# EDGAR Filing Document

**Accession Number:** 0001333141
**File Stem:** 0001104659-26-067130
**Filing Date:** 2026-5
**Character Count:** 29745
**Document Hash:** cc30248ed4ffb12699a2cf53081dff21
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001104659-26-067130.hdr.sgml**: 20260528

**ACCESSION NUMBER**: 0001104659-26-067130

**CONFORMED SUBMISSION TYPE**: SD

**PUBLIC DOCUMENT COUNT**: 2

**FILED AS OF DATE**: 20260528

**DATE AS OF CHANGE**: 20260528

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Fresenius Medical Care AG
- **CENTRAL INDEX KEY:** 0001333141
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
- **ORGANIZATION NAME:** 08 Industrial Applications and Services
- **EIN:** 000000000

**FILING VALUES:**
- **FORM TYPE:** SD
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-32749
- **FILM NUMBER:** 261028371

**BUSINESS ADDRESS:**
- **STREET 1:** ELSE-KROENER STRASSE 1
- **CITY:** BAD HOMBURG
- **STATE:** 2M
- **ZIP:** 61352
- **BUSINESS PHONE:** 011-49-6172-6090

**MAIL ADDRESS:**
- **STREET 1:** ELSE-KROENER STRASSE 1
- **CITY:** BAD HOMBURG
- **STATE:** 2M
- **ZIP:** 61352

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Fresenius Medical Care AG & Co. KGaA
- **DATE OF NAME CHANGE:** 20050714

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM SD**

**SPECIALIZED DISCLOSURE REPORT**

Fresenius Medical Care AG

(Exact name of the registrant as specified in its charter)

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| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**Germany** | &nbsp;&nbsp;**001-32749** | &nbsp;&nbsp;**04-3534941** |
| &nbsp;&nbsp;(State or other jurisdiction of<br> incorporation or organization) | &nbsp;&nbsp; (Commission<br> File Number) | &nbsp;&nbsp;(I.R.S. Employer<br> Identification No.) |

---

---

| | |
|:---|:---|
| &nbsp;&nbsp;**Else-Kröner-Strasse 1, Bad Homburg, Germany** | &nbsp;&nbsp;**D-61352** |
| &nbsp;&nbsp;(Address of principal executive offices) | &nbsp;&nbsp;(Zip code) |

---

**Olga Renkewitsch, +49 151 149 65 619** <br> (Name and telephone number, including area code, of the person to contact in connection with this report.)

Check the appropriate box to indicate the rule pursuant to which this Form is being submitted, and provide the period to which the information in this Form applies:

⌧ Rule 13p-1 under the Securities Exchange
Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2025.

◻ Rule 13q-1 under the Securities Exchange Act (17 CFR 240.13q-1) for the fiscal year ended December 31, 2025.

<u>Introduction</u>

<u>Company Overview</u>

Fresenius Medical Care AG (together with its subsidiaries, FME AG, the Company, we, us, or our) is a German stock corporation (*Aktiengesellschaft* — AG) registered with the commercial register of Hof (Saale) under HRB 6841, with its business address at Else-Kröner-Str. 1, 61352 Bad Homburg v. d. Höhe, Germany. The Company is the world's leading provider of products and services for individuals with renal diseases, based on publicly reported revenue. The Company provides dialysis and related services for individuals with renal diseases, including through value and risk-based care programs, as well as other healthcare services. The Company also develops, manufactures, and distributes a wide variety of healthcare products. The Company's healthcare products include hemodialysis machines, peritoneal dialysis cyclers, dialyzers, peritoneal dialysis solutions, hemodialysis concentrates, solutions and granulates, bloodlines, renal pharmaceuticals, systems for water treatment, as well as acute cardiopulmonary and apheresis products. The Company supplies dialysis clinics it owns, operates, or manages with a broad range of products and also sells dialysis products to other dialysis service providers. The Company's other healthcare services include pharmacy services, vascular specialty services, ambulatory surgery center services, and physician nephrology practice management.

<u>Overview of Our Responsible Minerals Sourcing Program</u>

In connection with its reporting under the Securities and Exchange Commission's (SEC) Final Rule on Conflict Minerals (CM) and in compliance with Regulation (EU) 2017/821 of the European Parliament and of the Council of 17 May 2017 prescribing supply chain due diligence obligations for European Union (EU) importers of tin, tantalum and tungsten, their ores, and gold originating from conflict-affected and high-risk areas (the EU regulation), the Company designed a Responsible Minerals Sourcing Program (the RMS Program, or the Program), to capture the required data within its supply chain for analysis and disclosure. The Program also includes feedback and communication functions to ensure that the Program enhances the Company's knowledge of the suppliers to ensure that it continually evaluates the compatibility of the suppliers' business practices with the Company's established practices. Except as described below, the Program continues to conform in all material respects to the Organisation for Economic Co-operation and Development (OECD) Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas, 3rd Edition (2016) and related Supplements on Tin, Tantalum and Tungsten and Gold (OECD Guidance). The OECD Guidance contains the following five-step framework:

&nbsp;&nbsp;&nbsp;&nbsp;1. Establish strong company management systems;

&nbsp;&nbsp;&nbsp;&nbsp;2. Identify and assess risks in the supply chains;

&nbsp;&nbsp;&nbsp;&nbsp;3. Design and implement a strategy to respond to identified risks;

&nbsp;&nbsp;&nbsp;&nbsp;4. Carry out independent third-party audits
of supply chain due diligence at identified points in the supply chain; and

&nbsp;&nbsp;&nbsp;&nbsp;5. Report on supply chain due diligence in sustainability, corporate social responsibility or annual reports.

Under the SEC's Conflict Mineral Rule, the Company is not required to obtain an independent private sector audit of its supply chain due diligence. See "(2) Product Determination" in Exhibit 1.01 hereto.

<u>Responsible Minerals Sourcing Policy</u>

The Company's Responsible Minerals Sourcing Policy (RMS Policy or Policy) continues to govern the sourcing of raw materials, including those materials from the Democratic Republic of the Congo (DRC) and its "adjoining countries," defined by the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (Dodd-Frank) as those countries that share an internationally recognized border with the DRC (collectively, the Covered Countries<sup>1</sup>). The Policy also applies to the Conflict-Affected and High-Risk Areas identified by the EU Regulation.

The Company also sources components or other materials that could potentially contain an identified Conflict Mineral.

<sup>1</sup> In its release adopting the final Conflict Minerals rule, the SEC identified these countries as Angola, Burundi, Central African Republic, the Republic of the Congo, Rwanda, South Sudan, Tanzania, Uganda, and Zambia.

The Company's Policy is publicly available at:

<u>https://freseniusmedicalcare.com/content/dam/fresenius-medical-care/global/en/06_about-us/pdf/Fresenius_Responsible_Minerals_Sourcing.pdf</u>

<u>Description of Supply Chain</u>

We manage the procurement of raw materials and semi-finished goods used in the manufacturing of renal products globally. This global approach enables us to:

&nbsp;&nbsp;&nbsp;&nbsp;· enhance the efficiency of our processes,

&nbsp;&nbsp;&nbsp;&nbsp;· optimize cost structures,

&nbsp;&nbsp;&nbsp;&nbsp;· improve returns on our capital invested in manufacturing,

&nbsp;&nbsp;&nbsp;&nbsp;· respond quickly,

&nbsp;&nbsp;&nbsp;&nbsp;· maintain high quality and safety standards,

&nbsp;&nbsp;&nbsp;&nbsp;· lessen risks in our supply chain to ensure supply availability,
and

&nbsp;&nbsp;&nbsp;&nbsp;· maintain adherence to our Global Code of Conduct for Business Partners which requires suppliers to ensure
that products supplied to us do not contain metals derived from minerals or their derivatives originating from conflict regions that directly
or indirectly finance or benefit armed groups and cause or foster human rights abuses.

Our procurement risk mitigation efforts include the development of partnerships with strategic suppliers through framework contracts, maintaining, where reasonably practicable, at least two sources for all supply and price-critical primary products (dual sourcing, multiple sourcing), incorporating measures to prevent loss of suppliers such as continuous supply chain monitoring, and the creation of risk mitigation strategies to increase supply chain resilience, particularly for primary and secondary suppliers located in countries with unpredictable geopolitical landscapes.

Our procurement policy combines worldwide sourcing of high-quality materials with the establishment of long-term supplier relationships. Additionally, we have processes in place to ensure that purchased materials comply with the quality specifications and safety standards required for our dialysis products. We outsource only after we have qualified suppliers, ensuring they meet our requirements. Interactive supplier relationship management and risk management systems connect all our global procurement activities to enhance global transparency, ensure compliance with our Global Code of Conduct for Business Partners, standardize processes, and enable the constant monitoring of our projects and supplier-related activities.

However, as we are an original equipment manufacturer that assembles and manufactures components and sub-components into finished products, we are largely removed from the processing facilities in our supply chain with regards to conflict minerals and we must rely on the information provided by our suppliers through various due diligence processes.

**Section 1 – Conflict Minerals Disclosure**

**Item 1.01 Conflict Minerals Disclosure and Report**

<u>Reasonable Country of Origin Inquiry Conclusion</u>:

The Company performed due diligence to determine the source and chain of custody of the subject minerals necessary to the production or functionality of certain of its products. For the year ended December 31, 2025, the Company determined in good faith that it was unable to definitively ascertain whether the Conflict Minerals necessary for the functionality or production of the relevant products manufactured or contracted for manufacture by the Company financed or benefitted armed groups in the DRC or any other Covered Countries.

<u>Description of Reasonable Country of Origin Inquiry</u>

The Company's Reasonable Country of Origin Inquiry (RCOI) was conducted, in good faith, through the collection of conflict minerals data from suppliers of products or materials that it determined to be at-risk for potentially containing the identified minerals in the products that suppliers provided to the Company during 2025. These products are summarized in the Conflict Minerals Report filed as Exhibit 1.01 to this Form SD. Moreover, the Company's RCOI was developed based upon industry best practices in collaboration with a third-party consultant.

The Company's RCOI conflict minerals data collection processes include, but are not limited to, the following:

&nbsp;&nbsp;&nbsp;&nbsp;· identifying and assessing relevant suppliers that may provide products or components containing tin, tantalum,
tungsten, or gold,

&nbsp;&nbsp;&nbsp;&nbsp;· developing and distributing free, educational material and training to relevant suppliers,

&nbsp;&nbsp;&nbsp;&nbsp;· initiating a survey campaign from relevant suppliers utilizing the cross-industry Conflict Minerals Reporting
Template (CMRT) developed by the Responsible Minerals Initiative (RMI), an organization that provides tools and resources that support
responsible sourcing of minerals from conflict-affected and high-risk areas,

&nbsp;&nbsp;&nbsp;&nbsp;· comparing conflict minerals data received from relevant suppliers to Country of Origin (CoO) information,
and

&nbsp;&nbsp;&nbsp;&nbsp;· maintaining documentation of RCOI process and related communication for compliance.

**Item 1.02 Exhibit** 

A copy of FME AG's Conflict Minerals Report is filed as Exhibit 1.01 hereto. This Form SD, including the Exhibit, will be publicly available, together with Form SD filings and Conflict Minerals Reports for prior years, on the SEC's website at www.sec.gov and on the Company's website at https://www.freseniusmedicalcare.com/en/sustainability/supply-chain/.

**Section 2 — Resource Extraction Issuer Disclosure**

Not applicable.

**Section 3 – Exhibits**

**Item 3.01 Exhibits** 

The following exhibit is filed as part of this report.

[Exhibit 1.01 — Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.](tm2615644d1_ex1-01.htm)

**SIGNATURES**

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.

---

| | | |
|:---|:---|:---|
| FRESENIUS MEDICAL CARE AG | FRESENIUS MEDICAL CARE AG | FRESENIUS MEDICAL CARE AG |
|  | May 28, 2026 | May 28, 2026 |
|  | (Date) | (Date) |
| By: | /s/ Helen Giza | /s/ Helen Giza |
|  | Name: | Helen Giza |
|  | Title: | Chief Executive Officer and Chair of the Management Board |
| By: | /s/ Martin Fischer | /s/ Martin Fischer |
|  | Name: | Martin Fischer |
|  | Title: | Chief Financial Officer and member of the Management Board |

---

## Exhibit 1.01

**Exhibit 1.01** 

**Fresenius Medical Care AG**

**Conflict Minerals Report** 

This document, constituting Exhibit 1.01 to FME AG's Form SD is the Company's Conflict Minerals Report for the year ended December 31, 2025, in accordance with Section 13(p) of the Securities Exchange Act of 1934, as amended and Rule 13p-1 thereunder. As a company that files periodic reports with the SEC, the Company is subject to the provisions of Section 1502 of the Dodd-Frank Act relating to "Conflict Minerals."<sup>1</sup> Section 1502 of the Dodd-Frank Act and SEC Rule 13p-1 address the sourcing of tin, tantalum, tungsten, and gold (3TG minerals), necessary to the functionality or production of its products, from the DRC and adjoining Covered Countries which are known locations where armed groups mine and sell these minerals to finance civil violence. Capitalized terms used in this Report without definition have the respective meanings assigned to them in the Form SD to which this Report is an Exhibit. Both this Report and the Form SD are also available on SEC's website at www.sec.gov and on the Company's website at https://www.freseniusmedicalcare.com/en/sustainability/supply-chain/. The content of the Company's website and any other website referred to in this Report is included for general information only and is not incorporated by reference to this Report.

The following is a description of the measures taken by the Company to exercise due diligence on the source and chain of custody of the subject minerals.

**<u>Section (1) Due Diligence:</u>**

The Company's comprehensive RMS Program includes a due diligence process that was designed to conform, and continues to conform, in all material respects, to the criteria set forth in the internationally recognized OECD Guidance, except as described below.

The following is a review of the actions including the OECD Guidance five-step framework, as well as certain other actions, that the Company performed to implement its due diligence process:

&nbsp;&nbsp;&nbsp;&nbsp;1. Establish strong company management systems

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;a. As part of its on-going self-assessment
 and improvement efforts, the Company continued to educate its value chain on its RMS Policy
 (updated in 2022) and monitor the policy's effectiveness for responsible sourcing efforts.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;b. Internal management is structured to
 support supply chain due diligence by identifying the responsible business organizations,
 and the individuals within those organizations, and establishing a cross-functional Responsible
 Minerals Sourcing team (the Team). The primary and secondary contributors on the Team were
 designated and notified of their responsibilities. As part of the annual Program review process,
 the Team conducted a virtual workshop to identify areas for improvement. Furthermore, the
 Company continued to strengthen internal awareness of conflict minerals compliance obligations
 via training and further educational initiatives as well as enhancing standardized, entity-wide
 documentation available to all Company employees.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;c. The Company established a system of controls
 over its supply chain, including the use of third-party consultants and software, to monitor
 all relevant data.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;d. For the year ended December 31, 2025,
 the Company continued to strengthen and improve supplier engagement over previous years by
 providing resources and updated training to our suppliers. The Company and its third-party
 consultants communicate best practices to suppliers via educational materials and direct
 communication. Furthermore, the Company maintained adherence to its Global Code of Conduct
 for Business Partners setting forth environmental, social, and corporate governance standards
 which apply to all business partners in its global supply chain. The Global Code of Conduct
 is inspired by the same international standards as our prior Supplier Code of Conduct, which
 it replaced. The Company also maintained and updated its RMS Policy as necessary.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;e. A mechanism for grievances, concerns,
 and questions in the form of an email inbox is available to the public at <u>cminquiry@freseniusmedicalcare.com</u> and also accessible via https://www.freseniusmedicalcare.com/en/sustainability/supply-chain.

<sup>1</sup> As indicated under the heading "Overview of Our Responsible Minerals Sourcing Program" in our Form SD, to which this Conflict Minerals Report is an exhibit, we must also comply with EU Regulation 2017/821 prescribing certain supply chain due diligence obligations relating to the 3TG metals.

&nbsp;&nbsp;&nbsp;&nbsp;2. Identify and assess risk in the supply
 chain

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;a. To identify risk in the supply chain,
 each relevant manufacturing facility, globally, is analyzed and incorporated into the process.
 A Subject Matter Expert (SME) was identified for each facility to be the primary internal
 personnel with the highest degree of familiarity with the materials, products, and processes.
 In collaboration with the SMEs, the Team reviewed our product portfolio and identified the
 products that may contain the previously identified materials, and as a result identified
 the products manufactured or contracted to manufacture with the potential for being at-risk
 of containing conflict minerals. After identification of the potentially at-risk products,
 the SMEs, together with the wider Team, reference their own supplier and/or procurement data,
 in addition to their existing expertise with that specific supply chain, and were able to
 determine the applicable suppliers with whom the RCOI and corresponding due diligence were
 to be conducted.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;b. The addition of the SMEs' knowledge
 and expertise into the risk identification process enabled us to focus our resources on suppliers
 that represented the highest risk of potentially containing conflict minerals in the products
 that we purchased during the relevant time period.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;c. Additionally, to determine whether necessary
 3TGs in products originated in conflict-affected and high-risk areas, the Company retained
 a third-party service provider to assist in reviewing the supply chain and identifying risks.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;d. Following the initial identification
 of potentially at-risk suppliers, the Company began its RCOI process.

&nbsp;&nbsp;&nbsp;&nbsp;3. Design and implement a strategy to respond
 to risks

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;a. The Company's conflict minerals risk
 strategy begins during the process of sourcing our suppliers, wherein the Company requests
 that external partners agree and align to FME AG's Global Code of Conduct for Business Partners,
 including its expectations on Conflict Minerals (Ethics and Business Integrity). Contracting
 and the requirement that suppliers sign the Global Code of Conduct for Business Partners
 are regularly reviewed as key performance indicators within the Company's Procurement function
 and highlights its approach to risk prevention, ensuring that suppliers align with the Company's
 environmental, social, and corporate governance standards.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;b. The Team communicates with senior leadership,
 on a yearly basis, any material risk that may be in the supply chain, in addition to ad-hoc
 meetings to review Program progress.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;c. To trace materials, and demonstrate transparency
 procured by the supply chain, the Company utilized the CMRT to conduct a survey of all in-scope
 suppliers. The Company devised and implemented a three-step risk-management strategy: (1)
 a review of the returned RCOI data from the relevant suppliers, (2) if necessary, due diligence
 was conducted with the corresponding supplier(s), and (3) subsequent to due diligence procedures,
 an evaluation of the supplier for compliance was conducted. Unresponsive suppliers were included
 with suppliers determined to be non-compliant with Company policy.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;d. The Team identified, monitored, and tracked
 performance of its risk mitigation efforts and included such information in meetings with
 senior leadership utilizing specialized third-party software solution which allows suppliers
 to upload completed CMRTs directly to the platform for validation, assessment, and management.
 This software also provides functionality to address OECD Guidance process expectations by
 evaluating the quality of each supplier response and assigning a health score based on the
 supplier's declaration of process engagement. The metrics provided in this report,
 as well as the step-by-step process for supplier engagement and upstream due diligence investigations,
 are managed through this platform. Suppliers identified as potentially connected to high-risk
 smelters are subject to enhanced due diligence and more frequent compliance monitoring activities.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;e. The Company's Program continues
 to include automated data validation on all submitted CMRTs. The goal of data validation
 is to increase the accuracy of submissions and identify any contradictory answers in the
 CMRT. This data validation is based on correspondence within the declaration tab of the CMRT,
 which helps identify areas that require further classification or risk assessment, as well
 as understand the due diligence efforts of certain suppliers. The results of this data validation
 are utilized to improve the Program's health assessment and are shared with the suppliers
 to identify areas that require clarification or improvement.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;f. In 2024, we established Procure Medical
 GmbH (PMG), our global procurement subsidiary. PMG focuses on global category management,
 strategic sourcing, and supplier partnering in spend areas that we believe provide opportunities
 to capture incremental value through leveraging our procurement scale and skills above the
 country and regional levels. Overall, we anticipate that PMG will strengthen procurement's
 strategic role within the Company and sharpen alignment with the goals and ambitions of the
 Company's strategy, including our commitment to responsible minerals sourcing and procurement
 risk mitigation efforts.

&nbsp;&nbsp;&nbsp;&nbsp;4. Carry out independent third-party audit
 of supply chain due diligence at identified points in the supply chain

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;a. The SEC's Conflict Mineral Rule
 does not require an independent private sector audit of supply chain due diligence. See "(2)
 Product Determination," below.

&nbsp;&nbsp;&nbsp;&nbsp;5. Report on supply chain due diligence

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;a. We report annually to the SEC by furnishing
 a Conflict Minerals Report with Form SD, which is publicly available on the SEC's website
 at www.sec.gov and on the Company's website at https://www.freseniusmedicalcare.com/en/sustainability/supply-chain/.

<u>Steps taken and being taken to mitigate risk</u>:

The Company has taken a number of steps to (i) mitigate the risk that 3TG minerals necessary to the functionality or production of its products benefit armed groups in the DRC and/or Covered Countries and (ii) to improve its due diligence. Those steps include:

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Continuing to provide free, educational
 training to its suppliers and relevant Company personnel

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Creating and maintaining Program-specific
 process and procedure documentation for relevant Company personnel

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Focusing on a cross-functional, holistic
 approach to update the Program and continually review its Policy to reflect its commitment
 to responsible sourcing of minerals

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Focus of resources on risk-based due
 diligence, as discussed in the OECD Due Diligence Guidance

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Maintaining adherence to its Global
 Code of Conduct for Business Partners. The Global Code of Conduct for Business Partners is
 an essential part of the Company's contractual agreements which defines the principles for
 ethical and sustainable business conduct, requires that its suppliers ensure that products
 supplied to the Company do not contain metals derived from conflict minerals and provides
 that suppliers are expected to comply with applicable regulations and international standards
 such as the OECD Due Diligence Guidance on conflict minerals.

<u>(1) Product Description</u>:

The Company determined, in good faith, that the applicable product categories are the following:

&nbsp;&nbsp;&nbsp;&nbsp;· Dialysis products, including hemodialysis
 machines and peritoneal dialysis cyclers.

&nbsp;&nbsp;&nbsp;&nbsp;· Non-dialysis products, including
 water filtration units.

The Conflict Minerals Rule requires a Conflict Minerals Report to include description of a registrant's products that have not been found to be "DRC conflict free." However, under the guidance referred to under "(2), Product Determination" below, the Company is not required to describe any of its products as having "not been found to be DRC Conflict Free." Accordingly, the Company has not included a detailed or itemized description of its products in this Report. Information regarding the Company's dialysis and non-dialysis products may be found in "Item 4. Information on the Company – B. Business overview – Our products and services" and "– Care Enablement" of the Company's Annual Report on Form 20-F for the year ended December 31, 2025 (the 2025 Form 20-F). *This reference to the Company's 2025 Form 20-F is included for general information only and the 2025 Form 20-F is not incorporated by reference into this Report.*

<u>(2) Product Determination</u>:

Pursuant to guidance issued by the SEC Division of Corporation Finance on April 29, 2014, as supplemented by the SEC's updated statement dated April 7, 2017, the Company's Conflict Minerals Disclosure and its Conflict Minerals Report are limited to the information required by paragraphs (a) and (b) of Item 1.01 of Form SD. The Company is not required to describe any of its products as "DRC Conflict Free," as having "not been found to be 'DRC Conflict Free'" or as "DRC Conflict Undeterminable." In addition, inasmuch as the Company has not voluntarily elected to describe any of its products as DRC conflict free, the requirement for an independent private sector audit of this Report also is not applicable.

<u>Results of the Company's RCOI and Due Diligence Measures</u>:

Based on the information provided by its suppliers which were identified as having a higher risk of providing Conflict Minerals and which provided the Company with names of smelters and refiners within their supply chains, the Company has determined that a minimum of 339 smelters were used by suppliers in the Company's supply chain. Of those 339 smelters, 209 were identified as being conformant with the Responsible Minerals Assurance Process (RMAP) assessment protocols developed by the Responsible Minerals Initiative (RMI) and bear the highest level of Conflict Minerals responsible sourcing certification set by the RMI. Of the remaining smelters or refiners, 9 were identified as active, defined by the RMI as currently engaged in the RMAP but for which a conformance determination has yet to be made, 38 were identified as non-conformant and 83 were not enrolled with the RMI.