Trade accounts receivable less allowance for doubtful accounts of $266,449 in 2009 and $262,836 in 2008 Accumulated other comprehensive (loss) Acquisitions and investments, net of cash acquired, and net purchases of intangible assets Acquisitions and investments, net of cash acquired, and net purchases of intangible assets Additional paid-in capital Stock Option Compensation Expense Trade accounts receivable allowance for doubtful accounts Consolidated Balance Sheets Cash and cash equivalents Cash and cash equivalents at beginning of period Cash and cash equivalents at end of period Accounts payable, accrued expenses and other current and non-current liabilities Income tax payable Inventories, net Inventories, net Prepaid expenses, other current and non-current assets Prepaid expenses, other current and non-current assets Trade accounts receivable, net Trade accounts receivable, net Changes in assets and liabilities, net of amounts from businesses acquired: Common stock subscribed Common stock authorized Common stock, no par value, 1.00 Euro nominal value, 373,436,220 shares authorized, 295,746,635 issued and outstanding Comprehensive income attributable to the Company Comprehensive income attributable to the Company Dialysis Products Cost of Revenue Costs of revenue: Cost of revenues Cost of revenues Dialysis Care Cost of Revenue Current liabilities: Current liabilities Total current liabilities Current portion of long-term debt and capital lease obligations Long-term debt and capital lease obligations, less current portion Fully diluted income per ordinary share Effect of exchange rate changes on cash and cash equivalents Gross profit Profit Consolidated Statements of Income (Decrease) increase of accounts receivable securitization program (Decrease) increase of accounts receivable securitization program Intangible assets Interest expense Inventories Liabilities and shareholders' equity Total liabilities and equity Liabilities and equity Liabilities Total liabilities Cash contributions from Noncontrolling interests Cash contributions from Noncontrolling interests Purchase (sale) of Noncontrolling interests Noncontrolling interests Financing Activities: Cash used in financing activities Net cash used in financing activities Investing Activities: Cash used in investing activities Net cash used in investing activities Operating Activities: Cash provided by operating activities Net cash provided by operating activities Income attributable to the Company Net Income attributable to the Company (decrease) in cash and cash equivalents Net (decrease) in cash and cash equivalents Other (income) expense: Operating income Operating income Actuarial gains (losses) on defined benefit pension plans Actuarial gains (losses) on defined benefit pension plans Gain (loss) related to cash flow hedges Foreign currency translation Other comprehensive income (loss), net of tax Other comprehensive income (loss), net of tax Income tax (expense) benefit related to components of other comprehensive income Income tax (expense) benefit related to components of other comprehensive income Preferred Stock [Member] Preferred stock authorized Prepaid expenses and other current assets Proceeds from divestitures Proceeds from long-term debt and capital lease obligations (net of debt issuance costs of $16,703 in 2007) Proceeds from sale of property, plant and equipment Proceeds from short-term borrowings and other financial liabilities Proceeds from exercise of stock options Property, plant and equipment, net Purchases of property, plant and equipment Purchases of property, plant and equipment Accounts receivable from related parties Repayments of long-term debt and capital lease obligations Repayments of long-term debt and capital lease obligations Repayments of short-term borrowings and other financial liabilities Repayments of short-term borrowings and other financial liabilities Distributions to Noncontrolling interests Distributions to Noncontrolling interests Redemption of trust preferred securities Redemption of trust preferred securities Retained earnings Selling, general and administrative Short-term borrowings Consolidated Statements of Cash Flows Consolidated Statements of Comprehensive Income Consolidated Statements of Shareholders' Equity Company shareholders' equity: Current assets: Current assets Total current assets Common Stock, No par value [Member] Research and development Preferred Stock, No par value [Member] Assets Assets Interest income Interest income Other liabilities Dividends paid Dividends paid Deferred tax asset, non-current Deferred tax asset, current Deferred tax liability, current Deferred tax liability, non-current Assets: Statement [Line Items] Dialysis Care Revenue Dialysis Products Revenue Net revenue Revenue Net revenue: Common Stock [Member] Basic income per ordinary share Other assets Preferred stock outstanding Operating expenses: Income before income taxes Income before income taxes Change in deferred taxes, net Company shareholders' equity Total Company shareholders' equity Income tax expense Preferred stock, no par value, 1.00 Euro nominal value, 12,356,880 shares authorized, 3,884,328 issued and outstanding Cash and Cash Equivalents: Statements of shareholders' equity by components [Axis] Additional paid in capital [Member] Retained earnings [Member] Accumulated other comprehensive income (loss) [Member] Total equity Preferred stock no par value (in Euros) Common stock no par value (in Euros) Goodwill Proceeds from exercise of options and related tax effects Shares from exercise of options and related tax effects Company-obligated mandatorily redeemable preferred securities of subsidiary Fresenius Medical Care Capital Trusts holding solely Company-guaranteed debentures of subsidiaries Shares issued Shares issued Shares issued Net Income Net Income Less: Net Income attributable to Noncontrolling interests Income tax payable, non-current Depreciation and amortization Comprehensive income (loss) Comprehensive income Total Comprehensive income Comprehensive income attributable to Noncontrolling interests Total equity Equity Shareholders equity Shareholders equity Accounts payable Accrued expenses and other current liabilities Accounts payable to related parties Income tax payable, current Pension liabilities Noncontrolling interests [Member] Total Company shareholders' equity [Member] Total FMC-AG and Co. KGaA shareholders' equity Adjustments to reconcile net income to net cash provided by operating activities: Amendment description Amendment flag Current fiscal year end date Document period end date Document type Entity well known seasoned issuer Entity voluntary filers Entity current reporting status Entity filer category Entity public float Entity registrant name Entity central index key Entity common stock shares outstanding Consolidated Balance Sheets (Parentheticals) Change in noncontrolling interests This concept will go away soon Document and Entity Information Short-term borrowings from related parties Reflects the total carrying amount as of the balance sheet date of debt having initial terms less than one year or the normal operating cycle, if longer, from the following types of related parties: a parent company and its subsidiaries, subsidiaries of a common parent, an entity and trust for the benefit of employees, such as pension and profit-sharing trusts that are managed by or under the trusteeship of the entities' management, an entity and its principal owners, management, or member of their immediate families, affiliates, or other parties with the ability to exert significant influence. Common Stock, Subscribed [Member] Preferred Stock, Subscribed [Member] Tax liability to be paid by noncontrolling interests Statement [Table] Note to Consolidated Financial Statements The Company and Basis of Presentation Related Party Transactions Inventories Note Short-Term Borrowings and Short-Term Borrowings from Related Parties This element may be used as a single block of text to encapsulate the entire disclosure for short-term borrowings and short-term borrowings from related parties including data and tables Long-term Debt and Capital Lease Obligations Shareholders' Equity Earnings Per Share Employee Benefit Plans Legal Proceedings Financial Instruments Business Segment Information Supplementary Cash Flow Information Supplemental Condensed Combining Information Preferred stock issued Common stock issued Common stock outstanding Proceeds from short-term borrowings from related parties Repayments of short-term borrowings from related parties Repayments of short-term borrowings from related parties Compensation expense related to stock options Payment of dividends Payment of dividends [N] Contributions from Noncontrolling interests (Gain) Loss on sale of investments (Gain) Loss on sale of investments Accounts receivable, related parties Accounts payable, related parties (Gain) Loss on sale of fixed assets (Gain) Loss on sale of fixed assets Property Plant and Equipment Intangible Assets Accrued Expenses and Other Liabilities Mandatorily Redeemable Trust Preferred Securities Income Taxes Operating Leases Other Comprehensive Income (Loss) Acquisitions and Investments Subsequent Event Stock Options Repurchase of preferred stock Repurchase of preferred stock