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GRI 102-55

Our Sustainability Report was prepared in accordance with GRI standards option "Core". The GRI references are included in the corresponding text and this GRI Content Index provides an overview of the relevant content.

• GRI 102 – General Disclosures

  GRI Standard	Indicator	Comment	Reference
  Organizational Profile
  102-1	Name of the organization		Imprint
  102-2	Activities, brands, products, and services		Group Management Report Business Segments The business model
  102-3	Location of headquarters		Group Management Report Business Segments
  102-4	Location of operations		CEO Letter Group Management Report Business Segments Our value chain
  102-5	Ownership and legal form		Group Management Report
  102-6	Markets served		Group Management Report Business Segments
  102-7	Scale of the organization		Balance sheet Business Segments
  102-8	Information on employees and other workers	d. No significant portion of our Group activities are performed by workers who are not employees. e. Our number of employees on the Group level are not subject to significant seasonal fluctuations. f. The data are compiled with the help of employee reporting tools of our business segments and agregated on the Group level.	Exchange with employee representatives Evaluation
  102-9	Supply chain		Our value chain Supply Chain
  102-10	Significant changes to the organization and its supply chain		CEO Letter  Business Segments
  102-11	Precautionary Principle or approach		Opportunities and Risk Report Sustainability Risks
  102-12	External initiatives		Our work in associations and initiatives
  102-13	Membership of associations		Our work in associations and initiatives  Transparency in health care
  Strategy
  102-14	Statement from senior decision-maker		CEO Letter Foreword
  102-15	Key impacts, risks, and opportunities		Opportunities and Risk Report Sustainability Risks
  Ethics and Integrity
  102-16	Values, principles, standards, and norms of behavior		CEO Letter   Guidelines and regulations Foreword Code of Conduct
  102-17	Mechanisms for advice and concerns about ethics		Compliance Management System Guidelines and regulations Employee participation  Comprehensive stakeholder dialog
  Corporate Governance
  102-18	Governance structure		Corporate Governance Declaration and Report  The Group Sustainability Board
  102-19	Delegating authority		Our sustainability organization
  102-20	Executive-level responsibility for economic, environmental, and social topics		Our sustainability organization
  102-21	Consulting stakeholders on economic, environmental, and social topics		The Group Sustainability Board Comprehensive stakeholder dialog
  102-22	Composition of the highest governance body and its committees		Supervisory Board  The Group Sustainability Board
  102-23	Chair of the highest governance body		Supervisory Board   The Group Sustainability Board
  102-24	Nominating and selecting the highest governance body		Supervisory Board  The Group Sustainability Board
  102-25	Conflicts of interest		Supervisory Board Guidelines and regulations Dealing with conflicts of interest
  102-26	Role of highest governance body in setting purpose, values, and strategy		Our sustainability organization
  102-27	Collective knowledge of highest governance body		Our sustainability organization
  102-29	Identifying and managing economic, environmental, and social impacts		The Group Sustainability Board
  102-30	Effectiveness of risk management processes		Our sustainability organization
  102-31	Review of economic, environmental, and social topics		The Group Sustainability Board
  102-32	Highest governance body’s role in sustainability reporting		Our sustainability organization Determiniation of the contents of the report
  102-33	Communicating critical concerns		Our sustainability organization
  Stakeholder Engagement
  102-40	List of stakeholder groups	The Fresenius Group covers a broad spectrum of the health care industry, engaging regularly with a diverse network of stakeholder groups. In order to manage their requests, each business segment and the holding connect with stakeholders with whom they conduct their daily business.	Stakeholder and partnerships
  102-41	Collective bargaining agreements		Exchange with employee representatives  Our approach
  102-42	Identifying and selecting stakeholders		Our materiality analysis Stakeholder and partnerships
  102-43	Approach to stakeholder engagement		Our materiality analysis  Comprehensive stakeholder dialog  Transparency in health care
  102-44	Key topics and concerns raised		Our materiality process
  Reporting Practice
  102-45	Entities included in the consolidated financial statements		Composition of the Group
  102-46	Defining report content and topic Boundaries		Material analysis results Determiniation of the contents of the report
  102-47	List of material topics		Our materiality analysis
  102-48	Restatements of information	No restatements of information must be given with regard to the previous reports.
  102-49	Changes in reporting		Material analysis results
  102-50	Reporting period		Report profile
  102-51	Date of most recent report	Our previous combined annual and non-financial report 2019 was published on 18.03.2020
  102-52	Reporting cycle	Due to German Commercial Law, Fresenius applies a yearly reporting cycle.
  102-53	Contact point for questions regarding the report		Report profile
  102-54	Claims of reporting in accordance with the GRI Standards		Report profile
  102-55	GRI content index		GRI Index
  102-56	External assurance		External audit

• GRI 200 – Economic

  GRI Standard	Indicator	Comment	Reference
  GRI 205: Anti-Corruption 2016
  103-1	Explanation of the material topic and its Boundary		Our approach
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  205-3	Confirmed incidents of corruption and actions taken	Due to confidentiality constraints, we do not disclose these figures in more detail.	Our approach  Progress and Measures 2020 Evaluation

• GRI 300 – Environmental

  GRI Standard	Indicator	Comment	Reference
  GRI 302: Energy 2016
  103-1	Explanation of the material topic and its Boundary		Energy consumption and emissions
  103-2	The management approach and its components		Our approach
  103-3	Evaluation of the management approach
  302-1	Energy consumption within the organization	d. Fresenius does not sell electricity, heating, cooling or steam.	Our approach  Environment - progress and measures Energy data table Energy data graphic
  GRI 303: Water and Effluents 2018
  103-1	Explanation of the material topic and its Boundary		Water management
  103-2	The management approach and its components		Our approach
  103-3	Evaluation of the management approach
  303-1	Interactions with water as a shared resource		Water usage Water data table Water data graphic
  GRI 305: Emissions 2016
  103-1	Explanation of the material topic and its Boundary		Energy consumption and emissions
  103-2	The management approach and its components		Energy consumption and emissions
  103-3	Evaluation of the management approach
  305-1	Direct (Scope 1) GHG emissions	Fresenius Group calculates its GHG emissions in tCO2 equivalents, thereby including all relevant greenhouse gases. The calculation for gross tCO2e, broken down into the business segments, was first conducted in 2017 which also serves as the base year. Our consolidation approach is the same as in our financial reporting. The calculation was based on the methodology of the Greenhouse Gas Protocol and the latest versions of IEA and DEFRA emission factors.	Energy consumption and emissions Emissions data table
  305-2	Energy indirect (Scope 2) GHG	Data cannot yet be provided in more detail, e.g. split by market- and location-based Scope 2 emissions, at Group level. We are working on further refining the data collection process and providing more insights into our Scope 2 GHG emissions.	Energy consumption and emissions Emissions data table
  GRI 306: Waste 2016
  103-1	Explanation of the material topic and its Boundary		Waste and recycling management
  103-2	The management approach and its components		Our approach
  103-3	Evaluation of the management approach
  306-3	Significant spills	During 2020, no significant spills were detected and reported within the Group risk management.	Our approach

• GRI 400 – Social

  GRI Standard	Indicator	Comment	Reference
  GRI 401: Employment 2016
  103-1	Explanation of the material topic and its Boundary		Working conditions, recruitment and employee participation
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  401-1	New employee hires and employee turnover	Fresenius currently only discloses the voluntary turnover rate by busines segment and for Fresenius Group. Intersegment hires are countedas external hires by the business segments, while from a Group perspective it would be an internal hire. Therefore, we will not provide a consolidated Group figure. Breakdowns into age group, gender and region are only available for selected business segments due to system limitations. Therefore,consolidation on the Group level is not possible.	Evaluation
  401-2	Benefits provided to full-time employees that are not provided to temporary or part-time employees	Benefits for full-time employeesof the organization are also provided to part-time employees.	Our approach
  GRI 403: Occupational Health and Safety 2018
  103-1	Explanation of the material topic and its Boundary		Occupational health and safety
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  403-1	Occupational health and safety management system	All business segments have implemented OHS management systems. Fresenius Kabi and Fresenius Helios inSpain have implemented OHS Systems in accordance with ISO 18001/45001 andreport on the most relevant KPIs. In addition, Fresenius Helios in Germany reports on the most relevant KPIs according to German law in their Sustainability Report. Fresenius Vamed and Fresenius Medical Care aremanaging occupational health and safety risks in accordance with legal requirements if a site has not implemented a certified OHS management system.	Our approach Fresenius Helios Sustainability Report 2019 Fresenius Spain Sustainability Report 2019
  403-2	Hazard identification, risk assessment, and incident investigation	The business segments adapt their approaches to their respective business models and local legal requirements. Therefore,there is no group-wide OHS KPI available, including the requested breakdowns. Temporary employees are subject to the same regulations as regular employees. Fresenius' business segments have established and implemented processes for instructing and monitoringexternal employees. Any accidents occurring to external employees are also documented. A breakdown by gender ist not available as this is only reportedon the local level and not consolidated for Fresenius Group.	Fresenius Helios  Evaluation
  403-3	Occupational health services	OHS matters are managed according to the business segments individual requirements. They adapt their approaches to their respective business models and local legal requirements,e. g. at hospitals or post-acute businesses. The OHS systems of Fresenius Kabiand Fresenius Helios cover all their entities.	Our approach
  403-4	Worker participation, consultation, and communication on occupational health and safety	OHS systems are developed, implemented and organized locally and specific to our business segments. Employees can participate in the local OHS commitees via the diverse levelsof workers' councils. For example: Fresenius Group has local works councils,joint works councils of sites and works councils for employee functions, like the manual workers' workers council in Austria.	Organization and responsibilites
  403-5	Worker training on occupational health and safety		Trainings
  403-6	Promotion of worker health		Promotion of goold health in the business segments
  403-7	Prevention and mitigation ofoccupational health and safety impacts directly linked by business relationships		Our approach Informationbox Covid-19: extended risk assessments, more e-learning, and supportservices at Fresenius Helios Informationbox COVID-19: fast responses atFresenius Vamed to contain the pandemic
  403-8	Workers covered by an occupational health and safety management system	All Fresenius employees are covered by occupational health and safety management systems based on legal requirements.
  403-9	Work-related injuries	a. No fatalities, three severe accidents at Kabi; LTSIR is internally recorded and managed at Fresenius Kabi, but not reported externally b. Figures for workers who are not epmployees but whose work and/orworkplace is controlled by Fresenius are included in overall figures. c. Reason for severe accidents at Fresenius Kabi and remediation actions taken, such as increased learning and training, included in non-financia lreport. e. 1,000,000 f. No exclusions reported. Not all information is of sufficient and comparable quality on a grouplevel, since work-related injury data is currently collected on the businesssegment level. We are working on improving standardization of data management and colllection across the Group.	Evaluation Employees data tables Fresenius Helios Sustainability Report 2019 Fresenius Spain Sustainability Report 2019
  GRI 404: Training and Education 2016
  103-1	Explanation of the material topic and its Boundary		Employee development
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  404-1	Average hours of training per year per employee	The information available is notof sufficient and comparable quality on a group level, since training data iscurrently collected on the business segment level. We are working on improving standardization of data management and colllection across the Group.	Evaluation
  GRI 405: Diversity and Equal Opportunity 2016
  103-1	Explanation of the material topic and its Boundary		Diversity and equal opportunities
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  405-1	Diversity of governance bodiesand employees	Not all information is available on a comparable reporting level for Fresenius Group. We are working on improving the standardization of relevant diversity categories and seek to expand the reporting going forward.	Corporate Governance Decleration   Evaluations  Diversity lived in the business segments Employee data table
  GRI 406: Non-Discrimination 2016
  103-1	Explanation of the material topic and its Boundary		Our Approach Diversity and equal opportunities
  103- 2	The management approach and its components		Our Approach Dealing with incidents of discrimination
  103- 3	Evaluation of the management approach		Evaluation
  406-1	Incidents of discrimination and corrective actions taken	Due to confidentiality constraints, we do not disclose these figures in more detail.	Evaluation
  GRI 407: Freedom of Association and Collective Bargaining 2016
  103-1	Explanation of the material topic and its Boundary		Working conditions, recruitment and employee participation
  103- 2	The management approach and its components		Exchange with employee representatives Respect the right to freedom of association and collective agreements
  103- 3	Evaluation of the management approach		Exchange with employee representatives
  407-1	Operations and suppliers in which the right to freedom of association and collective bargaining may be at risk		Respect the right to freedom of association and collective agreements
  GRI 408: Child Labor 2016
  103-1	Explanation of the material topic and its Boundary		Human Rights
  103-2	The management approach and its components		Prohibiting exploitive and illegal child labor or forced labor
  103-3	Evaluation of the management approach		Riskassessment
  408-1	Operations and suppliers at significant risk for incidents of child labor	No concrete suspicious cases or significant risks of child labor were identified in our operations in the reporting year. We investigate individual reports internally and in the supply chain.	Prohibiting exploitive and illegal child labor or forced labor
  GRI 409: Forced and Compulsory Labor 2016
  103-1	Explanation of the material topic and its Boundary		Human Rights
  103- 2	The management approach and its components		Prohibiting exploitive and illegal child labor or forced labor
  103- 3	Evaluation of the management approach		Risk assessment
  409-1	Operations and suppliers at significant risk for incidents of forced or compulsory labor	No concrete suspicious cases or significant risks of forced labor were identified in our operations in the reporting year. We investigate individual reports internally and in the supply chain.	Prohibiting exploitive and illegal child labor or forced labor
  GRI 414: Supplier Social Assessment 2016
  103-1	Explanation of the material topic and its Boundary		Supply Chain
  103- 2	The management approach and its components		Our approach
  103-3	Evaluation of the management approach		Supplier evaluation
  414-2	Negative social impacts in the supply chain and actions taken	Not all information is available of sufficient and comparable quality on a group level, since audit data iscurrently collected on the business segment level only. As part of our efforts to increase transparency in our supply chains, we are working on improving standardization of data management and colllection across the Group.	Supplier evaluation
  GRI 416: Customer Health and Safety 2016
  103-1	Explanation of the material topic and its Boundary		Our approach
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  416-2	Incidents of non-Compliance concerning the health and safety impacts of products and services	Any incident of non-compliance concerning health care products and services are reported to the competent regulatory authority and investigated. Remediation actions are initiated. The number of non-compliance incidents cannot be reported as long as the investigation is pending. Therefore Fresenius reports on those compliance KPIs relevant for understanding the business.	Quality and Safety Certification Matrix Fresenius Group  Quality evaluation parameters Audits
  GRI 417: Marketing and Labeling 2016
  103-1	Explanation of the material topic and its Boundary		Patient and product safety
  103- 2	The management approach and its components		Our approach
  103- 3	Evaluation of the management approach		Evaluation
  417-1	Requirements for product and service information and labeling		Labelling and product and patient information
  GRI 418: Customer Privacy 2016
  103-1	Explanation of the material topic and its Boundary		Cybersecurity Data Protection
  103- 2	The management approach and its components		Our approach Our approach
  103- 3	Evaluation of the management approach		Evaluation Audits and monitoring
  418-1	Substantiated complaints concerning breaches of customer privacy and losses of customer data	Dueto confidentiality constraints, we do not disclose these figures in more detail.	Evaluation
  GRI 419: Socioeconomic Compliance 2016
  103-1	Explanation of the material topic and its Boundary		Compliance
  103- 2	The management approach and its components		Compliance
  103- 3	Evaluation of the management approach		Compliance
  419-1	Non-Compliance with laws and regulations in the social and economic area	Risks from litigation and legal proceedings are reported in our opportunities and risks report. Legal matters that the Fresenius Group currently deems to be material or noteworthy are described in the annex of our annualreport.	Opportunities and risks Legal and regulatory matters