Full Press Release Details
| Investor News | Fresenius Medical Care AG & Co. KGaA | ||||
| Investor Relations | |||||
| Else-Kr ner-Str. 1 | |||||
| D-61352 Bad Homburg | |||||
| Contact: | |||||
| Oliver Maier | |||||
| Phone: | + 49 6172 609 2601 | ||||
| Fax: | + 49 6172 609 2301 | ||||
| E-mail: | ir@fmc-ag.com | ||||
| North America: | |||||
| Terry Proveaux | |||||
| Phone: | + 1 800 948 2538 | ||||
| Fax: | + 1 615 345 5605 | ||||
| E-mail: | ir@fmc-ag.com | ||||
| Internet: www.fmc-ag.com | |||||
| February 22, 2007 |
Fresenius Medical Care Reports Excellent Fourth Quarter and
Full Year 2006 Results and Provides Strong Outlook for 2007
Summary Full Year 2006:
The Company exceeded its financial targets, achieved record earnings and proposes its 10th consecutive annual dividend increase.
| Net revenue | $ | 8,499 million | + 26 | % | |||
| Operating income (EBIT) | $ | 1,318 million | + 40 | % | |||
| Net income | $ | 537 million | + 18 | % | |||
| Excluding SFAS 123(R) and one-time items | |||||||
| Operating income (EBIT) | $ | 1,329 million | + 38 | % | |||
| Net income | $ | 584 million | + 24 | % | |||
| Dividend Proposal Ordinary Share | 1.41 | + 15 | % | ||||
| Preference Share | 1.47 | + 14 | % |
Bad Homburg, Germany Fresenius Medical Care AG & Co. KGaA ( the Company ), the world s largest provider of Dialysis Products and Services, today announced its results for the fourth quarter and full year of 2006.
Please note, the result of operations of Renal Care Group (RCG) are consolidated from April 1, 2006 onward.
Fourth Quarter 2006:
Net revenue for the fourth quarter 2006 compared to the fourth quarter 2005 increased by 33% (31% at constant currency) to $2,352 million.Organic revenue growth worldwide was 11%. Dialysis Services revenue grew by 39% to $1,749 million (38% at constant currency) in the fourth quarter of 2006. Dialysis Product revenue increased by 17% to $603 million (12% at constant currency) in the same period.
North America revenue increased by 39% to $1,658 million. Dialysis Services revenue increased by 44% to $1,505 million. Average revenue per treatment for the U.S. clinics increased by 9% to $328 in the fourth quarter 2006 compared to $302 for the same quarter in 2005. Dialysis Product revenue increased by 5% to $153 million led by strong sales of our 2008K hemodialysis machines. Excluding the effects of the RCG acquisition and related divestitures, the Dialysis Product revenue increased by 13% compared to last year.
International revenue was $694 million, an increase of 20% (14% at constant currency) compared to the fourth quarter of 2005. Dialysis Services revenue reached $244 million, an increase of 17% (13% at constant currency). Dialysis Product revenue increased by 22% to $450 million (15% at constant currency), led by strong sales of machines (both the 4008 and 5008 series), dialyzers and peritoneal dialysis products.
Operating income (EBIT) increased by 45% to $354 million. Operating income for the fourth quarter 2006 includes $29 million of costs related to the change of accounting principles for stock options (SFAS 123R), restructuring costs and in-process R&D.
Excluding these costs, operating income for the fourth quarter 2006 increased by 48% to $383 million resulting in an operating margin of 16.3%. For the fourth quarter 2005 the operating margin was 14.6%.
Compared with the fourth quarter 2005, the operating margin excluding one-time items in North America increased by 260 basis points to 17.1% due to the consolidation of RCG, an increase in the revenue per treatment and strong demand for dialysis products. In the International segment, the operating margin increased from an already high level by 30 basis points to 17.7%. The continued strong operational performance in the International segment was driven by increased product sales in all regions and positively impacted by production efficiencies and reimbursement increases in key countries in Europe and Latin America.
Net interest expense for the fourth quarter 2006 was $96 million compared to $46 million in the same quarter of 2005. This increase is entirely attributable to the debt financing for the RCG acquisition.
Income tax expense was $99 million for the fourth quarter of 2006 compared to $82 million in the fourth quarter of 2005, reflecting effective tax rates of 38.5% and 41.3%, respectively.
Net income for the fourth quarter 2006 was $152 million, an increase of 32%. Excluding one-time costs and SFAS 123(R), the net income increased on a comparable basis by 35% to $172 million.
Earnings per share (EPS) for the fourth quarter of 2006 rose by 31% to $1.55 per ordinary share ($0.52 per American Depositary Share (ADS)) compared to $1.18 ($0.39 per ADS) for the fourth quarter of 2005. The weighted average number of shares outstanding for the fourth quarter of 2006 was approximately 98.3 million shares compared to 97.6 million shares for the fourth quarter of 2005. The increase in shares outstanding results from stock option exercises in 2006.
In the fourth quarter of 2006, the Company generated $443 million in cash from operations, representing 19% of revenue clearly above our target. The strong cash flow generation was supported by increased earnings.
A total of $177 million was spent for capital expenditures, net of disposals. Free Cash Flow before acquisitions was $266 million compared to $65 million in the fourth quarter of 2005. A total of $118 million in cash was used for acquisitions.
Earnings and Revenue
For the full year 2006, net income was $537 million, up 18% from 2005. Excluding costs related to the change of accounting principles for stock options (SFAS 123R) of $10 million and one-time items of $37 million, net income increased by 24% to $584 million. In the future, costs related to SFAS 123(R) will not be adjusted when comparing with 2007 figures.
Net revenue for 2006 was $8,499 million, up 26% from 2005. Adjusted for currency, net revenue rose by 25%. Organic growth was 10%.
Operating income (EBIT) increased by 40% to $1,318 million. Operating income for the full year 2006 includes expenses of $11 million as a result of restructuring and in-process R&D, transformation of legal form and the change of accounting principles for stock options, net of the gain from the clinic divestitures.
Excluding these items and the one-time costs for the transformation of the legal form in the prior year, operating income for 2006 increased by 38% to $1,329 million. This performance resulted in an operating margin of 15.6% compared to 14.2% for the year 2005.
Net interest expense for the full year 2006 was $351 million compared to $173 million in 2005. The increase was the result of three quarters worth of additional interest expense and the write-off of deferred financing costs related to the 2003 senior credit facility of $15 million, both in conjunction with the financing of the RCG acquisition.
Income tax expense was $413 million for the full year compared to $309 million in 2005, reflecting tax rates of 42.8% and 40.3%, respectively. The tax rate was impacted by tax payments in connection with the gain on divestiture of dialysis clinics in the U.S. and by a tax audit in Germany. Excluding these impacts, the effective tax rate was 38.5%.
For the full year 2006, earnings per ordinary share rose by 17% to $5.47 ($1.82 per ADS). The weighted average number of shares outstanding during 2006 was approximately 98.1 million.
Cash from operations during the full year 2006 was $908 million compared to $670 million for 2005 on a reported basis. On an adjusted basis, cash from operations was $1,106 million in 2006 compared to $805 million in 2005. The increase compared to prior the year was mainly due to increased earnings and further improvements in working capital efficiency.
A total of $450 million was used for capital expenditures, net of disposals. Free Cash Flow before acquisitions for 2006 was $458 million compared to $373 million in 2005. The underlying Free Cash Flow before acquisitions and one-time effects for 2006 was $656 million. A total of $159 million in cash was used for acquisitions other than the RCG acquisition in 2006.
For a complete overview on the fourth quarter and the full year of 2006 and the reconciliation of non-GAAP financial measures included in this release to the most comparable GAAP financial measures, please refer to the attachments.
Patients Clinics Treatments
As of December 31, 2006, Fresenius Medical Care treated 163,517 patients worldwide, which represents a 24% increase in patients compared to last year. North America provided dialysis treatments for 117,855 patients (up 32%). Including 33 managed clinics, the number of patients in North America was 119,883. The International segment served 45,662 patients (up 8%).
As of December 31, 2006, the Company operated a total of 2,108 clinics worldwide. This is comprised of 1,560 clinics in North America, an increase of 35%, and 548 clinics in the International segment, an increase of 5%.
Fresenius Medical Care delivered approximately 23.74 million dialysis treatments worldwide, which represents an increase of 20% year over year. North America accounted for 16.88 million treatments, an increase of 25%, and the International segment delivered 6.86 million treatments, an increase of 10% over last year.
As of December 31, 2006, Fresenius Medical Care employed 56,803 people (full-time equivalents) worldwide compared to 47,521 at the end of 2005. The increase of 9,282 employees is primarily due to the acquisition of Renal Care Group.
The Company will continue to follow an earnings-driven dividend policy. For the tenth consecutive year, shareholders can expect to receive an increased annual dividend for the fiscal year 2006. At the Annual General Meeting to be held on May 15, 2007, shareholders will be asked to approve a dividend of 1.41 per ordinary share, an increase of 15% from 2005 ( 1.23) and 1.47 per preference share, an increase of 14% from 2005 ( 1.29).
Acquisition in Taiwan
On January 9, 2007, the Company announced the acquisition of a 51% equity interest in Jiate Excelsior Co. Ltd. ( Excelsior ) in Taiwan. The purchase price for the 51% equity interest in Excelsior was $38 million. The transaction is expected to add about $80 million to the consolidated revenues and to be accretive to the Company s earnings for 2007. Through the transaction, Fresenius Medical Care will become the leading dialysis provider in the Asia-Pacific region.
For the full year 2007, the Company expects to achieve revenue of approximately $9.4 billion, an increase of 11%.
The net income is expected to be between $675 million and $695 million in 2007. This represents an increase of between 18% and 21% on an adjusted basis to 2006. On a reported basis, the net income would increase by 26% to 29%.
The Company expects spending on capital expenditures and acquisitions to be at approximately $650 million. The debt/EBITDA ratio is expected to fall below 3.0 by the end of 2007.
Ben Lipps, Chief Executive Officer of Fresenius Medical Care, commented: Our excellent financial performance for the year reflects the strong demand for our products and services worldwide. We are pleased to have again delivered on our commitments in 2006 and are proposing to deliver our tenth consecutive dividend increase to our shareholders. With the successful integration of the Renal Care Group acquisition, expansion opportunities for patient care in Europe and Asia and the progress on our growth initiatives, we are confident as we look ahead.
Fresenius Medical Care will hold an analyst meeting at its headquarters in Bad Homburg, Germany, to discuss the results of the fourth quarter and the full year of 2006 on February 22, 2007, at 3.15pm CET / 9.15am EST. The Company invites investors to view the live video webcast of the meeting at the Company s website www.fmc-ag.com in the Investor Relations section. A replay will be available shortly after the meeting.
Fresenius Medical Care is the world s largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure, a condition that affects about 1,500,000 individuals worldwide. Through its network of 2,108 dialysis clinics in North America, Europe, Latin America, Asia-Pacific and Africa, Fresenius Medical Care provides dialysis treatment to 163,517 patients around the globe. Fresenius Medical Care is also the world s leading provider of dialysis products such as hemodialysis machines, dialyzers and related disposable products. Fresenius Medical Care is listed on the Frankfurt Stock Exchange (FME, FME3) and the New York Stock Exchange (FMS, FMS-p).
For more information about Fresenius Medical Care visit the Company s website at www.fmc-ag.com.
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.
Fresenius Medical Care
Statements of Earnings
(in US-$ thousands, except share and per share data)
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||
| 2006 | 2005 | % Change | 2006 | 2005 | % Change | ||||||||||||||
| Net revenue | |||||||||||||||||||
| Dialysis Care | 1,749,326 | 1,256,776 | 39.2 | % | 6,377,390 | 4,866,833 | 31.0 | % | |||||||||||
| Dialysis Products | 603,025 | 515,594 | 17.0 | % | 2,121,648 | 1,904,986 | 11.4 | % | |||||||||||
| Total net revenue | 2,352,351 | 1,772,370 | 32.7 | % | 8,499,038 | 6,771,819 | 25.5 | % | |||||||||||
| Cost of revenue | 1,532,894 | 1,191,153 | 28.7 | % | 5,621,482 | 4,563,681 | 23.2 | % | |||||||||||
| Gross profit | 819,457 | 581,217 | 41.0 | % | 2,877,556 | 2,208,138 | 30.3 | % | |||||||||||
| Selling, general and administrative | 451,808 | 326,504 | 38.4 | % | 1,548,369 | 1,218,265 | 27.1 | % | |||||||||||
| Gain on sale of dialysis clinics | (40,233 | ) | |||||||||||||||||
| Research and development | 13,946 | 10,859 | 28.4 | % | 51,293 | 50,955 | 0.7 | % | |||||||||||
| Operating income (EBIT) | 353,703 | 243,854 | 45.0 | % | 1,318,127 | 938,918 | 40.4 | % | |||||||||||
| Interest income | (5,588 | ) | (6,913 | ) | -19.2 | % | (20,432 | ) | (18,187 | ) | 12.3 | % | |||||||
| Interest expense | 101,764 | 53,344 | 90.8 | % | 371,678 | 191,379 | 94.2 | % | |||||||||||
| Interest expense, net | 96,176 | 46,431 | 107.1 | % | 351,246 | 173,192 | 102.8 | % | |||||||||||
| Earnings before income taxes and minority interest | 257,527 | 197,423 | 30.4 | % | 966,881 | 765,726 | 26.3 | % | |||||||||||
| Income tax expense | 99,088 | 81,592 | 21.4 | % | 413,489 | 308,748 | 33.9 | % | |||||||||||
| Minority interest | 6,415 | 299 | 16,646 | 2,026 | |||||||||||||||
| Net income | 152,024 | 115,532 | 31.6 | % | 536,746 | 454,952 | 18.0 | % | |||||||||||
| Operating income (EBIT) | 353,703 | 243,854 | 45.0 | % | 1,318,127 | 938,918 | 40.4 | % | |||||||||||
| Depreciation and amortization | 87,440 | 68,153 | 28.3 | % | 308,698 | 251,452 | 22.8 | % | |||||||||||
| EBITDA | 441,143 | 312,007 | 41.4 | % | 1,626,825 | 1,190,370 | 36.7 | % | |||||||||||
| Total bad debt expenses | 48,456 | 38,732 | 177,285 | 140,799 | |||||||||||||||
| Earnings per ordinary share | $ | 1.55 | $ | 1.18 | 31.1 | % | $ | 5.47 | $ | 4.68 | 17.0 | % | |||||||
| Earnings per ordinary ADS | $ | 0.52 | $ | 0.39 | 31.1 | % | $ | 1.82 | $ | 1.56 | 17.0 | % | |||||||
| Weighted average number of shares | |||||||||||||||||||
| Ordinary shares | 97,125,582 | 70,000,000 | 96,873,968 | 70,000,000 | |||||||||||||||
| Preference shares | 1,218,442 | 27,610,971 | 1,191,792 | 26,789,816 | |||||||||||||||
| Percentages of revenue | |||||||||||||||||||
| Cost of revenue | 65.2 | % | 67.2 | % | 66.1 | % | 67.4 | % | |||||||||||
| Gross profit | 34.8 | % | 32.8 | % | 33.9 | % | 32.6 | % | |||||||||||
| Selling, general and administrative | 19.2 | % | 18.4 | % | 18.2 | % | 18.0 | % | |||||||||||
| Gain on sale of dialysis clinics | 0.0 | % | 0.0 | % | -0.5 | % | 0.0 | % | |||||||||||
| Research and development | 0.6 | % | 0.6 | % | 0.6 | % | 0.8 | % | |||||||||||
| Operating income (EBIT) | 15.0 | % | 13.8 | % | 15.5 | % | 13.9 | % | |||||||||||
| Interest expense, net | 4.1 | % | 2.6 | % | 4.1 | % | 2.6 | % | |||||||||||
| Earnings before income taxes and minority interest | 10.9 | % | 11.1 | % | 11.4 | % | 11.3 | % | |||||||||||
| Income tax expense | 4.2 | % | 4.6 | % | 4.9 | % | 4.6 | % | |||||||||||
| Minority interest | 0.3 | % | 0.0 | % | 0.2 | % | 0.0 | % | |||||||||||
| Net income | 6.5 | % | 6.5 | % | 6.3 | % | 6.7 | % | |||||||||||
| EBITDA | 18.8 | % | 17.6 | % | 19.1 | % | 17.6 | % |
Fresenius Medical Care
Segment and Other Information
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||
| 2006 | 2005 | % Change | 2006 | 2005 | % Change | ||||||||||||||
| Net revenue | |||||||||||||||||||
| North America | 1,658 | 1,194 | 38.9 | % | 6,025 | 4,577 | 31.6 | % | |||||||||||
| International | 694 | 578 | 20.1 | % | 2,474 | 2,195 | 12.7 | % | |||||||||||
| Total net revenue | 2,352 | 1,772 | 32.7 | % | 8,499 | 6,772 | 25.5 | % | |||||||||||
| Operating income (EBIT) | |||||||||||||||||||
| North America | 260 | 173 | 50.5 | % | 965 | 644 | 49.8 | % | |||||||||||
| International | 123 | 101 | 22.0 | % | 440 | 362 | 21.7 | % | |||||||||||
| Corporate | (29 | ) | (30 | ) | -1.1 | % | (87 | ) | (67 | ) | 29.6 | % | |||||||
| Total operating income (EBIT) | 354 | 244 | 45.0 | % | 1,318 | 939 | 40.4 | % | |||||||||||
| Operating income in percentage of revenue | |||||||||||||||||||
| North America | 15.7 | % | 14.5 | % | 16.0 | % | 14.1 | % | |||||||||||
| International | 17.7 | % | 17.4 | % | 17.8 | % | 16.5 | % | |||||||||||
| Total | 15.0 | % | 13.8 | % | 15.5 | % | 13.9 | % | |||||||||||
| Excluding SFAS 123(R) and one-time items 1) | |||||||||||||||||||
| Operating income (EBIT) | |||||||||||||||||||
| North America | 284 | 173 | 64.2 | % | 958 | 644 | 48.7 | % | |||||||||||
| International | 123 | 101 | 22.0 | % | 440 | 362 | 21.7 | % | |||||||||||
| Corporate | (24 | ) | (16 | ) | 52.6 | % | (69 | ) | (45 | ) | 54.6 | % | |||||||
| Total operating income (EBIT) | 383 | 258 | 48.4 | % | 1,329 | 961 | 38.3 | % | |||||||||||
| Operating income in percentage of revenue | |||||||||||||||||||
| North America | 17.1 | % | 14.5 | % | 15.9 | % | 14.1 | % | |||||||||||
| International | 17.7 | % | 17.4 | % | 17.8 | % | 16.5 | % | |||||||||||
| Total | 16.3 | % | 14.6 | % | 15.6 | % | 14.2 | % | |||||||||||
| Employees | |||||||||||||||||||
| Full-time equivalents | 56,803 | 47,521 |
Fresenius Medical Care
Reconciliation of non US-GAAP financial measures to the most directly comparable US-GAAP financial measures
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||
| 2006 | 2005 | % Change | 2006 | 2005 | % Change | ||||||||||||||
| Operating performance excluding SFAS 123(R) and one-time items 1) | |||||||||||||||||||
| Operating income (EBIT) | 354 | 244 | 45 | % | 1,318 | 939 | 40 | % | |||||||||||
| SFAS 123 (R) and one-time items 2) | 29 | 14 | 11 | 22 | |||||||||||||||
| Operating income (EBIT) excluding SFAS 123(R) and one-time items 1) | 383 | 258 | 48 | % | 1,329 | 961 | 38 | % | |||||||||||
| Percent of revenue | 16.3 | % | 14.6 | % | 15.6 | % | 14.2 | % | |||||||||||
| Net income | 152 | 116 | 32 | % | 537 | 455 | 18 | % | |||||||||||
| SFAS 123 (R) and one-time items 2) | 20 | 11 | 47 | 17 | |||||||||||||||
| Net income excluding SFAS 123(R) and one-time items 1) | 172 | 127 | 35 | % | 584 | 472 | 24 | % | |||||||||||
| Segment information North America | |||||||||||||||||||
| Net revenue | 1,658 | 1,194 | |||||||||||||||||
| Costs of revenue and research and development | 1,117 | 838 | |||||||||||||||||
| Selling, general and administrative | 281 | 183 | |||||||||||||||||
| Costs of revenue and operating expenses | 1,398 | 1,021 | |||||||||||||||||
| Operating income (EBIT) | 260 | 173 | |||||||||||||||||
| One-time items 2) | 24 | ||||||||||||||||||
| Operating income (EBIT) excluding one-time items | 284 | 173 | |||||||||||||||||
| Percent of revenue | 17.1 | % | 14.5 | % | |||||||||||||||
| Dialysis Products revenue incl. and excl. internal sales | |||||||||||||||||||
| North America | |||||||||||||||||||
| Dialysis Products revenue incl. internal sales | 284 | 237 | |||||||||||||||||
| less internal sales | (131 | ) | (92 | ) | |||||||||||||||
| Dialysis Products external sales | 153 | 145 | |||||||||||||||||
| International | |||||||||||||||||||
| Dialysis Products revenue incl. internal sales | 501 | 421 | |||||||||||||||||
| less internal sales | (51 | ) | (51 | ) | |||||||||||||||
| Dialysis Products external sales | 450 | 370 | |||||||||||||||||
| Reconciliation of cash flow from operating activities to EBITDA | |||||||||||||||||||
| Total EBITDA | 1,627 | 1190 | |||||||||||||||||
| Interest expense, net | (351 | ) | (173 | ) | |||||||||||||||
| Income tax expense | (413 | ) | (309 | ) | |||||||||||||||
| Change in working capital and other non cash items | 45 | (38 | ) | ||||||||||||||||
| Net cash provided by operating activities | 908 | 670 | |||||||||||||||||
| Annualized EBITDA 3) | |||||||||||||||||||
| Operating income (EBIT) last twelve months | 1,367 | 939 | |||||||||||||||||
| Depreciation and amortization last twelve months | 326 | 251 | |||||||||||||||||
| Non cash charges | 35 | 14 | |||||||||||||||||
| Annualized EBITDA | 1,728 | 1,204 |
| 1) These non US-GAAP financial measures are provided to assist readers in evaluation of Fresenius Medical Care s underlying operating performance. |
| 2) Costs related to the change of accounting principles for stock options (SFAS 123 R), the gain from the sale of dialysis clinics, one-time costs associated with the transformation of legal form, restructuring costs, in-process R&D and the write-off of deferred financing costs related to the 2003 senior credit facility in 2006 and one-time costs associated with the transformation of legal form and the Settlement and related legal fees of the shareholder suit in 2005. |
| 3) EBITDA 2006: Pro forma numbers including RCG, after FTC mandated divestitures, excluding restructuring costs and in-process R&D and excluding the gain from the sale of dialysis clinics. |
Fresenius Medical Care
| December 31, 2006 | December 31, 2005 | ||||||
| Assets | |||||||
| Current assets | 3,412 | 2,461 | |||||
| Intangible assets | 7,554 | 4,043 | |||||
| Other non-current assets | 2,079 | 1,479 | |||||
| Total assets | 13,045 | 7,983 | |||||
| Shareholders equity and liabilities | |||||||
| Current liabilities | 2,376 | 1,578 | |||||
| Long-term liabilities | 5,799 | 2,431 | |||||
| Shareholders equity | 4,870 | 3,974 | |||||
| Total shareholders equity and liabilities | 13,045 | 7,983 | |||||
| Equity/assets ratio: | 37 | % | 50 | % | |||
| Debt | |||||||
| Short-term borrowings | 331 | 151 | |||||
| Short-term borrowings from related parties | 5 | 19 | |||||
| Current portion of long-term debt and capital lease obligations | 160 | 126 | |||||
| Long-term debt and capital lease obligations, less current portion | 3,829 | 707 | |||||
| Trust Preferred Securities | 1,254 | 1,188 | |||||
| Total debt | 5,579 | 2,191 |
Fresenius Medical Care
Twelve Months Ended December 31,
| 2006 | 2005 | ||||||
| Operating activities | |||||||
| Net income | 537 | 455 | |||||
| Depreciation / amortization | 309 | 251 | |||||
| Change in working capital and other non cash items | 126 | (36 | ) | ||||
| Net tax payments related to clinic divestitures and RCG acquisition | (64 | ) | |||||
| Cash Flow from operating activities | 908 | 670 | |||||
| Investing activities | |||||||
| Purchases of property, plant and equipment | (467 | ) | (315 | ) | |||
| Proceeds from sale of property, plant and equipment | 17 | 18 | |||||
| Capital expenditures, net | (450 | ) | (297 | ) | |||
| Free Cash Flow | 458 | 373 | |||||
| Acquisitions, net of cash acquired | (4,307 | ) | (125 | ) | |||
| Proceeds from divestitures | 516 | ||||||
| Free Cash Flow after investing activities | (3,333 | ) | 248 | ||||
| Financing activities | |||||||
| Change in accounts receivable securitization program | 172 | (242 | ) | ||||
| Change in intercompany debt | (16 | ) | 14 | ||||
| Change in other debt | 3,035 | 64 | |||||
| Proceeds from exercise of stock options | 54 | 80 | |||||
| Proceeds from conversion of preference shares into ordinary shares | 307 | ||||||
| Change in minority interests | (15 | ) | 1 | ||||
| Dividends paid | (154 | ) | (137 | ) | |||
| Cash Flow from financing activities | 3,383 | (220 | ) | ||||
| Effects of exchange rates on cash | 24 | (2 | ) | ||||
| Net increase in cash | 74 | 26 | |||||
| Cash at beginning of period | 85 | 59 | |||||
| Cash at end of period | 159 | 85 |
Fresenius Medical Care
Reconciliation of Cash Flow
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||
| 2006 | 2005 | 2006 | 2005 | ||||||||||
| Net cash provided by operating activities adjusted | 443 | 283 | 1,106 | 805 | |||||||||
| Tax payments for prior years | (78 | ) | (99 | ) | (124 | ) | |||||||
| RCG acquisition | (99 | ) | |||||||||||
| Cash out for transformation & settlement | (5 | ) | (11 | ) | |||||||||
| Net cash provided by operating activities | 443 | 200 | 908 | 670 | |||||||||
| Capital expenditures (net) | (177 | ) | (450 | ) | |||||||||
| Free Cash Flow adjusted | 266 | 656 | |||||||||||
| Tax payments for prior years | (99 | ) | |||||||||||
| RCG acquisition | (99 | ) | |||||||||||
| Free Cash Flow | 266 | 458 | |||||||||||
| Divestitures adjusted | 0 | 0 | |||||||||||
| RCG acquisition | 9 | 516 | |||||||||||
| Divestitures | 9 | 516 | |||||||||||
| Acquisitions adjusted | (115 | ) | (159 | ) | |||||||||
| RCG acquisition | (3 | ) | (4,148 | ) | |||||||||
| Acquisitions | (118 | ) | (4,307 | ) | |||||||||
| Free Cash Flow after acquisitions and divestitures adjusted | 151 | 497 | |||||||||||
| Tax payments for prior years | (99 | ) | |||||||||||
| RCG acquisition | 6 | (3,731 | ) | ||||||||||
| Free Cash Flow after acquisitions and divestitures | 157 | (3,333 | ) |
Fresenius Medical Care
Quarterly Performance Scorecard - Revenue
Three months ended December 31,
(in US-$ thousands, except per-treatment revenue)
| 2006 | cc | 2005 | cc | ||||||||||
| North America | |||||||||||||
| Net revenue | 1,658,076 | 1,194,127 | |||||||||||
| Growth year-over-year | 38.9 | % | 8.7 | % | |||||||||
| Dialysis Care | 1,504,896 | 1,048,708 | |||||||||||
| Growth year-over-year | 43.5 | % | 7.1 | % | |||||||||
| U.S. per treatment | 328 | 302 | |||||||||||
| Per treatment | 325 | 299 | |||||||||||
| Sequential growth | 1.2 | % | 1.0 | % | |||||||||
| Growth year-over-year | 8.7 | % | 3.7 | % | |||||||||
| Dialysis Products | |||||||||||||
| incl. internal sales | 283,866 | 237,281 | |||||||||||
| Growth year-over-year | 19.6 | % | 11.8 | % | |||||||||
| External sales | 153,180 | 145,419 | |||||||||||
| Growth year-over-year | 5.3 | % | 21.6 | % | |||||||||
| International | |||||||||||||
| Net revenue | 694,274 | 578,244 | |||||||||||
| Growth year-over-year | 20.1 | % | 14.0 | % | 6.9 | % | 12.2 | % | |||||
| Dialysis Care | 244,430 | 208,069 | |||||||||||
| Growth year-over-year | 17.5 | % | 12.6 | % | 10.8 | % | 15.4 | % | |||||
| Per treatment | 138 | 133 | 127 | 133 | |||||||||
| Sequential growth | 4.7 | % | -2.0 | % | |||||||||
| Growth year-over-year | 8.8 | % | 4.3 | % | 0.7 | % | 4.9 | % | |||||
| Dialysis Products | |||||||||||||
| incl. internal sales | 501,055 | 421,368 | |||||||||||
| Growth year-over-year | 18.9 | % | 12.4 | % | 7.8 | % | 13.4 | % | |||||
| External sales | 449,844 | 370,175 | |||||||||||
| Growth year-over-year | 21.5 | % | 14.8 | % | 4.8 | % | 10.4 | % |
Fresenius Medical Care
Quarterly Performance Scorecard - Dialysis Care Volume
Three months ended December 31,
| 2006 | 2005 | ||||||
| North America | |||||||
| Number of treatments | 4,540,797 | 3,435,057 | |||||
| Treatments per day | 57,475 | 43,477 | |||||
| Per day sequential growth | 0.9 | % | 0.1 | % | |||
| Per day year-over-year growth | 32.2 | % | 3.5 | % | |||
| of which: | |||||||
| - Acquisition RCG | 32.9 | % | 0.0 | % | |||
| - FTC divestitures | -3.2 | % | 0.0 | % | |||
| - Other acquisitions | 0.5 | % | 1.4 | % | |||
| - Same market growth year-over-year | 2.3 | % | 2.8 | % | |||
| - Adjustments for closed/sold facilities, yield and other | -0.3 | % | -0.7 | % | |||
| International | |||||||
| Number of treatments | 1,765,471 | 1,634,687 | |||||
| Same market growth year-over-year | 9.1 | % | 7.6 | % |
Fresenius Medical Care
Quarterly Performance Scorecard - Expenses
Three months ended December 31,
| 2006 | 2005 | ||||||
| North America | |||||||
| Costs of revenue and operating expenses | |||||||
| Percent of revenue 1) | 84.3 | % | 85.5 | % | |||
| Selling, general and administrative | |||||||
| Percent of revenue 1) | 17.0 | % | 15.3 | % | |||
| Bad debt expenses | |||||||
| Percent of revenue | 2.9 | % | 3.1 | % | |||
| Dialysis Care operating expenses/Treatment (in US-$) | 267 | 256 | |||||
| Sequential growth | -0.5 | % | 0.8 | % | |||
| Growth year-over-year | 4.4 | % | 2.5 | % | |||
| Total Group | |||||||
| Costs of revenue and operating expenses | |||||||
| Percent of revenue 2) | 85.0 | % | 86.2 | % | |||
| Selling, general and administrative | |||||||
| Percent of revenue 2) | 19.2 | % | 18.4 | % | |||
| Effective tax rate | 38.5 | % | 41.3 | % |
| 1) Includes 1.4% restructuring costs and in-process R&D in 2006. |
| 2) Includes 1.3% related to change in accounting principles for stock options (SFAS 123 (R)), one-time costs associated with restructuring, in-process R&D and the transformation of legal form in 2006 and 0.8% related to one-time costs associated with the transformation of legal form and the settlement and related legal fees of the shareholders suit in 2005. |
Fresenius Medical Care
Quarterly Performance Scorecard - Cash Flow/Investing Activities
Three months ended December 31,
(in US-$ thousands, except number of de novos)
| 2006 | 2005 | ||||||
| Total Group | |||||||
| Operating Cash Flow | 442,839 | 200,314 | |||||
| Percent of revenue | 18.8 | % | 11.3 | % | |||
| Free Cash Flow before acquisitions | 265,606 | 64,840 | |||||
| Percent of revenue | 11.3 | % | 3.7 | % | |||
| Acquisitions, net | 117,745 | 39,244 | |||||
| Divestitures | (9,012 | ) | |||||
| Capital expenditures, net | 177,234 | 135,474 | |||||
| Percent of revenue | 7.5 | % | 7.6 | % | |||
| Maintenance | 75,640 | 61,161 | |||||
| Percent of revenue | 3.2 | % | 3.5 | % | |||
| Growth | 101,594 | 74,313 | |||||
| Percent of revenue | 4.3 | % | 4.2 | % | |||
| Number of de novos | 26 | 14 | |||||
| North America | 18 | 6 | |||||
| International | 8 | 8 |
Fresenius Medical Care
Quarterly Performance Scorecard - Balance Sheet
Three months ended December 31,
| 2006 | 2005 | ||||||
| Total Group | |||||||
| Debt (in US-$million) | 5,579 | 2,191 | |||||
| Debt/EBITDA | 3.2 | 1.8 | |||||
| North America | |||||||
| Days sales outstanding | 59 | 63 | |||||
| Sequential development | 1.7 | % | 0.0 | % | |||
| Year-over-year development | -6.3 | % | -6.0 | % | |||
| International | |||||||
| Days sales outstanding | 119 | 120 | |||||
| Sequential development | -2.5 | % | -1.6 | % | |||
| Year-over-year development | -0.8 | % | 0.8 | % |
Fresenius Medical Care
Quarterly Performance Scorecard
Three months ended December 31,
| 2006 | 2005 | ||||||
| Clinical Performance (FME only) | |||||||
| North America (U.S.) | |||||||
| Urea reduction >= 65% | 91 | % | 91 | % | |||
| Single Pool Kt/v > 1.2 | 95 | % | 94 | % | |||
| Hemoglobin >= 11g/dl | 83 | % | 82 | % | |||
| Albumin >= 3.5 g/dl* | 80 | % | 79 | % | |||
| Hospitalization days per patient (12 months ending December 31,) | 11.7 | 11.9 | |||||
| Demographics (FME only) | |||||||
| North America (U.S.) | |||||||
| Average age (yr) | 62 | 61 | |||||
| Average time on dialysis (yr) | 3.5 | 3.4 | |||||
| Average body weight (kg) | 78 | 77 | |||||
| Prevalence of diabetes | 52 | % | 52 | % |