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: ir@fmc-ag.com
Content: |
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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
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 | % | ||||
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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 | % |
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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 | )% | ||||
|
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|
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|
|
|
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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 | % |
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Weighted average number of shares |
| 299,304,206 |
| 306,858,573 |
|
|
|
|
| 302,691,397 |
| 306,541,706 |
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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 |
|
|
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|
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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 |
|
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North America |
|
|
|
|
|
|
|
|
|
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|
|
|
|
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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 |
|
|
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U.S. |
|
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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. |
|
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EMEA |
|
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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 |
|
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Asia-Pacific |
|
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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 |
|
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Latin America |
|
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|
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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 |
|
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Corporate |
|
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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 |
|
|
|
|
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Liabilities and equity |
|
|
|
|
|
|
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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 |
|
|
|
|
|
|
|
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|
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 | % |
|
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|
|
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|
|
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
|
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| Same |
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| market |
|
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|
|
| Change |
| Organic |
| treatment |
|
in € million |
| 2019 |
| 2018 |
| Change |
| at cc |
| growth |
| growth(1) |
|
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|
Three months ended December 31 |
|
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|
|
|
|
|
|
|
|
|
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 | % | ||||||||||||
|
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| ||||||||||||
Interest expense, net |
| 102 |
| (44 | ) | (20 | ) |
|
|
|
|
|
| 38 |
| 58 |
|
|
|
|
|
|
| 58 |
| (34.9 | )% | (35.9 | )% | ||||||||||||
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Income tax expense |
| 109 |
| 11 |
| 5 |
| 1 |
| 16 |
| 5 |
| 147 |
| 63 |
| 0 |
| 4 |
| 49 |
| 116 |
| 26.1 | % | 22.7 | % | ||||||||||||
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Net income attributable to noncontrolling interests |
| 62 |
|
|
|
|
|
|
|
|
|
|
| 62 |
| 67 |
| 0 |
|
|
|
|
| 67 |
| (8.0 | )% | (10.9 | )% | ||||||||||||
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Net income(2) |
| 343 |
| 25 |
| 15 |
| 1 |
| 44 |
| (20 | ) | 408 |
| 425 |
| 0 |
| 17 |
| (47 | ) | 395 |
| 3.5 | % | 0.5 | % | ||||||||||||
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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 | % |
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|
Twelve months ended December 31 |
|
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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 | % | ||||||||||||
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EBITDA |
| 3,863 |
| (774 | ) | (57 | ) | 24 |
| 55 |
| (29 | ) | 3,082 |
| 3,827 |
| (23 | ) | (809 | ) | 77 |
| 3,072 |
| 0.3 | % | (3.4 | )% | ||||||||||||
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| ||||||||||||
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 | % | ||||||||||||
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
Interest expense, net |
| 429 |
| (172 | ) | (71 | ) |
|
|
|
|
|
| 186 |
| 301 |
| (21 | ) |
|
|
|
| 280 |
| (33.4 | )% | (35.5 | )% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||
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 | )% | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
| ||||||||||||
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.