Fresenius Medical Care Fresenius Kabi Fresenius Helios Fresenius Vamed
in new markets - Fresenius Medical Care
for further growth - Fresenius Kabi
for better health - Fresenius Helios
for greater efficiency - Fresenius Vamed
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Seizing opportunities > in new markets

Asia is an important growth market for Fresenius Medical Care. Approximately 620,000 patients with chronic kidney failure are currently being treated in this region, and every year this number increases by about 10 to 11%. We will continue to take advantage of this growth potential. The significant demand for dialysis services offers substantial opportunities to expand our network of clinics in the Asian countries.

In 2008, Fresenius Medical Care achieved sales of US$ 606 million in the Asia-Pacific region. Our goal is to continue our strong organic growth and to increase sales to more than US$ 800 million in constant currency by 2010.

FRESENIUS MEDICAL CARE IN ASIA
  2008 2007 Change
Sales (in million US$) 606 541 12%
Employees (December 31) 3,558 3,095 15%
Dialysis patients (December 31) 9,158 7,789 18%
Dialysis treatments (million) 1.34 1.21 11%
Dialysis clinics (December 31) 125 105 19%
 

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Seizing opportunities > for further growth

With the acquisition of APP Pharmaceuticals, Fresenius Kabi has achieved a leading position in the global market for intravenously administered generic drugs. APP Pharmaceuticals has a strong drug registration portfolio pending and over 70 products under development, opening up new growth opportunities.

At the same time, we are seizing the opportunity of introducing selected Kabi products into the US, with initial focus on parenteral nutrition. We are also planning to launch selected APP IV drugs outside the US.

APP PHARMACEUTICALS IN FIGURES
  2008
Sales US$ 777 million
EBITDA, adjusted* US$ 317 million
EBITDA margin, adjusted* 40.8%
Employees (December 31, full-time equivalent) 1,487
Production facilities 3
Produkte >100
Number of products ~17%
 

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Seizing opportunities > for better health

At Fresenius Helios, our commitment is to provide the highest medical quality and care. We aim to offer advanced and proven best-in-class diagnosis and treatment methods for the benefit of our patients. We continuously invest in high-quality, state-of-the-art medicine, and aim to measure and improve the quality of medical care.

Our target ist that our quality indicators should be better than the German average. With a mortality rate of SMR < 1, this was accomplished, among others, for major illnesses shown below.

HELIOS QUALITY INDICATORS
Indications/
standardized mortality rate (SMR)*
2008
SMR
2007
SMR
Acute myocardial infarction 0.73 0.79
Heart failure 0.73 0.85
Stroke 0.83 1.01
Acute cerebral infarction 0.81 0.99
Pneumonia 0.71 0.85
 

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Seizing opportunities > for greater efficiency

Fresenius Vamed is a leading international provider of services in the planning, construction, and management of health care facilities. Our complete value chain and our more than 25 years of international experience are key to providing effective support for hospitals at every stage of their life cycle, and thus contributing towards their successful operating performance. For us, each project is another opportunity to prove our competence.

Hospitals face the dual challenge of increasing efficiency and reducing expenditure. We support hospitals by offering comprehensive process know-how and by taking over medical-technical services and management functions.

VAMED SERVICES
   
Service contracts* for   140 clinics
  ~ 50,000 beds
among others:  
Vienna General Hospital and University Clinics (AKH) ~ 2,100 beds
Charité Hospital Berlin ~ 3,200 beds
University Clinic Hamburg-Eppendorf ~1,370 beds
Prince Court Medical Center, Kuala Lumpur ~ 330 beds
Al Ain Hospital, Abu Dhabi ~ 450 beds
 

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An important module here is our trainee program, which has become an established entry opportunity for high-potential junior specialists and managers in all business segments.

We have continued to expand our personnel marketing activities in order to reach interested and suitable potential employees and persuade them to further their careers with Fresenius. This is particularly important since most people only come into contact with our products and services in extreme personal situations. Consequently, activities such as our presence at careers fairs at selected universities, and presentations given by our employees at careers events, are a vital aspect of our personnel marketing activities. We continually update the careers section of our website. A new element – an electronic e-recruiting system – has been added. This tool not only facilitates the job application process, making it faster and more transparent, but also enhances the contact between interested applicants and our company during the application phase. Our aim is to be the employer of choice for high-potential job applicants. More information is available at www.fresenius.com/career.

To make HELIOS more attractive to job applicants, the company has also created an online application tool where applicants can find out about vacancies and apply online. The response to the HELIOS careers portal is very positive. Over 8,000 applications were received by the end of December 2008. More information is available at www.helios-kliniken.de/jobs.

In 2008, HELIOS again significantly widened the range of seminars the HELIOS Academy offers for various professional groups. The most important of these are the hands-on courses (e. g. basic principles of minimal invasion surgery) and specialist seminars (e.g. dealing with emergencies in anesthesia) in special simulation centers. Here, HELIOS employees have the opportunity to learn the basics or acquire specialist knowhow, pool experiences, and improve procedures. The spectrum of modular training programs – especially for nursing care – has been extended. In addition to the fields of management, coaching, and anesthesia/intensive care, modules are now also offered for surgery staff. The seminars offered by the HELIOS Academy are being supplemented by an ever wider offering of online modules: All employees have roundthe- clock access to online modules on specific themes, ranging from the right action in the event of clinical emergencies through to performing injections. More information on the training opportunities offered by HELIOS is available at www.helios-akademie.de

We have also extended our development programs for middle management medical and nursing staff. As in the past, employees can broaden and deepen their leadership skills through a combination of seminars/workshops and work on an interdisciplinary project, in this way preparing themselves for advanced management positions at HELIOS. In 2009, we plan to resume our executive development program in the area of Management. To align the development of future management staff with the Group’s sustained growth, we have significantly broadened our trainee programs in the areas of Hospital Management, Finance & Controlling, and Purchasing & Logistics, and added the field of Medical Equipment.

The Bachelor in Nursing Care, the first-ever degree course for nursing staff, was launched in Germany during the past year. This course, developed in collaboration by HELIOS and SRH Fachhochschule Gera, is directed at qualified nurses wishing to pursue further academic professional training and to acquire additional competence in nursing care management and medical science. Offered as a sandwich course, the degree course is practice-oriented. The major subjects are anesthesiology/anesthesia care or intensive medicine/intensive care, with a further module chosen from the areas of emergency medicine/emergency care, pain therapy/pain management, oncology and palliative medicine/care or diseases of old-age and diseases of civilization. The curriculum aims to provide for the future demands of day-to-day hospital life, thus catering for the concrete skill profiles required by German clinics.