6-K

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 6-K

REPORT OF FOREIGN PRIVATE ISSUER

Pursuant to Rule 13a-16 or 15d-16 of the

Securities Exchange Act of 1934

For the month of May 2012

FRESENIUS MEDICAL CARE AG & Co. KGaA

(Translation of registrant’s name into English)

Else-Kröner Strasse 1

61346 Bad Homburg

Germany

(Address of principal executive offices)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

Form 20-F  þ             Form 40-F  ¨

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):             

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):             

Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.

Yes  ¨                       No  þ

If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82 –             .

FRESENIUS MEDICAL CARE AG & Co. KGaA

	Page
Interim Report of Financial Condition and Results of Operations for the three months ended March 31, 2012 and 2011
Financial Condition and Results of Operations		1
Balance Sheet Structure		15
Outlook		15
Financial Statements
Consolidated Statements of Income		16
Consolidated Statements of Comprehensive Income		17
Consolidated Balance Sheets		18
Consolidated Statements of Cash Flows		19
Consolidated Statement of Shareholders’ Equity		20
Notes to Consolidated Financial Statements		21
Quantitative and Qualitative Disclosures About Market Risk		49
Controls and Procedures		50
OTHER INFORMATION
Legal Proceedings		51
Exhibits		52
Signatures		53
EX-31.1
EX-31.2
EX-32.1
EX-101 INSTANCE DOCUMENT
EX-101 SCHEMA DOCUMENT
EX-101 CALCULATION LINKBASE DOCUMENT
EX-101 LABELS LINKBASE DOCUMENT
EX-101 PRESENTATION LINKBASE DOCUMENT
EX-101 DEFINITION LINKBASE DOCUMENT

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FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

Financial Condition and Results of Operations

You should read the following discussion and analysis of the results of operations of Fresenius Medical Care AG & Co. KGaA (“FMC-AG & Co. KGaA,” or the “Company”) and its subsidiaries in conjunction with our unaudited consolidated financial statements and related notes contained elsewhere in this report and our disclosures and discussions in our Annual Report on Form 20-F for the year ended December 31, 2011, as amended. In this Report, “FMC-AG & Co. KGaA,” or the “Company,” “we,” “us” or “our” refers to the Company or the Company and its subsidiaries on a consolidated basis, as the context requires.

Forward-looking Statements

This report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. When used in this report, the words “expects,” “anticipates,” “intends,” “plans,” “believes,” “seeks,” “estimates” and similar expressions are generally intended to identify forward looking statements. Although we believe that the expectations reflected in such forward-looking statements are reasonable, forward-looking statements are inherently subject to risks and uncertainties, many of which cannot be predicted with accuracy and some of which might not even be anticipated, and future events and actual results, financial and otherwise, could differ materially from those set forth in or contemplated by the forward-looking statements contained elsewhere in this report. We have based these forward-looking statements on current estimates and assumptions made to the best of our knowledge. By their nature, such forward-looking statements involve risks, uncertainties, assumptions and other factors which could cause actual results, including our financial condition and profitability, to differ materially and be more negative than the results expressly or implicitly described in or suggested by these statements. Moreover, forward-looking estimates or predictions derived from third parties’ studies or information may prove to be inaccurate. Consequently, we cannot give any assurance regarding the future accuracy of the opinions set forth in this report or the actual occurrence of the developments described herein. In addition, even if our future results meet the expectations expressed here, those results may not be indicative of our performance in future periods.

These risks, uncertainties, assumptions, and other factors that could cause actual results to differ from our projected results include, among others, the following:

• changes in governmental and commercial insurer reimbursement for our complete products and services portfolio, including the expanded United States Medicare reimbursement system for dialysis services;

• changes in utilization patterns for pharmaceuticals and in our costs of purchasing pharmaceuticals;

• the outcome of ongoing government investigations;

• the influence of private insurers and managed care organizations;

• the impact of recently enacted and possible future health care reforms;

• product liability risks;

• the outcome of ongoing potentially material litigation;

• risks relating to the integration of acquisitions and our dependence on additional acquisitions;

• the impact of currency fluctuations;

• introduction of generic or new pharmaceuticals that compete with our pharmaceutical products;

• changes in raw material and energy costs; and

• the financial stability and liquidity of our governmental and commercial payors.

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Important factors that could contribute to such differences are noted in this section below and in Note 11 of the Notes to Consolidated Financial Statements (Unaudited), “Commitments and Contingencies” and in our Annual Report on Form 20-F for the year ended December 31, 2011 under “Risk Factors” and elsewhere in that report.

Our business is also subject to other risks and uncertainties that we describe from time to time in our public filings. Developments in any of these areas could cause our results to differ materially from the results that we or others have projected or may project.

Our reported financial condition and results of operations are sensitive to accounting methods, assumptions and estimates that are the basis of our financial statements. The actual accounting policies, the judgments made in the selection and application of these policies, and the sensitivities of reported results to changes in accounting policies, assumptions and estimates, are factors to be considered along with our financial statements and the discussion below under “Results of Operations”. For a discussion of our critical accounting policies, see Item 5, “Operating and Financial Review and Prospects – Critical Accounting Policies” in our Annual Report on Form 20-F for the year ended December 31, 2011.

Overview

We are engaged primarily in providing dialysis services and manufacturing and distributing products and equipment for the treatment of end-stage renal disease (“ESRD”). In the U.S., we also provide inpatient dialysis services and other services under contract to hospitals. We estimate that providing dialysis services and distributing dialysis products and equipment represents a worldwide market of approximately $75 billion with expected annual worldwide market growth of around 4%, adjusted for currency. Patient growth results from factors such as the aging population and increased life expectancies; shortage of donor organs for kidney transplants; increasing incidence and better treatment of and survival of patients with diabetes and hypertension, which frequently precede the onset of ESRD; improvements in treatment quality, which prolong patient life; and improving standards of living in developing countries, which make life-saving dialysis treatment available. Key to continued growth in revenue is our ability to attract new patients in order to increase the number of treatments performed each year. For that reason, we believe the number of treatments performed each year is a strong indicator of continued revenue growth and success. In addition, the reimbursement and ancillary services utilization environment significantly influences our business. In the past we experienced, and after the implementation of the case-mix adjusted bundled prospective payment system (“ESRD PPS”) in the U.S., also expect in the future, generally stable reimbursements for dialysis services. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries. The majority of treatments are paid for by governmental institutions such as Medicare in the United States. As a consequence of the pressure to decrease healthcare costs, reimbursement rate increases have historically been limited. Our ability to influence the pricing of our services is limited.

With the enactment of Medicare Improvements for Patients and Providers Act of 2008 (“MIPPA”) in 2008, Congress mandated the development of an expanded ESRD bundled payment system for services furnished on or after January 1, 2011. On July 26, 2010, Centers of Medicare and Medicaid Services (“CMS”) published a final rule implementing the ESRD PPS for ESRD dialysis facilities in accordance with MIPPA. Under the prospective payment system, CMS reimburses dialysis facilities with a single payment for each dialysis treatment, inclusive of (i) all items and services included in the former composite rate, (ii) oral vitamin D analogues, oral levocarnitine (an amino acid derivative) and all ESAs and other pharmaceuticals (other than vaccines) furnished to ESRD patients that were previously reimbursed separately under Part B of the Medicare program, (iii) most diagnostic laboratory tests and (iv) certain other items and services furnished to individuals for the treatment of ESRD. ESRD-related drugs with only an oral form will be reimbursed under the ESRD PPS starting in January 2014 with an adjusted payment amount to be determined by the Secretary of Health and Human Services to reflect the additional cost to dialysis facilities of providing these medications. The initial ESRD PPS base reimbursement rate was set at $229.63 per dialysis treatment. The base ESRD PPS payment is subject to case

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for the three months ended March 31, 2012 and 2011

mix adjustments that take into account individual patient characteristics (e.g., age, body surface area, body mass, time on dialysis) and certain co-morbidities. The base payment is also adjusted for (i) certain high cost patient outliers due to unusual variations in medically necessary care, (ii) disparately high costs incurred by low volume facilities relative to other facilities, (iii) provision of home dialysis training and (iv) wage-related costs in the geographic area in which the provider is located.

The ESRD PPS will be phased in over four years with full implementation for all dialysis facilities on January 1, 2014. However, providers were required to elect in November 2010 whether to become fully subject to the new system starting in January 2011 or to participate in the phase-in. As part of the base payment for 2011, CMS included a negative 3.1 percent adjustment for each facility in order to ensure a budget-neutral transition, the “Transition Adjuster”, based on its estimation that only 43% of dialysis facilities would elect to participate fully in the ESRD PPS in 2011. In April 2011, however, CMS reduced the Transition Adjuster to zero percent for the remainder of 2011, based on the actual number of facilities that elected to fully participate in the ESRD PPS. CMS retained a zero percent Transition Adjuster for 2012 as well.

Beginning in 2012, the ESRD PPS payment amount is subject to annual adjustment based on increases in the costs of a “market basket” of certain healthcare items and services less a productivity adjustment. On November 10, 2011, CMS published a final rule finalizing the 2012 ESRD PPS rate. In the rule, CMS established the 2012 productivity adjusted market basket update at 2.1 percent, which was based on a market basket update of 3.0 percent less a productivity adjustment of 0.9 percent. Additionally, CMS set the 2012 wage index budget-neutrality adjusted base rate of $234.81 per treatment.

The ESRD PPS’s quality incentive program (“QIP”), initially focusing on anemia management and dialysis adequacy, affects payments starting January 1, 2012. Dialysis facilities that fail to achieve the established quality standards will have payments reduced by up to 2%, based on performance in 2010 as an initial performance period. In the November 2011 final rule, CMS established the quality measures for payment year 2013, which will once again focus on anemia management and dialysis adequacy. The 2013 measures will be based on performance in 2011. For 2014, CMS has adopted four additional measures to determine whether dialysis patients are receiving high quality care. The new measures include (i) prevalence of catheter and A/V fistula use; (ii) reporting of infections to the Centers for Disease Control and Prevention; (iii) administration of patient satisfaction surveys; and (iv) monthly monitoring of phosphorus and calcium levels. For a discussion of the impact of ESRD PPS and the above implementation plan on our business, see “– Financial Condition and Results of Operations in our Annual Report on Form 20-F for the year ended December 31, 2011.”

The Patient Protection and Affordable Care Act was enacted in the United States on March 23, 2010 and subsequently amended by the Health Care and Educational Affordability Reconciliation Act (as amended, “ACA”). ACA implements broad healthcare system reforms, including (i) provisions to facilitate access to affordable health insurance for all Americans, (ii) expansion of the Medicaid program, (iii) an industry fee on pharmaceutical companies that began in 2011 based on sales of brand name pharmaceuticals to government healthcare programs, (iv) a 2.3% excise tax on manufacturers’ medical device sales starting in 2013, (v) increases in Medicaid prescription drug rebates effective January 1, 2010, (vi) commercial insurance market reforms that protect consumers, such as bans on lifetime and annual limits, coverage of pre-existing conditions, limits on administrative costs, and limits on waiting periods, (vii) provisions encouraging integrated care, efficiency and coordination among providers and (viii) provisions for reduction of healthcare program waste and fraud. ACA does not modify the dialysis reimbursement provisions of MIPPA. ACA’s medical device excise tax, Medicaid drug rebate increases and annual pharmaceutical industry fees will adversely impact our product business earnings and cash flows. We expect long-term modest favorable impact from potentially both the ACA’s and CMS’s integrated care and commercial insurance consumer protection provisions.

On August 2, 2011 the U.S. Budget Control Act of 2011 (“Budget Control Act”) was enacted, which raised the United States’ debt ceiling and put into effect a series of actions for deficit reduction. In addition, the Budget Control Act created a 12-member Congressional Joint Select Committee on Deficit Reduction that was tasked

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FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

with proposing additional revenue and spending measures to achieve additional deficit reductions of at least $1.5 trillion over ten years, which could include reductions in Medicare and Medicaid. The Joint Congressional Committee failed to make recommendations to Congress by the November 23, 2011 deadline established by the Budget Control Act. As a result of this failure, and unless Congress acts in some other fashion, automatic across the board reductions in spending of $1.2 trillion over nine fiscal years (fiscal years 2013-2021) will be triggered on January 2, 2013. The President has stated that he will veto any legislation that would repeal the automatic budget cuts without a bipartisan solution to deficit reduction. Medicare payments to providers and suppliers would be subject to the triggered reductions, but any such reductions will be capped at 2% annually. Any such reductions would be independent of annual inflation update mechanisms, such as the market basket update pursuant to the ESRD PPS.

Our plans to mitigate the impact of the ESRD PPS and the other legislative initiatives referenced above include two broad measures. First, we are working with medical directors and treating physicians to make clinical protocol changes used in treating patients consistent with the QIP and good clinical practices, and are negotiating pharmaceutical acquisition cost savings. In addition, we are seeking to achieve greater efficiencies and better patient outcomes by introducing new initiatives to improve patient care upon initiation of dialysis, increase the percentage of patients using home therapies and achieve additional cost reductions in our clinics.

Any significant decreases in Medicare reimbursement rates could have material adverse effects on our provider business and, because the demand for products is affected by Medicare reimbursement, on our products business. To the extent that increases in operating costs that are affected by inflation, such as labor and supply costs, are not fully reflected in a compensating increase in reimbursement rates, our business and results of operations may be adversely affected.

Effective February 15, 2011, the Department of Veterans Affairs (“VA”) adopted payment rules which reduce its payment rates for non-contracted dialysis services to coincide with those of the Medicare program. As a result of the enactment of these new rules, we have experienced variability in our aggregated VA reimbursement rates for contracted, non-contracted services and volume of VA patients treated in our facilities and anticipate this to continue in the future.

We have identified three operating segments, North America, International, and Asia-Pacific. For reporting purposes, we have aggregated the International and Asia-Pacific segments as “International.” We aggregated these segments due to their similar economic characteristics. These characteristics include same services provided and same products sold, same type patient population, similar methods of distribution of products and services and similar economic environments. Our general partner’s Management Board member responsible for the profitability and cash flow of each segment’s various businesses supervises the management of each operating segment. The accounting policies of the operating segments are the same as those we apply in preparing our consolidated financial statements under accounting principles generally accepted in the United States (“U.S. GAAP”). Our management evaluates each segment using a measure that reflects all of the segment’s controllable revenues and expenses.

With respect to the performance of our business operations, our management believes the most appropriate measure in this regard is operating income which measures our source of earnings. Financing is a corporate function which segments do not control. Therefore, we do not include interest expense relating to financing as a segment measurement. We also regard income taxes to be outside the segments’ control. Similarly, we do not allocate “corporate costs,” which relate primarily to certain headquarters overhead charges, including accounting and finance, professional services, etc. because we believe that these costs are also not within the control of the individual segments. As of January 1, 2011, production of products, production asset management, quality management and procurement is centrally managed in corporate by Global Manufacturing Operations. These corporate activities do not fulfill the definition of an operating segment. Products are transferred to the operating segments at cost, therefore no internal profit is generated. The associated internal revenues for the product transfers and their elimination are recorded as corporate activities (See Note 13 – “Business Segment and Corporate

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Information” in the Notes to the unaudited Consolidated Financial Statements found elsewhere in this report). Capital expenditures for production are based on the expected demand of the operating segments and consolidated profitability considerations. In addition, certain revenues, acquisitions and intangible assets are not allocated to a segment but are accounted for as “corporate.” Accordingly, all of these items are excluded from our analysis of segment results and are discussed below in the discussion of our consolidated results of operations.

Results of Operations

The following tables summarize our financial performance and certain operating results by principal business segment for the periods indicated. Inter-segment sales primarily reflect sales of medical equipment and supplies. We prepared the information using a management approach, consistent with the basis and manner in which our management internally disaggregates financial information to assist in making internal operating decisions and evaluating management performance.

	For the three months ended March 31,
	2012			2011
	(in millions)
Total revenue
North America	$	2,108		$	1,927
International		1,136			1,055
Corporate		8			4
Totals		3,252			2,986
Inter-segment revenue
North America		3			2
International		—			—
Totals		3			2
Total net revenue
North America		2,105			1,925
International		1,136			1,055
Corporate		8			4
Totals		3,249			2,984
Amortization and depreciation
North America		72			68
International		43			41
Corporate		28			27
Totals		143			136
Operating income
North America		348			312
International		195			171
Corporate		(40	)		(38	)
Totals		503			445
Investment gain		127			—
Interest income		20			10
Interest expense		(119	)		(82	)
Income tax expense		(137	)		(124	)
Net Income		394			249
Less: Net Income attributable to Noncontrolling interests		(24	)		(28	)
Net Income attributable to shareholders of FMC-AG & Co. KGaA	$	370		$	221

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FRESENIUS MEDICAL CARE AG & Co. KGaA

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for the three months ended March 31, 2012 and 2011

Three months ended March 31, 2012 compared to three months ended March 31, 2011

Consolidated Financials

	Key Indicators for Consolidated Financial Statements
	For the three months ended March 31,				Change in %
	2012		2011		as reported			at constant exchange rates (1)
Number of treatments		9,212,646		8,174,842		13	%
Same market treatment growth in %		3.8%		4.3%
Revenue in $ million		3,249		2,984		9	%		10%
Gross profit as a % of revenue		32.9%		31.8%
Selling, general and administrative costs as a % of revenue		17.0%		16.2%
Net income attributable to shareholders of FMC-AG & Co. KGaA in $ million		370		221		68	%

(1) For further information on “at constant exchange rates,” see “Non-U.S. GAAP Measures – Constant currency” below.

Treatments increased by 13% for the first quarter of 2012 as compared to the same period in 2011. The increase is due to contributions from acquisitions (8%), same market treatment growth (4%) and one additional dialysis treatment day (1%).

At March 31, 2012, we owned, operated or managed (excluding those managed but not consolidated in the U.S.) 3,119 clinics compared to 2,769 clinics at March 31, 2011. During the first quarter of 2012, we acquired 232 clinics (net of divested clinics for the Liberty Acquisition discussed below) opened 12 clinics and combined or closed (23) clinics. The number of patients treated in clinics that we own, operate or manage (excluding patients of clinics managed but not consolidated in the U.S.) increased by 17% to 253,041 at March 31, 2012 from 216,942 at March 31, 2011. Including 21 clinics managed but not consolidated in the U.S., the total number of patients was 254,646.

Net revenue increased by 9% (10% at constant exchange rates) for the first quarter of 2012 over the comparable period in 2011, due to growth in both dialysis care and dialysis products revenues.

Net dialysis care revenue increased by 11% (12% at constant exchange rates) to $2,478 million for the first quarter of 2012 from $2,233 million in the same period of 2011, mainly due to contributions from acquisitions (9%), growth in same market treatments (4%) and one additional dialysis treatment day (1%), partially offset by decreases in revenue per treatment (2%) and a negative effect from exchange rate fluctuations (1%).

Dialysis product revenue increased by 3% (5% at constant exchange rates) to $771 million from $751 million in the same period of 2011, driven by increased sales of hemodialysis products, especially of machines and products for acute treatments. This was partially offset by lower sales of renal pharmaceuticals.

The increase in gross profit margin mainly reflects an increase in gross profit margin for North America. The increase in North America was due to higher revenue per treatment associated with Medicare and expanded service offerings as well as the impact of the Liberty Acquisition, partially offset by higher personnel expenses.

Selling, general and administrative (“SG&A”) expenses increased to $553 million in the first quarter of 2012 from $484 million in the same period of 2011. SG&A expenses as a percentage of revenues increased to 17.0% for the first quarter of 2012 in comparison with 16.2% during the same period of 2011 attributable to an increase in North America, partially offset by a decrease in International. The increase in North America was largely due to higher personnel expenses and to one time costs related to the Liberty Acquisition (as explained below). The decrease in International was driven by foreign exchange gains, reduced acquisition costs and business growth in Asia, mainly China, partially offset by increased bad debt expense.

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FRESENIUS MEDICAL CARE AG & Co. KGaA

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for the three months ended March 31, 2012 and 2011

Gains from the sale of our clinics were $9 million as a result of the sale of 15 legacy clinics as a condition of regulatory approval for the Liberty Acquisition as of March 31, 2012. The effects of this gain partially offset the Liberty Acquisition cost described above.

R&D expenses increased to $29 million in the first quarter of 2012 as compared to $26 million in the same period in 2011 and remained unchanged as a percentage of revenue at 0.9%.

Income from equity method investees decreased to $5 million for the first quarter of 2012 from $8 million for the same period of 2011 mainly due to reduced income from Vifor-Fresenius Medical Care Renal Pharma Ltd. (“VFMCRP”), our renal pharmaceuticals joint venture.

Operating income increased to $503 million in the first quarter of 2012 from $445 million for the same period in 2011. Operating income margin increased to 15.5% for the first quarter of 2012 from 14.9% for the same period in 2011 mainly as a result of an increase in gross profit margin and the gain from the sale of clinics, partially offset by the increase in SG&A expense as a percent of revenue and lower income from equity method investees, all as discussed above.

The non-taxable investment gain of $127 million, subject to the finalization of acquisition accounting, is due to our acquisition of Liberty Dialysis Holdings, Inc. (“LD Holdings”), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the “Liberty Acquisition”). The acquisition coupled with our previously held 49% non-controlling interest in Renal Advantage Partners, LLC represents a business combination. As such, our previous non-controlling interest is measured at its fair value, which resulted in the non-taxable gain. Additionally, we acquired 263 dialysis clinics and we are required to divest a total of 62 clinics to obtain regulatory approval. During the period we sold 49 clinics, 34 of which were acquired clinics and 15 were legacy clinics. The remaining 13 clinics required for divestiture are expected to be sold in the second quarter of 2012.

Interest expense increased by 45% to $119 million for the first quarter of 2012 from $82 million for the same period in 2011 mainly as a result of increased debt.

Income tax expense increased to $137 million for the first quarter of 2012 from $124 million for the same period in 2011. The effective tax rate decreased to 25.8% from 33.3% for the same period of 2011 as a result of a nontaxable investment gain occurring during the first quarter of 2012.

Net income attributable to shareholders of FMC-AG & Co. KGaA for the first quarter of 2012 increased to $370 million from $221 million for the same period in 2011 as a result of the combined effects of the items discussed above.

We employed 82,979 people (full-time equivalents) as of March 31, 2012 compared to 74,844 as of March 31, 2011, an increase of 10.9%, primarily due to overall growth in our business and acquisitions.

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The following discussions pertain to our business segments and the measures we use to manage these segments.

North America Segment

	Key Indicators for North America Segment
	For the three months ended March 31,				Change in %
	2012		2011
Number of treatments		5,745,986		5,241,652		10%
Same market treatment growth in %		3.4%		3.7%
Revenue in $ million		2,105		1,925		9%
Depreciation and amortization in $ million		72		68		6%
Operating income in $ million		348		312		11%
Operating income margin in %		16.5%		16.2%

Revenue

Treatments increased by 10% for the first quarter of 2012 as compared to the same period in 2011 mostly due to contributions from acquisitions (5%), same market growth (3%) and one additional dialysis treatment day (2%). At March 31, 2012, 161,656 patients (a 17% increase over the same period in the prior year) were being treated in the 2,053 clinics that we own or operate in the North America segment, compared to 138,392 patients treated in 1,823 clinics at March 31, 2011. Average North America revenue per treatment, before bad debt expense, was $345 for the first quarter of 2012 and $340 for the same period in 2011. In the U.S., the average revenue per treatment was $353 for the first quarter of 2012 in comparison to $348 for the same period in 2011. The increase was influenced by a number of factors. In the quarter, we saw an increase in the Medicare reimbursement from both the removal Transition Adjustor and the updated Medicare reimbursement rate which came into effect in January 2012. In addition, the rate has increased due to the further development of our expanded service offering and a modest increase in commercial rates. This improvement was partially offset by a reduction in the rates we charge the Veterans Administration and the impact of our pharmaceutical protocol changes on non-bundled commercial rates.

Net revenue for the North America segment for the first quarter of 2012 increased in comparison to the same period of 2011 as a result of a 11% increase in net dialysis care revenue to $1,918 million from $1,730 million in the same period of 2011, partially offset by a 4% decrease in dialysis product revenue to $187 million from $195 million in the first quarter of 2011.

The net dialysis care revenue increase was driven by contributions from acquisitions (8%), growth in same market treatments (3%), and one additional dialysis treatment day (1%) and partially offset by decreases in revenue per treatment (1%).

The dialysis product revenue decrease was driven by lower sales of renal pharmaceuticals.

Operating Income

Operating income increased to $348 million for the first quarter of 2012 from $312 million for the same period in 2011. Operating income margin increased to 16.5% for the first quarter of 2012 from 16.2% for the same period in 2011, mainly due to increases in Medicare reimbursement and the further development of our expanded service offerings as discussed above, a gain from the sale of our clinics and the positive impact of Liberty, partially offset by higher personnel expenses, acquisition costs related to Liberty and lower income from equity method investees due to income from the VFMCRP joint venture. The cost per treatment for North America decreased to $280 for the first quarter of 2012 from $282 in the same period of 2011.

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International Segment

	Key Indicators for International Segment
	For the three months ended March 31,				Change in %
	2012		2011		as reported	at constant exchange rates  (1)
Number of treatments		3,466,660		2,933,190	18%
Same market treatment growth in %		4.6%		5.6%
Revenue in $ million		1,136		1,055	8%	12%
Depreciation and amortization in $ million		43		41	6%
Operating income in $ million		195		171	14%
Operating income margin in %		17.2%		16.2%

(1) For further information on “at constant exchange rates,” see “Non-U.S. GAAP Measures – Constant currency” below.

Revenue

Treatments increased by 18% in the first quarter of 2012 over the same period in 2011 mainly due to contributions from acquisitions (13%), same market growth (5%), changes in the dialysis treatment days (1%), partially offset by the effect of closed or sold clinics (1%). As of March 31, 2012, we had 91,385 patients (an 16% increase over the same period of the prior year) being treated at the 1,066 clinics that we own, operate or manage in the International segment compared to 78,550 patients treated at 946 clinics at March 31, 2011. Average revenue per treatment for the first quarter of 2012 decreased to $161 in comparison with $172 for the same period of 2011 due to the weakening of local currencies against the U.S. dollar ($8) as well as decreased reimbursement rates and changes in country mix ($3).

Net revenues for the International segment for the first quarter of 2012 increased by 8% (12% increase at constant exchange rates) as compared to the same period in 2011 as a result of increases in both dialysis care and dialysis product revenues. Acquisitions during the period contributed 5%, organic growth during the period was 6%, changes in the dialysis treatment days 1%, and partially offset by the negative effect of exchange rate fluctuations of (4%).

Including the effects of acquisitions, European region revenue increased 5% (10% increase at constant exchange rates), Latin America region revenue increased 22% (26% increase at constant exchange rates), and Asia-Pacific region revenue increased 6% (5% increase at constant exchange rates).

Total dialysis care revenue for the International segment increased during the first quarter of 2012 by 11% (16% increase at constant exchange rates) to $560 million from $503 million in the same period of 2011. This increase is a result of contributions from acquisitions (11%) and same market treatment growth (5%), changes in the dialysis treatment days (1%), partially offset by the negative impact of exchange rate fluctuations (5%) and the effect of closed or sold clinics (1%).

Total dialysis product revenue for the first quarter of 2012 increased by 4% (8% increase at constant exchange rates) to $576 million from $552 million in the same period of 2011. The increase in product revenue was driven by increased sales of hemodialysis products, especially of machines, products for acute treatments as well as increased renal pharmaceuticals and peritoneal dialysis product sales. Exchange rate fluctuations partially offset the growth with a negative impact of 4%.

Operating Income

Operating income increased by 14% to $195 million for the first quarter of 2012 from $171 million for the same period in 2011. Operating income margin increased to 17.2% for the first quarter of 2012 from 16.2% for the same period in 2011 due to favorable foreign exchange effects, increased reimbursement in Argentina and lower acquisition costs, partially offset by increased bad debt expense.

9

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

Liquidity and Capital Resources

Three months ended March 31, 2012 compared to three months ended March 31, 2011

Liquidity

Our primary sources of liquidity have historically been cash from operations, cash from borrowings from third parties and related parties, as well as cash from issuance of equity and debt securities. We require this capital primarily to finance working capital needs, to fund acquisitions and joint ventures, to develop free-standing renal dialysis centers, to purchase equipment for existing or new renal dialysis centers and production sites, to repay debt and to pay dividends.

At March 31, 2012, we had cash and cash equivalents of $580 million. For information regarding utilization and availability under our Amended 2006 Senior Credit Agreement, see Note 7, “Long-term Debt and Capital Lease Obligations” in our Consolidated Financial Statements included in this Report.

Operations

In the first three months of 2012 and 2011, we generated net cash from operations of $481 million and $175 million, respectively. Cash from operations is impacted by the profitability of our business, the development of our working capital, principally receivables, and cash outflows that occur due to a number of singular specific items (especially payments in relation to disallowed tax deductions and legal proceedings). The increase in the first three months of 2012 versus 2011 was mainly a result of a one day increase in DSO as compared to a 4 day increase in the same period of 2011, lower income tax payments driven by a German net tax refund received during the first quarter 2012, and a lower increase in inventory level.

The profitability of our business depends significantly on reimbursement rates. Approximately 76% of our revenues are generated by providing dialysis services, a major portion of which is reimbursed by either public health care organizations or private insurers. For the period ended March 31, 2012, approximately 31% of our consolidated revenues were attributable to U.S. federal health care benefit programs, such as Medicare and Medicaid reimbursement. Legislative changes could affect Medicare reimbursement rates for a significant portion of the services we provide, as well as the scope of Medicare coverage. A decrease in reimbursement rates or the scope of coverage could have a material adverse effect on our business, financial condition and results of operations and thus on our capacity to generate cash flow. In the past we experienced, and after the implementation of the case-mix adjusted bundled prospective payment system (“ESRD PPS”) in the U.S., also expect in the future, generally stable reimbursements for dialysis services. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries.

Our working capital, which is defined as current assets less current liabilities, was $207 million at March 31, 2012 which decreased from $1,432 million at December 31, 2011, mainly as a result of an increase in the current portion of long-term debt (see Note 7). Our ratio of current assets to current liabilities was 1.0 at March 31, 2012.

The working capital change mostly reflects the impact of our 2006 Amended Senior Credit Agreement maturing March 31, 2013. At March 31, 2012 it represented $2.773 billion of our debt. We anticipate that the obligations under this agreement will be refinanced in a timely fashion for a term of five to seven years depending upon market conditions.

We intend to continue to address our current cash and financing requirements by the generation of cash from operations, our existing and future credit agreements, and the issuance of debt securities. We have sufficient financial resources, consisting of only partly drawn credit facilities and our accounts receivable facility to meet our needs for the foreseeable future. In addition, when funds are required for acquisitions or to meet other needs,

10

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

we expect to successfully complete long-term financing arrangements, such as the issuance of senior notes, see “Financing” below. We aim to preserve financial resources with a minimum of $300 to $500 million of committed and unutilized credit facilities.

Cash from operations depends on the collection of accounts receivable. Customers and governments generally have different payment cycles. A lengthening of their payment cycles could have a material adverse effect on our capacity to generate cash flow. In addition, we could face difficulties in enforcing and collecting accounts receivable under some countries’ legal systems and due to the economic conditions in some countries. Accounts receivable balances at March 31, 2012 and December 31, 2011, net of valuation allowances, represented days sales outstanding (“DSO”) of approximately 81 and 80, respectively.

DSO by segment is calculated by dividing the segment’s accounts receivable, as converted to U.S. Dollars using the average exchange rate for the period presented, less any value added tax included in the receivables, by the average daily sales of the last twelve months for that segment, as converted to U.S. dollars using the average exchange rate for the period. Receivables and sales are adjusted for amounts related to significant acquisitions made during the periods presented. The development of DSO by reporting segment is shown in the table below:

	March 31, 2012		December 31, 2011
North America days sales outstanding		55		55
International days sales outstanding		124		121
FMC-AG & Co. KGaA average days sales outstanding		81		80

DSO remained flat in the North American segment between December 31, 2011 and March 31, 2012. DSO for the International segment increased between December 31, 2011 and March 31, 2012, reflecting slight payment delays, particularly in China and countries with budget deficits. Due to the fact that a large portion of our reimbursement is provided by public health care organizations and private insurers, we expect that most of our accounts receivable will be collectible, albeit slightly more slowly in the International segment in the immediate future.

There are a number of tax and other items we have identified that will or could impact our cash flows from operations in the future as follows:

We filed claims for refunds contesting the Internal Revenue Service’s (“IRS”) disallowance of civil settlement payment deductions taken by Fresenius Medical Care Holdings, Inc. (“FMCH”) in prior year tax returns. As a result of a settlement agreement with the IRS, we received a partial refund in September 2008 of $37 million, inclusive of interest and preserved our right to pursue claims in the United States courts for refunds of all other disallowed deductions. On December 22, 2008, we filed a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. The court has denied motions for summary judgment by both parties and the litigation is proceeding towards trial.

The IRS tax audits of FMCH for the years 2002 through 2008 have been completed. On January 23, 2012, we executed a closing agreement with the IRS with respect to the 2007-2008 tax audit. The agreement reflected a full allowance of interest deductions on intercompany mandatorily redeemable preferred shares for the 2007-2008 tax years. In addition, on February 16, 2012, we executed a closing agreement with IRS Appeals that reflects the full allowance of interest deductions associated with mandatorily redeemable shares for the years 2002-2006.

11

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

We are subject to ongoing and future tax audits in the U.S., Germany and other jurisdictions. We have received notices of unfavorable adjustments and disallowances in connection with certain of the audits, including those described above. We are contesting, including appealing, certain of these unfavorable determinations. If our objections and any final audit appeals are unsuccessful, we could be required to make additional tax payments, including payments to state tax authorities reflecting the adjustments made in our federal tax returns in the U.S. With respect to other potential adjustments and disallowances of tax matters currently under review, we do not anticipate that an unfavorable ruling could have a material impact on our results of operations. We are not currently able to determine the timing of these potential additional tax payments.

In 2003, we reached an a agreement with the asbestos creditors’ committees on behalf of the W.R. Grace & Co. bankruptcy estate and W.R. Grace & Co. in the matters pending in the Grace Chapter 11 Proceedings for the settlement of all fraudulent conveyance and tax claims against it and other claims related to us that arise out of the bankruptcy of W.R. Grace & Co. Under the terms of the settlement agreement as amended (the “Settlement Agreement”), fraudulent conveyance and other claims raised on behalf of asbestos claimants will be dismissed with prejudice and we will receive protection against existing and potential future W.R. Grace & Co. related claims, including fraudulent conveyance and asbestos claims, and indemnification against income tax claims related to the non-NMC members of the W.R. Grace & Co. consolidated tax group upon confirmation of a W.R. Grace & Co. bankruptcy reorganization plan that contains such provisions. Under the Settlement Agreement, we will pay a total of $115,000 without interest to the W.R. Grace & Co. bankruptcy estate, or as otherwise directed by the Court, upon plan confirmation. No admission of liability has been or will be made. The Settlement Agreement has been approved by the U.S. District Court In January and February 2011, the U.S. Bankruptcy Court entered orders confirming the joint plan of reorganization and the confirmation orders were affirmed by the U.S. District Court on January 31, 2012.

W.R. Grace & Co. and certain of its subsidiaries filed for reorganization under Chapter 11 of the U.S. Bankruptcy Code (the “Grace Chapter 11 Proceedings”) on April 2, 2001. The settlement agreement with the asbestos creditors committees on behalf of the W.R. Grace & Co. bankruptcy estate (see Note 11 of the Notes to Consolidated Financial Statements, “Commitments and Contingencies – Legal Proceedings – Commercial Litigation”) provides for payment by us of $115 million upon approval of the settlement agreement by the U.S. District Court, which has occurred, and confirmation by the U.S. District Court of a W.R. Grace & Co. bankruptcy reorganization plan that includes the settlement. In January and February 2011, the U.S. Bankruptcy Court entered orders confirming the joint plan of reorganization. These confirmation orders were affirmed by the U.S. District Court on January 31, 2012. The $115 million obligation was included in the special charge we recorded in 2001 to address 1996 merger-related legal matters. See Note 11 “Commitments and Contingencies – Legal Proceedings – Accrued Special Charge for Litigation” in our Consolidated Financial Statements included in this Report. The payment obligation is not interest-bearing.

Investing

We used net cash of $1,648 million and $452 million in investing activities in the three-month periods ended March 31, 2012 and 2011, respectively.

Capital expenditures for property, plant and equipment, net of disposals were $122 million and $113 million in the first three months of 2012 and 2011, respectively. In the first three months of 2012, capital expenditures were $59 million in the North America segment, $36 million for the International segment and $27 million at Corporate. Capital expenditures in the first three months of 2011 were $55 million in the North America segment, $31 million for the International segment and $27 million at Corporate. The majority of our capital expenditures was used for maintaining existing clinics, equipping new clinics, maintenance and expansion of production facilities primarily in Germany, North America and France and capitalization of machines provided to our customers, primarily in the International segment. Capital expenditures were approximately 4% of total revenue in the first three months of 2012 and 2011.

12

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

We invested approximately $1,703 million cash in the first three months of 2012, primarily through the $1,516 million acquisition of Liberty, net of divestitures ($1,701 million in the North America segment, $2 million in the International segment), as compared to $339 million cash in the same period of 2011 ($332 million in the North America segment, $7 million in the International segment).

We anticipate capital expenditures of approximately $0.7 billion and expect to make acquisitions of approximately $1.8 billion net of divestitures in 2012, including all acquisitions to date, see the Notes to Consolidated Financial Statements included in the report. See “Outlook” below.

Financing

Net cash provided by financing was $1,284 million in the first three months of 2012 compared to net cash provided by financing of $357 million in the first three months of 2011, respectively.

In the three-month period ended March 31, 2012, cash was provided by the issuance of senior notes and short-term borrowings, partially offset by, repayment of the accounts receivable facility, short-term borrowings, long-term debt and amounts from third and related parties. For further information on the issuance of senior notes in 2012, see below. In the first three months of 2011, cash was provided by the issuance of senior notes and short-term borrowings, partially offset by the repayment of the accounts receivable facility and repayment of long-term borrowings.

On January 26, 2012, Fresenius Medical Care US Finance II, Inc. (“US Finance II”), a wholly-owned subsidiary, issued $800,000 aggregate principal amount of senior unsecured notes with a coupon of 5 5/8% (the “5 5/8% Senior Notes”) at par and $700,000 aggregate principal amount of senior unsecured notes with a coupon of 5 7/8% (the “5 7/8% Senior Notes”) at par (together, the “Dollar-denominated Senior Notes”). In addition, FMC Finance VIII S.A. (“Finance VIII”), a wholly-owned subsidiary, issued €250,000 aggregate principal amount ($328,625 at date of issuance) of senior unsecured notes with a coupon of 5.25% (the “5.25% Euro-denominated Senior Notes”) at par. Both the 5 5/8% Senior Notes and the 5.25% Euro-denominated Senior Notes are due July 31, 2019 while the 5 7/8% Senior Notes are due January 31, 2022. US Finance II and Finance VIII may redeem the Dollar-denominated Senior Notes and 5.25% Euro-denominated Senior Notes, respectively, at any time at 100% of principal plus accrued interest and a premium calculated pursuant to the terms of the applicable indenture. The holders of the Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes have a right to request that the respective issuers of the notes repurchase the applicable issue of notes at 101% of principal plus accrued interest upon the occurrence of a change in control of FMC-AG & Co. KGaA followed by a decline in the rating of the respective notes. We used the net proceeds of approximately $1,807,139 for acquisitions, including the acquisition of Liberty Dialysis Holdings, Inc., which closed on February 28, 2012, to refinance indebtedness and for general corporate purposes. The Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes are guaranteed on a senior basis jointly and severally by us, Fresenius Medical Care Holdings, Inc. (“FMCH”) and Fresenius Medical Care Deutschland GmbH (“D-GmbH”) (together, the “Guarantor Subsidiaries”).

Non-U.S. GAAP Measures

Constant currency

Changes in revenue include the impact of changes in foreign currency exchange rates. We use the non-GAAP financial measure “at constant exchange rates” in our filings to show changes in our revenue without giving effect to period-to-period currency fluctuations. Under U.S. GAAP, revenues received in local (non-U.S. dollar) currency are translated into U.S. dollars at the average exchange rate for the period presented. When we use the term “constant currency,” it means that we have translated local currency revenues for the current reporting period into U.S. dollars using the same average foreign currency exchange rates for the conversion of

13

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

revenues into U.S. dollars that we used to translate local currency revenues for the comparable reporting period of the prior year. We then calculate the change, as a percentage, of the current period revenues using the prior period exchange rates versus the prior period revenues. This resulting percentage is a non-GAAP measure referring to a change as a percentage “at constant exchange rates.”

We believe that revenue growth is a key indication of how a company is progressing from period to period and that the non-GAAP financial measure constant currency is useful to investors, lenders, and other creditors because such information enables them to gauge the impact of currency fluctuations on a company’s revenue from period to period. However, we also believe that the usefulness of data on constant currency period-over-period changes is subject to limitations, particularly if the currency effects that are eliminated constitute a significant element of our revenue and significantly impact our performance. We therefore limit our use of constant currency period-over-period changes to a measure for the impact of currency fluctuations on the translation of local currency revenue into U.S. dollars. We do not evaluate our results and performance without considering both constant currency period-over-period changes in non-U.S. GAAP revenue on the one hand and changes in revenue prepared in accordance with U.S. GAAP on the other. We caution the readers of this report to follow a similar approach by considering data on constant currency period-over-period changes only in addition to, and not as a substitute for or superior to, changes in revenue prepared in accordance with U.S. GAAP. We present the fluctuation derived from U.S. GAAP revenue next to the fluctuation derived from non-GAAP revenue. Because the reconciliation is inherent in the disclosure, we believe that a separate reconciliation would not provide any additional benefit.

Debt covenant disclosure – EBITDA

EBITDA (earnings before interest, tax, depreciation and amortization expenses) was approximately $646 million, 19.9% of revenues for the three-month period ended March 31, 2012, and $581 million, 19.5% of revenues for the same period of 2011. EBITDA is the basis for determining compliance with certain covenants contained in our Amended 2006 Senior Credit Agreement, Euro Notes, EIB agreements, and the indentures relating to our Senior Notes. You should not consider EBITDA to be an alternative to net earnings determined in accordance with U.S. GAAP or to cash flow from operations, investing activities or financing activities. In addition, not all funds depicted by EBITDA are available for management’s discretionary use. For example, a substantial portion of such funds are subject to contractual restrictions and functional requirements for debt service, to fund necessary capital expenditures and to meet other commitments from time to time as described in more detail elsewhere in this report. EBITDA, as calculated, may not be comparable to similarly titled measures reported by other companies. A reconciliation of EBITDA to cash flow provided by operating activities, which we believe to be the most directly comparable U.S. GAAP financial measure, is calculated as follows:

Reconciliation of measures for consolidated totals

	For the three months ended March 31,
	2012			2011
	($ in millions)
Total EBITDA	$	646		$	581
Interest expense (net of interest income)		(99	)		(72	)
Income tax expense, net		(137	)		(124	)
Change in deferred taxes, net		28			32
Changes in operating assets and liabilities		60			(249	)
Stock compensation expense		7			7
Other items, net		(24	)		—
Net cash provided by operating activities	$	481		$	175

14

FRESENIUS MEDICAL CARE AG & Co. KGaA

Interim Report of Financial Condition and Results of Operations

for the three months ended March 31, 2012 and 2011

Balance Sheet Structure

Total assets as of March 31, 2012 increased to $22.0 billion compared to $19.5 billion at December 31, 2011. Current assets as a percent of total assets decreased to at 28% at March 31, 2012 compared to 29% as of December 31, 2011. The equity ratio, the ratio of our equity divided by total liabilities and shareholders’ equity, decreased to 39% at March 31, 2012 from 41% at December 31, 2011.

Outlook

We confirm our outlook for the full year 2012 as depicted in the table below:

	2012
	($ in millions)
Net Revenues	~$14,000
Net Income attributable to shareholders of FMC-AG & Co. KGaA (1)	~$1,140
Debt/EBITDA Ratio	<3.0
Capital Expenditures	~$0.7 billion
Acquisitions, net of divestitures	~$1,800

(1) The net income attributable to shareholders of FMC-AG & Co. KGaA does not include the investment gain in the amount of approximately $127 million in the first quarter of 2012. In addition, the amount of the gain is subject to finalization of the Liberty acquisition accounting.

15

FRESENIUS MEDICAL CARE AG & Co. KGaA

Consolidated Statements of Income

(unaudited)

(in thousands, except share data)

	For the three months ended March 31,
	2012			2011
Revenue:
Dialysis Care	$	2,544,059		$	2,285,316
Less: Patient service bad debt provision		66,859			52,537
Net Dialysis Care		2,477,200			2,232,779
Dialysis Products		771,555			751,072
		3,248,755			2,983,851
Costs of revenue:
Dialysis Care		1,831,126			1,675,951
Dialysis Products		348,120			360,013
		2,179,246			2,035,964
Gross profit		1,069,509			947,887
Operating (income) expenses:
Selling, general and administrative		552,832			484,236
Gain on sale of dialysis clinics		(9,314	)		—
Research and development		28,522			26,149
Income from equity method investees		(5,497	)		(7,582	)
Operating income		502,966			445,084
Other (income) expense:
Investment gain		(126,685	)		—
Interest income		(20,306	)		(10,421	)
Interest expense		119,186			81,986
Income before income taxes		530,771			373,519
Income tax expense		137,077			124,404
Net income		393,694			249,115
Less: Net income attributable to noncontrolling interests		23,196			28,414
Net income attributable to shareholders of FMC-AG & Co. KGaA	$	370,498		$	220,701
Basic income per ordinary share	$	1.22		$	0.73
Fully diluted income per ordinary share	$	1.21		$	0.73

See accompanying notes to unaudited consolidated financial statements.

16

FRESENIUS MEDICAL CARE AG & Co. KGaA

Consolidated Statements of Comprehensive Income

(unaudited)

(in thousands, except share data)

	For the three months ended March 31,
	2012			2011
Net Income	$	393,694		$	249,115
Gain (loss) related to cash flow hedges		(4,283	)		3,984
Actuarial gain (loss) on defined benefit pension plans		4,373			1,783
Gain (loss) related to foreign currency translation		120,796			118,953
Income tax (expense) benefit related to components of other comprehensive income		(18,981	)		(4,151	)
Other comprehensive income (loss), net of tax		101,905			120,569
Total comprehensive income	$	495,599		$	369,684
Comprehensive income attributable to noncontrolling interests		24,037			28,682
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA	$	471,562		$	341,002

See accompanying notes to unaudited consolidated financial statements.

17

FRESENIUS MEDICAL CARE AG & Co. KGaA

Consolidated Balance Sheets

At March 31, 2012 and December 31, 2011

(in thousands, except share data)

	March 31, 2012			December 31, 2011
	(unaudited)			(audited)
Assets
Current assets:
Cash and cash equivalents	$	580,224		$	457,292
Trade accounts receivable less allowance for doubtful accounts of $316,384 in 2012 and $299,751 in 2011		3,099,081			2,798,318
Accounts receivable from related parties		132,446			111,008
Inventories		1,023,997			967,496
Prepaid expenses and other current assets		939,876			1,035,366
Deferred taxes		316,973			325,539
Total current assets		6,092,597			5,695,019
Property, plant and equipment, net		2,843,992			2,629,701
Intangible assets		741,432			686,652
Goodwill		11,292,648			9,186,650
Deferred taxes		70,988			88,159
Investment in equity method investees		637,755			692,025
Other assets and notes receivables		308,576			554,644
Total assets	$	21,987,988		$	19,532,850
Liabilities and shareholders’ equity
Current liabilities:
Accounts payable	$	555,091		$	541,423
Accounts payable to related parties		104,975			111,226
Accrued expenses and other current liabilities		1,720,933			1,704,273
Short-term borrowings and other financial liabilities		103,663			98,801
Short-term borrowings from related parties		14,698			28,013
Current portion of long-term debt and capital lease obligations		3,106,968			1,589,776
Income tax payable		249,126			162,354
Deferred taxes		29,921			26,745
Total current liabilities		5,885,375			4,262,611
Long-term debt and capital lease obligations, less current portion		5,583,268			5,494,810
Other liabilities		275,053			236,628
Pension liabilities		300,773			290,493
Income tax payable		177,001			189,000
Deferred taxes		629,166			587,800
Total liabilities		12,850,636			11,061,342
Noncontrolling interests subject to put provisions		501,968			410,491
Shareholders’ equity:
Preference shares, no par value, €1.00 nominal value, 7,066,522 shares authorized, 3,966,522 issued and outstanding		4,453			4,452
Ordinary shares, no par value, €1.00 nominal value, 385,396,450 shares authorized, 300,254,024 issued and outstanding		371,766			371,649
Additional paid-in capital		3,342,983			3,362,633
Retained earnings		5,019,083			4,648,585
Accumulated other comprehensive (loss) income		(384,703	)		(485,767	)
Total FMC-AG & Co. KGaA shareholders’ equity		8,353,582			7,901,552
Noncontrolling interests not subject to put provisions		281,802			159,465
Total equity		8,635,384			8,061,017
Total liabilities and equity	$	21,987,988		$	19,532,850

See accompanying notes to unaudited consolidated financial statements.

18

FRESENIUS MEDICAL CARE AG & Co. KGaA

Consolidated Statements of Cash Flows

For the three months ended March 31, 2012 and 2011

(unaudited)

(in thousands)

	For the three months ended March 31,
	2012			2011
Operating Activities:
Net income	$	393,694		$	249,115
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		143,374			135,984
Change in deferred taxes, net		27,838			32,427
(Gain) loss on sale of investments		(9,331	)		(35	)
(Gain) loss on sale of fixed assets		582			(572	)
Investment (gain)		(126,685	)		—
Compensation expense related to stock options		6,546			7,132
Cash outflow from hedging		(15,578	)		(57,111	)
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net		(104,401	)		(182,407	)
Inventories		(28,852	)		(73,393	)
Prepaid expenses, other current and non-current assets		133,435			13,251
Accounts receivable from related parties		(16,359	)		(84	)
Accounts payable to related parties		(9,759	)		(4,546	)
Accounts payable, accrued expenses and other current and non-current liabilities		30,552			32,913
Income tax payable		18,199			22,645
Dividend income from equity method investees		37,922			—
Net cash provided by (used in) operating activities		481,177			175,319
Investing Activities:
Purchases of property, plant and equipment		(124,418	)		(117,166	)
Proceeds from sale of property, plant and equipment		1,849			4,006
Acquisitions and investments, net of cash acquired, and purchases of intangible assets		(1,702,802	)		(338,792	)
Proceeds from divestitures		176,721			—
Net cash provided by (used in) investing activities		(1,648,650	)		(451,952	)
Financing Activities:
Proceeds from short-term borrowings and other financial liabilities		29,868			49,416
Repayments of short-term borrowings and other financial liabilities		(39,171	)		(64,502	)
Proceeds from short-term borrowings from related parties		—			24,487
Repayments of short-term borrowings from related parties		(13,894	)		—
Proceeds from long-term debt and capital lease obligations (net of debt issuance costs and other hedging costs of $155,056 in 2012 and $70,247 in 2011)		1,704,748			992,413
Repayments of long-term debt and capital lease obligations		(41,573	)		(116,007	)
Increase (decrease) of accounts receivable securitization program		(333,250	)		(510,000	)
Proceeds from exercise of stock options		4,354			1,821
Distributions to noncontrolling interests		(32,366	)		(25,052	)
Contributions from noncontrolling interests		5,350			3,939
Net cash provided by (used in) financing activities		1,284,066			356,515
Effect of exchange rate changes on cash and cash equivalents		6,339			16,903
Cash and Cash Equivalents:
Net increase (decrease) in cash and cash equivalents		122,932			96,785
Cash and cash equivalents at beginning of period		457,292			522,870
Cash and cash equivalents at end of period	$	580,224		$	619,655

See accompanying notes to unaudited consolidated financial statements.

19

FRESENIUS MEDICAL CARE AG & Co. KGaA

Consolidated Statement of Shareholders’ Equity

For the three months ended March 31, 2012 (unaudited) and year ended December 31, 2011 (audited)

(in thousands, except share data)

	Preference Shares				Ordinary Shares				Additional paid in capital			Retained earnings			Accumulated Other comprehensive income (loss)			Total FMC-AG & Co. KGaA shareholders’ equity			Noncontrolling interests not subject to put provisions			Total Equity
	Number of shares		No par value		Number of shares		No par value
Balance at December 31, 2010		3,957,168	$	4,440		298,279,001	$	369,002	$	3,339,781		$	3,858,080		$	(194,045	)	$	7,377,258		$	146,653		$	7,523,911
Proceeds from exercise of options and related tax effects		8,523		12		1,885,921		2,647		85,887			—			—			88,546			—			88,546
Compensation expense related to stock options		—		—		—		—		29,071			—			—			29,071			—			29,071
Dividends paid		—		—		—		—		—			(280,649	)		—			(280,649	)		—			(280,649	)
Purchase/ sale of noncontrolling interests		—		—		—		—		(5,873	)		—			—			(5,873	)		9,662			3,789
Contributions from/ to noncontrolling interests		—		—		—		—		—			—			—			—			(59,066	)		(59,066	)
Changes in fair value of noncontrolling interests subject to put provisions		—		—		—		—		(86,233	)		—			—			(86,233	)		—			(86,233	)
Net income		—		—		—		—		—			1,071,154			—			1,071,154			63,251			1,134,405
Other comprehensive income (loss)		—		—		—		—		—			—			(291,722	)		(291,722	)		(1,035	)		(292,757	)
Comprehensive income		—		—		—		—		—			—			—			779,432			62,216			841,648
Balance at December 31, 2011		3,965,691	$	4,452		300,164,922	$	371,649	$	3,362,633		$	4,648,585		$	(485,767	)	$	7,901,552		$	159,465		$	8,061,017
Proceeds from exercise of options and related tax effects		831		1		89,102		117		3,951			—			—			4,069			—			4,069
Compensation expense related to stock options		—		—		—		—		6,546			—			—			6,546			—			6,546
Dividends paid		—		—		—		—		—			—			—			—			—			—
Purchase/ sale of noncontrolling interests		—		—		—		—		2,083			—			—			2,083			129,073			131,156
Contributions from/ to noncontrolling interests		—		—		—		—		—			—			—			—			(17,380	)		(17,380	)
Changes in fair value of noncontrolling interests subject to put provisions		—		—		—		—		(32,230	)		—			—			(32,230	)		—			(32,230	)
Net income		—		—		—		—		—			370,498			—			370,498			10,012			380,510
Other comprehensive income (loss)		—		—		—		—		—			—			101,064			101,064			632			101,696
Comprehensive income		—		—		—		—		—			—			—			471,562			10,644			482,206
Balance at March 31, 2012		3,966,522	$	4,453		300,254,024	$	371,766	$	3,342,983		$	5,019,083		$	(384,703	)	$	8,353,582		$	281,802		$	8,635,384

See accompanying notes to unaudited consolidated financial statements.

20

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements

(unaudited)

(in thousands, except share and per share data)

1. The Company and Basis of Presentation

The Company

Fresenius Medical Care AG & Co. KGaA (“FMC-AG & Co. KGaA” or the “Company”), a German partnership limited by shares (Kommanditgesellschaft auf Aktien), is the world’s largest kidney dialysis company, operating in both the field of dialysis services and the field of dialysis products for the treatment of end-stage renal disease (“ESRD”). The Company’s dialysis business is vertically integrated, providing dialysis treatment at dialysis clinics it owns or operates and supplying these clinics with a broad range of products. In addition, the Company sells dialysis products to other dialysis service providers. In the United States, the Company also provides inpatient dialysis services and other services under contract to hospitals.

In this report, “FMC-AG & Co. KGaA,” or the “Company,” “we,” “us” or “our” refers to the Company or the Company and its subsidiaries on a consolidated basis, as the context requires.

Basis of Presentation

The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”).

The consolidated financial statements at March 31, 2012 and for the three-month periods ended March 31, 2012 and 2011 contained in this report are unaudited and should be read in conjunction with the consolidated financial statements contained in the Company’s 2011 Annual Report on Form 20-F. The preparation of consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Such financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of the results of the periods presented. All such adjustments are of a normal recurring nature.

The accounting policies applied in the accompanying consolidated financial statements are the same as those applied in the consolidated financial statements as at and for the year ended December 31, 2011, contained in the Company’s 2011 Annual Report on Form 20-F, unless indicated otherwise.

The results of operations for the three-month period ended March 31, 2012 are not necessarily indicative of the results of operations for the year ending December 31, 2012.

Certain items in the prior periods’s comparative consolidated financial statements have been reclassified to conform to the current period’s presentation. Bad debt expense in the amount of $52,537 was reclassified from selling general and administrative (“SG&A”) to revenue as a result of adoption of Accounting Standards Update 2011-07 as noted below. Freight expense in the amount of $34,675 was reclassified from SG&A to cost of revenue to harmonize the presentation for all business segments.

Recently Adopted Accounting Pronouncements

In July 2011, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update 2011-07 (“ASU 2011-07”), Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts and the Allowance for Doubtful Accounts for Certain Health Care Entities in order to provide financial statement users with greater transparency about a healthcare entity’s net patient service revenue and the related allowance for doubtful accounts. The amendments require healthcare entities that recognize significant amounts of patient service revenue at the time the services are rendered even though they

21

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

do not assess the patient’s ability to pay to present the provision for bad debts related to patient service revenue as a deduction from patient service revenue (net of contractual allowances and discounts) on their statement of operations. The provision for bad debts must be reclassified from an operating expense to a deduction from patient service revenue. Additionally, these healthcare entities are required to provide enhanced disclosures about their policies for recognizing revenue and assessing bad debts. The amendments also require disclosures of patient service revenue (net of contractual allowances and discounts) as well as qualitative and quantitative information about changes in the allowance for doubtful accounts.

For public entities, the disclosures required under ASU 2011-07 are effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2011, with early adoption permitted. The amendments to the presentation of the provision for bad debts related to patient service revenue in the statement of operations should be applied retrospectively to all prior periods presented. The Company adopted the provisions of ASU 2011-07 as of January 1, 2012 and has restated the financial results of 2011, accordingly.

In June 2011, the FASB issued Accounting Standard Update 2011-05 (“ASU 2011-05”), Comprehensive Income (Topic 220): Presentation of Comprehensive Income. In December 2011 the FASB issued Accounting Standard Update 2011-12 (“ASU 2011-12”), Comprehensive Income (Topic 220): Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05. ASU 2011-12 defers certain income and other comprehensive income statement presentation requirements noted in ASU 2011-05. ASU 2011-05 still requires that all components of comprehensive income be presented either in a single continuous statement of comprehensive income or in two separate but continuous statements. In the two statement approach, the first statement should present total net income and its components followed consecutively by a second statement presenting total other comprehensive income, the components of other comprehensive income and total of comprehensive income. Additionally, the requirement for adjustments to the components and their related tax effects to be presented on the face of the statement in which the components of other comprehensive income are presented or in the notes to the financial statements remains for year-end disclosure.

The disclosures required are retrospective and are effective for fiscal years, and interim periods within those years, beginning after December 15, 2011, with early adoption permitted. As we currently present two separate but continuous statements of net income and comprehensive income, we are in compliance with presentation of Comprehensive Income (Topic 220): Presentation of Comprehensive Income.

2. Acquisition of Liberty Dialysis Holdings

On February 28, 2012, the Company acquired 100% of the equity of Liberty Dialysis Holdings, Inc. (“LD Holdings”), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the “Liberty Acquisition”) and accounted for this transaction as a business combination, subject to finalization of the acquisition accounting which will be finalized when certain information arranged to be obtained has been received. LD Holdings mainly provides dialysis services in the United States through the 263 clinics it owns (the “Acquired Clinics”). As the Company expressly discloses in the Form 20-F (see Item 4B, “Information on the Company – Business Overview – Our Strategy and Competitive Strengths,” ) it is part of the Company’s stated strategy to expand and complement its existing business through acquisitions. Generally, these acquisitions do not change the Company’s business model and are easy to integrate without disruption to its existing business, requiring little or no realignment of its structures. The Liberty Acquisition is consistent in this regard as it involves the acquisition of dialysis clinics, a business in which the Company is already engaged and, therefore, merely supplements its existing business.

Total consideration for the Liberty Acquisition was $2,161,438, consisting of $1.692.645 cash, net of cash acquired and $468,793 non-cash consideration. Accounting standards for business combinations require previously held equity interests to be fair valued with the difference to book value to be recognized as a gain or

22

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

loss in income. Prior to the Liberty Acquisition, the Company had a 49% equity investment in Renal Advantage Partners, LLC, the fair value of which, $189,000, is included as non-cash consideration. The estimated fair value has been determined based on the discounted cash flow method, utilizing an approximately 13% discount rate. In addition to the Company’s investment, it also had a loan receivable of $279,793 from Renal Advantage Partners, LLC which was retired as part of the transaction. This retirement is also considered non-cash consideration bringing the total non-cash consideration in the Liberty Acquisition to $468,793.

The following table summarizes the estimated fair values of assets acquired and liabilities assumed at the date of the acquisition. This preliminary acquisition accounting is based upon the best information available to management. Any adjustments to the acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill:

Assets held for sale	$	153,259
Trade accounts receivable		155,242
Other current assets		34,501
Property, plant and equipment		180,600
Intangible assets and other assets		90,411
Goodwill		2,032,213
Accounts payable, accrued expenses and other current liabilities		(143,313	)
Income tax payable and deferred taxes		(64,696	)
Short-term borrowings and other financial liabilities and long-term debt and capital lease obligations		(58,079	)
Other liabilities		(34,800	)
Noncontrolling interests (subject and not subject to put provisions)		(183,900	)
Total acquisition cost	$	2,161,438
Less, at fair value, non-cash contributions
Investment at acquisition date		(189,000	)
Long-term Notes Receivable		(279,793	)
Total non-cash items		(468,793	)
Net Cash paid	$	1,692,645

It is currently estimated that amortizable intangible assets acquired in this acquisition will have weighted average useful lives of 6-8 years.

Goodwill, in the amount of $2,032,213 was acquired as part of the Liberty Acquisition and is allocated to the Segment North America. Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. Goodwill arises principally due to the fair value placed on acquiring an established stream of future cash flows versus building a similar franchise. Of the goodwill recognized in this acquisition, approximately $436,000 is expected to be deductible for tax purposes and amortized over a 15 year period.

The noncontrolling interests acquired as part of the acquisition are stated at estimated fair value, subject to finalization of the acquisition accounting, based upon utilized implied multiples used in conjunction with the Liberty Acquisition, as well as the Company’s overall experience and contractual multiples typical for such arrangements.

23

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

Liberty’s incremental operating results, including acquisition related costs of $15,812 and a benefit from the retirement of the loan receivable discussed below, are included in the Company’s consolidated financial statements effective February 29, 2012 and consist of the following:

Net revenues	$	82,945
Operating Income	$	4,393
Net Income (loss) attributable to shareholders of FMC-AG & Co. KGaA	$	(2,831	)

The fair valuation of the Company’s investment at the time of the Liberty Acquisition resulted in a non-taxable gain of approximately $126,685 and is presented in the separate line item “Investment Gain” in the Consolidated Statement of Income. The retirement of the loan receivable resulted in a benefit of $5,500 which was recognized in interest income.

Divestitures

In accordance with a consent order issued by the United States Federal Trade Commission in connection with its clearance of the Liberty Acquisition, the Company was required to divest 62 clinics. In March 2012, 49 clinics were sold of which 15 were legacy clinics. The remaining 13 clinics are expected to be sold during 2012 and 2013 once the necessary approvals for change of ownership by state regulatory authorities have been obtained.

The Company received cash consideration of $176,350 for all centers divested. Due to a basis difference, the sale of the legacy clinics resulted in a pre-tax gain of approximately $9,257 which is recorded in the line item “Gain on sale of dialysis clinics” in the Consolidated Statement of Income. The Company incurred an income tax expense related to the sale of the legacy clinics of approximately $6,600 which is appropriately included in the line item “Income tax expense” in the Consolidated Statement of Income, resulting in a net gain of $2,657. The sale of 34 Acquired Clinics did not have any profit or loss impact for the Company.

3. Bad Debt Provision and Allowance for Doubtful Accounts

a) Bad Debt Provision

Dialysis Care Revenues before provisions for doubtful accounts consist primarily of patient service revenues, which are recorded based upon established contractual rates with third party payors, during the period the health care services are provided. Third-party payors include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances under managed care health plans and commercial insurance companies are based upon the payment terms applicable to the related contractual agreements and historical payment patterns.

Based on historical collection experience, a significant portion of net patient service revenues related to patients without adequate insurance coverage, patient co-payments and deductibles for patients who have third party health care coverage are ultimately uncollectible. For this reason a provision for doubtful accounts related to the uninsured portion of patient accounts is recorded to adjust net patient service revenue and related accounts receivable to estimated net collectible amounts.

b) Allowance for Doubtful Accounts

Accounts Receivables are reduced by an allowance for doubtful accounts to reduce the carrying value of such receivables to their estimated net realizable value. The sufficiency of the allowance for doubtful accounts is estimated based upon management’s detailed periodic assessment of historical write-offs and recoveries by major

24

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

payor groups, trends in federal, state and private employer health care coverage and other collection trends. A significant portion of the allowance for doubtful accounts relate to amounts due directly from patients without adequate insurance coverage, patient co-payment and deductible amounts from patients who have health care coverage. Although outcomes vary, the Company attempts to collect amounts due from all patients, including co-payments and deductibles due from patients with insurance. Account balances are written off and deducted from the allowance for doubtful accounts after all reasonable collection efforts have been performed. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. The amount of the provision for doubtful accounts is based upon management’s historical collection experience and expected net collections from net patient service revenue during the period.

Below is a table showing our patient service revenue (net of contractual allowance and discounts) for the three months ended March 31, 2012 and 2011.

	For the three months ended March 31,
	2012		2011
Medicare ESRD program	$	923,625	$	895,232
Private/alternative payors		857,306		736,124
Medicaid and other government sources		103,570		51,511
Hospitals		99,742		99,133
Total patient service revenue	$	1,984,243	$	1,782,000

4. Related Party Transactions

The Company’s parent, Fresenius SE & Co. KGaA, is a German partnership limited by shares resulting from the change of legal form effective January 28, 2011, of Fresenius SE, a European Company (Societas Europaea), and which, prior to July 13, 2007, was called Fresenius AG, a German stock corporation. In these Consolidated Financial Statements, Fresenius SE refers to that company as a partnership limited by shares, effective on and after January 28, 2011, as well as both before and after the conversion of Fresenius AG from a stock corporation into a European Company. Fresenius SE owns 100% of the share capital of Fresenius Medical Care Management AG, the Company’s general partner (“General Partner”). From November 16, 2011 until March 31, 2012, 3,500 million ordinary shares were purchased by Fresenius SE. Fresenius SE is the Company’s largest shareholder owning approximately 31.4% of the Company’s voting shares as of March 31, 2012.

a) Service and Lease Agreements

The Company is party to service agreements with Fresenius SE and certain of its affiliates (collectively the “Fresenius SE Companies”) to receive services, including, but not limited to: administrative services, management information services, employee benefit administration, insurance, information technology services, tax services and treasury management services. During the three-month periods ended March 31, 2012 and 2011, amounts charged by Fresenius SE to the Company under the terms of these agreements were $17,299 and $17,308, respectively. The Company also provides certain services to the Fresenius SE Companies, including research and development, central purchasing and warehousing. The Company charged $1,625 and $1,468 for services rendered to the Fresenius SE Companies during the first three months of 2012 and 2011 respectively.

Under real estate operating lease agreements entered into with the Fresenius SE Companies, which are leases for the corporate headquarters in Bad Homburg, Germany and production sites in Schweinfurt and St. Wendel, Germany, the Company paid the Fresenius SE Companies $6,348 and $6,274 during the three-month periods ended March 31, 2012 and 2011, respectively. The majority of the leases expire in 2016 and contain renewal options.

25

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The Company’s Articles of Association provide that the General Partner shall be reimbursed for any and all expenses in connection with management of the Company’s business, including remuneration of the members of the General Partner’s supervisory board and the General Partner’s management board. The aggregate amount reimbursed to the General Partner was $3,035 and $3,861, respectively, for its management services during the three-month periods ended March 31, 2012 and 2011.

b) Products

For the first three months of 2012 and 2011, the Company sold products to the Fresenius SE Companies for $5,919 and $4,588 respectively. During the same periods, the Company made purchases from the Fresenius SE Companies in the amount of $11,835 and $12,454, respectively.

Also, the Company has entered into agreements to provide renal products and pharmaceutical supplies to equity method investees. Under these agreements, the Company sold $655 of products to equity method investees during the first three months of 2012.

In addition to the purchases noted above, the Company currently purchases heparin supplied by APP Pharmaceuticals Inc. (“APP Inc.”), through an independent group purchasing organization (“GPO”). APP Inc. is wholly-owned by Fresenius Kabi AG, a wholly-owned subsidiary of Fresenius SE. The Company has no direct supply agreement with APP Inc. and does not submit purchase orders directly to APP Inc. During the three-month periods ended March 31, 2012 and 2011, Fresenius Medical Care Holdings, Inc. (“FMCH”) acquired approximately $4,269 and $6,415, respectively, of heparin from APP Inc. through the GPO contract, which was negotiated by the GPO at arm’s length on behalf of all members of the GPO.

c) Financing Provided by and to Fresenius SE and the General Partner

As of March 31, 2012, the Company had borrowings outstanding with Fresenius SE of €8,300 ($11,085 as of March 31, 2012) at an interest rate of 1.544%, due on April 30, 2012.

As of March 31, 2012, the Company had a loan of CNY 10,000 ($1,588 as of March 31, 2012) outstanding with a subsidiary of Fresenius SE at an interest rate of 6.65%, due on April 14, 2013.

On August 19, 2009, the Company borrowed €1,500 ($2,003 as of March 31, 2012) from the General Partner at 1.335%. The loan repayment, originally due on August 19, 2010, was originally extended until August 19, 2011 and has been further extended until August 20, 2012 at an interest rate of 3.328%.

5. Inventories

As of March 31, 2012 and December 31, 2011, inventories consisted of the following:

	March 31, 2012		December 31, 2011
Finished goods	$	634,623	$	610,569
Raw materials and purchased components		180,514		163,030
Health care supplies		134,821		133,769
Work in process		74,039		60,128
Inventories	$	1,023,997	$	967,496

26

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

6. Short-Term Borrowings, Other Financial Liabilities and Short-Term Borrowings from Related Parties

As of March 31, 2012 and December 31, 2011, short-term borrowings, other financial liabilities and short-term borrowings from related parties consisted of the following:

	March 31, 2012		December 31, 2011
Borrowings under lines of credit	$	98,386	$	91,899
Other financial liabilities		5,277		6,902
Short-term borrowings and other financial liabilities		103,663		98,801
Short-term borrowings from related parties (see Note 4.c.)		14,698		28,013
Short-term borrowings, Other financial liabilities and Short-term borrowings from related parties	$	118,361	$	126,814

7. Long-term Debt and Capital Lease Obligations

As of March 31, 2012 and December 31, 2011, long-term debt and capital lease obligations consisted of the following:

	March 31, 2012			December 31, 2011
Amended 2006 Senior Credit Agreement	$	2,772,680		$	2,795,589
Senior Notes		4,761,382			2,883,009
Euro Notes		267,120			258,780
European Investment Bank Agreements		351,602			345,764
Accounts receivable facility		201,250			534,500
Capital lease obligations		17,204			17,993
Other		318,998			248,951
		8,690,236			7,084,586
Less current maturities		(3,106,968	)		(1,589,776	)
	$	5,583,268		$	5,494,810

Amended 2006 Senior Credit Agreement

The following table shows the available and outstanding amounts under the Amended 2006 Senior Credit Agreement at March 31, 2012 and December 31, 2011:

	Maximum Amount Available				Balance Outstanding
	March 31, 2012		December 31, 2011		March 31, 2012		December 31, 2011
Revolving Credit	$	1,200,000	$	1,200,000	$	70,097	$	58,970
Term Loan A		1,185,000		1,215,000		1,185,000		1,215,000
Term Loan B		1,517,583		1,521,619		1,517,583		1,521,619
	$	3,902,583	$	3,936,619	$	2,772,680	$	2,795,589

27

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

In addition, at March 31, 2012 and December 31, 2011, the Company had letters of credit outstanding in the amount of $160,984 and $180,766, respectively, which are not included above as part of the balance outstanding at those dates but which reduce available borrowings under the revolving credit facility.

Senior Notes

Senior Notes Issued January 2012

On January 26, 2012, Fresenius Medical Care US Finance II, Inc. (“US Finance II”), a wholly-owned subsidiary of the Company, issued $800,000 aggregate principal amount of senior unsecured notes with a coupon of 5 5/8% (the “5 5/8% Senior Notes”) at par and $700,000 aggregate principal amount of senior unsecured notes with a coupon of 5 7/8% (the “5 7/8% Senior Notes”) at par (together, the “Dollar-denominated Senior Notes”). In addition, FMC Finance VIII S.A. (“Finance VIII”), a wholly-owned subsidiary of the Company, issued €250,000 aggregate principal amount ($328,625 at date of issuance) of senior unsecured notes with a coupon of 5.25% (the “5.25% Euro-denominated Senior Notes”) at par. Both the 5 5/8% Senior Notes and the 5.25% Euro-denominated Senior Notes are due July 31, 2019 while the 5 7/8% Senior Notes are due January 31, 2022. US Finance II and Finance VIII may redeem the Dollar-denominated Senior Notes and 5.25% Euro-denominated Senior Notes, respectively, at any time at 100% of principal plus accrued interest and a premium calculated pursuant to the terms of the applicable indenture. The holders of the Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes have a right to request that the respective issuers of the notes repurchase the applicable issue of notes at 101% of principal plus accrued interest upon the occurrence of a change of control of the Company followed by a decline in the rating of the respective notes. The Company used the net proceeds of approximately $1,807,139 for acquisitions, including the acquisition of Liberty Dialysis Holdings, Inc., which closed on February 28, 2012, to refinance indebtedness and for general corporate purposes. The Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes are guaranteed on a senior basis jointly and severally by the Company, Fresenius Medical Care Holdings, Inc. (“FMCH”) and Fresenius Medical Care Deutschland GmbH (“D-GmbH”) (together, the “Guarantor Subsidiaries”).

28

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

8. Earnings Per Share

The following table contains reconciliations of the numerators and denominators of the basic and diluted earnings per share computations for the three-month periods ended March 31, 2012 and 2011:

	For the three months ended March 31,
	2012		2011
Numerators:
Net income attributable to shareholders of FMC-AG & Co. KGaA	$	370,498	$	220,701
less:
Dividend preference on Preference shares		26		27
Income available to all classes of shares	$	370,472	$	220,674
Denominators:
Weighted average number of:
Ordinary shares outstanding		300,205,126		298,292,972
Preference shares outstanding		3,966,001		3,957,435
Total weighted average shares outstanding		304,171,127		302,250,407
Potentially dilutive Ordinary shares		2,423,102		1,950,556
Potentially dilutive Preference shares		19,063		20,394
Total weighted average Ordinary shares outstanding assuming dilution		302,628,228		300,243,528
Total weighted average Preference shares outstanding assuming dilution		3,985,064		3,977,829
Basic income per Ordinary share	$	1.22	$	0.73
Plus preference per Preference shares		0.00		0.01
Basic income per Preference share	$	1.22	$	0.74
Fully diluted income per Ordinary share	$	1.21	$	0.73
Plus preference per Preference shares		0.00		0.00
Fully diluted income per Preference share	$	1.21	$	0.73

9. Employee Benefit Plans

The Company currently has two principal pension plans, one for German employees, the other covering employees in the United States, the latter of which was curtailed in 2002. Plan benefits are generally based on years of service and final salary. As there is no legal requirement in Germany to fund defined benefit plans, the Company’s pension obligations in Germany are unfunded. Each year FMCH, a wholly-owned subsidiary of the Company and its principal North American subsidiary, contributes to the plan covering United States employees at least the minimum required by the Employee Retirement Income Security Act of 1974, as amended.

29

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The following table provides the calculations of net periodic benefit cost for the three-month periods ended March 31, 2012 and 2011.

	Three months ended March 31,
	2012			2011
Components of net periodic benefit cost:
Service cost	$	2,692		$	2,622
Interest cost		6,492			6,036
Expected return on plan assets		(3,825	)		(4,275	)
Amortization of unrealized losses		4,373			1,800
Net periodic benefit costs	$	9,732		$	6,183

10. Noncontrolling Interests Subject to Put Provisions

The Company has potential obligations to purchase the noncontrolling interests held by third parties in certain of its consolidated subsidiaries. These obligations are in the form of put provisions and are exercisable at the third-party owners’ discretion within specified periods as outlined in each specific put provision. If these put provisions were exercised, the Company would be required to purchase all or part of third-party owners’ noncontrolling interests at the appraised fair value at the time of exercise. The methodology the Company uses to estimate the fair values of the noncontrolling interest subject to put provisions assumes the greater of net book value or a multiple of earnings, based on historical earnings, development stage of the underlying business and other factors. The estimated fair values of the noncontrolling interests subject to these put provisions can also fluctuate and the implicit multiple of earnings at which these noncontrolling interest obligations may ultimately be settled could vary significantly from our current estimates depending upon market conditions.

As of March 31, 2012 and December 31, 2011 the Company’s potential obligations under these put options are $501,968 and $410,491, respectively, of which, at March 31, 2012, $144,226 were exercisable. No options were exercised during the first three months of 2012.

Following is a roll forward of noncontrolling interests subject to put provisions for the three months ended March 31, 2012 and the year ended December 31, 2011:

	March 31, 2012			December 31, 2011
Beginning balance as of January 1, 2012 and 2011	$	410,491		$	279,709
Dividends paid		(11,390	)		(43,104	)
Purchase/ sale of noncontrolling interests		54,611			37,786
Contributions from noncontrolling interests		2,633			7,222
Changes in fair value of noncontrolling interests		32,230			86,233
Net income		13,184			42,857
Other comprehensive income (loss)		209			(212	)
Ending balance as of March 31, 2012 and December 31, 2011	$	501,968		$	410,491

30

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

11. Commitments and Contingencies

Legal Proceedings

The Company is routinely involved in numerous claims, lawsuits, regulatory and tax audits, investigations and other legal matters arising, for the most part, in the ordinary course of its business of providing healthcare services and products. Legal matters that the Company currently deems to be material are described below. For the matters described below in which the Company believes a loss is both reasonably possible and estimable, an estimate of the loss or range of loss exposure is provided. For the other matters described below, the Company believes that the loss probability is remote and/or the loss or range of possible losses cannot be reasonably estimated at this time. The outcome of litigation and other legal matters is always difficult to predict accurately and outcomes that are not consistent with the Company’s view of the merits can occur. The Company believes that it has valid defenses to the legal matters pending against it and is defending itself vigorously. Nevertheless, it is possible that the resolution of one or more of the legal matters currently pending or threatened could have a material adverse effect on its business, results of operations and financial condition.

Commercial Litigation

The Company was originally formed as a result of a series of transactions it completed pursuant to the Agreement and Plan of Reorganization dated as of February 4, 1996, by and between W.R. Grace & Co. and Fresenius SE (the “Merger”). At the time of the Merger, a W.R. Grace & Co. subsidiary known as W.R. Grace & Co.-Conn. had, and continues to have, significant liabilities arising out of product-liability related litigation (including asbestos-related actions), pre-Merger tax claims and other claims unrelated to National Medical Care, Inc. (“NMC”), which was W.R. Grace & Co.’s dialysis business prior to the Merger. In connection with the Merger, W.R. Grace & Co.-Conn. agreed to indemnify the Company, FMCH, and NMC against all liabilities of W.R. Grace & Co., whether relating to events occurring before or after the Merger, other than liabilities arising from or relating to NMC’s operations. W.R. Grace & Co. and certain of its subsidiaries filed for reorganization under Chapter 11 of the U.S. Bankruptcy Code (the “Grace Chapter 11 Proceedings”) on April 2, 2001.

Prior to and after the commencement of the Grace Chapter 11 Proceedings, class action complaints were filed against W.R. Grace & Co. and FMCH by plaintiffs claiming to be creditors of W.R. Grace & Co.-Conn., and by the asbestos creditors’ committees on behalf of the W.R. Grace & Co. bankruptcy estate in the Grace Chapter 11 Proceedings, alleging among other things that the Merger was a fraudulent conveyance, violated the uniform fraudulent transfer act and constituted a conspiracy. All such cases have been stayed and transferred to or are pending before the U.S. District Court as part of the Grace Chapter 11 Proceedings.

In 2003, the Company reached agreement with the asbestos creditors’ committees on behalf of the W.R. Grace & Co. bankruptcy estate and W.R. Grace & Co. in the matters pending in the Grace Chapter 11 Proceedings for the settlement of all fraudulent conveyance and tax claims against it and other claims related to the Company that arise out of the bankruptcy of W.R. Grace & Co. Under the terms of the settlement agreement as amended (the “Settlement Agreement”), fraudulent conveyance and other claims raised on behalf of asbestos claimants will be dismissed with prejudice and the Company will receive protection against existing and potential future W.R. Grace & Co. related claims, including fraudulent conveyance and asbestos claims, and indemnification against income tax claims related to the non-NMC members of the W.R. Grace & Co. consolidated tax group upon confirmation of a W.R. Grace & Co. bankruptcy reorganization plan that contains such provisions. Under the Settlement Agreement, the Company will pay a total of $115,000 without interest to the W.R. Grace & Co. bankruptcy estate, or as otherwise directed by the Court, upon plan confirmation. No admission of liability has been or will be made. The Settlement Agreement has been approved by the U.S. District Court In January and February 2011, the U.S. Bankruptcy Court entered orders confirming the joint plan of reorganization and the confirmation orders were affirmed by the U.S. District Court on January 31, 2012.

31

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

Subsequent to the Merger, W.R. Grace & Co. was involved in a multi-step transaction involving Sealed Air Corporation (“Sealed Air,” formerly known as Grace Holding, Inc.). The Company is engaged in litigation with Sealed Air to confirm its entitlement to indemnification from Sealed Air for all losses and expenses incurred by the Company relating to pre-Merger tax liabilities and Merger-related claims. Under the Settlement Agreement, upon final confirmation of a plan of reorganization that satisfies the conditions of the Company’s payment obligation, this litigation will be dismissed with prejudice.

On April 4, 2003, FMCH filed a suit in the U. S. District Court for the Northern District of California, styled Fresenius USA, Inc., et al., v. Baxter International Inc., et al., Case No. C 03-1431, seeking a declaratory judgment that FMCH does not infringe patents held by Baxter International Inc. and its subsidiaries and affiliates (“Baxter”), that the patents are invalid, and that Baxter is without right or authority to threaten or maintain suit against FMCH for alleged infringement of Baxter’s patents. In general, the asserted patents concern the use of touch screen interfaces for hemodialysis machines. Baxter filed counterclaims against FMCH seeking more than $140,000 in monetary damages and injunctive relief, and alleging that FMCH willfully infringed on Baxter’s patents. On July 17, 2006, the court entered judgment on a jury verdict in favor of FMCH finding all the asserted claims of the Baxter patents invalid as obvious and/or anticipated in light of prior art.

On February 13, 2007, the court granted Baxter’s motion to set aside the jury’s verdict in favor of FMCH and reinstated the patents and entered judgment of infringement. Following a trial on damages, the court entered judgment on November 6, 2007 in favor of Baxter on a jury award of $14,300. On April 4, 2008, the court denied Baxter’s motion for a new trial, established a royalty payable to Baxter of 10% of the sales price for continuing sales of FMCH’s 2008K hemodialysis machines and 7% of the sales price of related disposables, parts and service beginning November 7, 2007, and enjoined sales of the touchscreen-equipped 2008K machine effective January 1, 2009. The Company appealed the court’s rulings to the United States Court of Appeals for the Federal Circuit (“Federal Circuit”). In October 2008, the Company completed design modifications to the 2008K machine that eliminate any incremental hemodialysis machine royalty payment exposure under the District Court order. On September 10, 2009, the Federal Circuit reversed the district court’s decision and determined that the asserted claims in two of the three patents at issue are invalid. As to the third patent, the Federal Circuit affirmed the district court’s decision; however, the Court also vacated the injunction and award of damages. These issues were remanded to the District Court for reconsideration in light of the invalidity ruling on most of the claims. As a result, FMCH is no longer required to fund the court-approved escrow account set up to hold the royalty payments ordered by the district court. Funds of $75,000 were contributed to the escrow fund. Upon remand, the district court reduced the post verdict damages award to $9,000. In the parallel reexamination of the last surviving patent, the U.S. Patent and Trademark Office and the Board of Patent Appeals and Interferences ruled that the remaining Baxter patent is invalid. Baxter appealed the Board’s ruling to the Federal Circuit which heard the appeal in December 2011. That decision is pending and FMCH’s payment obligation on the District Court damage award it stayed pending the Federal Circuit’s ruling on Baxter’s 2011 appeal.

On October 17, 2006, Baxter and DEKA Products Limited Partnership (DEKA) filed suit in the U.S. District Court for the Eastern District of Texas which was subsequently transferred to the Northern District of California, styled Baxter Healthcare Corporation and DEKA Products Limited Partnership v. Fresenius Medical Care Holdings, Inc. d/b/a Fresenius Medical Care North America and Fresenius USA, Inc., Case No. CV 438 TJW. The complaint alleged that FMCH’s Liberty™ cycler infringes nine patents owned by or licensed to Baxter. During and after discovery, seven of the asserted patents were dropped from the suit. On July 28, 2010, at the conclusion of the trial, the jury returned a verdict in favor of FMCH finding that the Liberty™ cycler does not infringe any of the asserted claims of the Baxter patents. The District Court denied Baxter’s request to overturn the jury verdict and Baxter appealed the verdict and resulting judgment to the United States Court of Appeals for the Federal Circuit. On February 13, 2012, the Federal Circuit affirmed the District Court’s non-infringement verdict.

32

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

Other Litigation and Potential Exposures

Renal Care Group, Inc. (“RCG”), which the Company acquired in 2006, is named as a nominal defendant in a complaint originally filed September 13, 2006 in the Chancery Court for the State of Tennessee Twentieth Judicial District at Nashville styled Indiana State District Council of Laborers and Hod Carriers Pension Fund v. Gary Brukardt et al. Following the trial court’s dismissal of the complaint, plaintiff’s appeal in part, and reversal in part by the appellate court, the cause of action purports to be a class action on behalf of former shareholders of RCG and seeks monetary damages only against the individual former directors of RCG. The individual defendants, however, may have claims for indemnification and reimbursement of expenses against the Company. The Company expects to continue as a defendant in the litigation, which is proceeding toward trial in the Chancery Court, and believes that defendants will prevail.

On July 17, 2007, resulting from an investigation begun in 2005, the United States Attorney filed a civil complaint in the United States District Court for the Eastern District of Missouri (St. Louis) against Renal Care Group, Inc., its subsidiary RCG Supply Company, and FMCH in its capacity as RCG’s current corporate parent. The complaint seeks monetary damages and penalties with respect to issues arising out of the operation of RCG’s Method II supply company through 2005, prior to FMCH’s acquisition of RCG in 2006. The complaint is styled United States of America ex rel. Julie Williams et al. vs. Renal Care Group, Renal Care Group Supply Company and FMCH. On August 11, 2009, the Missouri District Court granted RCG’s motion to transfer venue to the United States District Court for the Middle District of Tennessee (Nashville). On March 22, 2010, the Tennessee District Court entered judgment against defendants for approximately $23,000 in damages and interest under the unjust enrichment count of the complaint but denied all relief under the six False Claims Act counts of the complaint. On June 17, 2011, the District Court entered summary judgment against RCG for $82,643 on one of the False Claims Act counts of the complaint. On June 23, 2011, the Company appealed to the United States Court of Appeals for the Sixth Circuit. Although the Company cannot provide any assurance of the outcome, the Company believes that RCG’s operation of its Method II supply company was in compliance with applicable law, that no relief is due to the United States, that the decisions made by the District Court on March 22, 2010 and June 17, 2011 will be reversed, and that its position in the litigation will ultimately be sustained.

On November 27, 2007, the United States District Court for the Western District of Texas (El Paso) unsealed and permitted service of two complaints previously filed under seal by a qui tam relator, a former FMCH local clinic employee. The first complaint alleged that a nephrologist unlawfully employed in his practice an assistant to perform patient care tasks that the assistant was not licensed to perform and that Medicare billings by the nephrologist and FMCH therefore violated the False Claims Act. The second complaint alleged that FMCH unlawfully retaliated against the relator by constructively discharging her from employment. The United States Attorney for the Western District of Texas declined to intervene and to prosecute on behalf of the United States. On March 30, 2010, the District Court issued final judgment in favor of the defendants on all counts based on a jury verdict rendered on February 25, 2010 and on rulings of law made by the Court during the trial. The plaintiff has appealed from the District Court judgment.

On February 15, 2011, a qui tam relator’s complaint under the False Claims Act against FMCH was unsealed by order of the United States District Court for the District of Massachusetts and served by the relator. The United States has not intervened in the case United States ex rel. Chris Drennen v. Fresenius Medical Care Holdings, Inc., 2009 Civ. 10179 (D. Mass.). The relator’s complaint, which was first filed under seal in February 2009, alleges that the Company seeks and receives reimbursement from government payors for serum ferritin and hepatitis B laboratory tests that are medically unnecessary or not properly ordered by a physician. FMCH has filed a motion to dismiss the complaint. On March 6, 2011, the United States Attorney for the District of Massachusetts issued a Civil Investigative Demand seeking the production of documents related to the same laboratory tests that are the subject of the relator’s complaint. FMCH is cooperating fully in responding to the additional Civil Investigative Demand, and will vigorously contest the relator’s complaint.

33

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

On June 29, 2011, FMCH received a subpoena from the United States Attorney for the Eastern District of New York (“E.D.N.Y.”). On December 6, 2011, a single Company facility in New York received a subpoena from the OIG that was substantially similar to the one issued by the U.S. Attorney for the E.D.N.Y. These subpoenas are part of a criminal and civil investigation into relationships between retail pharmacies and outpatient dialysis facilities in the State of New York and into the reimbursement under government payor programs in New York for medications provided to patients with ESRD. Among the issues encompassed by the investigation is whether retail pharmacies may have provided or received compensation from the New York Medicaid program for pharmaceutical products that should be provided by the dialysis facilities in exchange for the New York Medicaid payment to the dialysis facilities. The Company is cooperating in the investigation.

The Company filed claims for refunds contesting the Internal Revenue Service’s (“IRS”) disallowance of FMCH’s civil settlement payment deductions taken by FMCH in prior year tax returns. As a result of a settlement agreement with the IRS, the Company received a partial refund in September 2008 of $37,000, inclusive of interest and preserved our right to pursue claims in the United States Courts for refunds of all other disallowed deductions. On December 22, 2008, the Company filed a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. The court has denied motions for summary judgment by both parties and the litigation is proceeding towards trial.

The IRS tax audits of FMCH for the years 2002 through 2008 have been completed. On January 23, 2012, the Company executed a closing agreement with the IRS with respect to the 2007-2008 tax audit. The agreement reflected a full allowance of interest deductions on intercompany mandatorily redeemable preferred shares for the 2007-2008 tax years. In addition, on February 16, 2012, the Company executed a closing agreement with IRS Appeals that reflects the full allowance of interest deductions associated with, mandatorily redeemable shares for the years 2002-2006.

From time to time, the Company is a party to or may be threatened with other litigation or arbitration, claims or assessments arising in the ordinary course of its business. Management regularly analyzes current information including, as applicable, the Company’s defenses and insurance coverage and, as necessary, provides accruals for probable liabilities for the eventual disposition of these matters.

The Company, like other healthcare providers, conducts its operations under intense government regulation and scrutiny. It must comply with regulations which relate to or govern the safety and efficacy of medical products and supplies, the operation of manufacturing facilities, laboratories and dialysis clinics, and environmental and occupational health and safety. The Company must also comply with the Anti-Kickback Statute, the False Claims Act, the Stark Law, and other federal and state fraud and abuse laws. Applicable laws or regulations may be amended, or enforcement agencies or courts may make interpretations that differ from the Company’s interpretations or the manner in which it conducts its business. Enforcement has become a high priority for the federal government and some states.

In addition, the provisions of the False Claims Act authorizing payment of a portion of any recovery to the party bringing the suit encourage private plaintiffs to commence “qui tam” or “whistle blower” actions. In May 2009, the scope of the False Claims Act was expanded and additional protections for whistle blowers and procedural provisions to aid whistle blowers’ ability to proceed in a False Claims Act case were added. By virtue of this regulatory environment, the Company’s business activities and practices are subject to extensive review by regulatory authorities and private parties, and continuing audits, investigative demands, subpoenas, other inquiries, claims and litigation relating to the Company’s compliance with applicable laws and regulations. The Company may not always be aware that an inquiry or action has begun, particularly in the case of “whistle blower” actions, which are initially filed under court seal.

34

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The Company operates many facilities throughout the United States and other parts of the world. In such a decentralized system, it is often difficult to maintain the desired level of oversight and control over the thousands of individuals employed by many affiliated companies. The Company relies upon its management structure, regulatory and legal resources, and the effective operation of its compliance program to direct, manage and monitor the activities of these employees. On occasion, the Company may identify instances where employees or other agents deliberately, recklessly or inadvertently contravene the Company’s policies or violate applicable law. The actions of such persons may subject the Company and its subsidiaries to liability under the Anti-Kickback Statute, the Stark Law and the False Claims Act, among other laws, and comparable laws of other countries.

Physicians, hospitals and other participants in the healthcare industry are also subject to a large number of lawsuits alleging professional negligence, malpractice, product liability, worker’s compensation or related claims, many of which involve large claims and significant defense costs. The Company has been and is currently subject to these suits due to the nature of its business and expects that those types of lawsuits may continue. Although the Company maintains insurance at a level which it believes to be prudent, it cannot assure that the coverage limits will be adequate or that insurance will cover all asserted claims. A successful claim against the Company or any of its subsidiaries in excess of insurance coverage could have a material adverse effect upon it and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company’s reputation and business.

The Company has also had claims asserted against it and has had lawsuits filed against it relating to alleged patent infringements or businesses that it has acquired or divested. These claims and suits relate both to operation of the businesses and to the acquisition and divestiture transactions. The Company has, when appropriate, asserted its own claims, and claims for indemnification. A successful claim against the Company or any of its subsidiaries could have a material adverse effect upon its business, financial condition, and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company’s reputation and business.

Accrued Special Charge for Legal Matters

At December 31, 2001, the Company recorded a pre-tax special charge of $258,159 to reflect anticipated expenses associated with the defense and resolution of pre-Merger tax claims, Merger-related claims, and commercial insurer claims. The costs associated with the Settlement Agreement and settlements with insurers have been charged against this accrual. With the exception of the proposed $115,000 payment under the Settlement Agreement in the Grace Chapter 11 Proceedings, all other matters included in the special charge have been resolved. While the Company believes that its remaining accrual reasonably estimates its currently anticipated costs related to the continued defense and resolution of this matter, no assurances can be given that its actual costs incurred will not exceed the amount of this accrual.

12. Financial Instruments

As a global supplier of dialysis services and products in more than 120 countries throughout the world, the Company is faced with a concentration of credit risks due to the nature of the reimbursement systems which are often provided by the governments of the countries in which the Company operates. Changes in reimbursement rates or the scope of coverage could have a material adverse effect on the Company’s business, financial condition and results of operations and thus on its capacity to generate cash flow. In the past the Company experienced and, after the implementation of the new bundled reimbursement system in the U.S., also expects in the future generally stable reimbursements for dialysis services. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries. Due to the fact that a large portion of the Company’s reimbursement is provided by public health care organizations and private insurers, the Company expects that most

35

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

of its accounts receivables will be collectable, albeit somewhat more slowly in the International segment in the immediate future, particularly in countries which continue to be severely affected by the global financial crisis.

Non-derivative Financial Instruments

The following table presents the carrying amounts and fair values of the Company’s non-derivative financial instruments at March 31, 2012, and December 31, 2011.

			March 31, 2012				December 31, 2011
	Fair Value Hierarchy		Carrying Amount		Fair Value		Carrying Amount		Fair Value
Non-derivatives
Assets
Cash and cash equivalents		1	$	580,224	$	580,224	$	457,292	$	457,292
Accounts Receivable		2		3,231,527		3,231,527		2,909,326		2,909,326
Long-term Notes Receivable (1)		3		—		—		234,490		233,514
Liabilities
Accounts payable		2		660,066		660,066		652,649		652,649
Short-term borrowings		2		103,663		103,663		98,801		98,801
Short-term borrowings from related parties		2		14,698		14,698		28,013		28,013
Long term debt, excluding Amended 2006 Senior Credit Agreement, Euro Notes and Senior Notes		2		889,054		889,054		1,147,209		1,147,209
Amended 2006 Senior Credit Agreement		2		2,772,680		2,758,029		2,795,589		2,774,951
Senior Notes		2		4,761,382		4,993,598		2,883,009		2,989,307
Euro Notes		2		267,120		271,855		258,780		265,655
Noncontrolling interests subject to put provisions		3		501,968		501,968		410,491		410,491

(1) As of March 31, 2012, the loan to Renal Advantage Partners LLC and Liberty Dialysis, Inc. has been retired.

The carrying amounts in the table are included in the consolidated balance sheet under the indicated captions or in the case of long-term debt, in the captions shown in Note 7.

The significant methods and assumptions used in estimating the fair values of non-derivative financial instruments are as follows:

Cash and cash equivalents are stated at nominal value which equals the fair value.

Short-term financial instruments such as accounts receivable, accounts payable and short-term borrowings are valued at their carrying amounts, which are reasonable estimates of the fair value due to the relatively short period to maturity of these instruments.

The valuation of the long-term notes receivable is determined using significant unobservable inputs (Level 3). It is valued using a constructed index based upon similar instruments with comparable credit ratings, terms, tenor, interest rates and that are within the Company’s industry. The Company tracked the prices of the constructed index from the note issuance date to the reporting date to determine fair value.

The fair values of the major long-term financial liabilities are calculated on the basis of market information. Instruments for which market quotes are available are measured using these quotes. The fair values of the other long-term financial liabilities are calculated at the present value of the respective future cash flows. To determine these present values, the prevailing interest rates and credit spreads for the Company as of the balance sheet date are used.

36

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The valuation of the noncontrolling interests subject to put provisions is determined using significant unobservable inputs (Level 3). See Note 10 for a discussion of the Company’s methodology for estimating the fair value of these noncontrolling interests subject to put obligations.

Currently, there is no indication that a decrease in the value of the Company’s financing receivables is probable. Therefore, the allowances on credit losses of financing receivables are immaterial.

Derivative Financial Instruments

The Company is exposed to market risk from changes in interest rates and foreign exchange rates. In order to manage the risk of interest rate and currency exchange rate fluctuations, the Company enters into various hedging transactions by means of derivative instruments with highly rated financial institutions as authorized by the Company’s General Partner. On a quarterly basis the Company performs an assessment of its counterparty credit risk. The Company currently considers this risk to be low. The Company’s policy, which has been consistently followed, is that financial derivatives be used only for the purpose of hedging foreign currency and interest rate exposure.

In certain instances, the Company enters into derivative contracts that do not qualify for hedge accounting but are utilized for economic purposes (“economic hedges”). The Company does not use financial instruments for trading purposes.

The Company established guidelines for risk assessment procedures and controls for the use of financial instruments. They include a clear segregation of duties with regard to execution on one side and administration, accounting and controlling on the other.

Foreign Exchange Risk Management

The Company conducts business on a global basis in various currencies, though a majority of its operations are in Germany and the United States. For financial reporting purposes, the Company has chosen the U.S. dollar as its reporting currency. Therefore, changes in the rate of exchange between the U.S. dollar and the local currencies in which the financial statements of the Company’s international operations are maintained affect its results of operations and financial position as reported in its consolidated financial statements.

The Company’s exposure to market risk for changes in foreign exchange rates relates to transactions such as sales and purchases. The Company has significant amounts of sales of products invoiced in euro from its European manufacturing facilities to its other international operations and, to a lesser extent, sales of products invoiced in other non-functional currencies. This exposes the subsidiaries to fluctuations in the rate of exchange between the euro and the currency in which their local operations are conducted. For the purpose of hedging existing and foreseeable foreign exchange transaction exposures the Company enters into foreign exchange forward contracts and, on a small scale, foreign exchange options. As of March 31, 2012 the Company had no foreign exchange options.

Changes in the fair value of the effective portion of foreign exchange forward contracts designated and qualifying as cash flow hedges of forecasted product purchases and sales are reported in accumulated other comprehensive income (loss) (“AOCI”). Additionally, in connection with intercompany loans in foreign currency, the Company uses foreign exchange swaps thus assuring that no foreign exchange risks arise from those loans, which, if they qualify for cash flow hedge accounting, are also reported in AOCI. These amounts recorded in AOCI are subsequently reclassified into earnings as a component of cost of revenues for those contracts that hedge product purchases or as an adjustment of interest income/expense for those contracts that hedge loans, in the same period in which the hedged transaction affects earnings. The notional amounts of foreign exchange contracts in place that are designated and qualify as cash flow hedges totaled $794,275 and $1,278,764 at March 31, 2012 and December 31, 2011, respectively.

37

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The Company also enters into derivative contracts for forecasted product purchases and sales and for intercompany loans in foreign currency that do not qualify for hedge accounting but are utilized for economic hedges as defined above. In these cases, the change in value of the economic hedge is recorded in the income statement and usually offsets the change in value recorded in the income statement for the underlying asset or liability. The notional amounts of economic hedges that do not qualify for hedge accounting totaled $1,559,289 and $2,149,440 at March 31, 2012 and December 31, 2011, respectively.

Interest Rate Risk Management

The Company enters into derivatives, particularly interest rate swaps and to a certain extent, interest rate options, to protect against the risk of rising interest rates. These interest rate derivatives are designated as cash flow hedges and have been entered into in order to effectively convert payments based on variable interest rates into payments at a fixed interest rate. The euro-denominated interest rate swaps expire in 2016 and have an interest rate of 1.73%. Interest payable and receivable under the swap agreements is accrued and recorded as an adjustment to interest expense.

As of March 31, 2012 and December 31, 2011, the notional amount of the euro-denominated interest rate swaps in place was €100,000 and €200,000 ($133,560 and $258,780 as of March 31, 2012 and December 31, 2011, respectively). As of March 31, 2012 the Company had no U.S. dollar-denominated interest rate swaps and at December 31, 2011 the notional amount was $2,650,000.

Derivative Financial Instruments Valuation

The following table shows the carrying amounts of the Company’s derivatives at March 31, 2012 and December 31, 2011.

	March 31, 2012					December 31, 2011
	Assets(2)		Liabilities(2)			Assets(2)		Liabilities(2)
Derivatives in cash flow hedging relationships (1)
Current
Foreign exchange contracts		11,059		(11,951	)		4,117		(24,908	)
Interest rate contracts		—		—			—		(130,579	)
Non-current
Foreign exchange contracts		147		(362	)		742		(3,706	)
Interest rate contracts		—		(2,623	)		—		(1,076	)
Total	$	11,206	$	(14,936	)	$	4,859	$	(160,269	)
Derivatives not designated as hedging instruments (1)
Current
Foreign exchange contracts		4,037		(28,935	)		56,760		(37,242	)
Non-current
Foreign exchange contracts		2,004		(1,892	)		1,382		(1,459	)
Total	$	6,041	$	(30,827	)	$	58,142	$	(38,701	)

(1) As of March 31, 2012 and December 31, 2011, the valuation of the Company’s derivatives was determined using Significant Other Observable Inputs (Level 2) in accordance with the fair value hierarchy levels established in U.S. GAAP.

(2) Derivative instruments are marked to market each reporting period resulting in carrying amounts being equal to fair values at the reporting date.

38

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

The carrying amounts for the current portion of derivatives indicated as assets in the table above are included in Prepaid expenses and other current assets in the Consolidated Balance Sheets while the current portion of those indicated as liabilities are included in Accrued expenses and other current liabilities. The non-current portions indicated as assets or liabilities are included in the Consolidated Balance Sheets in Other assets or Other liabilities, respectively.

The significant methods and assumptions used in estimating the fair values of derivative financial instruments are as follows:

The fair value of interest rate swaps is calculated by discounting the future cash flows on the basis of the market interest rates applicable for the remaining term of the contract as of the balance sheet date. To determine the fair value of foreign exchange forward contracts, the contracted forward rate is compared to the current forward rate for the remaining term of the contract as of the balance sheet date. The result is then discounted on the basis of the market interest rates prevailing at the balance sheet date for the applicable currency.

The Company includes its own credit risk for financial instruments deemed liabilities and counterparty-credit risks for financial instruments deemed assets when measuring the fair value of derivative financial instruments.

The Effect of Derivatives on the Consolidated Financial Statements

Derivatives in Cash Flow Hedging Relationships	Amount of Gain or (Loss) Recognized in OCI on Derivatives (Effective Portion) for the three months ended March 31,						Location of (Gain) or Loss Reclassified from AOCI in Income (Effective Portion)	Amount of (Gain) or Loss Reclassified from AOCI in Income (Effective Portion) for the three months ended March 31,
	2012			2011				2012			2011
Interest rate contracts	$	(15,797	)	$	10,939		Interest income expense	$	4,898		$	816
Foreign exchange contracts		8,865			(10,032	)	Costs of Revenue		(2,990	)		2,366
Foreign exchange contracts							Interest income/expense		741			(105	)
	$	(6,932	)	$	907			$	2,649		$	3,077

Derivatives not Designated as Hedging Instruments	Location of (Gain) or Loss Recognized in Income on Derivative	Amount of (Gain) or Loss Recognized in Income on Derivatives for the three months ended March 31,
		2012		2011
Foreign exchange contracts	Selling, general and administrative expense		$13,759	$	(21,164	)
Foreign exchange contracts	Interest income/expense		5,229		3,734
			$18,988	$	(17,430	)

For foreign exchange derivatives, the Company expects to recognize $18,586 of losses deferred in accumulated other comprehensive income at March 31, 2012, in earnings during the next twelve months.

The Company expects to incur additional interest expense of $19,428 over the next twelve months which is currently deferred in accumulated other comprehensive income. This amount reflects the projected amortization of the settlement amount of the terminated swaps and the current fair value of the additional interest payments resulting from remaining interest rate swap maturing in 2016 at March 31, 2012.

39

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

As of March 31, 2012, the Company had foreign exchange derivatives with maturities of up to 44 months and interest rate swaps with maturities of up to 55 months.

13. Business Segment and Corporate Information

The Company has identified three business segments, North America, International, and Asia Pacific, which were determined based upon how the Company manages its businesses. All segments are primarily engaged in providing dialysis care services and the distribution of products and equipment for the treatment of ESRD. In the U.S., the Company is engaged in providing inpatient dialysis services and other services under contract to hospitals. The Company has aggregated the International and Asia Pacific operating segments as “International.” The segments are aggregated due to their similar economic characteristics. These characteristics include the same services provided and products sold, the same type patient population, similar methods of distribution of products and services and similar economic environments.

Management evaluates each segment using a measure that reflects all of the segment’s controllable revenues and expenses. Management believes that the most appropriate measure in this regard is operating income which measures the Company’s source of earnings. Financing is a corporate function, which the Company’s segments do not control. Therefore, the Company does not include interest expense relating to financing as a segment measure. Similarly, the Company does not allocate “corporate costs,” which relate primarily to certain headquarters overhead charges, including accounting and finance, professional services, etc., because the Company believes that these costs are also not within the control of the individual segments. As of January 1, 2011, production of products, production asset management, quality management and procurement is centrally managed in Corporate by Global Manufacturing Operations. These corporate activities do not fulfill the definition of an operating segment. Products are transferred to the operating segments at cost, therefore no internal profit is generated. The associated internal revenues for the product transfers and their elimination are recorded as corporate activities. Capital expenditures for production are based on the expected demand of the operating segments and consolidated profitability considerations. In addition, certain revenues, investments and intangible assets, as well as any related expenses, are not allocated to a segment but are accounted for as “Corporate.” The Company also regards income taxes to be outside the segment’s control.

40

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

Information pertaining to the Company’s business segments for the three-month periods ended March 31, 2012 and 2011 is set forth below.

	North America			International			Segment Total			Corporate			Total
Three months ended March 31, 2012
Net revenue external customers	$	2,104,584		$	1,136,090		$	3,240,674		$	8,081		$	3,248,755
Inter - segment revenue		3,452			—			3,452			(3,452	)		—
Net revenue		2,108,036			1,136,090			3,244,126			4,629			3,248,755
Depreciation and amortization		(72,016	)		(42,927	)		(114,943	)		(28,431	)		(143,374	)
Operating income		347,833			194,912			542,745			(39,779	)		502,966
Income (loss) from equity method investees		2,982			67			3,049			2,448			5,497
Segment assets		13,974,231			5,889,591			19,863,822			2,124,166			21,987,988
thereof investments in equity method investees		254,408			381,567			635,975			1,780			637,755
Capital expenditures, acquisitions and investments (1)		1,760,581			38,886			1,799,467			27,753			1,827,220
Three months ended March 31, 2011
Net revenue external customers	$	1,924,751		$	1,055,233		$	2,979,984		$	3,867		$	2,983,851
Inter - segment revenue		1,694			—			1,694			(1,694	)		—
Net revenue		1,926,445			1,055,233			2,981,678			2,173			2,983,851
Depreciation and amortization		(68,227	)		(40,349	)		(108,576	)		(27,408	)		(135,984	)
Operating income		312,107			171,011			483,118			(38,034	)		445,084
Income (loss) from equity method investees		7,518			64			7,582			—			7,582
Segment assets		11,355,947			4,531,146			15,887,093			2,226,544			18,113,637
thereof investments in equity method investees		265,365			7,284			272,649			—			272,649
Capital expenditures, acquisitions and investments (2)		387,870			40,776			428,646			27,312			455,958

(1) North America acquisitions exclude $468,793 of non-cash acquisitions and International acquisitions exclude $652 of non-cash acquisitions for 2012.

(2) North America and International acquisitions exclude $6,000 and $848, respectively, of non-cash acquisitions for 2011.

41

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

14. Supplementary Cash Flow Information

The following additional information is provided with respect to the consolidated statements of cash flows:

	Three months ended March 31,
	2012			2011
Supplementary cash flow information:
Cash paid for interest	$	112,364		$	70,884
Cash paid for income taxes (1)	$	12,875		$	70,368
Cash inflow for income taxes from stock option exercises	$	583		$	157
Supplemental disclosures of cash flow information:
Details for acquisitions:
Assets acquired	$	(2,345,375	)	$	(50,501	)
Liabilities assumed		299,947			5,373
Noncontrolling interest subject to put provisions		53,900			—
Noncontrolling interest		130,000			—
Notes assumed in connection with acquisition		652			848
Cash paid		(1,860,876	)		(44,280	)
Less cash acquired		159,277			250
Net cash paid for acquisitions	$	(1,701,599	)	$	(44,030	)

(1) Net of tax refund

15. Supplemental Condensed Combining Information

FMC Finance III, a former wholly-owned subsidiary of the Company, issued 6 ⁷/8% Senior Notes due 2017 in July 2007. On June 20, 2011, US Finance acquired substantially all of the assets of FMC Finance III and assumed its obligations, including the 6 ⁷/8% Senior Notes (see Note 7) and the related indenture. The 6 ⁷/8% senior notes are fully and unconditionally guaranteed, jointly and severally on a senior basis, by the Company and by the Guarantor Subsidiaries. The 6 ⁷/8% senior notes and related guarantees were issued in an exchange offer registered under the Securities Act of 1933. For information regarding the 6 ⁷/8% senior notes and additional issues of senior notes, including the 5.75% Senior Notes issued by US Finance, each of which has been fully and unconditionally guaranteed, jointly and severally on a senior basis, by the Company and by the Guarantor Subsidiaries, see Note 7. The financial statements in this report present the financial condition, results of operations and cash flows of the Company, on a consolidated basis as of March 31, 2012 and December 31, 2011 and for the three-month periods ended March 31, 2012 and 2011. The following combining financial information for the Company is as of March 31, 2012 and December 31, 2011 and for the three-month periods ended March 31, 2012 and 2011, segregated between FMC Finance III as issuer until June 20, 2011, US Finance as issuer subsequent to June 20, 2011, the Company, D-GmbH and FMCH as guarantors, and the Company’s other businesses (the “Non-Guarantor Subsidiaries”). For purposes of the condensed combining information, the Company and the Guarantors carry their investments under the equity method. Other (income) expense includes income (loss) related to investments in consolidated subsidiaries recorded under the equity method for purposes of the condensed combining information. In addition, other (income) expense includes income and losses from profit and loss transfer agreements as well as dividends received.

42

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

	For the three months ended March 31, 2012
	Issuer			Guarantors
	FMC US Finance			FMC - AG & Co. KGaA			D-GmbH		FMCH			Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Net revenue	$	—		$	—		$	461,804	$	—		$	3,499,979		$	(713,028	)	$	3,248,755
Cost of revenue		—			—			286,678		—			2,602,115			(709,547	)		2,179,246
Gross profit		—			—			175,126		—			897,864			(3,481	)		1,069,509
Operating expenses (income):
Selling, general and administrative (1)		—			(20,246	)		53,688		(38,375	)		505,891			37,063			538,021
Research and development		—			—			17,375		—			11,147			—			28,522
Operating (loss) income		—			20,246			104,063		38,375			380,826			(40,544	)		502,966
Other (income) expense:
Investment gain		—			—			—		—			(126,685	)		—			(126,685	)
Interest, net		(1,706	)		45,657			1,005		31,069			22,855			—			98,880
Other, net		—			(437,325	)		67,879		(292,855	)		—			662,301			—
Income (loss) before income taxes		1,706			411,914			35,179		300,161			484,656			(702,845	)		530,771
Income tax expense (benefit)		639			41,416			29,953		2,882			142,348			(80,161	)		137,077
Net Income (loss)		1,067			370,498			5,226		297,279			342,308			(622,684	)		393,694
Net Income attributable to noncontrolling interests		—			—			—		—			—			23,196			23,196
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA	$	1,067		$	370,498		$	5,226	$	297,279		$	342,308		$	(645,880	)	$	370,498

(1) Selling, general and administrative is presented net of Gain on Sale of dialysis clinics and net of income from equity method investees.

	For the three months ended March 31, 2011
	Issuer			Guarantors
	FMC Finance III			FMC - AG & Co. KGaA			D-GmbH		FMCH			Non-Guarantor Subsidiaries		Combining Adjustment			Combined Total
Net revenue	$	—		$	—		$	447,378	$	—		$	3,196,090	$	(659,617	)	$	2,983,851
Cost of revenue		—			—			283,204		—			2,403,465		(650,705	)		2,035,964
Gross profit		—			—			164,174		—			792,625		(8,912	)		947,887
Operating expenses (income):
Selling, general and administrative (1)		5			16,285			47,300		(37,398	)		450,332		130			476,654
Research and development		—			—			16,417		—			9,732		—			26,149
Operating (loss) income		(5	)		(16,285	)		100,457		37,398			332,561		(9,042	)		445,084
Other (income) expense:
Interest, net		(180	)		18,359			1,668		14,624			42,985		(5,891	)		71,565
Other, net		—			(290,061	)		64,292		(140,042	)		—		365,811			—
Income (loss) before income taxes		175			255,417			34,497		162,816			289,576		(368,962	)		373,519
Income tax expense (benefit)		50			34,716			26,982		8,984			122,626		(68,954	)		124,404
Net Income (loss)		125			220,701			7,515		153,832			166,949		(300,007	)		249,115
Net Income attributable to noncontrolling interests		—			—			—		—			—		28,414			28,414
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA	$	125		$	220,701		$	7,515	$	153,832		$	166,949	$	(328,421	)	$	220,701

(1) Selling, general and administrative is presented net of income from equity method investees.

43

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

	For the three months ended March 31, 2012
	Issuer		Guarantors
	FMC US Finance		FMC - AG & Co. KGaA			D-GmbH			FMCH			Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Net Income	$	1,067	$	370,498		$	5,226		$	297,279		$	342,308		$	(622,684	)	$	393,694
Gain (loss) related to cash flow hedges		—		(22,327	)		(9	)		11,725			6,328			—			(4,283	)
Actuarial gain (loss) on defined benefit pension plans		—		8			94			4,268			3			—			4,373
Gain (loss) related to foreign currency translation		—		(3,253	)		6,346			—			121,307			(3,604	)		120,796
Income tax (expense) benefit related to components of other comprehensive income		—		8,141			(24	)		(6,310	)		(20,788	)		—			(18,981	)
Other comprehensive income (loss), net of tax		—		(17,431	)		6,407			9,683			106,850			(3,604	)		101,905
Total comprehensive income	$	1,067	$	353,067		$	11,633		$	306,962		$	449,158		$	(626,288	)	$	495,599
Comprehensive income attributable to noncontrolling interests		—		—			—			—			—			24,037			24,037
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA	$	1,067	$	353,067		$	11,633		$	306,962		$	449,158		$	(650,325	)	$	471,562

	For the three months ended March 31, 2011
	Issuer		Guarantors
	FMC Finance III		FMC - AG & Co. KGaA			D-GmbH			FMCH			Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Net Income	$	125	$	220,701		$	7,515		$	153,832		$	166,949		$	(300,007	)	$	249,115
Gain (loss) related to cash flow hedges		—		(575	)		(30	)		12,620			(8,031	)		—			3,984
Actuarial gain (loss) on defined benefit pension plans		—		—			—			1,783			—			—			1,783
Gain (loss) related to foreign currency translation		—		52,263			11,770			—			59,752			(4,832	)		118,953
Income tax (expense) benefit related to components of other comprehensive income		—		1,385			8			(5,650	)		106			—			(4,151	)
Other comprehensive income (loss), net of tax		—		53,073			11,748			8,753			51,827			(4,832	)		120,569
Total comprehensive income	$	125	$	273,774		$	19,263		$	162,585		$	218,776		$	(304,839	)	$	369,684
Comprehensive income attributable to noncontrolling interests		—		—			—			—			—			28,682			28,682
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA	$	125	$	273,774		$	19,263		$	162,585		$	218,776		$	(333,521	)	$	341,002

44

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

	At March 31, 2012
	Issuer		Guarantors
	FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Current assets:
Cash and cash equivalents	$	0	$	28	$	351	$	—	$	579,845		$	—		$	580,224
Trade accounts receivable, less allowance for doubtful accounts		—		—		150,135		—		2,948,946			—			3,099,081
Accounts receivable from related parties		1,252,485		3,789,324		1,189,604		2,408,915		7,558,034			(16,065,916	)		132,446
Inventories		—		—		263,315		—		880,920			(120,238	)		1,023,997
Prepaid expenses and other current assets		—		59,758		33,282		—		846,442			394			939,876
Deferred taxes		—		29,516		—		—		261,677			25,780			316,973
Total current assets		1,252,485		3,878,626		1,636,687		2,408,915		13,075,864			(16,159,980	)		6,092,597
Property, plant and equipment, net		—		471		182,311		—		2,774,119			(112,909	)		2,843,992
Intangible assets		—		240		54,520		—		686,672			—			741,432
Goodwill		—		—		55,521		—		11,237,127			—			11,292,648
Deferred taxes		—		17,009		1,378		—		108,573			(55,972	)		70,988
Other assets		—		10,190,377		654,533		11,341,141		(7,029,018	)		(14,210,702	)		946,331
Total assets	$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337		$	(30,539,563	)	$	21,987,988
Current liabilities:
Accounts payable	$	—	$	1,190	$	35,902	$	—	$	517,999		$	—		$	555,091
Accounts payable to related parties		—		1,487,213		1,205,327		3,245,256		10,361,652			(16,194,473	)		104,975
Accrued expenses and other current liabilities		11,833		31,231		123,385		92,736		1,459,795			1,953			1,720,933
Short-term borrowings		—		156		—		—		103,507			—			103,663
Short-term borrowings from related parties		—		—		—		—		(39,135	)		53,833			14,698
Current portion of long-term debt and capital lease obligations		—		305,456		—		1,587,680		1,213,832			—			3,106,968
Income tax payable		—		126,610		—		—		125,817			(3,301	)		249,126
Deferred taxes		—		—		8,402		—		34,247			(12,728	)		29,921
Total current liabilities		11,833		1,951,856		1,373,016		4,925,672		13,777,714			(16,154,716	)		5,885,375
Long term debt and capital lease obligations, less current portion		1,176,096		519,982		—		—		7,837,473			(3,950,283	)		5,583,268
Long term borrowings from related parties		—		3,250,595		205,487		408,942		(1,923,257	)		(1,941,767	)		—
Other liabilities		—		4,584		13,104		—		231,885			25,480			275,053
Pension liabilities		—		5,857		154,635		—		140,281			—			300,773
Income tax payable		2,655		267		—		—		56,249			117,830			177,001
Deferred taxes		—		—		—		—		649,795			(20,629	)		629,166
Total liabilities		1,190,584		5,733,141		1,746,242		5,334,614		20,770,140			(21,924,085	)		12,850,636
Noncontrolling interests subject to put provisions		—		—		—		—		501,968			—			501,968
Total FMC-AG & Co. KGaA shareholders’ equity		61,901		8,353,582		838,708		8,415,442		(700,572	)		(8,615,479	)		8,353,582
Noncontrolling interests not subject to put provisions		—		—		—		—		281,802			—			281,802
Total equity		61,901		8,353,582		838,708		8,415,442		(418,770	)		(8,615,479	)		8,635,384
Total liabilities and equity	$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337		$	(30,539,563	)	$	21,987,988

45

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

	At December 31, 2011
	Issuer		Guarantors
	FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Current assets:
Cash and cash equivalents	$	1	$	2	$	144	$	—	$	457,145		$	—		$	457,292
Trade accounts receivable, less allowance for doubtful accounts		—		—		143,313		—		2,655,005			—			2,798,318
Accounts receivable from related parties		1,273,649		3,507,671		1,058,327		700,929		4,214,468			(10,644,036	)		111,008
Inventories		—		—		224,601		—		857,521			(114,626	)		967,496
Prepaid expenses and other current assets		—		195,428		16,973		50		834,932			(12,017	)		1,035,366
Deferred taxes		—		32,466		—		—		266,164			26,909			325,539
Total current assets		1,273,650		3,735,567		1,443,358		700,979		9,285,235			(10,743,770	)		5,695,019
Property, plant and equipment, net		—		356		175,798		—		2,560,913			(107,366	)		2,629,701
Intangible assets		—		266		54,811		—		631,575			—			686,652
Goodwill		—		—		53,788		—		9,132,862			—			9,186,650
Deferred taxes		—		15,923		2,457		—		125,462			(55,683	)		88,159
Other assets		—		8,142,771		653,871		10,995,245		(6,082,225	)		(12,462,993	)		1,246,669
Total assets	$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822		$	(23,369,812	)	$	19,532,850
Current liabilities:
Accounts payable	$	—	$	668	$	26,463	$	—	$	514,292		$	—		$	541,423
Accounts payable to related parties		3,700		1,547,946		1,057,625		1,557,976		6,697,551			(10,753,572	)		111,226
Accrued expenses and other current liabilities		29,771		156,119		102,410		2,132		1,406,886			6,955			1,704,273
Short-term borrowings		—		94		—		—		98,707			—			98,801
Short-term borrowings from related parties		—		—		—		—		(25,820	)		53,833			28,013
Current portion of long-term debt and capital lease obligations		—		295,825		—		1,142,224		151,727			—			1,589,776
Income tax payable		2,016		128,218		—		—		32,120			—			162,354
Deferred taxes		—		—		7,292		—		28,799			(9,346	)		26,745
Total current liabilities		35,487		2,128,870		1,193,790		2,702,332		8,904,262			(10,702,130	)		4,262,611
Long term debt and capital lease obligations, less current portion		1,177,329		507,898		—		438,366		7,372,794			(4,001,577	)		5,494,810
Long term borrowings from related parties		—		1,348,717		203,156		408,942		(399,065	)		(1,561,750	)		—
Other liabilities		—		2,424		12,977		183,839		11,553			25,835			236,628
Pension liabilities		—		5,163		146,555		—		138,775			—			290,493
Income tax payable		—		259		—		—		50,309			138,432			189,000
Deferred taxes		—		—		—		—		608,444			(20,644	)		587,800
Total liabilities		1,212,816		3,993,331		1,556,478		3,733,479		16,687,072			(16,121,834	)		11,061,342
Noncontrolling interests subject to put provisions		—		—		—		—		410,491			—			410,491
Total FMC-AG & Co. KGaA shareholders’ equity		60,834		7,901,552		827,605		7,962,745		(1,603,206	)		(7,247,978	)		7,901,552
Noncontrolling interests not subject to put provisions		—		—		—		—		159,465			—			159,465
Total equity		60,834		7,901,552		827,605		7,962,745		(1,443,741	)		(7,247,978	)		8,061,017
Total liabilities and equity	$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822		$	(23,369,812	)	$	19,532,850

46

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

	For the three months ended March 31, 2012
	Issuer			Guarantors
	FMC US Finance			FMC - AG & Co. KGaA			D-GmbH			FMCH			Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
Operating Activities:
Net income (loss)	$	1,067		$	370,498		$	5,226		$	297,279		$	342,308		$	(622,684	)	$	393,694
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Equity affiliate income		—			(313,741	)		—			(292,855	)		—			606,596			—
Depreciation and amortization		—			85			11,692			—			138,709			(7,112	)		143,374
Change in deferred taxes, net		—			9,671			1,852			—			16,810			(495	)		27,838
(Gain) loss on sale of fixed assets and investments		—			(33	)		92			—			(8,808	)		—			(8,749	)
Investment (gain)		—			—			—			—			(126,685	)		—			(126,685	)
Compensation expense related to stock options		—			6,546			—			—			—			—			6,546
Cash outflow from hedging		—			—			—			—			(15,578	)		—			(15,578	)
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net		—			—			(2,162	)		—			(102,239	)		—			(104,401	)
Inventories		—			—			(30,891	)		—			(871	)		2,910			(28,852	)
Prepaid expenses and other current and non-current assets		—			139,972			(18,058	)		(35,608	)		46,953			176			133,435
Accounts receivable from / payable to related parties		4,829			(244,469	)		12,092			(8,660	)		206,929			3,161			(26,118	)
Accounts payable, accrued expenses and other current and non-current liabilities		(7,273	)		3,778			31,404			658			2,327			(342	)		30,552
Income tax payable		639			(5,634	)		—			2,882			47,874			(27,562	)		18,199
Dividend income from equity method investees		—			37,190			—			—			732			—			37,922
Net cash provided by (used in) operating activities		(738	)		3,863			11,247			(36,304	)		548,461			(45,352	)		481,177
Investing Activities:
Purchases of property, plant and equipment		—			(153	)		(10,412	)		—			(122,015	)		8,162			(124,418	)
Proceeds from sale of property, plant and equipment		—			33			—			—			1,816			—			1,849
Disbursement of loans to related parties		—			(15,680	)		46			53,715			(1,087,131	)		1,049,050			—
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets		—			(1,637,673	)		(183	)		—			(1,702,618	)		1,637,672			(1,702,802	)
Proceeds from divestitures		—			—			—			—			176,721			—			176,721
Net cash provided by (used in) investing activities		—			(1,653,473	)		(10,549	)		53,715			(2,733,227	)		2,694,884			(1,648,650	)
Financing Activities:
Short-term borrowings, net		—			(13,837	)		(498	)		50,000			(58,862	)		—			(23,197	)
Long-term debt and capital lease obligations, net		738			1,668,422			—			(67,411	)		1,110,476			(1,049,050	)		1,663,175
Increase (decrease) of accounts receivable securitization program		—			—			—			—			(333,250	)		—			(333,250	)
Proceeds from exercise of stock options		—			3,771			—			—			583			—			4,354
Dividends paid		—			—			—			—			—			—			—
Capital increase (decrease)		—			—			—			—			1,600,482			(1,600,482	)		—
Distributions to noncontrolling interest		—			—			—			—			(32,366	)		—			(32,366	)
Contributions from noncontrolling interest		—			—			—			—			5,350			—			5,350
Net cash provided by (used in) financing activities		738			1,658,356			(498	)		(17,411	)		2,292,413			(2,649,532	)		1,284,066
Effect of exchange rate changes on cash and cash equivalents		—			(8,720	)		7			—			15,052			—			6,339
Cash and Cash Equivalents:
Net increase (decrease) in cash and cash equivalents		(0	)		26			207			—			122,699			—			122,932
Cash and cash equivalents at beginning of period		—			2			144			—			457,146			—			457,292
Cash and cash equivalents at end of period	$	(0	)	$	28		$	351		$	—		$	579,845		$	—		$	580,224

47

FRESENIUS MEDICAL CARE AG & Co. KGaA

Notes to Consolidated Financial Statements — (Continued)

(unaudited)

(in thousands, except share and per share data)

		For the three months ended March 31, 2011
	Issuer			Guarantors									Non-Guarantor Subsidiaries			Combining Adjustment			Combined Total
	FMC Finance III			FMC - AG & Co. KGaA			D-GmbH			FMCH
Operating Activities:
Net income (loss)	$	125		$	220,701		$	7,515		$	153,832		$	166,949		$	(300,007	)	$	249,115
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Equity affiliate income		—			(197,375	)		—			(140,042	)		—			337,417			—
Depreciation and amortization		—			379			11,117			222			130,576			(6,310	)		135,984
Change in deferred taxes, net		—			13,443			1,089			—			20,000			(2,105	)		32,427
(Gain) loss on sale of fixed assets and investments		—			—			(4	)		—			(603	)		—			(607	)
Compensation expense related to stock options		—			7,132			—			—			—			—			7,132
Cash outflow from hedging		—			—			—			—			(57,111	)		—			(57,111	)
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net		—			—			2,269			—			(184,676	)		—			(182,407	)
Inventories		—			—			(16,340	)		—			(64,895	)		7,842			(73,393	)
Prepaid expenses and other current and non-current assets		1			(25,605	)		(16,365	)		(36,830	)		91,786			264			13,251
Accounts receivable from / payable to related parties		8,413			(18,879	)		(11,783	)		11,803			64,693			(58,877	)		(4,630	)
Accounts payable, accrued expenses and other current and non-current liabilities		(8,606	)		(32,676	)		29,564			(36	)		44,264			403			32,913
Income tax payable		5			20,962			—			8,984			10,901			(18,207	)		22,645
Net cash provided by (used in) operating activities		(62	)		(11,918	)		7,062			(2,067	)		221,885			(39,581	)		175,319
Investing Activities:
Purchases of property, plant and equipment		—			(91	)		(3,648	)		—			(120,064	)		6,637			(117,166	)
Proceeds from sale of property, plant and equipment		—			—			22			—			3,984			—			4,006
Disbursement of loans to related parties		—			366,568			48			(778,430	)		—			411,814			—
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets		—			(140	)		(3,065	)		—			(1,002,127	)		666,540			(338,792	)
Proceeds from divestitures		—			—			—			—			—			—			—
Net cash provided by (used in) investing activities		—			366,337			(6,643	)		(778,430	)		(1,118,207	)		1,084,991			(451,952	)
Financing Activities:
Short-term borrowings, net		—			24,487			(523	)		(299	)		(14,264	)		—			9,401
Long-term debt and capital lease obligations, net		—			(296,955	)		—			117,406			1,467,769			(411,814	)		876,406
Increase (decrease) of accounts receivable securitization program		—			—			—			—			(510,000	)		—			(510,000	)
Proceeds from exercise of stock options		—			1,665			—			—			156			—			1,821
Dividends paid		—			—			—			—			12			(12	)		—
Capital increase (decrease)		—			—			—			663,390			3,150			(666,540	)		—
Distributions to noncontrolling interest		—			—			—			—			(25,052	)		—			(25,052	)
Contributions from noncontrolling interest		—			—			—			—			3,939			—			3,939
Net cash provided by (used in) financing activities		—			(270,803	)		(523	)		780,497			925,710			(1,078,366	)		356,515
Effect of exchange rate changes on cash and cash equivalents		—			(3,479	)		10			—			20,360			12			16,903
Cash and Cash Equivalents:
Net (decrease) increase in cash and cash equivalents		(62	)		80,137			(94	)		—			49,748			(32,944	)		96,785
Cash and cash equivalents at beginning of period		123			147,177			225			—			342,401			32,944			522,870
Cash and cash equivalents at end of period	$	61		$	227,314		$	131		$	—		$	392,149		$	—		$	619,655

48

Quantitative and Qualitative Disclosures About Market Risk

During the period ended March 31, 2012, no material changes occurred to the information presented in Item 11 of the Company’s Annual Report on Form 20-F for the year ended December 31, 2011. For additional information, see Item 11 on Form 20-F “Quantitative and Qualitative Disclosures About Market Risk” in the Company’s Annual Report for the year ended December 31, 2011.

49

Controls and Procedures

The Company is a “foreign private issuer” within the meaning of Rule 3b-4(c) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). As such, the Company is not required to file quarterly reports with the Securities and Exchange Commission and is required to provide an evaluation of the effectiveness of its disclosure controls and procedures, to disclose significant changes in its internal control over financial reporting, and to provide certifications of its Chief Executive Officer and Chief Financial Officer under Sections 302 and 906 of the Sarbanes-Oxley Act of 2002 only in its Annual Report on Form 20-F. The Company furnishes quarterly financial information to the Securities and Exchange Commission (the “Commission”) and such certifications under cover of Form 6-K on a voluntary basis and pursuant to the provisions of the Company’s pooling agreement entered into for the benefit of the public holders of our ordinary shares and the holders of our preference shares. In connection with such voluntary reporting, the Company’s management, including the Chief Executive Officer and the Chief Financial Officer of the Company’s general partner, has conducted an evaluation of the effectiveness of the Company’s disclosure controls and procedures as of the end of the period covered by this report, of the type contemplated by Securities Exchange Act Rule 13a-15. Based on that evaluation, the Chief Executive Officer and the Chief Financial Officer concluded in connection with the furnishing of this report, that the Company’s disclosure controls and procedures are designed to ensure that the information the Company is required to disclose in the reports filed or furnished under the Act is recorded, processed, summarized and reported within the time periods specified in the Commission’s rules and forms and are effective to ensure that the information the Company is required to disclose in its reports is accumulated and communicated to the General Partner’s Management Board, including the General Partner’s Chief Executive Officer and the Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.

During the past fiscal quarter, there have been no significant changes in internal controls, or in factors that could significantly affect internal controls. In reliance on guidance set forth in Question 3 of a “Frequently Asked Questions” interpretative release issued by the Staff of the SEC’s Office of the Chief Accountant and the Division of Corporation Finance in September 2004, as revised on September 24, 2007, regarding Securities Exchange Act Release No. 34-47986, Management’s Report on Internal Control Over Financial Reporting and Certification of Disclosure in Exchange Act Periodic Reports, our management determined that it would exclude the business of Liberty from the scope of its evaluation of changes in internal control over financial reporting for the three months ended March 31, 2012. The reason for this exclusion is that we acquired Liberty on February 28, 2012 and it was not possible for management to conduct an evaluation of internal control over financial reporting in the period between the date the acquisition was completed and the date of management’s evaluation. Measured against the Company’s financial condition and results of operations for the year ended December 31, 2011, Liberty is not a “significant subsidiary” of the Company under any of the criteria of Rule 1-02(w) of Regulation S-X. Accordingly, management excluded Liberty from its evaluation of changes to internal control over financial reporting during the quarter ended March 31, 2012. Liberty will be included in management’s evaluation of internal control over financial reporting starting no later than our annual assessment for the fiscal year beginning January 1, 2013.

50

Other Information

Legal Proceedings

The information in Note 11 of the Notes to Consolidated Financial Statements presented elsewhere in this report is incorporated by this reference.

51

Exhibits

Exhibit No.
31.1	Certification of Chief Executive Officer and Chairman of the Management Board of the Company’s General Partner Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of Chief Financial Officer and member of the Management Board of the Company’s General Partner Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1	Certification of Chief Executive Officer and Chairman of the Management Board of the Company’s General Partner and Chief Financial Officer and member of the Management Board of the Company’s General Partner Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (this exhibit accompanies this report as required by the Sarbanes-Oxley Act of 2002 and is not to be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended).
101	The following financial statements as of and for the three-month period ended March 31, 2012 from FMC-AG & Co. KGaA’s Report on Form 6-K for the month of May 2012, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Statements of Income, (ii) Consolidated Statements of Comprehensive Income, (iii) Consolidated Balance Sheets, (iv) Consolidated Statements of Cash Flows, (v) Consolidated Statements of Shareholders’ Equity and (vi) Notes to Consolidated Financial Statements.

⁽¹⁾  Portions of this exhibit have been omitted pursuant to a request for confidential treatment and filed separately with the Securities and Exchange Commission.

^(*)  Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Registrant hereby undertakes to furnish supplementally copies of any of the omitted schedules and exhibits upon request by the Securities and Exchange Commission.

52

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 undersigned thereunto duly authorized.

DATE: May 3, 2012

FRESENIUS MEDICAL CARE AG & Co. KGaA a partnership limited by shares, represented by: FRESENIUS MEDICAL CARE MANAGEMENT AG, its general partner
By:	/S/ DR. BEN J. LIPPS
Name:	Dr. Ben J. Lipps
Title:	Chief Executive Officer and
	Chairman of the Management Board of the     General Partner

By:	/S/ MICHAEL BROSNAN
Name:	Michael Brosnan
Title:	Chief Financial Officer and
	member of the Management Board of the     General Partner

53

EX-31.1

Exhibit 31.1

CERTIFICATION PURSUANT TO SECTION 302

OF THE SARBANES-OXLEY ACT OF 2002

I, Ben J. Lipps, certify that:

1. I have reviewed this report on Form 6-K of Fresenius Medical Care AG & Co. KGaA (the “Report”).

2. Based on my knowledge, this Report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this Report;

3. Based on my knowledge, the financial statements, and other financial information included in this Report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this Report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f) for the registrant and we have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this Report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this Report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this Report based on such evaluation; and

d) disclosed in this Report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 3, 2012

By:	/s/     Dr. Ben J. Lipps
	Dr. Ben J. Lipps
	Chief Executive Officer and
	Chairman of the Management Board of the
	General Partner

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO SECTION 302

OF THE SARBANES-OXLEY ACT OF 2002

I, Michael Brosnan, certify that:

1. I have reviewed this report on Form 6-K of Fresenius Medical Care AG & Co. KGaA (the “Report”);

2. Based on my knowledge, this Report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this Report;

3. Based on my knowledge, the financial statements, and other financial information included in this Report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this Report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f) for the registrant and we have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this Report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this Report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this Report based on such evaluation; and

d) disclosed in this Report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 3, 2012

By:	/s/     Michael Brosnan
	Michael Brosnan Chief Financial Officer and member of the Management Board of the General Partner

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the report of Fresenius Medical Care AG & Co. KGaA (the “Company”) on Form 6-K furnished for the month of May 2012 containing its unaudited financial statements as of March 31, 2012 and for the three-month periods ending March 31, 2012 & 2011, as submitted to the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned, Dr. Ben J. Lipps, Chief Executive Officer and Michael Brosnan, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

By:	/s/     Dr. Ben J. Lipps
	Dr. Ben J. Lipps Chief Executive Officer and Chairman of the Management Board of the General Partner
	May 3, 2012
By:	/s/     Michael Brosnan
	Michael Brosnan Chief Financial Officer and member of the Management Board of the General Partner
	May 3, 2012

XML

Short-term Borrowings and Other Financial Liabilities and Short-term Borrowings from Related Parties (Details) (USD $) In Thousands, unless otherwise specified				3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011	Mar. 31, 2011	Mar. 31, 2012 Fresenius SE [Member]	Mar. 31, 2012 General Partner [Member]
Short Term Borrowings Other Financial Liabilities And Short Term Borrowings From Related Parties (Details) [Abstract]
Borrowings under lines of credit	$ 98,386	$ 91,899
Accounts receivable facility	5,277	6,902
Other financial liabilities	118,361		126,814
Related Party Transaction [Line Items]
Related Party Transaction Rate				2.606%	1.335%
Short-term borrowings and other financial liabilities	103,663	98,801
Short Term Borrowings Due To Related Parties Current Acquisitions	$ 14,698	$ 28,013

XML

Financial Instruments (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Designated As Hedging Instrument [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain or (Loss) Recognized in OCI on Derivatives (Effective Portion)	$ (6,932)	$ 907
Amount of (Gain) or Loss Recognized in Income on Derivatives	2,649	3,077
Designated As Hedging Instrument [Member] | Interest Rate Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain or (Loss) Recognized in OCI on Derivatives (Effective Portion)	(15,797)	10,939
Designated As Hedging Instrument [Member] | Foreign Exchange Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain or (Loss) Recognized in OCI on Derivatives (Effective Portion)	8,865	(10,032)
Nondesignated as Hedging Instrument [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of (Gain) or Loss Recognized in Income on Derivatives	18,988	(17,430)
Interest Income Expense [Member] | Designated As Hedging Instrument [Member] | Foreign Exchange Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of (Gain) or Loss Recognized in Income on Derivatives	741
Interest Income Expense [Member] | Nondesignated as Hedging Instrument [Member] | Foreign Exchange Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of (Gain) or Loss Recognized in Income on Derivatives	5,229	3,734
Cost Of Sale [Member] | Designated As Hedging Instrument [Member] | Foreign Exchange Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of (Gain) or Loss Recognized in Income on Derivatives	(2,990)	2,366
Selling, General and Administrative Expense [Member] | Nondesignated as Hedging Instrument [Member] | Foreign Exchange Contract [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of (Gain) or Loss Recognized in Income on Derivatives	$ 13,759	$ (21,164)

XML

Financial Instruments (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011	Mar. 31, 2011	Dec. 31, 2010
Assets:
Cash and cash equivalents	$ 580,224	$ 457,292	$ 619,655	$ 522,870
Liabilities:
Short-term borrowings	103,663	98,801
Short-term borrowings from related parties	14,698	28,013
Noncontrolling interests subject to put provisions	501,968	410,491
Notional amount of foreign currency cash flow hedge derivatives	1,278,764
Notional amount of foreign currency derivative instruments not designated as hedging instruments	2,149,440
Notional amount of interest rate derivatives	2,650,000
Reclassification from accumulated OCI into earnings, time estimate	12 months 18,586
Amount of additional interest expense expected to be reclassified into earnings	19,428
The time period estimated for the anticipated transfer of interest expense into earnings	12 months
Maximum remaining maturity of foreign currency derivatives	44
Maximum remaining maturity of interest rate cash flow hedges	55
Euro Notes [Member]
Liabilities:
Senior Long Term Notes	267,120	258,780
Senior Notes [Member]
Liabilities:
Senior Long Term Notes	4,761,382	2,883,009
Carrying Reported Amount Fair Value Disclosure [Member]
Assets:
Cash and cash equivalents	580,224	457,292
Accounts receivable	3,231,527	2,909,326
Long-term notes receivable	0	234,490
Liabilities:
Accounts Payable	660,066	652,649
Short-term borrowings	103,663	98,801
Short-term borrowings from related parties	14,698	28,013
Long term debt, excluding Amended 2006 Senior Credit Agreement, Euro Notes and Senior Notes	889,054	1,147,209
Senior Credit Agreement	2,772,680	2,795,589
Senior Long Term Notes	267,120	258,780
Noncontrolling interests subject to put provisions	501,968	410,491
Carrying Reported Amount Fair Value Disclosure [Member] | Euro Notes [Member]
Liabilities:
Senior Long Term Notes	4,761,382	2,883,009
Portion At Fair Value Fair Value Disclosure [Member]
Assets:
Cash and cash equivalents	580,224	457,292
Accounts receivable	3,231,527	2,909,326
Long-term notes receivable	0	233,514
Liabilities:
Accounts Payable	660,066	652,649
Short-term borrowings	103,663	98,801
Short-term borrowings from related parties	14,698	28,013
Long term debt, excluding Amended 2006 Senior Credit Agreement, Euro Notes and Senior Notes	889,054	1,147,209
Senior Credit Agreement	2,758,029	2,774,951
Noncontrolling interests subject to put provisions	501,968	410,491
Portion At Fair Value Fair Value Disclosure [Member] | Euro Notes [Member]
Liabilities:
Senior Long Term Notes	4,993,598	2,989,307
Portion At Fair Value Fair Value Disclosure [Member] | Senior Notes [Member]
Liabilities:
Senior Long Term Notes	$ 271,855	$ 265,655

XML

Supplementary Cash Flow Information (Tables)

3 Months Ended

Mar. 31, 2012

Supplementary Cash Flow Information (Tables) [Abstract]

Schedule of supplemental Cash Flow information

		Three months ended March 31,
		2012		2011
Supplementary cash flow information:
	Cash paid for interest	$	112,364	$	70,884
	Cash paid for income taxes(1)	$	12,875	$	70,368
	Cash inflow for income taxes from stock option exercises	$	583	$	157
Supplemental disclosures of cash flow information:
	Details for acquisitions:
	Assets acquired	$	(2,345,375)	$	(50,501)
	Liabilities assumed		299,947		5,373
	Noncontrolling interest subject to put provisions		53,900		-
	Noncontrolling interest		130,000		-
	Notes assumed in connection with acquisition		652		848
	Cash paid		(1,860,876)		(44,280)
	Less cash acquired		159,277		250
	Net cash paid for acquisitions	$	(1,701,599)	$	(44,030)
	(1) Net of tax refund

XML

Inventories (Tables)

3 Months Ended

Mar. 31, 2012

Inventories (Tables) [Abstract]

Inventory Disclosure Tables [Text Block]

			March 31, 2012		December 31, 2011
Finished goods		$	634,623	$	610,569
Raw materials and purchased components			180,514		163,030
Health care supplies			134,821		133,769
Work in process			74,039		60,128
	Inventories	$	1,023,997	$	967,496

XML

Supplementary Cash Flow Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Supplementary cash flow information:
Cash paid for interest	$ 112,364	$ 70,884
Cash paid for income taxes, net of tax refund	12,875	70,368
Cash inflow for income taxes from stock option exercises	583	157
Supplemental disclosures of cash flow information, details for acquisitions:
Assets acquired	(2,345,375)	(50,501)
Liabilities assumed	299,947	5,373
Noncontrolling interest	53,900	0
Notes assumed in connection with acquisition	130,000	0
Cash paid	(652)	(848)
Less cash acquired	(1,860,876)	(44,280)
Net Cash paid for acquisition	$ (1,701,599)	$ (44,030)

XML

Earnings Per Share (Details) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Numerators:
Income attributable to the Company	$ 370,498	$ 220,701
Less: Dividend preference on Preference shares	26	27
Income available to all classes of shares	$ 370,472	$ 220,674
Denominators:
Weighted average number of ordinary shares outstanding	300,205,126	298,292,972
Weighted average number of preference shares outstanding	3,966,001	3,957,435
Total weighted average shares outstanding	304,171,127	302,250,407
Potentially dilutive Ordinary shares	2,423,102	1,950,556
Potentially dilutive Preference shares	19,063	20,394
Total weighted average Ordinary shares outstanding assuming dilution	302,628,228	300,243,528
Total weighted average Preference shares outstanding assuming dilution	3,985,064	3,977,829
Basic income per Ordinary share	$ 1.22	$ 0.73
Plus preference per Preference shares	$ 0.00	$ 0.01
Basic income per Preference share	$ 1.22	$ 0.74
Fully diluted income per Ordinary share	$ 1.21	$ 0.73
Plus preference per Preference shares	$ 0.00	$ 0.00
Fully diluted income per Preference share	$ 1.21	$ 0.73

XML

Related Party Transactions (Details)	3 Months Ended			3 Months Ended				12 Months Ended	3 Months Ended		12 Months Ended	3 Months Ended		12 Months Ended	3 Months Ended		12 Months Ended	3 Months Ended		12 Months Ended	3 Months Ended							12 Months Ended	3 Months Ended		12 Months Ended	3 Months Ended
	Mar. 31, 2012 USD ($)	Dec. 31, 2011 USD ($)	Mar. 31, 2012 Cash Pooling Agreement [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] EUR (€)	Mar. 31, 2012 Fresenius SE [Member] Services Provided By Related Party [Member] USD ($)	Mar. 31, 2011 Fresenius SE [Member] Services Provided By Related Party [Member] USD ($)	Dec. 31, 2010 Fresenius SE [Member] Services Provided By Related Party [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Services Provided To Related Party [Member] USD ($)	Mar. 31, 2011 Fresenius SE [Member] Services Provided To Related Party [Member] USD ($)	Dec. 31, 2010 Fresenius SE [Member] Services Provided To Related Party [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Operating Lease Agreements [Member] USD ($)	Mar. 31, 2011 Fresenius SE [Member] Operating Lease Agreements [Member] USD ($)	Dec. 31, 2010 Fresenius SE [Member] Operating Lease Agreements [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Sales To Related Party [Member] USD ($)	Mar. 31, 2011 Fresenius SE [Member] Sales To Related Party [Member] USD ($)	Dec. 31, 2010 Fresenius SE [Member] Sales To Related Party [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Purchases From Related Party [Member] USD ($)	Mar. 31, 2011 Fresenius SE [Member] Purchases From Related Party [Member] USD ($)	Dec. 31, 2010 Fresenius SE [Member] Purchases From Related Party [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Cash Pooling Agreement [Member] EUR (€)	Mar. 31, 2012 Fresenius SE [Member] Taxes Payable [Member] USD ($)	Mar. 31, 2012 Fresenius SE [Member] Taxes Payable [Member] EUR (€)	Mar. 31, 2012 General Partner [Member] USD ($)	Mar. 31, 2012 General Partner [Member] EUR (€)	Mar. 31, 2012 General Partner [Member] Services Provided By Related Party [Member] USD ($)	Mar. 31, 2011 General Partner [Member] Services Provided By Related Party [Member] USD ($)	Dec. 31, 2010 General Partner [Member] Services Provided By Related Party [Member] USD ($)	Mar. 31, 2012 APP Inc [Member] Purchases From Related Party [Member] USD ($)	Mar. 31, 2011 APP Inc [Member] Purchases From Related Party [Member] USD ($)	Dec. 31, 2010 APP Inc [Member] Purchases From Related Party [Member] USD ($)	Mar. 31, 2012 Equity Method Investees [Member] Sales To Related Party [Member] USD ($)	Mar. 31, 2012 Fresenius SE Subsidiary [Member] USD ($)
Related Party Transactions [Line Items]
FSE ownership percentage	$ 30.30%
Amount of transaction						17,299,000	17,308,000	19,198,000	1,625,000	1,468,000	1,726,000	6,348,000	6,274,000	5,045,000	5,919,000	4,588,000	4,041,000	11,835,000	12,454,000	10,227,000						3,035,000	3,861,000	2,328,000	4,269,000	6,415,000	4,269,000	655,000
Due to related parties	$ 104,975,000	$ 111,226,000	$ 32,871,000	$ 11,085,000	€ 8,300,000																€ 24,600,000	$ 7,760,000	€ 5,747,000	$ 2,003,000	€ 1,500,000								$ 1,588,000
Interest rate				2.606%	2.606%																1.942%	6.00%	6.00%	1.335%	1.335%								6.65%
Date of repayment				Oct. 31, 2011	Oct. 31, 2011																Jan. 03, 2011			Aug. 19, 2011	Aug. 19, 2011								Apr. 14, 2013

XML

Supplemental Condensed Combining Information (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended		12 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2010
Operating Activities:
Net Income	$ 393,694	$ 249,115
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	143,374	135,984
Change in deferred taxes, net	27,838	32,427
(Gain) loss on sale of fixed assets and investments	(8,749)	(607)
Stock Option Compensation Expense	6,546	7,132
Cash outflow from hedging	(15,578)	(57,111)
Investment gain	126,685	0
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net	(104,401)	(182,407)
Inventories, net	(28,852)	(73,393)
Prepaid expenses, other current and non-current assets	133,435	13,251
Accounts receivable from/payable to related parties	(26,118)	(4,630)
Accounts payable, accrued expenses and other current and non-current liabilities	30,552	32,913
Income tax payable	18,199	22,645
Dividend income from equity method investees	37,922	0
Net cash provided by (used in) operating activities	481,177	175,319
Investing Activities:
Purchases of property, plant and equipment	(124,418)	(117,166)
Proceeds from sale of property, plant and equipment	1,849	4,006
Disbursements of loans to related parties	0	0
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	(1,702,802)	(338,792)
Proceeds from divestitures	176,721	0
Net cash (used in) provided by investing activities	(1,648,650)	(451,952)
Financing Activities:
Short-term borrowings, net	(23,197)	9,401
Long-term debt and capital lease obligations, net	1,663,175	876,406
Increase (decrease) of accounts receivable securitization program	(333,250)	(510,000)
Proceeds from exercise of stock options	4,354	1,821
Capital (decrease) increase	0	0
Distributions to noncontrolling interests	(32,366)	(25,052)
Contributions from noncontrolling interests	5,350	3,939
Net cash (used in) provided by financing activities	1,284,066	356,515
Effect of exchange rate changes on cash and cash equivalents	6,339	16,903
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents	122,932	96,785
Cash and cash equivalents at beginning of period	457,292	522,870
Cash and cash equivalents at end of period	580,224	619,655
Issuers [Member] | FMC Finance III [Member]
Operating Activities:
Net Income		125
Changes in assets and liabilities, net of amounts from businesses acquired:
Prepaid expenses, other current and non-current assets		1
Accounts receivable from/payable to related parties		8,413
Accounts payable, accrued expenses and other current and non-current liabilities		(8,606)
Income tax payable		5
Net cash provided by (used in) operating activities		(62)
Financing Activities:
Payment of dividends [N]		0
Net cash (used in) provided by financing activities		0
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents		(62)	123
Cash and cash equivalents at end of period		61
Issuers [Member] | FMC US Finance [Member]
Operating Activities:
Net Income	1,067	125
Changes in assets and liabilities, net of amounts from businesses acquired:
Prepaid expenses, other current and non-current assets	0
Accounts receivable from/payable to related parties	4,829
Accounts payable, accrued expenses and other current and non-current liabilities	(7,273)
Income tax payable	639
Net cash provided by (used in) operating activities	(738)
Financing Activities:
Long-term debt and capital lease obligations, net	738
Capital (decrease) increase	0
Net cash (used in) provided by financing activities	738
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents	0
Cash and cash equivalents at beginning of period	1
Cash and cash equivalents at end of period	0
Guarantors [Member] | Total FMC-AG and Co. KGaA [Member]
Operating Activities:
Net Income	370,498	220,701
Adjustments to reconcile net income to net cash provided by operating activities:
Income Loss From Equity Method Investments Net Of Dividends Or Distributions	(313,741)	(197,375)
Depreciation and amortization	85	379
Change in deferred taxes, net	9,671	13,443
(Gain) loss on sale of fixed assets and investments		0
Stock Option Compensation Expense	(6,546)	7,132
Investment gain	0
Changes in assets and liabilities, net of amounts from businesses acquired:
Prepaid expenses, other current and non-current assets	139,972	(25,605)
Accounts receivable from/payable to related parties	(244,469)	(18,879)
Accounts payable, accrued expenses and other current and non-current liabilities	3,778	(32,676)
Income tax payable	(5,634)	20,962
Net cash provided by (used in) operating activities	3,863	(11,918)
Investing Activities:
Purchases of property, plant and equipment	(153)	(91)
Proceeds from sale of property, plant and equipment		0
Disbursements of loans to related parties	(15,680)	366,568
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	(1,637,673)	(140)
Net cash (used in) provided by investing activities	(1,653,473)	366,337
Financing Activities:
Short-term borrowings, net	(13,837)	24,487
Long-term debt and capital lease obligations, net	1,668,422	(296,955)
Proceeds from exercise of stock options	3,771	1,665
Payment of dividends [N]	0	0
Net cash (used in) provided by financing activities	1,658,356	(270,803)
Effect of exchange rate changes on cash and cash equivalents	(8,720)	(3,479)
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents	26	80,137	147,177
Cash and cash equivalents at beginning of period	2
Cash and cash equivalents at end of period	28	227,314
Guarantors [Member] | D GmbH [Member]
Operating Activities:
Net Income	5,226	7,515
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	11,692	11,117
Change in deferred taxes, net	1,852	1,089
(Gain) loss on sale of fixed assets and investments	92	(4)
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net	(2,162)	2,269
Inventories, net	(30,891)	(16,340)
Prepaid expenses, other current and non-current assets	(18,058)	(16,365)
Accounts receivable from/payable to related parties	12,092	(11,783)
Accounts payable, accrued expenses and other current and non-current liabilities	31,404	29,564
Net cash provided by (used in) operating activities	11,247	7,062
Investing Activities:
Purchases of property, plant and equipment	(10,412)	(3,648)
Proceeds from sale of property, plant and equipment	0	22
Disbursements of loans to related parties	46	48
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	(183)	(3,065)
Net cash (used in) provided by investing activities	(10,549)	(6,643)
Financing Activities:
Short-term borrowings, net	(498)	(523)
Net cash (used in) provided by financing activities	(498)	(523)
Effect of exchange rate changes on cash and cash equivalents	7	10
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents	207	(94)	225
Cash and cash equivalents at beginning of period	144
Cash and cash equivalents at end of period	351	131
Guarantors [Member] | FMCH [Member]
Operating Activities:
Net Income	297,279	153,832
Adjustments to reconcile net income to net cash provided by operating activities:
Income Loss From Equity Method Investments Net Of Dividends Or Distributions	(292,855)	(140,042)
Depreciation and amortization	0	222
Changes in assets and liabilities, net of amounts from businesses acquired:
Prepaid expenses, other current and non-current assets	(35,608)	(36,830)
Accounts receivable from/payable to related parties	(8,660)	11,803
Accounts payable, accrued expenses and other current and non-current liabilities	658	(36)
Income tax payable	2,882	8,984
Net cash provided by (used in) operating activities	(36,304)	(2,067)
Investing Activities:
Disbursements of loans to related parties	53,715	(778,430)
Net cash (used in) provided by investing activities	53,715	(778,430)
Financing Activities:
Short-term borrowings, net	50,000
Long-term debt and capital lease obligations, net	(67,411)	117,406
Capital (decrease) increase	0
Net cash (used in) provided by financing activities	(17,411)	780,497
Non Guarantor Subsidiaries [Member]
Operating Activities:
Net Income	342,308	166,949
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	138,709	130,576
Change in deferred taxes, net	16,810	20,000
(Gain) loss on sale of fixed assets and investments	(8,808)	(603)
Stock Option Compensation Expense	0
Cash outflow from hedging	15,578
Investment gain	126,685
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net	(102,239)	(184,676)
Inventories, net	(871)	(64,895)
Prepaid expenses, other current and non-current assets	46,953	91,786
Accounts receivable from/payable to related parties	206,929	64,693
Accounts payable, accrued expenses and other current and non-current liabilities	2,327	44,264
Income tax payable	47,874	10,901
Net cash provided by (used in) operating activities	548,461	221,885
Investing Activities:
Purchases of property, plant and equipment	(122,015)	(120,064)
Proceeds from sale of property, plant and equipment	1,816	3,984
Disbursements of loans to related parties		0
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	(1,702,618)	(1,002,127)
Proceeds from divestitures		0
Net cash (used in) provided by investing activities	(2,733,227)	(1,118,207)
Financing Activities:
Short-term borrowings, net	(58,862)	(14,264)
Long-term debt and capital lease obligations, net	1,110,476	1,467,769
Increase (decrease) of accounts receivable securitization program	(333,250)	(510,000)
Proceeds from exercise of stock options	583	156
Payment of dividends [N]	0	12
Capital (decrease) increase	1,600,482	3,150
Distributions to noncontrolling interests	(32,366)	(25,052)
Contributions from noncontrolling interests	5,350	3,939
Net cash (used in) provided by financing activities	2,292,413	925,710
Effect of exchange rate changes on cash and cash equivalents	15,052	20,360
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents	122,699	49,748	342,401
Cash and cash equivalents at beginning of period	457,145
Cash and cash equivalents at end of period	579,845	392,149
Combining Adjustment [Member]
Operating Activities:
Net Income	(622,684)	(300,007)
Adjustments to reconcile net income to net cash provided by operating activities:
Income Loss From Equity Method Investments Net Of Dividends Or Distributions	606,596	337,417
Depreciation and amortization	(7,112)	(6,310)
Change in deferred taxes, net	(495)	(2,105)
Changes in assets and liabilities, net of amounts from businesses acquired:
Inventories, net	2,910	7,842
Prepaid expenses, other current and non-current assets	176	264
Accounts receivable from/payable to related parties	3,161	(58,877)
Accounts payable, accrued expenses and other current and non-current liabilities	(342)	403
Income tax payable	(27,562)	(18,207)
Net cash provided by (used in) operating activities	(45,352)	(39,581)
Investing Activities:
Purchases of property, plant and equipment	8,162	6,637
Disbursements of loans to related parties	1,049,050	411,814
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	1,637,672	666,540
Net cash (used in) provided by investing activities	2,694,884	1,084,991
Financing Activities:
Long-term debt and capital lease obligations, net	(1,049,050)	(411,814)
Payment of dividends [N]	0	(12)
Capital (decrease) increase	(1,600,482)	(666,540)
Net cash (used in) provided by financing activities	(2,649,532)	(1,078,366)
Effect of exchange rate changes on cash and cash equivalents	0	12
Cash and Cash Equivalents:
(decrease) in cash and cash equivalents		(32,944)	32,944
Cash and cash equivalents at end of period		$ 0

XML

Financial Instruments (Details 1) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Interest Rate Risk Management [Abstract]
Interest rate swap agreements interest rate	0.00%
Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	$ 11,206	$ 4,859
Liabilities	(14,936)	(160,269)
Nondesignated as Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	6,041	58,142
Liabilities	(30,827)	(38,701)
Foreign Exchange Contract Current [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	11,059	4,117
Liabilities	(11,951)	(24,908)
Foreign Exchange Contract Current [Member] | Nondesignated as Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	4,037	56,760
Liabilities	(28,935)	(37,242)
Interest Rate Contract Current Dollar [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	0	0
Liabilities	0	(130,579)
Interest Rate Contract Current Yen [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	0	0
Liabilities	0	0
Foreign Exchange Contract Non Current [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	147	742
Liabilities	(362)	(3,706)
Foreign Exchange Contract Non Current [Member] | Nondesignated as Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	2,004	1,382
Liabilities	(1,892)	(1,459)
Interest Rate Contract Non Current Dollar [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	0	0
Liabilities	(2,623)	(1,076)
Interest Rate Contract Non Current Yen [Member] | Designated As Hedging Instrument [Member] | Significant Observable Inputs (Level 2)
Derivatives Fair Value [Line Items]
Assets	0	0
Liabilities	$ 0	$ 0

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Acquisition of Liberty Dialysis Holdings

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Acquisition of Liberty Dialysis Holdings [Text Block]

2. Acquisition of Liberty Dialysis Holdings

On February 28, 2012, the Company acquired 100% of the equity of Liberty Dialysis Holdings, Inc. (“LD Holdings”), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the “Liberty Acquisition”) and accounted for this transaction as a business combination, subject to finalization of the acquisition accounting which will be finalized when certain information arranged to be obtained has been received. LD Holdings mainly provides dialysis services in the United States through the 263 clinics it owns (the “Acquired Clinics”). As the Company expressly disclosesin the Form 20-F (see Item 4B, “Information on the Company – Business Overview – Our Strategy and Competitive Strengths,”) it is part of the Company's stated strategy to expand and complement its existing business through acquisitions. Generally, these acquisitions do not change the Company's business model and are easy to integrate without disruption to its existing business, requiring little or no realignment of its structures. The Liberty Acquisition is consistent in this regard as it involves the acquisition of dialysis clinics, a business in which the Company is already engaged and, therefore, merely supplements its existing business.

Total consideration for the Liberty Acquisition was $2,161,438, consisting of $1.692.645 cash, net of cash acquired and $468,793 non-cash consideration. Accounting standards for business combinations require previously held equity interests to be fair valued with the difference to book value to be recognized as a gain or loss in income. Prior to the Liberty Acquisition, the Company had a 49% equity investment in Renal Advantage Partners, LLC, the fair value of which, $189,000, is included as non-cash consideration. The estimated fair value has been determined based on the discounted cash flow method, utilizing an approximately 13% discount rate. In addition to the Company's investment, it also had a loan receivable of $279,793 from Renal Advantage Partners, LLC which was retired as part of the transaction. This retirement is also considered non-cash consideration bringing the total non-cash consideration in the Liberty Acquisition to $468,793.

The following table summarizes the estimated fair values of assets acquired and liabilities assumed at the date of the acquisition. This preliminary acquisition accounting is based upon the best information available to management. Any adjustments to the acquisition accounting, net of related income tax effects, will be recorded with a corresponding adjustment to goodwill:

Assets held for sale		$	153,259
Trade accounts receivable			155,242
Other current assets			34,501
Property, plant and equipment			180,600
Intangible assets and other assets			90,411
Goodwill			2,032,213
Accounts payable, accrued expenses and other current liabilities			(143,313)
Income tax payable and deferred taxes			(64,696)
Short-term borrowings and other financial liabilities and long-term debt and capital lease obligations			(58,079)
Other liabilities			(34,800)
Noncontrolling interests (subject and not subject to put provisions)			(183,900)
Total acquisition cost		$	2,161,438
Less, at fair value, non-cash contributions
	Investment at acquisition date		(189,000)
	Long-term Notes Receivable		(279,793)
Total non-cash items			(468,793)
Net Cash paid		$	1,692,645

It is currently estimated that amortizable intangible assets acquired in this acquisition will have weighted average useful lives of 6-8 years.

Goodwill, in the amount of $2,032,213 was acquired as part of the Liberty Acquisition and is allocated to the Segment North America. Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. Goodwill arises principally due to the fair value placed on acquiring an established stream of future cash flows versus building a similar franchise. Of the goodwill recognized in this acquisition, approximately $436,000 is expected to be deductible for tax purposes and amortized over a 15 year period.

The noncontrolling interests acquired as part of the acquisition are stated at estimated fair value, subject to finalization of the acquisition accounting, based upon utilized implied multiples used in conjunction with the Liberty Acquisition, as well as the Company's overall experience and contractual multiples typical for such arrangements.

Liberty's incremental operating results, including acquisition related costs of $15,812 and a benefit from the retirement of the loan receivable discussed below, are included in the Company's consolidated financial statements effective February 29, 2012 and consist of the following:

Net revenues	$	82,945
Operating Income	$	4,393
Net Income (loss) attributable to shareholders of FMC-AG & Co. KGaA	$	(2,831)

The fair valuation of the Company's investment at the time of the Liberty Acquisition resulted in a non-taxable gain of approximately $126,685 and is presented in the separate line item “Investment Gain” in the Consolidated Statement of Income. The retirement of the loan receivable resulted in a benefit of $5,500 which was recognized in interest income.

Divestitures

In accordance with a consent order issued by the United States Federal Trade Commission in connection with its clearance of the Liberty Acquisition, the Company was required to divest 62 clinics. In March 2012, 49 clinics were sold of which 15 were legacy clinics. The remaining 13 clinics are expected to be sold during 2012 and 2013 once the necessary approvals for change of ownership by state regulatory authorities have been obtained.

The Company received cash consideration of $176,350 for all centers divested. Due to a basis difference, the sale of the legacy clinics resulted in a pre-tax gain of approximately $9,257 which is recorded in the line item “Gain on sale of dialysis clinics” in the Consolidated Statement of Income. The Company incurred an income tax expense related to the sale of the legacy clinics of approximately $6,600 which is appropriately included in the line item “Income tax expense” in the Consolidated Statement of Income, resulting in a net gain of $2,657. The sale of 34 Acquired Clinics did not have any profit or loss impact for the Company.

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Employee Benefit Plans (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Components Of Net Periodic Benefit Cost [Abstract]
Service cost	$ 2,692	$ 2,622
Interest cost	6,492	6,036
Expected return on plan assets	(3,825)	(4,275)
Amortization of unrealized losses	4,373	1,800
Net periodic benefit costs	$ 9,732	$ 6,183

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Employee Benefit Plans (Tables)

3 Months Ended

Mar. 31, 2012

Employee Benefit Plans (Tables) [Abstract]

Schedule of the components of net periodic benefit cost

	Three months ended March 31,
	2012		2011
Components of net periodic benefit cost:
Service cost	$	2,692	$	2,622
Interest cost		6,492		6,036
Expected return on plan assets		(3,825)		(4,275)
Amortization of unrealized losses		4,373		1,800
Net periodic benefit costs	$	9,732	$	6,183

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Earning Per Share (Tables)

3 Months Ended

Mar. 31, 2012

Earnings Per Share (Tables) [Abstract]

Schedule of Earning per Share

		For the three months ended March 31,
		2012		2011
Numerators:
Net income attributable to shareholders of FMC-AG & Co. KGaA		$	370,498	$	220,701
less:
	Dividend preference on Preference shares		26		27
Income available to all classes of shares		$	370,472	$	220,674
Denominators:
Weighted average number of:
Ordinary shares outstanding			300,205,126		298,292,972
Preference shares outstanding			3,966,001		3,957,435
Total weighted average shares outstanding			304,171,127		302,250,407
Potentially dilutive Ordinary shares			2,423,102		1,950,556
Potentially dilutive Preference shares			19,063		20,394
Total weighted average Ordinary shares outstanding assuming dilution			302,628,228		300,243,528
Total weighted average Preference shares outstanding assuming dilution			3,985,064		3,977,829
Basic income per Ordinary share		$	1.22	$	0.73
Plus preference per Preference shares			0.00		0.01
Basic income per Preference share		$	1.22	$	0.74
Fully diluted income per Ordinary share		$	1.21	$	0.73
Plus preference per Preference shares			0.00		0.00
Fully diluted income per Preference share		$	1.21	$	0.73

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Noncontrolling Interests Subject to Put Provisions (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		12 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Noncontrolling Interests Subject To Put Provisions (Details) [Abstract]
Potential obligations under the put provisions	$ 501,968		$ 410,491
Temporary Equity [Line Items]
Noncontrolling interests subject to put provisions beginning balance	410,491
Dividends paid	0		280,649
Purchase (sale) of noncontrolling interests	131,156		3,789
Cash contributions from noncontrolling interests	17,380		59,066
Changes in fair value of noncontrolling interests	(32,230)		(86,233)
Net Income	393,694	249,115
Other comprehensive income (loss), net of tax	101,905	120,569
Noncontrolling interests subject to put provisions ending balance	501,968		410,491
Put provisions exercisable	144,226
Noncontrolling interests subject to put provisions [Member]
Temporary Equity [Line Items]
Noncontrolling interests subject to put provisions beginning balance	279,709
Dividends paid	(11,390)		(43,104)
Purchase (sale) of noncontrolling interests	54,611		37,786
Cash contributions from noncontrolling interests	2,633		7,222
Changes in fair value of noncontrolling interests	32,230		86,233
Net Income	13,184		42,857
Other comprehensive income (loss), net of tax	209		(212)
Noncontrolling interests subject to put provisions ending balance			$ 279,709

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Noncontrolling Interests Subject To Put Provisions (Tables)

3 Months Ended

Mar. 31, 2012

Noncontrolling Interests Subject To Put Provisions (Tables) [Abstract]

Noncontrolling Interests Subject to Put Provisions

10. Noncontrolling Interests Subject to Put Provisions

The Company has potential obligations to purchase the noncontrolling interests held by third parties in certain of its consolidated subsidiaries. These obligations are in the form of put provisions and are exercisable at the third-party owners' discretion within specified periods as outlined in each specific put provision. If these put provisions were exercised, the Company would be required to purchase all or part of third-party owners' noncontrolling interests at the appraised fair value at the time of exercise. The methodology the Company uses to estimate the fair values of the noncontrolling interest subject to put provisions assumes the greater of net book value or a multiple of earnings, based on historical earnings, development stage of the underlying business and other factors. The estimated fair values of the noncontrolling interests subject to these put provisions can also fluctuate and the implicit multiple of earnings at which these noncontrolling interest obligations may ultimately be settled could vary significantly from our current estimates depending upon market conditions.

As of March 31, 2012 and December 31, 2011 the Company's potential obligations under these put options are $501,968and $410,491, respectively, of which, at March 31, 2012, $144,226were exercisable. No options were exercised during the first three months of 2012.

Following is a roll forward of noncontrolling interests subject to put provisions for the three months ended March 31, 2012 and the year ended December 31, 2011:

		March 31, 2012		December 31, 2011
Beginning balance as of January 1, 2012 and 2011	$	410,491	$	279,709
Dividends paid		(11,390)		(43,104)
Purchase/ sale of noncontrolling interests		54,611		37,786
Contributions from noncontrolling interests		2,633		7,222
Changes in fair value of noncontrolling interests		32,230		86,233
Net income		13,184		42,857
Other comprehensive income (loss)		209		(212)
Ending balance as of March 31, 2012 and December 31, 2011	$	501,968	$	410,491

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Financial Instrument (Tables)

3 Months Ended

Mar. 31, 2012

Financial Instruments (Tables) [Abstract]

Non-Derivative Financial Instruments

				March 31,				December 31,
				2012				2011
		Fair Value		Carrying		Fair		Carrying		Fair
		Hierarchy		Amount		Value		Amount		Value
Non-derivatives
Assets
	Cash and cash equivalents	1	$	580,224	$	580,224	$	457,292	$	457,292
	Accounts Receivable	2		3,231,527		3,231,527		2,909,326		2,909,326
	Long-term Notes Receivable (1)	3		-		-		234,490		233,514
Liabilities
	Accounts payable	2		660,066		660,066		652,649		652,649
	Short-term borrowings	2		103,663		103,663		98,801		98,801
	Short-term borrowings from related parties	2		14,698		14,698		28,013		28,013
	Long term debt, excluding Amended 2006 Senior Credit Agreement, Euro Notes and Senior Notes	2		889,054		889,054		1,147,209		1,147,209
	Amended 2006 Senior Credit Agreement	2		2,772,680		2,758,029		2,795,589		2,774,951
	Senior Notes	2		4,761,382		4,993,598		2,883,009		2,989,307
	Euro Notes	2		267,120		271,855		258,780		265,655
Noncontrolling interests subject to put provisions		3		501,968		501,968		410,491		410,491
	(1) As of March 31, 2012, the loan to Renal Advantage Partners LLC and Liberty Dialysis, Inc. has been retired.

Derivative Financial Instruments Valuation

			March 31, 2012				December 31, 2011
				Assets(2)		Liabilities(2)		Assets(2)		Liabilities(2)
Derivatives in cash flow hedging relationships (1)
	Current
		Foreign exchange contracts		11,059		(11,951)		4,117		(24,908)
		Interest rate contracts		-		-		-		(130,579)
	Non-current
		Foreign exchange contracts		147		(362)		742		(3,706)
		Interest rate contracts		-		(2,623)		-		(1,076)
Total			$	11,206	$	(14,936)	$	4,859	$	(160,269)
Derivatives not designated as hedging instruments (1)
	Current
		Foreign exchange contracts		4,037		(28,935)		56,760		(37,242)
	Non-current
		Foreign exchange contracts		2,004		(1,892)		1,382		(1,459)
Total			$	6,041	$	(30,827)	$	58,142	$	(38,701)
	(1) As of March 31, 2012 and December 31, 2011, the valuation of the Company's derivatives was determined using Significant Other Observable Inputs (Level 2) in accordance with the fair value hierarchy levels established in U.S. GAAP.
	(2) Derivative instruments are marked to market each reporting period resulting in carrying amounts being equal to fair values at the reporting date.

Effect of Derivatives on the Consolidated Financial Statements

The Effect of Derivatives on the Consolidated Financial Statements
		Amount of Gain or (Loss) Recognized in OCI on Derivatives			Location of (Gain) or Loss Reclassified from AOCI in Income			Amount of (Gain) or Loss Reclassified from AOCI in Income
Derivatives in Cash Flow Hedging Relationships
		(Effective Portion) for the three months ended March 31,							(Effective Portion) for the three months ended March 31,
		2012		2011	(Effective Portion)			2012			2011
Interest rate contracts	$	(15,797)	$	10,939	Interest income/expense		$	4,898		$	816
Foreign exchange contracts		8,865		(10,032)	Costs of Revenue			(2,990)			2,366
Foreign exchange contracts					Interest income/expense			741			(105)
	$	(6,932)	$	907			$	2,649		$	3,077
Derivatives not Designated as Hedging Instruments				Amount of (Gain) or Loss Recognized in Income on Derivatives for the three months ended March 31,
		Location of (Gain) or Loss Recognized in Income on Derivative
				2012		2011
Foreign exchange contracts		Selling, general and administrative expense
Foreign exchange contracts			$	13,759	$	(21,164)
		Interest income/expense		5,229		3,734
			$	18,988	$	(17,430)

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The Company, Basis of Presentation, Healthcare Reform and Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

The Company and Basis of Presentation

1. The Company andBasis of Presentation

The Company

Fresenius Medical Care AG & Co. KGaA (“FMC-AG & Co. KGaA”or the “Company”), a German partnership limited by shares (Kommanditgesellschaft auf Aktien), is the world's largest kidney dialysis company, operating in both the field of dialysis services and the field of dialysis products for the treatment of end-stage renal disease (“ESRD”). The Company's dialysis business is vertically integrated, providing dialysis treatment at dialysis clinics it owns or operates and supplying these clinics with a broad range of products. In addition, the Company sells dialysis products to other dialysis service providers. In the United States, the Company also provides inpatient dialysis services and other services under contract to hospitals.

In this report, “FMC-AG & Co. KGaA,” or the “Company,” “we,” “us” or “our” refers to the Company or the Company and its subsidiaries on a consolidated basis, as the context requires.

Basis of Presentation

The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”).

The consolidated financial statements at March 31, 2012 and for the three-month periods ended March 31, 2012 and 2011 contained in this report are unaudited and should be read in conjunction with the consolidated financial statements contained in the Company's 2011 Annual Report on Form 20-F. The preparation of consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.Such financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of the results of the periods presented. All such adjustments are of a normal recurring nature.

The accounting policies applied in the accompanying consolidated financial statements are the same as those applied in the consolidated financial statements as at and for the year ended December 31, 2011, contained in the Company's 2011 Annual Report on Form 20-F, unless indicated otherwise.

The results of operations for the three-month period ended March 31, 2012 are not necessarily indicative of the results of operations for the year ending December 31, 2012.

Certain items in the prior periods's comparative consolidated financial statements have been reclassified to conform to the current period's presentation.Bad debt expense in the amount of $52,537 was reclassified from selling general and administrative (“SG&A”) to revenue as a result of adoption of Accounting Standards Update 2011-07 as noted below. Freight expense in the amount of $34,675 was reclassified from SG&A to cost of revenue to harmonize the presentation for all business segments.

Recently Adopted Accounting Pronouncements

In July 2011, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update 2011-07 (“ASU 2011-07”), Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts and the Allowance for Doubtful Accounts for Certain Health Care Entities in order to provide financial statement users with greater transparency about a healthcare entity's net patient service revenue and the related allowance for doubtful accounts. The amendments require healthcare entities that recognize significant amounts of patient service revenue at the time the services are rendered even though they do not assess the patient's ability to pay to present the provision for bad debts related to patient service revenue as a deduction from patient service revenue (net of contractual allowances and discounts) on their statement of operations. The provision for bad debts must be reclassified from an operating expense to a deduction from patient service revenue. Additionally, these healthcare entities are required to provide enhanced disclosures about their policies for recognizing revenue and assessing bad debts. The amendments also require disclosures of patient service revenue (net of contractual allowances and discounts) as well as qualitative and quantitative information about changes in the allowance for doubtful accounts.

For public entities, the disclosures required under ASU 2011-07 are effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2011, with early adoption permitted. The amendments to the presentation of the provision for bad debts related to patient service revenue in the statement of operations should be applied retrospectively to all prior periods presented. The Company adopted the provisions of ASU 2011-07 as of January 1, 2012 and has restated the financial results of 2011, accordingly.

In June 2011, the FASB issued Accounting Standard Update 2011-05 (“ASU 2011-05”), Comprehensive Income (Topic 220): Presentation of Comprehensive Income. In December 2011 the FASB issued Accounting Standard Update 2011-12 (“ASU 2011-12”), Comprehensive Income (Topic 220): Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05. ASU 2011-12 defers certain incomeand other comprehensive income statement presentation requirements noted in ASU 2011-05. ASU 2011-05 still requires that all components of comprehensive income be presented either in a single continuous statement of comprehensive income or in two separate but continuous statements. In the two statement approach, the first statement should present total net income and its components followed consecutively by a second statement presenting total other comprehensive income, the components of other comprehensive income and total of comprehensive income. Additionally, the requirement for adjustments to the components and their related tax effects to be presented on the face of the statement in which the components of other comprehensive income are presented or in the notes to the financial statements remains for year-end disclosure.

The disclosures required are retrospective and are effective for fiscal years, and interim periods within those years, beginning after December 15, 2011, with early adoption permitted. As we currently present two separate but continuous statements of net income and comprehensive income, we are in compliance with presentation of Comprehensive Income (Topic 220): Presentation of Comprehensive Income.

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Business Segment Information (Tables)

3 Months Ended

Mar. 31, 2012

Business Segment Information (Tables) [Abstract]

Schedule of segment reporting information by segment

				North America		International		Segment Total		Corporate		Total
Three months ended March 31, 2012
	Net revenue external customers		$	2,104,584	$	1,136,090	$	3,240,674	$	8,081	$	3,248,755
	Inter - segment revenue			3,452		-		3,452		(3,452)		-
	Net revenue			2,108,036		1,136,090		3,244,126		4,629		3,248,755
	Depreciation and amortization			(72,016)		(42,927)		(114,943)		(28,431)		(143,374)
	Operating income			347,833		194,912		542,745		(39,779)		502,966
	Income (loss) from equity method investees			2,982		67		3,049		2,448		5,497
	Segment assets			13,974,231		5,889,591		19,863,822		2,124,166		21,987,988
		thereof investments in equity method investees		254,408		381,567		635,975		1,780		637,755
	Capital expenditures, acquisitions and investments(1)			1,760,581		38,886		1,799,467		27,753		1,827,220
Three months ended March 31, 2011
	Net revenue external customers		$	1,924,751	$	1,055,233	$	2,979,984	$	3,867	$	2,983,851
	Inter - segment revenue			1,694		-		1,694		(1,694)		-
	Net revenue			1,926,445		1,055,233		2,981,678		2,173		2,983,851
	Depreciation and amortization			(68,227)		(40,349)		(108,576)		(27,408)		(135,984)
	Operating income			312,107		171,011		483,118		(38,034)		445,084
	Income (loss) from equity method investees			7,518		64		7,582		-		7,582
	Segment assets			11,355,947		4,531,146		15,887,093		2,226,544		18,113,637
		thereof investments in equity method investees		265,365		7,284		272,649		-		272,649
	Capital expenditures, acquisitions and investments (2)			387,870		40,776		428,646		27,312		455,958
	(1) North America acquisitions exclude $468,793 of non-cash acquisitions and International acquisitions exclude $652 of non-cash acquisitions for 2012.
	(2) North America and International acquisitions exclude $6,000 and $848, respectively, of non-cash acquisitions for 2011.

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Long-term Debt and Capital Lease Obligations (Details) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended													3 Months Ended				3 Months Ended
	Mar. 31, 2012 USD ($)	Dec. 31, 2011 USD ($)	Mar. 31, 2012 Long Term Debt [Member] USD ($)	Dec. 31, 2011 Long Term Debt [Member] USD ($)	Mar. 31, 2012 Amended 2006 Senior Credit Agreement [Member] USD ($)	Dec. 31, 2011 Amended 2006 Senior Credit Agreement [Member] USD ($)	Mar. 31, 2012 Term Loan A [Member] USD ($)	Dec. 31, 2011 Term Loan A [Member] USD ($)	Mar. 31, 2012 Term Loan B [Member] USD ($)	Dec. 31, 2011 Term Loan B [Member] USD ($)	Mar. 31, 2012 Revolving Credit Facility [Member] USD ($)	Dec. 31, 2011 Revolving Credit Facility [Member] USD ($)	Mar. 31, 2012 Senior Notes [Member] USD ($)	Dec. 31, 2011 Senior Notes [Member] USD ($)	Mar. 31, 2012 Senior Notes 5.25 Percent [Member]	Mar. 31, 2012 Senior Notes January 2012 [Member]	Mar. 31, 2012 Senior Notes January 2012 5 5/8% [Member] USD ($)	Mar. 31, 2012 Seniornotesjanuary 2012578 [Member] USD ($)	Mar. 31, 2012 Senior Notes Janaury 2012 Euro [Member] USD ($)	Mar. 31, 2012 Senior Notes Janaury 2012 Euro [Member] EUR (€)	Mar. 31, 2012 Euro Notes [Member] USD ($)	Dec. 31, 2011 Euro Notes [Member] USD ($)	Mar. 31, 2012 EIB Agreements [Member] USD ($)	Dec. 31, 2011 EIB Agreements [Member] USD ($)
Debt Instrument [Line Items]
Senior Credit Agreement					$ 2,772,680	$ 2,795,589
Senior Long Term Notes													4,761,382	2,883,009							267,120	258,780	351,602	345,764
Capital lease obligations	17,204	17,993
Other	318,998	248,951
Long-term debt and capital lease obligations	8,690,236	7,084,586
Less current maturities	3,106,968	1,589,776
Total long-term debt less current maturities	5,583,268	5,494,810
Maximum amount available					3,902,583	3,936,619	1,185,000	1,215,000	1,517,583	1,521,619	1,200,000	1,200,000
Balance outstanding					2,772,680	2,795,589	1,185,000	1,215,000	1,517,583	1,521,619	70,097	58,970
Line of credit outstanding which reduces available borrowings under the revolving credit facility	160,984	180,766
Senior Notes Issued January 2012 [Abstract]
Issuance date																January 26, 2012
Issuer															FMC Finance VIII S.A.	Fresenius Medical Care US Finance II, Inc.
Face amount																	800,000	700,000	328,625	250,000
Stated interest rate																	5.625%	5.875%	5.25%	5.25%
Maturity date																Jul. 31, 2019			Jul. 31, 2019	Jul. 31, 2019
Call feature																US Finance and Finance VII may redeem the 5.625% and 5.875% Senior Notes and 5.25% Senior Notes, respectively, at any time at 100% of principal plus accrued interest and a premium calculated pursuant to the terms of the applicable indenture. The holders of the 5.625% and 5.875% Senior Notes and the 5.25% Senior Notes have a right to request that the respective issuers of the notes repurchase the applicable issue of notes at 101% of principal plus accrued interest upon the occurrence of a change of control of the Company followed by a decline in the rating of the respective notes.
Accounts receivable facility	$ 5,277	$ 6,902	$ 201,250	$ 534,500

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Acquisitions and Investments (Details) (Liberty Dialysis Holdings Inc [Member], USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Liberty Dialysis Holdings Inc [Member]
Business Acquisition [Line Items]
Name of acquired entity	Liberty Dialysis Holdings, Inc.
Description of acquired entity	Upon completion, the acquired operations would add approximately 260 outpatient dialysis clinics to the Company's network in the U.S. and approximately $1,000,000 in annual revenue.
Long-term notes receivable	$ 294,000

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Consolidated Statements of Income (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Net revenue:
Dialysis Care Revenue	$ 2,544,059	$ 2,285,316
Valuation Allowances and Reserves, Adjustments	66,859	52,537
Net Dialysis care revenue	2,477,200	2,232,779
Dialysis Products Revenue	771,555	751,072
Net revenue	3,248,755	2,983,851
Costs of revenue:
Dialysis Care Cost of Revenue	1,831,126	1,675,951
Dialysis Products Cost of Revenue	348,120	360,013
Cost of revenues	2,179,246	2,035,964
Gross profit	1,069,509	947,887
Operating expenses:
Selling, general and administrative	552,832	484,236
Research and development	28,522	26,149
Income from equity method investees	(5,497)	(7,582)
Gain on the sale of dialysis clinics	9,314
Operating income	502,966	445,084
Other (income) expense:
Interest income	(20,306)	(10,421)
Interest expense	119,186	81,986
Investment gain	126,685	0
Income before income taxes	530,771	373,519
Income tax expense	137,077	124,404
Net Income	393,694	249,115
Less: Net income attributable to noncontrolling interests	23,196	28,414
Net Income attributable to the Company	$ 370,498	$ 220,701
Basic income per Ordinary share	$ 1.22	$ 0.73
Fully diluted income per Ordinary share	$ 1.21	$ 0.73

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Commitments and Contingencies (Details) (Insurance Claims [Member], USD $) In Thousands, unless otherwise specified	Mar. 31, 2012
Insurance Claims [Member]
Loss Contingencies [Line Items]
Loss Contingency Accrual Carrying Value Current	$ 115,000

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Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Operating Activities:
Net Income	$ 393,694	$ 249,115
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	143,374	135,984
Change in deferred taxes, net	27,838	32,427
(Gain) loss on sale of investments	(9,331)	(35)
(Gain) loss on sale of fixed assets	582	(572)
Stock Option Compensation Expense	6,546	7,132
Cash outflow from hedging	(15,578)	(57,111)
Investment gain	126,685	0
Changes in assets and liabilities, net of amounts from businesses acquired:
Trade accounts receivable, net	(104,401)	(182,407)
Inventories, net	(28,852)	(73,393)
Prepaid expenses, other current and non-current assets	133,435	13,251
Accounts receivable, related parties	(16,359)	(84)
Accounts payable, related parties	(9,759)	(4,546)
Accounts payable, accrued expenses and other current and non-current liabilities	30,552	32,913
Income tax payable	18,199	22,645
Dividend income from equity method investees	37,922	0
Net cash provided by (used in) operating activities	481,177	175,319
Investing Activities:
Purchases of property, plant and equipment	(124,418)	(117,166)
Proceeds from sale of property, plant and equipment	1,849	4,006
Acquisitions and investments, net of cash acquired, and net purchases of intangible assets	(1,702,802)	(338,792)
Proceeds from divestitures	176,721	0
Net cash (used in) provided by investing activities	(1,648,650)	(451,952)
Financing Activities:
Proceeds from short-term borrowings and other financial liabilities	29,868	49,416
Repayments of short-term borrowings and other financial liabilities	(39,171)	(64,502)
Proceeds from short-term borrowings from related parties	0	24,487
Repayments of short-term borrowings from related parties	(13,894)	0
Proceeds from long-term debt and capital lease obligations (net of debt issuance costs of $123,140 in 2011 and $31,239 in 2010)	1,704,748	992,413
Repayments of long-term debt and capital lease obligations	(41,573)	(116,007)
Increase (decrease) of accounts receivable securitization program	(333,250)	(510,000)
Proceeds from exercise of stock options	4,354	1,821
Distributions to noncontrolling interests	(32,366)	(25,052)
Contributions from noncontrolling interests	5,350	3,939
Net cash (used in) provided by financing activities	1,284,066	356,515
Effect of exchange rate changes on cash and cash equivalents	6,339	16,903
Cash and Cash Equivalents:
Net (decrease) in cash and cash equivalents	122,932	96,785
Cash and cash equivalents at beginning of period	457,292	522,870
Cash and cash equivalents at end of period	$ 580,224	$ 619,655

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Acquisition of Liberty Dialysis Holdings (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Business Acquisition [Line Items]
Trade accounts receivable	$ 3,099,081		$ 2,798,318
Prepaid expenses and other current assets	939,876		1,035,366
Goodwill	11,292,648		9,186,650
Short Term Borrowings Due To Related Parties Current Acquisitions	14,698		28,013
Income tax payable, current	249,126		162,354
Other Noncontrolling Interests	(183,900)
Investment at acquisition date	(189,000)
Operating income	502,966	445,084
Income attributable to the Company	370,498	220,701
Liberty Dialysis Holdings [Member]
Business Acquisition [Line Items]
Business Acquisition Description Of Acquired Entity	On February 28, 2012, the Company acquired 100% of the equity of Liberty Dialysis Holdings, Inc. (“LD Holdings”), the owner of Liberty Dialysis and owner of a 51% stake in Renal Advantage Partners, LLC (the “Liberty Acquisition”) and accounted for this transaction as a business combination, subject to finalization of the acquisition accounting which will be finalized when certain information arranged to be obtained has been received. LD Holdings mainly provides dialysis services in the United States through the 263 clinics it owns (the “Acquired Clinics”). As we expressly disclose in the Form 20-F (see Item 4B, “Information on the Company – Business Overview – Our Strategy and Competitive Strengths,”) it is part of our stated strategy to expand and complement our existing business through acquisitions. Generally, these acquisitions do not change our business model and are easy to integrate without disruption to our existing business, requiring little or no realignment of our structures. The Liberty Acquisition is consistent in this regard as it involves the acquisition of dialysis clinics, a business in which we are already engaged and, therefore, merely supplements our existing business. Total consideration for the Liberty Acquisition was $2,161,438, consisting of $1.692.645 cash, net of cash acquired and $468,793 non-cash consideration. Accounting standards for business combinations require previously held equity interests to be fair valued with the difference to book value to be recognized as a gain or loss in income. Prior to the Liberty Acquisition, the Company had a 49% equity investment in Renal Advantage Partners, LLC, the fair value of which, $189,000, is included as non-cash consideration. The estimated fair value has been determined based on the discounted cash flow method, utilizing an approximately 13% discount rate. In addition to the Company’s investment, it also had a loan receivable of $279,793 from Renal Advantage Partners, LLC which was retired as part of the transaction. This retirement is also considered non-cash consideration bringing the total non-cash consideration in the Liberty Acquisition to $468,793.
Other current assets	153,259
Trade accounts receivable	155,242
Prepaid expenses and other current assets	34,501
Property, Plant and Equipment	180,600
Intangible Assets, Current	90,411
Goodwill	2,032,213
Acquisition Accounts Payable	(143,313)
Short Term Borrowings Due To Related Parties Current Acquisitions	(58,079)
Income tax payable, current	(64,696)
Other Liabilities	(34,800)
Total acquisition cost	2,161,438
Long-term notes receivable	(279,793)
Total non-cash items	(468,793)
Cash paid for acquisitions, net	1,692,645
Segment revenue	82,945
Operating income	4,393
Income attributable to the Company	$ (2,831)

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Supplemental Condensed Combining Information

3 Months Ended

12 Months Ended

Mar. 31, 2012

Mar. 31, 2011

Dec. 31, 2011

Notes to Consolidated Financial Statements [Abstract]

Supplemental Condensed Combining Information

15. Supplemental Condensed Combining Information

FMC Finance III, a former wholly-owned subsidiary of the Company, issued 6⅞% Senior Notes due 2017 in July 2007. On June 20, 2011, US Finance acquired substantially all of the assets of FMC Finance III and assumed its obligations, including the 6⅞% Senior Notes (see Note 7) and the related indenture. The 6⅞% senior notes are fully and unconditionally guaranteed, jointly and severally on a senior basis, by the Company and by the Guarantor Subsidiaries. The 6⅞% senior notes and related guarantees were issued in an exchange offer registered under the Securities Act of 1933. For information regarding the 6⅞% senior notes and additional issues of senior notes, including the 5.75% Senior Notes issued by US Finance, each of which has been fully and unconditionally guaranteed, jointly and severally on a senior basis, by the Company and by the Guarantor Subsidiaries, see Note 7. The financial statements in this report present the financial condition, results of operations and cash flows of the Company, on a consolidated basis as of March 31, 2012 and December 31, 2011 and for the three-month periods ended March 31, 2012 and 2011. The following combining financial information for the Company is as of March 31, 2012 and December 31, 2011 and for the three-month periods ended March 31, 2012 and 2011, segregated between FMC Finance III as issuer until June 20, 2011, US Finance as issuer subsequent to June 20, 2011, the Company, D-GmbH and FMCH as guarantors, and the Company's other businesses (the “Non-Guarantor Subsidiaries”). For purposes of the condensed combining information, the Company and the Guarantors carry their investments under the equity method. Other (income) expense includes income (loss) related to investments in consolidated subsidiaries recorded under the equity method for purposes of the condensed combining information. In addition, other (income) expense includes income and losses from profit and loss transfer agreements as well as dividends received.

		For the three months ended March 31, 2012
		Issuer		Guarantors
		FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Net revenue		$	-	$	-	$	461,804	$	-	$	3,499,979	$	(713,028)	$	3,248,755
Cost of revenue			-		-		286,678		-		2,602,115		(709,547)		2,179,246
	Gross profit		-		-		175,126		-		897,864		(3,481)		1,069,509
Operating expenses (income):
	Selling, general and administrative (1)		-		(20,246)		53,688		(38,375)		505,891		37,063		538,021
	Research and development		-		-		17,375		-		11,147		-		28,522
Operating (loss) income			-		20,246		104,063		38,375		380,826		(40,544)		502,966
Other (income) expense:
	Investment gain		-		-		-		-		(126,685)		-		(126,685)
	Interest, net		(1,706)		45,657		1,005		31,069		22,855		-		98,880
	Other, net		-		(437,325)		67,879		(292,855)		-		662,301		-
Income (loss) before income taxes			1,706		411,914		35,179		300,161		484,656		(702,845)		530,771
	Income tax expense (benefit)		639		41,416		29,953		2,882		142,348		(80,161)		137,077
Net Income (loss)			1,067		370,498		5,226		297,279		342,308		(622,684)		393,694
Net Income attributable to noncontrolling interests			-		-		-		-		-		23,196		23,196
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA		$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(645,880)	$	370,498
(1) Selling, general and administrative is presented net of Gain on Sale of dialysis clinics and net of income from equity method investees.

		For the three months ended March 31, 2011
		Issuer		Guarantors
		FMC Finance III		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Net revenue		$	-	$	-	$	447,378	$	-	$	3,196,090	$	(659,617)	$	2,983,851
Cost of revenue			-		-		283,204		-		2,403,465		(650,705)		2,035,964
	Gross profit		-		-		164,174		-		792,625		(8,912)		947,887
Operating expenses (income):
	Selling, general and administrative (1)		5		16,285		47,300		(37,398)		450,332		130		476,654
	Research and development		-		-		16,417		-		9,732		-		26,149
Operating (loss) income			(5)		(16,285)		100,457		37,398		332,561		(9,042)		445,084
Other (income) expense:
	Interest, net		(180)		18,359		1,668		14,624		42,985		(5,891)		71,565
	Other, net		-		(290,061)		64,292		(140,042)		-		365,811		-
Income (loss) before income taxes			175		255,417		34,497		162,816		289,576		(368,962)		373,519
	Income tax expense (benefit)		50		34,716		26,982		8,984		122,626		(68,954)		124,404
Net Income (loss)			125		220,701		7,515		153,832		166,949		(300,007)		249,115
Net Income attributable to noncontrolling interests			-		-		-		-		-		28,414		28,414
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA		$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(328,421)	$	220,701
(1) Selling, general and administrative is presented net of income from equity method investees.

		For the three months ended March 31, 2012
		Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
		FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Net Income		$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(622,684)	$	393,694
	Gain (loss) related to cash flow hedges		-		(22,327)		(9)		11,725		6,328		-		(4,283)
	Actuarial gain (loss) on defined benefit pension plans		-		8		94		4,268		3		-		4,373
	Gain (loss) related to foreign currency translation		-		(3,253)		6,346		-		121,307		(3,604)		120,796
	Income tax (expense) benefit related to components of other comprehensive income		-		8,141		(24)		(6,310)		(20,788)		-		(18,981)
Other comprehensive income (loss), net of tax			-		(17,431)		6,407		9,683		106,850		(3,604)		101,905
Total comprehensive income		$	1,067	$	353,067	$	11,633	$	306,962	$	449,158	$	(626,288)	$	495,599
	Comprehensive income attributable to noncontrolling interests		-		-		-		-		-		24,037		24,037
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA		$	1,067	$	353,067	$	11,633	$	306,962	$	449,158	$	(650,325)	$	471,562

			At March 31, 2012
			Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
			FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Current assets:
	Cash and cash equivalents		$	0	$	28	$	351	$	-	$	579,845	$	-	$	580,224
	Trade accounts receivable, less allowance for doubtful accounts			-		-		150,135		-		2,948,946		-		3,099,081
	Accounts receivable from related parties			1,252,485		3,789,324		1,189,604		2,408,915		7,558,034		(16,065,916)		132,446
	Inventories			-		-		263,315		-		880,920		(120,238)		1,023,997
	Prepaid expenses and other current assets			-		59,758		33,282		-		846,442		394		939,876
	Deferred taxes			-		29,516		-		-		261,677		25,780		316,973
		Total current assets		1,252,485		3,878,626		1,636,687		2,408,915		13,075,864		(16,159,980)		6,092,597
Property, plant and equipment, net				-		471		182,311		-		2,774,119		(112,909)		2,843,992
Intangible assets				-		240		54,520		-		686,672		-		741,432
Goodwill				-		-		55,521		-		11,237,127		-		11,292,648
Deferred taxes				-		17,009		1,378		-		108,573		(55,972)		70,988
Other assets				-		10,190,377		654,533		11,341,141		(7,029,018)		(14,210,702)		946,331
	Total assets		$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337	$	(30,539,563)	$	21,987,988
Current liabilities:
	Accounts payable		$	-	$	1,190	$	35,902	$	-	$	517,999	$	-	$	555,091
	Accounts payable to related parties			-		1,487,213		1,205,327		3,245,256		10,361,652		(16,194,473)		104,975
	Accrued expenses and other current liabilities			11,833		31,231		123,385		92,736		1,459,795		1,953		1,720,933
	Short-term borrowings			-		156		-		-		103,507		-		103,663
	Short-term borrowings from related parties			-		-		-		-		(39,135)		53,833		14,698
	Current portion of long-term debt and capital lease obligations			-		305,456		-		1,587,680		1,213,832		-		3,106,968
	Income tax payable			-		126,610		-		-		125,817		(3,301)		249,126
	Deferred taxes			-		-		8,402		-		34,247		(12,728)		29,921
		Total current liabilities		11,833		1,951,856		1,373,016		4,925,672		13,777,714		(16,154,716)		5,885,375
Long term debt and capital lease obligations, less current portion				1,176,096		519,982		-		-		7,837,473		(3,950,283)		5,583,268
Long term borrowings from related parties				-		3,250,595		205,487		408,942		(1,923,257)		(1,941,767)		-
Other liabilities				-		4,584		13,104		-		231,885		25,480		275,053
Pension liabilities				-		5,857		154,635		-		140,281		-		300,773
Income tax payable				2,655		267		-		-		56,249		117,830		177,001
Deferred taxes				-		-		-		-		649,795		(20,629)		629,166
		Total liabilities		1,190,584		5,733,141		1,746,242		5,334,614		20,770,140		(21,924,085)		12,850,636
Noncontrolling interests subject to put provisions				-		-		-		-		501,968		-		501,968
Total FMC-AG & Co. KGaA shareholders' equity				61,901		8,353,582		838,708		8,415,442		(700,572)		(8,615,479)		8,353,582
Noncontrolling interests not subject to put provisions				-		-		-		-		281,802		-		281,802
Total equity				61,901		8,353,582		838,708		8,415,442		(418,770)		(8,615,479)		8,635,384
	Total liabilities and equity		$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337	$	(30,539,563)	$	21,987,988

				For the three months ended March 31, 2012
				Issuer		Guarantors
				FMC US Finance		FMC - AG & Co. KGaA		D-GmbH			FMCH	Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Operating Activities:
	Net income (loss)			$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(622,684)	$	393,694
	Adjustments to reconcile net income to net cash provided by (used in) operating activities:
	Equity affiliate income				-		(313,741)		-		(292,855)		-		606,596		-
		Depreciation and amortization			-		85		11,692		-		138,709		(7,112)		143,374
		Change in deferred taxes, net			-		9,671		1,852		-		16,810		(495)		27,838
		(Gain) loss on sale of fixed assets and investments			-		(33)		92		-		(8,808)		-		(8,749)
		Investment (gain)			-		-		-		-		(126,685)		-		(126,685)
		Compensation expense related to stock options			-		6,546		-		-		-		-		6,546
		Cash outflow from hedging			-		-		-		-		(15,578)		-		(15,578)
	Changes in assets and liabilities, net of amounts from businesses acquired:
		Trade accounts receivable, net			-		-		(2,162)		-		(102,239)		-		(104,401)
		Inventories			-		-		(30,891)		-		(871)		2,910		(28,852)
		Prepaid expenses and other current and non-current assets			-		139,972		(18,058)		(35,608)		46,953		176		133,435
		Accounts receivable from / payable to related parties			4,829		(244,469)		12,092		(8,660)		206,929		3,161		(26,118)
		Accounts payable, accrued expenses and other current and non-current liabilities			(7,273)		3,778		31,404		658		2,327		(342)		30,552
		Income tax payable			639		(5,634)		-		2,882		47,874		(27,562)		18,199
		Dividend income from equity method investees			-		37,190		-		-		732		-		37,922
			Net cash provided by (used in) operating activities		(738)		3,863		11,247		(36,304)		548,461		(45,352)		481,177
Investing Activities:
	Purchases of property, plant and equipment				-		(153)		(10,412)		-		(122,015)		8,162		(124,418)
	Proceeds from sale of property, plant and equipment				-		33		-		-		1,816		-		1,849
	Disbursement of loans to related parties				-		(15,680)		46		53,715		(1,087,131)		1,049,050		-
	Acquisitions and investments, net of cash acquired, and net purchases of intangible assets				-		(1,637,673)		(183)		-		(1,702,618)		1,637,672		(1,702,802)
	Proceeds from divestitures				-		-		-		-		176,721		-		176,721
			Net cash provided by (used in) investing activities		-		(1,653,473)		(10,549)		53,715		(2,733,227)		2,694,884		(1,648,650)
Financing Activities:
	Short-term borrowings, net				-		(13,837)		(498)		50,000		(58,862)		-		(23,197)
	Long-term debt and capital lease obligations, net				738		1,668,422		-		(67,411)		1,110,476		(1,049,050)		1,663,175
	Increase (decrease) of accounts receivable securitization program				-		-		-		-		(333,250)		-		(333,250)
	Proceeds from exercise of stock options				-		3,771		-		-		583		-		4,354
	Dividends paid				-		-		-		-		-		-		-
	Capital increase (decrease)				-		-		-		-		1,600,482		(1,600,482)		-
	Distributions to noncontrolling interest				-		-		-		-		(32,366)		-		(32,366)
	Contributions from noncontrolling interest				-		-		-		-		5,350		-		5,350
			Net cash provided by (used in) financing activities		738		1,658,356		(498)		(17,411)		2,292,413		(2,649,532)		1,284,066
Effect of exchange rate changes on cash and cash equivalents					-		(8,720)		7		-		15,052		-		6,339
Cash and Cash Equivalents:
Net increase (decrease) in cash and cash equivalents					(0)		26		207		-		122,699		-		122,932
Cash and cash equivalents at beginning of period					-		2		144		-		457,146		-		457,292
Cash and cash equivalents at end of period				$	(0)	$	28	$	351	$	-	$	579,845	$	-	$	580,224

				For the three months ended March 31, 2011
				Issuer		Guarantors						Non-Guarantor Subsidiaries
				FMC Finance III		FMC - AG & Co. KGaA		D-GmbH			FMCH				Combining Adjustment			Combined Total
Operating Activities:
	Net income (loss)			$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(300,007)	$	249,115
	Adjustments to reconcile net income to net cash provided by (used in) operating activities:
	Equity affiliate income				-		(197,375)		-		(140,042)		-		337,417		-
		Depreciation and amortization			-		379		11,117		222		130,576		(6,310)		135,984
		Change in deferred taxes, net			-		13,443		1,089		-		20,000		(2,105)		32,427
		(Gain) loss on sale of fixed assets and investments			-		-		(4)		-		(603)		-		(607)
		Compensation expense related to stock options			-		7,132		-		-		-		-		7,132
		Cash outflow from hedging			-		-		-		-		(57,111)		-		(57,111)
	Changes in assets and liabilities, net of amounts from businesses acquired:
		Trade accounts receivable, net			-		-		2,269		-		(184,676)		-		(182,407)
		Inventories			-		-		(16,340)		-		(64,895)		7,842		(73,393)
		Prepaid expenses and other current and non-current assets			1		(25,605)		(16,365)		(36,830)		91,786		264		13,251
		Accounts receivable from / payable to related parties			8,413		(18,879)		(11,783)		11,803		64,693		(58,877)		(4,630)
		Accounts payable, accrued expenses and other current and non-current liabilities			(8,606)		(32,676)		29,564		(36)		44,264		403		32,913
		Income tax payable			5		20,962		-		8,984		10,901		(18,207)		22,645
			Net cash provided by (used in) operating activities		(62)		(11,918)		7,062		(2,067)		221,885		(39,581)		175,319
Investing Activities:
	Purchases of property, plant and equipment				-		(91)		(3,648)		-		(120,064)		6,637		(117,166)
	Proceeds from sale of property, plant and equipment				-		-		22		-		3,984		-		4,006
	Disbursement of loans to related parties				-		366,568		48		(778,430)		-		411,814		-
	Acquisitions and investments, net of cash acquired, and net purchases of intangible assets				-		(140)		(3,065)		-		(1,002,127)		666,540		(338,792)
	Proceeds from divestitures				-		-		-		-		-		-		-
			Net cash provided by (used in) investing activities		-		366,337		(6,643)		(778,430)		(1,118,207)		1,084,991		(451,952)
Financing Activities:
	Short-term borrowings, net				-		24,487		(523)		(299)		(14,264)		-		9,401
	Long-term debt and capital lease obligations, net				-		(296,955)		-		117,406		1,467,769		(411,814)		876,406
	Increase (decrease) of accounts receivable securitization program				-		-		-		-		(510,000)		-		(510,000)
	Proceeds from exercise of stock options				-		1,665		-		-		156		-		1,821
	Dividends paid				-		-		-		-		12		(12)		-
	Capital increase (decrease)				-		-		-		663,390		3,150		(666,540)		-
	Distributions to noncontrolling interest				-		-		-		-		(25,052)		-		(25,052)
	Contributions from noncontrolling interest				-		-		-		-		3,939		-		3,939
			Net cash provided by (used in) financing activities		-		(270,803)		(523)		780,497		925,710		(1,078,366)		356,515
Effect of exchange rate changes on cash and cash equivalents					-		(3,479)		10		-		20,360		12		16,903
Cash and Cash Equivalents:
Net (decrease) increase in cash and cash equivalents					(62)		80,137		(94)		-		49,748		(32,944)		96,785
Cash and cash equivalents at beginning of period					123		147,177		225		-		342,401		32,944		522,870
Cash and cash equivalents at end of period				$	61	$	227,314	$	131	$	-	$	392,149	$	-	$	619,655

			At December 31, 2011
			Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
			FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Current assets:
	Cash and cash equivalents		$	1	$	2	$	144	$	-	$	457,145	$	-	$	457,292
	Trade accounts receivable, less allowance for doubtful accounts			-		-		143,313		-		2,655,005		-		2,798,318
	Accounts receivable from related parties			1,273,649		3,507,671		1,058,327		700,929		4,214,468		(10,644,036)		111,008
	Inventories			-		-		224,601		-		857,521		(114,626)		967,496
	Prepaid expenses and other current assets			-		195,428		16,973		50		834,932		(12,017)		1,035,366
	Deferred taxes			-		32,466		-		-		266,164		26,909		325,539
		Total current assets		1,273,650		3,735,567		1,443,358		700,979		9,285,235		(10,743,770)		5,695,019
Property, plant and equipment, net				-		356		175,798		-		2,560,913		(107,366)		2,629,701
Intangible assets				-		266		54,811		-		631,575		-		686,652
Goodwill				-		-		53,788		-		9,132,862		-		9,186,650
Deferred taxes				-		15,923		2,457		-		125,462		(55,683)		88,159
Other assets				-		8,142,771		653,871		10,995,245		(6,082,225)		(12,462,993)		1,246,669
	Total assets		$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822	$	(23,369,812)	$	19,532,850
Current liabilities:
	Accounts payable		$	-	$	668	$	26,463	$	-	$	514,292	$	-	$	541,423
	Accounts payable to related parties			3,700		1,547,946		1,057,625		1,557,976		6,697,551		(10,753,572)		111,226
	Accrued expenses and other current liabilities			29,771		156,119		102,410		2,132		1,406,886		6,955		1,704,273
	Short-term borrowings			-		94		-		-		98,707		-		98,801
	Short-term borrowings from related parties			-		-		-		-		(25,820)		53,833		28,013
	Current portion of long-term debt and capital lease obligations			-		295,825		-		1,142,224		151,727		-		1,589,776
	Income tax payable			2,016		128,218		-		-		32,120		-		162,354
	Deferred taxes			-		-		7,292		-		28,799		(9,346)		26,745
		Total current liabilities		35,487		2,128,870		1,193,790		2,702,332		8,904,262		(10,702,130)		4,262,611
Long term debt and capital lease obligations, less current portion				1,177,329		507,898		-		438,366		7,372,794		(4,001,577)		5,494,810
Long term borrowings from related parties				-		1,348,717		203,156		408,942		(399,065)		(1,561,750)		-
Other liabilities				-		2,424		12,977		183,839		11,553		25,835		236,628
Pension liabilities				-		5,163		146,555		-		138,775		-		290,493
Income tax payable				-		259		-		-		50,309		138,432		189,000
Deferred taxes				-		-		-		-		608,444		(20,644)		587,800
		Total liabilities		1,212,816		3,993,331		1,556,478		3,733,479		16,687,072		(16,121,834)		11,061,342
Noncontrolling interests subject to put provisions				-		-		-		-		410,491		-		410,491
Total FMC-AG & Co. KGaA shareholders' equity				60,834		7,901,552		827,605		7,962,745		(1,603,206)		(7,247,978)		7,901,552
Noncontrolling interests not subject to put provisions				-		-		-		-		159,465		-		159,465
Total equity				60,834		7,901,552		827,605		7,962,745		(1,443,741)		(7,247,978)		8,061,017
	Total liabilities and equity		$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822	$	(23,369,812)	$	19,532,850

		For the three months ended March 31, 2011
		Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
		FMC Finance III		FMC - AG & Co. KGaA		D-GmbH		FMCH
Net Income		$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(300,007)	$	249,115
	Gain (loss) related to cash flow hedges		-		(575)		(30)		12,620		(8,031)		-		3,984
	Actuarial gain (loss) on defined benefit pension plans		-		-		-		1,783		-		-		1,783
	Gain (loss) related to foreign currency translation		-		52,263		11,770		-		59,752		(4,832)		118,953
	Income tax (expense) benefit related to components of other comprehensive income		-		1,385		8		(5,650)		106		-		(4,151)
Other comprehensive income (loss), net of tax			-		53,073		11,748		8,753		51,827		(4,832)		120,569
Total comprehensive income		$	125	$	273,774	$	19,263	$	162,585	$	218,776	$	(304,839)	$	369,684
	Comprehensive income attributable to noncontrolling interests		-		-		-		-		-		28,682		28,682
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA		$	125	$	273,774	$	19,263	$	162,585	$	218,776	$	(333,521)	$	341,002

XML

Patient Service Revenue (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Mar. 31, 2011
Patient Service Revenue By Payor [Line Items]
Patient Service Revenue by Payor	$ 1,984,243	$ 1,782,000
Medicare ESRD program
Patient Service Revenue By Payor [Line Items]
Patient Service Revenue by Payor	923,625	895,232
Hospitals
Patient Service Revenue By Payor [Line Items]
Patient Service Revenue by Payor	99,742	99,133
Private
Patient Service Revenue By Payor [Line Items]
Patient Service Revenue by Payor	857,306	736,124
Medicaid and other government sources
Patient Service Revenue By Payor [Line Items]
Patient Service Revenue by Payor	$ 103,570	$ 51,511

XML

Patient Service Revenue (Tables)

3 Months Ended

Mar. 31, 2012

Patient Service Revenue by Payor (Abstract)

Patient Service Revenue [Text Block]

		For the three months ended March 31,
		2012		2011
Medicare ESRD program	$	923,625	$	895,232
Private/alternative payors		857,306		736,124
Medicaid and other government sources		103,570		51,511
Hospitals		99,742		99,133
Total patient service revenue	$	1,984,243	$	1,782,000

XML

Consolidated Statements of Shareholders' Equity (USD $) In Thousands, except Share data, unless otherwise specified	Total	Preferred Stock, No par value [Member]	Common Stock, No par value [Member]	Additional paid in capital [Member]	Retained earnings [Member]	Accumulated other comprehensive income (loss) [Member]	Total FMC-AG and Co. KGaA [Member]	Noncontrolling interests not subject to put provisions [Member]
Shareholders equity at Dec. 31, 2010	$ 7,523,911	$ 4,440	$ 369,002	$ 3,339,781	$ 3,858,080	$ (194,045)	$ 7,377,258	$ 146,653
Shares issued at Dec. 31, 2010		3,957,168	298,279,001
Proceeds from exercise of options and related tax effects	88,546	12	2,647	85,887			88,546
Shares from exercise of options and related tax effects		8,523	1,885,921
Compensation expense related to stock options	29,071			29,071			29,071
Dividends paid	280,649				280,649		280,649	0
Purchase (sale) of noncontrolling interests	3,789			(5,873)			(5,873)	9,662
Cash contributions from noncontrolling interests	59,066							59,066
Changes in fair value of noncontrolling interests	(86,233)			(86,233)			(86,233)
Comprehensive income (loss)
Net Income	1,134,405				1,071,154		1,071,154	63,251
Other comprehensive income (loss) - net	(292,757)					(291,722)	(291,722)	(1,035)
Total comprehensive income	841,648						779,432	62,216
Shareholders equity at Dec. 31, 2011	8,061,017	4,452	371,649	3,362,633	4,648,585	(485,767)	7,901,552	159,465
Shares issued at Dec. 31, 2011		3,965,691	300,164,922
Proceeds from exercise of options and related tax effects	4,069	1	117	3,951			4,069
Shares from exercise of options and related tax effects		831	89,102
Compensation expense related to stock options	6,546			6,546			6,546
Dividends paid	0				0		0	0
Purchase (sale) of noncontrolling interests	131,156			2,083			2,083	129,073
Cash contributions from noncontrolling interests	17,380							17,380
Changes in fair value of noncontrolling interests	(32,230)			(32,230)			(32,230)
Comprehensive income (loss)
Net Income	380,510				370,498		370,498	10,012
Other comprehensive income (loss) - net	101,696					101,064	101,064	632
Total comprehensive income	482,206						471,562	10,644
Shareholders equity at Mar. 31, 2012	$ 8,635,384	$ 4,453	$ 371,766	$ 3,342,983	$ 5,019,083	$ (384,703)	$ 8,353,582	$ 281,802
Shares issued at Mar. 31, 2012		3,966,522	300,254,024

XML

Consolidated Statements of Comprehensive Income (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Consolidated Statements of Comprehensive Income
Net Income	$ 393,694	$ 249,115
(Loss) gain related to cash flow hedges	(4,283)	3,984
Actuarial gains (losses) on defined benefit pension plans	4,373	1,783
(Loss) gain related to foreign currency translation	120,796	118,953
Income tax (expense) benefit related to components of other comprehensive income	(18,981)	(4,151)
Other comprehensive income (loss), net of tax	101,905	120,569
Total comprehensive income	495,599	369,684
Comprehensive income attributable to Noncontrolling interests	24,037	28,682
Comprehensive income attributable to the Company	$ 471,562	$ 341,002

XML

Noncontrolling Interests Subject to Put Provisions

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Noncontrolling Interests Subject to Put Provisions

10. Noncontrolling Interests Subject to Put Provisions

The Company has potential obligations to purchase the noncontrolling interests held by third parties in certain of its consolidated subsidiaries. These obligations are in the form of put provisions and are exercisable at the third-party owners' discretion within specified periods as outlined in each specific put provision. If these put provisions were exercised, the Company would be required to purchase all or part of third-party owners' noncontrolling interests at the appraised fair value at the time of exercise. The methodology the Company uses to estimate the fair values of the noncontrolling interest subject to put provisions assumes the greater of net book value or a multiple of earnings, based on historical earnings, development stage of the underlying business and other factors. The estimated fair values of the noncontrolling interests subject to these put provisions can also fluctuate and the implicit multiple of earnings at which these noncontrolling interest obligations may ultimately be settled could vary significantly from our current estimates depending upon market conditions.

As of March 31, 2012 and December 31, 2011 the Company's potential obligations under these put options are $501,968and $410,491, respectively, of which, at March 31, 2012, $144,226were exercisable. No options were exercised during the first three months of 2012.

Following is a roll forward of noncontrolling interests subject to put provisions for the three months ended March 31, 2012 and the year ended December 31, 2011:

		March 31, 2012		December 31, 2011
Beginning balance as of January 1, 2012 and 2011	$	410,491	$	279,709
Dividends paid		(11,390)		(43,104)
Purchase/ sale of noncontrolling interests		54,611		37,786
Contributions from noncontrolling interests		2,633		7,222
Changes in fair value of noncontrolling interests		32,230		86,233
Net income		13,184		42,857
Other comprehensive income (loss)		209		(212)
Ending balance as of March 31, 2012 and December 31, 2011	$	501,968	$	410,491

XML

Document and Entity Information (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Document and Entity Information [Abstract]
Document period end date	Mar. 31, 2012
Amendment flag	false
Entity registrant name	FRESENIUS MEDICAL CARE AG & Co. KGaA
Entity current reporting status	Yes
Entity voluntary filers	Yes
Entity central index key	0001333141
Document type	6-K
Current fiscal year end date	--12-31
Entity filer category	Large Accelerated Filer
Entity well known seasoned issuer	Yes
Entity common stock shares outstanding	299,673,007
Entity public float	$ 14,697,813
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	Q1

XML

Commitments and Contingencies

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Commitments and Contingencies

11. Commitments and Contingencies

Legal Proceedings

The Company is routinely involved in numerous claims, lawsuits, regulatory and tax audits, investigations and other legal matters arising, for the most part, in the ordinary course of its business of providing healthcare services and products. Legal matters that the Company currently deems to be material are described below. For the matters described below in which the Company believes a loss is both reasonably possible and estimable, an estimate of the loss or range of loss exposure is provided. For the other matters described below, the Company believes that the loss probability is remote and/or the loss or range of possible losses cannot be reasonably estimated at this time. The outcome of litigation and other legal matters is always difficult to predict accurately and outcomes that are not consistent with the Company's view of the merits can occur. The Company believes that it has valid defenses to the legal matters pending against it and is defending itself vigorously. Nevertheless, it is possible that the resolution of one or more of the legal matters currently pending or threatened could have a material adverse effect on its business, results of operations and financial condition.

Commercial Litigation

The Company was originally formed as a result of a series of transactions it completed pursuant to the Agreement and Plan of Reorganization dated as of February 4, 1996, by and between W.R. Grace & Co. and Fresenius SE (the "Merger"). At the time of the Merger, a W.R. Grace & Co. subsidiary known as W.R. Grace & Co.-Conn. had, and continues to have, significant liabilities arising out of product-liability related litigation (including asbestos-related actions), pre-Merger tax claims and other claims unrelated to National Medical Care, Inc. (“NMC”), which was W.R. Grace & Co.'s dialysis business prior to the Merger. In connection with the Merger, W.R. Grace & Co.-Conn. agreed to indemnify the Company, FMCH, and NMC against all liabilities of W.R. Grace & Co., whether relating to events occurring before or after the Merger, other than liabilities arising from or relating to NMC's operations. W.R. Grace & Co. and certain of its subsidiaries filed for reorganization under Chapter 11 of the U.S. Bankruptcy Code (the “Grace Chapter 11 Proceedings”) on April 2, 2001.

Prior to and after the commencement of the Grace Chapter 11 Proceedings, class action complaints were filed against W.R. Grace & Co. and FMCH by plaintiffs claiming to be creditors of W.R. Grace & Co.-Conn., and by the asbestos creditors' committees on behalf of the W.R. Grace & Co. bankruptcy estate in the Grace Chapter 11 Proceedings, alleging among other things that the Merger was a fraudulent conveyance, violated the uniform fraudulent transfer act and constituted a conspiracy. All such cases have been stayed and transferred to or are pending before the U.S. District Court as part of the Grace Chapter 11 Proceedings.

In 2003, the Company reached agreement with the asbestos creditors' committees on behalf of the W.R. Grace & Co. bankruptcy estate and W.R. Grace & Co. in the matters pending in the Grace Chapter 11 Proceedings for the settlement of all fraudulent conveyance and tax claims against it and other claims related to the Company that arise out of the bankruptcy of W.R. Grace & Co. Under the terms of the settlement agreement as amended (the “Settlement Agreement”), fraudulent conveyance and other claims raised on behalf of asbestos claimants will be dismissed with prejudice and the Company will receive protection against existing and potential future W.R. Grace & Co. related claims, including fraudulent conveyance and asbestos claims, and indemnification against income tax claims related to the non-NMC members of the W.R. Grace & Co. consolidated tax group upon confirmation of a W.R. Grace & Co. bankruptcy reorganization plan that contains such provisions. Under the Settlement Agreement, the Company will pay a total of $115,000 without interest to the W.R. Grace & Co. bankruptcy estate, or as otherwise directed by the Court, upon plan confirmation. No admission of liability has been or will be made. The Settlement Agreement has been approved by the U.S. District Court In January and February 2011, the U.S. Bankruptcy Court entered orders confirming the joint plan of reorganization and the confirmation orders were affirmed by the U.S. District Court on January 31, 2012.

Subsequent to the Merger, W.R. Grace & Co. was involved in a multi-step transaction involving Sealed Air Corporation (“Sealed Air,” formerly known as Grace Holding, Inc.). The Company is engaged in litigation with Sealed Air to confirm its entitlement to indemnification from Sealed Air for all losses and expenses incurred by the Company relating to pre-Merger tax liabilities and Merger-related claims. Under the Settlement Agreement, upon final confirmation of a plan of reorganization that satisfies the conditions of the Company's payment obligation, this litigation will be dismissed with prejudice.

On April 4, 2003, FMCH filed a suit in the U. S. District Court for the Northern District of California, styled Fresenius USA, Inc., et al., v. Baxter International Inc., et al., Case No. C 03-1431, seeking a declaratory judgment that FMCH does not infringe patents held by Baxter International Inc. and its subsidiaries and affiliates (“Baxter”), that the patents are invalid, and that Baxter is without right or authority to threaten or maintain suit against FMCH for alleged infringement of Baxter's patents. In general, the asserted patents concern the use of touch screen interfaces for hemodialysis machines. Baxter filed counterclaims against FMCH seeking more than $140,000 in monetary damages and injunctive relief, and alleging that FMCH willfully infringed on Baxter's patents. On July 17, 2006, the court entered judgment on a jury verdict in favor of FMCH finding all the asserted claims of the Baxter patents invalid as obvious and/or anticipated in light of prior art.

On February 13, 2007, the court granted Baxter's motion to set aside the jury's verdict in favor of FMCH and reinstated the patents and entered judgment of infringement. Following a trial on damages, the court entered judgment on November 6, 2007 in favor of Baxter on a jury award of $14,300. On April 4, 2008, the court denied Baxter's motion for a new trial, established a royalty payable to Baxter of 10% of the sales price for continuing sales of FMCH's 2008K hemodialysis machines and 7% of the sales price of related disposables, parts and service beginning November 7, 2007, and enjoined sales of the touchscreen-equipped 2008K machine effective January 1, 2009. The Company appealed the court's rulings to the United States Court of Appeals for the Federal Circuit (“Federal Circuit”). In October 2008, the Company completed design modifications to the 2008K machine that eliminate any incremental hemodialysis machine royalty payment exposure under the District Court order. On September 10, 2009, the Federal Circuit reversed the district court's decision and determined that the asserted claims in two of the three patents at issue are invalid. As to the third patent, the Federal Circuit affirmed the district court's decision; however, the Court also vacated the injunction and award of damages. These issues were remanded to the District Court for reconsideration in light of the invalidity ruling on most of the claims. As a result, FMCH is no longer required to fund the court-approved escrow account set up to hold the royalty payments ordered by the district court. Funds of $75,000 were contributed to the escrow fund. Upon remand, the district court reduced the post verdict damages award to $9,000. In the parallel reexamination of the last surviving patent, the U.S. Patent and Trademark Office and the Board of Patent Appeals and Interferences ruled that the remaining Baxter patent is invalid. Baxter appealed the Board's ruling to the Federal Circuit which heard the appeal in December 2011. That decision is pending and FMCH's payment obligation on the District Court damage award it stayed pending the Federal Circuit's ruling on Baxter's 2011 appeal.

On October 17, 2006, Baxter and DEKA Products Limited Partnership (DEKA) filed suit in the U.S. District Court for the Eastern District of Texas which was subsequently transferred to the Northern District of California, styled Baxter Healthcare Corporation and DEKA Products Limited Partnership v. Fresenius Medical Care Holdings, Inc. d/b/a Fresenius Medical Care North America and Fresenius USA, Inc., Case No. CV 438 TJW. The complaint alleged that FMCH's Liberty™ cycler infringes nine patents owned by or licensed to Baxter. During and after discovery, seven of the asserted patents were dropped from the suit. On July 28, 2010, at the conclusion of the trial, the jury returned a verdict in favor of FMCH finding that the Liberty™ cycler does not infringe any of the asserted claims of the Baxter patents. The District Court denied Baxter's request to overturn the jury verdict and Baxter appealed the verdict and resulting judgment to the United States Court of Appeals for the Federal Circuit. On February 13, 2012, the Federal Circuit affirmed the District Court's non-infringement verdict.

Other Litigation and Potential Exposures

Renal Care Group, Inc. (“RCG”), which the Company acquired in 2006, is named as a nominal defendant in a complaint originally filed September 13, 2006 in the Chancery Court for the State of Tennessee Twentieth Judicial District at Nashville styled Indiana State District Council of Laborers and Hod Carriers Pension Fund v. Gary Brukardt et al. Following the trial court's dismissal of the complaint, plaintiff's appeal in part, and reversal in part by the appellate court, the cause of action purports to be a class action on behalf of former shareholders of RCG and seeks monetary damages only against the individual former directors of RCG. The individual defendants, however, may have claims for indemnification and reimbursement of expenses against the Company. The Company expects to continue as a defendant in the litigation, which is proceeding toward trial in the Chancery Court, and believes that defendants will prevail.

On July 17, 2007, resulting from an investigation begun in 2005, the United States Attorney filed a civil complaint in the United States District Court for the Eastern District of Missouri (St. Louis) against Renal Care Group, Inc., its subsidiary RCG Supply Company, and FMCH in its capacity as RCG's current corporate parent. The complaint seeks monetary damages and penalties with respect to issues arising out of the operation of RCG's Method II supply company through 2005, prior to FMCH's acquisition of RCG in 2006. The complaint is styled United States of America ex rel. Julie Williams et al. vs. Renal Care Group, Renal Care Group Supply Company and FMCH. On August 11, 2009, the Missouri District Court granted RCG's motion to transfer venue to the United States District Court for the Middle District of Tennessee (Nashville). On March 22, 2010, the Tennessee District Court entered judgment against defendants for approximately $23,000 in damages and interest under the unjust enrichment count of the complaint but denied all relief under the six False Claims Act counts of the complaint. On June 17, 2011, the District Court entered summary judgment against RCG for $82,643 on one of the False Claims Act counts of the complaint. On June 23, 2011, the Company appealed to the United States Court of Appeals for the Sixth Circuit. Although the Company cannot provide any assurance of the outcome, the Company believes that RCG's operation of its Method II supply company was in compliance with applicable law, that no relief is due to the United States, that the decisions made by the District Court on March 22, 2010 and June 17, 2011 will be reversed, and that its position in the litigation will ultimately be sustained.

On November 27, 2007, the United States District Court for the Western District of Texas (El Paso) unsealed and permitted service of two complaints previously filed under seal by a qui tam relator, a former FMCH local clinic employee. The first complaint alleged that a nephrologist unlawfully employed in his practice an assistant to perform patient care tasks that the assistant was not licensed to perform and that Medicare billings by the nephrologist and FMCH therefore violated the False Claims Act. The second complaint alleged that FMCH unlawfully retaliated against the relator by constructively discharging her from employment. The United States Attorney for the Western District of Texas declined to intervene and to prosecute on behalf of the United States. On March 30, 2010, the District Court issued final judgment in favor of the defendants on all counts based on a jury verdict rendered on February 25, 2010 and on rulings of law made by the Court during the trial. The plaintiff has appealed from the District Court judgment.

On February 15, 2011, a qui tam relator's complaint under the False Claims Act against FMCH was unsealed by order of the United States District Court for the District of Massachusetts and served by the relator. The United States has not intervened in the case United States ex rel. Chris Drennen v. Fresenius Medical Care Holdings, Inc., 2009 Civ. 10179 (D. Mass.). The relator's complaint, which was first filed under seal in February 2009, alleges that the Company seeks and receives reimbursement from government payors for serum ferritin and hepatitis B laboratory tests that are medically unnecessary or not properly ordered by a physician. FMCH has filed a motion to dismiss the complaint. On March 6, 2011, the United States Attorney for the District of Massachusetts issued a Civil Investigative Demand seeking the production of documents related to the same laboratory tests that are the subject of the relator's complaint. FMCH is cooperating fully in responding to the additional Civil Investigative Demand, and will vigorously contest the relator's complaint.

On June 29, 2011, FMCH received a subpoena from the United States Attorney for the Eastern District of New York (“E.D.N.Y.”). On December 6, 2011, a single Company facility in New York received a subpoena from the OIG that was substantially similar to the one issued by the U.S. Attorney for the E.D.N.Y. These subpoenas are part of a criminal and civil investigation into relationships between retail pharmacies and outpatient dialysis facilities in the State of New York and into the reimbursement under government payor programs in New York for medications provided to patients with ESRD. Among the issues encompassed by the investigation is whether retail pharmacies may have provided or received compensation from the New York Medicaid program for pharmaceutical products that should be provided by the dialysis facilities in exchange for the New York Medicaid payment to the dialysis facilities. The Company is cooperating in the investigation.

The Company filed claims for refunds contesting the Internal Revenue Service's (“IRS”) disallowance of FMCH's civil settlement payment deductions taken by FMCH in prior year tax returns. As a result of a settlement agreement with the IRS, the Company received a partial refund in September 2008 of $37,000, inclusive of interest and preserved our right to pursue claims in the United States Courts for refunds of all other disallowed deductions. On December 22, 2008, the Company filed a complaint for complete refund in the United States District Court for the District of Massachusetts, styled as Fresenius Medical Care Holdings, Inc. v. United States. The court has denied motions for summary judgment by both parties and the litigation is proceeding towards trial.

The IRS tax audits of FMCH for the years 2002 through 2008 have been completed. On January 23, 2012, the Company executed a closing agreement with the IRS with respect to the 2007-2008 tax audit. The agreement reflected a full allowance of interest deductions on intercompany mandatorily redeemable preferred shares for the 2007-2008 tax years. In addition, on February 16, 2012, the Company executed a closing agreement with IRS Appeals that reflects the full allowance of interest deductions associated with, mandatorily redeemable shares for the years 2002-2006.

From time to time, the Company is a party to or may be threatened with other litigation or arbitration, claims or assessments arising in the ordinary course of its business. Management regularly analyzes current information including, as applicable, the Company's defenses and insurance coverage and, as necessary, provides accruals for probable liabilities for the eventual disposition of these matters.

The Company, like other healthcare providers, conducts its operations under intense government regulation and scrutiny. It must comply with regulations which relate to or govern the safety and efficacy of medical products and supplies, the operation of manufacturing facilities, laboratories and dialysis clinics, and environmental and occupational health and safety. The Company must also comply with the Anti-Kickback Statute, the False Claims Act, the Stark Law, and other federal and state fraud and abuse laws. Applicable laws or regulations may be amended, or enforcement agencies or courts may make interpretations that differ from the Company's interpretations or the manner in which it conducts its business. Enforcement has become a high priority for the federal government and some states.

In addition, the provisions of the False Claims Act authorizing payment of a portion of any recovery to the party bringing the suit encourage private plaintiffs to commence “qui tam” or “whistle blower” actions. In May 2009, the scope of the False Claims Act was expanded and additional protections for whistle blowers and procedural provisions to aid whistle blowers' ability to proceed in a False Claims Act case were added. By virtue of this regulatory environment, the Company's business activities and practices are subject to extensive review by regulatory authorities and private parties, and continuing audits, investigative demands, subpoenas, other inquiries, claims and litigation relating to the Company's compliance with applicable laws and regulations. The Company may not always be aware that an inquiry or action has begun, particularly in the case of “whistle blower” actions, which are initially filed under court seal.

The Company operates many facilities throughout the United States and other parts of the world. In such a decentralized system, it is often difficult to maintain the desired level of oversight and control over the thousands of individuals employed by many affiliated companies. The Company relies upon its management structure, regulatory and legal resources, and the effective operation of its compliance program to direct, manage and monitor the activities of these employees. On occasion, the Company may identify instances where employees or other agents deliberately, recklessly or inadvertently contravene the Company's policies or violate applicable law. The actions of such persons may subject the Company and its subsidiaries to liability under the Anti-Kickback Statute, the Stark Law and the False Claims Act, among other laws, and comparable laws of other countries.

Physicians, hospitals and other participants in the healthcare industry are also subject to a large number of lawsuits alleging professional negligence, malpractice, product liability, worker's compensation or related claims, many of which involve large claims and significant defense costs. The Company has been and is currently subject to these suits due to the nature of its business and expects that those types of lawsuits may continue. Although the Company maintains insurance at a level which it believes to be prudent, it cannot assure that the coverage limits will be adequate or that insurance will cover all asserted claims. A successful claim against the Company or any of its subsidiaries in excess of insurance coverage could have a material adverse effect upon it and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company's reputation and business.

The Company has also had claims asserted against it and has had lawsuits filed against it relating to alleged patent infringements or businesses that it has acquired or divested. These claims and suits relate both to operation of the businesses and to the acquisition and divestiture transactions. The Company has, when appropriate, asserted its own claims, and claims for indemnification. A successful claim against the Company or any of its subsidiaries could have a material adverse effect upon its business, financial condition, and the results of its operations. Any claims, regardless of their merit or eventual outcome, could have a material adverse effect on the Company's reputation and business.

Accrued Special Charge for Legal Matters

At December 31, 2001, the Company recorded a pre-tax special charge of $258,159 to reflect anticipated expenses associated with the defense and resolution of pre-Merger tax claims, Merger-related claims, and commercial insurer claims. The costs associated with the Settlement Agreement and settlements with insurers have been charged against this accrual. With the exception of the proposed $115,000 payment under the Settlement Agreement in the Grace Chapter 11 Proceedings, all other matters included in the special charge have been resolved. While the Company believes that its remaining accrual reasonably estimates its currently anticipated costs related to the continued defense and resolution of this matter, no assurances can be given that its actual costs incurred will not exceed the amount of this accrual.

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Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 580,224	$ 457,292
Trade accounts receivable less allowance for doubtful accounts of $316,384 in 2012 and $299,751 in 2011	3,099,081	2,798,318
Accounts receivable from related parties	132,446	111,008
Inventories	1,023,997	967,496
Prepaid expenses and other current assets	939,876	1,035,366
Deferred tax asset, current	316,973	325,539
Total current assets	6,092,597	5,695,019
Property, plant and equipment, net	2,843,992	2,629,701
Intangible assets	741,432	686,652
Goodwill	11,292,648	9,186,650
Deferred tax asset, non-current	70,988	88,159
Equity Method Investments	637,755	692,025
Other assets	308,576	554,644
Total assets	21,987,988	19,532,850
Current liabilities:
Accounts payable	555,091	541,423
Accounts payable to related parties	104,975	111,226
Accrued expenses and other current liabilities	1,720,933	1,704,273
Short-term borrowings and other financial liabilities	103,663	98,801
Short-term borrowings from related parties	14,698	28,013
Current portion of long-term debt and capital lease obligations	3,106,968	1,589,776
Income tax payable, current	249,126	162,354
Deferred tax liability, current	29,921	26,745
Total current liabilities	5,885,375	4,262,611
Total long-term debt less current maturities	5,583,268	5,494,810
Other liabilities	275,053	236,628
Pension liabilities	300,773	290,493
Income tax payable, non-current	177,001	189,000
Deferred tax liability, non-current	629,166	587,800
Total liabilities	12,850,636	11,061,342
Noncontrolling interests subject to put provisions	501,968	410,491
Company shareholders' equity:
Preferred stock, no par value, 1.00 Euro nominal value, 7,066,522 shares authorized, 3,966,522 issued and outstanding	4,453	4,452
Common stock, no par value, 1.00 Euro nominal value, 385,396,450 shares authorized, 300,254,024 issued and outstanding	371,766	371,649
Additional paid-in capital	3,342,983	3,362,633
Retained earnings	5,019,083	4,648,585
Accumulated other comprehensive (loss)	(384,703)	(485,767)
Total Company shareholders' equity	8,353,582	7,901,552
Noncontrolling interests not subject to put provisions	281,802	159,465
Total equity	8,635,384	8,061,017
Total liabilities and equity	$ 21,987,988	$ 19,532,850

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Inventories

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Inventories

5. Inventories

As of March 31, 2012 and December 31, 2011, inventories consisted of the following:

			March 31, 2012		December 31, 2011
Finished goods		$	634,623	$	610,569
Raw materials and purchased components			180,514		163,030
Health care supplies			134,821		133,769
Work in process			74,039		60,128
	Inventories	$	1,023,997	$	967,496

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Related Party Transactions

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Related Party Transactions

4. Related Party Transactions

The Company's parent, Fresenius SE & Co. KGaA, is a German partnership limited by shares resulting from the change of legal form effective January 28, 2011, of Fresenius SE, a European Company (Societas Europaea), and which, prior to July 13, 2007, was called Fresenius AG, a German stock corporation. In these Consolidated Financial Statements, Fresenius SE refers to that company as a partnership limited by shares, effective on and after January 28, 2011, as well as both before and after the conversion of Fresenius AG from a stock corporation into a European Company. Fresenius SE owns 100% of the share capital of Fresenius Medical Care Management AG, the Company's general partner (“General Partner”). From November 16, 2011 until March 31, 2012, 3,500 million ordinary shares were purchased by Fresenius SE. Fresenius SE is the Company's largest shareholder owning approximately 31.4% of the Company's voting shares as of March 31, 2012.

a)       Service and Lease Agreements

The Company is party to service agreements with Fresenius SE and certain of its affiliates (collectively the “Fresenius SE Companies”) to receive services, including, but not limited to: administrative services, management information services, employee benefit administration, insurance, information technology services, tax services and treasury management services. During the three-month periods ended March 31, 2012 and 2011, amounts charged by Fresenius SE to the Company under the terms of these agreements were $17,299and $17,308, respectively. The Company also provides certain services to the Fresenius SE Companies, including research and development, central purchasing and warehousing. The Company charged $1,625and $1,468for services rendered to the Fresenius SE Companies during the first three months of 2012 and 2011 respectively.

Under real estate operating lease agreements entered into with the Fresenius SE Companies, which are leases for the corporate headquarters in Bad Homburg, Germany and production sites in Schweinfurt and St. Wendel, Germany, the Company paid the Fresenius SE Companies $6,348 and $6,274during thethree-month periods ended March 31, 2012 and 2011, respectively. The majority of the leases expire in 2016 and contain renewal options.

The Company's Articles of Association provide that the General Partner shall be reimbursed for any and all expenses in connection with management of the Company's business, including remuneration of the members of the General Partner's supervisory board and the General Partner's management board. The aggregate amount reimbursed to the General Partner was $3,035and $3,861, respectively, for its management services during thethree-month periods ended March 31, 2012 and 2011.

b)       Products

For the first three months of 2012 and 2011, the Company sold products to the Fresenius SE Companies for $5,919and $4,588respectively. During the same periods, the Company made purchases from the Fresenius SE Companies in the amount of $11,835and $12,454, respectively.

Also, the Company has entered into agreements to provide renal products and pharmaceutical supplies to equity method investees. Under these agreements, the Company sold $655of products to equity method investeesduring the first three months of 2012.

In addition to the purchases noted above, the Company currently purchases heparin supplied by APP PharmaceuticalsInc. (“APP Inc.”), through an independent group purchasing organization (“GPO”). APP Inc. is wholly-owned by Fresenius Kabi AG, a wholly-owned subsidiary of Fresenius SE. The Company has no direct supply agreement with APP Inc. and does not submit purchase orders directly to APP Inc. During the three-month periods ended March 31, 2012 and 2011, Fresenius Medical Care Holdings, Inc. (“FMCH”) acquired approximately $4,269 and$6,415, respectively, of heparin from APP Inc. through the GPO contract, which was negotiated by the GPO at arm's length on behalf of all members of the GPO.

c)       Financing Provided by and to Fresenius SE and the General Partner

As of March 31, 2012, the Company had borrowings outstanding with Fresenius SE of €8,300 ($11,085 as of March 31, 2012) at an interest rate of 1.544%, due on April 30, 2012.

As of March 31, 2012, the Company had a loan of CNY 10,000 ($1,588 as of March 31, 2012) outstanding with a subsidiary of Fresenius SE at an interest rate of 6.65%, due on April 14, 2013.

On August 19, 2009, the Company borrowed €1,500 ($2,003 as of March 31, 2012) from the General Partner at 1.335%. The loan repayment, originally due on August 19, 2010, was originally extended until August 19, 2011 and has been further extended until August 20, 2012 at an interest rate of 3.328%.

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Acquisition of Liberty Dialysis Holdings (Tables)

3 Months Ended

Mar. 31, 2012

Business Acquisition, Date of Acquisition [Abstract]

Acquisition [Text Block]

Assets held for sale		$	153,259
Trade accounts receivable			155,242
Other current assets			34,501
Property, plant and equipment			180,600
Intangible assets and other assets			90,411
Goodwill			2,032,213
Accounts payable, accrued expenses and other current liabilities			(143,313)
Income tax payable and deferred taxes			(64,696)
Short-term borrowings and other financial liabilities and long-term debt and capital lease obligations			(58,079)
Other liabilities			(34,800)
Noncontrolling interests (subject and not subject to put provisions)			(183,900)
Total acquisition cost		$	2,161,438
Less, at fair value, non-cash contributions
	Investment at acquisition date		(189,000)
	Long-term Notes Receivable		(279,793)
Total non-cash items			(468,793)
Net Cash paid		$	1,692,645

Net revenues	$	82,945
Operating Income	$	4,393
Net Income (loss) attributable to shareholders of FMC-AG & Co. KGaA	$	(2,831)

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Financial Instruments

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Financial Instruments

12. Financial Instruments

As a global supplier of dialysis services and products in more than 120 countries throughout the world, the Company is faced with a concentration of credit risks due to the nature of the reimbursement systems which are often provided by the governments of the countries in which the Company operates. Changes in reimbursement rates or the scope of coverage could have a material adverse effect on the Company's business, financial condition and results of operations and thus on its capacity to generate cash flow. In the past the Company experienced and, after the implementation of the new bundled reimbursement system in the U.S., also expects in the future generally stable reimbursements for dialysis services. This includes the balancing of unfavorable reimbursement changes in certain countries with favorable changes in other countries. Due to the fact that a large portion of the Company's reimbursement is provided by public health care organizations and private insurers, the Company expects that most of its accounts receivables will be collectable, albeit somewhat more slowly in the International segment in the immediate future, particularly in countries which continue to be severely affected by the global financial crisis.

Non-derivative Financial Instruments

The following table presents the carrying amounts and fair values of the Company's non-derivative financial instruments at March 31, 2012, and December 31, 2011.

				March 31,				December 31,
				2012				2011
		Fair Value		Carrying		Fair		Carrying		Fair
		Hierarchy		Amount		Value		Amount		Value
Non-derivatives
Assets
	Cash and cash equivalents	1	$	580,224	$	580,224	$	457,292	$	457,292
	Accounts Receivable	2		3,231,527		3,231,527		2,909,326		2,909,326
	Long-term Notes Receivable (1)	3		-		-		234,490		233,514
Liabilities
	Accounts payable	2		660,066		660,066		652,649		652,649
	Short-term borrowings	2		103,663		103,663		98,801		98,801
	Short-term borrowings from related parties	2		14,698		14,698		28,013		28,013
	Long term debt, excluding Amended 2006 Senior Credit Agreement, Euro Notes and Senior Notes	2		889,054		889,054		1,147,209		1,147,209
	Amended 2006 Senior Credit Agreement	2		2,772,680		2,758,029		2,795,589		2,774,951
	Senior Notes	2		4,761,382		4,993,598		2,883,009		2,989,307
	Euro Notes	2		267,120		271,855		258,780		265,655
Noncontrolling interests subject to put provisions		3		501,968		501,968		410,491		410,491
	(1) As of March 31, 2012, the loan to Renal Advantage Partners LLC and Liberty Dialysis, Inc. has been retired.

The carrying amounts in the table are included in the consolidated balance sheet under the indicated captions or in the case of long-term debt, in the captions shown in Note 7.

The significant methods and assumptions used in estimating the fair values of non-derivative financial instruments are as follows:

Cash and cash equivalents are stated at nominal value which equals the fair value.

Short-term financial instruments such as accounts receivable, accounts payable and short-term borrowings are valued at their carrying amounts, which are reasonable estimates of the fair value due to the relatively short period to maturity of these instruments.

The valuation of the long-term notes receivable is determined using significant unobservable inputs (Level 3). It is valued using a constructed index based upon similar instruments with comparable credit ratings, terms, tenor, interest rates and that are within the Company's industry. The Company tracked the prices of the constructed index from the note issuance date to the reporting date to determine fair value.

The fair values of the major long-term financial liabilities are calculated on the basis of market information. Instruments for which market quotes are available are measured using these quotes. The fair values of the other long-term financial liabilities are calculated at the present value of the respective future cash flows. To determine these present values, the prevailing interest rates and credit spreads for the Company as of the balance sheet date are used.

The valuation of the noncontrolling interests subject to put provisions is determined using significant unobservable inputs (Level 3).See Note 10 for a discussion of the Company's methodology for estimating the fair value of these noncontrolling interests subject to put obligations.

Currently, there is no indication that a decrease in the value of the Company's financing receivables is probable. Therefore, the allowances on credit losses of financing receivables are immaterial.

Derivative Financial Instruments

The Company is exposed to market risk from changes in interest rates and foreign exchange rates. In order to manage the risk of interest rate and currency exchange rate fluctuations, the Company enters into various hedging transactions by means of derivative instruments with highly rated financial institutions as authorized by the Company's General Partner. On a quarterly basis the Company performs an assessment of its counterparty credit risk. The Company currently considers this risk to be low. The Company's policy, which has been consistently followed, is that financial derivatives be used only for the purpose of hedging foreign currency and interest rate exposure.

In certain instances, the Company enters into derivative contracts that do not qualify for hedge accounting but are utilized for economic purposes (“economic hedges”). The Company does not use financial instruments for trading purposes.

The Company established guidelines for risk assessment procedures and controls for the use of financial instruments. They include a clear segregation of duties with regard to execution on one side and administration, accounting and controlling on the other.

Foreign Exchange Risk Management

The Company conducts business on a global basis in various currencies, though a majority of its operations are in Germany and the United States. For financial reporting purposes, the Company has chosen the U.S. dollar as its reporting currency. Therefore, changes in the rate of exchange between the U.S. dollar and the local currencies in which the financial statements of the Company's international operations are maintained affect its results of operations and financial position as reported in its consolidated financial statements.

The Company's exposure to market risk for changes in foreign exchange rates relates to transactions such as sales and purchases. The Company has significant amounts of sales of products invoiced in euro from its European manufacturing facilities to its other international operations and, to a lesser extent, sales of products invoiced in other non-functional currencies. This exposes the subsidiaries to fluctuations in the rate of exchange between the euro and the currency in which their local operations are conducted. For the purpose of hedging existing and foreseeable foreign exchange transaction exposures the Company enters into foreign exchange forward contracts and, on a small scale, foreign exchange options. As of March 31, 2012 the Company had no foreign exchange options.

Changes in the fair value of the effective portion of foreign exchange forward contracts designated and qualifying as cash flow hedges of forecasted product purchases and sales are reported in accumulated other comprehensive income (loss) (“AOCI”). Additionally, in connection with intercompany loans in foreign currency, the Company uses foreign exchange swaps thus assuring that no foreign exchange risks arise from those loans, which, if they qualify for cash flow hedge accounting, are also reported in AOCI. These amounts recorded in AOCI are subsequently reclassified into earnings as a component of cost of revenuesfor those contracts that hedge product purchases or as an adjustment of interest income/expense for those contracts that hedge loans, in the same period in which the hedged transaction affects earnings. The notional amounts of foreign exchange contracts in place that are designated and qualify as cash flow hedges totaled $794,275 and $1,278,764 at March 31,2012and December 31, 2011, respectively.

The Company also enters into derivative contracts for forecasted product purchases and sales and for intercompany loans in foreign currency that do not qualify for hedge accounting but are utilized for economic hedges as defined above. In these cases, the change in value of the economic hedge is recorded in the income statement and usually offsets the change in value recorded in the income statement for the underlying asset or liability. The notional amounts of economic hedges that do not qualify for hedge accounting totaled $1,559,289 and $2,149,440 at March 31,2012 and December 31,2011, respectively.

Interest Rate Risk Management

The Company enters into derivatives, particularly interest rate swaps and to a certain extent, interest rate options, to protect against the risk of rising interest rates. These interest rate derivatives are designated as cash flow hedges and have been entered into in order to effectively convert payments based on variable interest rates into payments at a fixed interest rate.The euro-denominated interest rate swaps expire in 2016 and have an interest rate of 1.73%. Interest payable and receivable under the swap agreements is accrued and recorded as an adjustment to interest expense.

As of March 31, 2012and December 31,2011, the notional amount of the euro-denominated interest rate swaps in place was €100,000 and€200,000($133,560and$258,780as ofMarch 31, 2012 and December 31,2011, respectively). As of March 31, 2012 the Company had no U.S. dollar-denominated interest rate swaps and at December 31, 2011the notional amount was $2,650,000.

Derivative Financial Instruments Valuation

The following table shows the carrying amounts of the Company'sderivatives at March 31, 2012 and December 31, 2011.

			March 31, 2012				December 31, 2011
				Assets(2)		Liabilities(2)		Assets(2)		Liabilities(2)
Derivatives in cash flow hedging relationships (1)
	Current
		Foreign exchange contracts		11,059		(11,951)		4,117		(24,908)
		Interest rate contracts		-		-		-		(130,579)
	Non-current
		Foreign exchange contracts		147		(362)		742		(3,706)
		Interest rate contracts		-		(2,623)		-		(1,076)
Total			$	11,206	$	(14,936)	$	4,859	$	(160,269)
Derivatives not designated as hedging instruments (1)
	Current
		Foreign exchange contracts		4,037		(28,935)		56,760		(37,242)
	Non-current
		Foreign exchange contracts		2,004		(1,892)		1,382		(1,459)
Total			$	6,041	$	(30,827)	$	58,142	$	(38,701)
	(1) As of March 31, 2012 and December 31, 2011, the valuation of the Company's derivatives was determined using Significant Other Observable Inputs (Level 2) in accordance with the fair value hierarchy levels established in U.S. GAAP.
	(2) Derivative instruments are marked to market each reporting period resulting in carrying amounts being equal to fair values at the reporting date.

The carrying amounts for the current portion of derivatives indicated as assets in the table above are included in Prepaid expenses and other current assets in the Consolidated Balance Sheets while the current portion of those indicated as liabilities are included in Accrued expenses and other current liabilities. The non-current portions indicated as assets or liabilities are included in the Consolidated Balance Sheets in Other assets or Other liabilities, respectively.

The significant methods and assumptions used in estimating the fair values of derivative financial instruments are as follows:

The fair value of interest rate swaps is calculated by discounting the future cash flows on the basis of the market interest rates applicable for the remaining term of the contract as of the balance sheet date. To determine the fair value of foreign exchange forward contracts, the contracted forward rate is compared to the current forward rate for the remaining term of the contract as of the balance sheet date. The result is then discounted on the basis of the market interest rates prevailing at the balance sheet date for the applicable currency.

The Company includes its own credit risk for financial instruments deemed liabilities and counterparty-credit risks for financial instruments deemed assets when measuring the fair value of derivative financial instruments.

The Effect of Derivatives on the Consolidated Financial Statements
		Amount of Gain or (Loss) Recognized in OCI on Derivatives			Location of (Gain) or Loss Reclassified from AOCI in Income			Amount of (Gain) or Loss Reclassified from AOCI in Income
Derivatives in Cash Flow Hedging Relationships
		(Effective Portion) for the three months ended March 31,							(Effective Portion) for the three months ended March 31,
		2012		2011	(Effective Portion)			2012			2011
Interest rate contracts	$	(15,797)	$	10,939	Interest income/expense		$	4,898		$	816
Foreign exchange contracts		8,865		(10,032)	Costs of Revenue			(2,990)			2,366
Foreign exchange contracts					Interest income/expense			741			(105)
	$	(6,932)	$	907			$	2,649		$	3,077
Derivatives not Designated as Hedging Instruments				Amount of (Gain) or Loss Recognized in Income on Derivatives for the three months ended March 31,
		Location of (Gain) or Loss Recognized in Income on Derivative
				2012		2011
Foreign exchange contracts		Selling, general and administrative expense
Foreign exchange contracts			$	13,759	$	(21,164)
		Interest income/expense		5,229		3,734
			$	18,988	$	(17,430)

For foreign exchange derivatives, the Company expects to recognize $18,586of losses deferred in accumulated other comprehensive income at March 31, 2012, in earnings during the next twelve months.

The Company expects to incur additional interest expense of $19,428 over the next twelve months which is currently deferred in accumulated other comprehensive income. This amount reflects the projected amortization of the settlement amount of the terminated swaps and the current fair value of the additional interest payments resulting fromremaining interest rate swap maturing in 2016 at March 31, 2012.

As of March 31, 2012, the Company had foreign exchange derivatives with maturities of up to 44 months and interest rate swaps with maturities of up to 55 months.

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Earnings Per Share

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Earnings Per Share

8. Earnings Per Share

The following table contains reconciliations of the numerators and denominators of the basic and diluted earnings per share computations for the three-month periods ended March 31, 2012 and 2011:

		For the three months ended March 31,
		2012		2011
Numerators:
Net income attributable to shareholders of FMC-AG & Co. KGaA		$	370,498	$	220,701
less:
	Dividend preference on Preference shares		26		27
Income available to all classes of shares		$	370,472	$	220,674
Denominators:
Weighted average number of:
Ordinary shares outstanding			300,205,126		298,292,972
Preference shares outstanding			3,966,001		3,957,435
Total weighted average shares outstanding			304,171,127		302,250,407
Potentially dilutive Ordinary shares			2,423,102		1,950,556
Potentially dilutive Preference shares			19,063		20,394
Total weighted average Ordinary shares outstanding assuming dilution			302,628,228		300,243,528
Total weighted average Preference shares outstanding assuming dilution			3,985,064		3,977,829
Basic income per Ordinary share		$	1.22	$	0.73
Plus preference per Preference shares			0.00		0.01
Basic income per Preference share		$	1.22	$	0.74
Fully diluted income per Ordinary share		$	1.21	$	0.73
Plus preference per Preference shares			0.00		0.00
Fully diluted income per Preference share		$	1.21	$	0.73

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Long-term Debt and Capital Lease Obligations

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Long-term Debt and Capital Lease Obligations

7. Long-term Debt and Capital Lease Obligations

As of March 31, 2012 and December 31, 2011, long-term debt and capital lease obligations consisted of the following:

	March 31, 2012		December 31, 2011
Amended 2006 Senior Credit Agreement	$	2,772,680	$	2,795,589
Senior Notes		4,761,382		2,883,009
Euro Notes		267,120		258,780
European Investment Bank Agreements		351,602		345,764
Accounts receivable facility		201,250		534,500
Capital lease obligations		17,204		17,993
Other		318,998		248,951
		8,690,236		7,084,586
Less current maturities		(3,106,968)		(1,589,776)
	$	5,583,268	$	5,494,810

Amended 2006 Senior Credit Agreement

The following table shows the available and outstanding amounts under the Amended 2006 Senior Credit Agreement at March 31, 2012 and December 31, 2011:

	Maximum Amount Available				Balance Outstanding
	March 31, 2012		December 31, 2011		March 31, 2012		December 31, 2011
Revolving Credit	$	1,200,000	$	1,200,000	$	70,097	$	58,970
Term Loan A		1,185,000		1,215,000		1,185,000		1,215,000
Term Loan B		1,517,583		1,521,619		1,517,583		1,521,619
	$	3,902,583	$	3,936,619	$	2,772,680	$	2,795,589

In addition, atMarch 31, 2012 and December 31, 2011, the Company had letters of credit outstanding in the amount of $160,984and$180,766,respectively, which are not included above as part of the balance outstanding at those dates but which reduce available borrowings under the revolving credit facility.

Senior Notes

Senior Notes Issued January 2012

On January 26, 2012, Fresenius Medical Care US Finance II, Inc. (“US Finance II”), a wholly-owned subsidiary of the Company, issued $800,000 aggregate principal amount of senior unsecured notes with a coupon of 5 5/8% (the “5 5/8% Senior Notes”) at par and $700,000 aggregate principal amount of senior unsecured notes with a coupon of 5 7/8% (the “5 7/8% Senior Notes”) at par (together, the “Dollar-denominated Senior Notes”). In addition, FMC Finance VIII S.A. (“Finance VIII”), a wholly-owned subsidiary of the Company, issued €250,000 aggregate principal amount ($328,625 at date of issuance) of senior unsecured notes with a coupon of 5.25% (the “5.25% Euro-denominated Senior Notes”) at par. Both the 5 5/8% Senior Notes and the 5.25% Euro-denominated Senior Notes are due July 31, 2019 while the 5 7/8% Senior Notes are due January 31, 2022. US Finance II and Finance VIII may redeem the Dollar-denominated Senior Notes and 5.25% Euro-denominated Senior Notes, respectively, at any time at 100% of principal plus accrued interest and a premium calculated pursuant to the terms of the applicable indenture. The holders of the Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes have a right to request that the respective issuers of the notes repurchase the applicable issue of notes at 101% of principal plus accrued interest upon the occurrence of a change of control of the Company followed by a decline in the rating of the respective notes. The Company used the net proceeds of approximately $1,807,139 for acquisitions, including the acquisition of Liberty Dialysis Holdings, Inc., which closed on February 28, 2012, to refinance indebtedness and for general corporate purposes. The Dollar-denominated Senior Notes and the 5.25% Euro-denominated Senior Notes are guaranteed on a senior basis jointly and severally by the Company, Fresenius Medical Care Holdings, Inc. (“FMCH”) and Fresenius Medical Care Deutschland GmbH (“D-GmbH”) (together, the “Guarantor Subsidiaries”).

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Short-Term Borrowings and Other Financial Liabilities, and Short-Term Borrowings from Related Parties

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Short-Term Borrowings and Other Financial Liabilities, and Short-Term Borrowings from Related Parties

6. Short-Term Borrowings, Other Financial Liabilities and Short-Term Borrowings from Related Parties

As of March 31, 2012 and December 31, 2011, short-term borrowings, other financial liabilities and short-term borrowings from related parties consisted of the following:

	March 31, 2012		December 31, 2011
Borrowings under lines of credit	$	98,386	$	91,899
Other financial liabilities		5,277		6,902
Short-term borrowings and other financial liabilities		103,663		98,801
Short-term borrowings from related parties (see Note 4.c.)		14,698		28,013
Short-term borrowings, Other financial liabilities and Short-term borrowings from related parties	$	118,361	$	126,814

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Employee Benefit Plans

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Employee Benefit Plans

9. Employee Benefit Plans

The Company currently has two principal pension plans, one for German employees, the other covering employees in the United States, the latter of which was curtailed in 2002. Plan benefits are generally based on years of service and final salary. As there is no legal requirement in Germany to fund defined benefit plans, the Company's pension obligations in Germany are unfunded. Each year FMCH, a wholly-owned subsidiary of the Company and its principal North American subsidiary, contributes to the plan covering United States employees at least the minimum required by the Employee Retirement Income Security Act of 1974, as amended.

The following table provides the calculations of net periodic benefit cost for the three-month periods ended March 31, 2012 and 2011.

	Three months ended March 31,
	2012		2011
Components of net periodic benefit cost:
Service cost	$	2,692	$	2,622
Interest cost		6,492		6,036
Expected return on plan assets		(3,825)		(4,275)
Amortization of unrealized losses		4,373		1,800
Net periodic benefit costs	$	9,732	$	6,183

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Supplemental Condensed Combining Information (Tables)

3 Months Ended

12 Months Ended

Mar. 31, 2012

Mar. 31, 2011

Dec. 31, 2011

Supplemental Condensed Combining Information (Tables) [Abstract]

Income statement information segregated by issuers and guarantors

		For the three months ended March 31, 2012
		Issuer		Guarantors
		FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Net revenue		$	-	$	-	$	461,804	$	-	$	3,499,979	$	(713,028)	$	3,248,755
Cost of revenue			-		-		286,678		-		2,602,115		(709,547)		2,179,246
	Gross profit		-		-		175,126		-		897,864		(3,481)		1,069,509
Operating expenses (income):
	Selling, general and administrative (1)		-		(20,246)		53,688		(38,375)		505,891		37,063		538,021
	Research and development		-		-		17,375		-		11,147		-		28,522
Operating (loss) income			-		20,246		104,063		38,375		380,826		(40,544)		502,966
Other (income) expense:
	Investment gain		-		-		-		-		(126,685)		-		(126,685)
	Interest, net		(1,706)		45,657		1,005		31,069		22,855		-		98,880
	Other, net		-		(437,325)		67,879		(292,855)		-		662,301		-
Income (loss) before income taxes			1,706		411,914		35,179		300,161		484,656		(702,845)		530,771
	Income tax expense (benefit)		639		41,416		29,953		2,882		142,348		(80,161)		137,077
Net Income (loss)			1,067		370,498		5,226		297,279		342,308		(622,684)		393,694
Net Income attributable to noncontrolling interests			-		-		-		-		-		23,196		23,196
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA		$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(645,880)	$	370,498
(1) Selling, general and administrative is presented net of Gain on Sale of dialysis clinics and net of income from equity method investees.

		For the three months ended March 31, 2011
		Issuer		Guarantors
		FMC Finance III		FMC - AG & Co. KGaA		D-GmbH		FMCH		Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Net revenue		$	-	$	-	$	447,378	$	-	$	3,196,090	$	(659,617)	$	2,983,851
Cost of revenue			-		-		283,204		-		2,403,465		(650,705)		2,035,964
	Gross profit		-		-		164,174		-		792,625		(8,912)		947,887
Operating expenses (income):
	Selling, general and administrative (1)		5		16,285		47,300		(37,398)		450,332		130		476,654
	Research and development		-		-		16,417		-		9,732		-		26,149
Operating (loss) income			(5)		(16,285)		100,457		37,398		332,561		(9,042)		445,084
Other (income) expense:
	Interest, net		(180)		18,359		1,668		14,624		42,985		(5,891)		71,565
	Other, net		-		(290,061)		64,292		(140,042)		-		365,811		-
Income (loss) before income taxes			175		255,417		34,497		162,816		289,576		(368,962)		373,519
	Income tax expense (benefit)		50		34,716		26,982		8,984		122,626		(68,954)		124,404
Net Income (loss)			125		220,701		7,515		153,832		166,949		(300,007)		249,115
Net Income attributable to noncontrolling interests			-		-		-		-		-		28,414		28,414
Net income (loss) attributable to shareholders of FMC-AG & Co. KGaA		$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(328,421)	$	220,701
(1) Selling, general and administrative is presented net of income from equity method investees.

Balance sheet information segregated by issuers and guarantors

			At March 31, 2012
			Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
			FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Current assets:
	Cash and cash equivalents		$	0	$	28	$	351	$	-	$	579,845	$	-	$	580,224
	Trade accounts receivable, less allowance for doubtful accounts			-		-		150,135		-		2,948,946		-		3,099,081
	Accounts receivable from related parties			1,252,485		3,789,324		1,189,604		2,408,915		7,558,034		(16,065,916)		132,446
	Inventories			-		-		263,315		-		880,920		(120,238)		1,023,997
	Prepaid expenses and other current assets			-		59,758		33,282		-		846,442		394		939,876
	Deferred taxes			-		29,516		-		-		261,677		25,780		316,973
		Total current assets		1,252,485		3,878,626		1,636,687		2,408,915		13,075,864		(16,159,980)		6,092,597
Property, plant and equipment, net				-		471		182,311		-		2,774,119		(112,909)		2,843,992
Intangible assets				-		240		54,520		-		686,672		-		741,432
Goodwill				-		-		55,521		-		11,237,127		-		11,292,648
Deferred taxes				-		17,009		1,378		-		108,573		(55,972)		70,988
Other assets				-		10,190,377		654,533		11,341,141		(7,029,018)		(14,210,702)		946,331
	Total assets		$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337	$	(30,539,563)	$	21,987,988
Current liabilities:
	Accounts payable		$	-	$	1,190	$	35,902	$	-	$	517,999	$	-	$	555,091
	Accounts payable to related parties			-		1,487,213		1,205,327		3,245,256		10,361,652		(16,194,473)		104,975
	Accrued expenses and other current liabilities			11,833		31,231		123,385		92,736		1,459,795		1,953		1,720,933
	Short-term borrowings			-		156		-		-		103,507		-		103,663
	Short-term borrowings from related parties			-		-		-		-		(39,135)		53,833		14,698
	Current portion of long-term debt and capital lease obligations			-		305,456		-		1,587,680		1,213,832		-		3,106,968
	Income tax payable			-		126,610		-		-		125,817		(3,301)		249,126
	Deferred taxes			-		-		8,402		-		34,247		(12,728)		29,921
		Total current liabilities		11,833		1,951,856		1,373,016		4,925,672		13,777,714		(16,154,716)		5,885,375
Long term debt and capital lease obligations, less current portion				1,176,096		519,982		-		-		7,837,473		(3,950,283)		5,583,268
Long term borrowings from related parties				-		3,250,595		205,487		408,942		(1,923,257)		(1,941,767)		-
Other liabilities				-		4,584		13,104		-		231,885		25,480		275,053
Pension liabilities				-		5,857		154,635		-		140,281		-		300,773
Income tax payable				2,655		267		-		-		56,249		117,830		177,001
Deferred taxes				-		-		-		-		649,795		(20,629)		629,166
		Total liabilities		1,190,584		5,733,141		1,746,242		5,334,614		20,770,140		(21,924,085)		12,850,636
Noncontrolling interests subject to put provisions				-		-		-		-		501,968		-		501,968
Total FMC-AG & Co. KGaA shareholders' equity				61,901		8,353,582		838,708		8,415,442		(700,572)		(8,615,479)		8,353,582
Noncontrolling interests not subject to put provisions				-		-		-		-		281,802		-		281,802
Total equity				61,901		8,353,582		838,708		8,415,442		(418,770)		(8,615,479)		8,635,384
	Total liabilities and equity		$	1,252,485	$	14,086,723	$	2,584,950	$	13,750,056	$	20,853,337	$	(30,539,563)	$	21,987,988

			At December 31, 2011
			Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
			FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Current assets:
	Cash and cash equivalents		$	1	$	2	$	144	$	-	$	457,145	$	-	$	457,292
	Trade accounts receivable, less allowance for doubtful accounts			-		-		143,313		-		2,655,005		-		2,798,318
	Accounts receivable from related parties			1,273,649		3,507,671		1,058,327		700,929		4,214,468		(10,644,036)		111,008
	Inventories			-		-		224,601		-		857,521		(114,626)		967,496
	Prepaid expenses and other current assets			-		195,428		16,973		50		834,932		(12,017)		1,035,366
	Deferred taxes			-		32,466		-		-		266,164		26,909		325,539
		Total current assets		1,273,650		3,735,567		1,443,358		700,979		9,285,235		(10,743,770)		5,695,019
Property, plant and equipment, net				-		356		175,798		-		2,560,913		(107,366)		2,629,701
Intangible assets				-		266		54,811		-		631,575		-		686,652
Goodwill				-		-		53,788		-		9,132,862		-		9,186,650
Deferred taxes				-		15,923		2,457		-		125,462		(55,683)		88,159
Other assets				-		8,142,771		653,871		10,995,245		(6,082,225)		(12,462,993)		1,246,669
	Total assets		$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822	$	(23,369,812)	$	19,532,850
Current liabilities:
	Accounts payable		$	-	$	668	$	26,463	$	-	$	514,292	$	-	$	541,423
	Accounts payable to related parties			3,700		1,547,946		1,057,625		1,557,976		6,697,551		(10,753,572)		111,226
	Accrued expenses and other current liabilities			29,771		156,119		102,410		2,132		1,406,886		6,955		1,704,273
	Short-term borrowings			-		94		-		-		98,707		-		98,801
	Short-term borrowings from related parties			-		-		-		-		(25,820)		53,833		28,013
	Current portion of long-term debt and capital lease obligations			-		295,825		-		1,142,224		151,727		-		1,589,776
	Income tax payable			2,016		128,218		-		-		32,120		-		162,354
	Deferred taxes			-		-		7,292		-		28,799		(9,346)		26,745
		Total current liabilities		35,487		2,128,870		1,193,790		2,702,332		8,904,262		(10,702,130)		4,262,611
Long term debt and capital lease obligations, less current portion				1,177,329		507,898		-		438,366		7,372,794		(4,001,577)		5,494,810
Long term borrowings from related parties				-		1,348,717		203,156		408,942		(399,065)		(1,561,750)		-
Other liabilities				-		2,424		12,977		183,839		11,553		25,835		236,628
Pension liabilities				-		5,163		146,555		-		138,775		-		290,493
Income tax payable				-		259		-		-		50,309		138,432		189,000
Deferred taxes				-		-		-		-		608,444		(20,644)		587,800
		Total liabilities		1,212,816		3,993,331		1,556,478		3,733,479		16,687,072		(16,121,834)		11,061,342
Noncontrolling interests subject to put provisions				-		-		-		-		410,491		-		410,491
Total FMC-AG & Co. KGaA shareholders' equity				60,834		7,901,552		827,605		7,962,745		(1,603,206)		(7,247,978)		7,901,552
Noncontrolling interests not subject to put provisions				-		-		-		-		159,465		-		159,465
Total equity				60,834		7,901,552		827,605		7,962,745		(1,443,741)		(7,247,978)		8,061,017
	Total liabilities and equity		$	1,273,650	$	11,894,883	$	2,384,083	$	11,696,224	$	15,653,822	$	(23,369,812)	$	19,532,850

Statement of cash flows information segregated by issuers and guarantors

				For the three months ended March 31, 2012
				Issuer		Guarantors
				FMC US Finance		FMC - AG & Co. KGaA		D-GmbH			FMCH	Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
Operating Activities:
	Net income (loss)			$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(622,684)	$	393,694
	Adjustments to reconcile net income to net cash provided by (used in) operating activities:
	Equity affiliate income				-		(313,741)		-		(292,855)		-		606,596		-
		Depreciation and amortization			-		85		11,692		-		138,709		(7,112)		143,374
		Change in deferred taxes, net			-		9,671		1,852		-		16,810		(495)		27,838
		(Gain) loss on sale of fixed assets and investments			-		(33)		92		-		(8,808)		-		(8,749)
		Investment (gain)			-		-		-		-		(126,685)		-		(126,685)
		Compensation expense related to stock options			-		6,546		-		-		-		-		6,546
		Cash outflow from hedging			-		-		-		-		(15,578)		-		(15,578)
	Changes in assets and liabilities, net of amounts from businesses acquired:
		Trade accounts receivable, net			-		-		(2,162)		-		(102,239)		-		(104,401)
		Inventories			-		-		(30,891)		-		(871)		2,910		(28,852)
		Prepaid expenses and other current and non-current assets			-		139,972		(18,058)		(35,608)		46,953		176		133,435
		Accounts receivable from / payable to related parties			4,829		(244,469)		12,092		(8,660)		206,929		3,161		(26,118)
		Accounts payable, accrued expenses and other current and non-current liabilities			(7,273)		3,778		31,404		658		2,327		(342)		30,552
		Income tax payable			639		(5,634)		-		2,882		47,874		(27,562)		18,199
		Dividend income from equity method investees			-		37,190		-		-		732		-		37,922
			Net cash provided by (used in) operating activities		(738)		3,863		11,247		(36,304)		548,461		(45,352)		481,177
Investing Activities:
	Purchases of property, plant and equipment				-		(153)		(10,412)		-		(122,015)		8,162		(124,418)
	Proceeds from sale of property, plant and equipment				-		33		-		-		1,816		-		1,849
	Disbursement of loans to related parties				-		(15,680)		46		53,715		(1,087,131)		1,049,050		-
	Acquisitions and investments, net of cash acquired, and net purchases of intangible assets				-		(1,637,673)		(183)		-		(1,702,618)		1,637,672		(1,702,802)
	Proceeds from divestitures				-		-		-		-		176,721		-		176,721
			Net cash provided by (used in) investing activities		-		(1,653,473)		(10,549)		53,715		(2,733,227)		2,694,884		(1,648,650)
Financing Activities:
	Short-term borrowings, net				-		(13,837)		(498)		50,000		(58,862)		-		(23,197)
	Long-term debt and capital lease obligations, net				738		1,668,422		-		(67,411)		1,110,476		(1,049,050)		1,663,175
	Increase (decrease) of accounts receivable securitization program				-		-		-		-		(333,250)		-		(333,250)
	Proceeds from exercise of stock options				-		3,771		-		-		583		-		4,354
	Dividends paid				-		-		-		-		-		-		-
	Capital increase (decrease)				-		-		-		-		1,600,482		(1,600,482)		-
	Distributions to noncontrolling interest				-		-		-		-		(32,366)		-		(32,366)
	Contributions from noncontrolling interest				-		-		-		-		5,350		-		5,350
			Net cash provided by (used in) financing activities		738		1,658,356		(498)		(17,411)		2,292,413		(2,649,532)		1,284,066
Effect of exchange rate changes on cash and cash equivalents					-		(8,720)		7		-		15,052		-		6,339
Cash and Cash Equivalents:
Net increase (decrease) in cash and cash equivalents					(0)		26		207		-		122,699		-		122,932
Cash and cash equivalents at beginning of period					-		2		144		-		457,146		-		457,292
Cash and cash equivalents at end of period				$	(0)	$	28	$	351	$	-	$	579,845	$	-	$	580,224

				For the three months ended March 31, 2011
				Issuer		Guarantors						Non-Guarantor Subsidiaries
				FMC Finance III		FMC - AG & Co. KGaA		D-GmbH			FMCH				Combining Adjustment			Combined Total
Operating Activities:
	Net income (loss)			$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(300,007)	$	249,115
	Adjustments to reconcile net income to net cash provided by (used in) operating activities:
	Equity affiliate income				-		(197,375)		-		(140,042)		-		337,417		-
		Depreciation and amortization			-		379		11,117		222		130,576		(6,310)		135,984
		Change in deferred taxes, net			-		13,443		1,089		-		20,000		(2,105)		32,427
		(Gain) loss on sale of fixed assets and investments			-		-		(4)		-		(603)		-		(607)
		Compensation expense related to stock options			-		7,132		-		-		-		-		7,132
		Cash outflow from hedging			-		-		-		-		(57,111)		-		(57,111)
	Changes in assets and liabilities, net of amounts from businesses acquired:
		Trade accounts receivable, net			-		-		2,269		-		(184,676)		-		(182,407)
		Inventories			-		-		(16,340)		-		(64,895)		7,842		(73,393)
		Prepaid expenses and other current and non-current assets			1		(25,605)		(16,365)		(36,830)		91,786		264		13,251
		Accounts receivable from / payable to related parties			8,413		(18,879)		(11,783)		11,803		64,693		(58,877)		(4,630)
		Accounts payable, accrued expenses and other current and non-current liabilities			(8,606)		(32,676)		29,564		(36)		44,264		403		32,913
		Income tax payable			5		20,962		-		8,984		10,901		(18,207)		22,645
			Net cash provided by (used in) operating activities		(62)		(11,918)		7,062		(2,067)		221,885		(39,581)		175,319
Investing Activities:
	Purchases of property, plant and equipment				-		(91)		(3,648)		-		(120,064)		6,637		(117,166)
	Proceeds from sale of property, plant and equipment				-		-		22		-		3,984		-		4,006
	Disbursement of loans to related parties				-		366,568		48		(778,430)		-		411,814		-
	Acquisitions and investments, net of cash acquired, and net purchases of intangible assets				-		(140)		(3,065)		-		(1,002,127)		666,540		(338,792)
	Proceeds from divestitures				-		-		-		-		-		-		-
			Net cash provided by (used in) investing activities		-		366,337		(6,643)		(778,430)		(1,118,207)		1,084,991		(451,952)
Financing Activities:
	Short-term borrowings, net				-		24,487		(523)		(299)		(14,264)		-		9,401
	Long-term debt and capital lease obligations, net				-		(296,955)		-		117,406		1,467,769		(411,814)		876,406
	Increase (decrease) of accounts receivable securitization program				-		-		-		-		(510,000)		-		(510,000)
	Proceeds from exercise of stock options				-		1,665		-		-		156		-		1,821
	Dividends paid				-		-		-		-		12		(12)		-
	Capital increase (decrease)				-		-		-		663,390		3,150		(666,540)		-
	Distributions to noncontrolling interest				-		-		-		-		(25,052)		-		(25,052)
	Contributions from noncontrolling interest				-		-		-		-		3,939		-		3,939
			Net cash provided by (used in) financing activities		-		(270,803)		(523)		780,497		925,710		(1,078,366)		356,515
Effect of exchange rate changes on cash and cash equivalents					-		(3,479)		10		-		20,360		12		16,903
Cash and Cash Equivalents:
Net (decrease) increase in cash and cash equivalents					(62)		80,137		(94)		-		49,748		(32,944)		96,785
Cash and cash equivalents at beginning of period					123		147,177		225		-		342,401		32,944		522,870
Cash and cash equivalents at end of period				$	61	$	227,314	$	131	$	-	$	392,149	$	-	$	619,655

Other comprehensive income statement segregated by issuers and guarantors

		For the three months ended March 31, 2012
		Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
		FMC US Finance		FMC - AG & Co. KGaA		D-GmbH		FMCH
Net Income		$	1,067	$	370,498	$	5,226	$	297,279	$	342,308	$	(622,684)	$	393,694
	Gain (loss) related to cash flow hedges		-		(22,327)		(9)		11,725		6,328		-		(4,283)
	Actuarial gain (loss) on defined benefit pension plans		-		8		94		4,268		3		-		4,373
	Gain (loss) related to foreign currency translation		-		(3,253)		6,346		-		121,307		(3,604)		120,796
	Income tax (expense) benefit related to components of other comprehensive income		-		8,141		(24)		(6,310)		(20,788)		-		(18,981)
Other comprehensive income (loss), net of tax			-		(17,431)		6,407		9,683		106,850		(3,604)		101,905
Total comprehensive income		$	1,067	$	353,067	$	11,633	$	306,962	$	449,158	$	(626,288)	$	495,599
	Comprehensive income attributable to noncontrolling interests		-		-		-		-		-		24,037		24,037
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA		$	1,067	$	353,067	$	11,633	$	306,962	$	449,158	$	(650,325)	$	471,562

		For the three months ended March 31, 2011
		Issuer		Guarantors						Non-Guarantor Subsidiaries		Combining Adjustment		Combined Total
		FMC Finance III		FMC - AG & Co. KGaA		D-GmbH		FMCH
Net Income		$	125	$	220,701	$	7,515	$	153,832	$	166,949	$	(300,007)	$	249,115
	Gain (loss) related to cash flow hedges		-		(575)		(30)		12,620		(8,031)		-		3,984
	Actuarial gain (loss) on defined benefit pension plans		-		-		-		1,783		-		-		1,783
	Gain (loss) related to foreign currency translation		-		52,263		11,770		-		59,752		(4,832)		118,953
	Income tax (expense) benefit related to components of other comprehensive income		-		1,385		8		(5,650)		106		-		(4,151)
Other comprehensive income (loss), net of tax			-		53,073		11,748		8,753		51,827		(4,832)		120,569
Total comprehensive income		$	125	$	273,774	$	19,263	$	162,585	$	218,776	$	(304,839)	$	369,684
	Comprehensive income attributable to noncontrolling interests		-		-		-		-		-		28,682		28,682
Comprehensive income attributable to shareholders of FMC-AG & Co. KGaA		$	125	$	273,774	$	19,263	$	162,585	$	218,776	$	(333,521)	$	341,002

XML

Supplemental Condensed Combining Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011	Dec. 31, 2010
Consolidated Statements of Income
Net revenue	$ 3,248,755	$ 2,983,851
Cost of revenues	2,179,246	2,035,964
Gross profit	1,069,509	947,887
Selling, general and administrative	538,021	476,654
Research and development	28,522	26,149
Operating income	502,966	445,084
Other (income) expense:
Interest, net	98,880	71,565
Gain on the sale of dialysis clinics	(9,314)
Other, net	0	0
Income before income taxes	530,771	373,519
Income tax expense	137,077	124,404
Net Income	393,694	249,115
(Loss) gain related to cash flow hedges	(4,283)	3,984
Actuarial gains (losses) on defined benefit pension plans	4,373	1,783
(Loss) gain related to foreign currency translation	120,796	118,953
Income tax (expense) benefit related to components of other comprehensive income	(18,981)	(4,151)
Less: Net income attributable to noncontrolling interests	23,196	28,414
Income attributable to the Company	370,498	220,701
Current assets:
Cash and cash equivalents	580,224	619,655	457,292	522,870
Trade accounts receivable less allowance for doubtful accounts of $316,384 in 2012 and $299,751 in 2011	3,099,081		2,798,318
Accounts receivable from related parties	132,446		111,008
Inventories	1,023,997		967,496
Prepaid expenses and other current assets	939,876		1,035,366
Deferred tax asset, current	316,973		325,539
Total current assets	6,092,597		5,695,019
Property, plant and equipment, net	2,843,992		2,629,701
Intangible assets	741,432		686,652
Goodwill	11,292,648		9,186,650
Deferred tax asset, non-current	70,988		88,159
Total assets	21,987,988		19,532,850
Current liabilities:
Accounts payable	555,091		541,423
Accounts payable to related parties	104,975		111,226
Accrued expenses and other current liabilities	1,720,933		1,704,273
Short-term borrowings and other financial liabilities	103,663		98,801
Short Term Borrowings Due To Related Parties Current Acquisitions	14,698		28,013
Current portion of long-term debt and capital lease obligations	3,106,968		1,589,776
Income tax payable, current	249,126		162,354
Deferred tax liability, current	29,921		26,745
Total current liabilities	5,885,375		4,262,611
Total long-term debt less current maturities	5,583,268		5,494,810
Other liabilities	275,053		236,628
Pension liabilities	300,773		290,493
Income tax payable, non-current	177,001		189,000
Deferred tax liability, non-current	629,166		587,800
Total liabilities	12,850,636		11,061,342
Noncontrolling interests subject to put provisions	501,968		410,491
Company shareholders' equity	8,353,582		7,901,552
Noncontrolling interests not subject to put provisions	281,802		159,465
Total equity	8,635,384		8,061,017	7,523,911
Total liabilities and equity	21,987,988		19,532,850
Consolidated Statements of Comprehensive Income
Net Income	393,694	249,115
(Loss) gain related to cash flow hedges	(4,283)	3,984
Actuarial gains (losses) on defined benefit pension plans	4,373	1,783
(Loss) gain related to foreign currency translation	120,796	118,953
Income tax (expense) benefit related to components of other comprehensive income	(18,981)	(4,151)
Other comprehensive income (loss), net of tax	101,905	120,569
Total comprehensive income	495,599	369,684
Comprehensive income attributable to noncontrolling interests	(24,037)	(28,682)
Comprehensive income attributable to the Company	471,562	341,002
D GmbH [Member]
Current liabilities:
Total current liabilities			1,193,790
Issuers [Member] | FMC Finance III [Member]
Consolidated Statements of Income
Selling, general and administrative		5
Operating income		(5)
Other (income) expense:
Interest, net		(180)
Income before income taxes		175
Income tax expense		50
Net Income		125
Income attributable to the Company		125
Current assets:
Cash and cash equivalents		61
Consolidated Statements of Comprehensive Income
Net Income		125
Issuers [Member] | FMC US Finance [Member]
Consolidated Statements of Income
Selling, general and administrative	0
Operating income	0
Other (income) expense:
Interest, net	(1,706)
Income before income taxes	1,706
Income tax expense	639
Net Income	1,067	125
Income attributable to the Company	1,067
Current assets:
Cash and cash equivalents	0		1
Accounts receivable from related parties	1,252,485		1,273,649
Total current assets	1,252,485		1,273,650
Other assets	0
Total assets	1,252,485		1,273,650
Current liabilities:
Accounts payable to related parties	0		3,700
Accrued expenses and other current liabilities	11,833		29,771
Income tax payable, current	0		2,016
Total current liabilities	11,833		35,487
Total long-term debt less current maturities	1,176,096		1,177,329
Total liabilities	1,190,584		1,212,816
Company shareholders' equity	61,901		60,834
Total equity	61,901		60,834
Total liabilities and equity	1,252,485		1,273,650
Consolidated Statements of Comprehensive Income
Net Income	1,067	125
Total comprehensive income	1,067
Comprehensive income attributable to the Company	1,067	125
Guarantors [Member] | FMC Finance III [Member]
Consolidated Statements of Comprehensive Income
Total comprehensive income		125
Guarantors [Member] | Total FMC-AG and Co. KGaA [Member]
Consolidated Statements of Income
Selling, general and administrative	(20,246)	16,285
Operating income	20,246	(16,285)
Other (income) expense:
Interest, net	45,657	18,359
Other, net	(437,325)	(290,061)
Income before income taxes	411,914	255,417
Income tax expense	41,416	34,716
Net Income	370,498	220,701
(Loss) gain related to cash flow hedges	(22,327)	(575)
Actuarial gains (losses) on defined benefit pension plans	8
(Loss) gain related to foreign currency translation	(3,253)	52,263
Income tax (expense) benefit related to components of other comprehensive income	8,141	1,385
Income attributable to the Company	370,498	220,701
Current assets:
Cash and cash equivalents	28	227,314	2
Accounts receivable from related parties	3,789,324		3,507,671
Prepaid expenses and other current assets	59,758		195,428
Deferred tax asset, current	29,516		32,466
Total current assets	3,878,626		3,735,567
Property, plant and equipment, net	471		356
Intangible assets	240		266
Deferred tax asset, non-current	17,009		15,923
Other assets	10,190,377		8,142,771
Total assets	14,086,723		11,894,883
Current liabilities:
Accounts payable	1,190		668
Accounts payable to related parties	1,487,213		1,547,946
Accrued expenses and other current liabilities	31,231		156,119
Short-term borrowings and other financial liabilities	156		94
Current portion of long-term debt and capital lease obligations	305,456		295,825
Income tax payable, current	126,610		128,218
Total current liabilities	1,951,856		2,128,870
Total long-term debt less current maturities	519,982		507,898
Long term borrowings from related parties	3,250,595		1,348,717
Other liabilities	4,584		2,424
Pension liabilities	5,857		5,163
Income tax payable, non-current	267		259
Total liabilities	5,733,141		3,993,331
Company shareholders' equity	8,353,582		7,901,552
Total equity	8,353,582		7,901,552
Total liabilities and equity	14,086,723		11,894,883
Consolidated Statements of Comprehensive Income
Net Income	370,498	220,701
(Loss) gain related to cash flow hedges	(22,327)	(575)
Actuarial gains (losses) on defined benefit pension plans	8
(Loss) gain related to foreign currency translation	(3,253)	52,263
Income tax (expense) benefit related to components of other comprehensive income	8,141	1,385
Other comprehensive income (loss), net of tax	(17,431)	53,073
Total comprehensive income	353,067	273,774
Comprehensive income attributable to the Company	353,067	273,774
Guarantors [Member] | D GmbH [Member]
Consolidated Statements of Income
Net revenue	461,804	447,378
Cost of revenues	286,678	283,204
Gross profit	175,126	164,174
Selling, general and administrative	53,688	47,300
Research and development	17,375	16,417
Operating income	104,063	100,457
Other (income) expense:
Interest, net	1,005	1,668
Other, net	67,879	64,292
Income before income taxes	35,179	34,497
Income tax expense	29,953	26,982
Net Income	5,226	7,515
(Loss) gain related to cash flow hedges	(9)	(30)
Actuarial gains (losses) on defined benefit pension plans	94
(Loss) gain related to foreign currency translation	6,346	11,770
Income tax (expense) benefit related to components of other comprehensive income	(24)	8
Income attributable to the Company	5,226	7,515
Current assets:
Cash and cash equivalents	351	131	144
Trade accounts receivable less allowance for doubtful accounts of $316,384 in 2012 and $299,751 in 2011	150,135		143,313
Accounts receivable from related parties	1,189,604		1,058,327
Inventories	263,315		224,601
Prepaid expenses and other current assets	33,282		16,973
Total current assets	1,636,687		1,443,358
Property, plant and equipment, net	182,311		175,798
Intangible assets	54,520		54,811
Goodwill	55,521		53,788
Deferred tax asset, non-current	1,378		2,457
Other assets	654,533		653,871
Total assets	2,584,950		2,384,083
Current liabilities:
Accounts payable	35,902		26,463
Accounts payable to related parties	1,205,327		1,057,625
Accrued expenses and other current liabilities	123,385		102,410
Deferred tax liability, current	8,402		7,292
Total current liabilities	1,373,016
Long term borrowings from related parties	205,487		203,156
Other liabilities	13,104		12,977
Pension liabilities	154,635		146,555
Total liabilities	1,746,242		1,556,478
Company shareholders' equity	838,708		827,605
Total equity	838,708		827,605
Total liabilities and equity	2,584,950		2,384,083
Consolidated Statements of Comprehensive Income
Net Income	5,226	7,515
(Loss) gain related to cash flow hedges	(9)	(30)
Actuarial gains (losses) on defined benefit pension plans	94
(Loss) gain related to foreign currency translation	6,346	11,770
Income tax (expense) benefit related to components of other comprehensive income	(24)	8
Other comprehensive income (loss), net of tax	6,407	11,748
Total comprehensive income	11,633	19,263
Comprehensive income attributable to the Company	11,633	19,263
Guarantors [Member] | FMCH [Member]
Consolidated Statements of Income
Selling, general and administrative	(38,375)	(37,398)
Operating income	38,375	37,398
Other (income) expense:
Interest, net	31,069	14,624
Other, net	(292,855)	(140,042)
Income before income taxes	300,161	162,816
Income tax expense	2,882	8,984
Net Income	297,279	153,832
(Loss) gain related to cash flow hedges	11,725	12,620
Actuarial gains (losses) on defined benefit pension plans	4,268	1,783
Income tax (expense) benefit related to components of other comprehensive income	(6,310)	(5,650)
Income attributable to the Company	297,279	153,832
Current assets:
Accounts receivable from related parties	2,408,915		700,929
Prepaid expenses and other current assets	0		50
Total current assets	2,408,915		700,979
Other assets	11,341,141		10,995,245
Total assets	13,750,056		11,696,224
Current liabilities:
Accounts payable to related parties	3,245,256		1,557,976
Accrued expenses and other current liabilities	92,736		2,132
Current portion of long-term debt and capital lease obligations	1,587,680		1,142,224
Total current liabilities	4,925,672		2,702,332
Total long-term debt less current maturities	0		438,366
Long term borrowings from related parties	408,942		408,942
Other liabilities	0		183,839
Total liabilities	5,334,614		3,733,479
Company shareholders' equity	8,415,442		7,962,745
Total equity	8,415,442		7,962,745
Total liabilities and equity	13,750,056		11,696,224
Consolidated Statements of Comprehensive Income
Net Income	297,279	153,832
(Loss) gain related to cash flow hedges	11,725	12,620
Actuarial gains (losses) on defined benefit pension plans	4,268	1,783
Income tax (expense) benefit related to components of other comprehensive income	(6,310)	(5,650)
Other comprehensive income (loss), net of tax	9,683	8,753
Total comprehensive income	306,962	162,585
Comprehensive income attributable to the Company	306,962	162,585
Non Guarantor Subsidiaries [Member]
Consolidated Statements of Income
Net revenue	3,499,979	3,196,090
Cost of revenues	2,602,115	2,403,465
Gross profit	897,864	792,625
Selling, general and administrative	505,891	450,332
Research and development	11,147	9,732
Operating income	380,826	332,561
Other (income) expense:
Interest, net	22,855	42,985
Other, net	0
Income before income taxes	484,656	289,576
Income tax expense	142,348	122,626
Net Income	342,308	166,949
(Loss) gain related to cash flow hedges	6,328	(8,031)
Actuarial gains (losses) on defined benefit pension plans	3
(Loss) gain related to foreign currency translation	121,307	59,752
Income tax (expense) benefit related to components of other comprehensive income	(20,788)	106
Income attributable to the Company	342,308	166,949
Current assets:
Cash and cash equivalents	579,845	392,149	457,145
Trade accounts receivable less allowance for doubtful accounts of $316,384 in 2012 and $299,751 in 2011	2,948,946		2,655,005
Accounts receivable from related parties	7,558,034		4,214,468
Inventories	880,920		857,521
Prepaid expenses and other current assets	846,442		834,932
Deferred tax asset, current	261,677		266,164
Total current assets	13,075,864		9,285,235
Property, plant and equipment, net	2,774,119		2,560,913
Intangible assets	686,672		631,575
Goodwill	11,237,127		9,132,862
Deferred tax asset, non-current	108,573		125,462
Other assets	(7,029,018)		(6,082,225)
Total assets	20,853,337		15,653,822
Current liabilities:
Accounts payable	517,999		514,292
Accounts payable to related parties	10,361,652		6,697,551
Accrued expenses and other current liabilities	1,459,795		1,406,886
Short-term borrowings and other financial liabilities	103,507		98,707
Short Term Borrowings Due To Related Parties Current Acquisitions	(39,135)		(25,820)
Current portion of long-term debt and capital lease obligations	1,213,832		151,727
Income tax payable, current	125,817		32,120
Deferred tax liability, current	34,247		28,799
Total current liabilities	13,777,714		8,904,262
Total long-term debt less current maturities	7,837,473		7,372,794
Long term borrowings from related parties	(1,923,257)		(399,065)
Other liabilities	231,885		11,553
Pension liabilities	140,281		138,775
Income tax payable, non-current	56,249		50,309
Deferred tax liability, non-current	649,795		608,444
Total liabilities	20,770,140		16,687,072
Noncontrolling interests subject to put provisions	501,968
Company shareholders' equity	(700,572)		(1,603,206)
Noncontrolling interests not subject to put provisions	281,802
Total equity	(418,770)		(1,443,741)
Total liabilities and equity	20,853,337		15,653,822
Consolidated Statements of Comprehensive Income
Net Income	342,308	166,949
(Loss) gain related to cash flow hedges	6,328	(8,031)
Actuarial gains (losses) on defined benefit pension plans	3
(Loss) gain related to foreign currency translation	121,307	59,752
Income tax (expense) benefit related to components of other comprehensive income	(20,788)	106
Other comprehensive income (loss), net of tax	106,850	51,827
Total comprehensive income	449,158	218,776
Comprehensive income attributable to the Company	449,158	218,776
Combining Adjustment [Member]
Consolidated Statements of Income
Net revenue	(713,028)	(659,617)
Cost of revenues	(709,547)	(650,705)
Gross profit	(3,481)	(8,912)
Selling, general and administrative	37,063	130
Operating income	(40,544)	(9,042)
Other (income) expense:
Interest, net	0	(5,891)
Other, net	662,301	365,811
Income before income taxes	(702,845)	(368,962)
Income tax expense	(80,161)	(68,954)
Net Income	(622,684)	(300,007)
(Loss) gain related to foreign currency translation	(3,604)	(4,832)
Less: Net income attributable to noncontrolling interests	23,196	28,414
Income attributable to the Company	(645,880)	(328,421)
Current assets:
Cash and cash equivalents		0
Accounts receivable from related parties	(16,065,916)		(10,644,036)
Inventories	(120,238)		(114,626)
Prepaid expenses and other current assets	394		(12,017)
Deferred tax asset, current	25,780		26,909
Total current assets	(16,159,980)		(10,743,770)
Property, plant and equipment, net	(112,909)		(107,366)
Deferred tax asset, non-current	(55,972)		(55,683)
Other assets	(14,210,702)		(12,462,993)
Total assets	(30,539,563)		(23,369,812)
Current liabilities:
Accounts payable to related parties	(16,194,473)		(10,753,572)
Accrued expenses and other current liabilities	1,953		6,955
Short Term Borrowings Due To Related Parties Current Acquisitions	53,833		53,833
Income tax payable, current	(3,301)
Deferred tax liability, current	(12,728)		(9,346)
Total current liabilities	(16,154,716)		(10,702,130)
Total long-term debt less current maturities	(3,950,283)		(4,001,577)
Long term borrowings from related parties	(1,941,767)		(1,561,750)
Other liabilities	25,480		25,835
Income tax payable, non-current	117,830		138,432
Deferred tax liability, non-current	(20,629)		(20,644)
Total liabilities	(21,924,085)		(16,121,834)
Company shareholders' equity	(8,615,479)		(7,247,978)
Total equity	(8,615,479)		(7,247,978)
Total liabilities and equity	(30,539,563)		(23,369,812)
Consolidated Statements of Comprehensive Income
Net Income	(622,684)	(300,007)
(Loss) gain related to foreign currency translation	(3,604)	(4,832)
Other comprehensive income (loss), net of tax	(3,604)	(4,832)
Total comprehensive income	(626,288)	(304,839)
Comprehensive income attributable to noncontrolling interests	(24,037)	(28,682)
Comprehensive income attributable to the Company	$ (650,325)	$ (333,521)

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Supplementary Cash Flow Information

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Supplementary Cash Flow Information

14. Supplementary Cash Flow Information

The following additional information is provided with respect to the consolidated statements of cash flows:

		Three months ended March 31,
		2012		2011
Supplementary cash flow information:
	Cash paid for interest	$	112,364	$	70,884
	Cash paid for income taxes(1)	$	12,875	$	70,368
	Cash inflow for income taxes from stock option exercises	$	583	$	157
Supplemental disclosures of cash flow information:
	Details for acquisitions:
	Assets acquired	$	(2,345,375)	$	(50,501)
	Liabilities assumed		299,947		5,373
	Noncontrolling interest subject to put provisions		53,900		-
	Noncontrolling interest		130,000		-
	Notes assumed in connection with acquisition		652		848
	Cash paid		(1,860,876)		(44,280)
	Less cash acquired		159,277		250
	Net cash paid for acquisitions	$	(1,701,599)	$	(44,030)
	(1) Net of tax refund

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Long-term Debt and Capital Lease Obligations (Tables)

3 Months Ended

Mar. 31, 2012

Long Term Debt and Capital Lease Obligations (Tables) [Abstract]

Schedule of long-term debt

	March 31, 2012		December 31, 2011
Amended 2006 Senior Credit Agreement	$	2,772,680	$	2,795,589
Senior Notes		4,761,382		2,883,009
Euro Notes		267,120		258,780
European Investment Bank Agreements		351,602		345,764
Accounts receivable facility		201,250		534,500
Capital lease obligations		17,204		17,993
Other		318,998		248,951
		8,690,236		7,084,586
Less current maturities		(3,106,968)		(1,589,776)
	$	5,583,268	$	5,494,810

2006 Senior Credit Agreement Table

	Maximum Amount Available				Balance Outstanding
	March 31, 2012		December 31, 2011		March 31, 2012		December 31, 2011
Revolving Credit	$	1,200,000	$	1,200,000	$	70,097	$	58,970
Term Loan A		1,185,000		1,215,000		1,185,000		1,215,000
Term Loan B		1,517,583		1,521,619		1,517,583		1,521,619
	$	3,902,583	$	3,936,619	$	2,772,680	$	2,795,589

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Business Segment Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Entity-Wide Information, Revenue from External Customer [Line Items]
Net revenue from external customers	$ 3,248,755	$ 2,983,851
Inter - segment revenue	0	0
Segment depreciation and amortization	(143,374)	(135,984)
Operating income	502,966	445,084
Income from equity method investees	5,497	7,582
Segment assets	21,987,988		19,532,850
thereof investment in equity method investees	637,755		692,025
Capital expenditures, acquisitions and investments	1,827,220	455,958
Segment Total [Member]
Entity-Wide Information, Revenue from External Customer [Line Items]
Net revenue from external customers	3,240,674	2,979,984
Inter - segment revenue	3,452	1,694
Segment revenue	3,244,126	2,981,678
Segment depreciation and amortization	(114,943)	(108,576)
Operating income	542,745	483,118
Income from equity method investees	3,049	7,582
Capital expenditures, acquisitions and investments	1,799,467	428,646
North America [Member]
Entity-Wide Information, Revenue from External Customer [Line Items]
Net revenue from external customers	2,104,584	1,924,751
Inter - segment revenue	3,452	1,694
Segment revenue	2,108,036	1,926,445
Segment depreciation and amortization	(72,016)	(68,227)
Operating income	347,833	312,107
Income from equity method investees	2,982	7,518
Capital expenditures, acquisitions and investments	1,760,581	387,870
Exclusion of non-cash acquisitions	6,000
International [Member]
Entity-Wide Information, Revenue from External Customer [Line Items]
Net revenue from external customers	1,136,090	1,055,233
Inter - segment revenue	0	0
Segment revenue	1,136,090	1,055,233
Segment depreciation and amortization	(42,927)	(40,349)
Operating income	194,912	171,011
Income from equity method investees	67	64
Capital expenditures, acquisitions and investments	38,886	40,776
Exclusion of non-cash acquisitions	1,731	8,884
Corporate [Member]
Entity-Wide Information, Revenue from External Customer [Line Items]
Net revenue from external customers	8,081	3,867
Inter - segment revenue	(3,452)	(1,694)
Segment revenue	4,629	2,173
Segment depreciation and amortization	(28,431)	(27,408)
Operating income	(39,779)	(38,034)
Income from equity method investees	2,448	0
Capital expenditures, acquisitions and investments	27,753	27,312
Exclusion of non-cash acquisitions		$ 2,125

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Stock Options (Details) (EUR €)	Mar. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock no par value (in Euros)	€ 1

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Consolidated Balance Sheets (Parentheticals) In Thousands, except Share data, unless otherwise specified	Mar. 31, 2012 USD ($)	Mar. 31, 2012 EUR (€)	Dec. 31, 2011 USD ($)
Consolidated Balance Sheets
Trade accounts receivable allowance for doubtful accounts	$ 316,384		$ 299,751
Preference shares, no par value (in Euros)		€ 1
Preferred stock authorized	7,066,522	7,066,522
Preferred stock issued	3,966,522	3,966,522
Preferred stock outstanding	3,966,522	3,966,522
Common stock no par value (in Euros)		€ 1
Common stock authorized	385,396,450	385,396,450
Common stock issued	300,254,024	300,254,024
Common stock outstanding	300,254,024	300,254,024

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Patient Service Revenue

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Patient Service Revenue Text Block 1

3. Bad Debt Provision and Allowance for Doubtful Accounts

• Bad Debt Provision

  Dialysis Care Revenues before provisions for doubtful accounts consist primarily of patient service revenues, which are recorded based upon established contractual rates with third party payors, during the period the health care services are provided. Third-party payors include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances under managed care health plans and commercial insurance companies are based upon the payment terms applicable to the related contractual agreements and historical payment patterns.

  Based on historical collection experience, a significant portion of net patient service revenues related to patients without adequate insurance coverage, patient co-payments and deductibles for patients who have third party health care coverage are ultimately uncollectible. For this reason a provision for doubtful accounts related to the uninsured portion of patient accounts is recorded to adjust net patient service revenue and related accounts receivable to estimated net collectible amounts.

• Allowance for Doubtful Accounts

Accounts Receivables are reduced by an allowance for doubtful accounts to reduce the carrying value of such receivables to their estimated net realizable value. The sufficiency of the allowance for doubtful accounts is estimated based upon management's detailed periodic assessment of historical write-offs and recoveries by major payor groups, trends in federal, state and private employer health care coverage and other collection trends. A significant portion of the allowance for doubtful accounts relate to amounts due directly from patients without adequate insurance coverage, patient co-payment and deductible amounts from patients who have health care coverage. Although outcomes vary, the Company attempts to collect amounts due from all patients, including co-payments and deductibles due from patients with insurance. Account balances are written off and deducted from the allowance for doubtful accounts after all reasonable collection efforts have been performed. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. The amount of the provision for doubtful accounts is based upon management's historical collection experience and expected net collections from net patient service revenue during the period.

		For the three months ended March 31,
		2012		2011
Medicare ESRD program	$	923,625	$	895,232
Private/alternative payors		857,306		736,124
Medicaid and other government sources		103,570		51,511
Hospitals		99,742		99,133
Total patient service revenue	$	1,984,243	$	1,782,000

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Short-term Borrowings, Other Finanacial Liabilties and Short-term Borrowings from Related Parties (Tables)

3 Months Ended

Mar. 31, 2012

Short Term Debt (Tables) [Abstract]

Schedule of Short-term debt

	March 31, 2012		December 31, 2011
Borrowings under lines of credit	$	98,386	$	91,899
Other financial liabilities		5,277		6,902
Short-term borrowings and other financial liabilities		103,663		98,801
Short-term borrowings from related parties (see Note 4.c.)		14,698		28,013
Short-term borrowings, Other financial liabilities and Short-term borrowings from related parties	$	118,361	$	126,814

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Inventories (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Inventories (Details) [Abstract]
Raw materials and purchased components	$ 634,623	$ 610,569
Work in process	180,514	163,030
Finished goods	134,821	133,769
Health care supplies	74,039	60,128
Inventories	1,023,997	967,496
Unrecorded Unconditional Purchase Obligation [Line Items]
Unrecorded Unconditional Purchase Obligation, Due within One Year	70,771
Unrecorded Unconditional Purchase Obligation Change In Purchase Obligation	$ 242,658

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Business Segment Information

3 Months Ended

Mar. 31, 2012

Notes to Consolidated Financial Statements [Abstract]

Business Segment Information

13. Business Segment and Corporate Information

The Company has identified three business segments, North America, International, and Asia Pacific, which were determined based upon how the Company manages its businesses. All segments are primarily engaged in providing dialysis care services and the distribution of products and equipment for the treatment of ESRD. In the U.S., the Company is engaged in providing inpatient dialysis services and other services under contract to hospitals. The Company has aggregated the International and Asia Pacific operating segments as “International.” The segments are aggregated due to their similar economic characteristics. These characteristics include the same services provided and products sold, the same type patient population, similar methods of distribution of products and services and similar economic environments.

Management evaluates each segment using a measure that reflects all of the segment's controllable revenues and expenses. Management believes that the most appropriate measure in this regard is operating income which measures the Company's source of earnings. Financing is a corporate function, which the Company's segments do not control. Therefore, the Company does not include interest expense relating to financing as a segment measure. Similarly, the Company does not allocate “corporate costs,” which relate primarily to certain headquarters overhead charges, including accounting and finance, professional services, etc., because the Company believes that these costs are also not within the control of the individual segments.As of January 1, 2011, production of products, production asset management, quality management and procurement is centrally managed in Corporate by Global Manufacturing Operations.These corporate activities do not fulfill the definition of an operating segment. Products are transferred to the operating segments at cost, therefore no internal profit is generated. The associated internal revenues for the product transfers and their elimination are recorded as corporate activities. Capital expenditures for production are based on the expected demand of the operating segments and consolidated profitability considerations. In addition, certain revenues, investments and intangible assets, as well as any related expenses, are not allocated to a segment but are accounted for as “Corporate.” The Company also regards income taxes to be outside the segment's control.

Information pertaining to the Company's business segments for the three-monthperiods ended March 31, 2012 and 2011 is set forth below.

				North America		International		Segment Total		Corporate		Total
Three months ended March 31, 2012
	Net revenue external customers		$	2,104,584	$	1,136,090	$	3,240,674	$	8,081	$	3,248,755
	Inter - segment revenue			3,452		-		3,452		(3,452)		-
	Net revenue			2,108,036		1,136,090		3,244,126		4,629		3,248,755
	Depreciation and amortization			(72,016)		(42,927)		(114,943)		(28,431)		(143,374)
	Operating income			347,833		194,912		542,745		(39,779)		502,966
	Income (loss) from equity method investees			2,982		67		3,049		2,448		5,497
	Segment assets			13,974,231		5,889,591		19,863,822		2,124,166		21,987,988
		thereof investments in equity method investees		254,408		381,567		635,975		1,780		637,755
	Capital expenditures, acquisitions and investments(1)			1,760,581		38,886		1,799,467		27,753		1,827,220
Three months ended March 31, 2011
	Net revenue external customers		$	1,924,751	$	1,055,233	$	2,979,984	$	3,867	$	2,983,851
	Inter - segment revenue			1,694		-		1,694		(1,694)		-
	Net revenue			1,926,445		1,055,233		2,981,678		2,173		2,983,851
	Depreciation and amortization			(68,227)		(40,349)		(108,576)		(27,408)		(135,984)
	Operating income			312,107		171,011		483,118		(38,034)		445,084
	Income (loss) from equity method investees			7,518		64		7,582		-		7,582
	Segment assets			11,355,947		4,531,146		15,887,093		2,226,544		18,113,637
		thereof investments in equity method investees		265,365		7,284		272,649		-		272,649
	Capital expenditures, acquisitions and investments (2)			387,870		40,776		428,646		27,312		455,958
	(1) North America acquisitions exclude $468,793 of non-cash acquisitions and International acquisitions exclude $652 of non-cash acquisitions for 2012.
	(2) North America and International acquisitions exclude $6,000 and $848, respectively, of non-cash acquisitions for 2011.