Fresenius SE & Co. KGaA
(until January 28, 2011: Fresenius SE)

Consolidated statement of cash flows

January 1 to December 31, € in millions Note 2010 2009
Operating activities      
Net income   1,205 991
Adjustments to reconcile net income to cash and cash equivalents provided by operating activities      
Depreciation and amortization 16, 17, 18 639 562
Change in deferred taxes 11 11 11
Gain/loss on sale of fixed assets   1 -
Changes in assets and liabilities, net of amounts from businesses acquired or disposed of      
Trade accounts receivable, net 14 -275 -7
Inventories 15 -81 -92
Other current and non-current assets 16 57 -96
Accounts receivable from/payable to related parties   6 -4
Trade accounts payable, accrued expenses and other short-term and long-term liabilities   346 122
Accruals for income taxes   2 66
Net cash provided by operating activities   1,911 1,553
Investing activities      
Purchase of property, plant and equipment   -754 -677
Proceeds from sales of property, plant and equipment   21 15
Acquisitions and investments, net of cash acquired and net purchases of intangible assets 2,32 -615 -236
Proceeds from investments and divestitures   111 9
Net cash used in investing activities   -1,237 -889

January 1 to December 31, € in millions Note 2010 2009
Operating activities      
Net income   1,205 991
Adjustments to reconcile net income to cash and cash equivalents provided by operating activities      
Depreciation and amortization 16, 17, 18 639 562
Change in deferred taxes 11 11 11
Gain/loss on sale of fixed assets   1 -
Changes in assets and liabilities, net of amounts from businesses acquired or disposed of      
Trade accounts receivable, net 14 -275 -7
Inventories 15 -81 -92
Other current and non-current assets 16 57 -96
Accounts receivable from/payable to related parties   6 -4
Trade accounts payable, accrued expenses and other short-term and long-term liabilities   346 122
Accruals for income taxes   2 66
Net cash provided by operating activities   1,911 1,553
Investing activities      
Purchase of property, plant and equipment   -754 -677
Proceeds from sales of property, plant and equipment   21 15
Acquisitions and investments, net of cash acquired and net purchases of intangible assets 2,32 -615 -236
Proceeds from investments and divestitures   111 9
Net cash used in investing activities   -1,237 -889

January 1 to December 31, € in millions Note 2010 2009
The following notes are an integral part of the consolidated financial statements.
Financing activities      
Proceeds from short-term loans 21 233 73
Repayments of short-term loans 21 -196 -296
Proceeds from short-term loans from related parties   - -
Repayments of short-term loans from related parties   - -
Proceeds from long-term debt and capital lease obligations 21 541 700
Repayments of long-term debt and capital lease obligations 21 -1,185 -1,288
Proceeds from the issuance of Senior Notes 22 242 753
Repayments of liabilities from Senior Notes 22 0 -100
Changes of accounts receivable securitization program 21 223 -233
Proceeds from the exercise of stock options 34 121 56
Dividends paid   -329 -275
Change in noncontrolling interest 26 -3 -2
Exchange rate effect due to corporate financing   1 1
Net cash used in financing activities   -352 -611
Effect of exchange rate changes on cash and cash equivalents   27 -3
Net increase in cash and cash equivalents   349 50
Cash and cash equivalents at the beginning of the reporting period 13 420 370
Cash and cash equivalents at the end of the reporting period 13 769 420

January 1 to December 31, € in millions Note 2010 2009
The following notes are an integral part of the consolidated financial statements.
Financing activities      
Proceeds from short-term loans 21 233 73
Repayments of short-term loans 21 -196 -296
Proceeds from short-term loans from related parties   - -
Repayments of short-term loans from related parties   - -
Proceeds from long-term debt and capital lease obligations 21 541 700
Repayments of long-term debt and capital lease obligations 21 -1,185 -1,288
Proceeds from the issuance of Senior Notes 22 242 753
Repayments of liabilities from Senior Notes 22 0 -100
Changes of accounts receivable securitization program 21 223 -233
Proceeds from the exercise of stock options 34 121 56
Dividends paid   -329 -275
Change in noncontrolling interest 26 -3 -2
Exchange rate effect due to corporate financing   1 1
Net cash used in financing activities   -352 -611
Effect of exchange rate changes on cash and cash equivalents   27 -3
Net increase in cash and cash equivalents   349 50
Cash and cash equivalents at the beginning of the reporting period 13 420 370
Cash and cash equivalents at the end of the reporting period 13 769 420

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