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Fresenius Medical Care Announces the Offering of €250 million of Senior Notes for Refinancing Purposes

| Press release

Fresenius Medical Care AG & Co. KGaA (the “Company” or “Fresenius Medical Care”), the world’s largest provider of dialysis products and services, today announced that it intends to sell €250 million of senior unsecured notes due 2016 (the “Senior Notes”) issued by FMC Finance VI S.A., a wholly owned subsidiary of the Company. The Senior Notes will be offered through a private placement directed to institutional investors outside the United States. There will be no public offering of the Senior Notes. Proceeds from the offering will be used to repay short-term indebtedness and for general corporate purposes.

The Senior Notes will be guaranteed on a senior basis jointly and severally by the Company, Fresenius Medical Care Holdings, Inc. and Fresenius Medical Care Deutschland GmbH.

The proposed offering will not be registered under the Securities Act of 1933. The offering will be made in an “offshore transaction” pursuant to Regulation S under the Securities Act and will be offered in the United States to “qualified institutional buyers” pursuant to the exemption from registration under Rule 144A under the Securities Act.

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This release does not constitute or form part of, and should not be construed as, an offer or invitation to subscribe for, underwrite or otherwise acquire, any securities of FMC Finance VI S.A. or Fresenius Medical Care or any present or future member of its group nor should it or any part of it form the basis of, or be relied on in connection with, any contract to purchase or subscribe for any securities of FMC Finance VI S.A. or Fresenius Medical Care or any member of its group. In particular, this release is not an offer of securities in the United States of America (including its territories and possessions), and securities of FMC Finance VI S.A. and Fresenius Medical Care may not be offered or sold in the United States of America absent registration under the Securities Act of 1933, as amended, (which FMC Finance VI S.A. and Fresenius Medical Care do not intend to effect) or pursuant to an applicable exemption from registration.

Fresenius Medical Care is the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure, a condition that affects more than 1,770,000 individuals worldwide. Through its network of 2,509 dialysis clinics in North America, Europe, Latin America, Asia-Pacific and Africa, Fresenius Medical Care provides dialysis treatment to 192,804 patients around the globe (as of 30 September 2009). Fresenius Medical Care is also the world's leading provider of dialysis products such as hemodialysis machines, dialyzers and related disposable products. Fresenius Medical Care is listed on the Frankfurt Stock Exchange (FME, FME3) and the New York Stock Exchange (FMS, FMS/P).

This release contains forward-looking statements that are subject to various risks and uncertainties. Actual results could differ materially from those described in these forward-looking statements due to certain factors, including changes in business, economic and competitive conditions, regulatory reforms, foreign exchange rate fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These and other risks and uncertainties are detailed in Fresenius Medical Care AG & Co. KGaA's reports filed with the U.S. Securities and Exchange Commission. Fresenius Medical Care AG & Co. KGaA does not undertake any responsibility to update the forward-looking statements in this release.

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