Growing up with parenteral nutrition
Paul, the four-legged therapist
The History of Dialysis
’Remain true to your ideals’
Serving patients in Swaziland
Using protons to take on cancer
A little heart at the center of a complex surgery
On duty in disaster zones
More ‘Quality of Life’ in clinics
Ready to help the littlest ones
"I want to help others, so they won’t give up"
From a local pharmacy to a global corporation
We employ a balanced mix of equity and debt to optimize the average cost of capital. We ensure financial flexibility by using a broad spectrum of financing instruments. Our financing profile is characterized by a wide spread of maturities up to 2032.
Sufficient financial cushion is assured for the Fresenius Group by unused syndicated and bilateral credit lines. In addition, Fresenius SE & Co. KGaA and Fresenius Medical Care AG & Co. KGaA maintain commercial paper programs. The Fresenius Medical Care receivable securitization program offers additional financing options.
In present capital market conditions we optimize our cost of capital if we hold the net debt/EBITDA ratio within a range of 2.5 to 3.0 (before adoption of IFRS 16). As of March 31, 2019, the net debt/EBITDA ratio was 3.091,2,3 (December 31, 2018: 2.711). Excluding the acquisition of NxStage the net debt/EBITDA ratio was 2.831,2. Including the NxStage acquisition which is increasing the net debt/EBITDA ratio in 2019 by ~30 basis points and excluding IFRS 16, Fresenius expects year-end 2019 net debt/EBITDA ratio4 to be at the upper-end of the original self-imposed target corridor of 2.5 to 3.0x.
In line with the Group’s structure, financing for Fresenius Medical Care and for the rest of the Fresenius Group is conducted separately. There are no joint financing facilities and no mutual guarantees.
1 At LTM average exchange rates for both net debt and EBITDA, before special items
2 Adjusted for IFRS 16 effect
3 Including acquisition of NxStage
4 Calculated at expected annual average exchange rates for both net debt and EBITDA, including acquisition of NxStage, excluding further potential acquisitions
