Exhibit 99.2
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Fresenius Medical Care AG & Co. KGaA
COMPLETE OVERVIEW OF THE FIRST QUARTER 2020
May 6, 2020
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 adjusted results | page 10 |
Outlook 2020 | 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 March 31 | | Change | |
in € million, except share data, unaudited | | 2020 | | 2019 | | Change | | at cc | |
Health Care Services | | 3,595 | | 3,317 | | 8.4 | % | 6.5 | % |
Health Care Products | | 893 | | 816 | | 9.6 | % | 9.3 | % |
Total revenue | | 4,488 | | 4,133 | | 8.6 | % | 7.1 | % |
Costs of revenue | | 3,077 | | 2,867 | | 7.3 | % | 6.0 | % |
Gross profit | | 1,411 | | 1,266 | | 11.5 | % | 9.5 | % |
Selling, general and administrative | | 854 | | 720 | | 18.6 | % | 16.9 | % |
(Gain) loss related to divestitures of Care Coordination activities | | (24 | ) | — | | n.a. | | n.a. | |
Research and development | | 46 | | 29 | | 60.6 | % | 58.3 | % |
Income from equity method investees | | (20 | ) | (20 | ) | 1.9 | % | 1.9 | % |
Operating income | | 555 | | 537 | | 3.5 | % | 1.1 | % |
Operating income margin in % | | 12.4 | % | 13.0 | % | | | | |
Interest income | | (9 | ) | (28 | ) | -68.7 | % | -68.3 | % |
Interest expense | | 113 | | 136 | | -16.8 | % | -18.0 | % |
Interest expense, net | | 104 | | 108 | | -3.4 | % | -4.9 | % |
Income before taxes | | 451 | | 429 | | 5.2 | % | 2.6 | % |
Income tax expense | | 100 | | 101 | | -0.4 | % | -2.8 | % |
Net income | | 351 | | 328 | | 6.9 | % | 4.3 | % |
Net income attributable to noncontrolling interests | | 68 | | 57 | | 18.7 | % | 15.2 | % |
Net income attributable to shareholders of FMC-AG & Co. KGaA | | 283 | | 271 | | 4.4 | % | 2.0 | % |
Operating income | | 555 | | 537 | | 3.5 | % | 1.1 | % |
Depreciation, amortization and impairment loss | | 401 | | 362 | | 10.6 | % | 8.6 | % |
EBITDA | | 956 | | 899 | | 6.3 | % | 4.1 | % |
EBITDA margin in % | | 21.3 | % | 21.8 | % | | | | |
Weighted average number of shares | | 297,842,343 | | 306,659,364 | | | | | |
Basic earnings per share | | € | 0.95 | | € | 0.88 | | 7.5 | % | 5.0 | % |
Basic earnings per ADS | | € | 0.47 | | € | 0.44 | | 7.5 | % | 5.0 | % |
2
Segment information
| | Three months ended March 31 | | Change | |
unaudited | | 2020 | | 2019 | | Change | | at cc | |
Total | | | | | | | | | |
Revenue in € million | | 4,488 | | 4,133 | | 8.6 | % | 7.1 | % |
Operating income in € million | | 555 | | 537 | | 3.5 | % | 1.1 | % |
Operating income margin in % | | 12.4 | % | 13.0 | % | | | | |
Delivered Operating Income in € million | | 487 | | 480 | | 1.7 | % | -0.6 | % |
Days sales outstanding (DSO) | | 77 | | 83 | | | | | |
Employees (full-time equivalents) | | 121,403 | | 118,308 | | | | | |
| | | | | | | | | |
North America | | | | | | | | | |
Revenue in € million | | 3,186 | | 2,887 | | 10.4 | % | 7.2 | % |
Operating income in € million | | 463 | | 372 | | 24.4 | % | 21.1 | % |
Operating income margin in % | | 14.5 | % | 12.9 | % | | | | |
Delivered Operating Income in € million | | 398 | | 319 | | 24.9 | % | 21.6 | % |
Days sales outstanding (DSO) | | 65 | | 72 | | | | | |
| | | | | | | | | |
EMEA | | | | | | | | | |
Revenue in € million | | 679 | | 653 | | 4.0 | % | 4.1 | % |
Operating income in € million | | 101 | | 138 | | -26.7 | % | -26.6 | % |
Operating income margin in % | | 14.9 | % | 21.1 | % | | | | |
Delivered Operating Income in € million | | 100 | | 136 | | -26.4 | % | -26.4 | % |
Days sales outstanding (DSO) | | 98 | | 96 | | | | | |
| | | | | | | | | |
Asia-Pacific | | | | | | | | | |
Revenue in € million | | 443 | | 428 | | 3.6 | % | 2.6 | % |
Operating income in € million | | 77 | | 95 | | -18.9 | % | -19.5 | % |
Operating income margin in % | | 17.3 | % | 22.1 | % | | | | |
Delivered Operating Income in € million | | 75 | | 93 | | -19.0 | % | -19.5 | % |
Days sales outstanding (DSO) | | 103 | | 117 | | | | | |
| | | | | | | | | |
Latin America | | | | | | | | | |
Revenue in € million | | 168 | | 161 | | 4.1 | % | 24.4 | % |
Operating income in € million | | 7 | | 11 | | -39.8 | % | -39.5 | % |
Operating income margin in % | | 4.1 | % | 7.1 | % | | | | |
Delivered Operating Income in € million | | 7 | | 11 | | -39.3 | % | -39.2 | % |
Days sales outstanding (DSO) | | 133 | | 120 | | | | | |
| | | | | | | | | |
Corporate | | | | | | | | | |
Revenue in € million | | 12 | | 4 | | 187.0 | % | 182.0 | % |
Operating income in € million | | (93 | ) | (79 | ) | 16.7 | % | 16.2 | % |
Delivered Operating Income in € million | | (93 | ) | (79 | ) | 16.8 | % | 16.3 | % |
3
Balance sheet
| | March 31 | | December 31 | |
in € million, except net leverage ratio, unaudited | | 2020 | | 2019 | |
| | | | | |
Assets | | | | | |
Current assets | | 7,856 | | 7,165 | |
Goodwill and intangible assets | | 15,727 | | 15,444 | |
Right of use assets | | 4,401 | | 4,325 | |
Other non-current assets | | 6,088 | | 6,001 | |
Total assets | | 34,072 | | 32,935 | |
| | | | | |
Liabilities and equity | | | | | |
Current liabilities | | 8,602 | | 7,007 | |
Non-current liabilities | | 12,200 | | 12,701 | |
Total equity | | 13,270 | | 13,227 | |
Total liabilities and equity | | 34,072 | | 32,935 | |
| | | | | |
Equity/assets ratio | | 39 | % | 40 | % |
| | | | | |
Debt and lease liabilities | | | | | |
Short-term debt | | 1,507 | | 1,150 | |
Short-term debt from related parties | | 521 | | 22 | |
Current portion of long-term debt | | 1,965 | | 1,447 | |
Current portion of long-term lease liabilities | | 630 | | 622 | |
Current portion of long-term lease liabilities from related parties | | 17 | | 17 | |
Long-term debt, less current portion | | 5,803 | | 6,458 | |
Long-term lease liabilities, less current portion | | 4,030 | | 3,960 | |
Long-term lease liabilities from related parties, less current portion | | 104 | | 106 | |
Total debt and lease liabilities | | 14,577 | | 13,782 | |
Minus: Cash and cash equivalents | | (1,405 | ) | (1,008 | ) |
Total net debt and lease liabilities | | 13,172 | | 12,774 | |
| | | | | |
Reconciliation of annualized adjusted EBITDA and net leverage ratio to the most directly comparable IFRS financial measures | | | | | |
Net income | | 1,461 | | 1,439 | |
Income tax expense | | 401 | | 402 | |
Interest income | | (42 | ) | (62 | ) |
Interest expense | | 468 | | 491 | |
Depreciation and amortization | | 1,590 | | 1,553 | |
Adjustments (1) | | 93 | | 110 | |
Annualized adjusted EBITDA | | 3,971 | | 3,933 | |
| | | | | |
Net leverage ratio | | 3.3 | | 3.2 | |
(1) Acquisitions and divestitures made for the last twelve months with a purchase price above a €50 M threshold as defined in the Amended 2012 Credit Agreement (2020: €5 M; 2019: -€71 M), non-cash charges, primarily related to pension expense (2020: €46 M; 2019: €46 M), impairment loss (2020: €42 M; 2019: €40 M) and NxStage related transaction costs (2019: €95 M).
4
Cash flow statement
| | Three months ended March 31 | |
in € million, unaudited | | 2020 | | 2019 | |
Operating activities | | | | | |
Net income | | 351 | | 328 | |
Depreciation / amortization / impairment loss | | 401 | | 362 | |
Change in working capital and other non-cash items | | (168 | ) | (614 | ) |
Net cash provided by (used in) operating activities | | 584 | | 76 | |
In percent of revenue | | 13.0 | % | 1.8 | % |
| | | | | |
Investing activities | | | | | |
Purchases of property, plant and equipment | | (282 | ) | (201 | ) |
Proceeds from sale of property, plant and equipment | | 2 | | 2 | |
Capital expenditures, net | | (280 | ) | (199 | ) |
| | | | | |
Free cash flow | | 304 | | (123 | ) |
In percent of revenue | | 6.8 | % | -3.0 | % |
| | | | | |
Acquisitions and investments, net of cash acquired, and purchases of intangible assets | | (38 | ) | (1,829 | ) |
Proceeds from divestitures | | 6 | | 11 | |
Acquisitions and investments, net of divestitures | | (32 | ) | (1,818 | ) |
Free cash flow after investing activities | | 272 | | (1,941 | ) |
5
Revenue development
in € million, unaudited | | 2020 | | 2019 | | Change | | Change at cc | | Organic growth | | Same market treatment growth(1) | |
Three months ended March 31 | | | | | | | | | | | | | |
Total revenue | | 4,488 | | 4,133 | | 8.6 | % | 7.1 | % | 3.8 | % | | |
Health Care Services | | 3,595 | | 3,317 | | 8.4 | % | 6.5 | % | 4.1 | % | 3.4 | % |
Thereof Dialysis Care revenue | | 3,198 | | 2,957 | | 8.1 | % | 6.4 | % | 3.6 | % | 3.4 | % |
Thereof Care Coordination revenue | | 397 | | 360 | | 10.1 | % | 7.5 | % | 9.0 | % | | |
Health Care Products | | 893 | | 816 | | 9.6 | % | 9.3 | % | 2.3 | % | | |
| | | | | | | | | | | | | |
North America | | 3,186 | | 2,887 | | 10.4 | % | 7.2 | % | 3.2 | % | | |
Health Care Services | | 2,908 | | 2,680 | | 8.5 | % | 5.4 | % | 3.0 | % | 3.1 | % |
Thereof Dialysis Care revenue | | 2,571 | | 2,372 | | 8.4 | % | 5.2 | % | 2.3 | % | 3.1 | % |
Thereof Care Coordination revenue | | 337 | | 308 | | 9.3 | % | 6.1 | % | 9.1 | % | | |
Health Care Products | | 278 | | 207 | | 34.4 | % | 30.5 | % | 6.4 | % | | |
| | | | | | | | | | | | | |
EMEA | | 679 | | 653 | | 4.0 | % | 4.1 | % | 3.0 | % | | |
Health Care Services | | 341 | | 324 | | 5.3 | % | 5.6 | % | 4.3 | % | 2.4 | % |
Health Care Products | | 338 | | 329 | | 2.7 | % | 2.7 | % | 1.7 | % | | |
Thereof Dialysis Products | | 314 | | 310 | | 1.2 | % | 1.1 | % | 0.1 | % | | |
Thereof Non-Dialysis Products | | 24 | | 19 | | 28.9 | % | 28.8 | % | 28.8 | % | | |
| | | | | | | | | | | | | |
Asia-Pacific | | 443 | | 428 | | 3.6 | % | 2.6 | % | 1.9 | % | | |
Health Care Services | | 218 | | 199 | | 9.7 | % | 7.6 | % | 6.5 | % | 5.9 | % |
Thereof Dialysis Care revenue | | 158 | | 147 | | 7.8 | % | 4.7 | % | 5.7 | % | 5.9 | % |
Thereof Care Coordination revenue | | 60 | | 52 | | 15.0 | % | 15.8 | % | 8.5 | % | | |
Health Care Products | | 225 | | 229 | | -1.7 | % | -1.7 | % | -1.8 | % | | |
Thereof Dialysis Products | | 220 | | 229 | | -3.7 | % | -3.7 | % | -3.8 | % | | |
Thereof Non-Dialysis Products | | 5 | | — | | n.a. | | n.a. | | n.a. | | | |
| | | | | | | | | | | | | |
Latin America | | 168 | | 161 | | 4.1 | % | 24.4 | % | 17.1 | % | | |
Health Care Services | | 121 | | 114 | | 5.0 | % | 28.5 | % | 19.7 | % | 4.9 | % |
Health Care Products | | 47 | | 47 | | 1.8 | % | 14.2 | % | 10.5 | % | | |
| | | | | | | | | | | | | |
Corporate | | 12 | | 4 | | 187.0 | % | 182.0 | % | | | | |
Health Care Services | | 7 | | — | | n.a. | | n.a. | | | | | |
Health Care Products | | 5 | | 4 | | 16.9 | % | 16.9 | % | | | | |
(1) same market treatment growth = organic growth less price effects
6
Key metrics North America segment
| | Three months ended March 31 | | Change | |
unaudited | | 2020 | | 2019 | | Change | | at cc | |
Dialysis | | | | | | | | | |
Revenue in € million | | 2,849 | | 2,579 | | 10.5 | % | 7.3 | % |
Operating income in € million | | 416 | | 332 | | 25.2 | % | 21.8 | % |
Operating income margin in % | | 14.6 | % | 12.9 | % | | | | |
Delivered Operating Income in € million | | 359 | | 285 | | 26.1 | % | 22.8 | % |
| | | | | | | | | |
Care Coordination | | | | | | | | | |
Revenue in € million | | 337 | | 308 | | 9.3 | % | 6.1 | % |
Operating income in € million | | 47 | | 40 | | 18.1 | % | 14.8 | % |
Operating income margin in % | | 14.0 | % | 13.0 | % | | | | |
Delivered Operating Income in € million | | 39 | | 34 | | 14.7 | % | 11.5 | % |
Key metrics Dialysis Care Services
| | Three months ended March 31, 2020 | |
| | | | Growth | | | | | | Growth | | | | Growth | |
unaudited | | Clinics | | in % | | De novos | | Patients | | in % | | Treatments | | in % | |
Total | | 4,002 | | 1 | % | 27 | | 348,703 | | 4 | % | 13,179,096 | | 5 | % |
North America | | 2,597 | | 1 | % | 15 | | 213,221 | | 4 | % | 8,096,332 | | 5 | % |
EMEA | | 786 | | 1 | % | 6 | | 66,843 | | 2 | % | 2,511,370 | | 1 | % |
Asia-Pacific | | 376 | | -6 | % | 5 | | 31,337 | | -1 | % | 1,145,897 | | 4 | % |
Latin America | | 243 | | 5 | % | 1 | | 37,302 | | 12 | % | 1,425,497 | | 11 | % |
Key metrics Care Coordination
| | Three months ended March 31 | |
unaudited | | 2020 | | 2019 | | Change | | Change at cc | |
North America | | | | | | | | | |
Member months under medical cost management(1) | | 171,525 | | 170,903 | | 0.4 | % | | |
Medical cost under management (in € million)(1) | | 1,116 | | 1,071 | | 4.2 | % | 1.2 | % |
Care Coordination patient encounters | | 207,241 | | 272,353 | | -23.9 | % | | |
(1) Data presented for the ESCO metrics are subject to finalization by CMS, which may result in changes from previously reported metrics.
7
Quality data(1)
| | North America | | EMEA | | Latin America | | Asia-Pacific | |
in % of patients | | Q1 2020 | | Q1 2019 | | Q1 2020 | | Q1 2019 | | Q1 2020 | | Q1 2019 | | Q1 2020 | | Q1 2019 | |
Kt/V > 1.2 | | 97 | | 97 | | 94 | | 95 | | 96 | | 97 | | 98 | | 99 | |
Hemoglobin = 10-12 g/dl | | 70 | | 70 | | 82 | | 82 | | 50 | | 49 | | 55 | | 56 | |
Calcium = 8.4-10.2 mg/dl | | 80 | | 85 | | 79 | | 79 | | 75 | | 77 | | 74 | | 74 | |
Albumin > 3.5 g/dl(1) | | 80 | | 81 | | 89 | | 89 | | 90 | | 91 | | 88 | | 90 | |
Phosphate < 5.5 mg/dl | | 59 | | 60 | | 80 | | 80 | | 76 | | 76 | | 63 | | 66 | |
Patients without catheter (after 90 days) | | 81 | | 83 | | 78 | | 79 | | 79 | | 80 | | 83 | | 85 | |
in days | | | | | | | | | | | | | | | | | |
Days in hospital per patient year | | 10.2 | | 11.1 | | 7.5 | | 7.8 | | 4.2 | | 4.3 | | 2.3 | | 3.0 | |
(1) Definitions cf. Annual Report 2018, Section “Non-Financial Group Report”
8
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | Three months ended | |
| | March 31 | |
in € million, unaudited | | 2020 | | 2019 | |
Delivered Operating Income reconciliation | | | | | |
Total | | | | | |
Operating income | | 555 | | 537 | |
less noncontrolling interests | | (68 | ) | (57 | ) |
Delivered Operating Income | | 487 | | 480 | |
| | | | | |
North America | | | | | |
Operating income | | 463 | | 372 | |
less noncontrolling interests | | (65 | ) | (53 | ) |
Delivered Operating Income | | 398 | | 319 | |
| | | | | |
Dialysis | | | | | |
Operating income | | 416 | | 332 | |
less noncontrolling interests | | (57 | ) | (47 | ) |
Delivered Operating Income | | 359 | | 285 | |
| | | | | |
Care Coordination | | | | | |
Operating income | | 47 | | 40 | |
less noncontrolling interests | | (8 | ) | (6 | ) |
Delivered Operating Income | | 39 | | 34 | |
| | | | | |
EMEA | | | | | |
Operating income | | 101 | | 138 | |
less noncontrolling interests | | (1 | ) | (2 | ) |
Delivered Operating Income | | 100 | | 136 | |
| | | | | |
Asia-Pacific | | | | | |
Operating income | | 77 | | 95 | |
less noncontrolling interests | | (2 | ) | (2 | ) |
Delivered Operating Income | | 75 | | 93 | |
| | | | | |
Dialysis | | | | | |
Operating income | | 75 | | 89 | |
less noncontrolling interests | | (2 | ) | (2 | ) |
Delivered Operating Income | | 73 | | 87 | |
| | | | | |
Care Coordination | | | | | |
Operating income | | 2 | | 6 | |
less noncontrolling interests | | 0 | | 0 | |
Delivered Operating Income | | 2 | | 6 | |
| | | | | |
Latin America | | | | | |
Operating income | | 7 | | 11 | |
less noncontrolling interests | | 0 | | 0 | |
Delivered Operating Income | | 7 | | 11 | |
| | | | | |
Corporate | | | | | |
Operating income | | (93 | ) | (79 | ) |
less noncontrolling interests | | 0 | | 0 | |
Delivered Operating Income | | (93 | ) | (79 | ) |
9
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
| | | | | | | | | | | | | | Change | |
| | | | | | | | Cost | | Results | | Change | | (adjusted | |
| | Results | | Results | | NxStage | | optimization | | 2019 | | (adjusted | | results) | |
in € million, except share data, unaudited | | 2020 | | 2019 | | costs | | costs | | adjusted | | results) | | at cc | |
Three months ended March 31 | | | | | | | | | | | | | | | |
Total revenue | | 4,488 | | 4,133 | | | | | | 4,133 | | 8.6 | % | 7.1 | % |
EBITDA | | 956 | | 899 | | 16 | | 4 | | 919 | | 4.0 | % | 1.9 | % |
Total operating income | | 555 | | 537 | | 16 | | 4 | | 557 | | -0.3 | % | -2.5 | % |
North America | | 463 | | 372 | | 16 | | 4 | | 392 | | 18.1 | % | 15.0 | % |
Dialysis | | 416 | | 332 | | 16 | | 4 | | 352 | | 18.2 | % | 15.0 | % |
Care Coordination | | 47 | | 40 | | | | | | 40 | | 18.1 | % | 14.8 | % |
EMEA | | 101 | | 138 | | | | | | 138 | | -26.7 | % | -26.6 | % |
Asia-Pacific | | 77 | | 95 | | | | | | 95 | | -18.9 | % | -19.5 | % |
Dialysis | | 75 | | 89 | | | | | | 89 | | -15.9 | % | -16.8 | % |
Care Coordination | | 2 | | 6 | | | | | | 6 | | -64.0 | % | -59.8 | % |
Latin America | | 7 | | 11 | | | | | | 11 | | -39.8 | % | -39.5 | % |
Corporate | | (93 | ) | (79 | ) | | | | | (79 | ) | 16.9 | % | 16.4 | % |
Interest expense, net | | 104 | | 108 | | | | | | 108 | | -3.4 | % | -4.9 | % |
Income tax expense | | 100 | | 101 | | 4 | | 1 | | 106 | | -5.3 | % | -7.6 | % |
Net income attributable to noncontrolling interests | | 68 | | 57 | | | | | | 57 | | 18.7 | % | 15.2 | % |
Net income(1) | | 283 | | 271 | | 12 | | 3 | | 286 | | -1.0 | % | -3.3 | % |
Basic earnings per share | | € | 0.95 | | € | 0.88 | | € | 0.04 | | € | 0.01 | | € | 0.93 | | 2.0 | % | -0.4 | % |
| | | | | | | | | | | | | | | | | | | | |
(1) Attributable to shareholders of FMC-AG & Co. KGaA
10
Outlook 2020
| | | | Outlook 2020 |
| | Results 2019 | | (at Constant Currency) |
Revenue(1) | | €17,477 M | | mid to high single digit growth rate |
Operating income(1) | | €2,356 M | | mid to high single digit growth rate |
Delivered Operating Income(1) | | €2,117 M | | mid to high single digit growth rate |
Net income(1),(2) | | €1,236 M | | mid to high single digit growth rate |
Basic earnings per share growth(1),(2) at Constant Currency | | — | | assessed based on expected development of net income and shares outstanding |
Capital expenditures | | €1.1 BN | | €1.1 - €1.3 BN |
Acquisitions and investments(3) | | €2.2 BN | | €0.5 - €0.7 BN |
Net cash provided by (used in) operating activities in % of revenue | | 14.7% | | > 12.5% |
Free cash flow in % of revenue | | 8.3% | | > 5% |
Net leverage ratio | | 3.2 | | < 3.5 |
ROIC | | 6.1% | | > 6.0% |
Dividend per share(4) | | €1.20 | | assessed based on expected development of net income and shares outstanding |
Employees(5) | | 120,659 | | > 124,000 |
Research and development expenses | | €168 M | | €210 - €230 M |
(1) Outlook 2020 excl. the impact from the COVID-19 pandemic and special items. Special items are effects that are unusual in nature and have not been foreseeable or not foreseeable in size or impact at the time of giving guidance. Growth rates based on adjusted results 2019 including IFRS 16 implementation and NxStage operations.
(2) Net income attributable to shareholders of FMC-AG & Co. KGaA.
(3) Excluding investments in debt securities.
(4) Results 2019: proposal to be approved by the 2020 Annual General Meeting.
(5) Full-time equivalents.
11