 156 | | 123 | |
| | | | | | | | | |
Dialysis | | | | | | | | | |
Operating income (EBIT) | | 75 | | 67 | | 154 | | 126 | |
less noncontrolling interests | | (2 | ) | (2 | ) | (4 | ) | (3 | ) |
Delivered EBIT | | 73 | | 65 | | 150 | | 123 | |
| | | | | | | | | |
Care Coordination | | | | | | | | | |
Operating income (EBIT) | | 3 | | — | | 6 | | — | |
less noncontrolling interests | | 0 | | — | | 0 | | — | |
Delivered EBIT | | 3 | | — | | 6 | | — | |
| | | | | | | | | |
Latin America | | | | | | | | | |
Operating income (EBIT) | | 12 | | 14 | | 27 | | 24 | |
less noncontrolling interests | | — | | — | | — | | — | |
Delivered EBIT | | 12 | | 14 | | 27 | | 24 | |
| | | | | | | | | |
Corporate | | | | | | | | | |
Operating income (EBIT) | | (90 | ) | (90 | ) | (174 | ) | (182 | ) |
less noncontrolling interests | | — | | — | | — | | — | |
Delivered EBIT | | (90 | ) | (90 | ) | (174 | ) | (182 | ) |
| | | | | | | | | |
Reconciliation of net cash provided by operating activities to EBITDA(1) | | | | | | | | | |
Total EBITDA | | | | | | 1,611 | | 1,406 | |
Interest expense, net | | | | | | (188 | ) | (186 | ) |
Income tax expense | | | | | | (332 | ) | (275 | ) |
Change in working capital and other non-cash items | | | | | | (39 | ) | (178 | ) |
Net cash provided by operating activities | | | | | | 1,052 | | 767 | |
(1) EBITDA is the basis for determining compliance with certain covenants in Fresenius Medical Care's long-term debt instruments.
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Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | Three months ended June 30 | | Six months ended June 30 | |
in € million, unaudited | | 2017 | | 2016 | | 2017 | | 2016 | |
| | | | | | | | | |
Operating performance excluding VA Agreement(1) | | | | | | | | | |
Revenue | | | | | | | | | |
Total | | | | | | | | | |
Revenue | | 4,471 | | 4,026 | | 9,019 | | 7,942 | |
VA Agreement | | 2 | | | | (98 | ) | | |
Revenue excluding VA Agreement | | 4,473 | | 4,026 | | 8,921 | | 7,942 | |
| | | | | | | | | |
Health Care Sevices revenue | | 3,649 | | 3,273 | | 7,418 | | 6,472 | |
VA Agreement | | 2 | | | | (98 | ) | | |
Health Care Services revenue excluding VA Agreement | | 3,651 | | 3,273 | | 7,320 | | 6,472 | |
| | | | | | | | | |
North America | | | | | | | | | |
Revenue | | 3,225 | | 2,916 | | 6,600 | | 5,778 | |
VA Agreement | | 2 | | | | (98 | ) | | |
Revenue excluding VA Agreement | | 3,227 | | 2,916 | | 6,502 | | 5,778 | |
| | | | | | | | | |
Health Care Sevices revenue | | 3,017 | | 2,712 | | 6,182 | | 5,383 | |
VA Agreement | | 2 | | | | (98 | ) | | |
Health Care Services revenue excluding VA Agreement | | 3,019 | | 2,712 | | 6,084 | | 5,383 | |
| | | | | | | | | |
Dialysis Care Services revenue | | 2,319 | | 2,184 | | 4,793 | | 4,356 | |
VA Agreement | | 2 | | | | (98 | ) | | |
Dialysis Care Services revenue excluding VA Agreement | | 2,321 | | 2,184 | | 4,695 | | 4,356 | |
| | | | | | | | | |
Operating income (EBIT) | | | | | | | | | |
Total | | | | | | | | | |
Operating income (EBIT) | | 583 | | 571 | | 1,235 | | 1,068 | |
VA Agreement | | 8 | | | | (91 | ) | | |
| | | | | | | | | |
Operating income (EBIT) excluding VA Agreement | | 591 | | 571 | | 1,144 | | 1,068 | |
| | | | | | | | | |
North America | | | | | | | | | |
Operating income (EBIT) | | 470 | | 456 | | 995 | | 858 | |
VA Agreement | | 1 | | | | (98 | ) | | |
Operating income (EBIT) excluding VA Agreement | | 471 | | 456 | | 897 | | 858 | |
| | | | | | | | | |
Corporate | | | | | | | | | |
Operating income (EBIT) | | (90 | ) | (90 | ) | (174 | ) | (182 | ) |
VA Agreement | | 7 | | | | 7 | | | |
Operating income (EBIT) excluding VA Agreement | | (83 | ) | (90 | ) | (167 | ) | (182 | ) |
| | | | | | | | | |
Net income(2) | | 269 | | 264 | | 577 | | 477 | |
VA Agreement | | 5 | | | | (54 | ) | | |
Net income excluding VA Agreement(2) | | 274 | | 264 | | 523 | | 477 | |
(1) Agreement with the United States Departments of Veterans Affairs and Justice
(2) attributable to shareholders of FMC AG & Co. KGaA
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Remarks
cc = Constant Currency. Changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items include the impact of changes in foreign currency exchange rates. We use the non-IFRS financial measure at Constant Exchange Rates or Constant Currency to show changes in our revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items without giving effect to period-to-period currency fluctuations. Under IFRS, amounts received in local (non-euro) currency are translated into euro at the average exchange rate for the period presented. Once we translate the local currency for the Constant Currency, we then calculate the change, as a percentage, of the current period using the prior period exchange rates versus the prior period. This resulting percentage is a non-IFRS measure referring to a change as a percentage at Constant Currency.
We believe that the non-IFRS financial measure Constant Currency is useful to investors, lenders, and other creditors because such information enables them to gauge the impact of currency fluctuations on a company’s revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items from period to period. However, we also believe that the usefulness of data on Constant Currency period-over-period changes is subject to limitations, particularly if the currency effects that are eliminated constitute a significant element of our revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA or other items and significantly impact our performance. We therefore limit our use of Constant Currency period-over-period changes to a measure for the impact of currency fluctuations on the translation of local currency into euro. We do not evaluate our results and performance without considering both Constant Currency period-over-period changes in non-IFRS revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items and changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items prepared in accordance with IFRS. We caution the readers of this report to follow a similar approach by considering data on Constant Currency period-over-period changes only in addition to, and not as a substitute for or superior to, changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items prepared in accordance with IFRS. We present the growth rate derived from IFRS measures next to the growth rate derived from non-IFRS measures such as revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items. As the reconciliation is inherent in the disclosure, we believe that a separate reconciliation would not provide any additional benefit.
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