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Fresenius is a global health care Group providing products and services for dialysisDialysisForm ​of ​renal ​replacement ​therapy ​where ​a ​semipermeable ​membrane ​– ​in ​peritoneal ​dialysis ​the ​peritoneum ​of ​the ​patient, ​in ​hemo­ ​dialysis ​the ​membrane ​of ​the ​dialyzer ​– ​is ​used ​to ​clean ​a ​patient’s ​blood., hospitals, and outpatient medical care. In addition, Fresenius focuses on hospital operations. We also manage projects and provide services for hospitals and other health care facilities worldwide. More than 300,000 employees have dedicated themselves to the service of health.

Group in figures

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€ in millions 2022 2021 2020 20191 20182
Revenue and earnings
Revenue 40,840 37,520 36,277 35,409 33,530
EBITDA3 6,808 6,854 7,132 7,104 6,055
EBIT3 4,004 4,252 4,612 4,688 4,561
Net income4 1,729 1,867 1,796 1,879 1,871
Depreciation and amortization3 2,804 2,602 2,520 2,416 1,430
Earnings per share in €4 3.08 3.35 3.22 3.37 3.37
Cash flow and balance sheet
Operating cash flow 4,198 5,078 6,549 4,263 3,742
Operating cash flowCash flowFinancial ​key ​figure ​that ​shows ​the ​net ​balance ​of ​incoming ​and ​outgoing ​payments ​during ​a ​reporting ​period. as % of sales 10.3% 13.5% 18.1% 12.0% 11.2%
Total assets 76,415 71,962 66,646 67,006 56,703
Non-current assets 58,136 54,501 50,874 51,742 41,913
Equity5 32,218 29,288 26,023 26,580 25,008
Equity ratio5 42% 41% 39% 40% 44%
Net debt 25,014 24,391 24,076 25,604 16,275
Net debt / EBITDA6,7 3.65 3.51 3.44 3.61 2.71
Investments8 3,465 3,117 3,300 5,086 3,249
Profitability
EBIT margin3 9.8% 11.3% 12.7% 13.2% 13.6%
Return on equity after taxes (ROEROE (Return on Equity)Measure ​of ​a ​corporation’s ​profitability ​revealing ​how ​much ​profit ​a ​company ​generates ​with ​the ​money ​shareholders ​have ​invested. ​ROE ​is ​calculated ​by ​fiscal ​year’s ​net ​income ​/ ​total ​equity ​× ​100.)4 8.5% 9.8% 10.6% 11.2% 12.1%
Return on operating assets (ROOAROOA (Return on Operating Assets)Calculated ​as ​the ​ratio ​of ​EBIT ​to ​operating ​assets ​(average). ​Operating ​assets ​= ​total ​assets ​- ​deferred ​tax ​assets ​- ​trade ​accounts ​payable ​- ​cash ​held ​in ​trust ​- ​payments ​received ​on ​account ​- ​approved ​subsidies.)6 5.7% 6.5% 7.3% 7.6% 9.0%
Return on invested capital (ROICROIC (Return on Invested Capital)Calculated ​by: ​(EBIT ​- ​taxes) ​/ ​Invested ​capital. ​ Invested ​capital ​= ​total ​assets ​+ ​accumulated ​amortization ​of ​goodwill ​- ​deferred ​tax ​assets ​- ​cash ​and ​cash ​equivalents ​- ​trade ​accounts ​payable ​- ​accruals ​(without ​pension ​accruals) ​- ​other ​liabilities ​not ​bearing ​interest.)6 5.1% 5.9% 6.5% 6.7% 8.3%
Dividend per share in € 0.929 0.92 0.88 0.84 0.80
Employees (December 31) 316,920 316,078 311,269 294,134 276,750
1 Including IFRS 16 effect
2 Before adjustements for divestitures of care coordination activities at FMC
3 Before special items
4 Net income attributable to shareholders of Fresenius SE & Co. KGaA; before special items
5 Including noncontrolling interests
6 Before special items; 2017, 2018, 2019, 2020, 2021, 2022 pro forma acquisitions
7 At average exchange rates for both net debt and EBITDA
8 Investments in property, plant and equipment, and intangible assets, acquisitions
9 Proposal