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          <NonNumbericText>&lt;p style='margin-top:12pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;margin-left:0px;"&gt; &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;"&gt;2. &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;"&gt;   &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;"&gt;Related Party Transactions&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:12pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;margin-left:17px;"&gt;a) Service and Lease Agreements&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;The Company is party to service agreements with Fresenius SE, the sole stockholder of its General Partner and its largest shareholder with &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;approximately &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;36&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;%&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; ownership of the Company's voting shares, and certain affiliates of Fresenius SE that are not also subsidiaries of the Company&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; (collectively "Fresenius SE")&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, to receive services, including, but not limited to: administrative services, management information services, employee benefit administration, insurance, IT services, tax services and treasury management services. For the three-month periods ended March 31, 2010 and 2009, amounts charged by Fresenius SE to the Company under the terms of these agreements are &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;19,198&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $16,070, respectively. The Company also provides cert&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;ain services to Fresenius SE&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, including research and development, central purchasing, patent administration and warehousing. The Company charged &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;1&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;,726&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $6,557 for services rendered to Fresenius SE during the first three months of 2010 and 2009, respectively. &lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;Under operating lease agreements for real estate entered into with Fresenius SE, the Company paid Fresenius SE &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;5,045 &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;and $4,893 during the first three-month of 2010 and 2009, respectively. The majority of the leases expire in &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;2016 and&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; contain renewal options.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;The Company's Articles of Association provide that the General Partner shall be reimbursed for any and all expenses in connection with management of the Company's business, including remuneration of the members of the General Partner's supervisory board and the General Partner's management board. The aggregate amount reimbursed to Management AG for the three-month periods ended March 31, 2010 and 2009 was &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;2,328 &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;and $2,117, respectively, for its management services during those three-month periods.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:12pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;margin-left:17px;"&gt;b) Products&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;For the three-month periods ended March 31, 2010, and 2009, the Company sold products to Fresenius SE &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;for $&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;4,&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;041&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $3,971, respectively. During the three-month periods ended March 31, 2010, and 2009, the Company made purchases from Fresenius SE in the amount of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;10&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;,227&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $10,711, respectively.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;In addition to the purchases noted above, the Company currently purchases heparin supplied by APP Inc., through a group purchasing organization ("GPO"). &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;Since February 2008, APP Inc. has been the only remaining &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;U.S.&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; supplier of FDA-approved heparin used in dialysis. &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;In September 2008, Fresenius Kabi AG, a wholly-owned subsidiary of Fresenius SE, acquired 100% of APP Inc. The Company has no direct supply agreement with APP Inc. and does not submit purchase orders directly to APP Inc. During the three-month periods ended March 31, 2010 and 2009, Fresenius Medical Care Holdings, Inc. ("FMCH") acquired approximately &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;7,821&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $7,078, 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.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:12pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;margin-left:17px;"&gt;c) &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-weight:bold;"&gt;Financing Provided by and to Fresenius SE&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;During the second quarter 2009, the Company reclassified an account payable to Fresenius SE in the amount of &amp;#8364;77,745 ($109,885 at June 30, 2009) from account&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;s&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; payable to related parties to short-term borrowings from related parties. The amount represents taxes payable by the Company arising from the period 1997-2001 during which German trade taxes were paid by Fresenius SE on behalf of the Company. Of this amount, &amp;#8364;5,&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;747 ($&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;7,746&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;at March 31, 2010) was outstanding at March 31, 2010 and will be repaid in 2010 with an interest rate of 6%. &lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;On August 19, 2009, the Company borrowed &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;&amp;#8364;1,500 ($2,022 as of March 31, 2010)&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; from the General Partner at 1.335%, due on August 19, 2010. &lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;On November 7, 2008, the Company entered into a loan agreement with Fresenius SE whereby it advanced Fresenius SE $50,000 at 6.45% interest which was due and repaid on April 30, 2009.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&amp;#160;&lt;/p&gt;</NonNumbericText>
          <NonNumericTextHeader>2.    Related Party Transactionsa) Service and Lease AgreementsThe Company is party to service agreements with Fresenius SE, the sole stockholder of its</NonNumericTextHeader>
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      <ElementDefenition>This element may be used for the entire related party transactions disclosure as a single block of text. Disclosure may include:  the nature of the relationship(s), a description of the transactions, the amount of the transactions, the effects of any change in the method of establishing the terms of the transaction from the previous period, stated interest rate, expiration date, terms and manner of settlement per the agreement with the related party, and amounts due to or from related parties. If the entity and one or more other entities are under common ownership or management control and this control affects the operating results or financial position, disclosure includes the nature of the control relationship even if there are no transactions between the entities. Disclosure may also include the aggregate amount of current and deferred tax expense for each statement of earnings presented where the entity is a member of a group that files a consolidated tax return, the amount of any tax related balances due to or from affiliates as of the date of each statement of financial position presented, the principal provisions of the method by which the consolidated amount of current and deferred tax expense is allocated to the members of the group and the nature and effect of any changes in that method. Examples of related party transactions include transactions between (a) a parent company and its subsidiary; (b) subsidiaries of a common parent; (c) and entity and its principal owners; and (d) affiliates.</ElementDefenition>
      <ElementReferences>Reference 1: http://www.xbrl.org/2003/role/presentationRef
 -Publisher SEC
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Reference 2: http://www.xbrl.org/2003/role/presentationRef
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 -Name Regulation S-X (SX)
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Reference 3: http://www.xbrl.org/2003/role/presentationRef
 -Publisher FASB
 -Name Statement of Financial Accounting Standard (FAS)
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