0001104659-17-029251.txt : 20170503 0001104659-17-029251.hdr.sgml : 20170503 20170503111239 ACCESSION NUMBER: 0001104659-17-029251 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20170503 FILED AS OF DATE: 20170503 DATE AS OF CHANGE: 20170503 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fresenius Medical Care AG & Co. KGaA CENTRAL INDEX KEY: 0001333141 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-32749 FILM NUMBER: 17807835 BUSINESS ADDRESS: STREET 1: ELSE-KROENER STRASSE 1 CITY: BAD HOMBURG STATE: 2M ZIP: 61352 BUSINESS PHONE: 011-49-6172-6090 MAIL ADDRESS: STREET 1: ELSE-KROENER STRASSE 1 CITY: BAD HOMBURG STATE: 2M ZIP: 61352 6-K 1 a17-11748_26k.htm 6-K

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 6-K

 

REPORT OF FOREIGN PRIVATE ISSUER

Pursuant to Rule 13a-16 or 15d-16 of the

Securities Exchange Act of 1934

 

For the month of May 2017

 

FRESENIUS MEDICAL CARE AG & Co. KGaA

(Translation of registrant’s name into English)

 

Else-Kröner Strasse 1

61346 Bad Homburg

Germany

(Address of principal executive offices)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F x

Form 40-F o

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): o

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): o

 

Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.

 

Yes o

No x

 

If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82

 

 

 


 


 

On May 3, 2017 Fresenius Medical Care AG & Co. KGaA (the “Company”) issued a Press Release announcing its first quarter results for the period ending March 31, 2017. A copy of the Press Release is furnished as Exhibit 99.1 and the corresponding financial figures as Exhibit 99.2.

 

The attached Press Release contains non-GAAP financial measures. For purposes of Regulation G, a non-GAAP financial measure is a numerical measure of a company’s performance, financial position, or cash flows that either excludes or includes amounts that are not normally excluded or included in the most directly comparable measure calculated and presented in accordance with generally accepted accounting principles. To supplement our first quarter 2017 consolidated financial results presented in accordance with International Financial Reporting Standards, or IFRS, we have used non-GAAP financial measure of (a) EBITDA, or operating income excluding interest, taxes, depreciation and amortization, (b) delivered operating income (earnings before interest and taxes), and (c) free cash flow. These non-GAAP measures are provided to enhance the user’s overall understanding of our current financial performance and our prospects for the future. In addition, because we have historically reported certain non-GAAP financial measures in our financial results, we believe the inclusion of these non-IFRS financial measures provides consistency and comparability in our financial reporting to prior periods for which these non-GAAP financial measures were previously reported. These non-GAAP financial measures should not be used as a substitute for or be considered superior to GAAP financial measures. Reconciliation of the non-GAAP financial measures to the most comparable IFRS financial measures are included in the attached Press Release in a separate statement setting forth the reconciliation and in the Cash Flow Statement.

 

The Exhibits attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities and Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall they be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, regardless of any general incorporation language in such filing.

 



 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

DATE: May 3, 2017

 

 

FRESENIUS MEDICAL CARE AG & Co. KGaA, a partnership limited by shares, represented by:

 

 

 

FRESENIUS MEDICAL CARE MANAGEMENT AG, its General Partner

 

 

 

 

 

 

 

By:

/s/ RICE POWELL

 

 

Name:

Rice Powell

 

 

Title:

Chief Executive Officer and Chairman of the Management Board of the General Partner

 

 

 

 

 

 

 

By:

/s/ MICHAEL BROSNAN

 

 

Name:

Michael Brosnan

 

 

Title:

Chief Financial Officer and Member of the Management Board of the General Partner

 


EX-99.1 2 a17-11748_2ex99d1.htm EX-99.1

Exhibit 99.1

 

 

Press Release

Media Contact

Matthias Link

T +49 6172 609-2872

matthias.link@fresenius.com

 

Contact for analysts and investors

Dr. Dominik Heger

T +49 6172 609-2601

dominik.heger@fmc-ag.com

 

www.freseniusmedicalcare.com

 

3 May 2017

 

Fresenius Medical Care delivers strong first quarter 2017

 

·                  Strong revenue increase by 14%1 supported by growth in all regions and Care Coordination activities

·                  Net income1,2 growth of 17% ahead of revenue development

·                  First quarter performance in line to achieve full year guidance

·                  Acquisition of majority stake in Cura Group, Australia, completed

 

Key figures (IFRS)

 

EUR million

 

Q1 2017

 

Q1 2016

 

growth

 

Revenue

 

4,548

 

3,916

 

+16

%

Adjusted revenue1

 

4,448

 

3,916

 

+14

%

Operating income (EBIT)

 

651

 

497

 

+31

%

Adjusted operating income (EBIT)1

 

552

 

497

 

+11

%

Net income1

 

308

 

213

 

+45

%

Adjusted net income1,2

 

249

 

213

 

+17

%

Basic earnings per share (in EUR)

 

1.01

 

0.70

 

+44

%

 


1 Adjusted for the effects of the agreement with United States Departments of Veterans Affairs and Justice on outstanding payments

2 Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA

 

1



 

Rice Powell, Chief Executive Officer of Fresenius Medical Care, stated: “We saw a very positive start to the year. While both our dialysis services and products business showed strong growth, our Care Coordination activities confirmed its high growth potential. We are shaping our activities in this area and expect the profitability to improve in the course of the year. We are clearly on track to deliver on our ambitious targets for 2017.”

 

Revenue & earnings

 

Revenue for the company improved by 16% and reached EUR 4,548 million (12% at constant currency), largely driven by strong Health Care Services revenue growth of 19% in North America (15% at constant currency). Total Health Care Services revenue increased by 18% (14% at constant currency) to EUR 3,769 million, while product revenue grew 8% (6% at constant currency) to EUR 779 million. Organic growth3 of 9% for Health Care Services and 5% for the products business confirmed the strong underlying dynamic in the first quarter 2017.

 

Total operating income (EBIT) increased by 31% to EUR 651 million (margin of 14.3%). This increase was strongly supported by the Dialysis business in North America, the agreement with the United States Departments of Veterans Affairs and Justice and the business growth in Asia Pacific.

 

Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA was EUR 308 million, a very strong increase of 45%. Excluding the agreement with the United States Departments of Veterans Affairs and Justice, net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA increased by 17%. Based on a number of approximately 306.2 million shares (weighted average number of shares outstanding), basic earnings per share (EPS) amounted to EUR 1.01, compared to EUR 0.70 for the first quarter of 2016.

 

Development of Reporting Segments

 

North America revenue increased by 18% to EUR 3,375 million and corresponds to 74% of total revenue. At constant currency rates growth was at 14%. The Dialysis business grew by 14% (10% at constant currency), Care Coordination increased by 39% (34% at constant currency). The continued progress in Care Coordination was driven by organic growth of 27% and contributed EUR 691 million in revenues. Dialysis Care Services revenue growth was positively influenced by the positive effect from the

 


3 Adjusted for the effects of the agreement with United States Departments of Veterans Affairs and Justice for outstanding payments

 

2



 

agreement with the United States Departments of Veterans Affairs and Justice, a favourable impact from commercial payors and an increased number of treatments. Product revenue increased by 9% (6% at constant currency) due to higher sales of machines and products for peritoneal dialysis.

 

The substantially improved Dialysis operating income margin of 19.6% (+310 bp compared to Q1 2016) was driven by the agreement with the United States Departments of Veterans Affairs and Justice, a favourable impact from commercial payors, lower costs for health care supplies partially offset by higher personnel expense. The year over year lower margin in the Care Coordination activities was driven by higher bad debt expense, the impact from lower revenue for vascular services and increased costs for pharmacy services, partially offset by earnings recognized from the Bundled Payment for Care Improvement (BPCI) initiative related to hospitalist and intensivist services.

 

The total operating income of the North America segment was EUR 526 million (+31%), the operating income margin improved to 15.6%. Operating income (EBIT) for the first quarter 2017 excluding the agreement with the Veteran Administration was EUR 427 million, an increase of 6% compared to Q1 2016 (3% at constant currency). Excluding the agreement with the United States Departments of Veterans Affairs and Justice the operating income margin was 13.0%.

 

EMEA revenue increased by 7% (6% at constant currency) to EUR 614 million, mainly driven by a positive business development in Health Care Services revenue which increased by 11% (9% at constant currency). The increase at constant currency was driven by acquisitions and same-market treatment growth. Dialysis Product revenue grew by 1% to EUR 290 million. Positively influenced by an acquired business, the company generated EUR 21 million of non-dialysis product revenue. Operating income was EUR 114 million in Q1 2017, the operating income margin decreased from 20.6% to 18.7% mainly due to an unfavorable impact from acquisitions, overhead costs and a lower income from equity method investees.

 

Asia-Pacific revenue grew by 11% (7% at constant currency) to EUR 378 million. In the region Health Care Services generated revenue of EUR 169 million and therewith showed a 4% organic revenue growth. With a growth of 11% (8% constant currency) to EUR 209 million, the product business showed a solid sales performance, mainly driven by higher sales of dialyzers, machines and products for acute care treatments. Operating income increased to EUR 82 million (38%) and was supported by an improved revenue mix and

 

3



 

the prior year impact from costs associated with changes in the management board. Operating income margin improved to 21.7% (compared to 17.5% in Q1 2016).

 

End of April 2017 Fresenius Medical Care successfully closed the acquisition of Cura day hospital group in Australia - the first step into Care Coordination outside the North American market. The transaction is strengthening the Company’s regional footprint by scaling up to around 40 outpatient facilities. The new entity generated EUR 87 million in revenues in the business year 2015/2016. Consolidation effects are already reflected in the given guidance for 2017.

 

Latin America delivered revenue of EUR 177 million, a significant improvement of 28%. At constant currency rates the business grew by 17%. The growth was mainly driven by reimbursement increases, higher number of treatments and a favorable currency impact. Product revenue grew by 23% based on higher machine sales. Operating income was at EUR 14 million, compared to EUR 10 million in previous year’s Q1. Operating income margin increased to 8.1% in Q1 2017 from 7.0% in Q1 2016.

 

Net interest expense was EUR 92 million compared to EUR 96 million in the first quarter of 2016. The decrease was driven by the replacement of high interest bearing senior notes repaid in 2016 by debt instruments at lower interest rates partially offset by an increased average debt level. Income tax expense was EUR 182 million for the first quarter of 2017, which translates into an effective tax rate of 32.5%, compared to last year’s Q1 with a tax rate of 31.4%. The increase was primarily driven by a lower portion of tax-free income attributable to non-controlling interests and the agreement with the United States Departments of Veterans Affairs and Justice.

 

Cash flow

 

In the first quarter of 2017, the company generated EUR 170 million in net cash provided by operating activities, representing 4% of revenue, compared to EUR 163 million in last year’s Q1. The cash flow was positively influenced by the payment related to the agreement with the United States Departments of Veterans Affairs and Justice, offset by seasonality in invoicing. The seasonality in invoicing will have no meaningful impact on the full year 2017. The number for DSO (days sales outstanding) increased sequentially by 3 days compared to Q4 2016 and reached 73 days.

 

4



 

Employees

 

As of March 31, 2017, Fresenius Medical Care had 110,530 employees (full-time equivalents) worldwide, compared to 104,687 employees at the end of March 2016. This increase was mainly attributable to our continued organic growth and acquired companies.

 

Outlook 2017 confirmed

 

Based on the very positive Q1 business development, Fresenius Medical Care confirms its full year outlook 2017. The company expects revenue growth between 8% and 10% at constant currency for fiscal 2017. Net income attributable to shareholders of Fresenius Medical Care AG & Co. KGaA is expected to increase by 7% to 9% at constant currency over the previous year. The effects of the agreement with the U.S. Departments of Veterans Affairs and Justice are excluded.

 

Conference call

 

Fresenius Medical Care will hold a conference call to discuss the results of the first quarter 2017 on Wednesday, May 3, 2017 at 3.30 p.m. CEDT/ 9.30 a.m. EDT. The company invites investors to follow the live webcast of the call at the company’s website www.freseniusmedicalcare.com in the “Investors/Events” section. A replay will be available shortly after the call.

 

Please refer to our statement of earnings included at the end of this news and to the attachments as separate excel- and PDF-files for a complete overview of the results for the first quarter 2017.

 

Fresenius Medical Care is the world’s largest provider of products and services for individuals with renal diseases of which around 3 million patients worldwide regularly undergo dialysis treatment. Through its network of 3,654 dialysis clinics, Fresenius Medical Care provides dialysis treatments for 310,473 patients around the globe. Fresenius Medical Care is also the leading provider of dialysis products such as dialysis machines or dialyzers. Along with the core business, the company focuses on expanding the range of related medical services in the field of Care Coordination. Fresenius Medical Care is listed on the Frankfurt Stock Exchange (FME) and on the New York Stock Exchange (FMS).

 

For more information visit the Company’s website at www.freseniusmedicalcare.com.

 

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.

 

5



 

Fresenius Medical Care - Statement of earnings

in Euro million, except share data, unaudited

 

 

 

Three months ended March 31,

 

 

 

 

 

2017

 

2016

 

Change

 

 

 

 

 

 

 

 

 

Revenue

 

 

 

 

 

 

 

Health Care Services

 

3,769

 

3,199

 

17.8

%

Health Care Products

 

779

 

717

 

8.5

%

Total revenue

 

4,548

 

3,916

 

16.1

%

Total revenue adjusted1

 

4,448

 

3,916

 

13.6

%

 

 

 

 

 

 

 

 

Cost of revenue

 

2,956

 

2,622

 

12.8

%

Gross profit

 

1,592

 

1,294

 

22.9

%

Selling, general and administrative

 

924

 

780

 

18.3

%

Research and development

 

32

 

34

 

-6.6

%

Income from equity method investees

 

(15

)

(17

)

-11.7

%

Operating income (EBIT)

 

651

 

497

 

31.1

%

Operating income (EBIT) adjusted1

 

552

 

497

 

11.1

%

 

 

 

 

 

 

 

 

Interest expense, net

 

92

 

96

 

-2.9

%

Income before taxes

 

559

 

401

 

39.2

%

Income tax expense

 

182

 

126

 

44.2

%

Net income

 

377

 

275

 

36.8

%

Less: Net income attributable to noncontrolling interests

 

69

 

62

 

10.4

%

Net income2

 

308

 

213

 

44.6

%

Net income adjusted1,2

 

249

 

213

 

16.9

%

 

 

 

 

 

 

 

 

Operating income (EBIT)

 

651

 

497

 

31.1

%

Depreciation and amortization

 

190

 

165

 

14.9

%

EBITDA

 

841

 

662

 

27.0

%

EBITDA margin

 

18.5

%

16.9

%

 

 

 

 

 

 

 

 

 

 

Weighted average number of shares

 

306,241,321

 

305,325,185

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share

 

1.01

 

0.70

 

44.1

%

Basic earnings per ADS

 

0.50

 

0.35

 

44.1

%

 

 

 

 

 

 

 

 

In percent of revenue

 

 

 

 

 

 

 

Costs of revenue

 

65.0

%

66.9

%

 

 

Gross profit

 

35.0

%

33.1

%

 

 

Operating income (EBIT)

 

14.3

%

12.7

%

 

 

Net income attributable to shareholders of FMC AG & Co. KGaA

 

6.8

%

5.4

%

 

 

 


1 Adjusted for the effects of the agreement with United States Departments of Veterans Affairs and Justice on outstanding payments

2 Net income attributable to shareholders of FMC AG & Co. KGaA

 

6


EX-99.2 3 a17-11748_2ex99d2.htm EX-99.2

Exhibit 99.2

 

 

Fresenius Medical Care AG & Co. KGaA

 

COMPLETE OVERVIEW OF THE RESULTS FOR THE FIRST QUARTER 2017

 

May 3, 2017

 

Investor Relations

phone: +49 6172 609 2525

fax: +49 6172 609 2301

email: ir@fmc-ag.com

 

Content:

 

 

 

 

 

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 one time PY

 

page 10

Remarks

 

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

 

1



 

Statement of earnings

 

 

 

Three months ended March 31

 

Change

 

in € million, except share data, unaudited

 

2017

 

2016

 

Change

 

at cc

 

 

 

 

 

 

 

 

 

 

 

Health Care Services

 

3,769

 

3,199

 

17.8

%

13.8

%

Health Care Products

 

779

 

717

 

8.5

%

5.8

%

Total revenue

 

4,548

 

3,916

 

16.1

%

12.4

%

 

 

 

 

 

 

 

 

 

 

Costs of revenue

 

2,956

 

2,622

 

12.8

%

8.9

%

Gross profit

 

1,592

 

1,294

 

22.9

%

19.4

%

Selling, general and administrative

 

924

 

780

 

18.3

%

14.7

%

Research and development

 

32

 

34

 

-6.6

%

-8.1

%

Income from equity method investees

 

(15

)

(17

)

-11.7

%

-11.8

%

Operating income (EBIT)

 

651

 

497

 

31.1

%

27.6

%

 

 

 

 

 

 

 

 

 

 

Interest income

 

(29

)

(10

)

185.3

%

186.7

%

Interest expense

 

121

 

106

 

15.0

%

12.7

%

Interest expense, net

 

92

 

96

 

-2.9

%

-5.6

%

Income before taxes

 

559

 

401

 

39.2

%

35.5

%

Income tax expense

 

182

 

126

 

44.2

%

40.5

%

Net income

 

377

 

275

 

36.8

%

33.3

%

Less: Net income attributable to noncontrolling interests

 

69

 

62

 

10.4

%

6.7

%

Net income attributable to shareholders of FMC AG & Co. KGaA

 

308

 

213

 

44.6

%

41.0

%

 

 

 

 

 

 

 

 

 

 

Operating income (EBIT)

 

651

 

497

 

31.1

%

27.6

%

Depreciation and amortization

 

190

 

165

 

14.9

%

11.3

%

EBITDA

 

841

 

662

 

27.0

%

23.5

%

EBITDA margin

 

18.5

%

16.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of shares

 

306,241,321

 

305,325,185

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share

 

€ 1.01

 

€ 0.70

 

44.1

%

40.6

%

Basic earnings per ADS

 

€ 0.50

 

€ 0.35

 

44.1

%

40.6

%

 

 

 

 

 

 

 

 

 

 

In percent of revenue

 

 

 

 

 

 

 

 

 

Costs of revenue

 

65.0

%

66.9

%

 

 

 

 

Gross profit

 

35.0

%

33.1

%

 

 

 

 

Operating income (EBIT)

 

14.3

%

12.7

%

 

 

 

 

Net income attributable to shareholders of FMC AG & Co. KGaA

 

6.8

%

5.4

%

 

 

 

 

 

2



 

Segment information

 

 

 

Three months ended March 31

 

Change

 

unaudited

 

2017

 

2016

 

Change

 

at cc

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

Revenue in € million

 

4,548

 

3,916

 

16.1

%

12.4

%

Operating income (EBIT) in € million

 

651

 

497

 

31.1

%

27.6

%

Operating income margin in %

 

14.3

%

12.7

%

 

 

 

 

Delivered EBIT in € million

 

582

 

435

 

34.0

%

30.6

%

Days sales outstanding (DSO)

 

73

 

74

 

 

 

 

 

Employees (full-time equivalents)

 

110,530

 

104,687

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North America

 

 

 

 

 

 

 

 

 

Revenue in € million

 

3,375

 

2,862

 

17.9

%

13.9

%

Operating income (EBIT) in € million

 

526

 

402

 

30.9

%

26.6

%

Operating income margin in %

 

15.6

%

14.0

%

 

 

 

 

Delivered EBIT in € million

 

459

 

342

 

34.5

%

30.2

%

Days sales outstanding (DSO)

 

60

 

60

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

 

 

 

 

 

 

 

 

Revenue per dialysis treatment in US$

 

356

1)

348

 

2.2

%

n.a.

 

Cost per dialysis treatment in US$

 

290

 

281

 

2.9

%

n.a.

 

 

 

 

 

 

 

 

 

 

 

EMEA

 

 

 

 

 

 

 

 

 

Revenue in € million

 

614

 

572

 

7.2

%

6.4

%

Operating income (EBIT) in € million

 

114

 

118

 

-3.0

%

-1.9

%

Operating income margin in %

 

18.7

%

20.6

%

 

 

 

 

Delivered EBIT in € million

 

114

 

117

 

-3.2

%

-2.1

%

Days sales outstanding (DSO)

 

102

 

104

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asia-Pacific

 

 

 

 

 

 

 

 

 

Revenue in € million

 

378

 

340

 

11.1

%

6.9

%

Operating income (EBIT) in € million

 

82

 

59

 

37.8

%

34.7

%

Operating income margin in %

 

21.7

%

17.5

%

 

 

 

 

Delivered EBIT in € million

 

80

 

58

 

38.1

%

35.1

%

Days sales outstanding (DSO)

 

97

 

104

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Latin America

 

 

 

 

 

 

 

 

 

Revenue in € million

 

177

 

139

 

27.6

%

17.4

%

Operating income (EBIT) in € million

 

14

 

10

 

47.3

%

43.3

%

Operating income margin in %

 

8.1

%

7.0

%

 

 

 

 

Delivered EBIT in € million

 

14

 

10

 

47.0

%

43.0

%

Days sales outstanding (DSO)

 

134

 

148

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate

 

 

 

 

 

 

 

 

 

Revenue in € million

 

4

 

3

 

61.2

%

61.1

%

Operating income (EBIT) in € million

 

(85

)

(92

)

-7.4

%

-8.2

%

Delivered EBIT in € million

 

(85

)

(92

)

-7.5

%

-8.3

%

 


1 Incl. The VA agreement revenue per dialysis treatment was $371.

 

3



 

Balance sheet

 

 

 

March 31

 

December 31

 

in € million, except net debt/EBITDA ratio

 

2017

 

2016

 

 

 

(unaudited)

 

(audited)

 

Assets

 

 

 

 

 

Current assets

 

7,077

 

6,884

 

Goodwill and Intangible assets

 

13,738

 

13,759

 

Other non-current assets

 

4,965

 

4,861

 

Total assets

 

25,780

 

25,504

 

 

 

 

 

 

 

Liabilities and equity

 

 

 

 

 

Current liabilities

 

5,377

 

5,299

 

Long-term liabilities

 

9,105

 

9,154

 

Total equity

 

11,298

 

11,051

 

Total liabilities and equity

 

25,780

 

25,504

 

 

 

 

 

 

 

Equity/assets ratio

 

44

%

43

%

 

 

 

 

 

 

Debt

 

 

 

 

 

Short-term debt

 

697

 

572

 

Short-term debt from related parties

 

119

 

3

 

Current portion of long-term debt and capital lease obligations

 

715

 

724

 

Long-term debt and capital lease obligations, less current portion

 

6,739

 

6,833

 

Total debt

 

8,270

 

8,132

 

Cash

 

671

 

709

 

Total net debt

 

7,599

 

7,423

 

 

 

 

 

 

 

Net debt/EBITDA

 

2.3

 

2.3

 

 

4



 

Cash flow statement

 

 

 

Three months ended
March 31

 

in € million, unaudited

 

2017

 

2016

 

Operating activities

 

 

 

 

 

Net income

 

377

 

275

 

Depreciation / amortization

 

190

 

165

 

Change in working capital and other non-cash items

 

(397

)

(277

)

Net cash provided by operating activities

 

170

 

163

 

In percent of revenue

 

3.7

%

4.2

%

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property, plant and equipment

 

(197

)

(227

)

Proceeds from sale of property, plant and equipment

 

2

 

4

 

Capital expenditures, net

 

(195

)

(223

)

 

 

 

 

 

 

Free cash flow

 

(25

)

(60

)

In percent of revenue

 

-0.6

%

-1.5

%

 

 

 

 

 

 

Acquisitions and investments, net of cash acquired, and purchases of intangible assets

 

(160

)

(83

)

Proceeds from divestitures

 

 

 

Acquisitions and investments, net of divestitures

 

(160

)

(83

)

Free cash flow after investing activities

 

(185

)

(143

)

 

5



 

Revenue development

 

in € million, unaudited

 

2017

 

2016

 

Change

 

Change
at cc

 

Organic
growth

 

Same market
treatment
growth
1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended March 31

 

 

 

 

 

 

 

 

 

 

 

 

 

Total revenue

 

4,548

 

3,916

 

16.1

%

12.4

%

8.4

%

 

 

Health Care Services

 

3,769

 

3,199

 

17.8

%

13.8

%

9.2

%

3.0

%

Health Care Products

 

779

 

717

 

8.5

%

5.8

%

4.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North America

 

3,375

 

2,862

 

17.9

%

13.9

%

9.5

%

 

 

Health Care Services

 

3,165

 

2,671

 

18.5

%

14.5

%

9.8

%

3.3

%2

Thereof Care Coordination revenue

 

691

 

499

 

38.6

%

33.9

%

27.1

%

 

 

Thereof Dialysis Care Services revenue

 

2,474

 

2,172

 

13.9

%

10.1

%

5.7

%

3.3

%2

Health Care Products

 

210

 

191

 

9.3

%

5.6

%

5.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMEA

 

614

 

572

 

7.2

%

6.4

%

2.3

%

 

 

Health Care Services

 

303

 

273

 

10.9

%

9.2

%

3.2

%

3.9

%

Health Care Products

 

311

 

299

 

3.8

%

3.8

%

1.5

%

 

 

Thereof Dialysis Products

 

290

 

286

 

1.3

%

1.3

%

1.8

%

 

 

Thereof Non-Dialysis Products

 

21

 

13

 

61.8

%

61.8

%

-5.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asia-Pacific

 

378

 

340

 

11.1

%

6.9

%

6.2

%

 

 

Health Care Services

 

169

 

153

 

10.8

%

5.1

%

3.6

%

3.8

%

Health Care Products

 

209

 

187

 

11.4

%

8.4

%

8.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Latin America

 

177

 

139

 

27.6

%

17.4

%

16.7

%

 

 

Health Care Services

 

132

 

102

 

29.1

%

21.6

%

20.4

%

2.5

%

Health Care Products

 

45

 

37

 

23.3

%

5.7

%

6.7

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate

 

4

 

3

 

61.2

%

61.1

%

 

 

 

 

 


1 same market treatment growth = organic growth less price effects

2 U.S. (excl. Mexico), same market treatment growth North America: 2.6%

 

6



 

Key metrics North America segment

 

 

 

Three months ended March 31

 

unaudited

 

2017

 

2016

 

Change

 

Change
at cc

 

 

 

 

 

 

 

 

 

 

 

Care Coordination

 

 

 

 

 

 

 

 

 

Revenue in € million

 

691

 

499

 

38.6

%

33.9

%

Operating income (EBIT) in € million

 

-1

 

11

 

-107.6

%

-107.3

%

Operating income margin in %

 

-0.1

%

2.2

%

 

 

 

 

Delivered EBIT in € million

 

-8

 

3

 

-342.9

%

-334.7

%

 

 

 

 

 

 

 

 

 

 

Dialysis

 

 

 

 

 

 

 

 

 

Revenue in € million

 

2,684

 

2,363

 

13.5

%

9.7

%

Operating income (EBIT) in € million

 

527

 

391

 

34.8

%

30.4

%

Operating income margin in %

 

19.6

%

16.5

%

 

 

 

 

Delivered EBIT in € million

 

467

 

339

 

38.0

%

33.6

%

 

Key metrics Care Coordination

 

 

 

Three months ended March 31

 

unaudited

 

2017

 

2016

 

Change

 

Change
at cc

 

North America

 

 

 

 

 

 

 

 

 

Member months under medical cost management1)

 

155,622

 

93,375

 

67

%

 

 

Medical cost under management (in € million)1)

 

1,064

 

599

 

78

%

72

%

Care Coordination patient encounters1)

 

1,608,179

 

1,307,076

 

23

%

 

 

 


1) The metrics may be understated due to a physician mapping issue related to the BPCI program within a CMS system which has not yet been resolved. Additionally, data presented for the BPCI and ESCO metrics are subject to finalization by CMS, which may result in changes from previously reported metrics.

 

Key metrics Dialysis Care Services

 

 

 

Three months ended March 31, 2017

 

unaudited

 

Clinics

 

Growth
in %

 

De
novos

 

Patients

 

Growth in %

 

Treatments

 

Total

 

3,654

 

6

%

19

 

310,473

 

6

%

11,744,442

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North America

 

2,323

 

4

%

11

 

190,480

 

4

%

7,246,232

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMEA

 

722

 

10

%

4

 

60,168

 

9

%

2,271,334

 

Asia-Pacific

 

377

 

17

%

3

 

29,639

 

11

%

1,042,046

 

Latin America

 

232

 

2

%

1

 

30,186

 

3

%

1,184,830

 

 

7



 

Quality data

 

 

 

North America

 

EMEA

 

Latin America

 

Asia-Pacific

 

in % of patients

 

Q1 2017

 

Q4 2016

 

Q1 2017

 

Q4 2016

 

Q1 2017

 

Q4 2016

 

Q1 2017

 

Q4 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Performance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single Pool Kt/v > 1.2

 

98

 

98

 

95

 

96

 

92

 

91

 

96

 

97

 

No catheter (> 90 days)

 

84

 

84

 

81

 

81

 

81

 

82

 

89

 

91

 

Hemoglobin = 10-12 g/dl

 

73

 

73

 

80

 

78

 

51

 

52

 

59

 

60

 

Hemoglobin = 10-13 g/dl

 

79

 

79

 

78

 

77

 

67

 

68

 

68

 

68

 

Albumin > 3.5 g/dl1)

 

78

 

78

 

87

 

86

 

90

 

91

 

87

 

89

 

Phosphate < 5.5 mg/dl

 

63

 

64

 

77

 

77

 

74

 

77

 

67

 

72

 

Calcium = 8.4-10.2 mg/dl

 

84

 

84

 

74

 

76

 

75

 

79

 

75

 

75

 

Hospitalization days

 

10.0

 

10.0

 

7.7

 

8.0

 

3.9

 

3.8

 

4.0

 

4.4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Demographics

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average age (in years)

 

63

 

63

 

64

 

64

 

59

 

59

 

62

 

65

 

Average time on dialysis (in years)

 

4.0

 

4.0

 

5.6

 

5.5

 

5.3

 

5.2

 

4.8

 

5.1

 

Average body weight (in kg)

 

83

 

83

 

73

 

73

 

68

 

68

 

61

 

61

 

Prevalence of diabetes (in%)

 

62

 

62

 

32

 

32

 

27

 

22

 

40

 

42

 

 


1) International standard BCR CRM470

 

8



 

Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures

 

 

 

Three months ended
March 31

 

in € million, unaudited

 

2017

 

2016

 

Delivered EBIT reconciliation

 

 

 

 

 

Total

 

 

 

 

 

Operating income (EBIT)

 

651

 

497

 

less noncontrolling interests

 

(69

)

(62

)

Delivered EBIT

 

582

 

435

 

 

 

 

 

 

 

North America

 

 

 

 

 

Operating income (EBIT)

 

526

 

402

 

less noncontrolling interests

 

(67

)

(60

)

Delivered EBIT

 

459

 

342

 

 

 

 

 

 

 

Care Coordination

 

 

 

 

 

Operating income (EBIT)

 

(1

)

11

 

less noncontrolling interests

 

(7

)

(8

)

Delivered EBIT

 

(8

)

3

 

 

 

 

 

 

 

Dialysis

 

 

 

 

 

Operating income (EBIT)

 

527

 

391

 

less noncontrolling interests

 

(60

)

(52

)

Delivered EBIT

 

467

 

339

 

 

 

 

 

 

 

EMEA

 

 

 

 

 

Operating income (EBIT)

 

114

 

118

 

less noncontrolling interests

 

(0

)

(1

)

Delivered EBIT

 

114

 

117

 

 

 

 

 

 

 

Asia-Pacific

 

 

 

 

 

Operating income (EBIT)

 

82

 

59

 

less noncontrolling interests

 

(2

)

(1

)

Delivered EBIT

 

80

 

58

 

 

 

 

 

 

 

Latin America

 

 

 

 

 

Operating income (EBIT)

 

14

 

10

 

less noncontrolling interests

 

 

 

Delivered EBIT

 

14

 

10

 

 

 

 

 

 

 

Corporate

 

 

 

 

 

Operating income (EBIT)

 

(85

)

(92

)

less noncontrolling interests

 

 

 

Delivered EBIT

 

(85

)

(92

)

 

 

 

 

 

 

Reconciliation of net cash provided by operating activities to EBITDA1)

 

 

 

 

 

Total EBITDA

 

841

 

662

 

Interest expense, net

 

(92

)

(96

)

Income tax expense

 

(182

)

(126

)

Change in working capital and other non-cash items

 

(397

)

(277

)

Net cash provided by operating activities

 

170

 

163

 

 

 

 

 

 

 

Annualized EBITDA2)

 

 

 

 

 

Operating income (EBIT)

 

2,558

 

2,173

 

Depreciation and amortization

 

733

 

656

 

Non-cash charges

 

74

 

51

 

Annualized EBITDA

 

3,365

 

2,880

 

 


1) EBITDA is the basis for determining compliance with certain covenants in Fresenius Medical Care’s long-term debt instruments.

2) EBITDA 2017 : including largest acquisitions.

 

9



 

Reconciliation of non-IFRS financial measures to the most directly comparable IFRS financial measures

 

 

 

Three months ended
March 31

 

in € million, unaudited

 

2017

 

2016

 

 

 

 

 

 

 

Operating performance excluding VA Agreement1

 

 

 

 

 

Revenue

 

 

 

 

 

Total

 

 

 

 

 

Revenue

 

4,548

 

3,916

 

VA Agreement

 

(100

)

 

 

Revenue excluding VA Agreement

 

4,448

 

3,916

 

 

 

 

 

 

 

Health Care Sevices revenue

 

3,769

 

3,199

 

VA Agreement

 

(100

)

 

 

Health Care Services revenue excluding VA Agreement

 

3,669

 

3,199

 

 

 

 

 

 

 

North America

 

 

 

 

 

Revenue

 

3,375

 

2,862

 

VA Agreement

 

(100

)

 

 

Revenue excluding VA Agreement

 

3,275

 

2,862

 

 

 

 

 

 

 

Health Care Sevices revenue

 

3,165

 

2,671

 

VA Agreement

 

(100

)

 

 

Health Care Services revenue excluding VA Agreement

 

3,065

 

2,671

 

 

 

 

 

 

 

Dialysis Care Services revenue

 

2,474

 

2,172

 

VA Agreement

 

(100

)

 

 

Dialysis Care Services revenue excluding VA Agreement

 

2,374

 

2,172

 

 

 

 

 

 

 

Operating income (EBIT)

 

 

 

 

 

Total

 

 

 

 

 

Operating income (EBIT)

 

651

 

497

 

VA Agreement

 

(99

)

 

 

Operating income (EBIT) excluding VA Agreement

 

552

 

497

 

 

 

 

 

 

 

North America

 

 

 

 

 

Operating income (EBIT)

 

526

 

402

 

VA Agreement

 

(99

)

 

 

Operating income (EBIT) excluding VA Agreement

 

427

 

402

 

 

 

 

 

 

 

Net income2

 

308

 

213

 

VA Agreement

 

(59

)

 

 

Net income excluding VA Agreement2

 

249

 

213

 

 


1 Agreement with the United States Departments of Veterans Affairs and Justice

2 attributable to shareholders of FMC AG & Co. KGaA

 

10



 

Remarks

 

cc = Constant Currency. Changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items include the impact of changes in foreign currency exchange rates. We use the non-IFRS financial measure at Constant Exchange Rates or Constant Currency to show changes in our revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items without giving effect to period-to-period currency fluctuations. Under IFRS, amounts received in local (non-euro) currency are translated into euro at the average exchange rate for the period presented. Once we translate the local currency for the Constant Currency, we then calculate the change, as a percentage, of the current period using the prior period exchange rates versus the prior period. This resulting percentage is a non-IFRS measure referring to a change as a percentage at Constant Currency.

 

We believe that the non-IFRS financial measure Constant Currency is useful to investors, lenders, and other creditors because such information enables them to gauge the impact of currency fluctuations on a company’s revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items from period to period. However, we also believe that the usefulness of data on Constant Currency period-over-period changes is subject to limitations, particularly if the currency effects that are eliminated constitute a significant element of our revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA or other items and significantly impact our performance. We therefore limit our use of Constant Currency period-over-period changes to a measure for the impact of currency fluctuations on the translation of local currency into euro. We do not evaluate our results and performance without considering both Constant Currency period-over-period changes in non-IFRS revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items and changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items prepared in accordance with IFRS. We caution the readers of this report to follow a similar approach by considering data on Constant Currency period-over-period changes only in addition to, and not as a substitute for or superior to, changes in revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items prepared in accordance with IFRS. We present the growth rate derived from IFRS measures next to the growth rate derived from non-IFRS measures such as revenue, operating income, net income attributable to shareholders of FMC-AG & Co. KGaA and other items. As the reconciliation is inherent in the disclosure, we believe that a separate reconciliation would not provide any additional benefit.

 

11


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