Exhibit 99.2
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Fresenius Medical Care AG & Co. KGaA
COMPLETE OVERVIEW OF THE RESULTS FOR THE THIRD QUARTER AND FIRST NINE MONTHS OF 2018
October 30, 2018
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 |
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Key metrics | page 7 |
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Quality data | page 8 |
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Reconciliation | page 9 |
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Reconciliation one time | page 10 |
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 September 30 | | Nine months ended September 30 | |
in € million, except share data, unaudited | | 2018 | | 2017 | | Change | | Change at cc | | 2018 | | 2017 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Health Care Services | | 3,258 | | 3,532 | | -7.8 | % | -7.8 | % | 9,852 | | 10,950 | | -10.0 | % | -3.3 | % |
Health Care Products | | 800 | | 804 | | -0.4 | % | 1.4 | % | 2,395 | | 2,405 | | -0.4 | % | 4.6 | % |
Total revenue | | 4,058 | | 4,336 | | -6.4 | % | -6.1 | % | 12,247 | | 13,355 | | -8.3 | % | -1.9 | % |
| | | | | | | | | | | | | | | | | |
Costs of revenue | | 2,791 | | 2,911 | | -4.2 | % | -3.6 | % | 8,473 | | 8,844 | | -4.2 | % | 3.0 | % |
Gross profit | | 1,267 | | 1,425 | | -11.0 | % | -11.1 | % | 3,774 | | 4,511 | | -16.3 | % | -11.3 | % |
Selling, general and administrative | | 742 | | 802 | | -7.4 | % | -6.8 | % | 2,136 | | 2,629 | | -18.7 | % | -13.5 | % |
(Gain) loss related to divestitures of Care Coordination activities | | (10 | ) | (1 | ) | n.a. | | n.a. | | (830 | ) | (5 | ) | n.a. | | n.a. | |
Research and development | | 26 | | 28 | | -7.0 | % | -10.6 | % | 95 | | 95 | | 0.4 | % | 2.7 | % |
Income from equity method investees | | (18 | ) | (13 | ) | 35.5 | % | 35.4 | % | (52 | ) | (51 | ) | 2.6 | % | 3.2 | % |
Operating income (EBIT) | | 527 | | 609 | | -13.5 | % | -20.0 | % | 2,425 | | 1,843 | | 31.6 | % | 39.2 | % |
Operating income margin in % | | 13.0 | % | 14.0 | % | | | | | 19.8 | % | 13.8 | % | | | | |
| | | | | | | | | | | | | | | | | |
Interest income | | (10 | ) | (12 | ) | -21.1 | % | -15.8 | % | (30 | ) | (35 | ) | -15.1 | % | -9.4 | % |
Interest expense | | 84 | | 98 | | -14.5 | % | -14.4 | % | 269 | | 309 | | -13.1 | % | -8.2 | % |
Interest expense, net | | 74 | | 86 | | -13.5 | % | -14.2 | % | 239 | | 274 | | -12.8 | % | -8.1 | % |
Income before taxes | | 453 | | 523 | | -13.4 | % | -20.9 | % | 2,186 | | 1,569 | | 39.3 | % | 47.5 | % |
Income tax expense | | 104 | | 152 | | -31.6 | % | -37.6 | % | 453 | | 484 | | -6.4 | % | -1.2 | % |
Net income | | 349 | | 371 | | -6.0 | % | -14.1 | % | 1,733 | | 1,085 | | 59.7 | % | 69.1 | % |
Less: Net income attributable to noncontrolling interests | | 64 | | 62 | | 3.7 | % | 3.0 | % | 176 | | 199 | | -11.7 | % | -5.4 | % |
Net income attributable to shareholders of FMC AG & Co. KGaA | | 285 | | 309 | | -8.0 | % | -17.5 | % | 1,557 | | 886 | | 75.7 | % | 85.9 | % |
| | | | | | | | | | | | | | | | | |
Operating income (EBIT) | | 527 | | 609 | | -13.5 | % | -20.0 | % | 2,425 | | 1,843 | | 31.6 | % | 39.2 | % |
Depreciation and amortization | | 179 | | 177 | | 0.6 | % | 0.2 | % | 534 | | 554 | | -3.6 | % | 1.8 | % |
EBITDA | | 706 | | 786 | | -10.3 | % | -15.4 | % | 2,959 | | 2,397 | | 23.4 | % | 30.6 | % |
EBITDA margin in % | | 17.4 | % | 18.1 | % | | | | | 24.2 | % | 17.9 | % | | | | |
| | | | | | | | | | | | | | | | | |
Weighted average number of shares | | 306,495,661 | | 306,572,494 | | | | | | 306,434,923 | | 306,447,106 | | | | | |
| | | | | | | | | | | | | | | | | |
Basic earnings per share | | € | 0.93 | | € | 1.01 | | -8.0 | % | -17.46 | % | € | 5.08 | | € | 2.89 | | 75.7 | % | 85.9 | % |
Basic earnings per ADS | | € | 0.46 | | € | 0.50 | | -8.0 | % | -17.5 | % | € | 2.54 | | € | 1.45 | | 75.7 | % | 85.9 | % |
2
Segment information
| | Three months ended September 30 | | Nine months ended September 30 | |
unaudited | | 2018 | | 2017 | | Change | | Change at cc | | 2018 | | 2017 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Total | | | | | | | | | | | | | | | | | |
Revenue in € million | | 4,058 | | 4,336 | | -6.4 | % | -6.1 | % | 12,247 | | 13,355 | | -8.3 | % | -1.9 | % |
Operating income (EBIT) in € million | | 527 | | 609 | | -13.5 | % | -20.0 | % | 2,425 | | 1,843 | | 31.6 | % | 39.2 | % |
Operating income margin in % | | 13.0 | % | 14.0 | % | | | | | 19.8 | % | 13.8 | % | | | | |
Delivered EBIT in € million | | 463 | | 547 | | -15.4 | % | -22.5 | % | 2,249 | | 1,644 | | 36.8 | % | 44.6 | % |
Days sales outstanding (DSO)(1) | | | | | | | | | | 77 | | 74 | | | | | |
Employees (full-time equivalents) | | | | | | | | | | 112,134 | | 113,648 | | | | | |
| | | | | | | | | | | | | | | | | |
North America | | | | | | | | | | | | | | | | | |
Revenue in € million | | 2,843 | | 3,115 | | -8.7 | % | -10.6 | % | 8,589 | | 9,715 | | -11.6 | % | -5.2 | % |
Operating income (EBIT) in € million | | 525 | | 483 | | 8.8 | % | 1.7 | % | 2,173 | | 1,478 | | 47.0 | % | 56.5 | % |
Operating income margin in % | | 18.5 | % | 15.5 | % | | | | | 25.3 | % | 15.2 | % | | | | |
Delivered EBIT in € million | | 464 | | 424 | | 9.5 | % | 1.5 | % | 2,006 | | 1,286 | | 55.9 | % | 65.9 | % |
Days sales outstanding (DSO)(1) | | | | | | | | | | 60 | | 58 | | | | | |
| | | | | | | | | | | | | | | | | |
U.S. | | | | | | | | | | | | | | | | | |
Revenue per dialysis treatment in US$(2) | | 356 | | 341 | | 4.6 | % | n.a. | | 353 | | 341 | | 3.3 | % | n.a. | |
Cost per dialysis treatment in US$(3) | | 290 | | 271 | | 7.1 | % | n.a. | | 289 | | 273 | | 5.9 | % | n.a. | |
| | | | | | | | | | | | | | | | | |
EMEA | | | | | | | | | | | | | | | | | |
Revenue in € million | | 620 | | 632 | | -2.0 | % | 0.6 | % | 1,908 | | 1,888 | | 1.1 | % | 3.7 | % |
Operating income (EBIT) in € million | | 88 | | 106 | | -17.8 | % | -16.5 | % | 302 | | 333 | | -9.7 | % | -8.9 | % |
Operating income margin in % | | 14.1 | % | 16.8 | % | | | | | 15.8 | % | 17.7 | % | | | | |
Delivered EBIT in € million | | 86 | | 105 | | -18.0 | % | -16.7 | % | 299 | | 331 | | -9.8 | % | -9.0 | % |
Days sales outstanding (DSO)(1) | | | | | | | | | | 100 | | 105 | | | | | |
| | | | | | | | | | | | | | | | | |
Asia-Pacific | | | | | | | | | | | | | | | | | |
Revenue in € million | | 421 | | 411 | | 2.6 | % | 3.7 | % | 1,235 | | 1,206 | | 2.4 | % | 7.8 | % |
Operating income (EBIT) in € million | | 66 | | 77 | | -14.0 | % | -14.3 | % | 218 | | 237 | | -7.9 | % | -5.1 | % |
Operating income margin in % | | 15.7 | % | 18.8 | % | | | | | 17.7 | % | 19.7 | % | | | | |
Delivered EBIT in € million | | 65 | | 75 | | -14.1 | % | -14.3 | % | 212 | | 232 | | -8.4 | % | -5.7 | % |
Days sales outstanding (DSO)(1) | | | | | | | | | | 127 | | 122 | | | | | |
| | | | | | | | | | | | | | | | | |
Latin America | | | | | | | | | | | | | | | | | |
Revenue in € million | | 171 | | 175 | | -2.3 | % | 26.8 | % | 505 | | 535 | | -5.6 | % | 18.4 | % |
Operating income (EBIT) in € million | | (1 | ) | 18 | | n.a. | | n.a. | | 24 | | 45 | | -46.8 | % | -55.9 | % |
Operating income margin in % | | -0.9 | % | 10.2 | % | | | | | 4.7 | % | 8.4 | % | | | | |
Delivered EBIT in € million | | (1 | ) | 18 | | n.a. | | n.a. | | 24 | | 45 | | -46.9 | % | -56.1 | % |
Days sales outstanding (DSO)(1) | | | | | | | | | | 125 | | 128 | | | | | |
| | | | | | | | | | | | | | | | | |
Corporate | | | | | | | | | | | | | | | | | |
Revenue in € million | | 3 | | 3 | | 7.5 | % | 7.5 | % | 10 | | 11 | | -7.3 | % | -7.0 | % |
Operating income (EBIT) in € million | | (151 | ) | (75 | ) | 100.2 | % | 99.8 | % | (292 | ) | (250 | ) | 16.8 | % | 18.2 | % |
Delivered EBIT in € million | | (151 | ) | (75 | ) | 100.1 | % | 99.7 | % | (292 | ) | (250 | ) | 16.8 | % | 18.2 | % |
(1) Concurrent with the implementation of IFRS 15 and IFRS 9 prior year data has been adjusted to conform to the current year’s presentation.
(2) Excl. the effects from the VA Agreement and IFRS 15 implementation, incl. these adjustments revenue per dialysis treatment was $352 for the three months and $358 for the nine months ended September 30, 2017.
(3) Excl. the effects from IFRS 15 implementation and the Natural Disaster Costs, incl. these adjustments cost per dialysis treatment was $284 for the three months and $285 for the nine months ended September 30, 2017.
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 calculate these non-IFRS financial measures at constant exchange rates 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. The single quarter results are calculated as the variance between the current year-to-date results less the preceding quarter’s year-to-date which makes the single quarter subject to further foreign exchange fluctuation. This resulting percentage is a non-IFRS measure referring to a change as a percentage at constant currency. These currency-adjusted financial measures are identifiable by the designated term “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 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.
3
Balance sheet
| | September 30 | | December 31 | |
in € million, except net leverage ratio | | 2018 | | 2017 | |
| | (unaudited) | | (audited) | |
Assets | | | | | |
Current assets | | 7,534 | | 6,374 | |
Goodwill and intangible assets | | 12,655 | | 12,787 | |
Other non-current assets | | 5,398 | | 4,864 | |
Total assets | | 25,587 | | 24,025 | |
| | | | | |
Liabilities and equity | | | | | |
Current liabilities | | 6,051 | | 5,300 | |
Non-current liabilities | | 7,190 | | 7,897 | |
Total equity | | 12,346 | | 10,828 | |
Total liabilities and equity | | 25,587 | | 24,025 | |
| | | | | |
Equity/assets ratio | | 48 | % | 45 | % |
| | | | | |
Debt | | | | | |
Short-term debt | | 1,210 | | 760 | |
Short-term debt from related parties | | 23 | | 9 | |
Current portion of long-term debt and capital lease obligations | | 1,096 | | 884 | |
Long-term debt and capital lease obligations, less current portion | | 5,041 | | 5,795 | |
Total debt | | 7,370 | | 7,448 | |
Cash and cash equivalents | | 1,754 | | 978 | |
Total net debt | | 5,616 | | 6,470 | |
| | | | | |
Annualized EBITDA(1) | | | | | |
Operating income (EBIT) | | 2,021 | | 2,372 | |
Depreciation and amortization | | 701 | | 731 | |
Non-cash charges | | 42 | | 51 | |
Annualized EBITDA | | 2,764 | | 3,154 | |
| | | | | |
Net leverage ratio | | 2.0 | | 2.1 | |
(1) EBITDA : including largest acquisitions and divestitures and in 2018 excluding the gain related to divestitures of Care Coordination activities.
4
Cash flow statement
| | Three months ended | | Nine months ended | |
| | September 30 | | September 30 | |
in € million, unaudited | | 2018 | | 2017 | | 2018 | | 2017 | |
Operating activities | | | | | | | | | |
Net income | | 349 | | 371 | | 1,733 | | 1,085 | |
Depreciation / amortization | | 179 | | 177 | | 534 | | 554 | |
Change in working capital and other non-cash items | | 81 | | 64 | | (1,047 | ) | 25 | |
Net cash provided by (used in) operating activities | | 609 | | 612 | | 1,220 | | 1,664 | |
In percent of revenue | | 15.0 | % | 14.1 | % | 10.0 | % | 12.5 | % |
| | | | | | | | | |
Investing activities | | | | | | | | | |
Purchases of property, plant and equipment | | (266 | ) | (228 | ) | (732 | ) | (632 | ) |
Proceeds from sale of property, plant and equipment | | 9 | | 2 | | 30 | | 18 | |
Capital expenditures, net | | (257 | ) | (226 | ) | (702 | ) | (614 | ) |
| | | | | | | | | |
Free cash flow | | 352 | | 386 | | 518 | | 1,050 | |
In percent of revenue | | 8.7 | % | 8.9 | % | 4.2 | % | 7.9 | % |
| | | | | | | | | |
Acquisitions and investments, net of cash acquired, and purchases of intangible assets | | (462 | ) | (77 | ) | (808 | ) | (428 | ) |
Proceeds from divestitures | | 149 | | 21 | | 1,811 | | 31 | |
Acquisitions and investments, net of divestitures | | (313 | ) | (56 | ) | 1,003 | | (397 | ) |
Free cash flow after investing activities | | 39 | | 330 | | 1,521 | | 653 | |
5
Revenue development
| | | | | | | | | | | | Same | |
| | | | | | | | | | | | market | |
| | | | | | | | Change | | Organic | | treatment | |
in € million, unaudited | | 2018 | | 2017 | | Change | | at cc | | growth | | growth(1) | |
| | | | | | | | | | | | | |
Three months ended September 30 | | | | | | | | | | | | | |
Total revenue | | 4,058 | | 4,336 | | -6.4 | % | -6.1 | % | 3.5 | % | | |
Health Care Services | | 3,258 | | 3,532 | | -7.8 | % | -7.8 | % | 4.0 | % | 2.9 | % |
Thereof Dialysis Care revenue | | 2,904 | | 2,775 | | 4.6 | % | 5.5 | % | 8.2 | % | 2.9 | % |
Thereof Care Coordination revenue | | 354 | | 757 | | -53.2 | % | -56.5 | % | -23.6 | % | | |
Health Care Products | | 800 | | 804 | | -0.4 | % | 1.4 | % | 1.5 | % | | |
| | | | | | | | | | | | | |
North America | | 2,843 | | 3,115 | | -8.7 | % | -10.6 | % | 2.4 | % | | |
Health Care Services | | 2,628 | | 2,904 | | -9.5 | % | -11.4 | % | 2.5 | % | 2.8 | %(2) |
Thereof Dialysis Care revenue | | 2,328 | | 2,199 | | 5.8 | % | 4.5 | % | 7.6 | % | 2.8 | %(2) |
Thereof Care Coordination revenue | | 300 | | 705 | | -57.4 | % | -61.1 | % | -25.7 | % | | |
Health Care Products | | 215 | | 211 | | 2.1 | % | 0.9 | % | 1.1 | % | | |
| | | | | | | | | | | | | |
EMEA | | 620 | | 632 | | -2.0 | % | 0.6 | % | 0.2 | % | | |
Health Care Services | | 314 | | 311 | | 0.9 | % | 3.9 | % | 3.0 | % | 3.3 | % |
Health Care Products | | 306 | | 321 | | -4.8 | % | -2.7 | % | -2.4 | % | | |
Thereof Dialysis Products | | 288 | | 302 | | -4.7 | % | -2.4 | % | -2.1 | % | | |
Thereof Non-Dialysis Products | | 18 | | 19 | | -7.4 | % | -7.0 | % | -7.0 | % | | |
| | | | | | | | | | | | | |
Asia-Pacific | | 421 | | 411 | | 2.6 | % | 3.7 | % | 5.9 | % | | |
Health Care Services | | 194 | | 194 | | 0.5 | % | 1.2 | % | 6.0 | % | 6.2 | % |
Thereof Dialysis Care revenue | | 140 | | 142 | | -0.7 | % | -1.0 | % | 6.1 | % | 6.2 | % |
Thereof Care Coordination revenue | | 54 | | 52 | | 3.9 | % | 7.1 | % | 5.4 | % | | |
Health Care Products | | 227 | | 217 | | 4.5 | % | 5.9 | % | 5.9 | % | | |
| | | | | | | | | | | | | |
Latin America | | 171 | | 175 | | -2.3 | % | 26.8 | % | 26.3 | % | | |
Health Care Services | | 122 | | 123 | | -1.2 | % | 34.2 | % | 33.6 | % | 1.4 | % |
Health Care Products | | 49 | | 52 | | -4.7 | % | 8.9 | % | 9.1 | % | | |
| | | | | | | | | | | | | |
Corporate | | 3 | | 3 | | 7.5 | % | 7.5 | % | | | | |
| | | | | | | | | | | | | |
Nine months ended September 30 | | | | | | | | | | | | | |
Total revenue | | 12,247 | | 13,355 | | -8.3 | % | -1.9 | % | 3.2 | % | | |
Health Care Services | | 9,852 | | 10,950 | | -10.0 | % | -3.3 | % | 2.9 | % | 2.7 | % |
Thereof Dialysis Care revenue | | 8,359 | | 8,745 | | -4.4 | % | 2.8 | % | 6.2 | % | 2.7 | % |
Thereof Care Coordination revenue | | 1,493 | | 2,205 | | -32.3 | % | -27.5 | % | -20.5 | % | | |
Health Care Products | | 2,395 | | 2,405 | | -0.4 | % | 4.6 | % | 4.7 | % | | |
| | | | | | | | | | | | | |
North America | | 8,589 | | 9,715 | | -11.6 | % | -5.2 | % | 2.1 | % | | |
Health Care Services | | 7,979 | | 9,086 | | -12.2 | % | -5.9 | % | 1.9 | % | 2.5 | %(2) |
Thereof Dialysis Care revenue | | 6,634 | | 6,992 | | -5.1 | % | 1.7 | % | 6.0 | % | 2.5 | %(2) |
Thereof Care Coordination revenue | | 1,345 | | 2,094 | | -35.8 | % | -31.2 | % | -22.4 | % | | |
Health Care Products | | 610 | | 629 | | -2.9 | % | 4.1 | % | 4.1 | % | | |
| | | | | | | | | | | | | |
EMEA | | 1,908 | | 1,888 | | 1.1 | % | 3.7 | % | 2.8 | % | | |
Health Care Services | | 943 | | 925 | | 2.0 | % | 4.8 | % | 2.7 | % | 2.9 | % |
Health Care Products | | 965 | | 963 | | 0.1 | % | 2.6 | % | 2.8 | % | | |
Thereof Dialysis Products | | 909 | | 903 | | 0.6 | % | 3.2 | % | 3.5 | % | | |
Thereof Non-Dialysis Products | | 56 | | 60 | | -7.0 | % | -6.8 | % | -6.8 | % | | |
| | | | | | | | | | | | | |
Asia-Pacific | | 1,235 | | 1,206 | | 2.4 | % | 7.8 | % | 6.3 | % | | |
Health Care Services | | 569 | | 553 | | 2.9 | % | 8.9 | % | 5.7 | % | 5.8 | % |
Thereof Dialysis Care revenue | | 421 | | 442 | | -4.8 | % | 0.5 | % | 4.9 | % | 5.8 | % |
Thereof Care Coordination revenue | | 148 | | 111 | | 33.5 | % | 42.2 | % | 10.6 | % | | |
Health Care Products | | 666 | | 653 | | 2.1 | % | 6.8 | % | 6.8 | % | | |
| | | | | | | | | | | | | |
Latin America | | 505 | | 535 | | -5.6 | % | 18.4 | % | 17.1 | % | | |
Health Care Services | | 361 | | 386 | | -6.5 | % | 21.0 | % | 19.2 | % | 1.3 | % |
Health Care Products | | 144 | | 149 | | -3.2 | % | 11.5 | % | 11.8 | % | | |
| | | | | | | | | | | | | |
Corporate | | 10 | | 11 | | -7.3 | % | -7.0 | % | | | | |
(1) same market treatment growth = organic growth less price effects
(2) U.S. (excl. Mexico), same market treatment growth North America: 2.5% for the three months and 2.4% for the nine months ended September 30 2018
6
Key metrics North America segment
| | Three months ended September 30 | | Nine months ended September 30 | |
unaudited | | 2018 | | 2017 | | Change | | Change at cc | | 2018 | | 2017 | | Change | | Change at cc | |
| | | | | | | | | | | | | | | | | |
Dialysis | | | | | | | | | | | | | | | | | |
Revenue in € million | | 2,543 | | 2,410 | | 5.5 | % | 4.2 | % | 7,244 | | 7,621 | | -4.9 | % | 1.9 | % |
Operating income (EBIT) in € million | | 489 | | 437 | | 12.0 | % | 11.8 | % | 1,255 | | 1,424 | | -11.9 | % | -6.2 | % |
Operating income margin in % | | 19.2 | % | 18.1 | % | | | | | 17.3 | % | 18.7 | % | | | | |
Delivered EBIT in € million | | 434 | | 386 | | 12.4 | % | 12.3 | % | 1,103 | | 1,255 | | -12.1 | % | -6.6 | % |
| | | | | | | | | | | | | | | | | |
Care Coordination | | | | | | | | | | | | | | | | | |
Revenue in € million | | 300 | | 705 | | -57.4 | % | -61.1 | % | 1,345 | | 2,094 | | -35.8 | % | -31.2 | % |
Operating income (EBIT) in € million | | 36 | | 46 | | -21.2 | % | -93.2 | % | 918 | | 54 | | n.a. | | n.a. | |
Operating income margin in % | | 12.1 | % | 6.6 | % | | | | | 68.3 | % | 2.6 | % | | | | |
Delivered EBIT in € million | | 30 | | 38 | | -19.9 | % | -107.5 | % | 903 | | 31 | | n.a | | n.a | |
Key metrics Care Coordination
| | Nine months ended September 30 | |
| | | | | | | | Change | |
unaudited | | 2018 | | 2017 | | Change | | at cc | |
North America | | | | | | | | | |
Member months under medical cost management(1) | | 486,786 | | 433,243 | | 12.4 | % | | |
Medical cost under management (in € million)(1) | | 3,299 | | 2,948 | | 11.9 | % | 20.0 | % |
Care Coordination patient encounters(1) | | 4,149,516 | | 5,069,546 | | -18.1 | % | | |
(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
| | Nine months ended September 30 | |
| | | | Growth | | | | | | Growth | | | | Growth | |
unaudited | | Clinics | | in % | | De novos | | Patients | | in % | | Treatments | | in % | |
Total | | 3,872 | | 4 | % | 117 | | 329,085 | | 4 | % | 37,122,573 | | 3 | % |
| | | | | | | | | | | | | | | |
North America | | 2,486 | | 5 | % | 83 | | 201,220 | | 3 | % | 22,867,793 | | 3 | % |
EMEA | | 769 | | 5 | % | 12 | | 64,539 | | 4 | % | 7,250,376 | | 4 | % |
Asia-Pacific | | 390 | | 0 | % | 21 | | 31,152 | | 3 | % | 3,239,862 | | 2 | % |
Latin America | | 227 | | -1 | % | 1 | | 32,174 | | 5 | % | 3,764,542 | | 4 | % |
7
Quality data(1)
| | North America | | EMEA | | Latin America | | Asia-Pacific | |
in % of patients | | Q3 2018 | | Q3 2017 | | Q3 2018 | | Q3 2017 | | Q3 2018 | | Q3 2017 | | Q3 2018 | | Q3 2017 | |
| | | | | | | | | | | | | | | | | |
Kt/v > 1.2 | | 97 | | 98 | | 94 | | 95 | | 91 | | 92 | | 96 | | 96 | |
Hemoglobin = 10-12 g/dl | | 72 | | 73 | | 82 | | 82 | | 53 | | 51 | | 58 | | 58 | |
Calcium = 8.4-10.2 mg/dl | | 85 | | 85 | | 80 | | 79 | | 75 | | 78 | | 73 | | 75 | |
Albumin > 3.5 g/dl(1) | | 80 | | 78 | | 90 | | 88 | | 91 | | 91 | | 89 | | 88 | |
Phosphate < 5.5 mg/dl | | 61 | | 62 | | 79 | | 78 | | 76 | | 76 | | 67 | | 70 | |
Patients without catheter (after 90 days) | | 83 | | 84 | | 79 | | 80 | | 80 | | 81 | | 87 | | 88 | |
in days | | | | | | | | | | | | | | | | | |
Days in hospital per patient year | | 10.0 | | 9.9 | | 7.4 | | 7.8 | | 4.2 | | 4.0 | | 3.5 | | 3.8 | |
(1) Definitions cf. Annual Report 2017, Section “Non-Financial Group Report”
8
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | Three months ended | | Nine months ended | |
| | September 30 | | September 30 | |
in € million, unaudited | | 2018 | | 2017 | | 2018 | | 2017 | |
Delivered EBIT reconciliation | | | | | | | | | |
Total | | | | | | | | | |
Operating income (EBIT) | | 527 | | 609 | | 2,425 | | 1,843 | |
less noncontrolling interests | | (64 | ) | (62 | ) | (176 | ) | (199 | ) |
Delivered EBIT | | 463 | | 547 | | 2,249 | | 1,644 | |
| | | | | | | | | |
North America | | | | | | | | | |
Operating income (EBIT) | | 525 | | 483 | | 2,173 | | 1,478 | |
less noncontrolling interests | | (61 | ) | (59 | ) | (167 | ) | (192 | ) |
Delivered EBIT | | 464 | | 424 | | 2,006 | | 1,286 | |
| | | | | | | | | |
Dialysis | | | | | | | | | |
Operating income (EBIT) | | 489 | | 437 | | 1,255 | | 1,424 | |
less noncontrolling interests | | (55 | ) | (51 | ) | (152 | ) | (169 | ) |
Delivered EBIT | | 434 | | 386 | | 1,103 | | 1,255 | |
| | | | | | | | | |
Care Coordination | | | | | | | | | |
Operating income (EBIT) | | 36 | | 46 | | 918 | | 54 | |
less noncontrolling interests | | (6 | ) | (8 | ) | (15 | ) | (23 | ) |
Delivered EBIT | | 30 | | 38 | | 903 | | 31 | |
| | | | | | | | | |
EMEA | | | | | | | | | |
Operating income (EBIT) | | 88 | | 106 | | 302 | | 333 | |
less noncontrolling interests | | (2 | ) | (1 | ) | (3 | ) | (2 | ) |
Delivered EBIT | | 86 | | 105 | | 299 | | 331 | |
| | | | | | | | | |
Asia-Pacific | | | | | | | | | |
Operating income (EBIT) | | 66 | | 77 | | 218 | | 237 | |
less noncontrolling interests | | (1 | ) | (2 | ) | (6 | ) | (5 | ) |
Delivered EBIT | | 65 | | 75 | | 212 | | 232 | |
| | | | | | | | | |
Dialysis | | | | | | | | | |
Operating income (EBIT) | | 57 | | 68 | | 197 | | 222 | |
less noncontrolling interests | | 0 | | (2 | ) | (4 | ) | (5 | ) |
Delivered EBIT | | 57 | | 66 | | 193 | | 217 | |
| | | | | | | | | |
Care Coordination | | | | | | | | | |
Operating income (EBIT) | | 9 | | 9 | | 21 | | 15 | |
less noncontrolling interests | | (1 | ) | 0 | | (2 | ) | 0 | |
Delivered EBIT | | 8 | | 9 | | 19 | | 15 | |
| | | | | | | | | |
Latin America | | | | | | | | | |
Operating income (EBIT) | | (1 | ) | 18 | | 24 | | 45 | |
less noncontrolling interests | | 0 | | 0 | | 0 | | 0 | |
Delivered EBIT | | (1 | ) | 18 | | 24 | | 45 | |
| | | | | | | | | |
Corporate | | | | | | | | | |
Operating income (EBIT) | | (151 | ) | (75 | ) | (292 | ) | (250 | ) |
less noncontrolling interests | | 0 | | 0 | | 0 | | 0 | |
Delivered EBIT | | (151 | ) | (75 | ) | (292 | ) | (250 | ) |
| | | | | | | | | |
Reconciliation of net cash provided by operating activities to EBITDA(1) | |
Total EBITDA | | | | | | 2,959 | | 2,397 | |
Interest expense, net | | | | | | (239 | ) | (274 | ) |
Income tax expense | | | | | | (453 | ) | (484 | ) |
Change in working capital and other non-cash items | | | | | | (1,047 | ) | 25 | |
Net cash provided by operating activities | | | | | | 1,220 | | 1,664 | |
(1) EBITDA is the basis for determining compliance with certain covenants in Fresenius Medical Care’s long-term debt instruments.
9
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | Three months ended September 30 | | Nine months ended September 30 | |
in € million, except share data, unaudited | | 2018 | | 2017 | | 2018 | | 2017 | |
| | | | | | | | | |
Operating performance on a comparable basis and adjusted | | | | | | | | | |
Revenue | | | | | | | | | |
Total | | | | | | | | | |
Revenue | | 4,058 | | 4,336 | | 12,247 | | 13,355 | |
Effect from IFRS 15 implementation | | | | (117 | ) | | | (387 | ) |
Sound Q3 2017(1) | | | | (253 | ) | | | (253 | ) |
Revenue on a comparable basis | | 4,058 | | 3,966 | | 12,247 | | 12,715 | |
VA Agreement(2) | | | | 3 | | | | (96 | ) |
Revenue adjusted | | 4,058 | | 3,969 | | 12,247 | | 12,619 | |
| | | | | | | | | |
Health Care Services revenue | | 3,258 | | 3,532 | | 9,852 | | 10,950 | |
Effect from IFRS 15 implementation | | | | (117 | ) | | | (387 | ) |
Sound Q3 2017 | | | | (253 | ) | | | (253 | ) |
Health Care Services revenue on a comparable basis | | 3,258 | | 3,162 | | 9,852 | | 10,310 | |
VA Agreement | | | | 3 | | | | (96 | ) |
Health Care Services revenue adjusted | | 3,258 | | 3,165 | | 9,852 | | 10,214 | |
| | | | | | | | | |
North America | | | | | | | | | |
Revenue | | 2,843 | | 3,115 | | 8,589 | | 9,715 | |
Effect from IFRS 15 implementation | | | | (117 | ) | | | (387 | ) |
Sound Q3 2017 | | | | (253 | ) | | | (253 | ) |
Revenue on a comparable basis | | 2,843 | | 2,745 | | 8,589 | | 9,075 | |
VA Agreement | | | | 3 | | | | (96 | ) |
Revenue adjusted | | 2,843 | | 2,748 | | 8,589 | | 8,979 | |
| | | | | | | | | |
Health Care Services revenue | | 2,628 | | 2,904 | | 7,979 | | 9,086 | |
Effect from IFRS 15 implementation | | | | (117 | ) | | | (387 | ) |
Sound Q3 2017 | | | | (253 | ) | | | (253 | ) |
Health Care Services revenue on a comparable basis | | 2,628 | | 2,534 | | 7,979 | | 8,446 | |
VA Agreement | | | | 3 | | | | (96 | ) |
Health Care Services revenue adjusted | | 2,628 | | 2,537 | | 7,979 | | 8,350 | |
| | | | | | | | | |
Dialysis Care Services revenue | | 2,328 | | 2,199 | | 6,634 | | 6,992 | |
Effect from IFRS 15 implementation | | | | (67 | ) | | | (225 | ) |
Dialysis Care Services revenue on a comparable basis | | 2,328 | | 2,132 | | 6,634 | | 6,767 | |
VA Agreement | | | | 3 | | | | (96 | ) |
Dialysis Care Services revenue adjusted | | 2,328 | | 2,135 | | 6,634 | | 6,671 | |
| | | | | | | | | |
Care Coordination revenue | | 300 | | 705 | | 1,345 | | 2,094 | |
Effect from IFRS 15 implementation | | | | (50 | ) | | | (162 | ) |
Sound Q3 2017 | | | | (253 | ) | | | (253 | ) |
Care Coordination revenue on a comparable basis | | 300 | | 402 | | 1,345 | | 1,679 | |
| | | | | | | | | |
Operating income (EBIT) | | | | | | | | | |
Total | | | | | | | | | |
Operating income (EBIT) | | 527 | | 609 | | 2,425 | | 1,843 | |
(Gain) loss related to divestitures of Care Coordination activities | | (10 | ) | | | (830 | ) | | |
Sound Q3 2017 | | | | (20 | ) | | | (20 | ) |
2018 FCPA related charge | | 75 | | | | 75 | | | |
U.S. Ballot Initiatives(3) | | 23 | | | | 28 | | | |
Operating income (EBIT) on a comparable basis | | 615 | | 589 | | 1,698 | | 1,823 | |
VA Agreement | | | | 3 | | | | (88 | ) |
Natural Disaster Costs(4) | | | | 12 | | | | 12 | |
Operating income (EBIT) adjusted | | 615 | | 604 | | 1,698 | | 1,747 | |
| | | | | | | | | |
North America | | | | | | | | | |
Operating income (EBIT) | | 525 | | 483 | | 2,173 | | 1,478 | |
(Gain) loss related to divestitures of Care Coordination activities | | (10 | ) | | | (830 | ) | | |
Sound Q3 2017 | | | | (20 | ) | | | (20 | ) |
U.S. Ballot Initiatives | | 23 | | | | 28 | | | |
Operating income (EBIT) on a comparable basis | | 538 | | 463 | | 1,371 | | 1,458 | |
VA Agreement | | | | 3 | | | | (95 | ) |
Natural Disaster Costs | | | | 12 | | | | 12 | |
Operating income (EBIT) adjusted | | 538 | | 478 | | 1,371 | | 1,375 | |
| | | | | | | | | |
Dialysis operating income (EBIT) | | 489 | | 437 | | 1,255 | | 1,424 | |
U.S. Ballot Initiatives | | 23 | | | | 28 | | | |
Dialysis operating income (EBIT) on a comparable basis | | 512 | | 437 | | 1,283 | | 1,424 | |
VA Agreement | | | | 3 | | | | (95 | ) |
Natural Disaster Costs | | | | 11 | | | | 11 | |
Dialysis operating income (EBIT) adjusted | | 512 | | 451 | | 1,283 | | 1,340 | |
| | | | | | | | | |
Care Coordination operating income (EBIT) | | 36 | | 46 | | 918 | | 54 | |
(Gain) loss related to divestitures of Care Coordination activities | | (10 | ) | | | (830 | ) | | |
Sound Q3 2017 | | | | (20 | ) | | | (20 | ) |
Care Coordination operating income (EBIT) on a comparable basis | | 26 | | 26 | | 88 | | 34 | |
Natural Disaster Costs | | | | 1 | | | | 1 | |
Care Coordination operating income (EBIT) adjusted | | 26 | | 27 | | 88 | | 35 | |
| | | | | | | | | |
Corporate | | | | | | | | | |
Operating income (EBIT) | | (151 | ) | (75 | ) | (292 | ) | (250 | ) |
2018 FCPA related charge | | 75 | | | | 75 | | | |
Operating income (EBIT) on a comparable basis | | (76 | ) | (75 | ) | (217 | ) | (250 | ) |
VA Agreement | | | | | | | | 7 | |
Operating income (EBIT) adjusted | | (76 | ) | (75 | ) | (217 | ) | (243 | ) |
| | | | | | | | | |
Net income (5) | | 285 | | 309 | | 1,557 | | 886 | |
(Gain) loss related to divestitures of Care Coordination activities | | (17 | ) | | | (690 | ) | | |
Sound Q3 2017 | | | | (5 | ) | | | (5 | ) |
2018 FCPA related charge | | 75 | | | | 75 | | | |
U.S. Ballot Initiatives | | 21 | | | | 27 | | | |
Net income(5) on a comparable basis | | 364 | | 304 | | 969 | | 881 | |
VA Agreement | | | | 2 | | | | (52 | ) |
Natural Disaster Costs | | | | 8 | | | | 8 | |
U.S. Tax Reform(6) | | (54 | ) | | | (137 | ) | | |
Net income(5) adjusted | | 310 | | 314 | | 832 | | 837 | |
| | | | | | | | | |
Basic earnings per share | | € | 0.93 | | € | 1.01 | | € | 5.08 | | € | 2.89 | |
(Gain) loss related to divestitures of Care Coordination activities | | € | (0.05 | ) | | | € | (2.25 | ) | | |
Sound Q3 2017 | | | | € | (0.02 | ) | | | € | (0.02 | ) |
2018 FCPA related charge | | € | 0.24 | | | | € | 0.24 | | | |
U.S. Ballot Initiatives | | € | 0.07 | | | | € | 0.09 | | | |
Basic earnings per share on a comparable basis | | € | 1.19 | | € | 0.99 | | € | 3.16 | | € | 2.87 | |
VA Agreement | | | | € | 0.00 | | | | € | (0.17 | ) |
Natural Disaster Costs | | | | € | 0.03 | | | | € | 0.03 | |
U.S. Tax Reform | | € | (0.18 | ) | | | € | (0.45 | ) | | |
Basic earnings per share adjusted | | € | 1.01 | | € | 1.02 | | € | 2.71 | | € | 2.73 | |
(1) Sound Q3 2017: contribution of Sound Physicians
(2) VA Agreement: Agreement with the United States Departments of Veterans Affairs and Justice
(3) U.S. Ballot Initiatives: contributions to the opposition to the ballot initiatives in the U.S.
(4) Natural Disaster Costs: three hurricanes and an earthquake
(5) Attributable to shareholders of FMC AG & Co. KGaA
(6) U.S. Tax Reform: impacts from U.S. tax reform
10