SYNAPSE MEDICAL CARE PC

ntribution was $7,500 for 2025. Participants may also contribute funds from another qualified plan (“rollover contributions”), subject to certain requirements. ​ The Company makes matching contributions to the Plan at an amount equal to 50 % of the first 6 % of eligible employee earnings, subject to certain limitations. Company matching contributions commence for participants who have completed ninety days of service as of the first day of the calendar month and must be an eligible employee on the last day of the Plan year. Company matching contributions are funded on an annual basis. ​ Company Profit Sharing - The Company may make discretionary profit-sharing contributions to the Plan for the benefit of all eligible participants. Employees who have completed one year of service for the pl

n for the year ended December 31, 2025 was $ 320,968 , and is presented on the accompanying statement of changes in net assets available for benefits. ​ Vesting - Participants are fully vested in that portion of their account which represents their contributions and the income earned thereon, Company profit sharing contributions, and defined contributions. Participants become 100 % vested in the Company’s contributions and earnings thereon upon death, total and permanent disability, or attainment of normal retirement age. Participants terminated prior to January 1, 2007 vest in the employer matching contributions according to the vesting schedule in effect at the time of termination. Otherwise, a participant’s interest in the Company’s matching contributions and earnings thereon vests acco

ities sold ​ 2,236,152 ​ ​ 328,115 Total assets ​ 4,809,761,263 ​ ​ 4,370,659,760 ​ ​ ​ ​ ​ ​ ​ LIABILITIES: ​ ​ ​ ​ Payable for securities purchased ​ 521,907 ​ ​ 993,663 Accrued administrative expenses ​ 399,758 ​ ​ 647,224 Total liabilities ​ 921,665 ​ ​ 1,640,887 ​ ​ ​ ​ ​ ​ ​ NET ASSETS AVAILABLE FOR BENEFITS ​ $ 4,808,839,598 ​ $ 4,369,018,873 ​ See accompanying notes to financial statements. ​ 3 Table of Contents FRESENIUS MEDICAL CARE NORTH AMERICA 401(k) SAVINGS PLAN ​ STATEMENT OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS ​ YEAR ENDED DECEMBER 31, 2025 ​ ​ ​ ​ ​ ADDITIONS: ​ ​ ​ ​ ​ ​ ​ ​ ​ Participant contributions - ​ ​ Salary deferrals ​ $ 284,114,926 Rollovers ​ 25,241,189 Employer contributions - ​ ​ Matching ​ 84,643,332 Defined contribution ​ 320,968 Interest income on