...August 3, 2023 This report does not constitute a rating action. DUBLIN (S&P Global Ratings) Aug. 3, 2023--S&P Global Ratings said today that the prospects of Fresenius SE & Co. KGaA (FSE; ###/Negative/A-2) reducing its leverage below our downgrade threshold of 4x by 2024 remain intact despite losses at investment company Fresenius Vamed (Vamed). This is because of Vamed's comparatively modest shares of group-reported revenue and EBITDA of 11% and 3%, respectively, in 2022, and good growth momentum at the main profit generators, Fresenius Kabi (Kabi) and Fresenius Helios (Helios). In the first half of 2023, Vamed reported negative EBIT of 47 million, burdened by ongoing restructuring. The restructuring is partly due to apparent missteps in its ambitious international expansion efforts. Vamed is now in turnaround mode, and has a stronger control function with a largely refreshed supervisory board and a newly established audit committee. We consider that it will take time for Vamed to return...