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2021

ANNUAL REPORT

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Front page

Fresenius is a global health care Group providing products and services for dialysis, hospitals, and outpatient medical care. In addition, Fresenius focuses on hospital opera- tions. We also manage projects and provide services for hospitals and other health care facilities worldwide. More than 300,000 employees have dedicated themselves to the service of health in over 100 countries worldwide.

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Fresenius | Annual Report 2021

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GROUP IN FIGURES

€ in millions

Sales and earnings

Sales

EBITDA 2

EBIT 2

Net income 3

Depreciation and amortization 2

Earnings per share in € 3

Cash flow and balance sheet

Operating cash flow

Operating cash flow as % of sales

Total assets

Non-current assets

Equity 4

Equity ratio 4

Net debt

Net debt / EBITDA5,6

Investments 7

Profitability

EBIT margin 2

Return on equity after taxes (ROE)3

Return on operating assets (ROOA)5

Return on invested capital (ROIC)5

Dividend per share in €

Employees (December 31)

  1. Including IFRS 16 effect
  2. Before special items
  3. Net income attributable to shareholders of Fresenius SE & Co. KGaA; before special items
  4. Including noncontrolling interests
  5. Before special items; 2017, 2018, 2019, 2020, 2021 pro forma acquisitions
  6. At average exchange rates for both net debt and EBITDA
  7. Investments in property, plant and equipment, and intangible assets, acquisitions
  8. Proposal

For a detailed overview of special items please see the reconciliation tables on pages 74 to 76.

2021 

2020 

2019 1

2018

2017

37,520

36,277

35,409

33,530

33,886

6,854

7,132

7,104

6,055

6,267

4,252

4,612

4,688

4,561

4,830

1,867

1,796

1,879

1,871

1,816

2,602

2,520

2,416

1,430

1,437

3.35

3.22

3.37

3.37

3.28

5,078

6,549

4,263

3,742

3,937

13.5

18.1%

12.0%

11.2%

11.6%

71,962

66,646

67,006

56,703

53,133

54,501

50,874

51,742

41,913

40,529

29,288

26,023

26,580

25,008

21,720

41%

39%

40%

44%

41%

24,391

24,076

25,604

16,275

17,406

3.51

3.44

3.61

2.71

2.84

3,117

3,300

5,086

3,249

8,680

11.3%

12.7%

13.2%

13.6%

14.3%

9.8%

10.6%

11.2%

12.1%

13.3%

6.5%

7.3%

7.6%

9.0%

9.4%

5.9%

6.5%

6.7%

8.3%

8.0%

0.92 8

0.88 

0.84

0.80 

0.75 

316,078

311,269

294,134

276,750

273,249

Fresenius | Annual Report 2021

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TARGETS, RESULTS, AND OUTLOOK

TARGETS 2021 1

RESULTS 2021

OUTLOOK 2022 2

Fresenius Group

Sales growth

Mid single-digit

5%

Mid single-digit

(in constant currency)

percentage growth

percentage growth

Net income 3 growth

Around the top-end of

5%

Low single-digit

(in constant currency)

low single-digit percentage growth

percentage growth

Investments in property,

~ 6%of sales

5% of sales

~ 6%of sales

plant and equipment

Liquidity and capital management

Cash flow margin

10% to12%

13.5% 

10% to12%

Around the top-end

Without further acquisitions,

of the self-imposed target corridor

3.51 ×

we project an improvement into

Net debt / EBITDA

of 3.0 × to 3.5 × 4

the self-imposed target corridor

  1. Before special items; including expected COVID-19 effects (updated in November 2021; more information within table of achieved Group targets on p. 68)
  2. Before special items, including expected COVID-19 effects
  3. Net income attributable to shareholders of Fresenius SE & Co. KGaA
  4. At average expected exchange rates for both net debt and EBITDA; excluding further potential acquisitions; before special items

Fresenius | Annual Report 2021

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TARGETS, RESULTS, AND OUTLOOK

TARGETS 2021 1

RESULTS 2021 

OUTLOOK 2022 2

Business segments

Fresenius Medical Care 3

Expecting to be at the lower end

Sales growth

of the guidance range of low-to-

2%

Low-to-midsingle-digit

(in constant currency)

mid single-digitpercentage growth

percentage growth 

Expecting to be at the lower end

of the guidance range

Net income 4 growth

of high-teens to mid-twenties

-23%

Low-to-midsingle-digit

(in constant currency)

percentage decline

percentage growth

Fresenius Kabi

Sales growth

Low-to-midsingle-digit

4%

Low single-digit

(organic)

percentage growth

percentage growth

Around the top end of the

Decline in high single- to

EBIT growth

low single-digit percentage

7%

low double-digit

(in constant currency)

guidance range

percentage range

Fresenius Helios

Sales growth

Mid single-digit

7%

Low-to-midsingle-digit

(organic)

percentage growth

percentage growth

EBIT growth

High single-digit

10%

Mid single-digit

(in constant currency)

percentage growth

percentage growth

Fresenius Vamed

Sales growth

Mid-to-highsingle-digit

11%

High single- to low double-digit

(organic)

percentage growth

percentage growth

Returning to

High double-digit

€ 101 million

absolute pre-COVID levels

EBIT

€ million amount

(2019: € 134 million)

  1. Before special items, including estimated COVID-19 effects (updated in November 2021, more information within table of achieved Group targets on p. 68)
  2. Before special items, including estimated COVID-19 effects
  3. These targets are based on the 2021 results excluding the costs related to FME25 of € 49 million (for Net Income). They are based on the outlined assumptions, in constant
    currency­ and exclude special items. Special items include further costs related to FME25 and other effects that are unusual in nature and have not been foreseeable or not
    foreseeable­ in size or impact at the time of giving guidance.
  4. Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA

Fresenius | Annual Report 2021

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Fresenius SE & Co. KGaA published this content on 24 March 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 24 March 2022 17:01:05 UTC.