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                                                                      EXHIBIT 11


             FRESENIUS MEDICAL CARE HOLDINGS, INC. AND SUBSIDIARIES
        WEIGHTED AVERAGE NUMBER OF SHARES AND EARNINGS USED IN PER SHARE
                                   COMPUTATION
                        (DOLLARS AND SHARES IN THOUSANDS)




                                                                               THREE MONTHS ENDED              SIX MONTHS ENDED
                                                                                    JUNE 30,                       JUNE 30,
                                                                           -------------------------       -------------------------
                                                                              1999           1998             1999           1998
                                                                           ----------     ----------       ----------     ----------
     The weighted average number of shares of                              ----------     ----------       ----------     ----------
                                                                                                              
      Common Stock were as follows....................................        90,000         90,000           90,000         90,000
                                                                           ==========     ==========       ==========     ==========

Income used in the computation of earnings per share were as follows:

                                                                               THREE MONTHS ENDED              SIX MONTHS ENDED
                                                                                    JUNE 30,                       JUNE 30,
                                                                           -------------------------       -------------------------
     CONTINUED OPERATIONS                                                     1999           1998             1999           1998
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Net Earnings.....................................................     $  21,404      $  12,770           39,031      $  22,616

     Dividends paid on preferred stocks...............................          (130)          (130)            (260)          (260)
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Income used in per share computation of earnings.................     $  21,274      $  12,640           38,771      $  22,356
                                                                           ==========     ==========       ==========     ==========
     Basic and fully dilutive earnings per share......................     $    0.24      $    0.14             0.43      $    0.25
                                                                           ==========     ==========       ==========     ==========


                                                                               THREE MONTHS ENDED              SIX MONTHS ENDED
                                                                                    JUNE 30,                       JUNE 30,
                                                                           -------------------------       -------------------------
     DISCONTINUED OPERATIONS                                                  1999           1998             1999           1998
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Net Earnings.....................................................     $     --       $(101,468)             --       $(105,897)

     Dividends paid on preferred stocks...............................           --             --               --             --
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Income used in per share computation of earnings.................     $     --       $(101,468)             --       $(105,897)
                                                                           ==========     ==========       ==========     ==========
     Basic and fully dilutive earnings per share......................     $     --       $   (1.13)             -- -     $   (1.18)
                                                                           ==========     ==========       ==========     ==========


                                                                               THREE MONTHS ENDED              SIX MONTHS ENDED
                                                                                    JUNE 30,                       JUNE 30,
                                                                           -------------------------     ---------------------------
     CUMULATIVE EFFECT OF ACCOUNTING CHANGE                                   1999           1998             1999           1998
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Cumulative effect of accounting change...........................     $     --       $     --               --       $  (4,890)

     Dividends paid on preferred stocks...............................           --             --               --             --
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Income used in per share computation of earnings.................     $     --       $     --               --       $  (4,890)
                                                                           ==========     ==========       ==========     ==========
     Basic and fully dilutive earnings per share......................     $     --       $     --               --       $   (0.05)
                                                                           ==========     ==========       ==========     ==========


                                                                               THREE MONTHS ENDED              SIX MONTHS ENDED
                                                                                    JUNE 30,                       JUNE 30,
                                                                           -------------------------       -------------------------
     CONSOLIDATED                                                             1999           1998             1999           1998
                                                                           ----------     ----------       ----------     ----------
                                                                           ----------     ----------       ----------     ----------
     Net Earnings.....................................................     $  21,404      $ (88,698)          39,031      $ (88,171)

     Dividends paid on preferred stocks...............................          (130)          (130)            (260)          (260)
                                                                           ----------     ----------       ----------     ----------
     Income used in per share computation of earnings.................     $  21,274      $ (88,828)          38,771      $ (88,431)
                                                                           ==========     ==========       ==========     ==========
     Basic and fully dilutive earnings per share......................     $    0.24      $   (0.99)            0.43      $   (0.98)
                                                                           ==========     ==========       ==========     ==========