Analyst Presentation Helen Giza CEO & Chair of the Management Board Martin Fischer CFO November 4, 2025 Q3 2025 IR Conference Call Safe harbor statement: In this Safe harbor statement, "the Company" and "Fresenius Medical Care" refer to Fresenius Medical Care AG & Co. KGaA, a German partnership limited by shares, prior to its conversion of legal form, and to Fresenius Medical Care AG, a German stock corporation, after its conversion of legal form. This presentation includes certain forward-looking statement ...

Fresenius Medical Care reported a third-quarter operating income that exceeded analysts' expectations on Tuesday, in a sign that the dialysis specialist's cost-cutting measures were beginning to take ... ...

Core Insights - Fresenius Medical Care AG & Co. KGaA has received a consensus recommendation of "Hold" from seven research firms, with varying ratings including three sell, one hold, two buy, and one strong buy [2] - The average twelve-month price objective among brokers is $27.80 [2] Analyst Ratings - Zacks Research upgraded the stock from "hold" to "strong-buy" on October 6 [3] - Morgan Stanley maintained an "underweight" rating on August 12 [3] - UBS Group downgraded the stock from "sell" to "underperform" on October 15 [3] - Bank of America also downgraded the stock from "neutral" to "underperform" on October 15 [3] - Weiss Ratings upgraded the stock from "hold (c+)" to "buy (b-)" on October 8 [3] Institutional Investment Activity - Wayfinding Financial LLC purchased a new stake worth approximately $25,000 in Q1 [4] - TD Waterhouse Canada Inc. acquired a new stake worth about $36,000 in Q2 [4] - Brooklyn Investment Group increased its position by 424.5% in Q1, now owning 1,285 shares valued at $32,000 [4] - Atlantic Union Bankshares Corp bought a new stake worth about $43,000 in Q2 [4] - Hantz Financial Services Inc. grew its position by 568.5% in Q2, now owning 2,079 shares valued at $59,000 [4] - Institutional investors own 8.37% of the stock [4] Financial Performance - The stock opened at $26.83, with a market cap of $15.74 billion [6] - The company reported an EPS of $0.52 for the last quarter, exceeding the consensus estimate of $0.50 by $0.02 [7] - Revenue for the quarter was $5.54 billion, surpassing the consensus estimate of $5 billion [7] - The company has a net margin of 3.39% and a return on equity of 6.75% [7] - Analysts expect an EPS of 1.51 for the current fiscal year [7] Company Overview - Fresenius Medical Care AG & Co. KGaA provides dialysis and related services for individuals with renal diseases in Germany, North America, and internationally [9] - The company operates outpatient dialysis clinics and offers materials, training, and patient support services [9]

Core Insights - Zacks Premium provides tools for investors to enhance their stock market strategies, including daily updates on Zacks Rank and Style Scores [1][2] Zacks Style Scores - Zacks Style Scores are indicators that help investors select stocks likely to outperform the market in the next 30 days, rated from A to F based on value, growth, and momentum characteristics [2] - The Value Score identifies attractive and discounted stocks using ratios like P/E and Price/Sales [3] - The Growth Score focuses on a company's financial health and future outlook, analyzing projected and historical earnings and sales [4] - The Momentum Score helps investors capitalize on price trends, using metrics like one-week price change and monthly earnings estimate changes [5] - The VGM Score combines all three Style Scores, providing a comprehensive indicator for stock selection [6] Zacks Rank - The Zacks Rank is a proprietary model that utilizes earnings estimate revisions to assist investors in building successful portfolios [7] - Stocks rated 1 (Strong Buy) have historically achieved an average annual return of +23.81%, significantly outperforming the S&P 500 [8] - Investors are encouraged to select stocks with a Zacks Rank of 1 or 2 and Style Scores of A or B for optimal success [9][10] Company Spotlight: DaVita HealthCare - DaVita Inc. is a leading provider of dialysis services in the U.S., focusing on patients with chronic kidney failure [11] - DaVita holds a Zacks Rank of 3 (Hold) and a VGM Score of A, indicating potential for growth [12] - The company is projected to have a year-over-year earnings growth of 12.9% for the current fiscal year, with upward revisions in earnings estimates [12] - With strong Growth and VGM Style Scores, DaVita is recommended for investors' consideration [13]

Core Insights - Fresenius Medical Care AG & Co. (FMS) is positioned for growth through strategic acquisitions and partnerships, despite concerns over rising costs [1][11] - The company's shares have increased by 13.3% year-to-date, contrasting with an 11.5% decline in the industry and a 14.4% decrease in the S&P 500 Index [1][7] Company Overview - Fresenius Medical has a market capitalization of $15.11 billion and is a leading provider of dialysis products and services for chronic kidney failure patients [2] - Earnings are expected to improve by 12.6% over the next five years, with the company beating earnings estimates in the last four quarters, averaging a surprise of 7.6% [2] Growth Drivers - **Strong Global Foothold**: The company has a significant presence in North America, EMEA, Asia Pacific, and Latin America, with 3,624 clinics serving over 308,000 patients [5][6] - **Strategic Acquisitions & Partnerships**: Recent acquisitions include NxStage Medical for $30 per share, with expected annual pre-tax savings of $80 million to $100 million [6][8] - **Home Dialysis Market Expansion**: The company has entered into distribution agreements in Japan and extended partnerships to enhance access to home hemodialysis [8] Financial Performance - FMS reported strong Q2 results, with earnings and revenues exceeding estimates, supported by pricing momentum and cost savings [9] - The FME25 transformation program has generated EUR 58 million in sustainable savings, with a target of EUR 1,050 million by the end of 2027 [10] Challenges - **Rising Costs**: The company faces increased labor costs of EUR 150 million to EUR 200 million and inflation-related costs of EUR 100 million to EUR 150 million, impacting short-term prospects [11] - **Treatment Volume Decline**: Overall treatments decreased due to divestitures, with a 0.2% decline in Same Market Treatment Growth in the U.S. [12] Future Estimates - The Zacks Consensus Estimate for 2025 revenues is $22.2 billion, indicating a year-over-year growth of 5.9%, while earnings are expected to grow by 34.3% to $2.23 per share [13]

Company Overview - DaVita Inc. (NYSE:DVA) specializes in kidney dialysis treatment through various channels including outpatient centers, hospitals, and home-based care, along with laboratory testing and physician services [2] Investment Insights - Jim Cramer highlighted DaVita's significant share buybacks over the past decade, indicating a strong commitment to returning value to shareholders [1] - Cramer is particularly interested in stocks with a favorable average annual change in share count over the last 10 years, suggesting that DaVita may be a strong candidate based on this criterion [1] Market Position - The company also offers integrated kidney care, disease management, clinical research, and transplant software solutions, positioning itself as a comprehensive provider in the kidney care sector [2]

Core Insights - DaVita Inc. reported adjusted earnings per share (EPS) of $2.95 for Q2 2025, reflecting a year-over-year increase of 13.9% and exceeding the Zacks Consensus Estimate by 9.3% [1][9] - Total revenues reached $3.38 billion, marking a 6.1% increase year-over-year and surpassing the Zacks Consensus Estimate by 1.3% [2][9] - The company experienced a decline in normalized non-acquired treatments, which decreased by 0.8% year-over-year [5][14] Financial Performance - The gross profit for the quarter increased by 7% year-over-year to $1.12 billion, with a gross margin expansion of 31 basis points to 33.1% [8][9] - General and administrative expenses rose by 12.2% year-over-year to $412.8 million [8] - Adjusted operating profit was $705.2 million, reflecting a 4.2% increase from the prior year, although the adjusted operating margin contracted by 36 basis points to 20.9% [8][9] Revenue Breakdown - Dialysis patient service revenues amounted to $3.21 billion, up 4.8% year-over-year, while other revenues surged by 37.4% to $172.7 million [4][9] - Revenue per treatment was $404.6 million, an increase of 3.7% year-over-year [2] Operational Highlights - DaVita provided dialysis services to approximately 283,100 patients across 3,175 outpatient dialysis centers as of June 30, 2025 [5] - The company opened three new dialysis centers and closed two in the U.S., while internationally, it opened six and closed five centers during the same period [6] Cash Flow and Debt - DaVita ended Q2 2025 with cash and cash equivalents of $739.4 million, an increase from $511.9 million at the end of Q1 2025 [10] - Total debt rose to $10.26 billion from $9.74 billion at the end of Q1 2025 [10] - Cumulative net cash provided by operating activities was $504.2 million, down from $664 million a year ago [11] Guidance - The company reiterated its adjusted EPS outlook for 2025, projecting a range of $10.20 to $11.30, with the Zacks Consensus Estimate currently at $10.76 [12]

Financial Data and Key Metrics Changes - Adjusted operating income for Q2 2025 was $551 million, and adjusted earnings per share were $2.95, with free cash flow at $157 million [16][15] - The company reaffirmed its guidance for adjusted operating income between $2.01 billion and $2.16 billion and adjusted earnings per share between $10.20 and $11.30 for the full year [14][15] Business Line Data and Key Metrics Changes - US treatments per day declined by 1.1% year-over-year, primarily due to a higher than expected mistreatment rate, which was influenced by the cyber incident [17][30] - Revenue per treatment (RPT) increased by approximately $4.5 compared to Q1, but was negatively impacted by the cyber incident and lower dispensing volumes of binders [18][19] - Patient care costs per treatment decreased by approximately $3.5 sequentially, attributed to higher treatment counts, improved labor productivity, and lower binder dispensing volumes [20][21] Market Data and Key Metrics Changes - The company anticipates a year-over-year decline in treatment volume of 75 to 100 basis points, revised from a previous estimate of down 50 basis points [17][18] - International adjusted operating income increased by $6 million compared to Q1, primarily due to a one-time benefit [21] Company Strategy and Development Direction - The company is focused on clinical innovation and improving patient outcomes through advanced technologies and pharmaceuticals, including new drug classes and next-generation devices [6][7] - The company is committed to maintaining operational excellence and cost control, which is expected to continue even as treatment volumes normalize [76][77] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about entering a new wave of clinical innovation that could improve patient care and outcomes [6][7] - The company acknowledged the ongoing impact of the cyber incident but believes that the effects on adjusted results will be limited moving forward [11][30] Other Important Information - The company repurchased 3.1 million shares during Q2 and an additional 2.7 million shares since the end of the quarter [23] - The company raised $1 billion in senior unsecured debt and repriced its term loan, reducing the spread by 25 basis points [23] Q&A Session Summary Question: How did census and treatments track following the cyber attack? - Management indicated that while there were initial challenges, operations have normalized since the incident, but mistreatment rates spiked unexpectedly [30][31] Question: Can you provide phosphate binder contribution to RPT and CPT in the quarter? - The RPT contribution was in the low eights, and CPT was in the high sixes, with lower dispensing volumes attributed to adherence issues rather than a mix problem [34][35] Question: How is the company maintaining guidance despite treatment growth challenges? - The company is managing costs effectively, particularly in labor, and has seen better-than-expected performance in international operations [41][42] Question: What is the reason for the elevated mortality rates? - Management believes the elevated mortality is a holdover from COVID, with delays in care and sicker patients contributing to the trend [71][72] Question: What is the expected impact of new technologies on patient care? - The company is actively monitoring and conducting studies on new technologies, with a focus on improving patient outcomes through better clearance of middle-sized molecules [90][91]

Core Insights - DaVita Inc. reported strong financial results for the quarter ended June 30, 2025, highlighting a focus on patient care and operational efficiency [1] Financial Performance - Net income attributable to DaVita Inc. for Q2 2025 was $199 million, compared to $163 million in Q1 2025 and $362 million in Q2 2024 [2] - Diluted earnings per share increased to $2.58 from $2.00 in Q1 2025, but decreased from $5.15 in Q2 2024 [2] - Adjusted net income for Q2 2025 was $228 million, up from $163 million in Q1 2025, but down from $434 million in Q2 2024 [2] - Consolidated revenues for Q2 2025 reached $3.380 billion, compared to $3.224 billion in Q1 2025 and $3.186 billion in Q2 2024 [9] Operating Metrics - Operating income for Q2 2025 was $538 million, with an operating margin of 15.9%, compared to 13.6% in Q1 2025 [3][29] - Adjusted operating income was $551 million, reflecting an adjusted operating margin of 16.3% [3] - Total U.S. dialysis treatments in Q2 2025 were 7,186,217, averaging 92,131 treatments per day, a 0.4% increase from Q1 2025 [4][31] Cost Analysis - Revenue per treatment increased to $404.58 in Q2 2025 from $400.14 in Q1 2025, while patient care costs per treatment decreased to $268.36 from $271.77 [5][31] - General and administrative expenses rose to $312 million in Q2 2025 from $283 million in Q1 2025, primarily due to cybersecurity incident-related costs [5][7] Cybersecurity Incident - The company incurred approximately $13.5 million in charges related to a cybersecurity incident, impacting patient care costs by $1 million and general administrative expenses by $12.5 million [10] Share Repurchase and Debt Management - DaVita repurchased 3.1 million shares for $446 million at an average price of $144.00 per share during Q2 2025 [12] - The company issued $1 billion in senior notes to repay outstanding debt and enhance liquidity [11] Patient Care and Center Activity - As of June 30, 2025, DaVita provided dialysis services to approximately 283,100 patients across 3,175 outpatient dialysis centers [15] - The company had about 64,400 patients in risk-based integrated care arrangements, representing approximately $5.3 billion in annualized medical spend [16]

Financial Performance - Fresenius Medical Care achieved strong organic revenue growth of 7% in Q2 2025, supported by all operating segments[9] - Operating income grew by 13% at constant currency, driving margin expansion[9] - Operating cash flow improved significantly by 75%[9] - The net leverage ratio improved to 2.7x[9] - Q2 2025 revenue reached €4792 million, a 5% increase at constant currency and 0.5% as reported, with 6.7% organic growth[22] - Operating income excluding special items was €476 million, up 12.9% at constant currency and 9.2% at current rates[24] Segment Performance - Care Delivery revenue was €3381 million, with 3.4% organic growth in the U S and 4.5% internationally[31, 34] - Value-Based Care revenue increased to €506 million, a 28.4% increase at constant currency[36] - Care Enablement revenue reached €1348 million, with 3.4% organic growth[43] Cash Flow and Debt - Operating cash flow increased to €775 million in Q2 2025, a 75% improvement[48] - Free cash flow rose to €628 million, a 117% increase[48] - Total net debt and lease liabilities decreased to €9315 million[48] Outlook - Fresenius Medical Care confirmed its FY 2025 outlook, projecting positive to low-single digit percent revenue growth and high-teens to high-twenties percent operating income growth, both at constant currency and excluding special items[9, 55]