Form 6-K Fresenius Medical Care For: Feb 20
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER
Pursuant to Rule 13a-16 or 15d-16 of the
Securities Exchange Act of 1934
For the month of February 2020
FRESENIUS MEDICAL CARE AG & Co. KGaA
(Translation of registrants name into English)
Else-Kröner Strasse 1
61346 Bad Homburg
Germany
(Address of principal executive offices)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F x Form 40-F o
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): o
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): o
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes o No x
If Yes is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82
On February 19, 2019 Fresenius Medical Care AG & Co. KGaA (the Company) issued a Press Release announcing its fourth quarter and fiscal year 2019 results. A copy of the Press Release is furnished as Exhibit 99.1 and the corresponding financial figures as Exhibit 99.2.
The attached Press Release contains non-GAAP financial measures. For purposes of Regulation G, a non-GAAP financial measure is a numerical measure of a companys performance, financial position, or cash flows that either excludes or includes amounts that are not normally excluded or included in the most directly comparable measure calculated and presented in accordance with generally accepted accounting principles. To supplement our fourth quarter and fiscal year 2019 results consolidated financial results presented in accordance with International Financial Reporting Standards, or IFRS, we have used non-GAAP financial measure of (a) EBITDA, or operating income excluding interest, taxes, depreciation and amortization, (b) delivered operating income (earnings before interest and taxes), (c) free cash flow, and (d) results presented in constant currency. These non-GAAP measures are provided to enhance the users overall understanding of our current financial performance and our prospects for the future. In addition, because we have historically reported certain non-GAAP financial measures in our financial results, we believe the inclusion of these non-IFRS financial measures provides consistency and comparability in our financial reporting to prior periods for which these non-GAAP financial measures were previously reported. These non-GAAP financial measures should not be used as a substitute for or be considered superior to GAAP financial measures. Reconciliation of the non-GAAP financial measures to the most comparable IFRS financial measures are included in the attached Press Release in a separate statement setting forth the reconciliation and in the Cash Flow Statement.
The Exhibits attached hereto, shall not be deemed filed for purposes of Section 18 of the Securities and Exchange Act of 1934 (the Exchange Act) or otherwise subject to the liabilities of that section, nor shall they be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, regardless of any general incorporation language in such filing.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
DATE: February 20, 2020
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FRESENIUS MEDICAL CARE AG & Co. KGaA, | ||
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a partnership limited by shares, represented by: | ||
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FRESENIUS MEDICAL CARE MANAGEMENT AG, its General Partner | ||
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By: |
/s/ RICE POWELL | |
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Name: |
Rice Powell |
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Title: |
Chief Executive Officer and Chairman of the Management Board of the General Partner |
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By: |
/s/ HELEN GIZA | |
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Name: |
Helen Giza |
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Title: |
Chief Financial Officer and Member of the Management Board of the General Partner |
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Press Release |
Media Contact |
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Matthias Link |
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T +49 6172 609-2872 |
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Contact for analysts and investors |
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Dr. Dominik Heger |
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T +49 6172 609-2601 |
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www.freseniusmedicalcare.com |
February 19, 2020
Fresenius Medical Care achieves 2019 guidance and confirms 2020 outlook of sustainable, profitable growth
· Solid Q4 performance
· Full year guidance achieved
· Investments in home dialysis and growth markets as planned
· Cost optimization initiatives as planned
· 23rd dividend increase proposed
· Outlook 2020 confirmed
Rice Powell, Chief Executive Officer of Fresenius Medical Care, said: 2019 was a successful year for Fresenius Medical Care. We achieved our revenue and net income targets and are therefore proposing our 23rd consecutive dividend increase. Last year we also invested more strongly in our future growth, particularly in the area of home dialysis and in developing economies. In addition, our measures to increase efficiency and optimize our cost base are progressing according to plan. As a consequence, we expect growth to accelerate, and confirm the 2020 outlook that we issued early last year.
Key figures (IFRS)
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Q4 |
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Q4 |
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Growth |
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Growth |
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FY |
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FY |
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Growth |
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Growth |
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EUR million |
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2019 |
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2018 |
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yoy |
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yoy, cc |
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2019 |
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2018 |
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yoy |
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yoy, cc |
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Revenue |
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4,580 |
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4,300 |
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7 |
% |
4 |
% |
17,477 |
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16,547 |
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6 |
% |
2 |
% |
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Revenue adjusted(1) |
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4,546 |
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4,294 |
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6 |
% |
4 |
% |
17,329 |
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16,026 |
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8 |
% |
5 |
% |
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Operating income |
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616 |
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613 |
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1 |
% |
-2 |
% |
2,270 |
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3,038 |
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-25 |
% |
-28 |
% |
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Operating income adjusted(1) |
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655 |
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636 |
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3 |
% |
0 |
% |
2,296 |
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2,292 |
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0 |
% |
-4 |
% |
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Net income(2) |
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343 |
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425 |
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-19 |
% |
-21 |
% |
1,200 |
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1,982 |
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-39 |
% |
-42 |
% |
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Net income adjusted(1),(2) |
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408 |
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395 |
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3 |
% |
0 |
% |
1,369 |
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1,341 |
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2 |
% |
-2 |
% |
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Basic EPS (EUR) |
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1.14 |
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1.38 |
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-17 |
% |
-20 |
% |
3.96 |
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6.47 |
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-39 |
% |
-41 |
% |
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Basic EPS adjusted(1) |
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1.36 |
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1.29 |
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6 |
% |
3 |
% |
4.52 |
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4.37 |
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3 |
% |
-1 |
% |
cc = at constant currency, EPS = earnings per share
2020 guidance confirmed: mid to high single digit growth rates
Fresenius Medical Care expects both revenue and net income to grow at a mid to high single digit rate in 2020. These targets are in constant currency and exclude special items(3) and are based on the adjusted results 2019 including the effects of the operations of the NxStage acquisition and the IFRS 16 implementation.
Investment year 2019
The continued expansion of home dialysis in the U.S. is a key growth area for Fresenius Medical Care. As announced at the beginning of 2019, our investments focused on home training facilities, educational staff and materials along with scaling the distribution infrastructure to support both products and services. The closing of the acquisition of NxStage Medical, Inc. in February 2019 marked a milestone in our home dialysis strategy. In 2019, Fresenius Medical Care reported record growth with more than 25,000 patients being treated at home in North America.
The second major focus of investment were developing economies. In China, the worlds fastest-growing dialysis market, Fresenius Medical Care invested in expanding production capacities, research and development activities as well as in strengthening its services business, that has almost doubled with now 11 clinics. In September 2019, we launched the 4008A dialysis machine in China, laying an important foundation for the further development of the market.
(1) For a detailed reconciliation, please refer to the table at the end of the press release
(2) Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA
(3) 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.
In addition, Fresenius Medical Care invested EUR 91 million (EUR 83 million in North America) to sustainably improve the cost base of our clinical infrastructure. This 2019 cost optimization program is expected to be accretive to net income from the current financial year onwards. In 2019, we achieved further sustained cost improvements as part of our Global Efficiency Program (GEP II), in line with the originally anticipated contribution.
Creating shareholder value
Based on the solid results for 2019, the General Partner and the Supervisory Board will propose a new record dividend of EUR 1.20 per share, corresponding to a total payout of EUR 358 million, to the Annual General Meeting in May 2020. This proposal would result in the 23rd consecutive dividend increase.
In order to create additional shareholder value, Fresenius Medical Care launched a share buy-back program in 2019. Between March and December 2019, 8.9 million own shares were bought back at a total purchase price of EUR 600 million. The Company intends to use its residual authorization of EUR 400 million over the course of 2020.
Patients, Clinics and Employees
As of December 31, 2019, Fresenius Medical Care treated 345,096 patients in 3,994 dialysis clinics worldwide. At the end of 2019, Fresenius Medical Care had 120,659 employees (full-time equivalents) worldwide, compared to 112,658 employees as of December 31, 2018.
Strong organic revenue growth continued
Revenue for the fourth quarter of 2019 increased by 7% (+4% at constant currency) to EUR 4,580 million. Organic growth remained strong at 5%(4). Adjusted revenue increased by 6% (+4% at constant currency) to EUR 4,546 million. For a detailed reconciliation, please refer to the table at the end of the press release.
Health Care Services revenue rose by 6% to EUR 3,607 million (+3% at constant currency), while Health Care Products revenue grew by 10% to EUR 973 million (+8% at constant currency). This includes the negative effect from a revenue recognition adjustment of EUR 86 million (FY 2019: EUR 170 million) for accounts receivable in legal dispute in North America.
(4) Organic growth excludes a revenue recognition adjustment for accounts receivable in legal dispute and effects from IFRS 16 implementation.
Revenue for the full year 2019 rose by 6% to EUR 17,477 million (+2% at constant currency). Organic growth amounted to 5%. Adjusted revenue increased by 8% (+5% at constant currency) to EUR 17,329 million. Health Care Services revenue grew by 5% (+1% at constant currency) to EUR 13,872 million. Growth in same market treatments, contributions from acquisitions and increases in organic revenue per treatment were partly offset by decreases attributable to prior year revenue from divested activities of Sound Physicians and closed or sold clinics. Health Care Products revenue for the full year 2019 rose by 10% to EUR 3,605 million (+8% at constant currency). This increase was mainly driven by higher sales of home dialysis products as a result of the NxStage acquisition and by higher sales of dialyzers. This was partially offset by lower sales of machines as a result of changes in the accounting treatment for sale-leaseback transactions due to the IFRS 16 implementation.
In the fourth quarter operating income increased by 1% to EUR 616 million (-2% at constant currency), resulting in a margin of 13.5% (Q4 2018: 14.3%). Adjusted operating income grew by 3% to EUR 655 million (stable at constant currency), resulting in a margin of 14.4% (Q4 2018:14.8%). The included negative effect from a revenue recognition adjustment for accounts receivable in legal dispute in North America is EUR 86 million (FY 2019: EUR 170 million). For a detailed reconciliation, please refer to the table at the end of the press release.
Operating income for the full year decreased by 25% to EUR 2,270 million (-28% at constant currency), resulting in a margin of 13.0% (FY 2018: 18.4%). The 2018 basis includes the gain from the divestiture of Care Coordination activities including Sound Physicians. On an adjusted basis, operating income remained stable at EUR 2,296 million (-4% at constant currency), resulting in a margin of 13.2% (FY 2018: 14.3%).
Net income(2) for the fourth quarter decreased by 19% to EUR 343 million (-21% at constant currency). Adjusted net income(2) increased by 3% to EUR 408 million (+0% at constant currency). For a detailed reconciliation, please refer to the table at the end of the press release. Basic earnings per share (EPS) decreased by 17% to EUR 1.14 (-20% at constant currency). On an adjusted basis, EPS increased by 6% to EUR 1.36 (+3% at constant currency).
For the full year, net income decreased by 39% to EUR 1,200 million (-42% at constant currency). EPS decreased by 39% to EUR 3.96 (-41% at constant currency). Here, too, the 2018 basis includes the gain from the divestiture of Care Coordination activities including Sound Physicians. On an adjusted basis, net income grew by 2% to EUR 1,369 million (-2% at constant currency). This resulted in a 3% increase in adjusted EPS to EUR 4.52 (-1% at constant currency).
Strong Cash-flow development
In the fourth quarter, Fresenius Medical Care generated EUR 771 million of operating cash flow (Q4 2018: EUR 698 million) resulting in a margin of 16.8% (Q4 2018: 16.2%). The increase was largely driven by the IFRS 16 implementation. Free cash flow (net cash used in operating activities, after capital expenditures, before acquisitions and investments) amounted to EUR 434 million (Q4 2018: EUR 397 million) resulting in a margin of 9.5% (Q4 2018: 9.2%).
In the full year, we generated operating cash flow of EUR 2,567 million resulting in a margin of 14.7% (FY 2018: EUR 2,062 million, 12.5%). The increase was mainly due to the IFRS 16 implementation. Free cash flow for the full year 2019 amounted to EUR 1,454 million resulting in a margin of 8.3% (FY 2018: EUR 1,059 million, 6.4%).
Regional developments
In North America, revenue in the fourth quarter of 2019 increased by 6% to EUR 3,174 million (+3% at constant currency, +5% organic growth). For the full year 2019, North America revenue rose by 5% to EUR 12,195 million (stable at constant currency, +4% organic).
Operating income for the fourth quarter grew by 5% to EUR 515 million (+2% at constant currency). For the full year, operating income decreased by 33% to EUR 1,794 million (-36% at constant currency). The 2018 basis includes the gain from the divestiture of Care Coordination activities including Sound Physicians.
In EMEA, revenue in the fourth quarter increased by 4% to EUR 709 million (+4% at constant currency, +3% organic). For the full year, EMEA revenue rose by 4% to EUR 2,693 million (+4% at constant currency, +4% organic).
Operating income for the fourth quarter rose by 17% to EUR 114 million (+17% at constant currency). For the full year, operating income grew by 12% to EUR 448 million (+13% at constant currency) resulting in a margin of 16.6% (FY 2018: 15.4%). This improvement was mainly driven by a reduction of a contingent consideration liability related to Xenios and a positive impact from the IFRS 16 implementation.
In Asia-Pacific, revenue in the fourth quarter 2019 grew by 10% to EUR 499 million (+7% at constant currency, +6% organic). For the full year, revenue increased by 10% to EUR 1,859 million (+7% at constant currency, +7% organic).
Operating income for the fourth quarter decreased by 13% to EUR 75 million (-14% at constant currency). The decline in margin in the fourth quarter was mainly due to investments in business growth and expenses for the cost optimization program. For the full year, operating income grew by 8% to EUR 329 million (+6% at constant currency).
Regarding the coronavirus (nCoV) outbreak the first priority is to ensure continuation of treatments for our patients and the safety of our employees. It is too early to quantify the potential impact to our Asia-Pacific operations.
In Latin America, revenue for the fourth quarter increased by 6% to EUR 193 million (+24% at constant currency, +19% organic). For the full year, Latin America revenue increased by 3% (+21% at constant currency, +17% organic) to EUR 709 million.
Operating income for the fourth quarter increased by 189% to EUR 15 million (+201% at constant currency). For the full year, operating income increased by 47% to EUR 43 million (+35% at constant currency). The improved margin was mainly due to favorable foreign currency transaction effects.
Press conference
Fresenius Medical Care will hold a press conference at its headquarters in Bad Homburg, Germany to discuss the results of the fourth quarter and full year tomorrow on Thursday, February 20, 2020, at 10:00 a.m. CET / 4:00 a.m. EST. The press conference will be webcasted on the companys website www.freseniusmedicalcare.com in the Media section. A replay will be available shortly after the conference.
Conference call
We will also host a conference call to discuss the results of the fourth quarter tomorrow on Thursday, February 20, 2020, at 3:30 p.m. CET / 09:30 a.m. EST. Details will be available on the companys website www.freseniusmedicalcare.com in the Investors section. A replay will be available shortly after the call.
Please refer to our statement of earnings included at the end of this news and to the attachments as separate PDF-files for a complete overview of the results for the fourth quarter and full year 2019. Our 20-F disclosure provides more details.
Fresenius Medical Care is the worlds leading provider of products and services for individuals with renal diseases of which around 3.5 million patients worldwide regularly undergo dialysis treatment. Through its network of 3,994 dialysis clinics, Fresenius Medical Care provides dialysis treatments for 345,096 patients around the globe. Fresenius Medical Care is also the leading provider of dialysis products such as dialysis machines or dialyzers. Along with the core business, the company focuses on expanding the range of related medical services in the field of Care Coordination. Fresenius Medical Care is listed on the Frankfurt Stock Exchange (FME) and on the New York Stock Exchange (FMS).
For more information visit the Companys website at www.freseniusmedicalcare.com.
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 various factors, including, but not limited to, changes in business, economic and competitive conditions, legal changes, regulatory approvals, results of clinical studies, 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. KGaAs 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.
Statement of earnings
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Three months ended December 31 |
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Change |
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in million, except share data |
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2019 |
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2018 |
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Change |
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at cc |
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Health Care Services |
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3,607 |
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3,413 |
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5.7 |
% |
3.5 |
% | ||
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Health Care Products |
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973 |
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887 |
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9.6 |
% |
8.1 |
% | ||
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Revenue |
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4,580 |
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4,300 |
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6.5 |
% |
4.4 |
% | ||
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Revenue adjusted |
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4,546 |
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4,294 |
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5.9 |
% |
3.8 |
% | ||
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Costs of revenue |
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3,126 |
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2,920 |
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7.1 |
% |
5.1 |
% | ||
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Gross profit |
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1,454 |
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1,380 |
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5.3 |
% |
3.0 |
% | ||
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Selling, general and administrative |
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815 |
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733 |
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10.9 |
% |
8.1 |
% | ||
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(Gain) loss related to divestitures of Care Coordination activities |
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(15 |
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21 |
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n.a. |
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n.a. |
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Research and development |
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49 |
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34 |
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44.9 |
% |
42.7 |
% | ||
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Income from equity method investees |
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(11 |
) |
(21 |
) |
(49.3 |
)% |
(49.6 |
)% | ||
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Operating income |
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616 |
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613 |
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0.5 |
% |
(2.1 |
)% | ||
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Operating income adjusted |
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655 |
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636 |
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2.9 |
% |
0.1 |
% | ||
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|
|
|
|
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Interest expense, net |
|
102 |
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58 |
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78.3 |
% |
74.4 |
% | ||
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Income before taxes |
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514 |
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555 |
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(7.5 |
)% |
(10.0 |
)% | ||
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Income tax expense |
|
109 |
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63 |
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72.5 |
% |
68.3 |
% | ||
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Net income |
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405 |
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492 |
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(17.8 |
)% |
(20.0 |
)% | ||
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Net income attributable to noncontrolling interests |
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62 |
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67 |
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(8.0 |
)% |
(10.9 |
)% | ||
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Net income(1) |
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343 |
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425 |
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(19.4 |
)% |
(21.5 |
)% | ||
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Net income(1) adjusted |
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408 |
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395 |
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3.5 |
% |
0.5 |
% | ||
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Weighted average number of shares |
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299,304,206 |
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306,858,573 |
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Basic earnings per share |
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1.14 |
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1.38 |
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(17.3 |
)% |
(19.5 |
)% |
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Basic earnings per share adjusted |
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1.36 |
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1.29 |
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6.1 |
% |
3.0 |
% |
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In percent of revenue |
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Operating income |
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13.5 |
% |
14.3 |
% |
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Operating income adjusted |
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14.4 |
% |
14.8 |
% |
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(1) Attributable to shareholders of FMC-AG & Co. KGaA
For a reconciliation of adjusted figures, please refer to the table at the end of the press release.
Statement of earnings
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Twelve months ended December 31 |
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Change |
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in million, except share data |
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2019 |
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2018 |
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Change |
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at cc |
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Health Care Services |
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13,872 |
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13,264 |
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4.6 |
% |
0.8 |
% | ||
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Health Care Products |
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3,605 |
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3,283 |
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9.8 |
% |
8.0 |
% | ||
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Revenue |
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17,477 |
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16,547 |
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5.6 |
% |
2.2 |
% | ||
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Revenue adjusted |
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17,329 |
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16,026 |
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8.1 |
% |
4.7 |
% | ||
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|
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Costs of revenue |
|
12,081 |
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11,392 |
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6.0 |
% |
2.7 |
% | ||
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Gross profit |
|
5,396 |
|
5,155 |
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4.7 |
% |
1.1 |
% | ||
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Selling, general and administrative |
|
3,061 |
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2,885 |
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6.1 |
% |
2.9 |
% | ||
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(Gain) loss related to divestitures of Care Coordination activities |
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(29 |
) |
(809 |
) |
(96.4 |
)% |
(96.6 |
)% | ||
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Research and development |
|
168 |
|
114 |
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47.3 |
% |
44.0 |
% | ||
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Income from equity method investees |
|
(74 |
) |
(73 |
) |
0.5 |
% |
0.1 |
% | ||
|
Operating income |
|
2,270 |
|
3,038 |
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(25.3 |
)% |
(28.2 |
)% | ||
|
Operating income adjusted |
|
2,296 |
|
2,292 |
|
0.2 |
% |
(3.8 |
)% | ||
|
|
|
|
|
|
|
|
|
|
| ||
|
Interest expense, net |
|
429 |
|
301 |
|
42.6 |
% |
37.4 |
% | ||
|
Income before taxes |
|
1,841 |
|
2,737 |
|
(32.8 |
)% |
(35.5 |
)% | ||
|
Income tax expense |
|
402 |
|
511 |
|
(21.4 |
)% |
(24.4 |
)% | ||
|
Net income |
|
1,439 |
|
2,226 |
|
(35.4 |
)% |
(38.0 |
)% | ||
|
Net income attributable to noncontrolling interests |
|
239 |
|
244 |
|
(2.0 |
)% |
(6.9 |
)% | ||
|
Net income(1) |
|
1,200 |
|
1,982 |
|
(39.5 |
)% |
(41.8 |
)% | ||
|
Net income(1) adjusted |
|
1,369 |
|
1,341 |
|
2.1 |
% |
(2.0 |
)% | ||
|
Weighted average number of shares |
|
302,691,397 |
|
306,541,706 |
|
|
|
|
| ||
|
|
|
|
|
|
|
|
|
|
| ||
|
Basic earnings per share |
|
|
3.96 |
|
|
6.47 |
|
(38.7 |
)% |
(41.1 |
)% |
|
Basic earnings per share adjusted |
|
|
4.52 |
|
|
4.37 |
|
3.4 |
% |
(0.7 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In percent of revenue |
|
|
|
|
|
|
|
|
| ||
|
Operating income |
|
13.0 |
% |
18.4 |
% |
|
|
|
| ||
|
Operating income adjusted |
|
13.2 |
% |
14.3 |
% |
|
|
|
| ||
(1) Attributable to shareholders of FMC-AG & Co. KGaA
For a reconciliation of adjusted figures, please refer to the table at the end of the press release.
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
|
|
|
Three months ended |
|
Twelve months ended |
| ||||
|
|
|
December 31 |
|
December 31 |
| ||||
|
in million |
|
2019 |
|
2018 |
|
2019 |
|
2018 |
|
|
Operating performance on an adjusted basis |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue |
|
4,580 |
|
4,300 |
|
17,477 |
|
16,547 |
|
|
IFRS 16 Implementation |
|
40 |
|
|
|
115 |
|
|
|
|
NxStage operations |
|
(74 |
) |
|
|
(263 |
) |
|
|
|
Sound H1(1) |
|
|
|
(6 |
) |
|
|
(521 |
) |
|
Revenue adjusted |
|
4,546 |
|
4,294 |
|
17,329 |
|
16,026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
616 |
|
613 |
|
2,270 |
|
3,038 |
|
|
IFRS 16 Implementation |
|
(8 |
) |
|
|
(75 |
) |
|
|
|
NxStage operations |
|
0 |
|
|
|
15 |
|
|
|
|
NxStage costs |
|
2 |
|
|
|
24 |
|
|
|
|
Cost optimization costs |
|
60 |
|
|
|
91 |
|
|
|
|
Sound H1(1) |
|
|
|
0 |
|
|
|
(14 |
) |
|
(Gain) loss related to divestitures of Care Coordination activities |
|
(15 |
) |
21 |
|
(29 |
) |
(809 |
) |
|
FCPA related charge |
|
|
|
2 |
|
|
|
77 |
|
|
Operating income adjusted |
|
655 |
|
636 |
|
2,296 |
|
2,292 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income(2) |
|
343 |
|
425 |
|
1,200 |
|
1,982 |
|
|
IFRS 16 Implementation |
|
25 |
|
|
|
70 |
|
|
|
|
NxStage operations |
|
15 |
|
|
|
63 |
|
|
|
|
NxStage costs |
|
1 |
|
|
|
18 |
|
|
|
|
Cost optimization costs |
|
44 |
|
|
|
67 |
|
|
|
|
Sound H1(1) |
|
|
|
0 |
|
|
|
4 |
|
|
(Gain) loss related to divestitures of Care Coordination activities |
|
(20 |
) |
17 |
|
(49 |
) |
(673 |
) |
|
FCPA related charge |
|
|
|
(47 |
) |
|
|
28 |
|
|
Net income(2) adjusted |
|
408 |
|
395 |
|
1,369 |
|
1,341 |
|
(1) Contribution of Sound Physicians
(2) Attributable to shareholders of FMC-AG & Co. KGaA

Fresenius Medical Care AG & Co. KGaA
COMPLETE OVERVIEW OF THE RESULTS FOR THE FOURTH QUARTER
AND FULL YEAR 2019
February 20, 2020
Investor Relations
phone: +49 6172 609 2525
email: [email protected]
|
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. KGaAs 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
February 20, 2020
Statement of earnings
|
|
|
Three months ended December 31 |
|
Twelve months ended December 31 |
| ||||||||||||||||
|
in million, except share data |
|
2019 |
|
2018 |
|
Change |
|
Change |
|
2019 |
|
2018 |
|
Change |
|
Change |
| ||||
|
Health Care Services |
|
3,607 |
|
3,413 |
|
5.7 |
% |
3.5 |
% |
13,872 |
|
13,264 |
|
4.6 |
% |
0.8 |
% | ||||
|
Health Care Products |
|
973 |
|
887 |
|
9.6 |
% |
8.1 |
% |
3,605 |
|
3,283 |
|
9.8 |
% |
8.0 |
% | ||||
|
Total revenue |
|
4,580 |
|
4,300 |
|
6.5 |
% |
4.4 |
% |
17,477 |
|
16,547 |
|
5.6 |
% |
2.2 |
% | ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
Costs of revenue |
|
3,126 |
|
2,920 |
|
7.1 |
% |
5.1 |
% |
12,081 |
|
11,392 |
|
6.0 |
% |
2.7 |
% | ||||
|
Gross profit |
|
1,454 |
|
1,380 |
|
5.3 |
% |
3.0 |
% |
5,396 |
|
5,155 |
|
4.7 |
% |
1.1 |
% | ||||
|
Selling, general and administrative |
|
815 |
|
733 |
|
10.9 |
% |
8.1 |
% |
3,061 |
|
2,885 |
|
6.1 |
% |
2.9 |
% | ||||
|
(Gain) loss related to divestitures of Care Coordination activities |
|
(15 |
) |
21 |
|
n.a. |
|
n.a. |
|
(29 |
) |
(809 |
) |
(96.4 |
)% |
(96.6 |
)% | ||||
|
Research and development |
|
49 |
|
34 |
|
44.9 |
% |
42.7 |
% |
168 |
|
114 |
|
47.3 |
% |
44.0 |
% | ||||
|
Income from equity method investees |
|
(11 |
) |
(21 |
) |
(49.3 |
)% |
(49.6 |
)% |
(74 |
) |
(73 |
) |
0.5 |
% |
0.1 |
% | ||||
|
Operating income |
|
616 |
|
613 |
|
0.5 |
% |
(2.1 |
)% |
2,270 |
|
3,038 |
|
(25.3 |
)% |
(28.2 |
)% | ||||
|
Operating income margin in % |
|
13.5 |
% |
14.3 |
% |
|
|
|
|
13.0 |
% |
18.4 |
% |
|
|
|
| ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
Interest income |
|
(15 |
) |
(116 |
) |
(87.2 |
)% |
(86.9 |
)% |
(62 |
) |
(147 |
) |
(58.2 |
)% |
(58.5 |
)% | ||||
|
Interest expense |
|
117 |
|
174 |
|
(32.5 |
)% |
(33.6 |
)% |
491 |
|
448 |
|
9.5 |
% |
5.8 |
% | ||||
|
Interest expense, net |
|
102 |
|
58 |
|
78.3 |
% |
74.4 |
% |
429 |
|
301 |
|
42.6 |
% |
37.4 |
% | ||||
|
Income before taxes |
|
514 |
|
555 |
|
(7.5 |
)% |
(10.0 |
)% |
1,841 |
|
2,737 |
|
(32.8 |
)% |
(35.5 |
)% | ||||
|
Income tax expense |
|
109 |
|
63 |
|
72.5 |
% |
68.3 |
% |
402 |
|
511 |
|
(21.4 |
)% |
(24.4 |
)% | ||||
|
Net income |
|
405 |
|
492 |
|
(17.8 |
)% |
(20.0 |
)% |
1,439 |
|
2,226 |
|
(35.4 |
)% |
(38.0 |
)% | ||||
|
Net income attributable to noncontrolling interests |
|
62 |
|
67 |
|
(8.0 |
)% |
(10.9 |
)% |
239 |
|
244 |
|
(2.0 |
)% |
(6.9 |
)% | ||||
|
Net income attributable to shareholders of FMC-AG & Co. KGaA |
|
343 |
|
425 |
|
(19.4 |
)% |
(21.5 |
)% |
1,200 |
|
1,982 |
|
(39.5 |
)% |
(41.8 |
)% | ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
Operating income |
|
616 |
|
613 |
|
0.5 |
% |
(2.1 |
)% |
2,270 |
|
3,038 |
|
(25.3 |
)% |
(28.2 |
)% | ||||
|
Depreciation, amortization and impairment loss |
|
435 |
|
256 |
|
70.0 |
% |
65.8 |
% |
1,593 |
|
789 |
|
101.8 |
% |
94.4 |
% | ||||
|
EBITDA |
|
1,051 |
|
869 |
|
21.0 |
% |
17.9 |
% |
3,863 |
|
3,827 |
|
0.9 |
% |
-2.9 |
% | ||||
|
EBITDA margin in % |
|
22.9 |
% |
20.2 |
% |
|
|
|
|
22.1 |
% |
23.1 |
% |
|
|
|
| ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
Weighted average number of shares |
|
299,304,206 |
|
306,858,573 |
|
|
|
|
|
302,691,397 |
|
306,541,706 |
|
|
|
|
| ||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
|
Basic earnings per share |
|
$ |
1.14 |
|
$ |
1.38 |
|
(17.3 |
)% |
(19.5 |
)% |
$ |
3.96 |
|
$ |
6.47 |
|
(38.7 |
)% |
(41.1 |
)% |
|
Basic earnings per ADS |
|
$ |
0.57 |
|
$ |
0.69 |
|
(17.3 |
)% |
(19.5 |
)% |
$ |
1.98 |
|
$ |
3.23 |
|
(38.7 |
)% |
(41.1 |
)% |
Segment information
|
|
|
Three months ended December 31 |
|
Twelve months ended December 31 |
| ||||||||||||
|
|
|
2019 |
|
2018 |
|
Change |
|
Change |
|
2019 |
|
2018 |
|
Change |
|
Change |
|
|
Total |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
4,580 |
|
4,300 |
|
6.5 |
% |
4.4 |
% |
17,477 |
|
16,547 |
|
5.6 |
% |
2.2 |
% |
|
Operating income in million |
|
616 |
|
613 |
|
0.5 |
% |
(2.1 |
)% |
2,270 |
|
3,038 |
|
(25.3 |
)% |
(28.2 |
)% |
|
Operating income margin in % |
|
13.5 |
% |
14.3 |
% |
|
|
|
|
13.0 |
% |
18.4 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
554 |
|
546 |
|
1.6 |
% |
(1.0 |
)% |
2,031 |
|
2,794 |
|
(27.3 |
)% |
(30.1 |
)% |
|
Days sales outstanding (DSO) |
|
|
|
|
|
|
|
|
|
73 |
|
75 |
|
|
|
|
|
|
Employees (full-time equivalents) |
|
|
|
|
|
|
|
|
|
120,659 |
|
112,658 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
North America |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
3,174 |
|
2,981 |
|
6.5 |
% |
3.1 |
% |
12,195 |
|
11,570 |
|
5.4 |
% |
(0.1 |
)% |
|
Operating income in million |
|
515 |
|
492 |
|
4.8 |
% |
1.6 |
% |
1,794 |
|
2,665 |
|
(32.7 |
)% |
(35.8 |
)% |
|
Operating income margin in % |
|
16.2 |
% |
16.5 |
% |
|
|
|
|
14.7 |
% |
23.0 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
456 |
|
428 |
|
6.5 |
% |
3.3 |
% |
1,569 |
|
2,434 |
|
(35.6 |
)% |
(38.5 |
)% |
|
Days sales outstanding (DSO) |
|
|
|
|
|
|
|
|
|
58 |
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
U.S. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue per dialysis treatment in US$ |
|
349 |
|
358 |
|
(2.7 |
)% |
n.a. |
|
352 |
|
354 |
|
(0.5 |
)% |
n.a. |
|
|
Cost per dialysis treatment in US$ (1) |
|
292 |
|
288 |
|
1.6 |
% |
n.a. |
|
296 |
|
289 |
|
2.3 |
% |
n.a. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EMEA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
709 |
|
679 |
|
4.5 |
% |
3.7 |
% |
2,693 |
|
2,587 |
|
4.1 |
% |
4.2 |
% |
|
Operating income in million |
|
114 |
|
97 |
|
16.9 |
% |
17.3 |
% |
448 |
|
399 |
|
12.4 |
% |
12.7 |
% |
|
Operating income margin in % |
|
16.1 |
% |
14.4 |
% |
|
|
|
|
16.6 |
% |
15.4 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
113 |
|
97 |
|
17.6 |
% |
18.0 |
% |
443 |
|
395 |
|
12.3 |
% |
12.6 |
% |
|
Days sales outstanding (DSO) |
|
|
|
|
|
|
|
|
|
96 |
|
98 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asia-Pacific |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
499 |
|
454 |
|
9.8 |
% |
6.6 |
% |
1,859 |
|
1,689 |
|
10.0 |
% |
7.1 |
% |
|
Operating income in million |
|
75 |
|
86 |
|
(12.9 |
)% |
(14.4 |
)% |
329 |
|
304 |
|
8.2 |
% |
5.8 |
% |
|
Operating income margin in % |
|
15.0 |
% |
18.8 |
% |
|
|
|
|
17.7 |
% |
18.0 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
73 |
|
83 |
|
(12.4 |
)% |
(13.9 |
)% |
321 |
|
295 |
|
8.7 |
% |
6.4 |
% |
|
Days sales outstanding (DSO) |
|
|
|
|
|
|
|
|
|
113 |
|
116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Latin America |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
193 |
|
182 |
|
6.3 |
% |
23.6 |
% |
709 |
|
686 |
|
3.3 |
% |
20.9 |
% |
|
Operating income in million |
|
15 |
|
5 |
|
189.1 |
% |
200.6 |
% |
43 |
|
29 |
|
47.4 |
% |
35.2 |
% |
|
Operating income margin in % |
|
7.6 |
% |
2.8 |
% |
|
|
|
|
6.0 |
% |
4.2 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
15 |
|
5 |
|
194.1 |
% |
205.8 |
% |
42 |
|
29 |
|
47.3 |
% |
35.0 |
% |
|
Days sales outstanding (DSO) |
|
|
|
|
|
|
|
|
|
127 |
|
119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
5 |
|
4 |
|
31.5 |
% |
31.4 |
% |
21 |
|
15 |
|
36.7 |
% |
36.5 |
% |
|
Operating income in million |
|
(103 |
) |
(67 |
) |
52.8 |
% |
52.3 |
% |
(344 |
) |
(359 |
) |
(4.1 |
)% |
(5.0 |
)% |
|
Delivered Operating Income in million |
|
(103 |
) |
(67 |
) |
52.9 |
% |
52.4 |
% |
(344 |
) |
(359 |
) |
(4.1 |
)% |
(4.9 |
)% |
(1) 2019 excluding the effects from the implementation of IFRS 16.
Balance sheet
|
|
|
December 31 |
|
December 31 |
|
December 31 |
|
|
in million, except net leverage ratio |
|
2019 |
|
2019 |
|
2018 |
|
|
Assets |
|
|
|
|
|
|
|
|
Current assets |
|
7,165 |
|
|
|
7,847 |
|
|
Goodwill and intangible assets |
|
15,444 |
|
|
|
12,891 |
|
|
Right of use assets |
|
4,325 |
|
|
|
|
|
|
Other non-current assets |
|
6,001 |
|
|
|
5,504 |
|
|
Total assets |
|
32,935 |
|
|
|
26,242 |
|
|
|
|
|
|
|
|
|
|
|
Liabilities and equity |
|
|
|
|
|
|
|
|
Current liabilities |
|
7,007 |
|
|
|
6,268 |
|
|
Non-current liabilities |
|
12,701 |
|
|
|
7,072 |
|
|
Total equity |
|
13,227 |
|
|
|
12,902 |
|
|
Total liabilities and equity |
|
32,935 |
|
|
|
26,242 |
|
|
|
|
|
|
|
|
|
|
|
Equity/assets ratio |
|
40 |
% |
|
|
49 |
% |
|
|
|
|
|
excluding IFRS 16 |
|
|
|
|
|
|
|
|
implementation |
|
|
|
|
Debt and lease liabilities |
|
|
|
|
|
|
|
|
Short-term debt |
|
1,150 |
|
1,150 |
|
1,205 |
|
|
Short-term debt from related parties |
|
22 |
|
22 |
|
189 |
|
|
Current portion of long-term debt |
|
1,447 |
|
1,435 |
|
1,107 |
|
|
Current portion of long-term lease liabilities |
|
622 |
|
|
|
|
|
|
Current portion of long-term lease liabilities from related parties |
|
17 |
|
|
|
|
|
|
Long-term debt, less current portion |
|
6,458 |
|
6,378 |
|
5,045 |
|
|
Long-term lease liabilities, less current portion |
|
3,960 |
|
|
|
|
|
|
Long-term lease liabilities from related parties, less current portion |
|
106 |
|
|
|
|
|
|
Total debt and lease liabilities |
|
13,782 |
|
8,985 |
|
7,546 |
|
|
Minus: Cash and cash equivalents |
|
(1,008 |
) |
(1,008 |
) |
(2,146 |
) |
|
Total net debt and lease liabilities |
|
12,774 |
|
7,977 |
|
5,400 |
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of adjusted EBITDA and net leverage ratio to the most directly comparable IFRS financial measures |
|
|
|
|
|
|
|
|
Net income |
|
1,439 |
|
1,509 |
|
2,226 |
|
|
Income tax expense |
|
402 |
|
429 |
|
511 |
|
|
Interest income |
|
(62 |
) |
(62 |
) |
(147 |
) |
|
Interest expense |
|
491 |
|
319 |
|
448 |
|
|
Depreciation and amortization |
|
1,553 |
|
854 |
|
725 |
|
|
Adjustments (1) |
|
110 |
|
110 |
|
(722 |
) |
|
Adjusted EBITDA |
|
3,933 |
|
3,159 |
|
3,041 |
|
|
|
|
|
|
|
|
|
|
|
Net leverage ratio |
|
3.2 |
|
2.5 |
|
1.8 |
|
(1) Acquisitions and divestitures made within the reporting period with a purchase price above a 50 M threshold as defined in the Amended 2012 Credit Agreement (2019: -71 M; 2018: -23 M), non-cash charges, primarily related to pension expense (2019: 46 M; 2018: 45 M), impairment loss (2019: 40 M; 2018: 65 M), (gain) loss related to divestitures of Care Coordination activities with a sales price above 50 M (2018: -809 M) and NxStage related transaction costs (2019: 95 M).
Cash flow statement
|
|
|
Three months ended |
|
Twelve months ended |
| ||||
|
in million |
|
2019 |
|
2018 |
|
2019 |
|
2018 |
|
|
Operating activities |
|
|
|
|
|
|
|
|
|
|
Net income |
|
405 |
|
492 |
|
1,439 |
|
2,226 |
|
|
Depreciation / amortization / impairment loss |
|
435 |
|
256 |
|
1,593 |
|
789 |
|
|
Change in working capital and other non-cash items |
|
(69 |
) |
(50 |
) |
(465 |
) |
(953 |
) |
|
Net cash provided by (used in) operating activities |
|
771 |
|
698 |
|
2,567 |
|
2,062 |
|
|
In percent of revenue |
|
16.8 |
% |
16.2 |
% |
14.7 |
% |
12.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities |
|
|
|
|
|
|
|
|
|
|
Purchases of property, plant and equipment |
|
(337 |
) |
(325 |
) |
(1,125 |
) |
(1,057 |
) |
|
Proceeds from sale of property, plant and equipment |
|
0 |
|
24 |
|
12 |
|
54 |
|
|
Capital expenditures, net |
|
(337 |
) |
(301 |
) |
(1,113 |
) |
(1,003 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Free cash flow |
|
434 |
|
397 |
|
1,454 |
|
1,059 |
|
|
In percent of revenue |
|
9.5 |
% |
9.2 |
% |
8.3 |
% |
6.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Acquisitions and investments, net of cash acquired, and purchases of intangible assets |
|
(208 |
) |
(117 |
) |
(2,233 |
) |
(925 |
) |
|
Proceeds from divestitures |
|
4 |
|
16 |
|
60 |
|
1,683 |
|
|
Acquisitions and investments, net of divestitures |
|
(204 |
) |
(101 |
) |
(2,173 |
) |
758 |
|
|
Free cash flow after investing activities |
|
230 |
|
296 |
|
(719 |
) |
1,817 |
|
Revenue development
|
|
|
|
|
|
|
|
|
|
|
|
|
Same |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
market |
|
|
|
|
|
|
|
|
|
|
Change |
|
Organic |
|
treatment |
|
|
in million |
|
2019 |
|
2018 |
|
Change |
|
at cc |
|
growth |
|
growth(1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three months ended December 31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
4,580 |
|
4,300 |
|
6.5 |
% |
4.4 |
% |
5.2 |
% |
|
|
|
Health Care Services |
|
3,607 |
|
3,413 |
|
5.7 |
% |
3.5 |
% |
5.4 |
% |
3.4 |
% |
|
Thereof Dialysis Care revenue |
|
3,214 |
|
3,062 |
|
5.0 |
% |
2.9 |
% |
5.1 |
% |
3.4 |
% |
|
Thereof Care Coordination revenue |
|
393 |
|
351 |
|
11.9 |
% |
8.3 |
% |
8.2 |
% |
|
|
|
Health Care Products |
|
973 |
|
887 |
|
9.6 |
% |
8.1 |
% |
4.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
North America |
|
3,174 |
|
2,981 |
|
6.5 |
% |
3.1 |
% |
4.5 |
% |
|
|
|
Health Care Services |
|
2,893 |
|
2,746 |
|
5.3 |
% |
2.0 |
% |
4.6 |
% |
3.4 |
%(2) |
|
Thereof Dialysis Care revenue |
|
2,568 |
|
2,455 |
|
4.6 |
% |
1.3 |
% |
4.2 |
% |
3.4 |
%(2) |
|
Thereof Care Coordination revenue |
|
325 |
|
291 |
|
11.5 |
% |
7.8 |
% |
8.5 |
% |
|
|
|
Health Care Products |
|
281 |
|
235 |
|
19.7 |
% |
15.8 |
% |
3.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EMEA |
|
709 |
|
679 |
|
4.5 |
% |
3.7 |
% |
3.5 |
% |
|
|
|
Health Care Services |
|
352 |
|
331 |
|
6.4 |
% |
5.4 |
% |
5.2 |
% |
2.7 |
% |
|
Health Care Products |
|
357 |
|
348 |
|
2.7 |
% |
2.1 |
% |
2.0 |
% |
|
|
|
Thereof Dialysis Products |
|
337 |
|
330 |
|
2.3 |
% |
1.7 |
% |
1.5 |
% |
|
|
|
Thereof Non-Dialysis Products |
|
20 |
|
18 |
|
9.3 |
% |
9.3 |
% |
9.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asia-Pacific |
|
499 |
|
454 |
|
9.8 |
% |
6.6 |
% |
6.3 |
% |
|
|
|
Health Care Services |
|
230 |
|
207 |
|
11.2 |
% |
6.8 |
% |
6.4 |
% |
7.3 |
% |
|
Thereof Dialysis Care revenue |
|
162 |
|
147 |
|
10.3 |
% |
5.3 |
% |
6.2 |
% |
7.3 |
% |
|
Thereof Care Coordination revenue |
|
68 |
|
60 |
|
13.4 |
% |
10.5 |
% |
6.7 |
% |
|
|
|
Health Care Products |
|
269 |
|
247 |
|
8.6 |
% |
6.4 |
% |
6.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Latin America |
|
193 |
|
182 |
|
6.3 |
% |
23.6 |
% |
19.0 |
% |
|
|
|
Health Care Services |
|
132 |
|
129 |
|
3.1 |
% |
25.1 |
% |
20.7 |
% |
3.6 |
% |
|
Health Care Products |
|
61 |
|
53 |
|
14.0 |
% |
19.9 |
% |
15.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate |
|
5 |
|
4 |
|
31.5 |
% |
31.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Twelve months ended December 31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
17,477 |
|
16,547 |
|
5.6 |
% |
2.2 |
% |
5.2 |
% |
|
|
|
Health Care Services |
|
13,872 |
|
13,264 |
|
4.6 |
% |
0.8 |
% |
5.2 |
% |
3.5 |
% |
|
Thereof Dialysis Care revenue |
|
12,447 |
|
11,420 |
|
9.0 |
% |
5.2 |
% |
5.7 |
% |
3.5 |
% |
|
Thereof Care Coordination revenue |
|
1,425 |
|
1,844 |
|
(22.7 |
)% |
(26.3 |
)% |
0.4 |
% |
|
|
|
Health Care Products |
|
3,605 |
|
3,283 |
|
9.8 |
% |
8.0 |
% |
5.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
North America |
|
12,195 |
|
11,570 |
|
5.4 |
% |
(0.1 |
)% |
4.4 |
% |
3.7 |
%(2) |
|
Health Care Services |
|
11,157 |
|
10,725 |
|
4.0 |
% |
(1.4 |
)% |
4.3 |
% |
|
|
|
Thereof Dialysis Care revenue |
|
9,973 |
|
9,089 |
|
9.7 |
% |
4.0 |
% |
5.0 |
% |
3.7 |
%(2) |
|
Thereof Care Coordination revenue |
|
1,184 |
|
1,636 |
|
(27.6 |
)% |
(31.4 |
)% |
(1.0 |
)% |
|
|
|
Health Care Products |
|
1,038 |
|
845 |
|
22.9 |
% |
16.5 |
% |
5.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EMEA |
|
2,693 |
|
2,587 |
|
4.1 |
% |
4.2 |
% |
3.8 |
% |
|
|
|
Health Care Services |
|
1,354 |
|
1,274 |
|
6.3 |
% |
6.5 |
% |
5.6 |
% |
3.4 |
% |
|
Health Care Products |
|
1,339 |
|
1,313 |
|
2.0 |
% |
2.0 |
% |
2.2 |
% |
|
|
|
Thereof Dialysis Products |
|
1,263 |
|
1,239 |
|
2.0 |
% |
2.0 |
% |
2.2 |
% |
|
|
|
Thereof Non-Dialysis Products |
|
76 |
|
74 |
|
2.8 |
% |
2.8 |
% |
2.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asia-Pacific |
|
1,859 |
|
1,689 |
|
10.0 |
% |
7.1 |
% |
7.0 |
% |
|
|
|
Health Care Services |
|
862 |
|
776 |
|
11.1 |
% |
6.7 |
% |
6.3 |
% |
7.1 |
% |
|
Thereof Dialysis Care revenue |
|
621 |
|
568 |
|
9.3 |
% |
4.3 |
% |
6.0 |
% |
7.1 |
% |
|
Thereof Care Coordination revenue |
|
241 |
|
208 |
|
15.9 |
% |
13.3 |
% |
7.2 |
% |
|
|
|
Health Care Products |
|
997 |
|
913 |
|
9.1 |
% |
7.5 |
% |
7.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Latin America |
|
709 |
|
686 |
|
3.3 |
% |
20.9 |
% |
17.3 |
% |
|
|
|
Health Care Services |
|
499 |
|
489 |
|
2.0 |
% |
24.6 |
% |
20.5 |
% |
2.4 |
% |
|
Health Care Products |
|
210 |
|
197 |
|
6.5 |
% |
11.6 |
% |
9.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate |
|
21 |
|
15 |
|
36.7 |
% |
36.5 |
% |
|
|
|
|
(1) same market treatment growth = organic growth less price effects
(2) U.S. (excl. Mexico), same market treatment growth North America: 3.0% for the three months and 3.3% for the twelve months ended December 31, 2019
Key metrics North America segment
|
|
|
Three months ended December 31 |
|
Twelve months ended December 31 |
| ||||||||||||
|
|
|
2019 |
|
2018 |
|
Change |
|
Change |
|
2019 |
|
2018 |
|
Change |
|
Change |
|
|
Dialysis |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
2,849 |
|
2,690 |
|
5.9 |
% |
2.5 |
% |
11,011 |
|
9,934 |
|
10.8 |
% |
5.1 |
% |
|
Operating income in million |
|
476 |
|
498 |
|
(4.3 |
)% |
(7.2 |
)% |
1,737 |
|
1,752 |
|
(0.9 |
)% |
(5.5 |
)% |
|
Operating income margin in % |
|
16.7 |
% |
18.5 |
% |
|
|
|
|
15.8 |
% |
17.6 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
424 |
|
437 |
|
(2.9 |
)% |
(5.8 |
)% |
1,532 |
|
1,540 |
|
(0.6 |
)% |
(5.1 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Care Coordination |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue in million |
|
325 |
|
291 |
|
11.5 |
% |
7.8 |
% |
1,184 |
|
1,636 |
|
(27.6 |
)% |
(31.4 |
)% |
|
Operating income in million |
|
39 |
|
(6 |
) |
n.a. |
|
n.a. |
|
57 |
|
913 |
|
(93.7 |
)% |
(94.0 |
)% |
|
Operating income margin in % |
|
12.1 |
% |
(2.0 |
)% |
|
|
|
|
4.8 |
% |
55.8 |
% |
|
|
|
|
|
Delivered Operating Income in million |
|
32 |
|
(9 |
) |
n.a. |
|
n.a. |
|
37 |
|
894 |
|
(95.9 |
)% |
(96.1 |
)% |
Key metrics Dialysis Care Services
|
|
|
Twelve months ended December 31, 2019 |
| ||||||||||||
|
|
|
Clinics |
|
Growth |
|
De novos |
|
Patients |
|
Growth |
|
Treatments |
|
Growth |
|
|
Total |
|
3,994 |
|
2 |
% |
123 |
|
345,096 |
|
4 |
% |
52,148,107 |
|
4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
North America |
|
2,579 |
|
2 |
% |
74 |
|
211,064 |
|
3 |
% |
32,138,448 |
|
4 |
% |
|
EMEA |
|
781 |
|
1 |
% |
23 |
|
66,217 |
|
2 |
% |
10,042,109 |
|
3 |
% |
|
Asia-Pacific |
|
400 |
|
2 |
% |
23 |
|
33,005 |
|
5 |
% |
4,579,220 |
|
5 |
% |
|
Latin America |
|
234 |
|
2 |
% |
3 |
|
34,810 |
|
6 |
% |
5,388,330 |
|
6 |
% |
Key metrics Care Coordination
|
|
|
Twelve months ended December 31 |
| ||||||
|
|
|
2019 |
|
2018 |
|
Change |
|
Change |
|
|
North America |
|
|
|
|
|
|
|
|
|
|
Member months under medical cost management(1) |
|
645,273 |
|
639,329 |
|
0.9 |
% |
|
|
|
Medical cost under management (in million)(1) |
|
4,226 |
|
4,196 |
|
0.7 |
% |
(4.5 |
)% |
|
Care Coordination patient encounters(1) |
|
1,004,250 |
|
4,407,598 |
|
(77.2 |
)% |
|
|
(1) Data presented for the ESCO metrics are subject to finalization by CMS, which may result in changes from previously reported metrics.
Quality data(1)
|
|
|
North America |
|
EMEA |
|
Latin America |
|
Asia-Pacific |
| ||||||||
|
in % of patients |
|
Q4 2019 |
|
Q4 2018 |
|
Q4 2019 |
|
Q4 2018 |
|
Q4 2019 |
|
Q4 2018 |
|
Q4 2019 |
|
Q4 2018 |
|
|
Kt/v > 1.2 |
|
97 |
|
97 |
|
94 |
|
95 |
|
91 |
|
91 |
|
95 |
|
96 |
|
|
Hemoglobin = 10-12 g/dl |
|
71 |
|
72 |
|
82 |
|
82 |
|
50 |
|
53 |
|
56 |
|
58 |
|
|
Calcium = 8.4-10.2 mg/dl |
|
81 |
|
86 |
|
79 |
|
81 |
|
76 |
|
75 |
|
74 |
|
74 |
|
|
Albumin > 3.5 g/dl(1) |
|
81 |
|
81 |
|
89 |
|
90 |
|
91 |
|
90 |
|
87 |
|
89 |
|
|
Phosphate < 5.5 mg/dl |
|
60 |
|
62 |
|
80 |
|
81 |
|
76 |
|
75 |
|
63 |
|
67 |
|
|
Patients without catheter (after 90 days) |
|
81 |
|
83 |
|
78 |
|
79 |
|
79 |
|
80 |
|
83 |
|
86 |
|
|
in days |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Days in hospital per patient year |
|
10.3 |
|
10.8 |
|
7.5 |
|
7.8 |
|
4.3 |
|
4.2 |
|
2.6 |
|
3.3 |
|
(1) Definitions cf. Annual Report 2018, Section Non-Financial Group Report
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures
|
|
|
Three months ended |
|
Twelve months ended |
| ||||
|
|
|
December 31 |
|
December 31 |
| ||||
|
in million |
|
2019 |
|
2018 |
|
2019 |
|
2018 |
|
|
Delivered Operating Income reconciliation |
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
616 |
|
613 |
|
2,270 |
|
3,038 |
|
|
less noncontrolling interests |
|
(62 |
) |
(67 |
) |
(239 |
) |
(244 |
) |
|
Delivered Operating Income |
|
554 |
|
546 |
|
2,031 |
|
2,794 |
|
|
|
|
|
|
|
|
|
|
|
|
|
North America |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
515 |
|
492 |
|
1,794 |
|
2,665 |
|
|
less noncontrolling interests |
|
(59 |
) |
(64 |
) |
(225 |
) |
(231 |
) |
|
Delivered Operating Income |
|
456 |
|
428 |
|
1,569 |
|
2,434 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Dialysis |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
476 |
|
498 |
|
1,737 |
|
1,752 |
|
|
less noncontrolling interests |
|
(52 |
) |
(61 |
) |
(205 |
) |
(212 |
) |
|
Delivered Operating Income |
|
424 |
|
437 |
|
1,532 |
|
1,540 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Care Coordination |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
39 |
|
(6 |
) |
57 |
|
913 |
|
|
less noncontrolling interests |
|
(7 |
) |
(3 |
) |
(20 |
) |
(19 |
) |
|
Delivered Operating Income |
|
32 |
|
(9 |
) |
37 |
|
894 |
|
|
|
|
|
|
|
|
|
|
|
|
|
EMEA |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
114 |
|
97 |
|
448 |
|
399 |
|
|
less noncontrolling interests |
|
(1 |
) |
0 |
|
(5 |
) |
(4 |
) |
|
Delivered Operating Income |
|
113 |
|
97 |
|
443 |
|
395 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Asia-Pacific |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
75 |
|
86 |
|
329 |
|
304 |
|
|
less noncontrolling interests |
|
(2 |
) |
(3 |
) |
(8 |
) |
(9 |
) |
|
Delivered Operating Income |
|
73 |
|
83 |
|
321 |
|
295 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Dialysis |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
65 |
|
73 |
|
300 |
|
270 |
|
|
less noncontrolling interests |
|
(2 |
) |
(3 |
) |
(7 |
) |
(7 |
) |
|
Delivered Operating Income |
|
63 |
|
70 |
|
293 |
|
263 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Care Coordination |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
10 |
|
13 |
|
29 |
|
34 |
|
|
less noncontrolling interests |
|
0 |
|
0 |
|
(1 |
) |
(2 |
) |
|
Delivered Operating Income |
|
10 |
|
13 |
|
28 |
|
32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Latin America |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
15 |
|
5 |
|
43 |
|
29 |
|
|
less noncontrolling interests |
|
0 |
|
0 |
|
(1 |
) |
0 |
|
|
Delivered Operating Income |
|
15 |
|
5 |
|
42 |
|
29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
(103 |
) |
(67 |
) |
(344 |
) |
(359 |
) |
|
less noncontrolling interests |
|
0 |
|
0 |
|
0 |
|
0 |
|
|
Delivered Operating Income |
|
(103 |
) |
(67 |
) |
(344 |
) |
(359 |
) |
Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures in
million, except share data
|
|
|
|
|
|
|
|
|
|
|
|
|
(Gain) loss related |
|
|
|
|
|
|
|
(Gain) loss related |
|
|
|
|
|
|
|
Change |
| ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
Cost |
|
to divestitures of |
|
Results |
|
|
|
|
|
to divestitures of |
|
FCPA |
|
Results |
|
Change |
|
(adjusted |
| ||||||||||||
|
|
|
Results |
|
IFRS 16 |
|
NxStage |
|
NxStage |
|
optimization |
|
Care Coordination |
|
2019 |
|
Results |
|
|
|
Care Coordination |
|
related |
|
2018 |
|
(adjusted |
|
results) |
| ||||||||||||
|
|
|
2019 |
|
Implementation |
|
operations |
|
costs |
|
costs |
|
activities |
|
adjusted |
|
2018 |
|
Sound H1(1) |
|
activities |
|
charge |
|
adjusted |
|
results) |
|
at cc |
| ||||||||||||
|
Three months ended December 31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Total revenue |
|
4,580 |
|
40 |
|
(74 |
) |
|
|
|
|
|
|
4,546 |
|
4,300 |
|
(6 |
) |
|
|
|
|
4,294 |
|
5.9 |
% |
3.8 |
% | ||||||||||||
|
Health Care Services |
|
3,607 |
|
|
|
(1 |
) |
|
|
|
|
|
|
3,606 |
|
3,413 |
|
(6 |
) |
|
|
|
|
3,407 |
|
5.9 |
% |
3.6 |
% | ||||||||||||
|
Health Care Products |
|
973 |
|
40 |
|
(73 |
) |
|
|
|
|
|
|
940 |
|
887 |
|
|
|
|
|
|
|
887 |
|
5.9 |
% |
4.5 |
% | ||||||||||||
|
North America |
|
3,174 |
|
40 |
|
(74 |
) |
|
|
|
|
|
|
3,140 |
|
2,981 |
|
(6 |
) |
|
|
|
|
2,975 |
|
5.5 |
% |
2.1 |
% | ||||||||||||
|
Health Care Services |
|
2,893 |
|
|
|
(1 |
) |
|
|
|
|
|
|
2,892 |
|
2,746 |
|
(6 |
) |
|
|
|
|
2,740 |
|
5.5 |
% |
2.1 |
% | ||||||||||||
|
Thereof Dialysis Care |
|
2,568 |
|
|
|
(1 |
) |
|
|
|
|
|
|
2,567 |
|
2,455 |
|
|
|
|
|
|
|
2,455 |
|
4.5 |
% |
1.2 |
% | ||||||||||||
|
Thereof Care Coordination |
|
325 |
|
|
|
|
|
|
|
|
|
|
|
325 |
|
291 |
|
(6 |
) |
|
|
|
|
285 |
|
13.8 |
% |
10.0 |
% | ||||||||||||
|
Health Care Products |
|
281 |
|
40 |
|
(73 |
) |
|
|
|
|
|
|
248 |
|
235 |
|
|
|
|
|
|
|
235 |
|
5.7 |
% |
2.1 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
EBITDA |
|
1,051 |
|
(191 |
) |
(25 |
) |
2 |
|
41 |
|
(15 |
) |
863 |
|
869 |
|
0 |
|
21 |
|
2 |
|
892 |
|
(3.2 |
)% |
(5.7 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Total operating income |
|
616 |
|
(8 |
) |
0 |
|
2 |
|
60 |
|
(15 |
) |
655 |
|
613 |
|
0 |
|
21 |
|
2 |
|
636 |
|
2.9 |
% |
0.1 |
% | ||||||||||||
|
North America |
|
515 |
|
(5 |
) |
1 |
|
2 |
|
54 |
|
(15 |
) |
552 |
|
492 |
|
0 |
|
21 |
|
|
|
513 |
|
7.7 |
% |
4.2 |
% | ||||||||||||
|
Dialysis |
|
476 |
|
(2 |
) |
1 |
|
2 |
|
54 |
|
|
|
531 |
|
498 |
|
|
|
|
|
|
|
498 |
|
6.6 |
% |
3.2 |
% | ||||||||||||
|
Care Coordination |
|
39 |
|
(3 |
) |
|
|
|
|
|
|
(15 |
) |
21 |
|
(6 |
) |
0 |
|
21 |
|
|
|
15 |
|
44.8 |
% |
37.2 |
% | ||||||||||||
|
EMEA |
|
114 |
|
(2 |
) |
|
|
|
|
2 |
|
|
|
114 |
|
97 |
|
|
|
|
|
|
|
97 |
|
17.3 |
% |
17.7 |
% | ||||||||||||
|
Asia-Pacific |
|
75 |
|
0 |
|
|
|
|
|
4 |
|
|
|
79 |
|
86 |
|
|
|
|
|
|
|
86 |
|
(7.9 |
)% |
(9.6 |
)% | ||||||||||||
|
Dialysis |
|
65 |
|
0 |
|
|
|
|
|
4 |
|
|
|
69 |
|
73 |
|
|
|
|
|
|
|
73 |
|
(4.6 |
)% |
(6.2 |
)% | ||||||||||||
|
Care Coordination |
|
10 |
|
0 |
|
|
|
|
|
|
|
|
|
10 |
|
13 |
|
|
|
|
|
|
|
13 |
|
(26.2 |
)% |
(28.6 |
)% | ||||||||||||
|
Latin America |
|
15 |
|
(1 |
) |
|
|
|
|
|
|
|
|
14 |
|
5 |
|
|
|
|
|
|
|
5 |
|
178.3 |
% |
188.9 |
% | ||||||||||||
|
Corporate |
|
(103 |
) |
0 |
|
(1 |
) |
|
|
0 |
|
|
|
(104 |
) |
(67 |
) |
|
|
|
|
2 |
|
(65 |
) |
62.0 |
% |
61.4 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Interest expense, net |
|
102 |
|
(44 |
) |
(20 |
) |
|
|
|
|
|
|
38 |
|
58 |
|
|
|
|
|
|
|
58 |
|
(34.9 |
)% |
(35.9 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Income tax expense |
|
109 |
|
11 |
|
5 |
|
1 |
|
16 |
|
5 |
|
147 |
|
63 |
|
0 |
|
4 |
|
49 |
|
116 |
|
26.1 |
% |
22.7 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Net income attributable to noncontrolling interests |
|
62 |
|
|
|
|
|
|
|
|
|
|
|
62 |
|
67 |
|
0 |
|
|
|
|
|
67 |
|
(8.0 |
)% |
(10.9 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Net income(2) |
|
343 |
|
25 |
|
15 |
|
1 |
|
44 |
|
(20 |
) |
408 |
|
425 |
|
0 |
|
17 |
|
(47 |
) |
395 |
|
3.5 |
% |
0.5 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Basic earnings per share |
|
|
1.14 |
|
|
0.08 |
|
|
0.05 |
|
|
0.01 |
|
|
0.15 |
|
|
(0.07 |
) |
|
1.36 |
|
|
1.38 |
|
|
0.00 |
|
|
0.06 |
|
|
(0.15 |
) |
|
1.29 |
|
6.1 |
% |
3.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Twelve months ended December 31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Total revenue |
|
17,477 |
|
115 |
|
(263 |
) |
|
|
|
|
|
|
17,329 |
|
16,547 |
|
|
|
|
|
|
|
16,026 |
|
8.1 |
% |
4.7 |
% | ||||||||||||
|
Health Care Services |
|
13,872 |
|
|
|
(12 |
) |
|
|
|
|
|
|
13,860 |
|
13,264 |
|
(521 |
) |
|
|
|
|
12,743 |
|
8.8 |
% |
4.8 |
% | ||||||||||||
|
Health Care Products |
|
3,605 |
|
115 |
|
(251 |
) |
|
|
|
|
|
|
3,469 |
|
3,283 |
|
|
|
|
|
|
|
3,283 |
|
5.7 |
% |
4.1 |
% | ||||||||||||
|
North America |
|
12,195 |
|
115 |
|
(263 |
) |
|
|
|
|
|
|
12,047 |
|
11,570 |
|
(521 |
) |
|
|
|
|
11,049 |
|
9.0 |
% |
3.4 |
% | ||||||||||||
|
Health Care Services |
|
11,157 |
|
|
|
(12 |
) |
|
|
|
|
|
|
11,145 |
|
10,725 |
|
(521 |
) |
|
|
|
|
10,204 |
|
9.2 |
% |
3.5 |
% | ||||||||||||
|
Thereof Dialysis Care |
|
9,973 |
|
|
|
(12 |
) |
|
|
|
|
|
|
9,961 |
|
9,089 |
|
|
|
|
|
|
|
9,089 |
|
9.6 |
% |
3.9 |
% | ||||||||||||
|
Thereof Care Coordination |
|
1,184 |
|
|
|
|
|
|
|
|
|
|
|
1,184 |
|
1,636 |
|
(521 |
) |
|
|
|
|
1,115 |
|
6.2 |
% |
0.7 |
% | ||||||||||||
|
Health Care Products |
|
1,038 |
|
115 |
|
(251 |
) |
|
|
|
|
|
|
902 |
|
845 |
|
|
|
|
|
|
|
845 |
|
6.9 |
% |
1.3 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
EBITDA |
|
3,863 |
|
(774 |
) |
(57 |
) |
24 |
|
55 |
|
(29 |
) |
3,082 |
|
3,827 |
|
(23 |
) |
(809 |
) |
77 |
|
3,072 |
|
0.3 |
% |
(3.4 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Total operating income |
|
2,270 |
|
(75 |
) |
15 |
|
24 |
|
91 |
|
(29 |
) |
2,296 |
|
3,038 |
|
(14 |
) |
(809 |
) |
77 |
|
2,292 |
|
0.2 |
% |
(3.8 |
)% | ||||||||||||
|
North America |
|
1,794 |
|
(59 |
) |
19 |
|
24 |
|
83 |
|
(29 |
) |
1,832 |
|
2,665 |
|
(14 |
) |
(809 |
) |
|
|
1,842 |
|
(0.5 |
)% |
(5.2 |
)% | ||||||||||||
|
Dialysis |
|
1,737 |
|
(51 |
) |
19 |
|
24 |
|
83 |
|
|
|
1,812 |
|
1,752 |
|
|
|
|
|
|
|
1,752 |
|
3.4 |
% |
(1.4 |
)% | ||||||||||||
|
Care Coordination |
|
57 |
|
(8 |
) |
|
|
|
|
|
|
(29 |
) |
20 |
|
913 |
|
(14 |
) |
(809 |
) |
|
|
90 |
|
(77.6 |
)% |
(78.8 |
)% | ||||||||||||
|
EMEA |
|
448 |
|
(5 |
) |
|
|
|
|
4 |
|
|
|
447 |
|
399 |
|
|
|
|
|
|
|
399 |
|
12.2 |
% |
12.5 |
% | ||||||||||||
|
Asia-Pacific |
|
329 |
|
(4 |
) |
|
|
|
|
4 |
|
|
|
329 |
|
304 |
|
|
|
|
|
|
|
304 |
|
8.2 |
% |
5.7 |
% | ||||||||||||
|
Dialysis |
|
300 |
|
(3 |
) |
|
|
|
|
4 |
|
|
|
301 |
|
270 |
|
|
|
|
|
|
|
270 |
|
11.5 |
% |
8.8 |
% | ||||||||||||
|
Care Coordination |
|
29 |
|
(1 |
) |
|
|
|
|
|
|
|
|
28 |
|
34 |
|
|
|
|
|
|
|
34 |
|
(18.4 |
)% |
(19.1 |
)% | ||||||||||||
|
Latin America |
|
43 |
|
(3 |
) |
|
|
|
|
|
|
|
|
40 |
|
29 |
|
|
|
|
|
|
|
29 |
|
37.4 |
% |
24.2 |
% | ||||||||||||
|
Corporate |
|
(344 |
) |
(4 |
) |
(4 |
) |
|
|
0 |
|
|
|
(352 |
) |
(359 |
) |
|
|
|
|
77 |
|
(282 |
) |
25.0 |
% |
23.8 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Interest expense, net |
|
429 |
|
(172 |
) |
(71 |
) |
|
|
|
|
|
|
186 |
|
301 |
|
(21 |
) |
|
|
|
|
280 |
|
(33.4 |
)% |
(35.5 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Income tax expense |
|
402 |
|
27 |
|
23 |
|
6 |
|
24 |
|
20 |
|
502 |
|
511 |
|
3 |
|
(136 |
) |
49 |
|
427 |
|
17.6 |
% |
13.0 |
% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Net income attributable to noncontrolling interests |
|
239 |
|
|
|
|
|
|
|
|
|
|
|
239 |
|
244 |
|
0 |
|
|
|
|
|
244 |
|
(2.2 |
)% |
(7.1 |
)% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
|
Net income(2) |
|
1,200 |
|
70 |
|
63 |
|
18 |
|
67 |
|
(49 |
) |
1,369 |
|
1,982 |
|
4 |
|
(673 |
) |
28 |
|
1,341 |
|
2.1 |
% |
(2.0 |
)% | ||||||||||||
|
Basic earnings per share |
|
|
3.96 |
|
|
0.23 |
|
|
0.21 |
|
|
0.06 |
|
|
0.22 |
|
|
(0.16 |
) |
|
4.52 |
|
|
6.47 |
|
|
0.01 |
|
|
(2.20 |
) |
|
0.09 |
|
|
4.37 |
|
3.4 |
% |
(0.7 |
)% |
(1) Contribution of Sound Physicians
(2) Attributable to shareholders of FMC-AG & Co. KGaA
Outlook 2020
|
|
|
Results 2019 |
|
Outlook 2020 |
|
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 sharesoutstanding |
|
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. 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 are based on the adjusted results 2019 including the effects of the operations of the NxStage acquisition and the IFRS 16 implementation.
(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 Annual General Meeting on May 19, 2020.
(5) Full-time equivalents.
