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Consolidated statement of cash flows

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January 1 to December 31, € in millions Note 2023 2022 restated¹ 2022 previous
Operating activities        
Operating activities – continuing operations        
Net income   238 1,222 2,117
Adjustments to reconcile net income to cash and cash equivalents provided by operating activities        
Depreciation and amortization  18, 19, 20, 32 1,478 1,157 2,973
Change in deferred taxes 11 -17 -74 -115
Gain on sale of fixed assets and of investments and divestitures 2 -19 -17 -116
Loss from the Fresenius Medical Care investment accounted for using the equity method   12 n.a. n.a.
Changes in assets and liabilities, net of amounts from businesses acquired or disposed of        
Trade accounts and other receivables 16 -264 162 85
Inventories 17 -170 -268 -472
Other current and non-current assets 18 -224 -610 -360
Accounts receivable from / payable to related parties   6 -25 -4
Trade accounts payable, provisions and other short-term and long-term liabilities 22, 23 986 525 140
Liabilities for income taxes   105 -41 -50
Net cash provided by operating activities – continuing operations   2,131 2,031 4,198
Net cash provided by operating activities – deconsolidated Fresenius Medical Care operations under IFRS 5   2,325 2,167 n.a.
Net cash provided by operating activities   4,456 4,198 4,198
Investing activities        
Investing activities – continuing operations        
Purchases of property, plant and equipment and capitalized development costs 19 -1,134 -1,193 -1,917
Proceeds from sales of property, plant and equipment   27 104 140
Acquisitions and investments and purchases of intangible assets 2, 35 -234 -812 -977
Proceeds from sale of investments and divestitures 2 1 29 147
Cash and cash equivalents disposed of from the deconsolidation of Fresenius Medical Care   -1,303 n.a. n.a.
Net cash used in investing activities – continuing operations   -2,643 -1,872 -2,607
Net cash used in investing activities – deconsolidated Fresenius Medical Care operations under IFRS 5   -544 -735 n.a.
Net cash used in investing activities   -3,187 -2,607 -2,607
1 Prior-year figures have been adjusted due to the application of IFRS 5 to the deconsolidated operations of Fresenius Medical Care.

Consolidated statement of cash flows

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January 1 to December 31, € in millions Note 2023 2022 restated¹ 2022 previous
Financing activities        
Financing activities – continuing operations        
Proceeds from short-term debt 24 433 222 698
Repayments of short-term debt 24 -75 -1,594 -2,655
Proceeds from long-term debt 24 1,336 411 654
Repayments of long-term debt 24 -1,040 -515 -633
Repayments of lease liabilities 32 -232 -200 -975
Proceeds from the issuance of bonds 25 790 2,300 3,044
Repayments of liabilities from bonds 25 -450 -285 -912
Proceeds from the Accounts Receivable Facility of Fresenius Medical Care   95
Proceeds from the exercise of stock options 37 20
Dividends received from Fresenius Medical Care   106 127 n.a.
Dividends paid   -550 -403 -890
Change in noncontrolling interests, net 28 -24 -50 -50
Net cash provided by / used in financing activities – continuing operations   294 13 -1,604
Net cash used in financing activities – deconsolidated Fresenius Medical Care operations under IFRS 5   -1,671 -1,617 n.a.
Net cash used in financing activities   -1,377 -1,604 -1,604
Effect of exchange rate changes on cash and cash equivalents   -43 -2 -2
Net decrease in cash and cash equivalents   -151 -15 -15
Cash and cash equivalents at the beginning of the reporting period 15 2,749 2,764 2,764
less cash and cash equivalents at the end of the reporting period shown under "assets held for sale"   36 n.a. n.a.
Cash and cash equivalents at the end of the reporting period 15 2,562 2,749 2,749
thereof cash and cash equivalents from deconsolidated Fresenius Medical Care operations   n.a. 1,274 n.a.
1 Prior-year figures have been adjusted due to the application of IFRS 5 to the deconsolidated operations of Fresenius Medical Care.

Additional information on payments that are included in net cash provided by operating activities

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January 1 to December 31, € in millions Note 2023 2022 restated¹ 2022 previous
Received interest   96 85 137
Paid interest   -403 -261 -610
Income taxes paid   -356 -515 -850
1 Prior-year figures have been adjusted due to the application of IFRS 5 to the deconsolidated operations of Fresenius Medical Care.
The following notes are an integral part of the consolidated financial statements.

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Fresenius SE & Co. KGaA
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+49 (0) 6172 608-2485
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